Palpitation refers to the patient's conscious heart throbbing, panic and anxiety, and even involuntary symptoms. Clinically, it is often paroxysmal, often accompanied by chest tightness, shortness of breath, insomnia, forgetfulness, dizziness, tinnitus and other symptoms. Slight fright, severe palpitation, sustainability. Western medicine treats arrhythmia and cardiac insufficiency caused by various reasons, mainly palpitation, which can be treated according to the syndrome differentiation.
3. Yin deficiency and fire flourishing
Clinical manifestations: palpitation, anxiety, insomnia, fever, dry mouth, night sweats, anxiety, tinnitus, backache, dizziness, impatience and irritability; Red tongue, little body fluid, little or no coating, and thready pulse.
Treatment: nourishing yin and clearing fire, nourishing heart and calming nerves.
Representatives: Tianwang Buxin Dan and Zhusha Anshen Pill.
Tianwangbuxin Pill consists of Ginseng Radix, Poria, Radix Scrophulariae, Radix Salviae Miltiorrhizae, Radix Platycodi, Radix Polygalae, Radix Angelicae Sinensis, Fructus Schisandrae Chinensis, Radix Ophiopogonis, Radix Asparagi, Semen Platycladi, Semen Ziziphi Spinosae, Radix Rehmanniae and Cinnabaris. Zhusha Anshen Pill consists of Cinnabar, Coptidis Rhizoma, Radix Glycyrrhizae Preparata, Radix Rehmanniae and Radix Angelicae Sinensis. Nourish yin and blood ahead, nourish the heart and soothe the nerves; Clearing the heart and reducing the fire is in the rear, and calming the nerves is in the important town. Tortoise shell, Radix Rehmanniae Preparata, Rhizoma Anemarrhenae, Cortex Phellodendri or Baizhi Dihuang Pill should be added for patients with deficiency of kidney yin, nocturnal emission due to excessive fire and backache. If yin deficiency is not obvious, Tianwang Buxin Dan can be used alone; If yin deficiency is accompanied by blood stasis and heat, Radix Paeoniae Rubra, Cortex Moutan, Semen Persicae, Carthami Flos and Radix Curcumae are added.
Textbook of Planning for Colleges and Universities of Traditional Chinese Medicine (version 10)?
Ginseng, Poria, Scrophularia, Salvia Miltiorrhiza, Radix Polygalae, Radix Ophiopogonis, Radix Ophiopogonis, 9 grams of Platycladus orientalis, and 4 ounces of Radix Rehmanniae (12g).
Usage: powder, honey pill, such as Chinese parasol, coated with cinnabar, 20-30 pills (6-9g) each time, lying on the bed, fried with bamboo leaves and sent down (modern usage: fine powder, honey pill, coated with cinnabar water fly 9- 15g, 6-9g each time, sent down with warm water. It can also be used as decoction and decoction).
Function: nourishing yin and blood, nourishing heart and calming nerves.
Indications: Yin deficiency and blood deficiency, mental disorder. Palpitation and insomnia, listlessness and forgetfulness, or wet dream, has fever in hands and feet, sores on the mouth and tongue, dry stool, red tongue with little coating, and rapid pulse.
Mechanism of syndrome differentiation and treatment This syndrome is caused by deficiency of both heart and kidney, deficiency of yin and blood, and internal disturbance of deficiency fire. Yin deficiency and blood deficiency, so palpitation and insomnia, tired and forgetful; Internal heat due to yin deficiency and internal disturbance due to deficiency of fire lead to hand, foot, heart heat, asthenia and vexation, nocturnal emission and sores on mouth and tongue; Red tongue with little coating and rapid pulse are symptoms of yin deficiency and internal heat. Treatment should nourish the yin and blood of the heart and kidney, and clear away its deficiency and heat to reassure the mind.
