This disease belongs to the category of cough and asthma, phlegm, palpitation and edema in traditional Chinese medicine. In addition to the three symptoms of lung cough, phlegm and asthma, this disease also has symptoms of heart, spleen and kidney, such as palpitation, shortness of breath, cyanosis, anorexia, abdominal distension, edema and oliguria. The pathogenesis is mostly deficiency in essence and solid in essence. In acute attack, exogenous pathogenic factors are induced by new sensation, which makes the disease develop seriously.
Treatment 1. The main symptoms of external cold and internal drinking syndrome are cough and asthma, inability to lie flat, white and sticky phlegm that is not easy to cough up, blue lips and tongue, yellow and white fur and rapid pulse. Fang Yi Xiaoqinglong Decoction consists of Radix Codonopsis 18g, Ramulus Cinnamomi 10g, Asari 3g, Zingiberis Rhizoma 6g, Radix Paeoniae Alba 12g, Herba Ephedrae 5g, Fructus Schisandrae 6g, Pumpkin 12g, Ginkgo biloba 10g, and Cortex Mori 65433.
Benefiting qi and dispelling cold, relieving cough and asthma.
Usage: decoct with water, one dose per day.
The prescription can relieve exterior syndrome of ephedra sweat, relieve asthma and enhance the expectorant effect of Ramulus Cinnamomi. Ramulus Cinnamomi and Radix Paeoniae Alba are added to harmonize camp and health; Dried ginger, asarum, dispelling cold and warming lung, resolving phlegm and eliminating phlegm; Adding Fructus Trichosanthis to clear lung and eliminate phlegm, benefiting qi and broadening chest; Mulberry bark can clear lung and relieve asthma, promote diuresis and reduce swelling; Tussilago farfara and Zi Yuan moisten lung and reduce qi, resolve phlegm and relieve cough; Ginkgo biloba has the functions of eliminating phlegm, relieving cough and moistening lung; Gypsum clearing heat; Glycyrrhiza uralensis Fisch blends various drugs.
It is said that this cough and asthma is caused by chronic asthmatic tracheitis, emphysema and pulmonary heart disease. Too much phlegm can't lie flat, and the evil is actually deficient, which is easy to be exogenous. When you are sick, it is accompanied by cold. Therefore, benefiting qi and dispelling cold is the standard, relieving cough and asthma is the standard, and treating both the symptoms and the root causes. Has the effects of strengthening body constitution, relieving asthma and relieving cough. Defending qi is solid, and exogenous factors are few. With the products of promoting blood circulation and regulating stomach, the patients can recuperate the aftermath, consolidate the curative effect, and cooperate with appropriate physical exercise to restore their normal work. Fanger Shegan Huang Ma Decoction consists of 65,438 00 grams of Belamcanda, 8 grams of Ephedra, 65,438 00 grams of dried ginger, 3 grams of Asarum, 65,438 00 grams of Pinellia ternata, 65,438 00 grams of Aster, 65,438 00 grams of winter flowers, 6 grams of Schisandra chinensis and 6,500 grams of jujube.
Efficacy of warming lung and dispelling cold, resolving phlegm and relieving asthma.
Usage: decoct with water, one dose per day.
The prescription can relieve Rhizoma Belamcandae and Herba Ephedrae, disperse lung and relieve asthma, resolve phlegm and relieve sore throat; Perilla, agarwood, straight gas; Dried ginger, asarum and Pinellia drink to warm the lungs and reduce adverse reactions; Cicadas and stiff silkworms open their lungs and close them, reducing the adverse qi; Aster, winter flower phlegm and cough; Schisandra chinensis and jujube astringe lung and replenish lung.
Codonopsis pilosula and Atractylodes macrocephala can be added for patients with qi deficiency.
