He Ren, a master of traditional Chinese medicine, is familiar with the four classics of traditional Chinese medicine and has exquisite attainments in the diagnosis and treatment of intractable diseases. He has rich experience and superb medical skills in treating various difficult and severe diseases in traditional Chinese medicine, especially in treating chronic gastritis, with outstanding curative effect. Combined with some physicians' understanding of the etiology, pathogenesis, syndrome differentiation and treatment of this disease and their appreciation of He Ren's experience in treating this disease, I hope to carry forward He Ren's academic thought and experience in diagnosis and treatment and inherit benevolence.
Explain the pathogenesis
For the etiology of this disease, Dong Xindong and others believe that it is mainly caused by stagnation of liver qi, disobedience of stomach and disharmony between stomach and qi. Liang Zheng and others think that this is caused by various reasons of spleen and stomach weakness. Liu Hongyan and others think that this disease is mostly caused by emotional distress, dietary strain and surgical injury, and its pathogenesis is mainly liver depression and spleen deficiency, diarrhea due to gallbladder deficiency and stomach qi upwelling. Its disease lies in the stomach, and its cause lies in the gallbladder, based on the spleen and stomach, with the liver and gallbladder as the standard and deficiency as the standard. Zhu Jidong, Chu Hongsheng and others believe that the main reason is that long-term improper diet, emotional imbalance, cold and heat and other evil factors damage the spleen and stomach, leading to stagnation of spleen yang, stagnation of cold and dampness, disharmony between stomach and qi, and unfavorable qi movement, which leads to this disease. Lu Deyin believes that the occurrence of this disease is the spread of improper diet, fatigue, exogenous diseases, seven emotions and other diseases, among which emotional factors have the greatest influence, so disharmony between liver and stomach is more common in clinic.
Professor Sun Guangrong believes that the balance between the spleen and stomach depends on the temperature rise of the liver and the cold convergence of the lungs, so that the spleen can rise and the stomach can fall, and the Shui Gu can be clear and turbid, so they are not sick. If the spleen does not rise, it will cause diarrhea, and if the stomach does not fall, it will vomit, which is normal. The causes of stomachache are different from the beginning to the end. In this case, the body of stomach fu-organs is caused by cold and heat, imbalance of qi and blood and entanglement of yin and turbidity. Finally, due to poor menstrual blood, the stomach is called carbuncle. Clinically, it is divided into two ends: one is spleen and kidney cold and dampness, and the other is liver depression and fu-organs, which leads to hundred ends.
Gui Xiang advocated Li Dongyuan's view that "spleen and stomach injuries lead to all diseases", and believed that diet, fatigue and emotion were all pathogenic factors of spleen and stomach diseases, which influenced and transformed each other. Disruption of diet first hurts the stomach, mostly manifested as excess syndrome and heat syndrome, with symptoms such as abdominal distension and pain, nausea and vomiting, bitter mouth and dry mouth, hard stool and fire on the face. However, if the excess of diet hurts the stomach, it will lead to spleen deficiency, yin fire burning the lungs, shortness of breath, fatigue, body heat burning and other symptoms. Excessive fatigue first hurts the spleen, which is mostly manifested as deficiency syndrome and cold syndrome, with symptoms such as laziness, weakness of limbs, loose stool and so on. However, fatigue hurts spleen deficiency, which makes the body fluid in the stomach stick and the grain gas descend, leading to stomach diseases.
Yuan believes that this disease often leads to spleen and stomach damage due to disharmony between cold and heat in diet. Usually, people like to eat spicy and sticky food, which is helpful to dryness and dampness and heat generation, or spleen loses health, causing damp heat, or food stagnation, leading to damp heat in the spleen and stomach or excessive stomach fire; Or qi disorder, qi stagnation, liver qi stagnation, qi stagnation into fire, liver qi invading the stomach, leading to liver and stomach stagnation. In addition to the above reasons, chronic gastritis is also an important pathological change of the disease, which is often caused by overeating cold food, or exogenous cold pathogen, or taking cold medicine. However, when cold dominates intake and cold pathogen invades the stomach, Yang Qi is bound by cold pathogen and cannot stretch, resulting in qi stagnation and disharmony between stomach and qi. Therefore, it is manifested as cold pain in the upper abdominal cavity, aversion to cold drinks, preference for hot food and relief of warm pain. For example, Su Wen's Treatise on Suffering from Pain said: "Cold pathogen enters the stomach and descends under the membrane, so the blood can't disperse, and the collaterals are drawn urgently.
