The sixth treatment of pulse syndrome of blood Bi deficiency and fatigue
2020-05-25 09:05:13
1. Ask: where does the blood Bi disease come from? The teacher said: I respect and honor people ①. My bones are weak and my skin is full. I sweat heavily because of fatigue. I lie down and shake from time to time. I get it with a breeze. But with the pulse from micro astringent, in Cunkou, close small tight. It's better to use the needle to induce Yang Qi, so that the pulse will be more intense.
2. Blood arthralgia, yin and yang are all micro, Cunkou is closed micro, ulna is small and tight, external syndrome body is not benevolent, such as wind arthralgia ② shape, Huangqi Guizhi Wuwu Tang is the owner.
Huangqi Guizhi Wuwu Decoction
Astragalus Sanliang, peony Sanliang, Cinnamon Twig Sanliang, ginger liuliang and jujube have five flavors, six liters of water, two liters of boiled water, seven combinations of warm and three servings a day. One side has ginseng.
[comment] "blood Bi" is the name of the disease, which refers to the deficiency of Qi and blood, the feeling of external evils, and the symptom of numbness. The treatment of blood stasis focuses on invigorating Wei Qi, warming Yang Qi, and blood stasis. Huangqi Guizhi Wuwu Decoction uses Huangqi to replenish qi, Guizhi to invigorate Yang, peony to nourish Ying, ginger and jujube to warm and invigorate Yang, to harmonize Ying Wei, and to perform the function of invigorating yang and promoting Bi. Qing Chen Nianzu's "Golden Chamber Fang Song" called Huangqi Guizhi five things soup, that is, Guizhi Tang to remove licorice, plus Astragalus strong, in the gas points to adjust their blood, better times with ginger to promote their Qi, blood gas is not stagnant and Bi. Its analysis is accurate.
—————— ① Honorable person: refers to the rich and noble.
② Fengbi: according to chaoyuanfang's theory of the origin of various diseases, fengbi, it is said that "the arthralgia is caused by wind, cold and dampness, and the combination of the three kinds of Qi leads to arthralgia. Its muscles are tenacious and thick or painful, which is caused by the deficiency of human body and the stagnation of Qi, so it is also affected by wind evils." It can be seen that wind arthralgia refers to the disease with persistent numbness and pain, but mainly pain.
3. A man is a man of equal rank, whose pulse is great, and whose weakness is also great.
4. The man with thin face is thirsty and dead blood. He is full of breath and palpitation.
5. The man's pulse is empty and deep, without cold and heat, short breath and short breath. His urination is not good, his face is white, his eyes are covered with membrane, and his stomach is not full. This is the result of hard work.
6. Labor is a disease. Its pulse is big, its hands and feet are tired. It's a drama in spring and summer. It's cold in autumn and winter. It can't be cut by acid.
7. The man's pulse is weak and astringent. He has no son and his essence is cold. A cold stroke.
[comment] it is pointed out that the pulse of "big" and "extreme deficiency" is the pulse of the total asthenia and fatigue. At the same time, because the pathogenesis of asthenia and fatigue is complex, the pulse of asthenia and fatigue must be from the big and the asthenia, refer to the concurrent pulse, four diagnosis and reference.
8. My husband lost his essence at home ③. He had a short stomach, a cold Yin and head, and a dizzy eye. His eyes and eyes were painful, and he fell down. His pulse was very weak and late. It was clear Valley, blood lost, and lost his essence. The pulse is slightly tight, the man loses essence, the woman dreams to make friends, the Gui Zhi adds the keel oyster soup Lord.
According to the "sketch" of Guizhi and keel oyster soup, those who are weak, hot and sweaty will be divided into three parts: Baiwei and Fuzi. Therefore, keel soup will be added on the second day.
Cinnamon Twig, peony, raw and ginger, licorice, jujube, keels and oysters
Seven flavors, seven liters of water, three liters of boiled water, three servings at different temperatures.
Tianxiong Sanfang
Three liang of Tianxiong, eight liang of baobaishu, six liang of Guizhi, three liang of keel
On the four flavors, the pestle is scattered, the wine service is half money dagger, the daily service is three, I don't know, slightly increased.
———————— ① Dusk: dusk and vertigo are common. Dusk is vertigo.
② Acerbity: refers to pain and emaciation of legs.
③ Spermatophobia: refers to the person who often sleeps and slips.
