The 10th treatment of abdominal cold hernia with persistent food disease
2020-05-25 10:37:48
1. Drop Yang pulse and micro string. When the stomach is full, it will be difficult for those who are dissatisfied. The two skin aches. This deficiency cold should be taken with warm medicine from the bottom up.
2. If the patient's abdomen is full, it will be empty if there is no pain. If there is pain, it will be real. You can take it. If the tongue is yellow, the yellow will go.
3. When the stomach is full, it will be reduced. If it is restored, it is cold. It should be treated with warm medicine.
[comments] the above three sections discuss the causes of deficiency cold and abdominal fullness, the syndrome differentiation and treatment of deficiency and excess of abdominal fullness. Fuyang pulse to wait for stomach disease, "pulse micro string", micro Yang deficiency, string is Yin Sheng have cold. "Visceral cold produces fullness disease", so it is difficult to see fullness of the abdomen, or to have excrement and pain. "When to warm medicine to take" a sentence, pointed out the treatment of deficiency cold abdominal fullness.
For the syndrome differentiation of abdominal fullness and excess, firstly, the abdominal palpation method is put forward, "according to which no pain is the deficiency, and the pain is the reality", which is based on the general idea of abdominal fullness and excess, and then the important role of tongue diagnosis in syndrome differentiation and treatment is emphasized. If the abdomen is full and the tongue coating is dry and yellow, it is caused by the accumulation of gastrointestinal stasis and heat, and the treatment should discharge heat and clear the bowels.
4. The patient is impotence yellow①. He is impetuous but not thirsty. He is cold and solid in the chest, but he is not interested. He dies.
[comments] the "cold in the chest" is the "cold in the stomach" in the meridian, which is the summary of the pathogenesis of this section. The disease belongs to the critical syndrome of hyperactivity of Yang and Yin and fullness of abdomen.
--------------------- ① Impotence yellow: "impotence" refers to the dark and unsmooth yellow skin.
5. Cunkou pulse string, that is to say, the person under the threat is anxious and painful, and he is mean and mean.
[comment] this section discusses the pulse syndrome of cold abdominal fullness (or cold hernia) in both exterior and interior. The Cunkou pulse is the main external part, so it is stingy and cold. The string pulse is the main pain. The internal cold blocks the liver channel, so it is urgent and painful under the flank.
6. If you are in a poor family, you are happy to owe. If you have a clear tears, you will feel warm and warm. You will be good at sneezing.
7. In the cold, the person's benefits are lower than that of elixu. If you want to sneeze, you can't. the person's stomach is cold. A cloud of pain.
[comment] Based on the above two sections, the relationship between physical factors, disease changes and prognosis is expounded through the differentiation of "likes and dislikes" and "good sneezes". Due to different physical strength, although the etiology is the same, the lesions are different. The sixth section "the person with clear tears, warm color and good sneeze" shows that the person with "good sneeze" is caused by cold pathogenic factors outside, Yang Qi going out, and sneeze stimulates Yang Qi, which can dispel the cold outside, so the person with warm color and good sneeze. As "Lingshu · oral question" said: "Yang Qi and Li, full of heart, out of the nose, it is sneeze.". In contrast to the seventh section, "if you want to sneeze, you can't" it means that in a cold family, Yang Qi is weak, you can't drive away evil spirits, and you won't have fever color and sneeze well. Because of the deficiency and cold of the element body, Yang deficiency and Yin are abundant, you will be "happy to owe" and "inferior to benefit".
8. If you are thin and have pain around your navel, you will have cold wind. If you have bad Valley Qi, you will have strong Qi. If you don't, you will be ruffian.
9. The sick stomach is full, the fever lasts for ten days, the pulse floats and counts, the diet is the same as before, the master of Houpu Qiwu decoction.
Houpu Qiwu Decoction
Magnolia officinalis, liquorice, rhubarb, three or two jujubes, ten Fructus aurantii, five cassia twigs, two or two ginger, five or two
Take a bucket of water and boil it for four liters. Take eight warm clothes and three daily clothes. If you vomit, add Pinellia and five harmonies. If you want to get rid of rhubarb, add ginger to half a Jin if you are too cold.
--------------- ① Stingy: describe the look of shivering and chilly.
② Gu Qi is not good: that is, the stool is blocked.