Rehmannia glutinosa, which is sweet and cold in nature, is used in the prescription to nourish yin and blood, clear away deficiency and heat, and is the monarch medicine. Radix Asparagi and Radix Ophiopogonis nourish yin and clear heat, Semen Ziziphi Spinosae and Semen Platycladi nourish the heart and soothe the nerves, Radix Angelicae Sinensis nourish the heart and replenish blood, and * * * help Radix Rehmanniae nourish yin and replenish blood, nourish the heart and soothe the nerves, all of which are minister drugs. Ginseng tonifies qi, so that qi is flourishing and yin and blood are self-generated, so as to calm the heart and soothe the nerves; Schisandra chinensis acid astringents yin and nourishes heart; Poria cocos and polygala tenuifolia nourish the heart and soothe the nerves, and communicate with the heart and kidney; Scrophularia root nourishes yin and reduces fire to control deficiency fire and inflammation; Salvia miltiorrhiza can nourish blood and promote blood circulation, which can make all the drugs complement each other without stagnation; Cinnabar calms the nerves and treats both the symptoms and the root causes, supplemented by * * *. Platycodon grandiflorum is a boat, which carries medicine and enters the heart meridian, thus becoming medicine. When all the medicines are used together, * * * plays the role of nourishing yin and blood, nourishing the heart and calming the nerves.
Compatibility features reuse sweet and cold, supplement the middle and contain clear; Treating both heart and kidney, focusing on nourishing the heart.
This recipe is often used to treat deficiency of heart and kidney yin and blood, inflammation due to fire deficiency and mental disorder. Palpitation and insomnia, feverish hands and feet, red tongue with little fur and pulse number are the key points of syndrome differentiation.
Additional prescription
1. Bai Zi Yangxin Pills (edited by human body) Bai Zi Ren Siliang (12g) Lycium barbarum Sanliang (9g) Ophiopogon japonicus, Angelica sinensis, Acorus gramineus, Poria cocos (5g each), Scrophularia, Radix Rehmanniae Preparata (6g each), Glycyrrhiza uralensis, Pentachyranthes pentaphyllum (5g), honeyed pills and Syzygium pentaphyllum each. Indications: Deficiency of yin and blood, incoordination between heart and kidney, trance, palpitation, dreaminess at night, forgetfulness, night sweats, red tongue with little coating, and rapid pulse.
2. Zhong Dan, the Confucius Pillow ("A Good Prescription for Preparing a Thousand Daughters", formerly known as China, the Great Sage of Confucius), divided the tortoise shell keel, polygala tenuifolia and the end of calamus into three parts, and served with a square inch of wine (3g). On the third day, constant service was very enlightening. Function: Bushen Ningxin, Yizhi Anshen. Indications: amnesia, insomnia, anxiety, dizziness, red tongue with thin white fur and thready pulse caused by heart-kidney disharmony.
Differentiation between Tianwang Buxin Dan Guipi Decoction and Semen Ziziphi Spinosae, Radix Polygalae, Radix Angelicae Sinensis and Ginseng. It has the effect of calming the heart and calming the nerves and treating insomnia. However, Tianwang Buxin Dan re-used the Yin-nourishing drugs of the brigade, aiming at nourishing the blood of heart and kidney yin, and was mainly used to treat the syndrome of heart and kidney yin deficiency and internal heat restlessness; Guipi decoction is mainly used to treat mental disorders caused by deficiency of heart and spleen blood, with the purpose of nourishing heart and spleen blood.
Tianwang Buxin Pill, Bai Zi Yangxin Pill and Kong Sheng Pill all treat insomnia due to yin deficiency and blood deficiency. Tianwang Buxin Dan also uses Radix Rehmanniae, which is compatible with drugs such as Erdong and Scrophularia for nourishing yin and clearing heat, nourishing heart and kidney yin, focusing on nourishing the heart and treating the uneasy syndrome of yin deficiency and internal heat. Bai Zi Yangxin Pills reuse Baizi and Lycium barbarum, and are compatible with Radix Rehmanniae Preparata and Radix Angelicae Sinensis. , nourishing yin is weak, suitable for those with deficiency of both heart and kidney. Kong Sheng Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni Marubeni.
