This disease can be treated according to the syndrome differentiation of "epigastric pain", "noisy", "acid swallowing" and "vomiting" in TCM. This disease is related to drinking strong liquor, strong tea, spicy taste, uncertain diet, uneven hunger and satiety, emotional depression, overthinking, overwork, invasion of foreign evils, stomach injury after illness and weakness of spleen and stomach. Pathological organs are in the spleen and stomach, and some involve liver and kidney. The initial illness is in qi, and the long illness enters the blood; The initial illness is more solid, and the long illness is more deficiency or both. The pathogenesis is spleen deficiency, stomach disharmony, middle energizer block, and excess and deficiency mixed. Clinically, spleen and stomach deficiency cold, qi stagnation and blood stasis, damp heat and so on are more common. In the treatment, most of them are treated according to syndrome differentiation, with different symptoms and different emphases. Besides supplementing or attacking or both according to the deficiency of viscera and different excess and deficiency, it should also be treated according to the functional characteristics of spleen and stomach, and pay attention to diet to consolidate the curative effect.
1 treatment. Liver-stomach qi stagnation syndrome is characterized by epigastric distension and pain, frequent belching, thin and white fur and thin pulse. The prescription 1 Chaihu Shugan powder consists of 6 grams of Bupleurum, 6 grams of Fructus Aurantii, 0/0 gram of Radix Paeoniae Alba/kloc-0, 6 grams of Rhizoma Cyperi, 6 grams of Rhizoma Chuanxiong and 3 grams of Radix Glycyrrhizae.
The efficacy of soothing the liver and regulating qi.
Usage: decoct in water, one dose a day, 40 ml each time, three times a day.
In the prescription, Bupleurum is used as the monarch drug to soothe the liver and relieve depression; Rhizoma Cyperi regulates qi and soothes the liver, and helps Bupleurum to soothe the liver and relieve depression; Chuanxiong promotes qi and blood circulation to relieve pain, and Bupleurum helps amenorrhea. The combination of the two drugs increases the function of promoting qi circulation and relieving pain, and is a minister drug. Pericarpium Citri Tangerinae and Fructus Aurantii regulate qi and relieve depression; Paeonia lactiflora and Glycyrrhiza uralensis Fisch nourish blood, soften liver and relieve pain. Glycyrrhiza uralensis Fisch is used to regulate various drugs and also to make medicines. The combination of various medicines has the functions of soothing the liver, regulating qi, promoting blood circulation and relieving pain.
If the pain is severe, Fructus Toosendan and Rhizoma Corydalis can be added to promote qi circulation to relieve pain. For those who have frequent belching, Aquilaria Resinatum and Inulae Flos can be added to benefit qi and reverse qi. Radix Curcumae, Pericarpium Citri Reticulatae Viride and Radix Aucklandiae can also be added to strengthen the function of regulating qi and relieving depression.
2. The main symptoms of cold pathogen invading the stomach are sudden cold and pain in the epigastric cavity, vomiting and spitting, aversion to cold and warmth, and thirst. White hair and tight pulse. The flavor source of anti-cancer Liangfu Pill is "Liang Fang Jiaxi", which is composed of Alpinia officinarum and Rhizoma Cyperi. Finally, add a spoonful of ginger juice and a pinch of salt to the rice soup, which is a water pill, taking 6 grams each time.
The effect of dispelling cold and relieving pain.
Usage: Take it with boiling water. Or decocted in water, one dose a day.
Cold-proof prescription is the basic prescription for treating cold pathogen invading the stomach and cold coagulation and qi stagnation. In the prescription, Alpinia officinarum warms the stomach and dispels the cold, and Cyperus rotundus promotes qi and relieves pain.
It is said that tangerine peel and Evodia rutaecarpa can be added to strengthen the function of dispelling cold and regulating qi; There is also chest distress, anorexia, belching or vomiting, and Fructus Aurantii Immaturus, Massa Medicata Fermentata, Rhizoma Pinelliae and Rhizoma Zingiberis Recens can be added. Checked Zhengqi Tianxiang Powder is from the seventh edition of Internal Medicine of Traditional Chinese Medicine.