[comment] in ancient and modern times, most doctors thought that it was the same disease inside and outside. However, in recent years, some doctors have put forward doubts that this syndrome is not the same as the exterior and interior diseases, or from the gastrointestinal damp heat, or from the cold congealing qi depression, or from the combination of heat and blood stasis to explain. Zhongjing believed that the incidence of many miscellaneous diseases was mostly related to the feeling of external pathogens. Three syndromes of abdominal fullness, cold hernia and persistent food discussed in this chapter
It is mostly related to the external clothing of cold pathogen. The big Aconitum Decoction syndrome and Aconitum Guizhi Decoction syndrome of cold hernia have external cold. The "pulse tightness, headache, wind and cold" of the persistent food disease is not uncommon, and the persistent food cold is also not uncommon. The one syndrome of abdominal fullness is not an exception. According to the composition analysis, Houpu Qiwu decoction is composed of Houpu Sanwu Decoction and Guizhi Decoction to remove peony. Guizhi Decoction is used to mix Yingwei, remove muscle and penetrate the surface, and ginger, jujube and liquorice can be used together to protect the spleen and stomach. To sum up, it is more appropriate to understand our syndrome as exterior and interior diseases.
10. The cold in the abdomen, thunder and pain, chest and flank are full of nausea and vomiting. It's the owner of Fuzi and japonica rice soup.
Decoction of aconite and Japonica Rice
A piece of aconite, half a litre of fried licorice - two dates, ten pieces of Japonica rice, half a litre
Five flavors, eight liters of water, cooked rice, soup, to dregs, one liter of warm clothing, three clothing a day.
[comment] in "Suwen · lifting pain theory", it is said that "cold Qi comes from the stomach and stomach, so it hurts and vomits." "Five evils" said: "evil in the spleen and stomach If Yang Qi is insufficient and Yin Qi is surplus, then the cold middle bowel sounds and abdominal pain. " It shows that the deficiency of Yang in spleen and stomach and the inversion of cold Qi can cause abdominal pain, vomiting and bowel sounds. The original "cold in the stomach" is to point out the pathogenesis of this syndrome. Due to the deficiency of Yang in the spleen and stomach, the dampness of the water stops, and the evil of the dampness of the water mingles with the Yin and cold Qi rush between the intestines and stomach, then the intestines will sound, and the pain will be sharp. The chest and flank will be filled with cold air, and the stomach will vomit if the air does not fall. In addition, cold syndrome such as cold limbs, pulse, tongue coating and so on can also be seen clinically.
Fuzi japonica rice soup is a kind of medicine for dispersing cold and moistening in the middle of the temperature, reducing adverse reactions and stopping vomiting. In the formula, paofuzi is hot and spicy, warming yang and dispersing cold can relieve pain; Pinellia ternate can reduce stress and stomach chemical drink can stop nausea; japonica rice, liquorice and jujube can slow and neutralize stomach. For the drug compatibility of this prescription, Cheng Lin's analysis in the synopsis of the Golden Chamber: the cold in the abdomen is not enough to warm up without aconite, and the heat is not enough to warm it; the thunder, the cutting pain is not licorice
The sweetness of jujube and stemmed rice is not enough to keep up with it; the nausea and vomiting of half summer is not enough to disperse it; the five things need to be used as assistant. Wang Xugao also praised this prescription as the medicine for benefiting the stomach, clearing Yang and warming the kidney. Pinellia, liquorice, japonica rice and jujube are all medicines for the spleen and stomach. They are all made of aconite. They can spread cold on the top and stop vomiting, warm the meridians and calm the pain on the bottom, and the true spirit prescription.
Those who are in pain and shut down are the owners of Houpu Sanwu decoction.
Houpu Sanwu Decoction
Magnolia officinalis eight Liang rhubarb four Liang Fructus aurantii five
For the third taste, take a bucket of water and two liters. Cook the second taste first. Take five liters of rhubarb, three liters of boiled rhubarb and one liter of warm clothes. Take profit as a measure.
12. According to the heart full of pain, this is also true, at present, it is appropriate to Dachaihu soup.
Dachaihu Decoction
Half a jin of Radix Bupleuri, three liang of Scutellaria, three Liang and half a liter of peony, three Liang and half a liter of summer herbs, four pieces of washed Fructus aurantii, twelve pieces of ginger, five Liang and eight flavors, one bucket of water and two liters, six liters of boiled water, and then decocting. One liter of warm clothes, three clothes a day.
13. If the stomach is full and the stomach is not full, it is necessary to reduce it. It is better to inherit Qi soup.
Dachengqi Decoction can be used to treat anterior spasm.
