(One pulse syndrome is 54 square and 16 prescriptions)
Women have a stroke for seven or eight days, followed by a cold and fever, and sometimes water breaks. This is called heat entering the blood room. Its blood is bound to knot, so it will sometimes attack like malaria. Xiaochaihu decoction is a master.
When a woman has typhoid fever, she will be awake during the day and unconscious at dusk. If she is like a ghost, it is heat that enters the blood chamber. If cured, she will heal herself, and will not cause stomach gas and upper secondary energizer.
When a woman has a stroke, fever and aversion to cold, it will be comfortable to pass water for seven or eight days, while heat will delay her pulse, and her body will be cold and her chest will be full. If she has a heart knot, she will be delirious. This is heat entering the blood chamber, so she should accept it.
Yangming disease, when the blood is unconscious, is that heat enters the blood chamber, but the head sweats. If the door is pricked, it will be fine to have loose bowels and sweat with the facts.
Women's illness is due to deficiency, cold accumulation, qi stagnation and water barrier. Over the years, blood cold accumulates in the cell door, which hurts the meridians and congeals at the top: spitting and spitting, lung abscess for a long time, and physical damage; Middle: induration, cold hernia around navel, or bilateral pain, connected with Tibet; Or heat, pain in Guanyuan, no sore pulse, muscle like fish scales, sometimes affecting men, not women; Next item: not much, irregular menstruation, cold and yin pain, less abdomen, aversion to cold, or low back, strange street, shortness of breath pain, knee and shin pain, sudden dizziness, epilepsy, or depression, sadness and anger, are all brought down, not ghosts and gods. Long-term thin, weak and cold pulse, 36 diseases, ever-changing pulse. It is necessary to judge the yin and yang of the pulse condition, tighten the string of excess and deficiency, and treat it with acupuncture and medicine to save the day. Although it is the same disease, but the pulse source is different, it needs to be distinguished and remembered.
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Xiaochaihu Decoction, Banxia Houpu Decoction, Glycyrrhiza Maizao Decoction, Xiaoqinglong Decoction, Xiexin Decoction, Wenjing Decoction, Sweet Potato Root Powder, Soaking Flower Decoction, Jiaojiang Decoction, Dahuang Gansui Decoction, Didang Decoction, Fan Shi Pill, Red and Blue Flower Wine, Danggui Shaoyao Powder, Xiaojianzhong Decoction, Shenqi Pill, Fructus Cnidii Powder, Langya Decoction, Gaofa Decoction and Xiaoer Spleen Decoction.
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Ganmai Jujube Soup, the patent medicine is brain-nourishing Le Jing.
Original: The woman is dirty and anxious, happy and sad, and wants to cry. It seems that the fairy did it, and the quantity is not enough, mainly sweet wheat and jujube soup. Chapter 22 of synopsis of the golden chamber treats women's miscellaneous diseases and pulse conditions
Original prescription: licorice three liang? A liter of wheat? Ten dates? Take three flavors, six liters of water, three liters of boiling water, and warm three portions, which is also a temper tonic.
note:
Generalized analogy: epilepsy is caused by depression and boredom, sleepless nights, aversion to cold and fever, war, saying the wrong thing, being in a trance, fidgeting, and endless tears.
Don Xiao Yi: About "Mai" in Ganmai Jujube Soup
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Baidu Post Bar: Han Dynasty 1L = 300-350g.
Clinically, I often use 60-100g and half of licorice and jujube.
The original text is 6 liters of water. If the wheat is only140g, 6 liters of water is too much.
If it is 300 grams, the amount of water is just right.
Medical records:
Xuanzhenzi: name, gender and age; Mao is her daughter, two months old.
2 address, call back; [Shaanxi] Dongling Village, Wangling Township, Luonan County 09 14-7577932
3 symptoms and signs; Cry at night and sleep for more than twenty days during the day.
4. Auxiliary inspection; not have
5 diagnosis or temporary diagnosis; Cry at night
6 Han or Tang; Ganmai jujube decoction
7. Effect evaluation; Call back, pay less, pay more.
R 109: Ganmai Jujube Decoction has been used to treat more than 10 cases of "suspected depression", with quick and clear effect.
? A recent case. Xu female, 27 years old. After pregnancy, the whole body is uncomfortable, and the six gods are uneasy. Later, it developed into frequent vomiting, pain all over the body, restlessness and silence, which was unbearable. Many places in southern Jiangsu and Shanghai failed to seek medical treatment. In desperation, she induced labor and terminated her pregnancy in July.
