Current location - Health Preservation Learning Network - Health preserving recipes - Examination guide for assistant doctors of integrated traditional Chinese and western medicine: syndrome differentiation and treatment of syncope
Examination guide for assistant doctors of integrated traditional Chinese and western medicine: syndrome differentiation and treatment of syncope
Ascites is similar to biliary ascariasis in western medicine. As early as the beginning of the 3rd century, Zhang Zhongjing recorded syncope in detail, and took Wu Mei Pill as the main treatment prescription. For example, "Treatise on Febrile Diseases and Jueyin" said: "Those who syncope should vomit. The sick people are quiet today, and they are bored when they come back. It's dirty and cold, and when cricket gets on his diaphragm, he gets bored. Stop for a while, throw up when you eat, but it's also annoying. When he smells food, he often vomits in vain. Those who are stunned, Wu Mei Maru is the master. "

Treatment: relieving pain and expelling ascaris.

Prescription: Wu Mei Pill and Lidan Decoction.

In the early stage of syncope, if the pain is severe and there is no obvious heat syndrome, Wu Mei Pill should be used to relieve the pain. If the pain is severe, Radix Curcumae, Rhizoma Corydalis, Radix Paeoniae Alba and Radix Glycyrrhizae can be added to promote blood circulation and regulate qi, so as to relieve the pain or cooperate with acupuncture to treat the pain. Constipation, should add yellow, betel nut, purging heat and dredging fu organs. For patients with severe vomiting, Pinellia ternata, dried tangerine peel and stomach are added to reduce adverse reactions. For patients with heat syndrome such as fever, obvious abdominal tenderness, rapid pulse, yellow fur, etc., the pungent heat of ginger, cinnamon and attached drugs should be removed, and the leaves of lotus seed should be reused, and honeysuckle, forsythia, mugwort leaf and gardenia should be added to clear away heat and toxic materials, soothe the liver and promote gallbladder function.

If abdominal pain is relieved or mild, ascaris should be expelled at the same time, and biliary tract soup can be used. Rhizoma Corydalis, Radix Aucklandiae and Cortex Magnolia Officinalis are used for regulating qi and relieving pain. The monarch, betel nut and bitter bark repel ascaris; Rhubarb and areca catechu have purgative effect.