Chinese medicine believes that vomiting is due to stomach disharmony, depression and stomach qi rushing up. Vomiting is caused by excess or deficiency of pathogenic factors, which can be divided into various syndromes such as food retention, emotion, phlegm retention, spleen and stomach deficiency and cold, and exogenous pathogenic factors invading the stomach. Traditional Chinese medicine treats nausea and vomiting according to different pathogenesis, among which regulating stomach and lowering adverse flow is the basic treatment.
Treatment based on syndrome differentiation:
1, spleen and stomach weakness
Symptoms: Slight carelessness or fatigue in diet means easy vomiting, intermittent eating, loss of appetite, abdominal distension, pale mouth, pale complexion, listlessness, pale tongue, thin white fur and weak pulse.
Treatment: invigorating qi and spleen, harmonizing stomach and descending adverse flow.
Prescription: Xiangsha Liujunzi Decoction.
Ginseng, Poria, Atractylodes macrocephala, Glycyrrhiza uralensis, Amomum villosum and Radix Aucklandiae can regulate qi, and reduce adverse reactions. Flos Caryophylli and Fructus Evodiae can be added to regulate stomach and reduce adverse reactions; If spleen deficiency is cold, dry ginger and aconite can be added, or Fuzi Lizhong Pill can be used to warm the middle warmer and strengthen the spleen. If the stomach qi is insufficient, the heart is swollen and hard, and the silk is dry, Fu Xuandai Zhetang can be used to reduce the adverse reaction and stop vomiting; If the middle qi is insufficient and weak, Buzhong Yiqi Decoction can be used to replenish the middle qi. If the disease reaches the kidney for a long time, the kidney yang is insufficient, the waist and knees are weak, and the limbs are cold and sweaty, cinnamon and Evodia rutaecarpa can be added to Fuzi Lizhong decoction to warm the spleen and kidney.
2. Deficiency of stomach yin
Symptoms: repeated vomiting, but not much vomiting, or only spitting, sometimes retching, dry mouth and throat, noisy stomach, hunger without food, red tongue, little body fluid and rapid pulse.
Treatment: Nourish the stomach yin, harmonize the stomach and reduce the adverse flow.
Prescription: Maimen Dongtang.
In the prescription, ginseng, Ophiopogon japonicus, japonica rice and licorice nourish stomach yin, Pinellia ternata can reduce adverse reactions and stop vomiting, and jujube can strengthen the spleen and promote fluid production. If yin deficiency is serious and five people are upset and hot, Dendrobium, pollen and Anemarrhena can be added to nourish yin and clear heat; If vomiting is serious, orange peel, bamboo shavings and loquat leaves can be added to reduce adverse reactions and stop vomiting; If it is constipation due to yin deficiency, Fructus Cannabis, Fructus Trichosanthis, and white honey can be added to moisten the intestine to relieve constipation.
3. Exogenous pathogens attack the stomach
Symptoms: vomiting food, strong vomiting, sudden onset, acute onset, often accompanied by aversion to cold and fever, chest tightness, loss of appetite, white tongue coating and slow pulse.
Treatment: eliminate pathogenic factors, relieve exterior syndrome, and regulate stomach.
Prescription: Huoxiang Zhengqi Powder.
In the prescription, Pogostemon cablin, Perilla frutescens and Angelica dahurica are fragrant and turbid, which can dispel pathogenic factors and relieve exterior syndrome; Magnolia Officinalis and Pericarpium Arecae regulate qi and eliminate pimples; Atractylodis Rhizoma, Poria and Glycyrrhrizae Radix. Pericarpium Citri Reticulatae, Rhizoma Pinelliae, and Hewei can reduce adverse reactions, and * * * has the functions of eliminating pathogenic factors, relieving exterior syndrome, regulating stomach, reducing adverse reactions and stopping vomiting. If the pathogenic wind is severe, and there is no sweat due to cold and heat, Schizonepeta tenuifolia and Fangfeng Qufeng can be added. If you see chest tightness, bloating and decay. For food accumulation, chicken gizzard-membrane, medicated leaven and radish seed can be added to help digestion; If the body aches, lumbago, heavy head and tiredness, and thick and greasy fur are external dampness, Notopterygium Rhizoma, Radix Angelicae Pubescentis and Rhizoma Atractylodis can be added to eliminate dampness and strengthen the spleen; If summer evil attacks the stomach and the body is hot and sweaty, you can add a new fragrant drink to relieve summer heat and dampness; If you feel fishy and vomit badly, you can swallow Yushudan to prevent fishy smell and stop vomiting. If wind and heat attack the stomach, Yinqiao powder can be used to remove headache and body heat, and dried tangerine peel and bamboo shavings can be added to dispel wind and clear heat, regulate stomach and reduce adverse flow.
