The disease belongs to the category of vomiting, epigastric pain, diarrhea, abdominal pain and cholera in traditional Chinese medicine. Most of them are caused by lack of vitality in the middle energizer, exogenous wind evil, cold and summer heat and damp heat; Or unclean diet, spleen and stomach damage, leading to dereliction of duty, spleen loss of health, stomach disharmony, internal resistance of turbid yin, gastrointestinal tract turbidity disorder. Clinically, we should adhere to the principle of "treating the symptoms in case of emergency", emphasize the prevention of vomiting, diarrhea and pain, and then adopt the methods of dispelling cold, regulating qi, clearing heat, promoting digestion, promoting blood circulation, eliminating dampness, astringing, invigorating the spleen, soothing the liver and regulating the stomach, so as to make the gastrointestinal qi flow smoothly and eliminate the pathogenic factors.
Fang Yi Gegen Qinlian Decoction
Source Treatise on Febrile Diseases
It consists of 15g kudzuvine root, 6g licorice root, 9g scutellaria root and 9g coptis root.
The function is to clear the exterior and interior.
The indication is acute gastroenteritis, which is characterized by unexplained exterior syndrome and extremely hot internal heat. Symptoms include body heat, sweating, sudden diarrhea, foul smell, burning anus, burning chest, thirst, red tongue with yellow coating and rapid pulse.
Reusing Pueraria lobata in the prescription can not only relieve exterior fever, but also strengthen spleen and stomach and clear yang, which is the monarch medicine. I use Scutellaria baicalensis Georgi and Coptis chinensis to clear away heat and dry dampness, and thick intestines to stop surplus; Mix herbs with licorice.
Pharmacology Gegen Qinlian decoction has obvious antipyretic effect on endotoxin-induced fever rabbits. It can inhibit Shigella flexneri, Salmonella typhi, Staphylococcus aureus and human rotavirus. It can inhibit the diarrhea of mice caused by endotoxin; Can promote gastric emptying in mice; It can relax the isolated intestinal muscles of rabbits and resist the excitatory effect of acetylcholine on the intestine.
Usage: decoction, daily 1 dose, taken in the morning and evening.
Fanggehuoxiang Zhengqi Powder
Source "Taiping Huimin Hutchison Bureau"
Comprise 5g of pericarpium Arecae, 5g of radix Angelicae Dahuricae, 5g of perilla and 5g of Poria; Banxiaqu, Atractylodis Rhizoma, Pericarpium Citri Tangerinae, Magnolia Officinalis, Platycodon grandiflorum, Pogostemon Pogostemonis, Radix Glycyrrhizae Preparata, 3 slices of ginger and 65,438+0 jujubes.
Function of relieving exterior syndrome, eliminating dampness, regulating qi and regulating middle energizer.
Indications: acute gastroenteritis, exogenous wind-cold, internal injury and dampness stagnation. Symptoms include epigastric pain, vomiting and diarrhea, watery diarrhea or aversion to cold and fever, headache and white greasy tongue coating.
In the recipe, Huoxiang Zhengqi water, clear and turbid is king; Perilla frutescens and Angelica dahurica can disperse the fragrance, help Huoxiang dispel the cold, and can also disperse the dampness and turbidity by fragrance; Banxiaqu and Chenpi can eliminate dampness and stomach, reduce adverse reactions and stop vomiting; Atractylodes macrocephala, Poria, invigorating spleen and promoting diuresis, and stopping diarrhea; Magnolia Officinalis and Peritoneum are wet, and the new ones are removed in the middle; Platycodon grandiflorum dispersing lung and benefiting diaphragm; Ginger, jujube and licorice harmonize health and medicine.
Pharmacological research shows that Huoxiang Zhengqi Water has the effects of inhibiting intestinal contraction, gastrointestinal propulsion and bacteriostasis in vitro, and has obvious inhibitory effects on Staphylococcus aureus, paratyphoid A, paratyphoid B and Shigella dysenteriae.
Decoct with water.
Fang Sanlian pu yin
Source "cholera theory"
It consists of 6 grams of prepared Magnolia Officinalis, 3 grams of ginger, 3 grams of Acorus gramineus, 3 grams of prepared Pinellia ternata, 9 grams of fried black beans, 9 grams of burnt gardenia and 60 grams of reed rhizome.
Function: clearing away heat and promoting diuresis, regulating qi and regulating middle energizer.