[comment] this section discusses the syndrome and treatment of deficiency of yin and Yang. According to the heart code of synopsis of the golden chamber by you Yi, "men lose sperm and women dream to make love" is a disease between spirits. The pathogenesis lies in that the heart and kidney do not make contact, the Yin and Yang lose harmony, the mind and spirit lose their master, the heart and kidney should be treated as communication, the Yin and kidney should be adjusted, the nerves should be calmed, and Yin essence should be absorbed. It's the main ingredient of Guizhi and keel oyster soup. Xu Bin pointed out in the notes to the synopsis of the golden chamber that "Guizhi Decoction can remove the evil Qi from the muscles when it is obtained from the external syndrome; it can supplement the deficiency and regulate the Yin and Yang when it is obtained from the internal syndrome; if the keel and oyster are added, it belongs to the disease between gods and spirits when the dream of losing the essence is crossed, which is not enough to restrain its floating."
"Shenjingjian disease" is an important pathogenesis term, and the pathogenesis theory of "shenjingjian disease" plays an important role in guiding the application of Guizhi jialongoyster Decoction and its similar prescriptions. Guizhi Jialong oyster soup is widely used in clinic. It can be summarized as follows: first, essence disease. In addition to the "men's spermatorrhea, women's dream" syndrome mentioned in the original Zhang Zhongjing, there are impotence, non ejaculation, infertility, drowning, prostatitis, sexual phobia and so on in andrology. From the narrow sense of "essence" to the essence of body fluid, the essence of body fluid is lost in the disease syndromes of retention, such as self perspiration, night perspiration, metrorrhagia and hypostasy, which are caused by the imbalance of yin and Yang. The addition and subtraction of Guizhi and Longgu oyster soup are also effective. Second, "God" disease. Keel and oyster have the effect of "calming the soul and mind". Guizhi and Longgu oyster soup can adjust Yin and Yang, calm down the nerves, so it is mostly used for the diseases caused by restlessness and loss of mind. Clinical reports such as mania, hysteria, palpitation, neurasthenia, insomnia, Fugu, menopausal syndrome, etc.
Tianxiong powder is lack of the main treatment. According to the examination of prescriptions and drugs, "this is the prescription for tonifying yang and Yin, which can cure men's loss of sperm and cold pain of waist and knee."
9. The man is calm, weak and delicate, and likes night sweats.
10. In the 50s and 60s of a person's life, those who suffer from severe diseases will suffer from Bi Xia's backwardness.
11. The pulse is small and late. It's named out of breath. When he is ill, he will gasp and drink. When his hands and feet are cold, his stomach is full. When he is very loose, he will not digest.
12. If the pulse string is big, the string will be reduced, the big one will be Bi, the reduced one will be cold, the Bi one will be empty, and the deficiency and cold will fight each other. This is called Ge. If a woman is half born, she will leak, and if a man is dead, she will lose her blood and essence.
———————— ① Bixia back line: refers to both sides of the spine behind the paralysis.
② Horseknife gall: tubercle is born under the armpit like a horseknife, hence the name of horseknife, horseknife and long clam. Born near the neck
Gall.
13. Fatigue, palpitation, nausea, abdominal pain, dysspermia, aching limbs, hot hands and feet, dry throat and dry mouth, Xiaojianzhong soup master.
Xiaojianzhong Decoction
Jujube twelve peony, six Liang ginger, three Liang gum, three Liang cinnamon twigs, three Liang peeled licorice, six flavors in one liter of roasted Yi, seven liters of water, three liters boiled, to the inner gum Yi, more slight fire digestion, one liter warm, three servings a day. You can't make Jianzhong soup at home, because it's sweet.
14. The deficiency of Qi, Lao and Li is urgent, which is the main reason of Huangqi Jianzhong Decoction.
Huangqi Jianzhong Decoction
In Xiaojianzhong decoction, add Astragalus in half and follow the above method. For short breath and full chest, add ginger; for full belly, go to jujube and tuckahoe or two; for deficiency of lung; for invigorating qi and Pinellia.