Consists of Lindera root10g, tangerine peel10g, dried ginger 6g, banksia rose 6g, angelica sinensis10g and licorice 6g.
The effect of dispelling cold and relieving pain.
When in use, the medicine is ground into fine powder, 6g each time, or decocted with water, one dose per day.
Radix Linderae, Radix Aucklandiae, and Pericarpium Citri Tangerinae for regulating qi and relieving pain; Angelica sinensis nourishes blood and unblocks collaterals, while Glycyrrhiza uralensis Fisch relieves pain; Dried ginger warms the middle and dispels the cold.
According to the statement, aconite and cinnamon are added to those with severe cold pathogen, severe pain, cold hands and feet and heavy pulse; Adding Evodia rutaecarpa and Fructus Foeniculi for stagnation of qi due to cold coagulation of liver meridian (abdominal cramps and acute cold pain); Abdominal cold pain, constipation plus aconite and rhubarb.
3. The main symptoms of stomach heat syndrome are acute stomach pain or distending pain, noisy acid vomiting, upset, bitter or sticky mouth. Red tongue, yellow or greasy fur, rapid pulse. Fang Yi Wei Qing Powder is derived from the theory of spleen and stomach, and consists of 6 grams of Rhizoma Coptidis, 3 grams of Radix Angelicae Sinensis, 5 grams of Radix Rehmanniae 12, 5 grams of Cortex Moutan, and 0/2 grams of Cimicifuga rhizome/kloc-0.
The effect of clearing heat and regulating stomach.
Usage: Grind into fine powder, decoct in water to remove me, and cool it.
Fang Jiefang takes bitter and cold Rhizoma Coptidis as the monarch, purging stomach fire. Cimicifuga rhizome is a minister, which can clear away heat and detoxify, disperse upward, and spread the message of suppressing fire, meaning "fire can suppress hair" When combined with yellow, it purges fire without cooling down. Rhizoma Coptidis is obtained from Rhizoma Cimicifugae, but fire does not rise when scattered. Stomach heat also damages yin blood, so the land cools blood and nourishes yin; Peony bark can cool blood and warm blood, and it is a minister medicine. Angelica supplemented by nourishing blood and blood. Cimicifuga is also used to introduce classics. The combination of various medicines has the effect of clearing stomach and cooling blood.
According to the remarks, people with constipation should increase the downward heat conduction of yellow and mirabilite; When you are thirsty and drink cold, go to Danggui Jiaxuan to take part in Trichosanthes root for nourishing yin and promoting fluid production. Wind-fire toothache can be treated with Radix Saposhnikoviae and Herba Menthae for expelling wind; For patients with gingival bleeding, Rhizoma Imperatae and Herba et Gemma Agrimoniae are added to cool blood and stop bleeding.
4. The main symptoms of dyspeptic gastrointestinal syndrome are epigastric pain, acid regurgitation or vomiting, inability to digest food, and slow pain after vomiting. Thick and greasy fur, smooth or solid pulse. Fangyibaohe Pill consists of180g of mountain slag, 60g of Massa Medicata Fermentata, 90g of Pinellia ternata, 90g of Poria, 30g of Pericarpium Citri Tangerinae, 30g of Forsythia suspensa and 30g of Raphani Semen, which are ground into fine powder and pasted into pills, and taken at a time of 5 5- 10/0g.
The effect of promoting digestion and resolving stagnation.
Usage: Take it with boiled water or stir-fried malt soup, or make it into decoction according to one tenth of the original dosage.
In the prescription, hawthorn is good at eliminating the accumulation of greasy meat; Divine comedy can help digestion, strengthen the spleen and melt stale food and wine; Radish can eliminate phlegm accumulation in wheat flour; Pinellia ternata and dried tangerine peel can regulate qi and stomach to stop vomiting; Poria cocos strengthens the spleen and promotes diuresis to mediate diarrhea; Forsythia can dissipate stagnation and clear heat, with malt soup to enhance digestion.
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.
If the abdomen is full, Fructus Aurantii Immaturus, Fructus Amomi and Arecae can be added to promote qi circulation and eliminate food stagnation; If there is insect accumulation, gentlemen, torreya grandis and areca catechu can be added to repel insects; For patients with spleen deficiency, Rhizoma Atractylodis Macrocephalae is added to strengthen the spleen.