4. Diet stagnation
Symptoms: acid vomiting, abdominal distension, refusal to press, belching, anorexia, poor food, fast vomiting, sticky stool, foul smell, thick and greasy fur and slippery pulse.
Treatment: digestion and stagnation, regulating stomach and descending adverse flow.
Prescription: Baohe Pill.
In the prescription, Massa Medicata Fermentata, Fructus Crataegi and Radish can help digestion and digestion, while Pericarpium Citri Tangerinae, Rhizoma Pinelliae, Poria and stomach can reduce adverse reactions, and Fructus Forsythiae can clear away heat. Rice sprout, malt and endothelium corneum Gigeriae Galli can also be added. Promote digestion and strengthen stomach; If stagnation turns to heat, abdominal distension and constipation, Xiaochengqi decoction can be used to clear fu-organs and clear heat, so that turbid qi can be reduced and vomiting can stop on its own; If you vomit immediately after eating, have bad breath and thirst, and your stomach is hot, you can use Zhuru Decoction to clear your stomach and reduce adverse reactions. If you eat unclean and sour food by mistake, but you see abdominal pain and feel like vomiting, you can follow the trend and use the tongue depressor to explore vomiting and eliminate evil.
5. Phlegm drinking
Symptoms: Vomiting is mostly clear water, phlegm and saliva, chest tightness, loss of appetite, dizziness and palpitation, or vomiting, bowel sounds, greasy fur and slippery pulse.
Treatment: Warming and resolving phlegm, regulating stomach and descending adverse flow.
Prescription: Xiao Banxia Decoction combined with Gui Ling Shugan Decoction.
Ginger, Pinellia tuber and stomach are used to reduce adverse reactions, and Poria, Ramulus Cinnamomi, Atractylodis Rhizoma and Glycyrrhiza uralensis are used to warm the spleen. Evodia rutaecarpa and Pericarpium Citri Tangerinae can be added to warm spleen and dry dampness. For abdominal pain due to qi stagnation, Cortex Magnoliae Officinalis and Fructus Aurantii can be added to promote qi circulation and remove swelling; If the temper is sleepy, Fructus Amomi, Fructus Amomi rotundus and Rhizoma Atractylodis can be added to stimulate appetite and strengthen the spleen. If the turbid phlegm blinds Qing Yang and makes you dizzy, you can use Banxia Baizhu Tianma Decoction to strengthen the spleen and dry the dampness, eliminate phlegm and calm the wind; If phlegm turns to heat and the mouth is bitter, Huanglian Wendan Decoction can be used to clear away heat and resolve phlegm, and regulate the stomach to stop vomiting: if the upper abdomen is full and there is vibrating sound in the stomach, 0.5g of Gansui fine powder can be temporarily added, encapsulated and taken with warm boiled water on an empty stomach in the morning, once a day, for 2-3 days.
6. Liver qi attacking the stomach
Symptoms: vomiting, acid swallowing, frequent belching, fullness in chest and hypochondrium, and discomfort. Due to emotional discomfort, vomiting and acid swallowing are aggravated every time, with red tongue edge, thin white fur and thin pulse.
Treatment: soothing liver and regulating qi, regulating stomach and stopping vomiting.
Prescription: Sini Powder combined with Banxia Houpu Decoction.
In the prescription, Bupleurum, Fructus Aurantii and Radix Paeoniae Alba soothe the liver and regulate qi, Magnolia Officinalis and Perilla frutescens promote qi and relieve depression, and Pinellia ternata, Poria, Ginger, Glycyrrhiza uralensis, and stomach-regulating. Orange peel, Inula flower, bamboo shavings, roasted loquat leaves, etc. Can be added with the effects of strengthening stomach and lowering adverse flow; If qi stagnation turns into fire, people are upset with dry throat and bitter taste, they can be combined with Zuojin Pill to clear heat and stop vomiting; If the fu-organs and qi are blocked, constipation can be caused, and Dachaihu decoction can be used to clear away heat and dredge fu-organs; If qi stagnation and blood stasis cause hypochondriac tingling, Radix Salviae Miltiorrhizae, Radix Curcumae, Radix Angelicae Sinensis and Rhizoma Corydalis can be added to promote blood circulation, remove blood stasis and relieve pain.
Folk prescription treatment:
1, drink goat milk to treat nausea and retching
[Prescription] Appropriate amount of fresh goat milk.
[Usage] Boil goat's milk. Drink 1 cup twice a day.
[Efficacy] Nourish yin and stomach. Treat nausea and retching caused by yin deficiency.
2, vinegar alum paste external application to stop vomiting
[Prescription] Old vinegar, alum and flour are appropriate.
[Usage] Three flavors are mixed into paste. When in use, it is applied to Yongquan point of both feet and fixed with gauze. Generally, the antiemetic effect can appear after half an hour.