According to Fang's theory, the one who chooses the heart is the Lord of fire, so the Lord is also God. If God fails, the fire will be a disaster, so those who make up their minds will clear their fire and God will be safe. Buxin Dan takes the raw land as the monarch, and it can reduce fire by nourishing water with less yin. This is not a heart-filling yang, but a heart-filling ear! Where there is benevolence, there is still God in my heart. Clearing qi is not like Semen Platycladi, and enriching blood is not like Semen Ziziphi Spinosae. Its qi nourishes ears! The sweetness of ginseng and ling is to replenish the heart, the five flavors of acid are to collect the heart, and the cold in the second winter is the fire of clearing the heart, and the heart is harmonious and the spirit belongs to oneself; The sweetness of Angelica sinensis is painstaking, the saltiness of Radix Scrophulariae is painstaking, and the coldness of Radix Salviae Miltiorrhizae is painstaking, but God hides himself. Platycodon grandiflorum is the boat, Polygalae is the guide, and all kinds of drugs are used to soothe the nerves, which is even more fake. If you receive this kind of health care, you will live longer. Why do you worry about forgetfulness, palpitation, dry body fluid, sore tongue coating and bad stool? (Luo Mei's Theory of Ancient and Modern Famous Doctors, Volume 4)
Medical records illustrate that Qian Sai 'an was patriotic, flustered and insomnia, and was diagnosed with heart pulse deficiency and liver pulse flourishing. Because of the story of the postal road returning to the hometown last year, bandits and thieves were full, the wind was shivering, and they were afraid day and night. Radix Rehmanniae, Radix Ophiopogonis, Semen Ziziphi Spinosae, and Radix Scrophulariae are five yuan each, and fifteen pieces of San Qian Ginseng and Arillus Longan are taken several times. Prunella vulgaris, antelope horn, polygala tenuifolia, poria cocos, licorice and ginseng are also used, with great effect. Still use Tianwang Buxin Pill, which is often taken to cure. ("Ancient and Modern Medical Records" Volume 6)
Fang Ge Wang made up Bai Zao's benevolence and returned home in the second winter. Three ginseng platycodon grandiflorum tastes like cinnabar, and polygala tuckahoe nourishes the mind.
Xue Ji (Xue Lizhai) compiled The Complete Prescription of Women in Song Dynasty, which is a blue school note.
At the age of 6 1, he finally finished the proofreading work of Women's Quanfang, about 1548.
The theory of women's hot labor is the first.
Women's fatigue caused by heat in the heart and lungs hurts their qi and blood, resulting in mental irritability, red face, headache, red eyes and dry mouth, sores on the mouth and tongue, lethargy, strong and hot limbs, tasteless diet, sore limbs, palpitations and night sweats, thin skin, or cold and heat. Check the cause, adjust qi and blood, and the disease will heal itself.
Foolish press: the premonition is caused by the fire eating qi and the deficiency fire being affected by the true yin. Wang Taifu said: If it is cold, if it is not hot, there will be no fire. Heat comes and goes, and at night, the night stops. There is no fire, so we should cure its heart. If it is extremely hot, it is not cold and there is no water. When the heat stops, it suddenly moves back and forth, and it stops when it moves. It is anhydrous and should help its kidneys. Heart full is hot, kidney full is cold; Kidney deficiency causes cold to move to the middle, while heart deficiency causes heat to accumulate in the middle. If the former syndrome is deficiency of liver, spleen and blood, four things, ginseng and surgery are used; Liver and spleen are depressed and angry, Xiaochaihu and Siwu decoction; Spleen and stomach qi deficiency, Buzhong Yiqi decoction; Liver and spleen blood deficiency, Jiawei Xiaoyao San; Liver meridian wind and heat, modified Xiaochaihu decoction; Heart meridian blood deficiency, heavenly king tonic heart Dan; Qi deficiency of lung meridian, ginseng Bufei decoction; Liver meridian and blood deficiency, Jiawei Siwu decoction. Generally, heat belongs to gas before noon, and pure lotus seeds should be served; In the afternoon, heat belongs to blood, with four kinds of drugs, ginseng, surgery, peony bark. The heat starts from the left, and the liver fire is also there. In fact, there are four things, gentian and gardenia, deficiency is four things, ginseng, surgery and astragalus. Heat starts from the navel, and yin fire also occurs. Mixing Siwutang, Ginseng Radix, Shushu, Cortex Phellodendri, and Rhizoma Anemarrhenae, and frying with black, five flavors, Maimen, and Cortex Cinnamomi. If not, use Jiawei Bawei Pill urgently. Warm up from time to time, or live without a fixed place, or start from your feet. No root deficiency fire, used to add and subtract eight-flavor pills, tonic soup to treat Maimen and five flavors.
Tianwang Buxin Dan: calming the heart and protecting the spirit, nourishing the blood and solidifying the essence, strengthening the heart and calming the nerves, making people unforgettable, clearing the triple energizer, resolving phlegm and saliva, removing annoyance and clearing heat, removing fright, treating dry throat, nourishing the heart and calming the nerves.