Xing believes that chronic gastritis in children is mostly caused by improper diet and damage to the spleen and stomach. In addition, children's natural endowment is insufficient, spleen and stomach are weak, qi dysfunction or cold accumulates in the stomach cavity, and stagnation of qi and blood leads to stomachache, which leads to excessive phlegm for a long time. The spleen and stomach are trapped by damp heat, which leads to anorexia, stomach disharmony, and stomach qi rushing up, which leads to nausea and vomiting. As Su Wenbilen said, "Double diet itself." Liang,, et al. think that although the disease is located in the stomach, it is closely related to the liver and spleen. The stomach and spleen are connected by a membrane, and the stomach is responsible for accepting and decomposing Shui Gu to make harmony. Spleen governs the subtle transport of diet, which promotes normality. Both of them are acquired foundations, which cooperate with each other in physiology and influence each other in pathology. Such as fatigue and internal injuries, hunger and satiety disorders, mostly spleen and stomach diseases; The liver belongs to wood, because it is just dirty and fond of reaching, and it is mainly responsible for dispersing qi, hyperactivity of liver qi, stagnation of middle earth, depression of wood, or excessive liver fire burning stomach yin and losing stomach glory, so stomach diseases are mostly related to the liver.
He Ren thinks that this disease is mostly caused by liver qi invading the stomach, disharmony between liver and stomach, and stomach qi rushing upward.
Explore the concealment of rules
For the treatment of this disease, Zhang believes that it is appropriate to follow the principle of opening the stomach to the outside world. Su Wen's theory of five internal organs says: "Those who have six internal organs preach things without hiding them, so they can't be full." The stomach governs the blood vessels, and it hurts if it doesn't work. If it's urgent, treat the symptoms, and use a lot of medicine. If you slow down, you can solve the problem. Taking medicine for a long time will have an effect. At the same time, in the early stage of the disease, cold and heat are easy to distinguish, and cold and heat are often mixed with excess and deficiency in the later stage. If the syndrome has been transformed, the treatment plan should be adjusted in time. If yin and yang are indistinguishable from exterior and interior, and cold and heat are indistinguishable from excess and deficiency, a narrow understanding of "stomach-qi descending harmony" and "general principles are painless" will often lead to ineffective treatment and even side effects.
Xiang Jianzhong believes that the disease is located in the stomach, but it is closely related to the liver and gallbladder. The main treatment method is regulating qi and regulating stomach, but it should be treated according to syndrome differentiation. The treatment classification is: liver qi invading stomach, soothing liver and regulating qi, regulating stomach; Liver and stomach stagnation heat type, the treatment should be soothing liver and clearing heat, harmonizing stomach and descending adverse; The treatment of spleen and stomach weakness should be based on regulating qi and strengthening spleen, regulating stomach and reducing adverse flow.
Gu Shoumin and others believe that qi stagnation is the main pathogenesis, and there are many syndromes caused by qi stagnation. Therefore, treatment should also grasp this key factor.
Zhou Heping thinks that this disease is mostly caused by deficiency and cold of spleen and stomach, so the treatment should be mainly to warm the spleen, strengthen the stomach and relieve pain, and reconcile the rise and fall of spleen and stomach. Liu Haoduan believes that according to the pathogenesis characteristics of this disease, the treatment should be based on tonifying the middle energizer, invigorating qi, promoting blood circulation and removing blood stasis, eliminating dampness and relieving flatulence, and regulating qi. Wu Qinghe and others spoke highly of the theory of "nourishing stomach yin" in Ye's Annotation on Spleen and Stomach in Qing Dynasty. Ye has a unique view on the spleen and stomach, and puts forward: "Eating governs the stomach, transporting and transforming governs the spleen ... too damp, which is the beginning of yang; Yangming is dry, yin is self-satisfied ... The spleen is dry and the stomach is soft and moist. " The function of spleen and stomach is further refined, and the concept of "stomach yin" is clearly put forward, and then the method to solve the imbalance of stomach yin is further pointed out. "The so-called stomach should be depressed, so that it is harmonious ... but the taste is sweet and flat, or the nature is cool and moist, so as to nourish the stomach and yin, the body fluid will be restored and passed down." Yu also made good use of the method of "nourishing stomach yin" in clinic, and created a "Yiwei drink" to treat chronic gastritis, which mainly nourishes stomach yin and supplemented by promoting blood circulation and removing blood stasis, and achieved good results.
