Wang Qingren, whose name is Chen Xun, was born in yutian county, Hebei Province. His masterpiece Lin Yi Gaicuo has two volumes, which records the ancient people's mistakes in human anatomy and physiological functions of viscera, and discusses the etiology, pathogenesis and treatment of hemiplegia in detail. Through years of clinical experience, he expounded the methods of promoting blood circulation and removing blood stasis, and formed a complete clinical application system of promoting blood circulation and removing blood stasis, which had a far-reaching influence on later physicians.
Basic prescription for promoting blood circulation and removing blood stasis
Among Wang Qingren's self-made prescriptions for promoting blood circulation and removing blood stasis, 8 prescriptions were directly named as "promoting blood circulation" and "removing blood stasis". Comparing the drugs widely used in Buyanghuanwu Decoction, it is not difficult to see that this basic prescription is the change of Taohong Siwu Decoction (see table 1).
Ren Tao's prescription in "Drug Meaning" said: "After passing through the liver meridian, blood is broken, and drinking water every month is sore all over, and the limbs are numb"; Safflower, "Compendium of Materia Medica" says "promoting blood circulation, moistening dryness, relieving pain, reducing swelling and dredging menstruation"; Chuanxiong's "Herbal Yan Hui" said: "The ascending movement stops, the water descends, and the middle opening is stagnation, which is the qi medicine in the blood"; Peony, "Compendium of Materia Medica" said: "Purging liver fire, dispersing pathogenic blood, treating abdominal pain, stagnation of blood and hernia addiction"; Angelica, Jing Yuequan? Materia Medica is a cloud: "Its taste is sweet and heavy, so it can replenish blood; Its qi is weak and pungent, so it can promote blood circulation, tonify the middle energizer and tonify the middle energizer. The qi medicine in blood is also the holy medicine in blood. "
Yiqi Huoxue Huayu method
Take Buyang Huanwu Decoction, a famous prescription for treating hemiplegia, as an example. Wang Qingren thinks that "hemiplegia is the foundation" and "people sit and turn, relying on vitality, and vitality is strong; Weakness leads to weakness ..... I was paralyzed because I lost my breath. " It is said that hemiplegia is based on qi deficiency and meridian deficiency, and it is recognized that "qi deficiency will not reach the pulse, and the pulse will stay." Therefore, Astragalus membranaceus is widely used in the prescription to replenish primordial qi, and the dosage is four Liang, so that qi is sufficient and blood circulates, while peach kernel, safflower and white peony each use one yuan to promote blood circulation and qi circulation, supplemented by earthworm to dispel wind and dredge collaterals. All the medicines are used together to promote blood circulation and remove blood stasis.
Clearing heat, promoting blood circulation and removing blood stasis
This method is best represented by Jiedu Huoxue Decoction. Wang Qingren said that the main reason is that "the epidemic virus enters the trachea from the nose and mouth, and reaches the blood vessels from the trachea, so that qi and blood can be coagulated and water can't flow out ... treated with Jiedu Huoxue Decoction to promote blood circulation and detoxify". In the prescription, Fructus Forsythiae, Radix Glycyrrhizae and Radix Rehmanniae can clear away heat, cool blood and detoxify, Radix Paeoniae Rubra, Semen Persicae, Flos Carthami and Radix Angelicae Sinensis can promote blood circulation and remove blood stasis, and Radix Puerariae, Radix Bupleuri and Fructus Aurantii can relax tendons, nourish yin and clear heat. Tongjing Zhuyu decoction, epiglottis Zhuyu decoction is also this method.
Regulating qi, promoting blood circulation and removing blood stasis
Represented by Xuefu Zhuyu Decoction and Shaofu Zhuyu Decoction, Wang Qingren thought that "blood is full above the diaphragm, hence the name Xuefu". Above the diaphragm, the intersection of heart, lung and zong qi is the beginning of the whole body's qi and blood operation, so blood stasis in the chest leads to poor qi movement; Then you may burp for a long time, or you may be impatient and angry. Xuefu Zhuyu decoction uses peach kernel, safflower, red peony root and Ligusticum chuanxiong to promote blood circulation and remove blood stasis, while Angelica sinensis and Radix Rehmanniae nourish blood and promote blood circulation, dredge circulation of qi, and harmonize liver and spleen Sini powder. In addition, Platycodon grandiflorum carries all kinds of drugs, and Achyranthes bidentata can guide blood stasis in the chest to descend, ascend and descend, and regulate qi and blood synchronously, which can make local circulation smooth and clear blood stasis in the chest. Another example is diaphragmatic stasis-removing soup, which is specially designed for "blood stasis in abdominal cavity"
Warming yang, promoting blood circulation and removing blood stasis
Taking Wang Qingren's Shaofu Zhuyu Decoction for treating gynecological deficiency, cold and blood stasis as a representative, this prescription is evaluated as "perfect in removing diseases, removing seeds and preventing miscarriage", which is widely used in women's shaofu pain, fullness, lump, metrorrhagia, dysmenorrhea and irregular menstruation. Gynecological diseases, mostly due to emotional imbalance, common cold invasion, cold and dampness into the diet fatigue, and so on, can eventually lead to blood stasis. Shaofu Zhuyu decoction uses ginger to warm and disperse intracellular cold pathogens, fennel to warm meridians to dispel cold and regulate qi to relieve pain, cinnamon to strengthen yang, benefit fire and eliminate yin. The combination of the three drugs is mainly based on warming powder and chong Ren, followed by promoting blood circulation and removing blood stasis. Therefore, it is good for many gynecological diseases with stagnation of cold pathogen, lower energizer and imbalance of chong and ren.
Wang Qingren enriched and developed the theory and treatment of blood stasis syndrome. Its academic characteristics of emphasizing qi and blood in legislation and blood stasis in syndrome differentiation and treatment are an important part of the theory of promoting blood circulation and removing blood stasis in traditional Chinese medicine. He treated blood stasis syndrome based on syndrome differentiation of diseased parts of human body, which laid the foundation for the study of modern blood stasis theory.
Project name: Yunnan Traditional Chinese Medicine Health Tourism Brand Project, the first of a series of mass communication activities-Xinglin Grand View Garden, Xinglin Fun.
Implementer: Xinglin Grand View Garden in Shilin, Yunnan.
Editor: Lan Guihua, Li Xingde, Zhao.
Editor-in-Chief: Zhang Xiaobei Editor-in-Chief, Layout: Chen Sisi