This disease mostly belongs to the category of "diarrhea" and "chronic dysentery" in Chinese medicine. The clinical manifestations are generally thin stool, mucus, even abdominal pain, and pus and blood in the stool. The main pathological changes are spleen and stomach, large intestine, liver and kidney, and spleen deficiency is the main factor leading to this disease. The disease belongs to the essence of deficiency and excess. Deficiency of spleen and kidney is common in patients with deficiency syndrome, and qi stagnation, cold and dampness, drinking water and damp heat are common in patients with excess syndrome. It is not uncommon to see the mixture of excess and deficiency, and the treatment should be selected according to the syndrome. Spleen deficiency leads to spleen strengthening and qi benefiting, kidney deficiency leads to kidney warming and astringency stagnation, and liver hyperactivity leads to spleen suppression. You can't attack evil with cut products, and you can't simply use sweet warmth to replenish deficiency; Be cautious when there is evil, and be cautious when there is deficiency. In addition, at the same time of treatment, proper attention should be paid to diet care to avoid cold and greasy food, which is helpful to improve the curative effect.
Treat 1. The main symptoms of cold-dampness diarrhea syndrome are watery diarrhea, abdominal pain and bowel sounds, anorexia, aversion to cold, fever, headache, limb pain, white greasy fur and slow pulse. Fang Yi, Huoxiang Zhengqi Powder, comes from Taiping Huimin Hejiju Recipe and consists of Huoxiang 10g, Perilla 10g, Radix Angelicae Dahuricae 6g, Magnolia Officinalis 10g, Pericarpium Arecae 10g, Pinellia ternata 12g, Pericarpium Citri Tangerinae1
The effect of dispelling cold and dampness.
Usage: Fine powder, two yuan (6 grams), one cup of water, three slices of ginger and one slice of jujube, fried in seven parts, and taken while it is hot.
The dosage of Pogostemon cablin in the prescription is too heavy, because it is pungent and warm to relieve exterior wind and cold, fragrant and damp and turbid in the interior, and can remove dirt, harmonize the middle, raise the clear and reduce turbidity, so this prescription takes it as the monarch drug. Perilla frutescens and Angelica dahurica can disperse the fragrance, help Huoxiang dispel the cold, and can also disperse the dampness and turbidity by fragrance; Banxiaqu and Chenpi can eliminate dampness and stomach, reduce adverse reactions and stop vomiting; Atractylodes macrocephala, Poria, invigorating spleen and promoting diuresis, and stopping diarrhea; Magnolia Officinalis and Peritoneum are wet, and the new ones are removed in the middle; Platycodon grandiflorum promotes lung and diaphragm, which is beneficial to relieving exterior syndrome and eliminating dampness; Ginger, jujube and licorice harmonize health and medicine. Combining the whole prescription, it has the effects of relieving exterior and interior, eliminating dampness and filth, ascending and descending turbidity, regulating qi and regulating middle energizer, dispersing cold in exterior, eliminating dampness and turbidity in interior, promoting qi circulation, harmonizing spleen and stomach, and making cold and heat heal themselves. If you feel miasma in Shan Lan and people who are not acclimatized, you can also treat it by turning turbidity into filth, activating qi and harmonizing the middle.
According to the statement, the main point of treatment of this syndrome is to dispel dampness with incense and stop diarrhea by oneself. Don't throw in astringents and tonics; In addition to taking medicine, you can take hot rice porridge to help you keep your abdomen warm; If the illness is serious and diarrhea occurs frequently, you can take/kloc-0 every 4 ~ 6 hours. If the exogenous wind is cold and the internal dampness is turbid, Jingfangbaidu Powder can be used. If dampness is trapped in the spleen, it will make you feel dull. Amomum villosum and medicated leaven are added. Add ginger and Rhizoma Atractylodis to resist cold and humidity.
2. Damp-heat injury is characterized by diarrhea, abdominal pain, watery diarrhea, loose stool's discomfort, yellow and brown feces, foul smell, burning anus, body heat and thirst, short and red urine, red tongue, yellow and greasy fur, and slippery or thin pulse. Fang Yi Gegen Qinlian Decoction comes from Treatise on Febrile Diseases and consists of Radix Puerariae 15g, Radix Scutellariae 12g, Rhizoma Coptidis 8g and Radix Glycyrrhizae 6g.
The efficacy of clear heat and promoting diuresis.
There are four kinds of usage: eight liters of water, first boiling pueraria lobata, reducing two liters, taking various medicines, boiling two liters, and taking them at different temperatures except me.