Sun Guangrong believes that although the disease is located in the stomach, it is most closely related to the liver and spleen. Physiologically, the spleen is dirty, and the stomach is fu-organs, while the spleen dominates the rise and fall and the stomach dominates the rise and fall. They are connected by meridians, and live together in the middle jiao, which restricts and cooperates with each other, and is the hinge of the circulation of qi and the subtle ascending and descending movement of Shui Gu. Ascending is the heart and lung, descending is the liver and kidney. Pathologically, such as internal injuries and abnormal hunger and satiety will lead to spleen and stomach diseases. The liver belongs to wood, which is the main source of dispersing qi, and the liver qi is reversed, which makes the wood prosperous; Or stagnation of liver qi and burning of stomach yin can affect the function of ascending and descending the spleen and stomach, leading to the occurrence of this disease. Therefore, in the treatment, it is necessary to warm the yang and strengthen the spleen in order to clear away heat, harmonize the stomach with the adverse flow, and soothe the liver and regulate qi to relieve pain.
Yang believes that the treatment of this disease should be based on the pathogenesis characteristics of deficiency in essence and excess in substance, with the main methods of relieving depression and bitterness, harmonizing stomach, reducing adverse reactions and removing lumps. Zhang Shengsheng and others think that although the etiology is different, such as cold coagulation, food retention, phlegm, damp heat, blood stasis blocking the stomach, or liver qi invading the stomach, or yin deficiency, yang deficiency, stomach dystrophy, etc., the pathogenesis is the same. Therefore, regulating qi and relieving pain is the fundamental method to treat stomach diseases. It is necessary to combine the specific pathogenesis and adopt corresponding treatment methods. It mainly has the effects of soothing liver and regulating stomach, dispelling cold and warming stomach, purging heat and clearing stomach, promoting digestion and regulating stomach, tonifying deficiency and warming stomach, nourishing yin and nourishing stomach, removing blood stasis and regulating stomach, clearing stomach-qi, regulating stomach-qi, tonifying middle warmer, stopping bleeding and protecting stomach, resolving phlegm and regulating stomach. It can be used flexibly in clinic.
He Ren thinks that this disease is mostly caused by liver-qi invading the stomach, so it is advisable to soothe the liver and stomach, promote qi circulation and relieve pain.
Prescription and drug extraction
For this disease, Duan Feiru and others often use Sijunzi decoction plus coptis root and rhubarb to treat it. The pharmaceutical composition comprises Radix Codonopsis 15g, Rhizoma Atractylodis Macrocephalae 12g, Poria 12g, Rhizoma Coptidis 6g, Radix et Rhizoma Rhei 3g and Radix Glycyrrhizae 6g. This recipe has the functions of invigorating spleen and benefiting qi, clearing away heat and toxic materials, eliminating dampness and resolving turbidity, and has treated 56 cases, with a total effective rate of 92.86%. Fan Ye is commonly treated with Banxia Xiexin Decoction, which consists of Banxia 10g, Zingiberis Rhizoma 6g, Scutellariae Radix 10g, Coptidis Rhizoma 6g, Pseudostellaria heterophylla 10g, Jujube 10g, Bletilla striata 15g, Notoginseng Radix 3g (orally) and Taraxacum mongolicum. 56 cases were treated and the total effective rate was 965438 0.07%.
Zhao Shiyu is often treated with Banxia Xiexin Decoction. Basic prescription: Pinellia ternata, Scutellaria baicalensis Georgi, Coptidis Rhizoma, Zingiberis Rhizoma, Pseudostellaria heterophylla, and Glycyrrhiza uralensis Fisch. Radix Aucklandiae, Arecae Semen, Fructus Aurantii Immaturus (Shell), Cortex Magnolia Officinalis and Fructus Citri Sarcodactylis can be added for patients with abdominal distension. Diet stagnation plus Endothelium Corneum Gigeriae Galli, Jiao Sanxian and Radish Seed; Rhizoma Corydalis, Fructus Toosendan and Radix Angelicae Dahuricae can be added for patients with pain; Acid reflux with Evodia rutaecarpa, concha arcae preparata and Os Sepiae preparata; Bile reflux gastritis plus Herba Artemisiae Scopariae and Radix Bupleuri; Dandelion and Hedyotis diffusa can be added to patients with Helicobacter pylori infection (HP positive). 63 cases were treated, and the total effective rate was 88.9%.
