2 English reference cold constipation [Chinese medicine terminology examination and approval Committee. Terminology of traditional Chinese medicine (20 10)]
3. Summarize cold constancy (1) as the name of disease syndrome [2]. Also known as yin knot (the secret of blue room, the door of dry stool) and cold secret (the secret door of miraculous prescription). It refers to the stagnation of cold pathogen, which is characterized by hard stool, abdominal pain, fullness and tightness, hypochondriac pain, tepid hands and feet, hiccups and vomiting, white greasy fur and tight pulse [1].
4 etiology and pathogenesis of cold secret Cold secret is caused by yin-cold condensation and obstruction of fu-organs qi [2].
"Sheng Ji Zong Lu Da Bian Xiao Men": "Being cold and embarrassed is called cold and secret."
5 cold symptoms cold patients have difficulty in defecation, excretion, abdominal pain, full abdomen, refusal to press, hypochondriac pain, long urination and dull complexion. White, tepid limbs, aversion to heat and cold, or soreness and coldness in the back, hiccups and vomiting, pale tongue with white fur and tight pulse [3][4].
"Key to Syndrome Differentiation and Treatment: Constipation": "The secret of cold is that the cold passes through the stomach, the yin is condensed and the body fluid is blocked, and the stomach is blocked. He is attacked by intestinal qi, and likes heat and hates cold. Add half money to Huoxiang Zhengqi Powder, half money to Guangui and Fructus Aurantii, and swallow half a sulfur pill. "
Medical Explanation: "The world knows the secret of heat, but it doesn't know the secret of cold. If cold is the secret, cold air condenses and body fluid is blocked. If frozen in cold, water becomes ice. It is advisable to treat Bawei Pills and Semi-sulfur Pills with warm and smooth. "
"Comprehension of Medical Mind and Obstruction of Stool": "Cold-closed people have pale lips, pale mouth, white tongue and clear urine, and they like heat and hate cold. This is called yin knot, so warm medicine should be used to moisten dryness, and less beads should be added with Lizhong decoction. "
Syndrome analysis: Yin-cold stagnates in the gastrointestinal tract: Yang-qi is weak, cold is endogenous, intestinal conduction is weak, and stool is difficult to move and discharge. Yin and cold block, so the abdomen is cold and painful, and I like heat and fear cold. Yang deficiency has no right to warm, so the limbs are not warm, the waist and knees are sour and cold, and the urine is long. Face? Pale and white tongue, white fur and deep pulse are all manifestations of yang deficiency and internal cold. [3]
7. Treating cold secret 7. 1 Treating cold secret should be warming yang and relaxing bowels [3][4].
7.2 Prescriptions that can be used to treat cold secrets [Remarks] Jichuan Decoction (Jingyue Quanshu): Angelica sinensis, Achyranthes bidentata, Cistanche deserticola, Alisma orientalis, Cimicifuga foetida, Fructus Aurantii and Cinnamomum cassia. Cistanche deserticola and Achyranthes bidentata in the prescription warm kidney and help yang, moisten intestines and relieve constipation; Angelica sinensis nourishes blood and moistens intestines; Cimicifuga ascends clear and descends turbid; Cinnamon warms yang and dispels cold. You can also choose semi-sulfur pills [Remarks] Semi-sulfur pills (Taiping Huimin Hutchison Bureau): Pinellia and sulfur. [3]
7.3 Acupuncture treatment 7.3. 1 Prescription and principle of one treatment: invigorating spleen and benefiting qi, warming yang and relaxing bowels.
Acupoints: Dachangshu, Shu Tian, Zhigou and Shangjuxu.
Recipe 1: Dachangshu is the place where the large intestine and fu-organ qi are transmitted, which cooperates with Shutian to regulate qi and blood and dredge fu-organ qi; Branches ascending triple energizer, regulating fu qi; Upper giant deficiency is the lower point of the large intestine, which means "treating all the five zang-organs and six fu-organs", regulating the qi of the zang-organs and restoring the conduction function of the large intestine.
Moxibustion of Shenque point due to yin cold.
Operation: Tonifying and purging with filiform needle, 1 time every day for 30 minutes,1time is a course of treatment.
7.3.2 The second side mainly selects points such as Dachangshu, Shu Tian, Daheng, Zhigou and Shangjuxu [5]. Those who are cold and secret should moxibustion Shenque and Qihai [5].
7.4 Massage Therapy [6]
Acupoints: Zusanli, Dachangshu, Zhigou, Quchi, Zhangmen, Qimen, Xiajuxu, Shu Tian and Daheng.
Operation method: The patient was supine and applied to Shutian and Daheng points with a brisk one-finger Zen tuina, each point lasting about 65438 0 minutes; Knead the abdomen counterclockwise with the palm of your hand for 8 minutes. Massage Zusanli, Dachangshu, Zhigou and Quchi, subject to the degree of acid swelling. Push Yangming stomach meridian down from Zusanli to Xiajuxu for 3-5 minutes. Press Zhangmen point and Qimen point on the chest, flank and abdomen, taking acid swelling as the degree, and should not be overweight.
7.5 Dietotherapy 7.5. 1 Patients with cold ingredients should eat mulberry, hemp seed, Cynomorium songaricum, honey, walnut kernel and mutton. [4].
7.5.2 Recommended dietotherapy prescription [4]
1. perilla maren porridge (Puji recipe): perilla 10g, maren 15g, and japonica rice 50 ~ 100g. Mash Perilla and Fructus Cannabis, grind with water, filter juice, cook porridge with japonica rice, and eat at will.
2. Mulberry honey water of Cynomorium songaricum (China medicated diet): Cynomorium songaricum 15g, Mulberry 15g and honey 30g. Decoct Cynomorium songaricum and Mori Fructus in water to get juice, add honey and mix well, and take it twice.
3. Walnut powder (empirical formula): 5 walnuts, dried and ground. Take it with boiling water before going to bed 1 ~ 2 months.
8 About Constipation Constipation (constipation [1][7]) is the name of the disease [8]. See Origin of Miscellaneous Diseases, Rhinoceros Candle and Origin of Constipation. That is constipation [8]. Also known as defecation difficulty [5]. It is a symptom of constipation, prolonged defecation time or difficulty in defecation. Although constipation belongs to conduction dysfunction of large intestine, it is closely related to spleen and stomach and kidney [3]. The causes of the disease are dryness and heat and insufficient body fluid. Emotional disharmony, qi stagnation; And fatigue, internal injuries, physical weakness, lack of qi and blood [3].
At present, hot secrets are often divided into real secrets (including hot secrets, gas secrets and cold secrets). ) and virtual secret (including qi deficiency syndrome, yin deficiency syndrome, yang deficiency syndrome, blood deficiency syndrome, etc. ) treatment based on syndrome differentiation. See Constipation for details.
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