Pueraria lobata can relieve exterior heat, strengthen spleen and stomach and clear yang, so it is the monarch drug. I use Scutellaria baicalensis Georgi and Coptis chinensis to clear away heat and dry dampness, moisten intestines and stop surplus. Licorice is used to ease and coordinate various drugs. Four drugs are combined to form exterior-relieving and interior-clearing agent. In the original prescription, Pueraria lobata is boiled first, and then the medicines are taken, so that the muscle strength is excellent, the interior is clear, the exterior is relieved, and the body heat heals itself.
It is said that Gegen Qinlian decoction is intended to clear away heat, promote diuresis and detoxify, and has the function of strengthening yin and strengthening stomach. So it is bitter, cold and dry, and there is no worry about hurting the spleen. However, the dosage of bitter and cold products should not be too large or too long. Pueraria lobata can be reused up to 20-30g, Scutellaria baicalensis Georgi and Coptis chinensis commonly use 5- 10g, and Sophora flavescens 6-9g. Fangge Xianglian Pill is from the Prescription of Taiping Huimin Mixture and consists of 65,438+00g of Coptidis Rhizoma and 65,438+00g of Radix Aucklandiae.
The efficacy of clear heat and promoting diuresis.
Usage: Decoct Coptidis Rhizoma and Evodia rutaecarpa together, remove Evodia rutaecarpa, and add Radix Aucklandiae to make pills. Can also be decocted.
Fang Jie Coptidis Rhizoma clears away heat and dries dampness, and Radix Aucklandiae regulates qi and relieves pain.
Flos Lonicerae, Fructus Forsythiae, and Herba Menthae are added for wind-heat exterior syndrome; Pogostemon cablin, Magnolia Officinalis, Poria, Polyporus, Alisma orientalis, Juncus Juncus and Liuyi Powder are added for those with excessive dampness; For patients with severe diarrhea in midsummer, Elsholtzia, Eupatorium, Lotus Leaves and Lentils, or Elsholtzia Drink and Liuyi Powder are added. It is best to take it with warm soup at the back, each time 10g, three times a day. For those with food stagnation, medicated leaven, malt and hawthorn are added.
3. The main symptoms of dyspepsia syndrome are abdominal pain, bowel sounds, abdominal distension, diarrhea, bad smell similar to egg failure, pain relief after diarrhea, acid regurgitation, diarrhea accompanied by indigestion, improper diet, dirty or thick tongue coating and slippery pulse. Anti-ant Baohe Pill consists of Massa Medicata Fermentata 15g, Hawthorn 15g, Poria cocos 15g, Rhizoma Pinelliae Preparata 10g, Pericarpium Citri Reticulatae 10g, Raphani Semen 10g and Fructus Forsythiae/kloc-0g.
The effect of promoting digestion and resolving stagnation.
Usage: decoct with water, one dose per day.
In the recipe, hawthorn is a greasy product, and the divine comedy is a stale product; Raphanus sativus L. eliminates accumulation of phlegm and gas on grain surface; Faxia and Chenpi treat qi stagnation and stop vomiting; Yunling strengthens the spleen, permeates dampness and stops diarrhea; Forsythia suspensa can clear away heat and dissipate stagnation.
According to the statement, when food accumulation is heavy and abdominal distension is full, Zhishi Daozhi Pill is used; Adding Coptidis Rhizoma to help digestion and eliminate heat; Spleen deficiency plus atractylodes macrocephala and Lentinus edodes. Prescription II, Shi Zhi Daozhi Pill, comes from Spleen and Stomach Theory and consists of 9 grams of rhubarb, 9 grams of immature bitter orange, 0/0 grams of medicated leaven, 8 grams of Poria, 6 grams of Scutellaria baicalensis Georgi, 6 grams of Chuanxiong, 8 grams of Atractylodes macrocephala and 6 grams of Alisma orientalis.
The effect of promoting digestion and resolving stagnation.
Usage: decoct with water, one dose per day.
This prescription can solve the problem of abdominal distension and pain caused by damp-heat food stagnation and gastrointestinal internal resistance, which leads to qi stagnation and blood stasis. It is unnecessary to accumulate food, so there is diarrhea or diarrhea. In addition, heat depression leads to constipation. Rhubarb in the prescription attacks accumulation and purges heat; Fructus Aurantii Immaturus promotes qi, and eliminates bloating; Divine comedy helps digestion and dampness; Scutellaria baicalensis Georgi and Sichuan lotus root clear away heat, dry dampness and stop dysentery; Poria cocos and Alisma orientalis induce diuresis to stop dysentery; Baizhu Jianpi Zhixie.
According to the statement, the accumulated food is heavy and the abdominal distension is full, which can be cleaned up by Zhishi Daozhi Pill; Food accumulation fever, coptis chinensis; Rhizoma Atractylodis Macrocephalae and Lentinus Edodes are added for patients with spleen deficiency.