Modified Sini Decoction is commonly used for treatment, which consists of10g, coptis root 6g, Scutellaria baicalensis Georgi10g, dried ginger10g, Bupleurum root10g, Fructus Aurantii Immaturus10g, Radix Paeoniae Alba10g, and Radix Paeoniae Alba. 40 cases were treated, and the total effective rate was 95%. Xu Hong et al. treated 82 cases with Jinghua Weikang Capsule, which can regulate qi and dispel cold, clear heat and remove blood stasis. The total effective rate was 97.9%. Gaoyun is usually treated with Xianglian Pill decoction, which consists of Rhizoma Coptidis 6g, Coicis Semen 30g, Poria cocos 15g, Radix Astragali 30g, Radix Paeoniae Alba 12g, Endothelium Corneum Gigeriae Galli 15g, Fructus Crataegi and Massa Medicata Fermentata 15g, malt and malt 15g. 33 cases were treated, and the total effective rate was 90.90%.
Luyuan is usually treated with Hewei Jiangni Decoction, which consists of Bupleurum 15g, Rhizoma Corydalis 12g, Notoginseng 10g, Fructus Toosendan 12g, Pericarpium Citri Tangerinae 12g, Radix Paeoniae Alba 15g, Rhizoma Atractylodis Macrocephalae 20g and Rhizoma Pinelliae Preparata. This recipe soothes the liver, benefits the gallbladder, strengthens the spleen and regulates the stomach, stops vomiting, regulates qi and relieves pain, and treats 76 cases of bile reflux gastritis/KLOC-0, with a total effective rate of 96.67%.
Hu Jianjun is usually treated with Xiangsha Liujunzi Decoction, which consists of Dangshen 15g, Atractylodes macrocephala 10g, Poria cocos 10g, Pericarpium Citri Tangerinae 10g, Fructus Aurantii 5g, Pinellia ternata 10g, Fructus Amomi 5g, Radix Aucklandiae 10g, Fructus Aurantii 5g. 38 cases were treated with this recipe for invigorating spleen and regulating stomach, eliminating dampness and resolving phlegm, and the total effective rate was 89.47%. Liang Yu and others often treat it with Sanhuang Liujunzi Decoction. The pharmaceutical composition comprises Rhizoma Coptidis, Scutellariae Radix, Cortex Phellodendri, Herba Taraxaci, cuttlefish bone, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Poria, Pericarpium Citri Tangerinae, Glycyrrhrizae Radix and Rhizoma Pinelliae Preparata, each with 565438+/-00g. 42 cases were treated, and the total effective rate was 88.65438 0%. Ye's yangwei decoction is commonly used for treatment. The pharmaceutical composition is: Ophiopogon japonicus 15g, raw lentils 10g, Polygonatum odoratum 10g, raw licorice 10g, mulberry leaves 10g, and Adenophora adenophora 10g. After treatment of 3 1 case, the total effective rate was 90.32%.
People often treat He Ren's abdominal pain with homemade decoction.
Typical medical record
Male, 54 years old, first diagnosed on April 27th, 2006. Suffering from chronic superficial gastritis 12 years, gastroscopy showed "chronic superficial gastritis with gastric antrum erosion". Recently, intermittent epigastric pain lasted for 4 months. Before 1 week, gastroscopy showed "chronic superficial gastritis with gastric antrum erosion". The pain is not fixed, sometimes nausea, and the pain is aggravated after meals. The pain gets worse when you are in a bad mood. The tongue is pale, the coating is white and greasy, and the pulse is thin. Why do you want to treat with self-made epigastric soup? Prescription: 20 g of Rhizoma Corydalis, 20 g of Radix Paeoniae Alba, 0/0 g of Radix Glycyrrhizae, 0/0 g of Fructus Toosendan, 30 g of Taraxacum, 0/0 g of Aquilaria Resinatum, 0/0 g of Linderae, 0/0 g of Rhizoma Cyperi and 0/0 g of cuttlefish bone. Decoct, daily 1 dose. After taking 45 doses, gastroscopy showed that erosion disappeared and there was no pain recurrence so far.