2. The main symptoms of phlegm-heat resistance lung syndrome are phlegm-drinking, exogenous pathogen, cough, shortness of breath and thirst, conscious internal heat, no temperature at the end of four seasons, foot edema, thin and greasy fur and rapid pulse. Fang Yi's Zhang's experience prescription comes from Zhang Bokun's medical record, which consists of 4.5g of Herba Ephedrae, 9g of almond, 24g of gypsum, 3g of Radix Glycyrrhizae Preparata, 9g of Radix Codonopsis, 9g of cooked Radix Aconiti Lateralis Preparata, 9g of fried perilla, 30g of golden lock, 30g of Herba Houttuyniae, Fangji 12g and Alisma orientalis 18g.
It is beneficial to work, clearing heart, invigorating qi, resolving phlegm and clearing heat.
Usage: decoct with water, one dose per day.
In the prescription, maxingshi is used to clear away heat and resolve phlegm; Adding Radix Codonopsis and Radix Aconiti Lateralis Preparata to tonify heart qi; Stephania tetrandra and Alisma orientalis; Houttuynia cordata clearing away heat and toxic materials; Stir-fried perilla seeds have the functions of degassing, relieving asthma, relieving cough and resolving phlegm.
According to the statement, this is a serious disease of phlegm, lung and heart caused by external factors. Phlegm and drink are all transformed from body fluid, and the lung, heart, spleen and kidney are blamed for phlegm and drink. The patient is good at expectoration, which is caused by lung qi deficiency and phlegm resistance. If he is ill for a long time, his heart will be affected and his heart will be weak. When the deficiency of the human body is combined with exogenous factors, it is actually deficiency, which leads to cough, asthma, accelerated pulse, excessive drinking of meridians and fullness, which is essentially deficiency and excess; Thirst, conscious internal heat and insufficient temperature at the end of the four seasons are signs of mixed cold and heat. According to Zhang Lao's experience, anyone who treats a chronic phlegm-retention disease must explore its root causes and treat both the symptoms and root causes before it can be saved. If he blindly treats the symptoms, it will hurt his righteousness, not his treatment. In the prescription, the herbs such as Maxing Shigan are used to clear away phlegm and heat, and ginseng and aconite are also used to replenish the heart-qi, which treats both the symptoms and root causes and has a remarkable effect. Checked Maxingshi Dried Soup comes from Treatise on Febrile Diseases and consists of Herba Ephedrae 12g, Semen Armeniacae Amarum 10g, Radix Glycyrrhizae 6g and gypsum 30g.
Clearing heat and resolving phlegm, dispersing lung qi and relieving asthma.
Usage: decoct with water, one dose per day.
Fang Jie's prescription reuses Han Xin gypsum and is compatible with Ephedra, which has the effects of clearing away interior heat, relieving exterior syndrome, dispersing lung qi and relieving asthma. Almonds and licorice can resolve phlegm and benefit qi.
According to the notes, Coicis Semen, Semen Benincasae, Rhizoma Phragmitis and Lumbricus can be added to clear away heat, eliminate phlegm and relieve asthma.
3. The main symptoms of phlegm-stasis cardiopulmonary syndrome are cough, asthma, excessive phlegm, chest tightness, palpitation, edema of lower limbs, decreased urine output, defecation at the end of the fourth day, little purple tongue coating and slippery pulse. Fang Yi Huatan Quyu Decoction consists of peach kernel 12g, almond 12g, earthworm 15g, kelp 15g, Fructus Trichosanthis 15g, Atractylodis Macrocephalae 15g, amber 3g, sandalwood 6g, etc.
Source (Zhu Liangchun, new traditional chinese medicine; 1983; (1 1): 18) has the effect of eliminating phlegm and removing blood stasis.
Usage: decoct with water, one dose per day.
Fang Jie peach kernel breaks blood and removes blood stasis, moistens dryness and smoothes intestines; Almond expectorant, cough relieving and asthma relieving; Guangdilong clearing heat and dredging collaterals, relieving asthma and diuresis; Fructus Trichosanthis moistens lung and resolves phlegm; Baizhu Jianpi Huatan; Amber calms nerves; Sandalwood regulates qi and stomach; Pumice clear lung fire and turn old phlegm.
