First visit:
? Wang, male, 33 years old, has epigastric discomfort. For several years, he has heavy breathing, irregular stool, pale tongue with yellow and greasy fur and heavy and slippery pulse. Syndrome differentiation is disharmony between liver and stomach, and treatment is to reconcile liver and stomach. The teacher's prescription is as follows:
? Six slices of ginger? Roasted licorice 15g? Pinellia ternata 15g? Scutellaria baicalensis Georgi 12g
? Coptis root 3g dried ginger 3g? Codonopsis pilosula 12g Radix Aucklandiae 3g (lower back)
? Three China dates? Pogostemon rugosa 15g Amomum villosum 6g (lower back)
7 doses
? The patient will come back on Sunday and the prescription is as follows.
The second diagnosis: the syndrome is obviously better than before, with pale tongue, thin coating and slow white pulse.
? Stir-fried six slices of ginger with licorice 15g of Pinellia ternate 15g of Scutellaria baicalensis Georgi 12g.
? Coptis 3g? Dried ginger 3g? Codonopsis pilosula 12g plantain 12g
? Pogostemon cablin 15g? Perrin 15g by heart? Amomum villosum 6g Xia Hou
7 doses
? After this prescription, there is no need for three consultations.
?
Seeing the symptoms of the above patients, do you still remember the regulations of Ginger Xiexin Decoction?
Article 157 of Treatise on Febrile Diseases: After the release of typhoid sweat. If the stomach is discordant, the heart swells hard, the food is dry and smelly, there is water vapor under the threat, and the abdomen is beneficial, then the ginger Xiexin decoction is mainly used.
? Look at the patient's symptoms, epigastric discomfort, heavy breathing and irregular stool. It just corresponds to the regulation of "stomach disharmony, hard heart, dry mouth and smelly food, and thunder in the abdomen".
Then how do we understand this article and this song?
? Key points of the article: there is water vapor (food intake) under the threat of dry food (the description under the threat is to distinguish it from chest pain and the description of food intake)-water and food stagnate and the abdomen thunders (irritable bowel sounds). Needless to say this.
? Ginger Xiexin Decoction consists of ginger, Scutellaria baicalensis Georgi, Coptidis Rhizoma, dried ginger, Pinellia ternata and Ziziphus jujuba seed.
? Efficacy: warming middle warmer, clearing heat and regulating stomach, eliminating dampness, reducing swelling and strengthening body resistance.
? Indications: pathogenic heat invades, stomach deficiency does not turn, and water and drink stop accumulation. Symptoms are swelling and hardening of the heart, bad smell of dry food, water vapor under threat, and thunder and thunder in the abdomen. The tongue coating is thin, yellow and greasy.
Recipe 1: Ginger Xiexin Decoction is based on Pinellia Xiexin Decoction, with four liang of dried ginger reduced and four liang of ginger added. The main function of dried ginger is to warm and nourish spleen and yang; However, in this article, it is pointed out that after drinking, the coke is everywhere and the stomach qi is insufficient. Therefore, it is necessary to reduce the dosage of dried ginger, and choose the dosage of ginger that can harmonize the stomach, reduce adverse reactions, dispel dampness, and move without saving, so as to treat heat with bitterness (Qinlian), tonify deficiency with sweetness (Caozaoshen), and disperse swelling with pungent (dried ginger, summer). In the teacher's prescription, Radix Aucklandiae is added to guide triple energizer, and Herba Agastaches and Fructus Amomi are used to treat odor with incense.
? In the second prescription, plantain is beneficial to urination and defecation, while Pogostemon, Eupatorium odoratum and Amomum villosum also have the fragrance of treating odor, and the volatile oil in the medicine plays the main role.
? The following is a brief summary of five catharsis soups:
Terms:
If the heart is swollen, pressed, and the pulse is closed and floating, Dahuang Huanglian Xiexin Decoction is mainly used.
? Two taels of rhubarb and one tael of coptis.
Fuzi Xiexin Decoction is the main prescription for people who feel bloated and return to aversion to cold and sweating.
? Rhubarb 22, coptis chinensis 12, scutellaria baicalensis Georgi 12,
? A aconite root
After five or six days, patients with typhoid fever proved to have the syndrome of Chaihu decoction, and those who still had the syndrome of Chaihu decoction after taking other drugs were treated with Chaihu decoction. Although this is done, it will steam and vibrate, but the fever and sweating will be solved. If the heart is full and painful, it is also a chest knot, mainly soup. But if you are full and don't feel pain, it is a new sensation, and Bupleurum is mistaken. Banxia Xiexin decoction is suitable.
Banxia Xiexin Decoction is the main prescription for people with vomiting, bowel sounds and heartburn.
? Half a liter of Pinellia ternata, one or two Chinese goldthread, twelve Chinese dates.
? Scutellariae Radix, Zingiberis Rhizoma, Ginseng Radix and Radix Glycyrrhizae Preparata,
After the release of typhoid sweat. If the stomach is discordant, the heart swells hard, the food is dry and smelly, there is water vapor under the threat, and the abdomen is beneficial, then the ginger Xiexin decoction is mainly used.
Four Liang ginger, three Liang licorice, three Liang ginseng,
One or two dried ginger, three or two scutellaria baicalensis, half a liter of Pinellia ternata,
One or two coptis, twelve jujubes.
Typhoid stroke, reversed by medical treatment, has benefited people for dozens of days. The valley is not melted, the abdomen has thunder, the heart is hard and full, and the retching is uneasy. When the doctor sees something new, he says that the disease is endless and new things are very beneficial. This is not hot, but my stomach is weak and polite, so it's hard. Gancao Xiexin Decoction is the main prescription.
? Four liang of roasted licorice, three liang of scutellaria baicalensis, three liang of dried ginger,
? Half a liter of Pinellia ternata, twelve Chinese dates, and one or two Chinese goldthread.
According to the above provisions, it can be divided into the following two situations:
1, Yang Buluo:
Dahuang Huanglian Xiexin Decoction —— The stomach heat does not decrease.
Fuzi Xiexin Decoction-Instability of Stomach Heat and External Yang
2, Yang does not fall, accompanied by Yin does not rise:
Banxia Xiexin Decoction —— Mixed cold and heat
Ginger Xiexin Decoction —— Cold and heat mixed with stagnant water and diet
Gancao Xiexin decoction-cold and heat are mixed, and stomach deficiency is more serious.