4. Spleen and stomach weakness syndrome is characterized by frequent diarrhea, repeated eating for a long time, less food intake, nausea and discomfort after eating, and a little intake of oil will obviously increase the number of stools, sallow complexion, listlessness, pale tongue, thin white fur and weak pulse. Formula 1, Shen Ling Baizhu Powder, originated from Taiping Huimin Hejiju Formula, is composed of Radix Codonopsis 15g, Atractylodis Macrocephalae 15g, Rhizoma Dioscoreae 15g, Lentils 15g, Lotus Seed Meat 15g, Poria 15g, Poria cocos.
The effects of invigorating spleen and qi, eliminating dampness and stopping diarrhea.
Usage: fine powder, 6 grams each time, mixed with jujube soup.
This prescription dispels ginseng, yam and lotus seeds in this prescription, so as to invigorate qi and spleen, regulate stomach and stop diarrhea; Atractylodes macrocephala, Poria cocos, Coicis Semen, and white lentils have effects in invigorating spleen, eliminating dampness, and stopping diarrhea; Amomum villosum and dried tangerine peel regulate qi and broaden chest; Platycodon grandiflorum is drug-induced, and drug-induced upward; Roasted licorice. It is beneficial to tonify the middle energizer.
The statement said that for people with abdominal distension in loose stool, Magnolia officinalis, dried tangerine peel and radix aucklandiae should be added to regulate qi and relieve bloating; For those who are afraid of cold in the abdomen, cinnamon and dried ginger are added to warm the middle and dispel the cold. Fangge Xiangsha Liujunzi Decoction consists of 3 grams of ginseng, 6 grams of Atractylodes macrocephala 10, 6 grams of licorice, 6 grams of dried tangerine peel 15, 6 grams of Pinellia ternata, 6 grams of Amomum villosum and 6 grams of Radix Aucklandiae.
The effects of invigorating spleen and qi, eliminating dampness and stopping diarrhea.
Usage: decoct with water, one dose per day.
Fang Jie Zhong Fang Liu Junzi Tang Jianpi Huatan Zhiou; Adding Radix Aucklandiae for promoting qi circulation to relieve pain, warming and neutralizing stomach; Regulating qi, stimulating appetite, promoting digestion, invigorating stomach, and stopping vomiting.
According to the statement, if spleen deficiency is yin-cold, Fuzi Lizhong Decoction should be added with Evodia rutaecarpa, Fuzi and Cinnamomum cassia to warm the middle and dispel the cold; If diarrhea lasts for a long time and the middle qi sinks, Buzhong Yiqi Decoction can be used.
5. Before dawn, the main symptoms of kidney-yang deficiency syndrome are abdominal pain, diarrhea after bowel sounds, security after diarrhea, abdominal temperature, cold limbs, weak waist and knees, pale tongue with white fur, and deep and thin pulse. Fang Yi Shen Si Pill consists of Fructus Psoraleae 15g, Semen Myristicae 15g, Fructus Evodiae 10g, and Fructus Schisandrae Chinensis 10g.
Efficacy: Warming kidney and strengthening spleen, astringing and stopping diarrhea.
The usage is,12g ginger, 50 red dates and a bowl of water. Cook ginger and jujube, dry them with water, and take jujube meat, 6 ~ 9g each time, and take it before eating.
The prescription is kidney yang deficiency and failure, and the fire of Ming-men can't warm the spleen and soil, which leads to spleen and kidney deficiency, weak transport and absorption, and no right to fix it. Psoralea corylifolia in the prescription is an important medicine for strengthening fire and benefiting soil, so it is the monarch medicine; Nutmeg warms spleen and kidney, astringents intestines and stops diarrhea; Evodia rutaecarpa can warm and tonify the spleen and stomach, dispel cold and remove dampness. The combination of the two drugs can not only help the main drug to warm and tonify the spleen and kidney, but also treat the symptoms and serve as a minister drug. Schisandra chinensis can astringent intestines, help nutmeg astringent intestines to stop diarrhea, ginger can warm the middle warmer and dispel cold, and help Evodia rutaecarpa warm the spleen and stomach; Jujube nourishes the spleen and stomach and is an adjuvant medicine. With this cooperation, the kidney warms the spleen, the large intestine is fixed, the diarrhea stops naturally, and all the symptoms are cured.
According to the notes, Fuzi Lizhong Decoction can be used for: cold pain in navel and abdomen, and Zhenren Yangzang Decoction can be used for: diarrhea, falling off, or virtual sitting. Fangeryougui Pill is prepared from Radix Rehmanniae Preparata 15g, Fructus Corni 12g, Rhizoma Dioscoreae 12g, Radix Angelicae Sinensis 10g, Cortex Cinnamomi 10g, Fructus Lycii 10g, colla cornus Cervi 10g, and Fructus Lycii.
