warm the liver to dispelling coldness
The liver belongs to Jueyin, and cold pathogens enter the liver, which is the syndrome of Jueyin and liver cold. The original book said: retching, foaming at the mouth, headache, mainly Evodia rutaecarpa decoction. "This is Jue Yin liver cold, turbid Yin on the inverse, so use Evodia rutaecarpa soup to warm the liver and dispel cold. There are three ways to warm the liver and dispel cold with Wuzhuyu decoction in traditional Chinese medicine: one is Yangming's "appetite vomiting"; First, reduce yin and stop vomiting (according to: mainly stop vomiting); One is Jue Yin retching, foaming at the mouth and headache. The author thinks that although Zhongjing has the syndrome of Wuzhuyu decoction in Yangming, Shaoyin and Jueyin diseases, the similarities among them are all due to the cold injuring Jueyin, and the qi of turbid yin in the lower jiao goes against the stomach, resulting in retching and spitting. After in-depth study, it spit out clear water saliva foam, which is due to syncope, yin cold and stomach yang, so it produced saliva foam. Compared with phlegm and turbidity caused by spleen deficiency and excessive dampness, the pathological products are different and the diseases are quite different. Clinically, the retching of Wuzhuyu decoction syndrome is often accompanied by noisy flushing, headache at the top (according to Jueyin meridian) and emptiness. At the same time, compared with the syndrome of excess heat in gallbladder and stomach, this is excess heat and this is deficiency cold, which is not difficult to distinguish.
Female, 49 years old. The patient was dizzy and vomited for more than a month and was treated continuously. At present, my head is empty, my face is pale, my stomach is distended and painful, I am noisy and anxious, I spit clean water, I feel dizzy and vomiting in the morning, I feel better after eating, my appetite is poor, my stool is soft, my tongue is pale and white with fur, and my pulse is soft. Barium meal fluoroscopy, except gastric and duodenal ulcers, was diagnosed as antritis.
Seasoning with Evodia rutaecarpa soup: Evodia rutaecarpa, Radix Codonopsis, Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens, Fructus Jujubae, Rhizoma Pinelliae Preparata, and Pericarpium Citri Tangerinae. Decoct with water, daily 1 dose.
Symptoms eased after 30 days. But the head is empty, the appetite is poor, the tongue is moist, and the pulse is slow and weak. Following the taste of Liujunzi decoction, my appetite doubled and everything was normal.
Ruangan acute
The liver is just dirty, and the liver is strong and urgent. Typhoid pulse floating, spontaneous sweating, frequent micturition, vexation, slight aversion to cold, leg cramps, abdominal pain, etc., are all treated with drugs that soften the liver and remove annoyance, such as Shaoyao Gancao Decoction. This prescription is good at nourishing yin, nourishing blood, harmonizing nutrition and relieving pain, with definite curative effect, and is the first choice for soothing the liver and relieving depression. Because the soil is weak and the wood is flourishing, and the liver wood is multiplied by the spleen, abdominal pain can be caused. Using paeony acid to collect bitterness and drain it can benefit qi and drain the liver wood, and licorice is sweet and slow, so it can be used to treat abdominal pain. At the same time, because Paeonia lactiflora is beneficial to yin and is committed to relieving annoyance, Paeonia lactiflora is the main one for those who are moderately annoyed, excessively annoyed and have palpitations and irritability. Furthermore, the acute foot contracture mainly treated with Shaoyao Gancao Decoction is due to the deficiency of liver's main tendons and yin, which can not nourish tendons and dredge veins. It is effective to treat it with acid and sweetness. Clinically, this recipe is used to treat ulcer, dysentery, dysmenorrhea, renal colic and so on. The therapeutic methods are different, but the mechanism of action is the same.
Female, 24 years old, student. The patient's knees are painful and swollen, walking is inconvenient, flexion and extension are unfavorable, gastrocnemius muscle contracture is urgent, dizziness and thirst, dry stool, rapid pulse and yellowish tongue.
Add and subtract Paeonia lactiflora and Glycyrrhiza Decoction and Sanmiao Powder: Radix Paeoniae Alba, Radix Glycyrrhizae Preparata, Rhizoma Atractylodis, Cortex Phellodendri and Achyranthis Radix, one dose per day, and add and subtract with the symptoms. After 45 days, the symptoms disappeared and no other treatment was given.