Clinical psychological methods
As can be seen from this medical record, stomachache is the main pain of patients, and liver-qi invading the stomach, disharmony between liver and stomach, qi stagnation and blood stasis are the main causes of patients. Zhu Danxi said: "Qi and blood are harmonious, and all diseases are not born. There is depression, a hundred diseases. " There are many diseases that cause stomachache, but qi stagnation and blood stasis are the crux. Stagnation of qi and blood is attributed to the liver. Therefore, Su Wenzhizhen's Great Theory says: "Depression leads to illness and stomachache." Therefore, He Ren seized this key pathogenesis and adopted the following methods to solve the problem of epigastric pain.
Soothing the liver, purging heat, promoting qi circulation and relieving pain, and is suitable for stagnation of liver qi, stagnation of qi and blood, obstruction of stomach collaterals, and pain due to obstruction; Qi stagnation can turn fire into heat, burn stomach collaterals and make stomach collaterals tight and painful. Therefore, He Ren first chose Jinling Purple Umbrella in Taiping Sheng Huifang. In the prescription, Fructus Toosendan tastes bitter and cold, and enters the meridian and liver. This product has antidiarrheal, liver-soothing and depression-relieving, liver-clearing and pain-relieving, damp-heat-removing, heat-clearing and liver-soothing, qi-activating and pain-relieving effects; Corydalis yanhusuo tastes bitter and warm, and enters the liver and stomach. This product is warm, fresh and moist, and has the functions of dredging channels and collaterals, removing blood stasis and resolving hard mass, dredging collaterals and relieving pain. It can not only treat qi stagnation and blood stasis, but also dredge collaterals and blood stasis. It is mild and not too severe, so it is an important drug to relieve pain. For example, in Compendium of Materia Medica, a small amount of ground Rhizoma Corydalis is often used to treat stomachache. Hu Xuan Suo San and Fang Jisheng Sanshen Pills, Shen's sacred technique, often use a small amount of Rhizoma Corydalis combined with Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Curcumae and Radix Aucklandiae to treat women's dysmenorrhea. He Ju Pill in Jisheng Prescription and Tiantai Wuyao Powder in Medical Invention are commonly used drugs to treat hernia pain. Therefore, Compendium of Materia Medica says: "Xuanhu can treat qi stagnation in blood and qi stagnation in blood, so he specializes in treating all kinds of pains in the whole body, which is also wonderful." "Seeking Truth from Materia Medica" records: "Corydalis yanhusuo, whether it is blood or qi, can reach it with this force. Because of its warm nature, it can make qi and blood smooth, and its pungent taste can make qi and blood melt, so it can often manage all the pain in the whole body more effectively. " It can be seen that the two drugs complement each other and each has its own emphasis. Jinlingzi powder can clear away heat and promote qi, relieve heat and relieve pain; Corydalis yanhusuo promotes blood circulation and qi circulation, and promotes blood circulation to relieve pain. * * * plays the role of clearing liver heat, promoting qi circulation and relieving pain. Depression of the liver, unobstructed qi and blood, unobstructed stomach collaterals, and the pain will stop itself.
