When it comes to Chinese patent medicine for invigorating qi, it actually refers to invigorating lung qi and temper, while products for invigorating kidney qi and heart qi belong to the category of tonifying kidney and strengthening heart.
The key points of syndrome differentiation of qi deficiency are weakness of limbs, shortness of breath, shortness of breath when moving, low voice, lazy speech, pale face, pale tongue with white fur, even spontaneous sweating due to deficiency heat, or proctoptosis and uterine prolapse.
There are many Chinese patent medicines for invigorating qi, many of which are based on the addition and subtraction of ancient prescriptions. Mastering the essence of the ancient prescription, you can change it without changing it. The representative drugs of ancient prescription are Sijunzi Granule, Shen Ling Baizhu Pill, Buzhong Yiqi Pill, Shengmai Decoction and Yupingfeng Granule (capsule, oral liquid).
Sijunzi granules
Sijunzi Granule is derived from Sijunzi Decoction in Taiping Huimin Hejiju Prescription, and consists of Radix Codonopsis, Atractylodis Rhizoma (parched), Poria and Radix Glycyrrhizae (honey-baked). It has the effects of invigorating qi and strengthening spleen, and is mainly used for treating spleen and stomach qi deficiency syndrome, such as pale complexion, deep voice, shortness of breath, lack of appetite, loose stool, pale tongue with white fur.
The corresponding pathogenesis of this recipe is spleen and stomach qi deficiency and transport and transformation weakness. Spleen and stomach are the foundation of the day after tomorrow and the source of qi and blood biochemistry. If the spleen and stomach are deficient in cold, the diet will be reduced. Wet turbidity is endogenous, so the stool is thin; Spleen governs muscles, spleen and stomach are qi deficient, and the muscles of limbs are not affected, so the limbs are weak; Deficiency of qi and blood biochemistry; Lack of qi and blood does not honor the face, but the face is white; Spleen is the mother of lung, spleen and stomach are deficient in cold, and lung qi is exhausted first, so the breath is short and the voice is low; Pale tongue with white fur and weak pulse are all manifestations of qi deficiency. As the "Medical Prescription Examination" said:? If the husband is pale, he knows that he is qi-deficient; If you speak slightly, you will know that it is qi deficiency; If the limbs are weak, you will know that it is qi deficiency; The pulse condition is weak, and you can know that it is qi deficiency. ? Treatment should be beneficial to the temper to restore its function of transportation and acceptance.
Ginseng in the prescription is king, which greatly supplements the vitality and strengthens the spleen; I use Atractylodes macrocephala, which tastes bitter and warm, strengthens the spleen and dries the dampness, and enhances the function of benefiting qi and helping transport; With sweet and light poria cocos, spleen and dampness, combined with ling Shu, spleen and dampness will benefit. So as to roast licorice, replenish qi, neutralize middle energizer and harmonize various medicines.
Ran Xuefeng said: The beauty lies in the sweet taste of Poria cocos, which helps the healthy operation of ginseng and relieves the dullness of licorice. ?
This prescription is the basic prescription for the treatment of spleen and stomach qi deficiency syndrome, with pale complexion, short appetite, shortness of breath and fatigue, and pale tongue with white fur as the key points of syndrome differentiation.
Shen Ling Baizhu Pills
Shen Ling Baizhu Pill is derived from Shen Ling Baizhu Powder in Taiping Huimin Hejiju Prescription, and is composed of Ginseng Radix, Poria, Atractylodis Rhizoma (parched with bran), Rhizoma Dioscoreae, Coicis Semen (parched), Lotus Seed, Semen Lablab album (parched), Fructus Amomi, Radix Platycodonis and Glycyrrhrizae Radix. Has the effects of invigorating qi, invigorating spleen, eliminating dampness and stopping diarrhea. Indications: Spleen deficiency and dampness, manifested by dyspepsia, fullness in the chest and hypochondrium, diarrhea due to bowel sounds, weakness of limbs, emaciation, sallow complexion, pale tongue and white greasy fur.
The syndrome treated by this medicine is caused by spleen deficiency and excessive dampness. Weak spleen and stomach, loss of appetite, and no change in diet; Shui Gu does not change, clear and turbid, so it is diarrhea; Dampness in the middle energizer, qi stagnation, chest tightness and pain; Deficiency of spleen and qi and blood; The skin of the limbs is not nourished, so the limbs are weak, the body is thin and the face is sallow; Pale tongue and greasy fur are all manifestations of spleen deficiency and dampness. It is advisable to tonify the spleen and stomach, and at the same time, ooze dampness to stop diarrhea.
