Traditional Chinese Medicine Formula of Longdan Xiegan Decoction
prescription
6 grams of gentian; 9 grams of scutellaria baicalensis Georgi; 9 grams of gardenia; Alisma orientalis12g; Akebia stem 9 grams; 9 grams of plantain seeds; 8 grams of angelica; 20 grams of raw land; Bupleurum chinense10g; 6 grams of raw licorice.
formula
Stir-fried Radix Gentianae, Qin Zhi wine, Caulis Akebiae, Rhizoma Alismatis, firewood, Radix Angelicae Sinensis, nourishing yin and blood, and damp-heat due to excess fire in liver and gallbladder.
Functional indication
Purging excess fire in liver and gallbladder, clearing damp-heat in lower energizer. Excessive fire in the liver and gallbladder disturbs people, with symptoms such as headache, red eyes, hypochondriac pain, bitter mouth, deafness and ear swelling; Or damp-heat betting, with symptoms of yin swelling and itching, muscle weakness and hyperhidrosis, turbid urine, and damp-heat leukorrhagia in women. (This prescription is commonly used for intractable migraine, eczema of the head, hypertension, acute conjunctivitis, iridocyclitis, furuncle of external auditory canal, rhinitis, acute icteric hepatitis, acute cholecystitis, urogenital inflammation, acute pyelonephritis, acute cystitis, urethritis, vulvitis, orchitis, inguinal lymphadenitis, acute pelvic inflammatory disease, herpes zoster, etc. It belongs to excess fire and damp heat in liver meridian. )
use
The dosage is determined according to the severity of the disease. It can also be made into pills, 6-9g each time, twice a day, and taken with warm water.
This prescription is mostly bitter and cold, and it is easy to hurt the spleen and stomach every time it is taken orally, so it is not suitable for the syndromes of spleen and stomach deficiency and yin deficiency and yang hyperactivity.
Square solution
The syndromes treated by this recipe are excess fire in liver and gallbladder and disturbance of damp-heat in liver meridian. If you are disturbed, you will feel headache and ear pain, or be deaf; A mouth with pain and bitterness on one side and two sides; Betting is accompanied by swelling, pain and itching caused by the yin collateral of the liver meridian of foot Jue Yin. Damp-heat pouring into bladder is a symptom such as gonorrhea. Therefore, gentian is used in the prescription, which is bitter and cold, purging the liver and gallbladder with excess fire, and purging the lower energizer with damp heat. It is two kinds of monarch drugs that are good at purging fire and eliminating dampness. Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis have the function of bitter cold and purging fire, and Gentiana scabra is the traditional Chinese medicine. Alisma orientalis, Akebia Akebia and Plantago asiatica clear away heat and promote diuresis, so that damp heat can be discharged from waterways. Liver governs storing blood, liver
When menstruation is hot, it is easy to consume yin and blood, followed by bitter cold and wet consumption. Therefore, Radix Rehmanniae and Radix Angelicae Sinensis are used to nourish yin and blood, taking into account both specimens. Bupleurum is used to introduce various drugs.
If the liver and gallbladder fire is flourishing, you can go to Akebia stem and Plantago seed and add Coptidis Rhizoma to help purge the fire; If the dampness is excessive and the heat is weak, Scutellaria baicalensis Georgi and Radix Rehmanniae can be removed, and talc and Coicis Semen can be added to enhance the diuretic effect; If the jade stem is sore, or the stool is toxic, the scrotum is swollen and painful, and the red heat is very heavy, you can go to Bupleurum, and add Forsythia, Coptidis Rhizoma and rhubarb to purge the fire and detoxify. Specially for liver and gallbladder, licorice has the effect of harmonizing various drugs. Look at the whole prescription, that is, there is a supplement in diarrhea and a supplement in benefit, so that the fire can be reduced to clear away heat, and the syndromes caused by meridians can be cured accordingly.
taboo
Most of the drugs in this prescription are bitter and cold products, which are easy to damage the spleen and stomach every time taken orally, so it is not suitable for spleen and stomach deficiency cold, yin deficiency and yang hyperactivity, or for long-term use.
