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? Xinzhike can make good use of horn medicine to treat spleen and stomach diseases
Professor Xin Zhike of Shaanxi Provincial Hospital of Traditional Chinese Medicine treats spleen and stomach diseases. On the basis of syndrome differentiation and treatment, he chose prescription drugs and liked to use three kinds of drugs to be compatible with each other. Drugs are relatively fixed and the concept is exquisite. The pathogenesis of this syndrome is relatively complex, far beyond the characteristics and functions of drugs. They complement each other and restrict each other. There is no absolute difference between the three. Emphasis is placed on the compatibility of smell and function, forming a circular auxiliary or circular restriction relationship, which is actually a state of being divided into three. Rich in the philosophical implication of Laozi's Tao Te Ching, "Tao gives birth to one, two, three and everything" is the embodiment and application of Taoist thought in the compatibility of traditional Chinese medicine. This form of drug compatibility is now called horn drug. The horn drugs commonly used in the treatment of spleen and stomach diseases in the outpatient department of Heart Guest are introduced as follows for colleagues' reference.

Bupleuri Radix, Radix Paeoniae Alba and Fructus Aurantii Immaturus

Bupleurum is hard and slightly cold, soothing the liver and relieving depression, and good at eliminating evil; Radix Paeoniae Alba tastes bitter and slightly cold, astringing the yin and softening the liver, harmonizing the camp and relieving pain; Fructus Aurantii Immaturus tastes bitter, slightly cold, dissipates stagnation, eliminates phlegm and reduces swelling. The combination of the three drugs can promote the circulation of qi, relieve depression, resolve phlegm and dissipate stagnation. Among them, Paeonia lactiflora is too strong, which makes Bupleurum and Fructus Aurantii Immaturus disperse and benefit, and yin regulates yang. Sini powder, Chaihu Shugan powder and Dachaihu decoction are the main drugs. Liver qi stagnation, epigastric pain, hypochondriac discomfort, hypochondriac fullness, even belching, nausea, constipation and other symptoms caused by liver qi invading the stomach are very effective. Zhu Danxi said that "all depression is in the middle focus". Clinical common mental stress, depression and depression lead to stomach discomfort and gastrointestinal depression and anxiety, especially for female patients. Xin Zhike often uses this medicine in combination with Yueju Pill, and has achieved good results.

Huanglian Pinellia Fructus Trichosanthis

Huanglian bitter cold, clearing heat and purging fire; Pinellia ternata is warm and dry, dispersing stagnation and regulating stomach; Trichosanthes kirilowii eliminates phlegm, broadens chest, moistens intestines and dissipates stagnation. The three herbs are collectively called Xiao Xiong Chest Decoction, which is the famous prescription of Treatise on Febrile Diseases. Rhizoma Coptidis and Rhizoma Pinelliae, one bitter and one pungent, one cold and one warm, both cold and warm, with bitterness in bitterness; Trichosanthes root helps Pinellia ternata, resolves phlegm, disperses stagnation and regulates stomach, and helps coptis root clear heat and moisten intestines to relieve constipation. Although the medicine has three flavors, it is both cold and warm, and yin and yang are in harmony, which is of great significance. The combination of the three drugs can treat chest pain, dry stool, nausea and vomiting, dry mouth and bitter taste due to heat phlegm stagnation, subcardiac block and unfavorable lifting. Especially if the stomach is uncomfortable, the abdominal diagnosis is only pain, and its effect is very obvious. Xinzhi can be used to treat epigastric pain with drugs for relieving pain and promoting qi circulation, but it is ineffective to treat it with Xiaoxianxiong Decoction or Chaihu Xianxiong Decoction, and it has achieved good results. Especially for the syndrome of disharmony between gallbladder and stomach, epigastric pain due to phlegm-heat and so on, the medicine and syndrome are consistent, which is more effective.