【 Efficacy 】 Digestion, accumulation, detoxification, clearing away heat and addiction. Used to treat vomiting and diarrhea.
3, radish honey to stop nausea and vomiting
[Prescription] 1 radish 50g honey.
[Usage] Wash the radish, shred it, mash it and mix it with honey. Eat it twice.
【 Efficacy 】 Spleen, middle energizer and stomach nourishing. Used to treat nausea and vomiting.
4, white pepper Pinellia tuber to treat vomiting
[Prescription] White pepper, Pinellia tuber, ginger, etc.
[Usage] The first two flavors are finely ground. Fried soup with fresh ginger. Mix ginger soup and noodles with white pepper and half a summer, and knead into large pills. Take 30-40 capsules each time and take them with ginger soup twice a day.
[Efficacy] Warm the stomach. Can be used for treating emesis (including gastritis, pyloric hypertrophy, stenosis, early gastric cancer, etc.). ).
5, sugarcane ginger juice treatment of vomiting and retching.
[Prescription] Half a cup of sugarcane juice, fresh ginger juice 1 tablespoon.
[Usage] Sugarcane juice is the juice obtained by peeling and mashing sugarcane. Ginger juice is also made in this way. Mix the two kinds of fruit juices and drink them at a mild temperature twice a day.
【 Efficacy 】 Clearing away heat and toxic materials, regulating stomach and stopping vomiting.
massotherapy
Massage spleen meridian 100 ~ 300 times (about 3 minutes) to strengthen spleen and stomach. Push Banmen point 100 ~ 300 times (about 3 minutes) to reduce adverse reactions and stop vomiting. Press Wailaogong point 100 ~ 300 times (about 3 minutes) to warm yang, dispel cold and stop vomiting. Directly push Tianzhu point 100 ~ 500 times (about 5 minutes) to reduce adverse reactions and stop vomiting. Rub the abdomen 100 ~ 300 times (about 3 minutes) to promote digestion, regulate the stomach, reduce adverse reactions and stop vomiting.
needle therapy
Exogenous pathogens invading the stomach type: commonly used in Zhongwan, Zusanli, Neiguan, Hegu and Gongsun, purging method is used to eliminate pathogenic factors, relieve exterior syndrome, harmonize the stomach and reduce adverse reactions.
Diet stagnation type: Neiguan, Gongsun, Zusanli, Shu Tian and Xiawan are commonly used to stop diarrhea, promote digestion, eliminate stagnation, regulate stomach and reduce adverse flow.
Liver-qi invading the stomach type: it is commonly used at Zhongwan, Zusanli, Neiguan, Yanglingquan and Taichong points, and purges the liver and stomach.
Spleen and stomach deficiency and cold type: commonly used spleen Shu, stomach Shu, Zhongwan, Neiguan and Zusanli, reinforcing method and moxibustion, warming the middle warmer and strengthening the spleen, and regulating stomach adverse reactions.
Spleen and stomach yin deficiency type: commonly used Zhongwan, Neiguan, Yinlingquan, Shu Wei, with tonic method, nourishing yin and stomach, reducing adverse reactions and stopping vomiting.
Type of excess heat of spleen and stomach: Neiguan, Zhongwan, Gongsun, Shu Tian, Zhigou and Xiawan are commonly used, and purging method can clear heat and guide stagnation, and regulate stomach and stop vomiting.
Type of convulsion: Zhongwan, Zusanli, Neiguan, Taichong, Shenmen and Yanglingquan are commonly used, and the purging method is used to clear the liver and soothe the nerves, reduce the adverse flow and stop vomiting.
Diet therapy:
1, barley 100g, soak for half a day, cook porridge, add a little soda, sugar and salt, and mainly drink rice soup. Soda is added to prevent metabolic acidosis caused by vomiting.
2. Half a pig's belly (stomach) or sheep's belly, remove the fat film, shred it after boiling water, simmer the soup on low heat, add 50 grams of fresh ginger slices when it is almost cooked, and cook for 10 minute.
3, 50 grams of dried tangerine peel and bergamot, simmer for about 30 minutes, add 50 grams of lotus root powder after cold water, boil, add sugar to taste.
4, about 500 grams of pig or sheep cavity bone, simmer slowly, cut 200 grams of white radish, add 50 grams of dried ginger and dried tangerine peel, cook for about 20 minutes, add salt and seasoning, and often drink soup.
5.65,438+000 g of rice buds and malt (self-provided or sold in Chinese medicine shops), washed and simmered for about 30 minutes. Add 100g loquat fruit (peeled and pitted) and 50g hawthorn fruit (pitted), cook for about 20 minutes, add appropriate amount of rock sugar, and eat out pulp and soup.