Suppress liver and cultivate soil
The inversion of liver wood is spleen soil, and soil deficiency can also lead to wood wood, and the two are mutually causal. It is acute pain caused by abdominal contracture, and the treatment is to calm the liver and nourish the soil to relieve pain. During the discussion, it said: "The yang pulse of typhoid fever is astringent, and the yin pulse is string, so the method should be acute abdominal pain, and Xiaojianzhong decoction should be used first ..." It also said: "If you are worried about typhoid fever for two or three days, Xiaojianzhong decoction should be the main one." This prescription is based on Guizhi decoction, which changes pungent and warm to harmonize ying and Wei, and sweet and warm to tonify deficiency. The prescription is mainly sweet medicine, which is sweet and defensive, and has the effect of relieving middle energizer and tonifying deficiency. Although there are two different symptoms before and after the theory, one is that the yang pulse is astringent and the yin pulse is string, and the disease lies in the disharmony between liver and spleen; One is flustered, and the other is deficiency of both heart and spleen. Both of them benefit from Xiaojianzhong Decoction, which is a sweet medicine. Xiaojianzhong Decoction can tonify the spleen and stomach, generate blood and nourish blood, soothe the liver and relieve depression, restore sight with the fire of experience, and have acute abdominal pain and boredom in the heart, which has the same effect.
Male, 42 years old. The patient suffered from stomach and lung pain for many years, and was diagnosed with gastric ulcer and turned to traditional Chinese medicine for treatment. The main symptoms are tingling in the upper abdomen, nausea, acid vomiting, cannibalism, abdominal distension, dark stool, thready pulse, pale tongue with greasy fur and petechiae at the edge.
Sini Powder and Fu Liang Pill are added and subtracted: Bupleurum, Radix Paeoniae Alba, Radix Codonopsis, Pericarpium Citri Tangerinae, Rhizoma Alpiniae Officinalis, Rhizoma Cyperi preparata, Radix Aucklandiae, Fructus Aurantii and Radix Salviae Miltiorrhizae. After taking 15 days, the pain was relieved, and the stool was refreshing without black stool. After taking 15 days, the pain disappeared, the spirit improved, the food intake increased greatly, the defecation was normal, the pulse was slow and slightly tight, the blood stasis on the tongue disappeared, and the tongue coating was thin and moist. Xiaojianzhong decoction is used instead: cassia twig, white peony root, angelica, astragalus root, salvia miltiorrhiza, costustoot, jujube, ginger, maltose and roasted licorice. Every day 1 dose. After taking 60 doses, it has been working normally and has been effective recently.
Nourishing liver and dredging collaterals
Liver governs storing blood, liver blood deficiency, and cold nature cannot warm meridians, so the hands and feet are cold and the pulse is thin. During the discussion, it said: "Danggui Sini Decoction is the main method to treat cold hands and feet and heartbroken veins." This syndrome is caused by blood deficiency, cold, qi and blood being blocked by cold pathogen and poor epidemic qi. Wang Jinsan believes that there are four ways to treat liver, namely, cassia twig with pungent taste warms liver yang, asarum with pungent taste soothes liver yin, angelica with pungent taste soothes liver, licorice with sweet taste soothes liver, the sour taste of Paeonia lactiflora is used to clear liver, and the qi of Yin and Yang is used to dredge collaterals. The main function of Danggui Sini Decoction, in a word, is to warm the middle warmer, promote blood circulation, dispel cold and dredge collaterals. Clinically used for arthralgia, chilblain, dysmenorrhea and other diseases, nourishing the liver and dredging collaterals is quite effective.
Female, 2 1 year old, student. The patient's menstruation has been abnormal. Abdominal pain during each menstrual period, less blood and pale face. After eating Siwu decoction to nourish blood, soothing the liver is useless. Moreover, frostbite will occur every winter, with swollen hands and backs, purple skin, even ulceration, thin pulse and red tongue. Modified Danggui Sini Decoction: Danggui, Radix Paeoniae Alba, Ramulus Cinnamomi, medulla Tetrapanacis, Glycyrrhrizae Radix, Asari, Evodia rutaecarpa, Rhizoma Cyperi preparata, Herba Leonuri, and Fructus Jujubae. After taking it for 4 months, dysmenorrhea was relieved and chilblain attack was greatly reduced.