Chen Chaozu pointed out in his book that to treat the spleen and stomach, we should make up its deficiency, remove its dampness, guide its stagnation and regulate its qi. In this prescription, ginseng, Atractylodes macrocephala, Poria, Glycyrrhiza uralensis Fisch, Dioscorea opposita, lentils, lotus seeds, Coicis Semen are used to strengthen the spleen, Poria and Coicis Semen are used to moisten the spleen, Amomum villosum is used to remove dampness and turbid, and the spleen is awakened to invigorate qi. Ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza uralensis Fisch can warm the stomach and tonify the middle energizer, which can overcome the stagnation of all the medicines and make them tonify without stagnation. The function of lentils is clear and turbid, and vomiting and diarrhea can be treated with clearing platycodon grandiflorum, coix seed and poria cocos to reduce turbidity, clearing qi and lowering turbid yin. Spleen and stomach are healthy, dryness and dampness stagnate, Shui Gu's subtle biochemistry is restored, and the weak body can be gradually improved. ? How quiet is the product used here? In order to stop diarrhea, strengthen the spleen and help transport, improve indigestion and thin stools, Shui Gu can be fully transported.
Chen Chaozu believes that this prescription can not only treat the gastrointestinal and dietary problems caused by spleen deficiency and dampness, but also treat women's leucorrhea, pale complexion, obesity, loose stool, edema of feet, or menstrual diarrhea caused by spleen deficiency and dampness. Loose stool, a white and chubby woman, naturally has spleen deficiency and dampness, and is overcast before betting; The edema of both legs is also caused by the downward flow of wet water. Diarrhea during menstruation is due to dampness at ordinary times. When menstruation comes, the gas drops more than the gas rises, and the dampness goes with the gas, leading to diarrhea. To sum up, all the syndromes treated by this prescription belong to spleen deficiency and dampness resistance, and the ascending and descending disorders.
This medicine is mild in nature, warm but not dry, and is often used to treat diarrhea caused by spleen deficiency and dampness. Clinical application takes diarrhea and white greasy tongue coating as the key points of syndrome differentiation.
Buzhong Yiqi pill
Buzhong Yiqi Pill originated from Buzhong Yiqi Decoction in Treatise on Febrile Diseases, and its prescription is Radix Astragali Preparata, Radix Codonopsis, Atractylodis Rhizoma (parched), Radix Angelicae Sinensis, Cimicifuga Rhizoma, Radix Bupleuri, Pericarpium Citri Tangerinae, Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens and Fructus Jujubae. The effect is to tonify the middle energizer, invigorate qi, raise yang and depress depression. Indications: spleen deficiency and qi stagnation, manifested as decreased diet, weakness of limbs, lack of qi and laziness in speaking, sallow complexion, thin stool and pale tongue; And proctoptosis, uterine prolapse, chronic diarrhea and dysentery, uterine bleeding and so on.
In addition, it can also treat a syndrome of qi deficiency and fever, but it has been controversial in past dynasties, and pharmacy practitioners can understand it.
The symptoms treated by this prescription are dietary fatigue and damage to the spleen and stomach, which leads to qi deficiency of the spleen and stomach and poor yang clearing. Spleen and stomach is the source of qi and blood biochemistry, spleen and stomach deficiency, loss of appetite, so diet is reduced and stool is thin. Spleen dominates the ascending hair, spleen deficiency leads to the ascending hair of yang, and the sinking of middle qi, so proctoptosis and uterine prolapse are seen. Treatment should supplement the qi of the spleen and stomach, promote yang and relieve depression.
Astragalus membranaceus is reused in the prescription, which is sweet and slightly warm, enters the spleen and lung meridians, tonifies the middle energizer and strengthens the exterior, and is the monarch drug. Ginseng, Radix Glycyrrhizae Preparata and Rhizoma Atractylodis Macrocephalae are ministers of invigorating qi and strengthening spleen, and they are used together with Radix Astragali to enhance their function of invigorating middle qi. Blood is the mother of qi, and if qi deficiency lasts for a long time, blood is also deficient, so angelica is used to replenish blood and nourish blood, and ginseng and astragalus are used to replenish qi and nourish blood; Pericarpium Citri Tangerinae regulates qi and stomach, so that all the medicines are supplemented without stagnation, and * * * is the auxiliary medicine. It is supplemented with a small amount of cimicifugae Rhizoma and Bupleuri Radix to promote yang, supplemented by monarch drugs to relieve depression, and supplemented by * * *. Compendium of Materia Medica says: Cimicifuga is the most important drug for introducing spleen and stomach meridians. ? Roasted licorice is also a medicine to reconcile various medicines. The combination of various drugs can make qi deficiency be supplemented, qi sink rise and symptoms heal themselves.