? Looking at her medical records everywhere, the only thing that is clear is that gallstones are 0.8 cm. Experts in both Chinese and western medicine suggest that the gallbladder be removed before pregnancy and delivery, so she will rest for 3 months. On the second day after minimally invasive cholecystectomy, the above symptoms reappeared and the family members panicked. Observing the patient, he can't eat, he vomits when he eats, and he doesn't want to get out of bed and lie flat. He just sighs with his head buried and always stretches. He sat on the bed and rubbed his lower limbs with his hands, repeating his movements monotonously and asking him what he was suffering from, but he couldn't explain clearly. Ganmai jujube soup (prescription: licorice 6, floating wheat 30, jujube 10 tablets. There is no wheat in the drugstore, and licorice refuses to overdo it. After one dose, it is obviously improved. You can eat in small quantities and communicate with your family. After three doses, it completely returned to normal. The family members feel amazing and rekindle their hope and confidence in future pregnancy and childbirth.
? Regarding this interpretation, I personally think that the 009 exposition in Classic Prescriptions 100 is very accurate, vivid and detailed enough to guide clinical practice.
Ziyun Xiaoyu: My baby is just full moon. After sleeping for about 1 hour, it is easy to wake up and cry. During the day, several adults are exhausted by him. Although it was discovered a few days ago that seven star tea was fed to the baby, the result became heavier and heavier.
Children always yawn, but they can't sleep deeply, much like Tibetan mania in Zhongjing's Treatise on Febrile Diseases. Compared with the experience of treating children's nocturnal cries in My Career of Traditional Chinese Medicine written by Dr. Lou, Juncus Juncus and boiled water are used to treat fever, while Ganmai Jujube Decoction is not effective in treating cold and heat symptoms. Ganmai jujube decoction is a classic prescription of Zhongjing for treating dirty mania. It is composed of licorice and wheat jujube, and both of them are food, which is far safer than the complex ingredients in seven star tea. My son's cold and fever are not obvious. This recipe is just right. Glycyrrhrizae Radix10g Flour Wheat 40g Jujube10g, and mother and son can drink it together. In fact, children drink about 80 ml a day, but the effect is remarkable. They immediately calm down, can sleep deeply, and it is much easier to carry.
A classic prescription is a classic prescription. The more cups you cover, the better. In order to consolidate, I later bought 1 dose and spent more than 3 yuan. As a result, I also benefited a lot, and the whole family could drink it and sleep soundly until dawn. I really don't understand that there are such good prescriptions in the world, but the world doesn't have to use them. Why do you have to pick up an invalid seven star tea? !
Don't worry about children not drinking this. Although not as sweet as glucose, it is not bitter. Ni Shi said that he would drink any bitter medicine as long as the child needed it. As long as it was right, it really happened!
In fact, in Zhong Jing's Treatise on Febrile Diseases, this prescription is for menopausal women to be sad, yawn and cry for no reason. It seems that its application scope is far more than this.
Integrated Traditional Chinese and Western Medicine: Case 1: Female patient surnamed Zhang, 24 years old, salesman, living in Lanzhou (Qingyang, Gansu). 2065438+On May 28th, 2003, the first visit was made in the author's sitting pharmacy. Chief complaint: the left lower eyelid pulsates for more than a year, often angry and crying, and it is easy to attack after running business; Frequent headaches, dizziness, neck pain, less menstrual flow, and easy mood swings (the patient's original words: "Watching TV dramas is easier to cry and overreact than ordinary people"). I fainted twice before I got sick. Over the past year, I have often taken insect Chinese medicine prescribed by a pharmacy in Xiguan, Lanzhou, with 6 or 7 payments each time, several hundred yuan, and decocted by machine. Taking medicine is effective, but if you refuse to accept it, it is ineffective. It can be seen that the left lower eyelid twitches frequently, the tongue is red, the fur is thin, the pulse is thin and slow, the figure is slightly thin, and the complexion is average. Three doses of Ganmai Jujube Decoction and Uncaria rhynchophylla: licorice 10, floating wheat 30, jujube 5, Uncaria rhynchophylla 12. The patient was busy at ordinary times, and returned to the clinic about a month later, saying that the medicine was effective (the patient's original words: "the effect was similar to that of insect medicine") and comfortable, and asked to take the original prescription again.