5. The main symptoms of stomach collateral stasis syndrome are severe stomachache, such as acupuncture or knife cutting, limited pain, refusal to press, or black stool. The tongue is purple and dark, and the pulse is astringent. Prescription 1: Shixian Danshen Decoction: Origin 1: Taiping Huimin Hejiju Prescription 2: Zong Yi Jinjian, which consists of Trogopterori 15g, Pollen Typhae 15g, Salvia miltiorrhiza 30g, Sandalwood 5g and Amomum villosum 5g.
Efficacy: promoting blood circulation and removing blood stasis.
Usage: decoct with water, one dose per day.
Fang Jie Salvia Miltiorrhiza, Pollen Typhae and Oletum Trogopterori promote blood circulation, remove blood stasis and relieve pain; Sandalwood and Amomum villosum promote qi and strengthen stomach; Sanqi promotes blood circulation and stops bleeding; Rhubarb clears stomach and regulates qi.
If the pain is severe, frankincense and myrrh can be added to promote blood circulation and relieve pain. Fanger Shaofu Zhuyu Decoction consists of Angelica sinensis 10g, Radix Paeoniae Rubra 12g, Oletum Trogopterori 10g, Rhizoma Corydalis 10g, Zingiberis Rhizoma 10g, fennel 6g, peach kernel 12g and safflower 65438.
Efficacy: promoting blood circulation and removing blood stasis.
Usage: decoct with water, one dose per day.
In the prescription, Angelica sinensis, Radix Paeoniae Rubra, Semen Persicae, Carthami Flos and Oletum Trogopterori promote blood circulation and remove blood stasis; Dried ginger and fennel warm meridians and activate yang; Rhizoma corydalis and Radix Linderae promote qi, remove blood stasis and relieve pain.
For patients with severe stomachache, Rhizoma Corydalis, Radix Aucklandiae, Radix Curcumae, Fructus Aurantii and paraquat are added. Qi deficiency can promote blood circulation (limbs are not warm, tongue is pale and pulse is weak), and Radix Codonopsis, Radix Astragali and Herba et Gemma Agrimoniae can be added; Black stool, Radix Notoginseng and Rhizoma Bletillae powder, and Radix Rehmanniae and Radix Ophiopogonis for patients with yin deficiency (dry mouth and throat, tongue without coating, and thready pulse).
6. The main symptoms of stomach yin deficiency are stomach pain, burning discomfort, hunger and noise, eating less, dry mouth and dry stool. Red tongue, scanty body fluid and thready pulse. Prescriptions ① Guan Yi decoction and ② Shaoyao gancao decoction (revised from Liuzhou medical story ② Treatise on Febrile Diseases) are composed of Radix Adenophorae 10g, Radix Ophiopogonis 10g, Radix Angelicae Sinensis 10g, Radix Rehmanniae 20g, Fructus Lycii 10g, Fructus Toosendan 5g and Radix Paeoniae Alba10g.
Efficacy: nourishing yin and benefiting stomach.
Usage: decoct with water, one dose per day.
Radix Adenophorae, Radix Ophiopogonis, Radix Rehmanniae and Fructus Lycii for nourishing yin and benefiting stomach; Angelica sinensis nourishes the liver and promotes blood circulation, which is dredging; Fructus Toosendan, Radix Paeoniae Alba, soothing liver, regulating qi, regulating stomach and relieving pain, Radix Paeoniae Alba, and Radix Glycyrrhizae.
According to the words, it is Canadian ginseng and alcohol army who have dry stools. "synopsis of the golden chamber" Fang er mai men dong Tang consists of radix Pseudostellariae 12g, radix ophiopogonis 15g, japonica rice 15g, bamboo shavings 10g, Dendrobium 10g, mulberry leaves 10g, and French medicine.
Efficacy: nourishing yin and benefiting stomach.
Usage: decoct with water, one dose per day.