Additional prescription
Xiexin Pill, Danggui Longhui Pill
annotations
This prescription is commonly used to treat hyperactivity of excess fire and hyperactivity of liver meridian due to downward flow of damp-heat. Clinical application takes bitter taste, red tongue with yellow fur and strong pulse string as the key points of syndrome differentiation.
Compared with the prescription, Longdan Xiegan Decoction, Xieqing Pill and Danggui Longhui Pill are all gunpowder for purging liver meridian. The difference is that Longdan Xiegan Decoction purges liver fire, clears damp heat, nourishes yin and blood, and eliminates evil without injury. Xieqing Pill purges liver fire, can disperse liver and gallbladder stagnation fire, and is suitable for liver fire stagnation syndrome; Danggui Longhui Pills concentrate on purging excess fire and divide it into two stools. Danggui Longhui Pill is an antidiarrheal agent. It is used to treat liver meridian syndrome due to excess fire, and should not be used lightly unless excess fire prevails.
document
Fang Lun Janice et al. Hypochondriac pain, bitter taste, deafness and ear swelling are symptoms of gallbladder meridian. Muscle weakness and damp, hot itching and swelling, white turbidity and bleeding are diseases of liver meridian. Therefore, Radix Gentianae purges the fire of the liver and gallbladder, Radix Bupleuri is the liver ambassador, Radix Glycyrrhizae relieves the liver, and Qin, Fructus Aurantii, Tong, Ze and Che are assisted.
It's good for the front yin, which makes the damp heat come out. However, they are all liver-clearing products. When the disease is gone, the liver is injured. So add angelica, Radix Rehmanniae to nourish the liver, and the liver is covered with blood, so enrich the blood. The wonderful thing is that the medicine for purging the liver is used as a medicine for nourishing the liver, which means defeating the marrow. ? "Medical ZongJinJian? On the deletion and supplement of famous doctors' prescriptions
Other prescriptions of Longdan Xiegan Decoction
Prescription 1
Quoted from the collection of medical prescriptions, quoted from Taiping Huimin and Heji Bureau.
Classified heat-clearing agent-Qingzang fever
Radix Gentianae (6g), Radix Scutellariae (9g), Fructus Gardeniae (9g), Rhizoma Alismatis (12g), Caulis Akebiae (9g), Semen Plantaginis (9g), Radix Angelicae Sinensis (8g), Radix Rehmanniae (20g), Radix Bupleuri (10g) and Radix Glycyrrhizae (6g).
The formula is fried with Radix Gentianae, Qin Zhi wine, Akebia Akebia, Alisma orientalis and firewood, and Radix Angelicae Sinensis is used for nourishing yin and blood, strengthening liver and gallbladder, and eliminating damp heat.
Huang Zilong (pushing) a wooden cart and unloading firewood locally. Solution: Scutellariae Radix, Fructus Gardeniae, Radix Gentianae, Caulis Akebiae, Semen Plantaginis, Radix Angelicae Sinensis, Radix Rehmanniae, Alismatis Rhizoma, Bupleuri Radix, and Glycyrrhrizae Radix.
Function: Purging excess fire in liver and gallbladder, clearing damp-heat in lower energizer.
Indications: imbalance of excess fire in liver and gallbladder, with symptoms of headache, red eyes, hypochondriac pain, bitter taste, deafness and ear swelling; Or damp-heat betting, with symptoms of yin swelling and itching, muscle weakness and hyperhidrosis, turbid urine, and damp-heat leukorrhagia in women. (This prescription is commonly used for intractable migraine, eczema of the head, hypertension, acute conjunctivitis, iridocyclitis, furuncle of external auditory canal, rhinitis, acute icteric hepatitis, acute cholecystitis, urogenital inflammation, acute pyelonephritis, acute cystitis, urethritis, vulvitis, orchitis, inguinal lymphadenitis, acute pelvic inflammatory disease, herpes zoster, etc. It belongs to excess fire and damp-heat in liver meridian. )
Usage: decoction, the dosage depends on the severity of the disease. It can also be made into pills, 6-9g each time, twice a day, and taken with warm water.