[comments] the above three sections discuss the syndrome differentiation and treatment of abdominal fullness pain caused by excess heat. "Pain and closure" refers to abdominal fullness and pain, and the defecation secret knot is blocked. The disease is really hot internal knot, and qi stagnation is not good. The treatment is to use Houpu Sanwu Decoction for Qi unblocking. According to the principle of "full pain under the heart", the pathogenic heat of the disease is stagnant in the liver, gall bladder and stomach, and the treatment of Dachaihu decoction is to conquer yangminglire and reconcile the pathogenic of Shaoyang. The sentence "when the stomach is full, it will not be reduced. When the stomach is full, it will be reduced. When the stomach is full, it will be reduced. If the stomach is full, it will be restored as it is." both the two sections are titled with the word "reduced". And "when the stomach is full, it will be identified clearly. That is cold deficiency, which should be treated with warm medicine. This is hot reality. If you attack the real heat in it, it is better to inherit Qi Decoction.
------------- ① Close: this means that the stool is blocked.
Both Houpu Sanwu Decoction and Xiaochengqi decoction are composed of Houpu, rhubarb and Fructus aurantii. However, Xiaochengqi Decoction means to accumulate and attack the solid, so it takes rhubarb as the king; Houpu Sanwu Decoction means to discharge the full Qi, mainly Houpu.
14. In the heart and chest, there is great cold and pain. You can't eat or retch. In the abdomen, you have cold. You can flush the skin and have head and feet when you go out. You can't touch the upper and lower pain. It's the master of dajianzhong decoction.
Dajianzhong Decoction
Shujiao two in one goes to sweat, ginger four in two, ginseng two in two and three in three. It takes four liters of water, two liters of boiled water, one liter of internal gum, one and a half liters of fried water, and then takes them at different temperatures. For example, one cooking acre can drink two liters of porridge, and then take them later. When one day's eating, it's covered by temperature.
[comment] this section discusses the syndrome and treatment of abdominal fullness and pain with the deficiency of Yang and Yin and the excess of cold and Yin. Due to the weakness of Yang Qi in the spleen and stomach, the cold in the middle energizer Yin is full, and the cold is rushing up and down, resulting in typical symptoms such as pain, vomiting and inedibility, and strip like protuberance. From the original description of syndrome, the disease is urgent and the syndrome is serious. First, the pain is severe. The pain is located on the abdomen and chest. The "severe cold pain" emphasizes the severity of the pain, and the upper and lower pain cannot be touched. Second, vomiting is frequent and difficult to accept food. Third, there are head and foot on the outside and strip like protrusions on the abdomen, which are similar to the so-called "gut type" in western medicine. From the pathogenesis and medication analysis, we can also see other manifestations of Yang micro Yin Sheng, such as cold, cold, light tongue, white moss slippery, pulse sink late and so on. Although the Yin of this syndrome is cold in the upper and lower parts of the body, and the cause of the disease is still the deficiency of spleen and stomach in Zhongjiao. Therefore, we should use dajianzhong Decoction to build Zhongqi and warm zhongsan cold. In the prescription, caramel is built slowly, ginseng is cultivated to build middle Qi; Shu Jiao and Gan Jiang are warm to disperse cold and relieve pain.
It's very important to take care of dajianzhong decoction. After the prescription, note: "three flavors, four liters of water, two liters of boiled water, one liter of internal gum, one and a half liters of fried water, and then take them at different temperatures. For example, two liters of porridge can be drunk for one cooking hectare, and then take them later. When one day's chyme, it's covered with temperature." The decoction is one and a half liter, about 300ml today, taken twice. After taking the medicine for the first time, about 1 hour, drink 400ml porridge, and then take the rest of the medicine. It should be easy to digest and take care of the stomach qi. Do not eat hard and dry food, to prevent irritation, gastrointestinal and severe pain, and pay attention to abdominal warmth.
It's painful and feverish under the flank. Its pulse is tight. It's also cold. It's better to use rhubarb and Fuzi decoction.
Rhubarb and Aconite Decoction
There are three rhubarb, three aconite, two Asarum and three flavors, five liters of water, two liters of boiled water, three clothes at different temperatures; if you are strong, two and a half liters of boiled water, three clothes at different temperatures. After the service, you can walk four or five li like a person, and enter one suit.
[comment] this syndrome is cold and solid internal knot. The main clinical manifestations are hypochondriac pain, defecation obstruction and pulse tightness. It is also accompanied by chilly limbs, glossy white or greasy fur. "Fever" is caused by the accumulation of yin and cold, the stagnation of Yang Qi and the imbalance of Ying and Wei. Cold and solid internal knot, in fact, it is not under the non removal, cold is not warm, so the use of warm method, side with rhubarb soup. Fangzhong paofuzi warms the kidney yang and disperses the cold, asarum warms the meridians and disperses the cold, and rhubarb purgations the bowels. The combination of the three drugs, which can warm the bowels and reduce the internal cold, is the composition of the later warming agents.
