1, constitute
Radix Rehmanniae Preparata (30g), Herba Ephedrae (2g), San Qian Colla Cervi (9g), Semen Sinapis Albae (6g), parched and ground, Cortex Cinnamomi (3g), peeled and ground, Radix Glycyrrhizae (3g) and ginger charcoal (2g).
Step 2 use
Decoct with water.
Warming yang and nourishing blood, dispelling cold and dissipating stagnation.
Vulvar gangrene, such as bone gangrene, gangrene, salivation, phlegm core, crane knee wind, etc. The affected area is swollen and headless, the skin color remains unchanged, the pain is not hot, the mouth is not thirsty, the tongue is pale with white fur, and the pulse is heavy or slow.
A syndrome of yin gangrene is mostly caused by deficiency of yang and blood, stagnation of cold phlegm and obstruction of muscles and bones. Yin cold is the symptom, so the local swelling is diffuse and the skin color remains unchanged; Pain is not hot, and may be accompanied by symptoms of systemic deficiency and cold; A pale tongue with white fur and a deep and thin pulse is also a sign of deficiency and cold. Treatment should be warming yang, enriching blood, dispelling cold and relieving depression.
Rehmannia glutinosa is used to warm and nourish blood, replenish essence and marrow; Colla cornus Cervi warms kidney-yang and benefits essence and blood. The combination of the two drugs can warm yang and replenish blood, and * * * is the monarch drug. Cinnamon and ginger charcoal taste pungent and hot, both enter the blood, warm yang and dispel cold, and warm blood vessels, so they are minister drugs. White mustard seed is pungent and warm, which can reach outside the periderm, warm and cold, resolve phlegm, dredge collaterals and disperse nodules; A small amount of Herba Ephedrae, Wenxin David, Xuantong Maoqiao, muscle abscess, cold-dispelling and blood coagulation are all auxiliary drugs.
The cornu Cervi Degelatinatum, Radix Rehmanniae Preparata, Rhizoma Zingiberis Recens, Cortex Cinnamomi, mustard and Fructus Cannabis in the prescription can be prepared in time; The nourishment of hemp, mustard, ginger, cinnamon, rehmannia root and antler cream will warm up without hurting the body. Raw licorice is mixed with various drugs to detoxify.
On the whole, this prescription, combined with warming yang and enriching blood, resolving phlegm and dredging collaterals, can supplement yang deficiency, nourish blood and relieve cold coagulation and phlegm coagulation. Treating yin gangrene is like the warm qi in mid-spring, which shines on the earth, dispels the haze, and promotes yang, hence the name "Yanghe Decoction".
1. Key points of syndrome differentiation This recipe is often used to treat vulvar gangrene. The main points of clinical application are that the affected area is swollen and headless, the skin color remains unchanged, and there is no pain and fever.
2. If the addition and subtraction changes are accompanied by qi deficiency, Radix Codonopsis and Radix Astragali can be added to replenish qi. For those with severe yin cold, aconite can be added to warm yang and dispel cold; Cinnamon can also melt cassia twig, strengthen the effects of warming meridians and dredging veins, and regulate qi and stagnation.
3. Modern application of this prescription is often used to treat bone tuberculosis, peritoneal tuberculosis, chronic osteomyelitis, periostitis, chronic lymphadenitis, rheumatoid arthritis, thromboangiitis obliterans, deep muscle abscess, etc.
This recipe is not suitable for patients with yang syndrome of sores, such as redness, swelling, heat and pain, excessive heat due to yin deficiency, or gangrene. Ma Peizhi said: "This prescription is unparalleled in treating yin syndrome. If used properly, it should be healed by hand. Never use Ru Yan, and those who have long-term yin deficiency and internal heat and rupture should not touch their lips. "
3. The efficacy of Yanghe decoction
Yanghe decoction contained in "Surgical Whole Life Collection" is composed of cornu Cervi Degelatinatum, Radix Rehmanniae Preparata, Rhizoma Zingiberis Preparata, Cortex Cinnamomi, Herba Ephedrae, Semen Sinapis Albae and Glycyrrhrizae Radix. This prescription uses antler glue to help yang and dispel cold, and it is matched with nourishing yin and nourishing blood. When they are combined, they can replenish yang without hurting yin, and yin without sticking. Ginger and cinnamon can warm yang and promote blood circulation; Herba Ephedrae and Semen Sinapis Albae resolve phlegm, dissipate stagnation, promote qi and relieve depression; Combination can make qi and blood smooth; Glycyrrhiza uralensis Fisch blends various drugs. The whole prescription has two meridians of qi and blood, and yin and yang complement each other, which is a famous prescription for both attacking and reinforcing. Yu, with his functions of warming yang and dispelling cold, removing blood stasis and resolving phlegm, is often used flexibly in various difficult diseases, and the curative effect is quite good.