Indications: Acute gastroenteritis with damp-heat syndrome. Symptoms include vomiting and diarrhea, chest fullness, restlessness, short and red urine, yellow and greasy tongue coating and slippery pulse.
Fang Jie reed roots clear away heat and regulate the stomach, remove annoyance and stop vomiting; Coptis chinensis clearing heat and eliminating dampness, Magnolia officinalis regulating qi and eliminating dampness, Acorus calamus aromatizing dampness, Pinellia ternata and stomach drying dampness, the combination of the four can make dampness clear, regulate qi and harmonize; With gardenia and lobster sauce, you can clear your chest and relieve boredom. The compatibility of various drugs can eliminate damp-heat, harmonize spleen and stomach, and stop vomiting and diarrhea.
Pharmacology Magnolia Officinalis can regulate gastrointestinal motility, small dose can excite intestine, and large dose can inhibit intestine. High concentration of berberine can inhibit ileocele spasm in isolated guinea pigs. Acorus gramineus decoction has a strong spasmolytic effect on isolated ileum of guinea pigs, and can also promote the secretion of digestive juice and prevent abnormal fermentation of gastrointestinal tract. Pinellia ternata can inhibit vomiting center and stop vomiting.
Decoct with water, and warm.
Fangsi Muxiang Binglang Pills
Source "Confucian blind date"
Consists of Radix Aucklandiae, Areca catechu, Pericarpium Citri Reticulatae Viride, Pericarpium Citri Tangerinae, Rhizoma Curcumae and Rhizoma Coptidis each 3g, Cortex Phellodendri and Radix et Rhizoma Rhei each 5g, Rhizoma Cyperi and Petunia each10g.
Function of promoting qi circulation, guiding stagnation, attacking accumulation and releasing heat.
The indication is acute gastroenteritis, which belongs to damp-heat dyspepsia. Symptoms include abdominal distension and pain, purulent acid pus, diarrhea with sticky odor, acute diarrhea, yellow and greasy tongue coating and heavy pulse.
In the prescription, radix aucklandiae and areca catechu promote qi circulation to guide stagnation, eliminate interior urgency and eliminate abdominal distension; Rhubarb and Petunia attack accumulation, guide stagnation and release heat; Gasification of Pericarpium Citri Reticulatae Viride and Rhizoma Cyperi; Curcuma zedoary soothes the liver and relieves depression, and breaks the qi in blood; Chenpi regulates qi and stomach, strengthens spleen and dries dampness; Coptidis Rhizoma and Cortex Phellodendri clear away heat and dry dampness. The whole prescription is mainly based on promoting the circulation of qi and removing stagnation, with the products of clearing heat and promoting blood circulation, which play the role of promoting the circulation of qi and removing stagnation and removing heat.
Pharmacological Radix Aucklandiae can regulate gastrointestinal movement and promote gastric emptying. Betel nut and morning glory increase intestinal peristalsis. Pericarpium Citri Reticulatae volatile oil has slight stimulation on gastrointestinal tract, which can promote the secretion of digestive juice and eliminate intestinal gas accumulation. Yellow and white can enhance the contraction of isolated rabbit intestine. Low dose rhubarb can promote gastric juice secretion and gastric motility in vitro.
Decoct with water.
Wu Fang Baohe Pill
Source "Danxi Heart Method"
It consists of hawthorn 18g, medicated leaven 6g, Pinellia tuber poria 9g, dried tangerine peel, forsythia suspensa and radish seed 6g.
Digestion and stomach function.
The indication is acute gastroenteritis, which is caused by food stagnation. Symptoms include abdominal pain, bowel sounds, loose stool, bad smell similar to egg failure, pain relief after diarrhea, abdominal distension, rancid and sour taste, loss of appetite, turbid or thick fur and slippery pulse.
Reusing hawthorn in recipes can eliminate all accumulated food, especially the accumulation of greasy meat; Divine comedy helps digestion and spleen, and makes good use of old grain and wine; Radish is superior to threshed products. Pinellia ternata and dried tangerine peel can regulate qi and stomach to stop vomiting; Poria cocos infiltrates dampness, strengthens spleen and mediates diarrhea; Forsythia suspensa can clear away heat and dissipate stagnation. The combination of various medicines has the functions of promoting digestion, regulating the stomach, clearing away heat and eliminating dampness.
