Clinical manifestations: fear of heat and aversion to cold, decreased sweating, fullness in chest and abdomen, less thirst, muscle aches, heavy limbs, edema, head swelling, fatigue, constipation, yellow urine, thick and greasy tongue coating, and slippery or thin pulse.
Syndrome analysis: Diabetes mellitus is untreated or not thoroughly treated, and lung and stomach heat will damage the spleen, leading to spleen yin deficiency, which will also affect the function of the spleen, leading to spleen deficiency, which can not transport water and dampness, and spleen yin deficiency will lead to heat and damp heat steaming up, so it is afraid of heat and fond of cold; When the hot air is wet, the sweat will come out and the heat will be reduced; Spleen deficiency is weak, dampness blocks qi activity, so the chest cavity is full, and excess heat produces fluid to quench thirst; There is a wet plug in the room. I am very thirsty and don't drink much. Spleen dominates muscles and limbs, and now spleen loses transport, so it can't transport water and dampness, and water and dampness stagnate between muscle meridians, so blood gas runs poorly, so muscles are sore and limbs are heavy; Spleen deficiency does not dissolve water, and water evil overflows and causes edema; The water is flooding on the head, so the headache is swollen; Spleen deficiency can not transport the subtlety of Shui Gu, but will affect the whole body, causing fatigue and weakness; Body fluid can not be carried out, and the small intestine will make people urinate yellow; Tongue pulse is spleen deficiency and damp-heat syndrome.
Treatment principle: invigorating spleen and qi, clearing heat and eliminating dampness.
Commonly used drugs:
Drugs for invigorating spleen and benefiting qi: Codonopsis pilosula, Atractylodes macrocephala and Glycyrrhiza uralensis Fisch. Chinese yam. , stem rice, Huang Mao, etc.
Heat-clearing and dampness-eliminating drugs: Atractylodes lancea, Pericarpium Citri Tangerinae, Cortex Phellodendri, Magnolia Officinalis, Eupatorium, Fructus Amomi, etc.
Commonly used prescriptions: Sijunzi Decoction and Wei Ping Powder. Improved prescription: Radix Codonopsis, Poria, Atractylodis Rhizoma, Glycyrrhrizae Radix, Pericarpium Citri Tangerinae, Rhizoma Pinelliae, Rhizoma Atractylodis, Cortex Magnolia Officinalis, Cortex Phellodendri, Radix Puerariae, Achyranthis Radix and Coicis Semen. Decoct with water, one dose per day, and take orally twice.
Prescription analysis: this prescription is a spleen-strengthening and dampness-removing agent, which uses ginseng, poria, surgery and grass to strengthen the spleen and nourish the stomach and restore the function of the spleen; Atractylodes lancea tastes bitter, warm and pungent, and moves the spleen by removing dampness, while Magnolia officinalis tastes bitter and warms to eliminate dampness and eliminate swelling. The combination of the two drugs increases the spleen function of the four kings. Pericarpium Citri Tangerinae, Rhizoma Atractylodis, and Rhizoma Pinelliae are fragrant, dampness-eliminating, spleen-strengthening and middle-warming; Phellodendron amurense clearing heat and promoting diuresis, Achyranthes bidentata inducing drugs downward: Huimi clearing heat and promoting diuresis; In addition to generating heat and promoting fluid production, Pueraria lobata also inhibits the damage of spleen and yin caused by excessive dryness of drugs: drugs have the functions of drying dampness, strengthening spleen and clearing heat.