It is said that the lips and tongue coating are black and purple, and the syndrome differentiation belongs to blood stasis. Phlegm heat and blood stasis stagnate in the lungs, and the airway is blocked, so cough and asthma occur; If the lungs can't pass through the water channel, edema and palpitation will occur. The main cause of constipation is the lung, which covers the lung and large intestine. The treatment method is dispersing lung qi and removing blood stasis, resolving phlegm and promoting diuresis. Fangge Xuefu Zhuyu Decoction, which originated from Yilin Gaicuo, consists of 5 grams of Chuanxiong, 9 grams of peach kernel 12, 9 grams of safflower, 6 grams of red peony root, 3 grams of Bupleurum root, 5 grams of platycodon grandiflorum, 6 grams of bitter orange, 9 grams of Achyranthes bidentata, 9 grams of angelica sinensis, 9 grams of rehmannia root and 6 grams of licorice root.
Efficacy: promoting blood circulation, removing blood stasis, dredging collaterals and resolving hard mass.
Usage: decoct with water, one dose per day.
This prescription can solve the problems of stagnation of blood stasis in the chest, obstruction of qi movement, qi stagnation and blood stasis, and liver qi softening; If blood stasis turns into heat, it will cause blood stasis to heat up and stomach gas up. Radix Angelicae Sinensis, Radix Paeoniae Rubra, Rhizoma Chuanxiong, Semen Persicae and Flos Carthami in the prescription promote blood circulation and remove blood stasis; Chaihu soothes the liver and relieves depression; Fructus Aurantii and Radix Platycodi open the chest to promote qi circulation; Achyranthes bidentata causes heat drop; Rehmannia glutinosa clearing away heat and nourishing yin; Glycyrrhiza uralensis Fisch blends various drugs.
According to written records, this prescription is Wang Qingren's treatment of chest obstruction and qi stagnation, with proper compatibility and definite curative effect. You can also choose Taohong Siwu Soup.
4. The main symptoms of Yang-deficiency and water-dampness syndrome are palpitation, asthma, cough, inability to lie flat and float on the face, edema of lower limbs, and even swelling of the whole body, abdominal distension, short and red urine, chills, cyanosis of the lips, white and slippery tongue coating, and deep and thin pulse. Fang Yi Zhenwu decoction comes from Treatise on Febrile Diseases, and consists of 65438 00g of aconite, 65438 00g of poria cocos, 65438 00g of Atractylodes macrocephala, 65438 00g of Paeonia lactiflora and 3 slices of ginger.
Efficacy: Warming the kidney and strengthening the spleen, transforming drinking and promoting diuresis.
Usage: decoct with water, one dose per day.
The prescription can solve the problem of adverse urination caused by yang deficiency of spleen and kidney, stagnation of water and gas, and poor gasification. Water vapor overflows the skin, so the limbs swell; Damp evil bets, so abdominal pain is not suitable; Without nutrition, the body vibrates. Stagnation of triple energizer and water is the main pathogenesis of this recipe, and the treatment should be mainly based on warming and tonifying kidney yang, invigorating spleen and promoting diuresis. The cooked aconite in the prescription warms the kidney and helps yang; Poria cocos, Atractylodes macrocephala, invigorating spleen, eliminating dampness and promoting diuresis; Ginger dissipates moisture; Radix Paeoniae Alba has astringent, yin-protecting, analgesic and diuretic effects.
Note: Zhao Xiwu's experienced prescription of famous Chinese medicine practitioners: gypsum 12g, ephedra 3g, licorice 9g, poria cocos 12g, atractylodes macrocephala 9g, white peony root 9g, aconite 6g, ginger 9g, plantain seed 15g, cogongrass rhizome 30g, almond 9g and jujube 9g; Edema, palpitation, shortness of breath, unable to lie down: agarwood, black and white ugly, prickly heat. Fang Erling Guizhugan Decoction comes from Treatise on Febrile Diseases and consists of Poria 30g, Ramulus Cinnamomi 12g, Polyporus umbellatus 16g, Alisma orientalis 16g and Atractylodes macrocephala 10g.