[comment] Xiaojianzhong decoction is a representative prescription for the treatment of asthenia labor disease. The method of "Jianzhong" began in the Huangdi Neijing and was founded in Zhangzhongjing. The three prescriptions of Jianzhong Decoction of Da, Xiao and Huangqi are the representatives, all of which are legislated by Gan Wen. Among them, Xiaojianzhong decoction is the ancestor of Jianzhong, which was called "the mother of Jianzhong" by Zhang Lu of Qing Dynasty. "The simple question, the most important theory", said: "the empty is to make up, the hard is to warm "Lingshu always" said: "both yin and yang are insufficient, tonifying yang is Yin exhausted, diarrhea Yin is Yang off, if so, can be sweet medicine Xiaojianzhongtang is formulated according to the above rules. "Jianzhong" refers to the spleen and stomach of Zhongjiao, which is based on the stomach qi. The five zang organs and six Fu organs are all endowed with Qi in the stomach. "The spleen vein is the earth, and the solitary organ is the one that irrigates the four sides." The pathogenesis of asthenia labor disease is mainly the deficiency of Qi and blood Yin and Yang in the five zang organs. The spleen and stomach are the foundation of postnatal life and the source of blood biochemistry. For example, if the spleen and stomach are weak, according to the principle of "treating diseases must be based on the foundation", to build the middle Qi, replenish the spleen and stomach, and regulate Yin level must affect the generation of Qi and blood. The deficiency of Qi and blood is the main factor leading to the imbalance of yin and Yang. Suyang is a great method of treatment. If Qi is in the middle, Qi and blood can be generated and adjusted. As you Yi said in the heart code of synopsis of the golden chamber, "if you want to seek the sum of yin and Yang, you must generate Qi and blood, and then Yin and yang can cooperate with the middle Qi. If you want to establish the middle Qi, you must build it."
Ye Tianshi, a famous scholar in Qing Dynasty, was good at modifying Xiaojianzhong Decoction to treat many kinds of deficiency diseases. For the patients with obvious Yang Ming deficiency of stomach qi, ginseng was added to Xiaojianzhong Decoction to tonify stomach qi, and famous people took part in Jianzhong Decoction to treat asthenia labor fever, asthenia labor coughing blood and hematemesis, fatigue coughing and asthma, weak stomach and less absorption or eating to reduce loose stools, nausea and abdominal pain, eating less, choking less, not sleeping on the pillow, postpartum cough
Wait. Not only the deficiency of stomach qi, but also the deficiency of the exterior, imitates the method of Astragalus to build the middle, adds ginseng and Astragalus to Xiaojianzhong decoction, named Shenqi Jianzhong Decoction, treats the deficiency of spleen and stomach qi, coughs up the blood, the deficiency of the exterior is afraid of the wind and the cold, and the deficiency of spleen and stomach qi and blood causes the menstruation to expire. For those with deficiency of blood or damage of spleen and collaterals, angelica Jianzhong Decoction can be used to treat the symptoms such as epigastralgia, abdominal pain, women's delayed abdominal pain, amenorrhea, external headache caused by Yingwei second Qi injury, malaria cold and hot wave late or cold and tired, hemoptysis and hematemesis, etc. There are also ginseng Guiqi Jianzhong Decoction, which can treat the spleen and stomach internal injury of Xiaojianzhong decoction, and the deficiency of Qi and blood.
Those who suffer from low back pain due to deficiency of labor, lack of abdominal restraint and urgency, and are not good at urinating, Bawei Shenqi Pill is the main one. Just see feet.
Shenqiwan prescription
Dried rehmannia, eight Liang Dioscorea, four Liang dogwood, four Liang Alisma, Danpi Poria, three Liang cassia, one or two aconite cannons each
It has eight flavors and the last one. It can refine honey and make pills as big as a Phoenix. It takes 15 pills under the wine and adds them to 25 pills. Take them every day.
[comment] Shenqi Pill is the ancestor of kidney tonifying formula, which warms the kidney by one or two warm channels of cinnamon twigs and aconite, invigorates the Yang by governor Zhuyang, and helps the bladder to gasify; uses dried Rehmannia eight Liang, dioscorea four Liang and Cornus four Liang to nourish the kidney and add essence, Poria cocos and Alisma combined with light infiltration and diuretic water, and dandruff clear the heat. For its compatibility significance, the second volume of "Bawei Dihuang Pill" in "Yizong Jinjian · Jianbu famous medicine prescription theory" by Wu Qian of Qing Dynasty quoted Ke Qin as saying: "this kidney qi pill contains one ten times of Guifu in the Yin nourishing agent, which means not to mend fire, but to light fire, that is to say, to generate kidney qi. Therefore, it is not called warming the kidney, but kidney qi. " "Jing Yue Quan Shu" says: "those who are good at nourishing yang must seek Yang in Yin. If Yang gets Yin help, then biochemistry will be infinite; if they are good at nourishing Yin, they will seek Yin in Yang, then Yin gets Yang rise, then spring will never be exhausted." Shenqi Pill embodies the method of "seeking Yin in Yin". Later generations of doctors have developed many kidney tonic prescriptions, such as Liuwei Dihuang pill, Yougui Pill, Yougui drink, Zuogui pill, Zuogui drink and Jisheng Shenqi Pill.