Sun Simiao, Tang Dynasty, in Volume 15 of "preparing the prescription for the emergency of thousands of gold", added ginseng, dried ginger and liquorice, and adjusted the dosage of rhubarb and aconite. It was named Wenpi decoction. It attacked the cold accumulation, warmed the spleen yang, and "cured the chronic red and white for many years, and cholera, spleen cold food can not be eliminated." Song Xu Shuwei's "Puji recipe" also contains Wenpi decoction, which is composed of Magnolia officinalis, dried ginger, liquorice, cassia heart, aconite and rhubarb. It focuses on the warm. It is mainly "chronic cold in the stomach, abdominal pain for years, diarrhea, no time for rest, no effect of taking all kinds of hot drugs."
The cold is cold and rebellious, and the red pill is the master.
The first four flavors, the last one, with real Zhu P as the color, and honey refining pills as big as pockmarks. First, drink three pills with wine, and then take one pill every day and night. I don't know, increase it slightly, and take knowledge as the degree.
[comment] cold and rebellious, the article is simple, which makes it difficult to understand. "There must be mistakes and simplifications, which is difficult to be the law of later generations," according to the medical school Jinjian It is believed that there are also those who have doubts.
Tang Zonghai said in the brief notes on the prescriptions of the golden chamber that "those who say that the abdomen is full and the cold Qi is faint are the severe cold syndrome, which is similar to the cold hernia. Therefore, they are mainly the red pill." "This is the end of abdominal fullness, and also a precursor of cold hernia. In the next section, we will discuss the cold hernia with abdominal pain, cold hands and feet, which is a grammatical structure from up to down. It is the hinge connecting the two diseases." In the broad sense of Lei Ju Fang, it is pointed out that Chi Wan is commonly used in "herniation, abdominal pain, cold, rumbling in the abdomen, nausea and dizziness, palpitation, and its syndrome is slow." The above discussion is of reference significance for understanding our evidence.
17. Abdominal pain, tight and tight pulse, and the string can't protect Qi, that is, cold, tight and don't want to eat, and the combination of evil and positive is cold hernia.
Cold hernia around the navel pain, if hair white sweat ② out, hands and feet Jue cold, its pulse Shen tight, big Aconitum Decoction of the main.
Decoction of Aconitum There are five Aconitum big ones, boil them, peel them, not boil them with three liters of water, boil them for one liter, remove them from Tianjin and honey for two liters, fry them to make them run out of water and gas, take two liters, strong people take seven harmonies, weak people take five harmonies. Not bad. Tomorrow is better than one day.
[comment] this section mainly discusses the pathogenesis and treatment of cold hernia. For the cold hernia with Yin and cold, it can be treated by decocting Aconitum with warm yang to break the knot, dispersing cold and relieving pain. The method of decocting Aconitum is very good. Decocting Aconitum with three liters of water, decocting Aconitum with one liter of water, and then adding the water into white honey for two liters to Decocting slowly. Hou Aconitum
① True Zhu: cinnabar.
② White sweat: cold sweat caused by pain.
The water evaporates completely. In this way, one piece of white honey can remove the poison of Aconitum, and slow down its acute and strong nature; the other one can make the taste of Aconitum into honey, and change it from spicy to sweet, from urgent to slow, and extend the efficacy, so as to exert the power of Aconitum, and warm and disperse the cold and chronic cold. As Aconitum is powerful, the decoction method emphasizes that the dosage should be increased or decreased with the strength of the body, "can't be taken again in a day", which shows that Aconitum should be used with caution.
18. Those who suffer from cold hernia, abdominal pain or hypochondriac pain should be treated with ginger and mutton soup.
Angelica, ginger and mutton soup
Danggui three Liang ginger five Liang mutton one jin
Three flavors, eight liters of water, three liters of boiled water, seven combinations of warm clothes, three suits a day. If there is more cold, add ginger to make a Jin; if there is more pain and nausea, add orange peel and Atractylodes. If ginger is added, add five liters of water, boil three liters and take two together.