Pharmacological experiments show that this sugar-free granule can significantly increase the frequency of intestinal peristalsis, accelerate the movement of small intestine, increase the secretion of gastric juice, improve the activity of pepsin and increase the output of pepsin and pancreatic protein in mice.
Decoct with water.
Liu Fang Banxia Xiexin Decoction
Source: Guangming Traditional Chinese Medicine
It consists of Jiang Banxia 12g, Coptidis Rhizoma 9g, Scutellariae Radix 9g, Radix Codonopsis 12g, Radix Aucklandiae 12g, Cortex Magnolia Officinalis 12g, Radix Paeoniae Alba 15g, dried ginger 6g, Atractylodis Rhizoma 12g, and Semen Plantaginis 65433.
Function of cold and heat, dispersing stagnation and removing new things.
Indications: Acute gastroenteritis, characterized by stomach discomfort or fullness, nausea, vomiting, colic, yellow watery stool with mucus, or fever, red tongue and greasy tongue coating.
The prescription of Banxia Xiexin Decoction is that Banxia is king, and efforts should be made in the stomach to harmonize the stomach and reduce bloating, reduce adverse reactions and stop vomiting; Supplemented with dried ginger, pungent and warm to dispel cold, enhancing its pungent and astringent effect; Coptis chinensis and Scutellaria baicalensis Georgi are bitter and cold, purging heat, enhancing their ability to relieve bitterness and eliminate adverse reactions; Ginseng, grass and jujube strengthen the spleen and replenish qi, and mediate middle energizer. At the same time, on the basis of the original prescription, add white peony root to relieve pain; Aucklandia is depressed in the stomach; Magnolia officinalis eliminates stomach stagnation; Atractylodes rhizome is dry and wet to remove spleen dampness and nourish Qing Yang; Plantain seeds are diuretic and laxative. Cold and heat, hard work and reinforcing and reducing are combined in the whole prescription, so that the stomach and qi are balanced and the fluctuation returns to normal, and then the symptoms of fullness and vomiting disappear automatically.
Pharmacological Jiang Banxia can inhibit vomiting center and stop vomiting. Scutellaria baicalensis Georgi and Coptis chinensis have strong antibacterial effects in vitro, and have inhibitory effects on Staphylococcus and Shigella dysenteriae. Coptis chinensis Berberine can also resist intestinal hypersecretion, diarrhea and death caused by Vibrio cholerae and Escherichia coli. Atractylodes lancea volatile oil can inhibit gastrointestinal smooth muscle movement. Dried ginger has spasmolytic, analgesic, anti-inflammatory and antidiarrheal effects.
Usage: daily 1 dose, decocted in water twice, and taken twice, with 3 days as a course of treatment. When taking medicine, the principle should be a small amount and many times, so as to avoid vomiting when the medicine juice enters the stomach. For some patients with severe nausea and vomiting, half a spoonful of ginger juice should be taken before taking the medicine to stimulate appetite and stop vomiting.
Fangji Huashi Huoxiang Decoction (Syndrome Differentiation of Epidemic Febrile Diseases)
Source "Jiangsu Traditional Chinese Medicine"
Is prepared from talc 15g, Pogostemon cablin 10g, Poria cocos bark 10g, Polyporus umbellatus 10g, Pericarpium Citri Reticulatae 10g, Fructus Amomi 5g (below), Magnolia Officinalis 5g, Akebia stem 5g, Aquilaria Resinatum 10g.
Function of aromatization, promoting qi circulation and relieving depression.
Indications: Acute gastroenteritis, characterized by damp-heat blocking the spleen and stomach, with dampness being heavier than heat. Symptoms include chest tightness, nausea, vomiting, loss of appetite, dry mouth without drinking, yellow urine, red tongue, white greasy fur and slippery pulse.
Talc in Fang Jie Fang can clear away heat and promote diuresis; Huoxiang stalk eliminates dampness and stops vomiting; Poria cocos peel, Polyporus umbellatus and medulla tetrapanacis are used for diuresis and dampness elimination; Chenpi Jianpi Shi Gan; Nutmeg is perfumed and humidified; Magnolia officinalis and Radix Aucklandiae promote qi; Jiaocha A helps digestion and stomach.