Soothing liver and spleen
Stagnation of liver-qi affects spleen, leading to disharmony between liver and spleen, abdominal pain and diarrhea, which is the manifestation of invasion of soil by wood evil and stagnation of liver-qi. During the discussion, it said: "If yin deficiency and four adverse reactions occur, people will cough, palpitation, dysuria, abdominal pain, or lose the benefits, and the four adverse reactions will distract the subject." This is the syndrome of stagnation of yang qi and obstruction of qi. Li said: "Although this syndrome is four adverse reactions, it is not very cold, or the fingers are slightly warm and the pulse is not heavy. It is yin and yang, and the gas is unclear, so it is cold. " It is true that although the original text of this article comes from the article on shaoyin disease, the key point of the prescription verification is that liver depression and qi stagnation affect the spleen. Sinisan is good at soothing the liver and spleen, and is clinically used to treat the syndrome of liver depression and qi stagnation.
Male, 14 years old. The child suffered from right abdominal pain, unbearable abdominal distension, uncomfortable stool, inability to eat, severe abdominal distension when eating, no fever, low white blood cell count, no acute abdominal symptoms, and was ineffective in the treatment of chronic appendicitis. Ascaris is also considered, and Ascaris drugs are not tested. After several months of treatment, the diagnosis is still abdominal pain to be investigated. Slightly slow pulse, thin and white tongue. According to the treatment of soothing the liver and regulating qi, Sini Powder is modified: Bupleurum, Radix Paeoniae Alba, Fructus Aurantii Immaturus, Fructus Toosendan, Rhizoma Cyperi, Fructus Citri Sarcodactylis, Massa Medicata Fermentata and Glycyrrhrizae Radix. Every day 1 dose. After taking the dose of 15, all the symptoms disappeared, and the appetite increased and the appetite was good to consolidate the curative effect. Take another dose of 15 and get well.
Clearing liver and arresting surplus
Damp-heat goes along the liver meridian, forcing the intestinal tract to benefit downwards. Its symptoms can be seen as acute abdominal knot, anal distension, pus with blood, and it is necessary to clear the liver and stop benefiting. The original book said, "whoever pays more attention to the heat is the owner of Pulsatilla soup." Neijing said: "Overinjection and downward pressure are both heat." Therefore, Pulsatilla decoction is the indication. Pulsatilla chinensis is a special medicine for liver meridian. Together with Coptis chinensis, it can clear away damp and heat, thicken the stomach and intestines, and yellow corktree purges the fire of lower energizer. Cortex Fraxini tastes bitter and cold and astringent. Li Shizhen thinks that treating metrorrhagia and metrorrhagia is its convergent function.
Female, 37 years old. Self-reported abdominal pain for 4 days, with acute abdominal pain, bloody mucus, foul smell, more than 10 times a day, anal dilatation, less urine, poor diet, thirst, strong pulse, red tongue, white and yellow fur, and lubrication. Flavoring of Pulsatilla decoction: Pulsatilla, Sophora japonica, Flos Lonicerae, Fructus Forsythiae, Rhizoma Coptidis, Cortex Fraxini, Radix Aristolochiae, Radix Paeoniae Rubra and Cortex Phellodendri. Taking 2 doses on the same day, the symptoms such as pain stopped at night and thirst improved. After taking another dose of 15, the stool became thinner, and after taking another 30 doses, the symptoms disappeared.
In Treatise on Febrile Diseases, there are three ways to treat liver diseases: warming the liver to dispel cold, softening the liver to be anxious, suppressing the liver to nourish the land, nourishing the liver to dredge collaterals, soothing the liver to regulate the spleen, and clearing the liver to stop benefiting. All patients with liver diseases can be treated by this method, and prescriptions can be selected according to syndromes. It can be seen that although Treatise on Febrile Diseases is divided into six meridians, the pathogenesis changes are mainly implemented in the viscera. It can be imagined that the vertical generalization of the six meridians and the horizontal division of zang-fu organs are beneficial to clinical application.