Gao Jianzhong. Notes on Reading Prescriptions (145) Clinical Discussion on Extracurricular Communication of Xiaochaihu Decoction

What is the difference between the tongue coating of Banxia Xiexin Decoction and Wendan Decoction? This question can't be asked casually, and it is often difficult to answer, so you can only separate the tongue coating from the tongue coating. When the tongue coating is greasy, there is Sanren Decoction on the basis of greasy. If the tongue coating is difficult to distinguish, it is located in the viscera.

If it is Yueju Pill Syndrome, it should be fixed on the middle jiao. Only when the tongue coating on the middle jiao is greasy or thick can Yueju Pill Syndrome be thought of, which is also applicable to Banxia Xiexin Decoction.

Banxia Xiexin decoction for treating swelling and pain of middle energizer. From the perspective of depression, Banxia Xiexin Decoction is generally not distinguished from depression. Banxia Xiexin Decoction is not absolutely separated in clinic, there are some mixed places and some overlapping places. For example, the main symptoms of Banxia Xiexin decoction syndrome should be swelling, blockage and swelling of middle energizer. Wendan decoction can also show greasy tongue coating, and sometimes symptoms of middle energizer, but its main symptom should be poor sleep, not swelling, hardness and pain of middle energizer.

The first impression that Yueju Maruka must give us is that this person is depressed, and this person is unhappy, which is an emotional problem. This is easy to distinguish from Xiaochaihu decoction, which is on the liver and gallbladder. Yueju pill syndrome is also an emotional problem. It is in the liver and gallbladder, but its disease location is in the middle jiao.

The tongue coating is greasy, and there are also symptoms of moderate scorching, while Xiaochaihu decoction syndrome has symptoms corresponding to liver and gallbladder, and its pulse string is rarely seen in Yueju pill syndrome. If you look at the pulse string, Yueju pill syndrome is unlikely. Xiaochaihu decoction can be combined with Yueju pill. In fact, many prescriptions can be combined. When we can't identify, there are some cases where we don't have the ability to identify, and the two prescriptions are combined. We want to identify them, but we can't.

Theoretically, if every prescription is sorted out, it may be more accurate in clinical identification or combination, but there are really few doctors who make good use of Yueju Pill in clinic. I can't understand it. It doesn't work. From the clinical point of view, we are also thinking that some Yueju Pills can be treated with Banxia Xiexin Decoction or Wendan Decoction. Let's consider moderate coke, because Wendan Decoction and Banxia Xiexin Decoction are used too often. I feel better about Banxia Xiexin Decoction and Wendan Decoction, but I don't feel good about Yueju Pill. However, this feeling must be wrong and I need to pay more attention to it myself.

Teacher Feng likes to use Chaihu Guizhi Dried Ginger Soup. However, we use Chaihu plus Gulong Oyster Decoction or Chaihu Guizhi Decoction plus Gulong Oyster to treat Chaihu Guizhi Ganjiang Decoction. In Feng Lao's explanation, Chaihu plus Gulong Muli decoction treats shaoyang, while Chaihu Guizhi Ganjiang decoction treats Jueyin. One is the treatment of shaoyang, and the other is the treatment of Jueyin. Yin and Yang are different.

However, we often use Chaihu Guizhi Decoction and Cologne Oyster. We often combine Lizhong decoction, Wei Ping powder, and sometimes Erchen decoction, and we also combine Wendan decoction. Perhaps this combination will produce Chaihu Guizhi Ganjiang Decoction, but the combination is relatively larger.

Boss Feng combined Danggui Shaoyao Powder with Chaihu Gui Hu Fried Licorice Decoction. When we don't know Danggui Shaoyao Powder, we dare not use it. Feng Lao has been using Chaihu Guizhi Dried Ginger Soup. You asked Feng Lao why he wanted Danggui Shaoyao Powder, and your answer was blood deficiency.

The tongue coating of Chaihu Guizhi Ganjiang Decoction can't be less, and the tongue coating of Danggui Shaoyao Powder can't be more, which we can't crack. Gout soup is actually joint pain, which is called joint pain in Chinese medicine, not gout we are talking about now. This gout soup is actually modified by Yueju Pill. This gout soup is mainly used to treat chronic joint pain. It should be that arthralgia syndrome has been mixed for a long time, with phlegm and depression, which is different from arthralgia due to wind-cold, dampness and heat.

For a long time, other doctors treated it for a long time, and the effect was not good, so they used this gout soup.

Exogenous diseases, all I can think of is the rise and fall of qi. It doesn't matter what medicine we use. It is important that we use this scheme, such as raising turbidity and lowering turbidity. Turmeric and rhubarb are not used in the lifting powder, but fried radish seeds and whole radish seeds are used. In fact, it's not just radish seeds and Trichosanthes kirilowii. We often use drugs indiscriminately, and our minds are thinking about it. Zhao Shaoqin's "Clinical 400 Rule" is used in this way, so many of us can't understand it. Think it's a broken book. In fact, the more popular and acceptable things are, the less upscale they are; The more high-end things, the more useless we will feel.

We are always talking about popularizing Chinese medicine and how to treat ancient Chinese medicine books, but we can't popularize them at the expense of lowering the height. In fact, in Jiang Sheng Powder, Zhao Lao often uses Bupleurum, Scutellaria baicalensis, Toosendan Fructus, Polygonum cuspidatum, Bombyx Batryticatus, Periostracum Cicadae, Notopterygium Rhizoma and rhubarb, with a small dose of one gram of rhubarb. What does Zhao Lao do with a gram of rhubarb? It is because of the feeling of lifting that I think this patient should not use rhubarb. For health, I added a gram of rhubarb. Teacher Gao doesn't use that gram of rhubarb, but uses radish seeds and Trichosanthes kirilowii, which is also quite good. However, the old man's mind is smooth.