Basic syndrome differentiation and treatment
1) Syndrome of warm toxin stagnation.
Main symptoms: abdominal mass, abdominal distension and pain or a small amount of ascites, irregular vaginal bleeding, dry stool, Huang Chi in urine, bitter taste, dark mouth and tongue, thick and greasy fur, and slippery or slippery pulse.
Treatment: clearing away dampness and heat, detoxifying and resisting tumor.
Prescription: Longdan Xiegan Decoction
6 grams of Gentiana scabra, 5 grams of Gardenia, 9 grams of Scutellaria baicalensis Georgi, 9 grams of Bupleurum, 0/2 grams of Angelica sinensis/kloc-,0/2 grams of Radix Rehmanniae/kloc-,9 grams of Alisma orientale, 30 grams of Plantago asiatica (inclusive), 6 grams of Akebia manshuriensis and 3 grams of Glycyrrhiza uralensis Fisch.
Abdominal distension accompanied by areca nut and immature bitter orange; More bleeding, thistle, madder; Constipation becomes yellow.
Analysis: In the prescription, Radix Gentianae, which is bitter cold and purges the damp-heat of lower energizer, is used as the main medicine, and it is combined with Scutellaria baicalensis Georgi and Gardenia to clear away heat, promote diuresis and detoxify, thus becoming a powerful antipyretic. Radix Bupleuri, Radix Rehmanniae and Radix Angelicae Sinensis have the effects of soothing the liver and activating blood, cooling blood and consolidating yin respectively, and cooperate with clearing away heat and toxic materials, that is, there is tonic in diarrhea, nourishing in dredging, so that the drugs for purging fire will not be bitter and dry and hurt yin; Combined with diuretics such as Akebia stem, plantain seed and Alisma orientalis, damp heat will come out of the stool. Glycyrrhiza uralensis Fisch can harmonize drugs, purge fire and detoxify.
2) Syndrome of phlegm-dampness stagnation.
Main symptoms: full stomach, sometimes nausea, edema, weakness of limbs, abdominal, groin and subcutaneous nodules can touch the mass. The tongue is moist, with white greasy fur and slippery pulse.
Treatment: strengthening the body, promoting diuresis, softening the body and resisting tumor.
Prescription: Sijunzi Decoction and Seaweed Yuhu Decoction.
Codonopsis pilosula 15g, Atractylodes macrocephala 10g, Poria cocos 15g, seaweed 9g, kelp 9g, Pinellia ternata 9g, dried tangerine peel 6g, green tangerine peel 4g, forsythia suspensa 9g, Fritillaria thunbergii 9g, angelica 6g, Ligusticum chuanxiong 6g, Radix Angelicae Pubescentis 6g, licorice1. ..
Don't think about eating roasted hawthorn koji; Shit, thin lotus, fried atractylodes; Dizziness plus Radix Astragali preparata; Abdominal distension is often accompanied by radix aucklandiae and pericarpium arecae; Squama Manis and Rhizoma Curcumae are added to the abdominal mass.
Analysis: Sijunzi is the basic prescription for invigorating spleen, benefiting qi and eliminating dampness, and the prescription in the prescription participates in the compatibility of Atractylodes macrocephala, which is the main component in the prescription; Poria cocos is weak, which helps Atractylodes macrocephala strengthen the spleen and eliminate dampness, while Glycyrrhiza uralensis is sweet, which helps Codonopsis pilosula to flash qi and neutralize qi. Seaweed, kelp, kelp and Pinellia ternate in seaweed Yuhu decoction can resolve phlegm, soften hard mass and disperse hard mass, green tangerine peel can regulate liver qi, Angelica sinensis, Ligusticum chuanxiong and Radix Angelicae Pubescentis can promote blood circulation and qi circulation, and Fritillaria thunbergii and Forsythia suspensa can reduce swelling and disperse hard mass, so they can play the role of strengthening the body resistance and resisting tumor.
3) Qi stagnation and blood stasis syndrome.
The main symptoms: abdominal mass is hard and fixed, abdominal distension, dull complexion, emaciation, wrong nailing, fatigue, thin stool, less yellow urine, purple tongue or ecchymosis, less fur and thready pulse.
Treatment: promoting qi and blood circulation, softening and resolving hard mass.
Prescription: Guizhi Fuling Pill
Ramulus Cinnamomi 9g, Poria cocos 15g, Cortex Moutan 12g, Semen Persicae 12g, Radix Paeoniae Rubra 15g.
Radix Astragali and Radix Codonopsis are added for dizziness and fatigue; Tabanus, Hirudo, and Carapax Trionycis are added for those with hard abdominal mass; Rhizoma Smilacis Glabrae and dried toad are added for patients with toxic heat; Fructus Ligustri Lucidi and Ecliptae Herba are added for patients with yin deficiency; If the stool is not smooth, add hemp seed and cooked rhubarb; Frankincense and myrrh are added to patients with severe pain.