Efficacy: benefit the heart and yang, and turn qi into water.
Usage: decoct with water, one dose per day.
Poria cocos is king in the prescription. Taking Poria cocos to strengthen the spleen and promote diuresis, moisten dryness and eliminate drinking can not only eliminate drinking, but also eliminate the source of drinking evil. Drinking is yin evil, not warm, so I use warm cassia twig to warm yang and reduce impulse. This product, when used with Poria cocos, can warm yang, promote drinking, and turn qi into water, especially for calming down the adverse events. Gui Ling is in harmony, benefiting one and warming two, activating yang and transforming qi, and promoting diuresis. For those who stay in water and drink cold, their warming and osmotic benefits are outstanding. Dampness occurs in the spleen, while deficiency of spleen yang occurs in the spleen. Therefore, Atractylodes macrocephala is supplemented to strengthen the spleen, dry dampness, help the spleen to transport and transform, strengthen the spleen, and eliminate water and dampness by itself; Glycyrrhiza uralensis Fisch, as an assistant, has the right to harmonize various drugs, replenish qi and harmonize middle energizer, and has the right to restore spleen and stomach transport and transformation. There are only four kinds of drugs, which are strict in compatibility, warm but not hot, beneficial but not strong.
Ginseng Radix and Radix Codonopsis can be added for patients with qi deficiency.
5. The main symptoms of Yang deficiency syndrome are dull complexion, cyanosis of lips and limbs, shortness of breath, palpitation, restlessness, cold limbs, deep pulse, dark purple tongue and white gray fur. Source of Huiyang Decoction (Wei Changchun, Zhejiang College of Traditional Chinese Medicine,1989; ( 10):422)
It consists of 9 grams of poria cocos, 9 grams of codonopsis pilosula, 6 grams of aconite, 6 grams of fried licorice, 3 grams of dried ginger and 3 grams of black tin.
The effect is to restore yang and save the inverse.
Usage: decoct with water, one dose per day.
Fang Jie Black Xidan is gentle and strong, and the town is Fuyang; Poria cocos promotes diuresis and detumescence; Dangshen Yiqi Jianpi; Radix Aconiti Lateralis returns to Yang to rescue the adverse events, and dried ginger warms the middle and dispels the cold, and returns to Yang to dredge the pulse; Radix Glycyrrhizae Preparata has the functions of regulating emergency, moistening lung and detoxicating, and harmonizing various medicines.
Note: Ginseng is added to invigorate qi, while Cinnamomum cassia is restored to Yang Can. Severe cases can be treated with western medicine. Prescription 2 Sini Decoction comes from Treatise on Febrile Diseases, 15g cooked aconite, 9g dried ginger and 8g roasted licorice.
The effect is to restore yang and save the inverse.
Usage: decoct with water, one dose per day.
If the prescription can solve the deficiency of both yin and yang, it is bound to be yin cold, the condition is serious, and the healthy qi is attenuated. The patient lacks yang to warm the body, spleen and soil cannot warm, mind cannot warm, and qi and blood cannot stimulate. Therefore, it is necessary to use aconite root, which is pungent and hot, and can return to the shaoyin meridian to restore yang and save the inverse. Fang Zhongshu's aconite can restore yang to save inverse and dispel yin and cold; Dried ginger warms the middle and dispels cold; Radix Glycyrrhizae Preparata can warm the middle warmer, replenish qi, and control dryness and reduce dryness.
According to the statement, this case of cor pulmonale is at risk of asthma. Lao Wei thinks that although the syndrome is caused by exogenous pathogens, the body temperature does not rise, and there is no symptom, and there is no sign of phlegm-heat interaction. It is a chronic disease with insufficient essence and disharmony between qi and yang, and it is urgent to invigorate qi, warm the interior and restore yang.