Siwutang is one of the most commonly used prescriptions, which originated from Taiping Huimin and Hejiju prescription in Song Dynasty. Shixian is known as the first prescription for nourishing blood, regulating menstruation and nourishing blood in the treatment of gynecological diseases.
There are many derivations, additions and subtractions of Siwutang, such as Yu Sheng Decoction, Taohong Siwutang, Qinlian Siwutang and Bazhen Decoction. To prevent miscarriage and nourish blood siwu decoction. It can be said that siwu soup is very comfortable.
The ingredients and medicinal properties of Siwu decoction are well known to doctors. According to the number of daily vectors, four kinds of medicinal properties are analyzed: Rehmannia glutinosa has the effects of enriching blood, strengthening body and relieving fever, and is used for anemia, physical weakness, fatigue and postpartum fever. Radix Paeoniae Alba has astringent, soothing, analgesic and spasmodic effects, and can be used for muscle spasm, abdominal pain, earache and abdominal distension. Chuanxiong rhizome has the effects of removing blood stasis, enriching blood and strengthening the body, and can be used for treating headache caused by anemia and blood syndrome. Angelica sinensis has the effects of removing blood stasis, relieving pain, enriching blood and strengthening body, and can be used for anemia, blood dryness and fatigue. It can be seen that Siwu decoction is consistent in enriching blood and relieving pain in ancient and modern Chinese and foreign doctors. Therefore, Siwu decoction is suitable for enriching blood and blood.
Over the years, I have been exploring the application of Siwutang.
(1) Siwu decoction has the function of enriching and regulating blood, and has a little effect of nourishing yin and relieving pain. However, few people use this recipe alone, and most of them use it after adding flavor (even fewer people use it to reduce flavor, for example, in Yi Xin Wu, for those with stomachache and poor diet, Siwu Decoction is added with Radix Rehmanniae Preparata, Radix Salviae Miltiorrhizae, Pericarpium Citri Tangerinae and Rhizoma Cyperi).
I seldom use the original prescription for diagnosis, but always use the flavored one. For example, Siwutang plus Codonopsis pilosula and Astragalus membranaceus is used to treat chronic hepatitis with long-term abnormal liver function (such as hepatitis with high alanine aminotransferase, which has returned to normal after treatment with traditional Chinese and western medicine, but the turbidity of zinc and musk has increased), which belongs to qi deficiency and blood deficiency according to syndrome differentiation, and often has a good therapeutic effect.
The indications for using Siwu decoction should be light tongue and thin pulse, and less lip color. "Prescription for reading and nourishing" said: "All prescriptions for enriching blood are materialized from four aspects." "All diseases in the blood clan are like this." And we often use it to flavor here. Paying attention to the word "early China" is also a micro-purpose.
(2) Siwu Decoction consists of blood components. Or "it is appropriate, enriching blood without stagnation, promoting blood circulation without breaking blood, supplementing the middle and dispersing, and collecting it in the middle." It's true.
After reading a lot of medical records, I know that people who treat gynecology can't only focus on blood, nor can they ignore the strange classics. It is necessary to understand the relationship between impulse, appointment, supervision and belt in gynecological diseases. For example, low back pain is related to du meridian, abdominal pain, abdominal distension and weakness in falling, which are common in gynecological syndrome differentiation and strangeness, so it is necessary to use drugs that benefit strangeness. Siwutang has long been the main prescription for doctors to treat gynecological diseases. If the treatment of gynecological diseases is land, peony, returning home and fighting, it seems inevitable to be too narrow. Another example is Fu Qingzhu's treatment of gynecological diseases, which is always harmless for two days, and it is not only based on blood, but also embodies the purpose of "seeking the root of the disease". Therefore, it is also very important to master the application of Siwutang.
(3) The application of Siwu decoction should be flavored. As mentioned above. Especially when paying attention, it is the relationship between qi and blood. "Qi is handsome for blood", qi is blood moving, and qi is smooth for blood. Therefore, the effect of regulating menstruation by doctors in Jiangsu and Zhejiang provinces is like eight systems of Xiangfu pills. Although it is also made of siwu soup, it emphasizes a "qi" space. It is made from Cyperus rotundus Thunb. as the monarch drug, green tangerine peel, peony bark, Gentiana macrophylla, safflower, coptis root and Pinellia tuber. Mainly to suppress liver depression, relieve liver qi, resolve phlegm and eliminate dampness. This prescription embodies regulating menstruation with qi as blood, and the effect is remarkable after long-term administration. Another example is "On the Outline of Yin Ji", which is mainly based on flavored Siwu decoction and roasted licorice. All premenstrual and postpartum diseases of women are treated in this way, and both "qi" and "blood" are equally important. This is also the purpose of treating gynecological diseases.
