Seeing Chenpi Shugan from the Rise and Fall of Liver and Lung
According to Huangdi Neijing and the philosophical thinking of traditional Chinese medicine, the east belongs to wood, and the liver is matched with wood, which has the qi of spring yang rising, so the liver rises from left; The west belongs to gold, and the lung is matched with gold, which is cold and astringent, so the lung qi descends from the right.
From the point of view of pathogenesis and treatment, ascending and descending is the basic form of life activities. Liver stores blood, lung stores gas, and gas goes with blood. The rise and fall of liver and lung is actually the rise and fall of qi and blood. Liver ascending and lung descending can make qi flow smoothly, qi and blood blend and run smoothly.
However, dried tangerine peel is an important drug for qi, which will rise when it is compatible with drugs, and will fall when it is compatible with drugs. Its ascending and descending mechanism is realized through the functions of "left liver and right lung" and "liver ascending and lung descending", which is closely related to the pivotal role of liver in the ascending and descending of human qi. As the saying goes, "The qi of the viscera and the twelve meridians must be encouraged by the qi of the liver and gallbladder, so that it can be adjusted without getting sick." 」
Talking about Chenpi Shugan from Classic Treatment of Liver
Although it is physiological normal for liver qi to rise from the left and lung qi to fall from the right, in clinic, it is often seen that the left rises too much and the right falls less than the right, but Chen Pi can do all the ups and downs well. Therefore, if doctors can deeply understand and correctly use this drug, they can achieve good results in treating many difficult diseases.
Zhang's Origin of Medicine recorded the side of Tachibana An Pill, which was made of orange peel and almond and divided into honeyed pills. "Treating qi stagnation can be taken by the old and the weak." Thus, Tachibana An Pill can achieve the effect of treating qi stagnation by regulating qi movement of liver and lung, and it is mild in nature and has no adverse reactions, so it can be taken by both the elderly and the infirm.
The Night Talk Record of Xixi Bookstore, written by Wang in Qing Dynasty, recorded in detail the 30 methods of treating liver disease, which was recognized by the Chinese medicine community as the most detailed classic work to explore the literature on syndrome differentiation and treatment of liver disease, and had a far-reaching impact on the academic development of modern Chinese medicine liver disease.
Wang classified liver diseases into different types, such as liver qi, liver wind and liver fire, and put forward 30 different treatments. Among them, the liver-soothing effect of tangerine peel is widely used in many liver treatment methods.
Shugan method
The efficacy is mainly to soothe the liver and relieve depression. Wang Shi said: "The liver wants to disperse, and it is urgent to eat spicy food to disperse it. Pericarpium Citri Tangerinae tastes bitter, pungent and pungent, so that liver qi can be opened and stretched after getting sufficient blood supply, so that liver qi can reach all parts of the body smoothly and exercise its normal excretion function.
Clearing liver and stomach
Chen erjia zuojin pill was used to treat the syndrome of liver qi invading the stomach, that is, liver wood invading the soil. Because the liver qi is super-inverse, the stomach qi is not deficient, and the liver qi rushes to the stomach, forcing the stomach qi to vomit, being forced by the liver qi, and the liver is "sour", so the vomit will also be sour. Erchen decoction recommended by Mr. Wang, whose tangerine peel, Rhizoma Pinelliae Preparata and Poria are special prescriptions for Hewei Huayu decoction, can not only reduce stomach qi, but also treat vomiting and sour water.
Soil-raising and wood-discharging method
Treating liver qi invading spleen syndrome, spleen and soil weakness, liver wood invading deficiency can block spleen and soil. Because the root of liver-qi multiplying spleen is not in the liver but in the spleen, which lies in spleen deficiency and cold-dampness resistance. Therefore, Chen Xia's six gentlemen strengthened the spleen, transported the spleen and eliminated dampness, and added the products of dispelling cold and relieving pain, warming the liver and softening the liver, so as to restore the normal excretion of liver qi and make it no longer inhibit the spleen soil. With this treatment, spleen-qi and liver-qi are born from the left, then the qi of lung and stomach naturally falls from the right, and the symptoms of abdominal distension and abdominal pain are eliminated.
Liver-transforming method
It can be used for treating liver injury caused by depressed anger, irritable bowel, vexation, hypochondriac pain, fullness, blood circulation, etc. The prescription is Huagan Decoction, which uses Pericarpium Citri Reticulatae Viride, Pericarpium Citri Tangerinae, Cortex Moutan, Gardenia, Paeonia lactiflora, Alisma orientalis and Fritillaria thunbergii to clear the liver and channel depressed fire.
Although pathogenic heat is confined to blood, triple energizer and viscera, after all, the primary disease is in the liver, and the treatment is only two-pronged. One is to follow the qi, regulate qi, relieve depression and dissipate heat, that is, "lift it", using dried tangerine peel, green tangerine peel and Fritillaria thunbergii; First, the stagnation heat is discharged, and the method of "taking out" from inside to outside is adopted, so it is called "taking out". Peony bark, Gardenia and Alisma orientalis are used together.
