Daqin Gentiana Decoction belongs to the evil meridian syndrome of study style in junior middle school and accords with the category of arthralgia syndrome. Its only prescription is to search for pathogenic wind, nourish blood and promote blood circulation. Gentiana macrophylla can dry dampness and dispel cold, dispel pathogenic wind and dredge meridians, which is the monarch medicine; Notopterygium Rhizoma, Radix Angelicae Pubescentis, Radix Saposhnikoviae, Asari and Radix Angelicae Dahuricae are used for expelling wind, relieving exterior syndrome, eliminating dampness and relieving pain, dredging collaterals and dispelling cold. Among them, Notopterygium Rhizoma is pathogenic to Taiyang bladder meridian, Asari and Radix Angelicae Pubescentis are pathogenic to Shaoyin kidney meridian, Radix Angelicae Dahuricae is pathogenic to Yangming stomach meridian, and Radix Saposhnikoviae is pathogenic to various meridians by various drugs, and * * is the minister drug. Siwutang, which consists of Angelica sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong and Radix Rehmanniae Preparata, promotes blood circulation, nourishes blood and softens tendons, which means "nourishing blood and expelling wind first". All wind medicines are too dry, and it is easy to hurt yin and blood. The obstacles in speech and hand and foot movements are related to blood deficiency and the inability to nourish tendons. It is also combined with Radix Angelicae Sinensis, Radix Paeoniae Alba, and Radix Rehmanniae Preparata to nourish blood and soften tendons, and prevent pungent drugs from damaging yin and blood. Chuanxiong promotes qi and blood circulation, and is good at dispersing wind in Jueyin and Liver Meridian. Spleen and stomach are the source of qi and blood biochemistry, and Atractylodes macrocephala and Poria can strengthen the spleen and eliminate dampness; Wind evil goes directly to meridians, and it is easy to turn into heat after a long time. Compatibility with Rehmannia glutinosa, Gypsum Fibrosum and Scutellaria baicalensis Georgi, clearing away heat, promoting fluid production, purging fire and detoxicating, and excessive pungent smell of wind and medicine. Radix Glycyrrhizae Preparata and the above drugs are adjuvant drugs. The prescription composed of the above herbs can not only search for pathogenic wind in various meridians, but also have the functions of benefiting qi and nourishing blood, promoting blood circulation and reducing fire.
Clinically, ginger and jujube are added to patients with wind evil to reconcile camp and health; If you see backache, add Eucommia ulmoides and Taxilli to tonify the kidney. Rhizoma Anemarrhenae, Rhizoma Atractylodis, Cortex Phellodendri, etc. For patients with fever, joint swelling and pain, and thin yellow fur, this product can be added to clear damp-heat and dredge joints.
Daqinggu decoction is a commonly used prescription in clinical treatment of stroke, and the symptoms treated by Daqinggu decoction are closely related to cerebrovascular diseases. The change of external environment temperature leads to cerebral vasospasm and cerebral ischemia, which may be the core pathogenesis of Daqin decoction syndrome, that is, external wind causes internal wind. The drugs for expelling wind and pathogenic factors in Daqin Gentiana Decoction can improve cerebrovascular reactivity, which is of great significance for the treatment of such cerebrovascular accidents.
Da Longdan decoction is used for midvein, Xiao Xu Ming decoction is used for middle viscera, and Sanhua decoction is used for middle viscera.
Three methods for treating apoplexy: ① expelling wind and clearing heat, nourishing blood and dredging collaterals; ② expelling wind, activating blood circulation and dredging collaterals; ③ Regulating qi, expelling wind and dredging collaterals.