Efficacy of warming and tonifying kidney yang, astringing and stopping diarrhea.
Usage: decoct with water, one dose per day.
In the formula, aconite root, cinnamon bark, dodder seed, dogwood fruit and prepared rehmannia root are warmed to tonify kidney-yang, and antler glue, medlar and angelica root nourish yin and blood. Chuanxiong rhizome and Achyranthes bidentata can be added to help Angelica sinensis and Cinnamomum cassia warm yang, promote blood circulation and dredge collaterals.
According to the remarks, if the navel and abdomen are cold and painful, Fuzi Lizhong Decoction can be used; If you are old and weak, have diarrhea for a long time and have proctoptosis, add Radix Astragali, Radix Codonopsis, Cimicifugae Rhizoma and Atractylodis Rhizoma; If diarrhea can't help but fall off, or the sitting position collapses, spleen deficiency and kidney cold can choose real-life nourishing soup, but it will be annoying and noisy, and the stool will be sticky and frozen. You can use Wu Mei pills.
6. The main symptoms of stagnation of liver-qi syndrome are fullness in chest and hypochondrium, belching, anorexia, depression, abdominal pain and diarrhea when angry or emotional tension occurs, abdominal thunder, paroxysmal pain, shortness of breath, red tongue and thready pulse.
Fang Yi Tongxie Yaofang Yao originated from Jingyue Quan Shu, which is composed of Atractylodis Rhizoma, Radix Saposhnikoviae, Radix Paeoniae Alba and Pericarpium Citri Tangerinae.
Liver-inhibiting and spleen-strengthening effects.
Usage: decoct with water, one dose per day.
The syndrome of relieving pain and diarrhea is caused by insufficient construction, disharmony between liver and spleen and abnormal spleen transport. In the prescription, Atractylodes macrocephala is bitter and warm, invigorating the spleen and eliminating dampness to treat soil deficiency, which is the monarch drug. Paeonia lactiflora is sour and cold, softening the liver and relieving pain. With Atractylodes macrocephala, it removes wood from the soil and is a minister medicine. Pericarpium Citri Tangerinae tastes bitter and warm, regulates qi, dries dampness, strengthens spleen and regulates stomach, and is an adjuvant medicine. Compatible with a small amount of Radix Saposhnikoviae, Radix Saposhnikoviae has the property of ascending and dispersing. This product, when used with Shu and Shao, has a pungent taste, can soothe the liver and relieve depression, and has the functions of eliminating dampness and stopping diarrhea. It is also a medicine for guiding spleen meridian, so it is also used as an auxiliary medicine. The combination of the four herbs can strengthen the spleen, eliminate dampness and stop diarrhea, soften the liver, regulate qi and relieve pain, so that the spleen can strengthen the liver and soften the firm to stop diarrhea.
According to the notes, Patrinia prescription is used to treat ulcerative colitis (land): Wu Mei 12 ~15g, Patrinia12g, Coptis chinensis 4.5 ~ 6g, Radix Aucklandiae (bottom) 9g, Radix Angelicae Sinensis10g, and Radix Paeoniae Alba/kloc. Functions: clearing away heat and dampness, regulating qi and promoting blood circulation, invigorating spleen and calming liver. It is suitable for chronic nonspecific colitis. Fang Er Mu Xiang Shun Qi San comes from Wan Bing Hui Chun Juan II.
It is prepared from Radix Aucklandiae10g, Pericarpium Citri Reticulatae Viride10g, Pericarpium Citri Reticulatae10g, Radix Glycyrrhizae 6g, Fructus Aurantii10g, Cortex Magnolia Officinalis10g, Radix Linderae10g and Rhizoma Cyperi/kloc.
Efficacy of soothing the liver and regulating qi, relieving depression by opening the chest.
Usage: decoct with water, one dose per day.
The prescription can relieve stagnation of Radix Aucklandiae, Pericarpium Citri Reticulatae Viride and Pericarpium Citri Tangerinae. Lindera root and Rhizoma Cyperi regulate qi, relieve depression and relieve pain; Fructus Aurantii breaks qi, resolves phlegm, and eliminates stagnation; Amomum villosum regulates qi, promotes appetite and digestion, strengthens stomach and stops vomiting; Chaihu soothes the liver and relieves depression, and nurtures Yang Qi.
According to the words, after a long diarrhea, add ebony, pomegranate, terminalia chebula, hawthorn and licorice; Abdominal distension, chest pain, belching, adding Bupleuri Radix, Radix Aucklandiae, Radix Curcumae and Rhizoma Cyperi; Fatigue, anorexia, Codonopsis pilosula, Poria, Lentils, Endothelium Corneum Gigeriae Galli.