Analysis: Guizhi Fuling Pill is a famous prescription for treating female anorexia. In the prescription, Guizhi warms meridians, Paeonia lactiflora promotes blood circulation, Cortex Moutan cools blood and removes blood stasis, and Peach kernel promotes blood circulation. Others can also be added, such as Scutellaria barbata, Solanum nigrum, Xu Changqing, Sophora flavescens, Hedyotis diffusa, Phytolacca acinosa, Polyporus, Alisma orientalis, etc. To enhance the anti-cancer effect.
Toxic reactions and adverse reactions of traditional Chinese medicine in the treatment of ovarian tumors
1) digestive tract reaction.
Main symptoms: nausea and vomiting, anorexia, abdominal distension, dizziness and weakness of limbs.
Treatment principle: strengthen the spleen and stomach, reduce adverse flow and stop vomiting.
Prescription: Fu Xuandai Zhetang
Inula flower 9g, ochre 15g, ginger 2 slices, Pinellia tuber 6g, Codonopsis pilosula 9g, Radix Glycyrrhizae Preparata 3g and Jujube 6g.
Cortex Magnolia Officinalis, Pericarpium Citri Tangerinae and Poria can be added for patients with thick and greasy tongue coating and excessive phlegm. Scutellariae Radix and Coptidis Rhizoma can be added for patients with obvious fever.
Analysis: Inula flower is the main medicine of this prescription, which can eliminate phlegm and reduce qi, relieve unfavorable qi instead of ochre, and treat belching, vomiting and hiccup caused by stomach disharmony. Pinellia ternata and ginger enhance the function of regulating stomach and lowering adverse flow of the main drugs; Radix Codonopsis, Fructus Jujubae and Radix Glycyrrhizae Preparata strengthen spleen and stomach.
2) The hemogram is decreased.
Main symptoms: leukopenia, thrombocytopenia, accompanied by dizziness, dizziness, skin purpura and other symptoms.
Treatment: Yiqi Shengxue.
Prescription: Danggui Buxue Decoction and Erzhi Pill.
Radix Panacis Quinquefolii and Radix Codonopsis can be added for patients with severe qi deficiency; Gum bleeding can be accompanied by diseases such as Radix Rehmanniae Preparata, Radix Rubiae, and Herba et Gemma Agrimoniae.
Analysis: Danggui Buxue Decoction is a representative prescription of invigorating qi and generating blood, in which Astragalus membranaceus should be used as the source of generating blood, and it should be supplemented with Danggui to enrich blood, yang to generate yin, and qi to generate blood. It is suitable for all kinds of blood deficiency syndrome. Heerzhi Pill can nourish yin and replenish essence, cool blood and stop bleeding, and make blood deficiency syndrome recover as soon as possible. 1) acupoint catgut embedding injection therapy.
Acupoints: Zusanli (double) ST36, Sanyinjiao (double) SP6 and Guanyuan RN4.
Methods: The drug was musk 0.1~ 0.5g. Under local anesthesia, the skin was cut to the subcutaneous layer at Zusanli point on both sides. After a little separation, each point was buried with 0. 1 ~ 0.3g musk, and the wound was tightly bandaged. Thereafter, every15th day, it was made in Zusanli (Shuang) and Yin San. Then, intramuscular injection of 2ml of self-made 1% musk injection was given every day, 15 days was a course of treatment, and the injection was continued after 15 days of rest, and catgut embedding treatment was done at acupoint every three months.
(3) Prescription
1) pangolin powder: fried pangolin 60g, fried curcuma zedoary with fermented grains 15g, fried rhizoma sparganii with vinegar 15g, fried Oletum Trogopterori with vinegar 15g, Miao Heichou 15g, and vinegar corydalis yanhusuo 15g.
Treatment principle: promoting blood circulation to remove blood stasis, softening hard mass and eliminating tumor.
Indications: Ovarian tumor.
Usage: The method of applying medicine is the same, except incense, baking and grinding into fine powder, adding musk and mixing well, sealing with porcelain bottle for later use, or refining honey into pills. If there is something wrong with musk, you don't need it, 6 ~ 9g each time, three times a day, and take it with boiling water before meals.
2) Boiled eggs with walnut branches: Boil 3 eggs with 5-inch evergreen walnuts 10 branches every day. After cooking for 2 hours, eat eggs and drink water once a day, 1 ~ 2 months, which can make the lump shrink and soften.
3) boiled eggs of Mylabris: remove the head and feet of a Mylabris every day, press into noodles, and steam egg soup, every day 1 egg; Take it for one month. If you have urgent urination, frequent urination and painful urination, stop taking it. You can take mung bean soup or tea to detoxify.