[comment] this section discusses the treatment of cold hernia with blood deficiency and cold coagulation. Angelica, ginger and mutton soup is made according to the theory of "the deficiency of form, the deficiency of temperature, the deficiency of essence, the deficiency of flavor". Angelica is used for medicinal purposes to nourish blood and activate blood, and move the stagnation of blood. The mutton is warm and nourishing, which is the sentimental product of blood and meat, generating blood and dispersing cold. Ginger, warming stomach and dispersing cold. Although the medicine has three flavors, it can warm the liver and stomach, replenish qi and blood, and give consideration to both the form and essence. This prescription is the ancestor of medicinal diet of later generations.
19. The cold hernia has pain in the abdomen, chills reversely, hands and feet are not benevolent. If the body is in pain, the moxibustion and stabbing medicines cannot be treated, so it can be used as the master of Aconitum and Cinnamon Twig soup.
Decoction of Aconitum and Ramulus Cinnamomi
The aconite is one flavor, two Jin of honey is used, half of it is fried, the dregs are removed, and the five combinations of Guizhi soup are used to solve it. After one liter, the first two combinations are taken, and if you don't know, the three combinations are taken; if you don't know, the five combinations are added again. Those who are aware of it, such as those who are drunk and who have vomiting, are moderately ill.
Guizhi Decoction
Cinnamon twigs, peeled peony, licorice, roasted ginger, Chinese date, twelve pieces, five flavors, file, seven liters of water, three liters of low fire, water god dregs.
[comment] Wutou Guizhi Decoction is designed for cold hernia with external syndrome. It can be seen from our decoction that the use of Aconitum should start from a small dose, from small to large, a small amount of increasing, in order to know as the degree. "Those who are aware of it, such as those who are drunk and who have vomiting, are in the middle of the disease." For the vertigo reaction after taking medicine, it is not allowed to enter here, otherwise it is easy to be poisoned and not to be careless.
20. the number of veins is tight, which is like a bow string. If the pulse counts the strings, it will be cold at present; if the pulse is tight and late, the heart will be firm; if the pulse is big and tight, there will be Yin in the Yang, which can be lowered.
[comments] this section discusses the current pulse of cold and solid, cold knot can be used, such as rhubarb and Aconite Decoction.
Accessory party
Waitai Wutou decoction is used to treat colic in the abdomen of cold hernia. People with thief wind attack five internal organs. They are too anxious to turn around. Sometimes they attack, making people Yin shrink and their hands and feet turn against each other. See you.
Waitai Chaihu Guizhi Decoction for the treatment of heart and abdomen stroke pain.
Radix Bupleuri, Radix Scutellariae, Radix Paeoniae, Rhizoma cinnamomi, Rhizoma cinnamomi, ginger, one or two half licorice, one or two half summer, two in half jujube, six pieces of Shangjiu flavor, six liters of water, three liters of boiled water, one liter of warm clothes, three times a day.
Waitaizouma Decoction in the treatment of nausea, pain, abdominal distention, stool impassability.
Two almonds and two crotons, peeled, boiled, beaten and crushed with cotton, combined with hot soup, twisted white juice, drunk, now. Old and small. Cure all the diseases caused by flying corpses and ghosts.
21. Ask: when people are sick, how can they be different? The teacher said: the pulse of an inch's mouth is floating and big, and it is astringent according to it. The ruler is also small and astringent, so we know that there is a persistent food, which is the main source of Qi soup.
22. If the pulse number is smooth, it is also real. There is food for staying here. The more you go down, the better it is to inherit Qi soup.
23. Those who do not want to eat at the bottom of the river have a place to stay. At present, they should inherit the Qi soup.
24.Stay at Shangwan, when vomiting, it is appropriate to use guatisan.
Guadi San Fang
One for Guadi, one for stewing yellow and red beans, two for cooking, pestle for powder, seven for stewing with xiangdou for juice, and one for dispersing a coin dagger, warm, not spitting, less plus, fast spitting for the degree. The dead and the weak cannot be matched.
25. If the pulse is as tight as a twister, there will be food and shelter.
26. The pulse is tight, the headache is cold, and the stomach is full of food. One cloud, one inch, one mouth, one pulse.
[comments] the above 6 sections discuss the pulse condition and syndrome treatment of persistent food. Zhongjing put forward two methods to treat the persistent food. Those who stay in Shangwan must have symptoms such as chest fullness, nausea and vomiting. They can use guatisan to vomit according to the circumstances, which is the meaning of "the higher the higher, the more". Stay at the bottom, see abdominal pain and benefit, do not want to eat, you can use Dachengqi Tang Tong
Diarrhea due to general use. As for those who stay in Zhongwan, although Jinkui has not been treated with syndrome, according to the principle of "diarrhea in Zhongman", it is necessary to use Xiaodao method, such as Baohe Pill, Zhishi Daozhi pill and so on.