(4) Siwu Decoction is mainly used for nourishing blood and regulating blood, which has the function of nourishing yin and relieving pain. People who do not belong to this syndrome should not take it. Over the past ten years, I have often encountered diseases of excess of qi and blood, such as premature menstruation caused by liver depression and heat, such as blood collapse, vomiting during menstruation, bloody stool during menstruation, hematuria and red and yellow belt; Fetal movement during pregnancy, irritability and fever, stranguria; Postpartum diseases, such as lochia, blood dizzy, mania, breast crying, etc. They are all suitable for soothing the liver and cooling blood, regulating qi and clearing heat, but not for nourishing blood. Another example is stagnation of liver-qi, post-stagnation, abdominal distension, and scanty menstruation caused by edema, and its treatment should also be soothing and calming, not nourishing blood. In a word, it is not advisable to treat qi deficiency and blood stasis with Siwu decoction rashly, but to use your own micro-purpose.
In my opinion, Zhongjing's books and various cases are not confined to one word in clinic, but always integrated. Contrast Zhongjing's methods of treating gynecological diseases with Siwu Decoction, such as Guizhi Fuling Pill, Jiaoai Decoction, Danggui Shaoyao Powder and Zi Kui Fuling Powder. Treating postpartum diseases with Zhishi Shaoyao Powder, Xiayuxue Decoction, Yang Dan Decoction, Zhu Ye Decoction and Zhupi Pill. Banxia Houpu Decoction, Ganmai Jujube Decoction, Wenjing Decoction, Tugua Root Powder, Dahuang Gansui Decoction, Didang Decoction, Fan Shi Pill, etc. Its method is orderly and its prescriptions are different, which makes people generous and the depth of medical talents is not easy to reach.
I'm happy to answer your question. I am a Chinese medicine practitioner and have been engaged in Chinese medicine for nearly ten years.
What is the function of Siwutang? Many friends regard this prescription as a good way for women to nourish blood and beauty. Below, Xiao Langzhong interprets the composition, efficacy and prescription of Siwu Decoction. Please forgive me if there are any shortcomings!
Siwutang is a prescription for enriching blood and activating blood, not a prescription for enriching blood.
The syndrome of Siwu decoction is blood deficiency and poor blood circulation. Blood deficiency leads to liver failure to nourish qi, so dizziness, dizziness and tinnitus are seen; If you lose your inner support, you will feel shocked and uneasy; Clear-headed, body dystrophy, dull face, pale lips; Liver blood deficiency, a woman, has less menstrual flow when she is exhausted, sometimes she doesn't, or she can't even get down before or after; Blood stasis, poor blood circulation, navel and abdominal pain; Light tongue, thin string or unsmooth pulse are all manifestations of blood deficiency and blood stasis. According to the basic pathogenesis of this syndrome, we should adopt the method of nourishing blood and regulating blood.
Radix Rehmanniae Preparata is used in the prescription, which tastes thick and greasy, and is an important medicine for nourishing yin and enriching blood. Angelica sinensis can nourish blood and soften the liver, and regulate menstruation by regulating blood, which can not only help the cultivated land to replenish blood, but also dredge meridians and tunnels. Paeonia lactiflora is sour, sweet and soft, nourishing blood, astringing yin, harmonizing with the ground, nourishing yin and blood, and relieving abdominal pain. Chuanxiong Xin San Wen Tong, promoting blood circulation, removing blood stasis, and smoothing qi and blood. Compatible with angelica, it can promote qi and blood circulation.
The four drugs in the whole prescription are compatible in equal amount, which can tonify the middle energizer and disperse blood, enrich the blood without stagnation, warm but not dry, nourish but not greasy, not only can tonify yin and blood, but also can regulate chong and ren, and it is a good medicine for nourishing blood and conditioning. Because this prescription focuses on nourishing liver blood, and the liver is blood sea, women are born in liver blood deficiency. Once liver blood deficiency appears, it is easy to have the syndrome of liver depression and blood stasis, and gynecological fetal diseases and irregular menstruation are all related to liver blood deficiency and blood stasis, so this prescription is also often used for gynecological adjustment.
Siwutang is a commonly used prescription for nourishing blood and regulating menstruation. Clinically, it is mostly used for blood deficiency and blood stasis, especially irregular menstruation, amenorrhea, dysmenorrhea, prenatal and postpartum. The main manifestations are dizziness, palpitation, dull complexion, pale tongue and thready pulse.
This prescription is mainly used for anemia, purpura, functional uterine bleeding, threatened abortion, ectopic pregnancy, induced abortion or postoperative and intrauterine device bleeding, as well as orthopedic diseases, nervous headache, polyneuritis and other patients with blood deficiency and qi stagnation. For skin rash diseases such as urticaria and rubella, this prescription can also be used to treat them according to the principle of "treating wind first, then treating blood, and blood will extinguish itself". This prescription plus Notoginseng Radix can also be used to treat early lesions of fundus hemorrhage.
Because Radix Rehmanniae Preparata in the prescription is soft and greasy, angelica moistens intestines, and loose stool is wet, it is forbidden.
To sum up, in Siwu decoction, angelica and rehmannia replenish blood and nourish yin, both of which focus on enriching blood; Radix Paeoniae Alba promotes blood circulation, regulates camp, and Rhizoma Chuanxiong promotes qi in blood, both of which are very important in blood. Those with blood deficiency should replenish blood, and those with blood stasis should promote blood circulation. Those with irregular menstruation, metrorrhagia and metrorrhagia due to blood deficiency and blood stasis should be treated with Siwu Decoction.
