1. Zang-fu syndrome differentiation
The so-called hepatomegaly and splenomegaly are mostly caused by spleen cold, or they feel swollen after taking cold medicine, but the cold is actually here. Cold spleen is characterized by frequent defecation and frequent defecation, but not much is known. It is slightly white and likes hot drinks.
Stomach pain is caused by disharmony between liver and spleen, mostly long-term blood stasis.
People with bowel sounds and abdominal pain will feel a little relieved after holding their breath or holding their breath, but they should not suffocate. This syndrome is mostly due to cold and dampness, or yang depression (chronic diseases are common). The treatment method is not suitable to use drugs to reduce qi and break stagnation, otherwise, although the excess syndrome will be eliminated, it will aggravate the deficiency syndrome, which is manifested in the decrease of breath on the day of taking the medicine and the aggravation of pain the next day. The treatment should be mainly to promote stomach yang (that is, not to promote diuresis downward), and the medicinal materials include dried ginger, pepper, kudzu root, Aristolochia, linderae and fennel.
Those who eat less due to spleen-yang deficiency should use Amomum tsaoko or nutmeg, but they should remove the oil (including burning). Nutmeg dispels spleen meridian cold.
Constipation is not necessarily hot, but mostly caused by dampness, so it is advisable to clear the intestines first. Constipation is different from dry stool.
People with kidney wind can take Wuzi Yin orally (namely Wuzi Yanzong Pill), among which Fructus Cnidii should be reused. Acanthopanax senticosus can be added to patients with renal capsule pain.
2. Miscellaneous diseases
Toothache and swollen gums belong to kidney deficiency and fire. The main recipe is to add Amomum villosum and salt to fry, which will have an effect. Or use medulla: Cortex Phellodendri, Fructus Amomi (fried with salt) and Radix Glycyrrhizae.
Tinnitus belongs to kidney deficiency, with a shrill tone, and sometimes stops, accompanied by low back pain. , mainly compatible with Medulla Medulla Dan, plus Acorus calamus, Cortex et Radix Polygalae and Cinnabaris; If the stomach Yangming has fever, the voice is low and turbid, and it is continuous all day, so it affects hearing. When asked about their diet and stool.
Generally, low back pain is often accompanied by deficiency cold; Asari must be used to treat cold pain.
The treatment of depression needs to distinguish between deficiency and excess, Yueju Pill for qi deficiency and Xiaoyao Powder for blood deficiency.
Upper body itching or pain caused by rheumatic sores is mainly composed of Notopterygium Rhizoma, Rhizoma Atractylodis, Herba Agastaches, Pericarpium Citri Tangerinae, Massa Medicata Fermentata, Radix Puerariae, Fructus Aurantii and Ramulus Mori. Coptidis Rhizoma, Cortex Phellodendri, and Fructus Gardeniae can be added for treating itching sores. If the itching is stubborn and embarrassing, then add honeysuckle before use (the author usually uses 100g, and half of it is fried into the blood).
Don't touch wind-heat headache, let alone touch it. Lotus leaf should be the main (reuse), and Cimicifuga should be used less. If Atractylodes lancea is added, it is Qingzhen decoction to cure thunder head wind.
For those who have auditory hallucinations, it is effective to add Radix Paeoniae Alba, Cinnabar, Amber and Cortex et Radix Polygalae, but it is necessary to reuse Radix Paeoniae Alba and Semen Ziziphi Spinosae, each dose is 50~ 100g, and take several doses continuously.
If the pain in the left chest is severe and the drug is ineffective, aconite, Asari, ginger (loose stool) or yellow stool (loose stool) should be used.
If the throat is swollen and painful, add Aristolochia and bean root; Those with pulse wind should be given wind-expelling drugs, and those with severe fever should be given a little laxative.
If you feel dizzy and your limbs are cramped and stiff, you must use antelope horn, and use 1~2 yuan every time to grind the juice.
When water is sick, it is necessary to get sick with qi first, and when qi moves, water moves. Therefore, swelling and swelling are interrelated, just a matter of distinguishing which comes first, which is heavier and which is lighter.
For the elderly with red phlegm, Sanzi Yangqin decoction is often used, but radish seeds must be fried, white mustard seeds are slightly fried, and perilla seeds are also used.
Cold limbs and left rib pain are caused by cold coagulation of liver meridian, and the main prescription is Xiangfu Inula Decoction. If not, it should be treated with Hang Shao, Fructus Aurantii Immaturus, Pinellia ternata and fried Bupleurum.
All diseases, cold and heat syndromes are unknown and difficult to judge. First treated with Baohe Pill and Chengqi Decoction, and then observed.