Radix Gentianae in the prescription is good at purging liver and gallbladder fire, and can clear damp-heat in lower energizer. Scutellaria baicalensis Georgi, Gardenia jasminoides Ellis and Bupleurum chinense are bitter cold and purging fire, while Plantaginis Semen, Akebia Akebia and Alisma orientalis are all ministers. The liver is the dirty of storing blood, and the heat of liver meridian is easy to hurt yin blood, so Radix Rehmanniae and Radix Angelicae Sinensis are used to nourish blood and benefit yin. Glycyrrhiza uralensis Fisch blends various drugs. In the formula, * * * plays the role of purging excess fire in liver and gallbladder and clearing away damp-heat in liver.
This recipe treats excess fire in liver and gallbladder and disturbance of damp-heat in liver meridian. If you are disturbed, you will feel headache and ear pain, or be deaf; A mouth with pain and bitterness on one side and two sides; Betting is accompanied by swelling, pain and itching caused by the yin collateral of the liver meridian of foot Jue Yin. Damp-heat pouring into bladder is a symptom such as gonorrhea. Therefore, gentian is used in the prescription, which is bitter and cold, purging the liver and gallbladder with excess fire, and purging the lower energizer with damp heat. It is two kinds of monarch drugs that are good at purging fire and eliminating dampness. Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis have the function of bitter cold and purging fire, and Gentiana scabra is the traditional Chinese medicine. Alisma orientalis, Akebia Akebia and Plantago asiatica clear away heat and promote diuresis, so that damp heat can be discharged from waterways. The liver governs the storage of blood, and the liver meridian is hot, which is easy to consume yin and blood. Adding bitter cold and dampness will consume yin, so Radix Rehmanniae and Radix Angelicae Sinensis are used to nourish yin and blood, so as to give consideration to both specimens. The prescription design of Bupleurum is to introduce various drugs into the liver and gallbladder, and Glycyrrhiza uralensis Fisch has the function of harmonizing various drugs. Look at the whole prescription, that is, there is a supplement in diarrhea and a supplement in benefit, so that the fire can be reduced to clear away heat, and the syndromes caused by meridians can be cured accordingly.
If the liver and gallbladder fire is flourishing, you can go to Akebia stem and Plantago seed and add Coptidis Rhizoma to help purge the fire; If the dampness is excessive and the heat is weak, Scutellaria baicalensis Georgi and Radix Rehmanniae can be removed, and talc and Coicis Semen can be added to enhance the diuretic effect; If the jade stem is sore, or the stool is toxic, the scrotum is swollen and painful, and the red heat is very heavy, you can go to Bupleurum, and add Forsythia, Coptidis Rhizoma and rhubarb to purge the fire and detoxify.
Fuxieqing Pill, Danggui Longhui Pill
Note: This recipe is often used to treat hyperactivity of liver meridian caused by hyperactivity of excess fire and downward flow of damp-heat. The main points of clinical application are bitter mouth, red tongue with yellow fur and strong pulse.
Prescription comparison:
Longdan Xiegan Decoction, Xieqing Pill and Danggui Longhui Pill are all medicines for purging liver meridian fire. Their differences are as follows: Longdan Xiegan Decoction can purge liver fire, clear damp heat, nourish yin and blood, and eliminate evil without injury. Xieqing Pill purges liver fire, can disperse liver and gallbladder stagnation fire, and is suitable for liver fire stagnation syndrome; Danggui Longhui Pills concentrate on purging excess fire and divide it into two stools. Danggui Longhui Pill is an antidiarrheal agent. It is used to treat liver meridian syndrome due to excess fire, and should not be used lightly unless excess fire prevails.
Various exhibitions
1. Collection of Medical Prescriptions: This medicine is also used to tonify Jue Yin and Shao Yang. Radix Gentianae purges the heat of Jue Yin, Radix Bupleuri calms the heat of shaoyang, Radix Scutellariae and Fructus Gardeniae clears lung and triple energizer, Alisma orientalis purges the dampness of kidney meridian, Caulis Akebiae and Plantago asiatica purges the dampness of small intestine and bladder, so they are all medicines for diarrhea due to bitter cold. Therefore, they are used as ministers to nourish blood and liver, and licorice is used to soothe the middle energizer without hurting the stomach.
