【 Key points of syndrome differentiation 】 The patient's tongue is pale, the coating is white, and the pulse is tight due to long-term work at his desk or cold and dampness, acute onset, severe neck pain, shoulder and arm pain, numbness and pain, and fear of cold.
[Treatment] Expelling wind and dredging collaterals, dispelling cold and removing dampness.
[Prescription] Radix Saposhnikoviae and Radix Puerariae Decoction: Radix Saposhnikoviae 10g, Herba Ephedrae 3g, Rhizoma Chuanxiong 10g, Radix Angelicae Sinensis 10g, Radix Gentianae Macrophyllae 10g, Cortex Cinnamomi 3g, Rhizoma Curcumae 10g, and Notopterygii Rhizoma/kloc-0.
Radix Saposhnikoviae and Herba Ephedrae are used to dispel wind and cold; Chuanxiong, Angelica sinensis, Gentiana macrophylla, Cinnamomum cassia, and Curcuma rhizome promote blood circulation and dredge collaterals; Notopterygii Rhizoma, Radix Clematidis, Radix Angelicae Dahuricae and Radix Puerariae can dispel wind and relieve pain; Poria cocos and coix lachryma-jobi seeds are used for invigorating spleen and eliminating dampness; Paeonia lactiflora and licorice. Ginger, jujube, and Chinese accent.
(2) Qi deficiency and blood stasis
【 Key points of syndrome differentiation 】 Dizziness, head swelling or jumping pain, dizziness, and even fainting and falling are common in middle-aged and elderly people, with pale tongue, white fur and thin or stringy pulse.
[Treatment] Yiqi Huoxue.
[Prescription] Buzhong Yiqi Decoction combined with Tongqiao Huoxue Decoction: Ginseng 6g, Atractylodes macrocephala 12g, Astragalus membranaceus 12g, Angelica sinensis 12g, Chuanxiong 9g, Paeonia lactiflora 9g, Carthamus tinctorius 9g, Peach kernel 9g, Musk 100mg, and Onion1.
Ginseng, Atractylodes macrocephala and Astragalus membranaceus are used for invigorating qi. Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Rubra, Flos Carthami, and Semen Persicae promote blood circulation and dredge collaterals; Musk and raw onions are familiar; Bupleurum chinense, Cimicifuga foetida and Vitex negundo have great achievements. Licorice, ginger, jujube and Chinese herbal medicine.
(3) Deficiency of kidney essence
【 Key points of syndrome differentiation 】 Dizziness, tinnitus, fatigue, forgetfulness, headache, blurred vision and hearing loss, which are aggravated when turning around. People with yin deficiency are upset and hot, with red tongue and thin pulse; Yang deficiency, limbs warm, cold, pale tongue, deep and thin pulse, weakness.
[Treatment] People with yin deficiency use tonifying kidney and nourishing yin, while those with yang deficiency use warming kidney to help yang.
[Prescription] Bushen Ziyin Zuogui Pill mainly consists of Radix Rehmanniae Preparata 15g, Rhizoma Dioscoreae 10g, Fructus Lycii 15g, Fructus Corni 15g, Semen Cuscutae 15g, Colla Cervi 10g, and Colla Plastrum Testudinis/kloc.
Radix Rehmanniae Preparata, Fructus Corni, Semen Cuscutae and Colla Plastri Testudinis in the prescription can tonify kidney yin; Colla cornus Cervi can fill essence and marrow. Rhizoma Anemarrhenae, Cortex Phellodendri, Cortex Moutan, Flos Chrysanthemi and Cortex Lycii can also be added for nourishing yin and clearing heat.
The pills for warming kidney and supporting yang are: Radix Rehmanniae Preparata 15g, Rhizoma Dioscoreae 10g, Fructus Lycii 15g, Fructus Corni 15g, Bombyx Batryticatus 15g, Colla Cervi 10g, and Eucommia ulmoides Oliv.
In the prescription, Radix Rehmanniae Preparata, Fructus Corni, Eucommiae Cortex, Fructus Lycii, Rhizoma Dioscoreae and Semen Cuscutae are used for tonifying kidney, Radix Aconiti Lateralis Preparata, Cortex Cinnamomi and Colla cornus Cervi are used for benefiting fire and strengthening yang, and Radix Angelicae Sinensis is used for nourishing blood. Aconite and cinnamon are used for cold limbs, which are pungent and dry, and should not be taken for a long time. You can use the isothermal products of Epimedium and Morinda officinalis. The two prescriptions treat cervical vertigo with Chinese angelica, Ligusticum Chuanxiong, Salvia miltiorrhiza, Pueraria lobata and other drugs for promoting blood circulation and removing blood stasis.
(4) Obstruction of phlegm and turbidity.
【 Key points of syndrome differentiation 】 Vertigo, headache, lethargy, chest tightness, nausea, eating less and sleeping more, obesity, white and greasy fur and slippery pulse.
[Treatment] Eliminating dampness and resolving phlegm, invigorating spleen and regulating stomach.
[Prescription] Banxia Baizhu Tianma Decoction: Pericarpium Citri Tangerinae 12g, Rhizoma Pinelliae Preparata 12g, Poria cocos 12g, Radix Glycyrrhizae Preparata 9g, Rhizoma Atractylodis Macrocephalae 9g, Rhizoma Gastrodiae 9g, Onion 9g, Radix Curcumae 9g and Rhizoma Acori Graminei 9g.
This prescription uses Erchen decoction to eliminate dampness and phlegm, Atractylodes macrocephala and strengthen the spleen, Gastrodia elata to calm down the wind and treat vertigo, and adds scallion, turmeric and calamus to open the yang and enlighten the senses.
(5) Liver and kidney loss
【 Key points of syndrome differentiation 】 Slow onset, heavy limbs, muscular atrophy, weakness in movement, unstable holding and even paralysis, incontinence, red tongue with little coating, and rapid pulse.
[Treatment] Tonifying liver and kidney.
[Prescription] Qian Hu Pill: dog bone 10g, Achyranthes bidentata 10g, Cynomorium songaricum 10g, dried tangerine peel 10g, Paeonia lactiflora 12g, Cortex Phellodendri 20g, Rhizoma Anemarrhenae 10g and Radix Rehmanniae/kloc.
Dog bone combined with Achyranthes bidentata can strengthen bones and muscles; Cynomorium songaricum warms kidney and benefits essence; Paeonia lactiflora nourishes blood and softens liver; Cortex Phellodendri, Rhizoma Anemarrhenae, Radix Rehmanniae Preparata and Carapax et Plastrum Testudinis nourish yin and clear heat; Chenpi regulates qi. Cornu Cervi Degelatinatum 10g, Radix Astragali Preparata 20g, Radix Codonopsis 12g, Radix Angelicae Sinensis 12g, and Caulis Spatholobi 30g can be added for invigorating qi and nourishing blood.