Rhubarb, magnolia bark and immature bitter orange

The combination of rhubarb, magnolia bark and immature bitter orange is called Xiaochengqi decoction, which comes from Treatise on Febrile Diseases. Rhubarb tastes bitter and cold, clearing away heat and toxic materials, moistening intestines and relaxing bowels; Magnolia officinalis is bitter and warm, wide and dynamic. Fructus Aurantii Immaturus tastes bitter and cold, and it is effective in breaking qi, promoting digestion and dispersing stagnation. The compatibility of the three drugs, promoting the circulation of qi to stop diarrhea, clearing away heat and removing excess, and cooperating with each other, enhanced the efficacy of eliminating excess and removing mass. General Principles of Stomach and Intestine: Fu-organs and qi pass through, and evil moves from the lower intestine. For patients with reflux esophagitis, such as epigastric fullness, pain, heartburn, bad breath, dry mouth, hard stool, etc., Zhu Ye Gypsum Decoction has a satisfactory effect. For senile constipation, it is often combined with Siwu Decoction and Shengmai Decoction.

Rhubarb, aconite root and asarum herb

Radix et Rhizoma Rhei, Radix Aconiti Lateralis Preparata and Asari are decoctions of Radix et Rhizoma Rhei and Radix Aconiti Lateralis in Synopsis of the Golden Chamber. Rhubarb bitter cold, captured; Fuzi is warm and pungent, dispersing yin and cold in the body, and stopping abdominal pain; Asari is warm in nature, warming channels to dispel cold and relieve pain. The combination of bitter herbs and bitter herbs can reduce energy, dredge meridians and tend to be warm. Rhubarb is cold in nature, and it is made from the powder of aconite root and asarum herb. It is unnecessary, and its purgative function still exists. It can dispel cold, eliminate pathogenic factors, relieve constipation and relieve pain, break accumulation and disperse stagnation, and its compatibility is exquisite. The dosage of rhubarb is generally smaller than that of aconite, so it is not suitable for later use to reduce the power of diarrhea. There is a saying in Chinese medicine that "cold is not warm, it will disperse, essence will disappear, and depression will become." This prescription is often used for abdominal pain, constipation, hypochondriac pain, cold hands and feet, abdominal cold and other cold pathogens and colon tract stagnation. If the tongue coating is thick and greasy and abdominal distension, it is often combined with Wei Ping powder.

Salvia miltiorrhiza, sandalwood and Amomum villosum

Salvia Miltiorrhiza, Sandalwood and Amomum villosum are the prescriptions of Salvia Miltiorrhiza Drink, which are listed in Chen Xiuyuan's Song of the Times. Salvia miltiorrhiza is bitter cold, promoting blood circulation, removing blood stasis and relieving pain; Sandalwood is pungent and warm, regulating qi and strengthening spleen, dispelling cold and relieving pain; Amomum villosum pungent and warm, moving to middle temperature, eliminating dampness and strengthening spleen. The combination of the three herbs has stronger effects of promoting qi circulation, strengthening spleen, removing blood stasis and relieving pain. For patients with gastric cavity tingling, pain and chronic atrophic gastritis caused by qi stagnation and blood stasis, gastrointestinal ulcer, etc., Danshen decoction is often used to treat patients with spleen and stomach weakness, and it is combined with Chai Shao Liujunzi decoction, which has severe blood stasis, persistent pain, dark purple tongue, intestinal metaplasia, atypical hyperplasia and good effect.

Lilac persimmon Pinellia ternata

Lilac is pungent and warm, warming the stomach and descending the adverse; Persimmon tastes bitter, reducing qi and stopping vomiting; Pinellia ternata is warm and dry, regulating stomach and stopping vomiting; The combination of the three herbs has the functions of warming stomach and middle energizer, and is effective for chronic gastritis, reflux esophagitis, cardiac spasm and other cold symptoms such as burping, vomiting and belching. Loquat leaves and bamboo shavings can be added for fever, and ginger can be added for cold. For patients with epigastric fullness and belching hiccups, they can be combined with Fu Xuandai Zhetang, and cold and heat should be carefully distinguished when taking medicine.