When the sour and sweet taste turns to yin, the stagnation of liver-qi can relieve pain, which not only leads to disharmony between liver and stomach, but also turns the stagnation of liver-qi into fire, causing the fire pathogen to burn the stomach yin and tighten the stomach collaterals. Huangdi Neijing said: "The liver is bitter and urgent, and the urgent food is slow." Therefore, He Ren also used the famous prescription of Paeonia lactiflora and Glycyrrhiza Decoction, which was used by Zhongjing to nourish yin and relieve pain. Paeonia lactiflora is bitter, sour and slightly cold, and enters the liver and spleen meridians. This product is bitter and sour, but it is very feminine. Entering the liver meridian can disperse yin and replenish blood, and harmonize yin. First, it can tonify liver and blood, nourish meridians, astringe yin and essence, and harmonize camp and health, which is an essential medicine for liver family. Second, it can regulate liver blood, relieve spasm, moisten tendons and veins, soften liver and relieve pain, which is the best product for relieving pain. "Materia Medica Seeking Truth" records: "Paeonia lactiflora and Paeonia lactiflora have similar indications, but Paeonia lactiflora has the function of gathering yin and benefiting the camp, while Paeonia lactiflora only means dispelling evil and promoting blood circulation; White can shed wood in the soil, and red can cure stagnation with blood. " Licorice is sweet and flat, belonging to the twelve meridians. Strong flavor and mild nature. First, it can replenish qi, tonify deficiency, slow down the spleen, dredge the pulse and nourish the five internal organs; Second, it can slow down deficiency, reconcile the taste of drugs, relieve evil and protect righteousness. "Herbal Zheng Zheng" says: "Licorice is sweet and can neutralize and tonify. Therefore, detoxification is only a combination of medicine and its nature, which shows that Tokunosuke is the only medicine, and the remedy is slow. As we all know, it helps kidney qi to become qi deficiency, and helps rehmannia to treat the danger of yin deficiency. Eliminate pathogenic heat, strengthen bones and muscles, strengthen spleen and stomach, and grow muscles. It is impossible to go anywhere with gas medicine and blood medicine, so it is called the old country. " Therefore, in the prescription, Paeonia lactiflora and Glycyrrhiza uralensis Fisch are combined together, which tastes sour and sweet, nourishes yin and relieves pain, and is matched with qi-regulating products, which not only soothes the liver and relieves depression, but also soothes the liver and calms the nerves. One dispersing and one collecting complement each other and hit the key point of activating the liver, so the effect is quick.
Regulating qi, promoting qi circulation and relieving pain due to stagnation of liver qi and liver failure, qi stagnation and stagnation of stomach collaterals lead to pain. Therefore, He Ren used agarwood koji, Lindera root and Rhizoma Cyperi in his prescription. Strong fragrance is hard and slightly warm, and enters the spleen, stomach and kidney, which can promote qi circulation and relieve pain, warm meridians and stop vomiting, and collect qi to return to yuan. Lindera herb is pungent and warm, and enters spleen, lung, kidney and bladder meridian. This product is pungent, warming the spleen and lung, lowering the kidney and bladder meridian, harmonizing upper and lower qi, regulating qi, lowering adverse qi, relieving depression and dispelling cold, and relieving pain. Compendium of Materia Medica: "The spiciness of black medicine can disperse all kinds of qi, so Taiping Huimin and Ji Fang Ju (hereinafter referred to as Fang Ju) treat the stagnation of seven emotions. If there is asthma, they are in urgent need of four-mill soup, so they will fall to the middle and rise to the middle, and those who stay in the middle will make up for it." "Seeking Truth in Materia Medica": "Wu medicine has the same merits as Radix Aucklandiae and Rhizoma Cyperi, but Radix Aucklandiae is bitter and warm, and it is cool and stagnant in the spleen, so it is suitable for food accumulation; Cyperus rotundus is hard, enters the liver and gallbladder, and releases stagnation, and every depression is wonderful; This is the ubiquitous evil in the chest, so it is customary to think that the evil in the chest and abdomen needs medicine. " Cyperus rotundus is slightly bitter and flat in nature, and enters liver, spleen and triple energizer meridians. This product is bitter and pungent, and has a flat fragrance. It can soothe the liver and relieve depression, widen the chest and diaphragm, regulate the spleen and stomach, reduce swelling, enter the diet, raise the chest and diaphragm, lower the liver and kidney, disperse qi and relieve depression. Therefore, Yueju Pill, Xiaowushan Decoction in Fang Ju, Fu Liang Pill in Liang Fang, and Kuaiqi Decoction in Fang Ju, all of which have the function of regulating qi and relieving depression. Compendium of Materia Medica: "The qi of Cyperus rotundus is flat but not cold, fragrant but can flee, its taste is pungent but can disperse, slightly bitter and mild. Evacuate the epidemic of qi and cold. Li Sanjiao, relieving depression and six depressions, resolving food stagnation and drinking phlegm. " It can be seen that the three flavors are combined into one, regulating qi, promoting qi and relieving pain, and the intensity is specialized and effective. Qi flow is unobstructed, collaterals are unobstructed, and the pain stops by itself.