2. Revise the popular Treatise on Febrile Diseases: the liver is windy and wood, and the gallbladder is burning. Where the liver-qi is abundant, gallbladder fire occurs with many symptoms, such as bitter mouth, hypochondriac pain, deafness and ear swelling, wet itching, red blood in urine, and even muscle weakness and yin pain. Therefore, bravery, sparseness, gardenia and qinchun are kings; However, if the fire is strong, the yin will be deficient, so I use fresh land to make it sweet, cool and moist, and save the liver yin to relieve the liver's worries; The wonderful thing is that Bupleurum is light and clear, and it must be clearing the heart and calming the nerves; Make Alisma orientalis and Plantago asiatica salty and wet, and lead to liver and gallbladder fire. This is a good prescription for cooling liver and purging fire, guiding red and saving yin. But only when the liver and gallbladder are full of fire, the vaginal fluid is not dry, the pulse is rapid, the tongue is purple and red, and the fur is yellow and greasy.
3. synopsis of the golden chamber: hypochondriac pain, bitter taste, deafness and ear swelling are diseases of the gallbladder; Muscle weakness and damp, hot itching and swelling, white turbidity and bleeding are diseases of liver meridian. Therefore, Radix Gentianae is used to purge the fire of liver and gallbladder, Radix Bupleuri is used as the liver ambassador, Radix Glycyrrhizae is used to relieve liver anxiety, and Qin, Fructus Aurantii, Tong, Ze and Che are used to help damp heat. But they are all products of purging liver. When the disease is gone, the liver will be injured, so add Angelica sinensis and Radix Rehmanniae to nourish the liver. Covering the liver is the viscera of blood, and enriching blood is nourishing the liver. The wonderful thing is that the medicine for purging the liver, on the contrary, is a medicine for nourishing the liver and has the meaning of overcoming the need of relaxing menstruation.
4. "Easy to read": The husband's fire is caused by the liver and gallbladder, and his sex is easy to move and his movements are very loud. It's multiple syndromes. Or people's liver yin is insufficient, and the fire element is strong. At the time of the commander-in-chief of Six Dampness and Heat, the internal and external factors caused each other, and the qi was born together, so the meridians crossed by the liver and gallbladder and the meridians dominated by them were all harmed. Therefore, Gentiana scabra tastes bitter and cold, and purges the liver, gallbladder and damp fire; Liver and gallbladder belong to wood, wood is happy, evil fire is depressed, and wood is uncomfortable. Therefore, Bupleurum is used to soothe the liver and benefit the gallbladder, Scutellaria baicalensis is used as the ambassador, followed by Akebia stem, plantain and Alisma orientalis to induce pathogenic heat in small intestine and bladder. In ancient times, both positive and negative factors must be taken into account in treating diseases, otherwise, the evil will be removed from the negative, which may lead to the disadvantages of drugs. Therefore, when you go home, you should nourish liver blood, licorice can slow down the middle qi, and all kinds of medicines should cooperate, so that the bitter cold will not hurt your stomach, gas and ears.
5. "Lecture Notes on Qianzhai Medicine": This prescription takes Gentiana as the monarch, with Scutellaria baicalensis Georgi and Shan Zhi, purging liver and gallbladder fire; Akebia stem, plantain and Alisma orientalis are used to clear away heat and promote diuresis, Radix Rehmanniae and Radix Angelicae Sinensis are used to prevent fire from damaging yin, then licorice and Chinese herbal medicines are used to detoxify, and Bupleurum is used to guide menstruation and disperse qi. The general function is to stack bitter cold, purge liver fire, and clear damp-heat in lower energizer. Therefore, it can be used to treat hypochondriac pain, bitter taste, red eyes and deafness. It can also treat damp-heat syndrome such as dripping urine, swollen vagina and itching.
Prescription 2
Source: The Secret Collection of the Blue Room (Volume II)
Different names of Qiwei Longdan Xiegan Decoction (Volume 57 of Jingyue Quanshu) and Longdan Decoction (Volume 4 of You You You Integration).
Consists of 3 grams of Bupleurum, 3 grams of Alisma orientale, 65,438 grams of Plantago asiatica, 0.5 grams of Radix Rehmanniae, 9 grams of Radix Angelicae Sinensis and 9 grams of Radix Gentianae.
In use, the file is as big as a bean. Make one, use 450ml of water, fry it to 150ml, take it out of me, and take it with good dishes when it is warm on an empty stomach.
Clearing away dampness-heat in liver and gallbladder.