Fennel, clove and woody.

Fennel is pungent and warm, dispelling cold and relieving pain, regulating qi and regulating stomach; Lilac is pungent, warming the middle and descending the adverse, warming the kidney and helping the yang; Radix aucklandiae is pungent and warm, promoting qi circulation and relieving pain, and ascending and descending various qi. The three flavors are the same, with similar effects, and all have strong effects of warming stomach, dispelling cold, promoting qi circulation and relieving pain, harmonizing gastrointestinal tract, promoting qi circulation and dispelling cold and relieving pain. It is effective for chest fullness, abdominal distension and abdominal pain caused by cold coagulation and qi stagnation, and dysmenorrhea caused by deficiency and cold of lower jiao.

Adenophora adenophora, Ophiopogon japonicus and Dendrobium nobile

Adenophora adenophora is sweet and cold, nourishing yin and clearing lung, benefiting stomach and promoting fluid production; Ophiopogon japonicus is sweet and cold, nourishing yin and relieving annoyance, benefiting the stomach and promoting fluid production; Dendrobium is sweet and cold, nourishing yin and clearing heat, nourishing stomach and promoting fluid production. The combination of the three drugs can nourish yin and stomach, and the power of promoting fluid production and moistening dryness is stronger. There is a saying in Chinese medicine that "sweet medicine nourishes the stomach". Ye and Wu Tang, experts in epidemic febrile diseases in Qing Dynasty, attached importance to stomach yin and created methods of moistening and clearing stomach yin, such as Yiwei decoction and Shashen Maidong decoction. Clinically, dry mouth and tongue, loss of appetite, irritability and insomnia, epigastric fullness, constipation, red tongue with little coating, etc. are all effective for patients with insufficient stomach yin and body fluid. Clinically, we must not limit ourselves to deficiency and cold of spleen and stomach, but ignore the syndrome of deficiency of stomach yin.

Evodia rutaecarpa, Toosendan Fructus and Radix Aucklandiae

Evodia rutaecarpa is hot and pungent, dispelling cold and relieving pain, soothing the liver and lowering qi; Fructus Toosendan tastes bitter and cold, promoting qi circulation and relieving pain; Wood is bitter and slightly cold, which can promote qi circulation and relieve pain, detoxify and reduce swelling. The compatibility of the three herbs, pungent, bitter, cold and heat, enhanced the function of promoting qi circulation, dispelling cold and relieving pain. Bitterness and cold are reduced, and the adverse reactions of clearing liver and lowering adverse reactions are reduced. However, Toosendan Fructus is suspected of hurting the liver, and Radix Aucklandiae can alleviate the liver injury of Toosendan Fructus. It is often used for abdominal distension, hypochondriac pain and abdominal cold pain, and the curative effect is satisfactory. There is a patient with cold and dull pain in the lower abdomen in Ceng Zhi. After treatment with traditional Chinese and western medicine, he can't be cured for a long time, and there is no positive index in imaging and examination. The modified Daoqi decoction based on this medicine has achieved effective results.

Cuttlefish bone Fritillaria thunbergii forging concha arcae

Cuttlefish bone is salty in taste and warm in nature, and it can make acid to stop pain and stop bleeding; Fritillaria thunbergii tastes bitter and cold, reduces fire, dissipates phlegm; Calcined concha arcae is sweet and smooth, and has the functions of resolving hard mass and removing blood stasis, making acid and relieving pain. The combination of the three drugs is the key drug for acid production, which can inhibit acid and relieve pain, resolve phlegm and dissipate stagnation and stop bleeding. It has certain curative effect on reflux esophagitis, chronic gastritis and gastric ulcer such as heartburn, pantothenic acid and bleeding. It is best to be good at syndrome differentiation in clinic and to be compatible with corresponding prescriptions.