16. Deficiency in work and deficiency in manners. 1.
Twenty one taste, the last, honey refining and pills, such as marbles big, an empty stomach wine to take a pill, a hundred pills for the agent.
[comment] the pathogenesis of Dioscorea pill syndrome is characterized by deficiency of all kinds of work and deficiency of wind. Dioscorea pill is the representative prescription of tonifying deficiency and dispelling wind. It is composed of 21 kinds of drugs. It is skillful in compatibility. It is mainly composed of tonic and has powder in tonic.
Dioscorea with 30 points, the only weight in the recipe. "Shennong herbal classic" says that "it has a sweet and nontoxic smell, which mainly damages the body and nourishes the deficiency, eliminates the cold and hot evil Qi, nourishes the body, grows muscles and strengthens Yin. "Emphasize the effect of Tonifying the middle and highlight the function of strengthening Yin. Glycyrrhiza 27 points, jujube 100 for the paste, is also the formula in the amount of heavy, two drugs with the cultivation of the soil. The large dosage of the three drugs fully reflects Zhongjing's thought that he paid more attention to nourishing the spleen and stomach. There are components in the decoction, such as licorice, Cinnamon Twig, Maimendong, ginseng, donkey hide gelatin, jujube and rehmannia. That is, fried licorice soup to remove the hemp kernel, ginger to ginger, raw Rehmannia to dry rehmannia. Zhilicorice decoction can cure deficiency of fatigue, sweat and depression, and palpitation of pulse. There are also Dioscorea pills
Xiaojianzhong Decoction (Guizhi, peony, liquorice, jujube) and Shenqi nine (dried rehmannia, dioscorea, Poria cocos, Guizhi) in the treatment of asthenia labor reflect that Zhongjing's treatment of asthenia labor focuses on the heart, spleen and kidney.
———————— ① Wind and disease: the wind is the long of all diseases. You are welcome to have many diseases after the evil wind attacks the human body. This "all kinds of wind diseases" does not refer to general exogenous diseases, but more refers to a variety of miscellaneous diseases related to "wind", such as wind eating, stroke, wind discrimination, calendar Festival, palpitation, etc.
From the perspective of "wind dispelling" treatment, wind prevention is the first choice. "Shennong materia medica Sutra" contains "the main wind is dizzy and painful, the wind is evil, the eyes are blind and blind, the whole body is popular, the joints are painful and full of troubles." In addition, according to the analysis of the drug compatibility of "synopsis of the Golden Chamber · treatment of stroke and meridians syndrome", dioscorea pill has the Hou's black powder component (Atractylodes macrocephala, Poria cocos, Platycodon grandiflorum, Fangfeng, ginseng, angelica, dried ginger, chuanxiong, Guizhi) of "treatment of apoplexy heat, the body can't receive it, the mouth can't speak, and it's presumptuous not to know the pain, The components of the decoction (Guizhi, Danggui, Renshen, Ganjiang, liquorice, chuanxiong, almond) of "ancient and modern records". What's more, zhongjingzhifeng (especially the "internal wind") is very important
According to the application of blood nourishing drugs, the compatibility of angelica, Ligusticum chuanxiong, Paeonia and Rehmannia in Dioscorea pills has profound enlightenment for the establishment of "nourishing blood and calming wind" treatment and the proposal of "treating wind first and eliminating blood flow wind".
Due to the function of Dioscorea pills in tonifying deficiency and eliminating wind, Sui and Tang Dynasties and later generations of physicians have widely used this prescription in the treatment of asthenia labor and Jiafeng disease. For example, in the fourteenth year of the fourth volume of "the preparation of the prescription of Qianjin · wind vertigo", the prescription of Dioscorea pill is made of Dioscorea pill in the golden chamber, which is added with croissant glue and scutellaria. It is mainly used to treat "dizziness of head, depression of heart, palpitation and madness" "Dashan taro pill" is contained in volume V of Taiping Huimin pharmacy Bureau prescription by Chen Shiwen of Song Dynasty. Its composition is the same as that of Dioscorea pill in Jinkui. It is mainly used to treat "all kinds of deficiency and all kinds of injuries, five labors and seven injuries, heavy limbs, aching bones and joints, palpitations in the heart, dry lips and mouths, lack of vitality in the face, lack of emotion, coughing, coughing, coughing and asthma, blood injury and blood movement, dreams at night, sweating and loss of essence, back and waist pain, umbilical cord and abdomen distress, and prone to lying down Less Qi, more forgetfulness, less diet, and muscle wasting. It can also cure wind deficiency, dizziness, restlessness, and loss of Qi after illness, which gradually leads to strain. If you take it for a long time to make up for your deficiencies, you will get more fashionable and have more diseases. " The above two diseases can be regarded as the specific description of "deficiency of all kinds of work and deficiency of all kinds of customs and diseases" in the golden chamber.