Case 2: Patient Zhang, female, 53 years old, retired from western medicine, lives in Xiguan, Lanzhou. This patient has been a doctor for 20 years. As a classmate of the author, I often find myself to recuperate this year. On July 27th, 20 13, the patient was admitted to the pharmacy. Complaint: I have a bad cough recently, mainly paroxysmal severe dry cough at night, which affects my sleep. I feel my cough coming from deep in my chest. Often itchy nose, sneezing, runny nose, dry nose, chest tightness, "phlegm blocking feeling", "heat feeling", palm fever. I have been in a bad mood for many years (unhappy family life) and my family has a history of mental illness. In the past, Shugan Hewei Pill, Dahuangchong Pill and Banxia Houpu Decoction were used to treat stomach discomfort, belching, anorexia, emaciation and so on, all of which had certain curative effects. Tall and thin, dark brown face, dull eyes, red tongue, slightly fat teeth marks, thin and moist fur, slightly weak pulse (I can't remember the details). Give Ganmai Jujube Decoction plus three doses of Radix Paeoniae Alba: licorice 10, floating wheat 30, jujube 5 and Radix Paeoniae Alba 18. About a week later, I went to see the doctor again and said that the medicine was comfortable and effective, and the taste of the medicine was good. At this time, cough is no longer the main complaint.
Note: Ganmai Jujube Decoction comes from Synopsis of Golden Chamber Miscellaneous Diseases of Women. Original text: "The woman is dirty and impatient, and likes to be sad and want to cry. As God has done, the quantity is not enough, and the sweet wheat jujube soup is the main one. Three Liang licorice, ten dates per catty of wheat? Yes, three flavors, six liters of water, three liters of boiling water and three portions of warm water. Also make up for your temper. " Ming Dow, the vector number, described this prescription as calming the heart and relieving spasm. Mainly used for hysteria, neurosis, children's night crying, insomnia, epilepsy, bipolar disorder, persistent laughter, frequent yawning, stomach cramps, uterine cramps, spasmodic cough, rectus abdominis cramps, and cranial nerve urgency. Tsumura's handbook describes: relatively low physical strength, obvious mental excitement, anxiety, insomnia, convulsions and so on. Rectus abdominis contracture. Diseases: night crying, spasms. Deng Tietao: Ganmai Jujube Decoction is used to treat the symptoms of deficiency of both heart and spleen. These symptoms are special and related to emotions, such as insomnia, dizziness, headache during pregnancy, joint pain (ants walking all over the body) and spontaneous sweating. It is also used for irregular menstruation, intractable neurasthenia and menopause. Hu Xishu: Deficiency syndrome can only be used, but excess syndrome can't sleep. Prescription: Dirty and impetuous. I am in a trance, often feel sad and want to cry, unable to control myself, fidgety, restless in sleep, and even abnormal in words and deeds. I often yawn, my tongue is reddish, with little fur and thready pulse.
Summary of study materials: Both Japanese and China people seem to attach great importance to their own side and describe it in detail. In short, the main symptoms are spasms: emotional or mental spasms ("tears of joy", hysteria, neurosis, night crying, etc. ), body spasm ("overstretching"), frequent yawning, stomach spasm, uterine spasm, tracheal spasm (cough), eyelid spasm, etc. This paper reports the treatment of emotional diseases such as nocturnal emission and depression with Lily Dihuang Decoction. In short, there must be emotional factors in the prescription.
Case 1: Eyelid muscle spasm, emotional-related seizures (often when angry or crying), emotional overreaction (the plot in TV series is easy to cause sadness and crying reaction), physical weakness (running business fatigue attack, less menstrual flow, body shape, tongue pulse, etc. ). The prescriptions and syndromes of Ganmai Jujube Decoction basically correspond, and it may be better to add modified Uncaria rhynchophylla and Radix Paeoniae Alba from the theory of liver wind in later generations. This prescription is about 2 3 yuan, which is as "effective" as the big and expensive insect prescription before, but "simple, convenient and cheap" is quite different. This prescription is basically a dual-purpose product for medicine and food. Compared with long-term use of large prescriptions and expensive prescriptions, the safety is self-evident.
Case 2: This prescription is used for spastic cough (paroxysmal dry cough), long-term emotional disorder and fatigue. The prescription and syndrome of Ganmai Dazao decoction are basically corresponding, and the modified Paeonia lactiflora combined with Paeonia lactiflora and Glycyrrhiza uralensis decoction is helpful to further relieve spasm. It is mild, comfortable and effective after taking the medicine.
This prescription has mild effect, and it has a comfortable and delicious experience after taking it in both cases. It is also a health care. At present, the popular prescription drugs are strong in flavor and heavy in dosage, and doctors want to show off their skills, while patients are quick for a while. This is the social mentality of impetuous people who are eager for quick success (not to mention the mercenary behavior of deliberately prescribing too many expensive prescriptions). This goes against the concept of health. Health is a lifelong systematic project, involving many aspects of life such as diet, exercise, psychology and daily life. Medicine is only one of the links. The advantages of traditional Chinese medicine in health care are not only reflected in the calm prescription mentality, but also suggested to guide patients' healthy lifestyle and follow the old saying of "committed to preventing diseases".