Promoting qi and blood circulation, removing blood stasis and relieving pain "Huangdi Neijing" said: "Qi is the handsome of blood, and blood is the mother of qi; Activating qi promotes blood circulation, while stagnation of qi leads to blood stasis. Stagnation of liver-qi and qi-flowing, if blood reaches for a long time, it will cause blood stasis and stomach collaterals, and it will hurt if it is blocked. Treatment should promote qi and blood circulation, remove blood stasis and relieve pain, so He Ren also used two drugs in the prescription, namely roasted hedgehog skin and aspongopus. Roasted hedgehog skin is sweet and warm, enters the liver and stomach, regulates qi and relieves pain, removes blood stasis and regulates the stomach. Aspongopus, also known as dung beetle, is a good medicine for treating pain caused by qi stagnation and blood stasis, and is widely used in clinic to treat various pains. For chest pain, 90g aspongopus and 60g scorpion can be used. Grinding, honeyed pills, each weighing 3g, half pills each time, twice a day; Stomach pain, flatulence and hiccup can be ground with three kinds of aspongopus and three kinds of fennel. Swallow with warm water, 3 times a day; To treat epigastric pain caused by stagnation of qi in middle energizer, it can be used together with Alpinia officinarum to warm middle energizer, dispel cold, regulate qi and relieve pain; For soreness of waist and knees, it can be used together with Eucommia ulmoides for tonifying kidney, strengthening yang and relieving pain. The combination of the two drugs can promote qi and blood circulation, remove blood stasis and relieve pain, harmonize qi and blood, remove blood stasis and dredge collaterals, and the pain will be eliminated by itself.
Clearing stomach heat and relieving pain with acid; Because of stagnation of liver qi, it can reduce fire, accumulate heat in stomach, burn stomach collaterals and cause pantothenic acid and pain. It is appropriate to clear stomach heat, inhibit acid and relieve pain, so dandelion and cuttlebone are used in the prescription. Dandelion tastes bitter and sweet, but it is cold in the liver and stomach meridians. This product has the effects of purging fire, clearing away heat and toxic materials, dispelling damp-heat, dispersing qi stagnation, dredging collaterals, eliminating carbuncle and swelling. Its nature is peaceful, and it has the characteristics of bitter diarrhea without hurting healthy qi and clearing heat without hurting stomach yin. The cuttlebone is salty and slightly warm, and belongs to liver and kidney. This product is light and crisp, salty and warm, and can eliminate dampness, control acid, astringe and stop bleeding. The combination of the two drugs can clear stomach heat, inhibit acid and relieve pain. Liver-fire disappears, stomach-heat clears, pantothenic acid stops, and its pain disappears by itself.
Clearing liver, benefiting gallbladder, and expelling evil spirits. Because the patient's medical history has been as long as 12 years, he will lose money after a long illness. However, spleen deficiency and weak stomach, dereliction of duty in transport and transformation, can make the water wet and stop inside, so the tongue coating is white and greasy. At the same time, liver-qi invades the stomach, affecting the spleen and soil, and can also make the healthy movement dereliction of duty, make the water wet, and make the stomach-qi lose balance and become heavier. The treatment should clear the liver, promote gallbladder function, promote diuresis and eliminate dampness, and drive away evil spirits. Therefore, He Ren used corn stigma in his prescription. This taste is sweet and flat, and it belongs to kidney, stomach and liver and gallbladder meridians, which can induce diuresis to reduce swelling and clear liver and gallbladder. Modern pharmacological studies have proved that corn silk has good diuretic, cholagogic, liver-protecting, blood-lipid lowering, hemostasis and antibacterial effects. This compatibility can make the liver and gallbladder smooth, the stomach fu-organs smooth, the stomach qi revive, and the evil of damp-heat and fire stagnation emerge from the urine. Liver and gallbladder benefit can't restrain spleen soil, eliminate dampness and turbid stomach qi and heal itself, and all diseases heal themselves.
To sum up, it can be seen that He Ren's treatment of this syndrome is meticulous in differentiation of symptoms and signs, legislation is to the point of pathogenesis, and prescription compatibility is ingenious. Soothes the liver and relieves depression, nourishes the liver in sweet and sour, and clears stomach fire when promoting qi and eliminating dampness. Change according to the machine, purging fire and removing blood stasis, removing dampness and benefiting water, and opening the door to exorcise evil spirits. The whole prescription uses both cold and heat, treats both qi and blood, treats both the symptoms and root causes, takes the lead and is willing to use drugs, so the effect is like a drum. As long as I have a chronic disease for more than ten years, I will receive an unusual job after one month.
The content of the article is for reference only. Please consult a professional medical institution for specific diagnosis and treatment.