On the five flavors, eight liters of water, boiled sour jujube kernel, get six liters, internal medicine, boil three liters, divided into three warm clothes.
———————— ① Five work deficiency pole: due to five work and seven injuries, long illness leads to the deficiency of human body, which develops to a serious level, so it is called deficiency pole.
[comment] this section is to discuss the syndrome and treatment of asthenia labor and dry blood. The principle of "slowing down and tonifying deficiency" is put forward as a treatment principle, which is based on the pathogenesis of the formation of deficiency, fatigue and dry blood. As a result of five labors and seven injuries, the blood circulation of Ying Wei is blocked and becomes blood stasis - "dry blood", that is to say, blood stasis can cause blood stasis due to deficiency. Once blood stasis is formed, it blocks the operation of Ying Wei, resulting in "deficiency, extremely thin and abdominal"
Full can not eat ", so that the organs can not be Rongyang, and the formation or aggravation of its deficiency, that is, due to blood stasis can lead to deficiency. Deficiency and blood stasis are the cause and effect of each other. In the face of this complex situation, we can neither attack and chase blood stasis as pure as Xiayuxue Decoction and Dingdang decoction, nor make up deficiency as special as Xiaojianzhong decoction, huangqi jianzhong decoction and Guizhi jialongoyster decoction. Only when we give consideration to both removing blood stasis and strengthening, we can solve this dilemma slowly. Therefore, it not only uses rhubarb, peach kernel, trichomonad, etc. to attack blood stasis, but also uses rehmannia, peony, liquorice, etc. to nourish yin, nourish blood and fill deficiency.
It is very important to grasp the meaning of "slow" in order to understand the meaning of "slow in filling up the deficiency". The word "slow" embodies the meaning of four aspects: first, the rule of speech should be slow and planned, and slow has the meaning of harmony, harmony and slow. Secondly, it is necessary to make a prescription to fight against blood stasis. In addition to rehmannia, peony, liquorice, honey and other tonic drugs, the application of rhubarb is also unique. The rhubarb used in Taohe Chengqi Decoction, Didang decoction and pills, Xiayuxue Decoction are all for living. However, the small amount of rhubarb used in this prescription and steamed into the pills is not the intention of attacking, but to preserve the nature of general rhubarb, promote the cleaning and realization To close. The third is the dosage form. The pill is slow, and the sweet and slow of white honey and the slow of pill are used to ease the sharp attack. The fourth is to say how to take medicine. Take 5 pills and take 3 pills a day. It can be seen from the above that the reason why Zhongjing established the method of "slowing down and tonifying the deficiency" for the syndrome of deficiency, fatigue and blood dryness is that its original intention is to slow down and eliminate the dryness of blood, and slowly strengthen the body. It embodies the perfect combination of slowing down and Jun (attack) from many aspects such as formulation, dosage form and taking method, so as to achieve the purpose of removing blood stasis and generating new Qi without destroying the vital energy.
Dahuang huichong pill is used as a pill for the treatment of chronic asthenia and fatigue disease. The spirit of making the prescription is "Junyao slow dosage" and "leizhongbuxu". The traditional Chinese medicine "long illness enters the collaterals" and "long illness must be stasis" are fully reflected in the local syndrome.
Accessory party
Qianjinyi Zhigancao Decoction Yiyun Fumai decoction is used to treat deficiency of fatigue, sweating and depression, pulse knot palpitation, normal action, no more than 100 days, and the critical one died on the 11th.
The first nine flavors are seven liters of wine and eight liters of water. First boil eight flavors, take three liters, remove the dross, remove the inner glue, and take warm clothes once, three times a day.
After elbow, Rex liver powder can cure cold labor, and it can prevent the ghost from infecting each other.
The otter liver is the last to be dried. The water clothes are square inch daggers and three clothes a day.