This medicine is a representative medicine for invigorating qi and promoting yang, with mental fatigue, qi deficiency and laziness in speaking, sallow complexion, or visceral prolapse, chronic diarrhea, chronic dysentery, proctoptosis, uterine prolapse, ptosis and paralytic strabismus as the key points of syndrome differentiation.
It should be noted that people with yin deficiency and heat excess should not use it.
Shengmaiyin
Shengmaiyin is derived from medical gas source Shengmaisan, which is composed of red ginseng, Ophiopogon japonicus and Schisandra chinensis. The effect is to replenish qi and promote fluid production, astringe yin and stop sweating. Indications: 1. Warm, summer heat, gas consumption, yin injury. Hyperhidrosis, fatigue, shortness of breath, laziness, dry throat and thirst, red tongue with little fur; 2. Chronic cough hurts the lung, and the syndrome of deficiency of both qi and yin. Dry cough with little phlegm, shortness of breath and spontaneous sweating, dry mouth and tongue.
There is also a kind of Shengmai drink (Dangshen prescription) on the market, which uses Dangshen instead of red ginseng and has similar effect.
The medicine can be used for treating yin syndrome caused by excessive consumption of qi during warm summer, or lung injury caused by chronic cough and deficiency of both qi and yin. Summer heat attacks people, and sweating due to heat is the most likely to consume qi and damage body fluids, resulting in the syndrome of both qi and yin injury. Lung governs fur, summer heat hurts lung qi, body fluid leaks out, sweating too much; Lung governs qi, and lung qi is damaged, so shortness of breath, laziness and mental fatigue; Yin injury and insufficient body fluid can cause dry throat and thirst. The tongue is dry and red with little moss, which is the expression of both qi and yin injuries. The above signs can also be seen in patients with lung injury and deficiency of both qi and yin after chronic cough, so the treatment should be based on benefiting qi and nourishing yin and promoting fluid production.
However, it should be noted that it should not be used if exogenous pathogenic factors are not solved, or if the heat is excessive and the qi and yin are not injured. Chronic cough due to lung deficiency, yin injury and gas consumption, and pure nothingness as evil should also be used. Ran Xuefeng said? Xu Ling's "New Explanation of the Ancient Prescription of Fetus" says that this prescription can save its body fluid after treating summer heat, and quack doctors can treat summer heat diseases, which is very wrong. There is not a word to cure evil in summer. It is said that every time people use this recipe to cure evil, killing people doesn't count. This is also the distinction between evil and innocence, and scholars should study it in depth. ?
Wu's Fang Yu Yong says:? Lung governs qi, and lung is full of qi, so the five internal organs are full; Deficiency, so the pulse is absolutely short. Ginseng is sweet in taste, warm in nature, invigorating lung qi and purging heat, and it is king; Ophiopogon japonicus tastes sweet and cold, replenishes water and clears dry gold, which is a minister; The five flavors are sour and warm, astringing the lungs to produce fluid, and collecting scattered qi. Cover the heart and control the pulse, all the pulses are directed at the lungs. If the lung is replenished and the heart is cleared, the qi is full and the pulse is complex, so it is called pulse generation. ?
Together, the three herbs have the functions of invigorating qi, nourishing yin, promoting fluid production to quench thirst, astringing yin and stopping sweating, benefiting qi and promoting fluid production, stopping sweating and stopping yin, benefiting qi and promoting pulse generation, hence the name? Pulse? . As for the syndrome of lung injury and deficiency of both qi and yin due to chronic cough, taking Yiqi Yangyin, astringing the lung to stop cough, tonifying both qi and yin, moistening the lung and nourishing the body fluid can make all the symptoms smooth.
In addition, Chen Chaozu pointed out that this prescription can also treat dizziness caused by low blood pressure. ? This prescription has the effect of boosting blood pressure, and dizziness naturally disappears. Combined with Buzhong Yiqi decoction, the effect is especially good. ?
This medicine is often used to treat deficiency of both qi and yin, with fatigue, shortness of breath, dry throat and red tongue as the key points of syndrome differentiation.
Yupingfeng granule (capsule, oral liquid)
Yupingfeng Granule comes from Lei Ju Fangyi Yupingfeng Powder, which consists of Radix Astragali, Atractylodis Rhizoma (parched) and Radix Saposhnikoviae. Its effects are invigorating qi, consolidating exterior and stopping sweating. Indications: spontaneous sweating due to exterior deficiency, manifested as sweating due to evil wind, pale complexion, pale tongue and thin white fur; It also treats people's deficiency and makes them easy to catch a cold.