(1) Bone tuberculosis
Bone tuberculosis belongs to the category of yin gangrene in traditional Chinese medicine. Most of the bone tuberculosis now belongs to it. Because it is easy to flow to other places, pus is as thin as phlegm after ulceration, so it is also called sputum flow. In ancient times, it was mostly caused by deficiency of qi and blood and cold, and phlegm blocked the way. The invasion of cold phlegm into meridians will inevitably lead to the imbalance between ying and Wei, stagnation of qi and blood, which will damage yang for a long time, resulting in yang deficiency and cold coagulation, phlegm and blood stasis, carbuncle swelling and pus, and long-term injury to tendons and bones. Therefore, it is urgent to promote qi and blood circulation at the beginning of the disease, and Yanghe decoction is used every time. Herba Ephedrae and Semen Sinapis Albae are selected to promote qi circulation and dredge channels, while Cortex Cinnamomi and Rhizoma Zingiberis Preparata are used to promote blood circulation and dispel cold. If the abscess has developed but not broken, Gleditsia sinensis, Radix Astragali and Carapax Trionycis preparata should be added. If there is pus, Astragalus, Codonopsis pilosula, Angelica sinensis and Paeonia lactiflora should be used to replenish qi and blood. For example, Li, a 30-year-old female, suffers from lumbar tuberculosis, low back pain, unfavorable flexion and extension, low fever and night sweats, pale tongue with thin white fur and heavy pulse. Add 3 grams of Herba Ephedrae, 5 grams of Radix Rehmanniae Preparata/kloc-0, 6 grams of cornu Cervi Degelatinatum, 6 grams of white mustard seed, 3 grams of processed ginger, 3 grams of cinnamon, 9 grams of Radix Dipsaci and 9 grams of Radix Paeoniae Alba (each). It took 8 months to get in and out of the upper part, and X-ray examination showed lumbar sclerosis.
(2) Asthma
Asthma can be divided into new type, chronic type, deficiency type and solid type. The new asthma is real, and the lungs are even harder to blame; Chronic asthma is asthenic, and the kidney is more difficult to blame. It is a kind of stomach-sinking disease, which is rarely a simple virtual time, repeated lingering, collapse of vital energy and internal injury of vital energy, and it is most likely to attract the evil of six evils, leading to frequent asthma. Among the six evils, nine times out of ten, cold causes scorching and dirty, qi loses its rise and fall, phlegm is endogenous, and cold phlegm is sticky, so the phlegm sounds short and the chest is full, so you can't lie down. Therefore, the General Record of Shengji said: "Those who breathe with lung qi are deficient in lung and kidney qi, which is also caused by cold and dampness of middle qi to yin." Xiaoqinglong decoction is a good way to treat cold asthma attack, but it is suspected of treating both the symptoms and the root causes. Yanghe decoction uses cornu Cervi Degelatinatum, Rhizoma Zingiberis Preparata, and Cortex Cinnamomi to warm the lung, and Herba Ephedrae and Semen Sinapis Albae to diffuse the lung, and Radix Rehmanniae is used to replenish the lung. Warming, propaganda and tonic are combined, and attack and tonic are combined to treat asthma. Those who lose money and gain money are the best in tune. For example, Liu, a 34-year-old male, has suffered from bronchial asthma for many years, with onset in winter, cough and asthma, excessive phlegm, chest tightness, difficulty lying at night, pale tongue with white fur and slippery pulse. Medicated Herba Ephedrae 4.5g, Semen Sinapis Albae 6g, Radix Rehmanniae Preparata15g, dried ginger 3g, Asari 4g, Cinnamomum cassia 3g, Semen Lepidii15g, Rhizoma Pinelliae Preparata 9g and Pheretima 9g. After taking medicine for more than 20 times, my cough and asthma subsided, and I was able to lie flat at night and never came back in winter.