The above two cases are not as effective as one drum, so they are not typical cases. Take this case to improvise, show the learning and understanding of this card to the same person, and let the visitors point out the mistakes. (On the afternoon of 20 13-9-20, written in Xiaoxihu, Lanzhou)
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Sweet potato root powder
The menstrual water is not taken well, and the abdomen is full of pain. If we meet again in January, the roots of potatoes will be scattered. (Yin collapse and swelling is also the main cause)
Original prescription: sweet potato root, cassia twig, peony, scale insect, etc. Right Siwei powder, wine in square inches, three times a day.
Note: from the mire: This medicine is no longer available in pharmacies. The sweet potato root in Zhongjing's book refers to the red roasted cucurbitaceae plant, but now the sweet potato root sold on Taobao is the cucurbitaceae plant Wanggua. This fake sweet potato root will cause severe diarrhea after taking it, which is caused by not knowing the source of Zhongjing medicinal materials. Because it is difficult to buy genuine products, we have to use red envelopes instead of sweet potato roots, so the patient actually smashed Radix Paeoniae Alba, Ramulus Cinnamomi, and Scarab (Eupolyphaga Seu Steleophaga) with red envelopes 3 and decocted them with yellow wine. Sweet potato root Shennong said that it can cure blood stasis and close the moon, and beetle (Eupolyphaga Seu Steleophaga) is a powerful medicine for treating blood stasis in Zhongjing's book.
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Women are trapped in the classics, but they can't understand the black leakage. (This glue-free ginger soup invited by Rola Chen and other schools should be the glue soup before pregnancy. )
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Women have unfavorable menstrual obstruction and are obsessed with hiding hardness. Among them, there are dried blood and white matter, mainly Fan Shi pills.
Fan Shi pill prescription
Three points for alum (one point for burnt almond)
Two flavors on the right, and finally blindly, honey pills with big jujube cores are hidden inside, and the dramatist is inside again.
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Red and blue flower wine
Women have sixty-two kinds of wind, and the blood in their bellies stings, mainly red and blue flowers.
Original: One or two red and blue flowers? Just take a big liter of wine, fry it in half, drink it in half at a time, and drink it again. (Suspected non-Zhongjing Fang)
note:
Zhao Jie: Red and blue flowers, blue petals, safflower core, and the middle style is the medicinal part. The red and blue flowers are saffron, which has no abortion effect. The ancients fried 200 ml of wine to 100, while the ancients made rice wine with a low degree. This rice wine is similar to the fermented glutinous rice wine now. After brewing, there are both white rice grains and slightly white rice wine. Because when drinking, the ancients swallowed rice grains together, so the ancients called it drinking, not drinking, but actually eating and drinking together. The ancients called numbness, pain and inexplicable discomfort wind, because rice wine has a low degree, and alcohol accelerates the efficacy when used as medicine. It is often used to treat gynecological chronic abdominal pain with definite curative effect, but it is not suitable for acute abdominal pain such as ectopic pregnancy. In life, we can actually make red, blue and safflower wine into health wine. Saffron is more expensive, and people with financial difficulties can use saffron instead. In fact, there is no need to care too much. Usually put some safflower in liquor and drink a few cups occasionally, which can treat female abdominal pain and various abdominal discomfort, and men can also drink it to prevent cardiovascular and cerebrovascular diseases. Everything is fine, but the health wine didn't take effect immediately, because the dosage is small, not red and blue flowers 15 grams, but a few grams a day, so it is better to use it for a long time. Eating regularly is much better than intravenous acupuncture to prevent blood vessels. Advice on drinking habits is often used. It can be used as a therapeutic prescription, such as chilblain, dysmenorrhea, cardio-cerebral diseases, vasculitis and various pains and numbness.
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The formula of Fructus Cnidii powder is warm and yin-warming.
frutus cnidii
Right blindly, at the end, with a little white powder, in harmony with the order, such as dates, wrapped in cotton, naturally moist.
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If the pulse of less yin is slippery, the sore will be born in the yin, and if the sore corrodes in the yin, it will be washed with Langya decoction.
Langya decoction
Langya Sanliang
For blindness, take four liters of water, boil half a liter, wrap the tendons like cocoons with cotton, and soak the soup in water four times a day.
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Huang Zhu, pig cream is the main thing.
Stomach qi revolts, while yin blowing is noisy. This grain qi is also real, so it can be guided by ointment and decoction.
High incidence of housing construction (see jaundice)
Zhugaofa house building
Half a catty of pig paste is as big as three chicken feathers.
The right two flavors are boiled in the ointment, made into medicine, and then taken separately, and the disease comes from children.
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Prescription for children's scabies and tooth erosion (suspected non-Zhongjing prescription)
realgar
The second taste on the right, and the last one, takes the fat of the twelfth lunar month pig, blends it with the first four or five branches of Sophora japonica, and burns it with medicine.
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