Ginseng (removing reed), Poria cocos, Scrophularia, Salvia miltiorrhiza, Platycodon grandiflorum and Polygalae (five yuan each)?
Angelica sinensis (soaked in wine), Ophiopogon japonicus (cored), asparagus, arborvitae and jujube (fried, one or two each)?
Shengdi (Siliang)
The top is the bottom, and the honey pill is as big as tung tree and covered with cinnabar. Take twenty or thirty capsules each time and put them in bamboo leaves for decoction. One side comprises Rhizoma Acori Graminei, Radix Rehmanniae Preparata, Eucommiae Cortex, Stemonae Radix, Poria and Glycyrrhrizae Radix. Ophiopogon japonicus, Radix Scrophulariae and Radix Rehmanniae in this recipe can reduce fire, generate blood and resolve phlegm, but their nature is cold, which damages the spleen and stomach and makes them angry. If people eat less and have fake stools, don't use them.
Published on 1602
Tianwang Buxin Pill: calming the heart and protecting the spirit, benefiting the blood and solidifying the essence, and strengthening the heart is unforgettable. Eliminate palpitation, calm and frighten, clear triple energizer, eliminate phlegm and promote fluid production, remove vexation and clear heat, treat dry throat, nourish heart and soothe nerves.
Ginseng (excluding reeds, five yuan)?
Angelica sinensis (soaked in wine), Schisandra chinensis, Ophiopogon japonicus (enucleated), Radix Asparagi (enucleated), Semen Platycladi and Semen Ziziphi Spinosae (one or two each)?
Poria cocos (peeled), Radix Scrophulariae, Radix Salviae Miltiorrhizae, Radix Platycodi and Radix Polygalae (5 yuan each)?
Shengdi (42)?
Coptidis Rhizoma (washed with wine, fried, in pairs)
The top is the end, honey pills are refined, such as tung fruit and cinnabar. Take twenty or thirty pills at a time and lie in the soup under rushes and bamboo leaves. This party is often taken by the Taoist priest. Speaking of learning Nanji, it is very tiring without being sad and wise. This is also the merit of Dan. According to Liu Song Shi Zhongcheng, there are six flavors: Acorus gramineus, Radix Rehmanniae Preparata, Eucommiae Cortex, Stemonae Radix, Poria and Glycyrrhizae Radix.
Written in the 15th year of Wanli (1587)
Forgetful people, because things have a beginning and no end, don't know the beginning and end of words. This is the name of illness, and they are no more stupid than their peers. People with mental deficiency have more phlegm. There are people who forget things because they are absent-minded; If you think too much, you will be sad and forget things. Add and subtract with Xingpi Decoction. If you are lost in phlegm and forget things, use Gualou Zhishi decoction to reduce it (see phlegm drink).
Tianwang Buxin Dan: calming the heart and protecting the spirit, benefiting the blood and solidifying the essence, and strengthening the will. Eliminate palpitation, calm and frighten, clear triple energizer, eliminate phlegm and promote fluid production, remove vexation and clear away heat, treat dry throat and restore energy.
Ginseng (five dollars)?
Five dollars each for Schisandra chinensis, Angelica sinensis (washed with wine), Radix Asparagi (removed heart), Radix Ophiopogonis (removed heart), Semen Platycladi, Semen Ziziphi Spinosae (fried), Radix Scrophulariae, Poria (peeled), Radix Salviae Miltiorrhizae, Radix Platycodi (removed reed) and Radix Polygalae (removed heart)?
Coptidis Rhizoma (depilated, fried in wine, in pairs)
Raw land (washed with wine, four Liang)?
Acorus gramineus (one or two)
The top is fine powder, honey refined into pills, such as buttonwood and cinnabar as clothes. Take 30 capsules each time. When lying on your back, send the wick and bamboo leaves to soup.
One side: Radix Rehmanniae Preparata, Stemona, Achyranthes bidentata, Eucommia ulmoides, Poria, Glycyrrhiza, etc., with gold foil as clothing and honey as pills, as big as marbles. Take one tablet when lying on your back, chew it carefully and send it with wick jujube soup. There are no Ophiopogon japonicus, Coptis chinensis and Radix Rehmanniae.
I wonder if anyone has bought Tongrentang's Tianwang Buxin Pill? The composition of the prescription is also slightly different.