So the symptoms such as upset, hypochondriac pain, fullness and blood circulation caused by liver fire are eliminated by themselves. "Huagan Decoction" is the most typical prescription for clearing liver, in which tangerine peel and green tangerine peel play an important role.
Liver suppression method
To treat liver-qi ascending to the lung, sudden hypochondriac pain, asthma and other symptoms, Fructus Evodiae can be used to decoct Cortex Mori, Perillae, Almond and Pericarpium Citri Tangerinae.
Besides Evodia rutaecarpa juice, Wang's method of calming the liver also includes perilla stem and orange peel, all of which are aimed at soothing the liver and relieving depression, treating both the symptoms and root causes. These two flavors can be regarded as "Su stem, green tangerine peel and orange leaf" in Wang Shugan's method of regulating qi, while mulberry bark and almond are used to lower lung qi. Su Wen On the Method of Foul Qi says: "The bitter qi in the lungs goes up against the wind, and the bitter in the food is exhausted", so these two flavors are worthy of this post. In-depth study shows that dried tangerine peel is pungent and enters the lung meridian, which not only has the meaning of soothing the liver and regulating qi, but also has the function of dispersing lung and lowering qi.
In addition, at the beginning of Night Talk in Xixi Bookstore, it is pointed out that although liver diseases have different names, they can all bully the spleen, occupy the stomach, rush the heart and attack the lungs. Previously, the rule of law was "plowing the soil and dumping wood", and the liver qi "humiliated the spleen"; "Drain the liver and stomach", treat liver qi and "absorb the stomach"; "Draining the liver", the rule of law, and liver qi "rushing the heart"; This method of "suppressing the liver" treats liver qi and "invades the lung".
The so-called "liver-qi" disease refers to diseases caused by liver-qi. Its main feature is that liver qi is too exhausted, which impacts a certain part of the human body and causes harm to it. Treatment should not be blocked, but sparse, so that liver qi can be evenly and slowly discharged all over the body, and then the impact force concentrated in one place will be weakened and return to normal. Therefore, the general treatment principle is called "soothing the liver and regulating qi".
The liver-soothing effect of dried tangerine peel comes from its origin.
Red peel is the orange peel produced in Guangdong, also known as "wide skin", which is far superior to other places in the world in promoting qi circulation and relieving depression.
Tongguan Qingshijie, Huahuipi and Litchi Kernel are all produced in Guangdong, and the east square wood has the strongest qi, which is introduced into the liver meridian with the same qi, dispersing liver qi and soothing liver depression.
In the Qing Dynasty, Elvis Presley's "Compilation of Medical Forest" thought that dried tangerine peel "cleared lung and reduced qi. The middle is dry spleen and dampness, which is neutral. The lower part soothes the liver and moistens the kidney, mainly by smoothing qi, resolving phlegm and eliminating depression. It shows that the function of regulating qi of tangerine peel can treat diseases of upper jiao lung, middle jiao spleen and stomach and lower jiao liver meridian.
Clinical application demonstration
Treatment of chest and hypochondriac pain: It is recorded in Shennong Materia Medica Jing Shu that the treatment of chest and hypochondriac pain should adopt the treatment method of "lowering qi, nourishing blood and regulating liver", and the medicinal materials include perilla, Radix Curcumae, Lignum Dalbergiae Odoriferae and Caulis Akebiae. Radix Angelicae Sinensis, Radix Rehmanniae, Pericarpium Citri Tangerinae, Radix Glycyrrhizae, Radix Paeoniae Alba, and Colla Cornu Cervi. 」
Pericarpium Citri Tangerinae is also commonly used to treat liver depression, spleen deficiency or liver-spleen disorder, such as fullness and discomfort in chest and hypochondriac region, hypochondriac pain, fullness in gastric cavity, nausea and abdominal distension after eating.
Treatment of lipid-qi disease: The Ming Dynasty thought that it was "a combination of deficiency of both qi and blood, disharmony between liver and qi, and qi-resistance and blood stasis." "Treatment" should be in harmony with the liver to disperse qi, and should also regulate qi and blood. [Medicinal] Rhizoma Chuanxiong, Radix Angelicae Sinensis, Lignum Aquilariae Resinatum, Rhizoma Zingiberis, Cortex Cinnamomi, Pericarpium Citri Tangerinae ...
Treatment of disharmony between liver and qi: There are hundreds of records in Shennong Materia Medica Classic: "Orange pomelo smells all over the body, and bitter peel is a medicine for dredging liver and gallbladder. Therefore, diseases of liver qi and spleen soil can be cured. 」
Treatment of breast abscess: According to Compendium of Materia Medica, use real orange peel, soak it in soup to remove white, dry it in the sun, stir-fry it to the end, two yuan each time, and mix musk with wine to make orange powder.