Where is our source of information? What is the indication of this prescription in the Collection of Medical Prescriptions? Is it easy to catch a cold if you don't know the secret? . If the Wei deficiency is not close, it is vulnerable to the common cold, so it is easy to catch a cold when it is evil; Lack of exterior and interior, lack of firmness, Yin Ying can't keep inside, body fluid leaks out, often causing spontaneous sweating; White complexion, pale tongue and thin white fur are all manifestations of qi deficiency. Treatment should benefit qi and strengthen the body, strengthen the exterior and stop sweating. Astragalus membranaceus in the prescription is sweet and warm, which can greatly supplement the qi of spleen and lung, strengthen the exterior and stop sweating, so it is the monarch medicine. Atractylodes macrocephala strengthens the spleen and benefits qi, and helps Astragalus strengthen the function of benefiting qi and consolidating exterior, which is a minister medicine. When the two drugs are used together, qi will be manifested, so that sweat will not leak out and exogenous pathogens will be difficult to invade. With the help of windproof, it can dispel wind and ward off evil spirits, and with the help of Astragalus membranaceus, it can consolidate the exterior without leaving evil spirits. For those who suffer from spontaneous sweating due to exterior deficiency, or those who are prone to catch a cold due to physical deficiency, it has the functions of invigorating qi, consolidating exterior, strengthening body resistance and eliminating pathogenic factors. Yuping, whose name is Fang, says it acts like a wind barrier.
Astragalus membranaceus and Atractylodes macrocephala can replenish qi and consolidate exterior, which can solve the root of exterior deficiency. Why should we add wind protection? Come to think of it, what is it? Virtual evil? In the author's opinion, the evil felt when healthy qi is insufficient is the virtual evil. The reason of emptiness is not solid, and the normal wind of nature becomes common cold in him. When drugs strengthen the exterior, colds will inevitably enter the body, so they need to be accompanied by expelling wind and evil spirits. Otherwise, the common cold may be affected by exogenous factors at the same time. At this time, it is tantamount to closing the door and giving the enemy a hard time.
There is a saying in "Ancient and Modern Famous Doctors' Prescriptions": windproof works all over the body, and it is called the wind-curing fairy medicine. Through the first seven orifices, it can relieve limb spasm except joint pain. It is a moistening agent in wind medicine, and it is used for heavy work because it is used to treat wind alone. However, those who defend qi, therefore, warm the flesh and replenish the skin, making it fat and smooth. However, Astragalus membranaceus can tonify triple energizer, which is actually the key to defending qi, and can stop sweating, so it can prevent wind, besides wind-heat dysentery, blood in intestinal wind, and women's dirty wind, and it is also a wind medicine to tonify middle energizer. Atractylodes macrocephala strengthens the spleen and stomach, warms up the meat, cultivates the soil and calms the wind. The husband drives the wind to prevent the wind, and the astragalus is solid, so there is external defense; If you get Atractylodes macrocephala, there will be something in it, and you will catch a cold and never come again.
This medicine is often used to treat exterior deficiency and spontaneous sweating, with spontaneous sweating, aversion to wind, pale face and pale tongue as the key points of syndrome differentiation.
It should be noted that if it is exogenous spontaneous sweating (with obvious cold symptoms) or night sweats due to yin deficiency, it should not be used.
Other common drugs
The common tonics in pharmacies are Huangqi Granules (tablets and essence), Shenqi Pills and Xuhanting Granules.
Astragalus granules only use Astragalus, and Shenqi pills use Astragalus and Codonopsis pilosula. The formula is simple and not worth mentioning.
Xuhanting Granule is composed of Radix Astragali, wheat flour, Fructus Jujubae, glutinous rice root and oyster (calcined). It has the effects of invigorating qi and nourishing yin, consolidating exterior and astringing perspiration, and can be used for spontaneous sweating, night sweats and night sweats of children with deficiency of both qi and yin.
This prescription takes Astragalus as the monarch drug, which can replenish qi and consolidate exterior. Glutinous rice roots nourish yin, clear away heat and stop sweating, jujube tonifies the middle energizer and benefits qi, and * * * is the minister medicine; Flour wheat and oysters are supplemented with astringents and antiperspirants. Both Xuhanting Granule and Shengmaiyin can treat deficiency of both qi and yin. The difference is that Shengmaiyin focuses on promoting fluid production and restoring pulse, while Xuhanting Granule focuses on strengthening exterior surface and stopping sweating. Radix Astragali, Fructus Jujubae and glutinous rice root can benefit qi and nourish yin, and treat both the symptoms and root causes.