(3) Refractory joint pain
Arthralgia is also closed, and the evil of qi and blood is also closed in the muscle surface meridians. Although arthralgia syndrome is caused by the mixture of wind, cold and dampness, every time the cold pathogen is common, and the cold pathogen invades the bones of limbs, causing qi and blood stagnation and pain. Therefore, there is a saying that "cold dominates pain". Cold is a yin evil, which is easy to hurt Yang Qi. If arthralgia persists for a long time, it will inevitably lead to yang deficiency, yin coagulation and qi and blood failure. Therefore, the treatment of intractable chronic joint pain should adopt the methods of tonifying yang and dispelling cold, promoting blood circulation and dredging collaterals. Yanghe decoction contains antlers to strengthen yang and strengthen the body resistance, ginger and cinnamon to eliminate cold pathogens, ephedra and white mustard seeds to promote blood circulation, treat both the symptoms and root causes, and strengthen the body resistance and eliminate pathogens. It can be used for patients with intractable joint pain and severe pain, and can play many roles. For example, Zhang Zhi, a 38-year-old woman, has suffered from rheumatoid arthritis for many years and has pain in her limbs and joints. She often works in cold weather and tries Chinese and western medicines all over the world, but the effect is not obvious. The pain is severe during the attack and you need someone to help you move. The joints are cold, the tongue is light and greasy, and the pulse is heavy. Medicinal use: 9 grams of antlers, 4.5 grams of cassia twig, 4.5 grams of ephedra, 9 grams of angelica pubescens, 6 grams of Rhizoma Chuanxiong 10, 9 grams of Gentiana macrophylla, 9 grams of angelica sinensis, 9 grams of Paeonia lactiflora, 9 grams of Lycopodium 10, and 9 grams of Millennium. Take the above 20 stickers, the pain is greatly reduced and the effect is satisfactory.
4. Treatment of lumbar disc herniation
1, Yanghe decoction, name of traditional Chinese medicine prescription. It is a warming tonic with the effects of warming yang, enriching blood, dispelling cold and resolving stagnation. The indication is vulvar gangrene. The swelling is headless, the skin color is unchanged, the pain is not hot, the mouth is not thirsty, the tongue is pale with white fur, and the pulse is heavy or slow. Or gangrene attached to bone, gangrene, salivation, phlegm core, crane knee wind, etc. It belongs to yin-cold syndrome. Clinically, it is often used to treat bone tuberculosis, chronic osteomyelitis, periostitis, chronic lymphadenitis, rheumatoid arthritis, aseptic deep muscle abscess, sciatica, thromboangiitis obliterans, chronic bronchitis, chronic bronchial asthma, peritoneal tuberculosis, lobular hyperplasia of breast in women, dysmenorrhea, etc. Can be used for treating lumbar disc herniation.
2. Yanghe decoction can treat lumbar disc herniation. Lumbar disc herniation is one of the common diseases, mainly because all parts of lumbar disc (nucleus pulposus, annulus fibrosus and cartilage plate), especially nucleus pulposus, have different degrees of degenerative changes. Under the action of external factors, the annulus fibrosus of intervertebral disc ruptures, and the nucleus pulposus tissue protrudes (or protrudes) into the back or spinal canal, which leads to the stimulation or compression of the adjacent spinal nerve roots, resulting in a series of clinical symptoms such as low back pain, numbness and pain in one or both lower limbs.
5. Don't eat Chinese medicine
1, cold food
This kind of food is mostly cold food, whose main function is to clear away heat and quench thirst, and is suitable for diseases with heat syndrome. However, it is easy to affect gastrointestinal function, and people with deficiency-cold constitution and patients with gastrointestinal diseases should avoid it.
2. Spicy food
This kind of food is pungent and hot, and has the effect of activating yang and strengthening stomach. If you eat too much, it is easy to produce phlegm fire and dissipate qi and consume blood. Therefore, this diet is only suitable for patients with cold syndrome, not for patients with yin deficiency and yang hyperactivity combined with blood syndrome, fever, hemorrhoids, carbuncle and so on. This kind of food includes onions, garlic, leeks, ginger, wine, peppers and so on.
3. Hair food
This kind of food is the product of wind-induced phlegm to help fire, and its "hair" varies with the degree of food choice of diseases. This kind of food includes mushrooms, shiitake mushrooms, bamboo shoots, mustard greens, pumpkins, pheasants, pig's head meat, female pork and so on.
4, fishy food
Most of these foods are salty and contain foreign protein, which is easy to cause allergic reactions. Eating too much is easy to hurt the spleen and stomach and induce diseases. Therefore, people with spleen and stomach diseases should not eat too much, especially those with allergies.
5, greasy food
This kind of food includes animal fat and fried and fried hard food. Greasy is harmful to the spleen and stomach, and those with exogenous diseases, jaundice and diarrhea should not eat. Fried and fried foods are hard, hot and difficult to digest, and those with gastrointestinal diseases and "excessive internal heat" are forbidden to eat.