Ophiopogon japonicus is the monarch drug in the prescription, which tastes sweet, cold and wet, enters the lung and stomach meridians, nourishes yin and produces fluid, produces fluid and moistens dryness, and clears away deficiency and heat. I use ginseng, licorice, japonica rice and jujube to benefit stomach qi, nourish stomach yin and neutralize qi, then body fluid can go to the lungs. Lung and stomach are against qi, so a small amount of Pinellia ternata is used to reduce qi, resolve phlegm and produce fluid. Although pungent and warm, it is dry and restrained when it is combined with a large number of Ophiopogon japonicus, while Ophiopogon japonicus and Pinellia ternata are not greasy and complement each other. Among them, Glycyrrhiza uralensis Fisch has the effects of moistening lung, relieving sore throat and harmonizing various medicines. I think this makes. There are only six kinds of drugs, in the order from master to slave, which can moisten the stomach yin and lungs properly, lower the qi and stop the turbid body fluid, nourish the soil and produce gold, replenish the deficiency and foster the mother.
According to the notes, if you can still see heartburn and pain, noisy pantothenic acid, you can add Evodia rutaecarpa, Coptidis Rhizoma and Radix Aucklandiae; Green sepals and bergamot can be added for dull stomachache.
7. Spleen-stomach deficiency syndrome is characterized by persistent stomachache, especially on an empty stomach, eating slowly, liking hot and pressing, spitting clean water, fatigue, tepid hands and feet, and frequent defecation. The tongue is pale and the pulse is heavy and thin. Fang Crystal Qi Zhong Jian Decoction is from Synopsis of the Golden Chamber, which consists of 20g of Radix Astragali, 65438 08g of Radix Paeoniae Alba, 65438 00g of Ramulus Cinnamomi, 65438 00g of ginger, 30g of maltose and 4 Chinese dates.
Efficacy: warming the middle and strengthening the spleen.
Decoct me with water, add maltose and take it warm, one dose a day.
Fang Jie Huangqi Zhong Jian Decoction Xiaojianzhong Decoction is added with Huangqi to enhance the strength of invigorating qi and consolidating Zhong Jian, and eliminate the deficiency of both yin and yang.
Note: for those with obvious deficiency of qi and fatigue, reuse Astragalus membranaceus and add Codonopsis pilosula to enhance the effect of invigorating qi; If you are afraid of cold limbs, you should add aconite to warm yang and dispel cold; Palpitation, weak pulse, Radix Rehmanniae Preparata, Polygonum Multiflori Radix, Semen Ziziphi Spinosae, etc. Replenish blood and nourish the heart. Fangerli Zhongwan is from Treatise on Febrile Diseases and consists of 9 grams of ginseng, 9 grams of dried ginger, 9 grams of roasted licorice and 9 grams of Atractylodes macrocephala.
Efficacy: warming the middle and strengthening the spleen.
Usage honey pills, 2 ~ 3 times a day, 9 grams each time, with warm water to take; Or make decoction, determine the dosage according to the original proportion, decoct with water to get juice, and take it in warm water twice. Drink a proper amount of hot porridge after taking it and cover it with clothes.
The dried ginger in the recipe is hot and goes straight into the spleen and stomach. It is an important medicine for warming middle warmer, dispelling cold, strengthening spleen and strengthening yang, and it is a monarch medicine. Ginseng is sweet and slightly warm, benefiting qi and strengthening spleen, promoting transportation and transformation, and is a minister medicine. The combination of monarch and minister, the sum of sweetness and warmth, and the sum of warmth and yang. Atractylodes macrocephala is bitter and warm, invigorating the spleen and drying dampness. Because it is combined with ginseng, it can restore spleen and move up and down, so it is an auxiliary medicine. Radix Glycyrrhizae Preparata has the functions of warming, invigorating qi, tonifying middle warmer, relieving pain and harmonizing various medicines. The combination of the four drugs has the effects of warming the middle warmer, dispelling cold, benefiting qi and strengthening the spleen.
In the case of pantothenic acid, Evodia rutaecarpa and concha arcae are added; Spit more water, add dried ginger, dried tangerine peel, Pinellia ternata and Poria; For severe cold, severe pain, vomiting and cold limbs, add Dajianzhong Decoction or Lizhong Pill.