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The main functions of Siwu decoction are: calming the nerves and moistening dryness, calming the liver and replenishing blood, promoting blood circulation and regulating menstruation. However, not everyone can use four kinds of Chinese medicines in Siwutang casually. Siwutang is warm and dry, and people with hot constitution with large internal heat are prone to get angry, get acne and dry mouth, so the original prescription must be added and subtracted before use.
This recipe uses Radix Rehmanniae Preparata for replenishing blood and dried Radix Rehmanniae for regulating menstruation. If there is blood, go to peony and change peony; If the bleeding stops, go to Chuanxiong and replace Angelica with Angelica charcoal.
Life Dao public health believes that Siwutang belongs to the category of enriching blood. Mainly aimed at liver blood deficiency, the effect is good.
Dizziness, decreased vision, scanty menstrual blood, numbness of limbs, shaking hands, unclean fingernails, gloomy complexion, liver blood deficiency's influence on insufficient blood, leading to insomnia and dreaminess. Siwutang is effective.
Siwutang is mainly composed of four herbs: Radix Rehmanniae Preparata for nourishing yin and blood, ministerial herb, Radix Angelicae Sinensis for enriching blood and promoting blood circulation, Radix Paeoniae Alba for nourishing blood and nourishing yin, and Rhizoma Chuanxiong for promoting blood circulation and qi circulation. It is considered to be the secret recipe for all blood diseases. It shows that it has a good blood-enriching effect.
Now it has been applied to the nettle diagnosis of many diseases, such as skin diseases caused by blood deficiency, and the effect is good.
Then there are girls who have less amenorrhea, that is, poor blood circulation or some uncomfortable pain around the navel can use Siwu Decoction.
Deficiency of qi and blood in orthopedic diseases; Neuropathic headache has certain effect after use.
This must be treated dialectically. Sometimes we may not be dialectical ourselves. It's better to see Chinese medicine. After the help of TCM syndrome differentiation, it is more reassuring to reuse it to prevent the problems of improper and self-supplementation. Because sometimes it can't be used under conditions such as yin deficiency, fever and loss of qi.
The effects and functions of Siwu Decoction mainly refer to six functions: nourishing blood and relaxing muscles and tendons, regulating menstruation and relieving pain, soothing the liver and strengthening the spleen, beauty beauty, regulating blood deficiency, resisting thrombus and preventing anemia. Therefore, people in need can take Siwu Decoction, which can regulate their health and make them healthier, and at the same time, it has no toxic or side effects on their bodies.
Siwutang was called "the first prescription of gynecology" and "the basic prescription of regulating menstruation" by later physicians.
Siwutang is very simple, consisting of four herbs: Angelica sinensis, Ligusticum Chuanxiong, Radix Paeoniae Alba and Radix Rehmanniae Preparata. Angelica sinensis in the prescription nourishes blood and softens the liver, and regulates menstruation with blood. Rehmannia glutinosa nourishes yin and blood as a minister; Paeonia lactiflora nourishes blood and softens the liver, helping the camp; Chuanxiong promotes blood circulation and qi, dredging qi and blood.
Combining the four flavors, nourishing without stagnation, nourishing without greasy, nourishing blood and promoting blood circulation can make the camp and blood harmonious.
Siwu decoction has the effects of enriching blood, regulating menstruation and removing blood stasis, and can be used to treat deficiency of chong and ren, irregular menstruation, umbilical and abdominal pain, collapse and leakage, hard blood clot and occasional pain; Restlessness of fetal movement; Moreover, the postpartum lochia is not limited, and the abdomen is hard and painful; Trauma, abdominal congestion
Siwutang, as a tonic, has the characteristics of being warm and dry. Therefore, for some people with hot constitution or internal heat, taking Siwu decoction is easy to get angry and get acne.
In these cases, we must adjust the original prescription accordingly to avoid the above side effects.
Siwu decoction can be added and subtracted to expand the application scope. Coptidis Rhizoma, Scutellariae Radix, Cortex Moutan and Radix Rehmanniae Preparata can be added for clearing away heat and cooling blood.
For patients with qi deficiency, ginseng and astragalus root are added to invigorate qi and generate blood;
For patients with blood deficiency and cold, cinnamon, ginger and Evodia rutaecarpa are added to warm blood vessels;
For patients with obvious abdominal pain, Radix Aconiti, Rhizoma Corydalis and Cortex Moutan are added to promote qi circulation and blood circulation;
For patients with blood stasis, peach kernel and safflower are added, and Paeonia lactiflora is easy to be Paeonia lactiflora to strengthen the power of promoting blood circulation and removing blood stasis;
For those with fetal leakage and fetal movement, Colla Corii Asini and Folium Artemisiae Argyi are added to stop bleeding and protect the fetus.
Siwutang is not only the holy medicine of gynecology, but also widely used in gynecology and pediatrics at home and abroad as long as it is a disease with blood deficiency and blood stasis and accurate syndrome differentiation.