Cold diseases are on the rise, and hot drugs should be used lightly; The next time you catch a cold, you should reuse the hot medicine, such as attaching tablets.
Treat strange diseases (that is, you can't find anything belonging to the six meridians), and treat phlegm first; Invalid, the second treatment is blood stasis; If it doesn't work, then treat it with deficiency.
Children's enuresis can be divided into three types: liver and gallbladder are hot (enuresis and dreaminess); Heart and kidney want to pay but don't pay (just wake up); Deficiency of kidney yang.
Step 3: prescription
The combination of Achyranthes bidentata and Dendrobium can induce the drug to drop to the toes.
Itching, Yang Ye, the wind evil finds its own way. Main antipruritic drugs: stir-fried Fructus Gardeniae, Fructus Aurantii, honeysuckle charcoal (all above are reused), madder charcoal, Coptidis Rhizoma, Radix Sophorae Flavescentis, Cortex Moutan, Radix Rehmanniae, Radix Angelicae Sinensis, Radix Angelicae Dahuricae, Radix Saposhnikoviae and Rhizoma Smilacis Glabrae.
Wu Mei Pill can not only warm the middle energizer to relieve constipation, but also mediate the imbalance of yin and yang of zang-fu organs, such as chronic dysentery and abdominal pain.
Sanxiang decoction (Platycodon grandiflorum, Fructus Aurantii, Trichosanthes kirilowii, Radix Curcumae, Fructus Gardeniae preparata, Lignum Dalbergiae Odoriferae, and Semen Sojae Preparata) is used to treat right breast fullness.
An effective prescription for treating hand and foot fever comprises Radix Peucedani, Rhizoma Cynanchi Stauntonii, Fructus Aurantii, Fructus Trichosanthis, Rhizoma Zingiberis Recens, Semen Celosiae, Rhizoma Pinelliae, Radix Ophiopogonis, Scutellariae Radix, Folium Bambusae and Fructus Evodiae. As the saying goes in the song: the hands and feet are burning, the former beard is white and the former is white, the teenager is half wheat, and the Wu is pale, and the qi is turned into phlegm.
The tongue coating is thick and greasy, wet and heavy, and the foot and tibia are swollen and painful. Papaya must be used.
Tiantai wuyao powder syndrome is: unbearable low back pain, dripping urine, difficult or incomprehensible stool. However, Toosendan seeds should be fried with croton (liver governs drainage).
Equisetum equisetum is better than green tangerine peel and dried tangerine peel, which can greatly soothe the liver and regulate qi, and is used for demonstration.
Fresh Polygonum multiflorum Thunb. is an important drug for treating liver yin deficiency, which should be supplemented. The female left maxilla is a little painful, and it is miraculous to treat it with fresh Polygonum multiflorum Thunb.
Ji Ming powder can treat wet toes in summer.
Wei Qing powder contains qi and blood. Because the stomach is dry and full of qi and blood, it is easy to produce dryness and heat, so it is necessary to double the tone of qi and blood.
Prescriptions for sore throat: Rhizoma Belamcandae, Bulbus Lilii, Cimicifuga Rhizoma, Radix Angelicae Sinensis, Fructus Tribuli, Semen Armeniacae Amarum, Asari, fried soybean, and Folium Bambusae.
Attached case 1 as follows: Wu Mou, female, 59 years old. First visit on June 27th, 2003 +065438+. My hand has had a fever for 2 years, but it hasn't been cured for a long time. At present, I feel dizzy, even sometimes I fall down when it gets dark, my right chest hurts slightly, I vomit a lot from time to time, my throat is dry, or my heart is hungry, my right hand trembles, my waist is swollen, and my face is yellow. The tongue is red, the fur is thin and yellow, the pulse in both hands is slippery, and the right side is chordal. Syndrome belongs to phlegm blocking collaterals, and stagnation turns into heat for a long time. The treatment should be clearing away heat and resolving phlegm, and phlegm can relieve itself from heat. Prescription: 20g of Radix Peucedani, 20g of Rhizoma Cynanchi Stauntonii, 20g of Fructus Aurantii15g, 20g of Fructus Trichosanthis, 20g of Scutellariae Radix, 0g of Semen Celosiae15g, 20g of Faxi15g, 20g of Ophiopogon japonicus, 8g of Lophatherum Bambusae, 5g of Evodia rutaecarpa, etc. Second diagnosis on February 2, 65438: After taking 2 doses, symptoms such as palm fever, spitting, spitting and chest pain were relieved, and then the original prescription was modified. Take two more doses, and your hands, feet and heart will stop getting hot.
, benevolent doctor, Yu Jie