Tonics, drugs for relieving exterior syndrome, drugs for promoting diuresis and eliminating dampness and drugs for warming interior appeared 56 times, accounting for 78.87% of the total. It can be seen that renal edema diseases such as classic prescriptions are mainly composed of four drugs: tonifying, relieving exterior syndrome, inducing diuresis and warming interior.
2. Tonifying is actually invigorating qi, strengthening spleen and benefiting water.
Although the occurrence of diseases is complicated, it is nothing more than two factors: good and evil. The weakness of vital qi is the condition of onset, so "vital qi exists inside, and evil cannot be done." The occurrence of renal edema disease is also the result of the struggle between the deficiency of viscera and the invasion of exogenous pathogens. The root cause of viscera deficiency is spleen and kidney, and the pathogenesis is spleen and kidney qi deficiency. The spleen controls the movement of water and dampness and is the pivot of ascending and descending. Spleen is healthy for transportation, traffic is up and down, spleen soil is injured and damaged, which is easy to cause water and dampness to overflow. Qi and the like are used to strengthen the spleen and replenish qi, and qi is used to transfer water.
3. Eliminating exterior evils is actually dispersing wind and dispersing lung, and promoting diuresis.
Lung governs fur and is the source of water god. Once the exogenous evil stops, lung qi is ignored, water cannot pass through the waterway, and the flooded skin will become edema. Therefore, dispelling wind and spreading lung, guiding according to the situation, making lung qi unobstructed, releasing right and dredging triple energizer means "opening the gate of hell", and "treating swelling above waist and sweating" in Synopsis of the Golden Chamber means this.
4. Warming the interior is for tonifying kidney, warming yang and promoting diuresis.
Renal edema disease is caused by dysfunction of lung, spleen and kidney, especially kidney, where water is the most yin, kidney yang is insufficient and kidney fire is insufficient. Deficiency of kidney yang and weakness of vital fire can make the kidney unable to gasify, the spleen unable to transport and transform, the lung unable to propagate, the qi of triple energizer unable to block, and the official who decides to blaspheme has no right. 6? 1 Hydrothermal Acupoint Theory: "The kidney and stomach are also closed, which is not conducive to closing the door, so it collects water and overflows the skin, so it is edema." Therefore, fire due to kidney-yang deficiency is the root cause of edema, and tonifying kidney, warming yang and benefiting water, that is, "the source of benefiting fire to eliminate yin". In Tang Rongchuan's words, "the kidney is dirty with water, the water contains yang, and it has vitality", and the gas is slightly yang, so it should be warm and smooth. Ye pointed out that "the word" warm "means" warm "and is called" not warm ". Warming can promote water circulation, moistening dryness can stabilize convergence and preserve essence.
5. Thanks to water and soaking, it is a "clean house".
This is the most basic and direct method to treat edema of nephropathy, mainly treating internal water evil and keeping it away from stool, which is also the meaning of "clearing the palace" in Su Wen. "There is water is swollen under the waist. When they urinate, they swell up above the waist. When they sweat, they will be cured. " It is the principle of treating edema in synopsis of golden chamber.
It can be seen from the above that the prescriptions of invigorating spleen and kidney, sweating and relieving exterior syndrome, warming yang and promoting diuresis, and promoting diuresis play an important role in the treatment of renal edema diseases. Of course, the overall compatibility of prescriptions is aimed at the pathogenesis of diseases and syndromes, and the combination of drugs is purposeful and reasonable, forming a new organic whole. The embodiment of the four aspects in the Confucian classics is also complementary and mutually reinforcing. For example, Wuling Powder takes Alisma orientalis as the monarch, supplemented by Guizhi Ganwen Xintong, Baizhu Jianpi Lishui, Tongluo Bladder Meridian and Jianpi Zhu Yun, which can not only promote diuresis, ventilation, diuresis and dehumidification, but also strengthen the spleen, promote blood circulation, promote diuresis and dehumidification, and * * * plays the role of transforming qi, promoting diuresis and relieving exterior syndrome; Another example is Ji Fang Huangqi Decoction, with Huangqi as the monarch. By invigorating qi and expelling pathogenic wind and dampness, the spleen can be strengthened, the exterior can be consolidated, pathogenic wind can be eliminated, water can be induced, and swelling can be reduced. Zhenwu Decoction takes aconite as the main medicine, mainly warming yang, and is compatible with Poria, Atractylodes macrocephala and Radix Paeoniae Alba, which has the functions of promoting diuresis, eliminating dampness, and combining rigidity and softness, and plays the role of warming yang and promoting diuresis, so that Yang Can can return to yin, but water will not work.
The above three aspects are all composed of diuretics, yang-warming drugs and spleen-strengthening drugs, which are all designed for edema disease, but the treatment focuses are different, and the prescriptions and meanings are also different. This not only reflects the pertinence and adaptability of prescriptions to diseases, but also reflects the completeness and rigor of prescriptions based on disease pertinence. This is also the combined prescription theory of "disease-syndrome-symptom" developed on the basis of grasping the law of disease development and drug compatibility, and it is the embodiment of the prescription compatibility thought of "treating both symptoms and root causes, combining attack"
In addition, according to the composition of monarch drugs in the prescriptions for treating edema, diuretic and dampness-absorbing drugs (Poria cocos, Alisma orientalis and Polyporus umbellatus) and exterior-relieving drugs (Herba Ephedrae and Ramulus Cinnamomi) account for almost all monarch drugs. This also reflects the respect for sweating and urination in the classic prescription era from one side.
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Treatise on Febrile Diseases is a bright pearl in the treasure house of traditional Chinese medicine and a great medical work. It not only has a complete prescription, but also has a solid theoretical basis. It is precisely because of this that Treatise on Febrile Diseases can stand the scrutiny of doctors from different angles. Kidney diseases, such as edema, low back pain, stranguria, renal fatigue, etc., are all clinical intractable diseases. In this paper, the medication law and compatibility law of the special prescription for treating renal edema in Treatise on Febrile Diseases are briefly discussed. The purpose is also to broaden our horizons, attract more attention, find a deeper theoretical origin for the treatment of kidney diseases, and thus broaden the treatment ideas of kidney diseases.
Strengthening spleen and promoting diuresis