Pharmacology The volatile oil of Pogostemon cablin can promote the secretion of gastric juice, enhance digestion, relieve gastrointestinal spasm and stop diarrhea. Pericarpium Citri Reticulatae volatile oil has slight stimulation on gastrointestinal tract, which can promote the secretion of digestive juice and eliminate intestinal gas accumulation. Radix Aucklandiae and Cortex Magnolia Officinalis regulate gastrointestinal motility. Cardamom can promote the secretion of gastric juice, promote gastrointestinal peristalsis, stop abnormal fermentation in the intestine and get rid of gastrointestinal gas accumulation, so it has a good aromatic and stomach-strengthening effect and can stop vomiting.
Usage: daily 1 dose, decocted twice in water and taken separately.
Jiawei Fangba Sanren Decoction
Source: Journal of Practical Internal Medicine of Traditional Chinese Medicine
Is prepared from almond 10g, cardamom seed 10g, coix seed 30g, talc 10g, bamboo leaf 10g, magnolia officinalis 10g, medulla tetrapanacis 10g, prepared Pinellia ternata 10g.
Function of clearing away dampness and heat, resolving food stagnation.
Indications for acute gastroenteritis, that is, dampness is heavier than heat.
Almonds in the recipe spread lung qi, and gasification is wet. Nutmeg is fragrant and moist, and its gas is wide; Coix seed diuresis, heat clearing and spleen strengthening; Talc, medulla tetrapanacis and bamboo leaves are slightly wet; Pinellia ternata and Magnolia officinalis should be humidified and the lump should be eliminated. Divine comedy and burnt hawthorn help digestion and dissolve accumulation; Paeonia lactiflora and Glycyrrhiza uralensis Fisch can relieve pain urgently.
Pharmacology Cardamom can promote gastric juice secretion, promote gastrointestinal peristalsis, stop abnormal intestinal fermentation, and eliminate gastrointestinal gas accumulation, so it has a good aromatic and stomach-strengthening effect and can stop vomiting. Papaya seems to have the effect of relieving gastrointestinal muscle spasm. Pyrrosia decoction has inhibitory effects on Staphylococcus aureus, Escherichia coli and Proteus in different degrees. The combination of Radix Paeoniae Alba and Radix Glycyrrhizae can relieve gastrointestinal smooth muscle spasm and relieve pain.
Usage: decoct in water, daily 1 dose, three times per dose, and take 600 ml of medicinal juice, which can be drunk at any time by people who often vomit.
Fang JIU Shen Shu San
Source: China Journal of Practical Chinese and Western Medicine
It consists of 6 6- 10/0g of Pogostemon Pogostemonis, 2g of Amomum villosum (below), 3g of Cyperus rotundus, 3g of dried tangerine peel, 6g of Atractylodes lancea and 2g of licorice.
Function: strengthen the spleen to stop diarrhea, and regulate the stomach to stop vomiting.
Indications: Acute gastroenteritis in children.
In the prescription, Pogostemon cablin disperses exterior evils, turns dampness into turbidity, and with Amomum villosum, it can not only regulate qi, but also eliminate filth and stop vomiting. Rhizoma Atractylodis and Rhizoma Ligustici Chuanxiong have the functions of eliminating dampness, invigorating spleen and eliminating swelling; Chenpi regulates qi and stagnates; Licorice strengthens the spleen and stomach, and harmonizes various medicines.
Pharmacology The volatile oil of Pogostemon cablin can promote the secretion of gastric juice, enhance digestion, relieve gastrointestinal spasm and stop diarrhea. Amomum villosum volatile oil and Pericarpium Citri Tangerinae volatile oil can promote gastric juice secretion and eliminate gas accumulation in digestive tract, so they can promote qi circulation and reduce swelling. Atractylodes lancea volatile oil can inhibit gastrointestinal smooth muscle movement.
Usage: daily 1 dose, 80 ~ 120ml each time, 3 ~ 4 times, 2 days as 1 course of treatment.
According to the statement, Pueraria lobata, Scutellaria baicalensis Georgi and Chuanxiong are added to those with severe damp heat; Dry ginger is added for those with severe cold and dampness; Semen Coicis and Semen Plantaginis are added for frequent diarrhea; Jiang Banxia and Fulonggan are added to patients with severe vomiting; Massa Medicata Fermentata is added for patients with obvious abdominal distension; Microscopic examination of stool is red.
Pulsatilla chinensis and Euphorbia humifusa are added for patients with leukocytosis.