Indications for sore throat caused by excess fire in liver meridian; Damp-heat pours into the liver meridian, causing astringent and painful urination, pruritus in the pudendal region and foul smell.
Prescription 3
Source: Selected Topics, Volume 4
Comprise bupleurum root, green tangerine peel, gentian, gardenia, rhubarb, white peony root, Akebia stem, weeping forsythia, coptis root and talc.
Indications: Damp-heat of liver meridian, or toxic stool with cyst and carbuncle, chancre hanging carbuncle, swelling and pain, astringent urine, pruritus and pain of female vulva, swelling of male vulva, or pus discharge; Wet heat chancre, swelling and pain, astringent urine, dry shrinkage, itching and pain, leukorrhagia.
Usage: decoct with water, 1 dose, twice a day.
Prescription 4
Source: Zhu Lin Gynecology Syndrome and Treatment, Volume III.
Comprises 5 parts of Radix Gentianae (stir-fried with wine), 5 parts of Ginseng, 5 parts of Radix Asparagi (heart removed), 5 parts of Radix Glycyrrhizae, 5 parts of Rhizoma Coptidis (stir-fried), 5 parts of Fructus Gardeniae (stir-fried), 5 parts of Rhizoma Anemarrhenae, 7 parts of Scutellariae Radix, 3 parts of Bupleuri Radix 1 Money and Schisandra chinensis.
Indications: Anger caused by excessive internal heat can damage the liver, and the maternity ward is not closed.
Usage: decoct in water and warm.
Prescription 5
Source: the complete book of treating rash.
Comprises Herba Hedyotidis Diffusae, Fructus Gardeniae (parched), Rhizoma Anemarrhenae (parched with salt water), Rhizoma Coptidis (parched with wine), Radix Glycyrrhizae, Radix Bupleuri, Fructus Arctii, Radix Asparagi, Scutellariae Radix, Radix Ophiopogonis and Radix Scrophulariae.
Indications: clearing liver and resolving phlegm. Main storm.
Prescription 6
Source: Liu Shu Yi Ce Volume 2 1
The prescription is Radix Gentianae 1 yuan, Radix Bupleuri 5 points, Pericarpium Citri Reticulatae Viride 1 yuan and a half (fried), Radix 5 yuan, Semen Plantaginis 3 yuan (fried), Angelica 2 yuan, Gardenia Montenegro 1 yuan and a half (fried), and fresh ginger 1 tablet.
Function: Indications: hyperactivity of liver and gallbladder fire, swollen face and rapid pulse.
Usage and dosage: decocted in water.
Various factions discussed that anger hurts the liver, and the fire of the liver and gallbladder goes against it, but the damp heat does not disappear, and the meridians are connected, so the face is swollen and the two senses are connected. Radix Rehmanniae nourishes yin to reduce gallbladder fire, gallbladder grass bends straight to calm liver fire, Pericarpium Citri Reticulatae Viride breaks qi to calm adverse reactions, Bupleurum clears heat and calms liver, Gardenia lowers bending fire, Plantago Plantaginis benefits damp-heat qi, Angelica sinensis promotes blood circulation and nourishes liver, and ginger dissipates depression and detumescence. Decocting with water and taking warm clothes can calm down the fire, melt the damp heat by itself, and completely eliminate facial edema. This kind of heat-clearing and dampness-promoting agent is a special prescription for liver-gallbladder fire to resist bloating.
Prescription 7
Source "Surgical Life Collection" Volume 4
The prescription is Gentiana 2 yuan, Guiwei 2 yuan, Flos Lonicerae 1.5 yuan, pollen 1.5 yuan, Fructus Forsythiae 1.5 yuan, Scutellariae Radix 1.5 yuan, Cortex Moutan 1 Yuan, and Radix Saposhnikoviae 1 Yuan.
Function: clear liver and detoxify. Main tooth carbuncle, damp heat of liver meridian, red and astringent urine, or carbuncle and carbuncle will poison Myrica rubra.
Usage and dosage: decocted in water.
Prescription 8
Source: Volume III Pulse Diagnosis.
Comprises Hedyotis diffusa, Bupleurum Radix, Scutellariae Radix, Fructus Gardeniae, Fructus Forsythiae, Rhizoma Anemarrhenae, Radix Ophiopogonis, Rhizoma Chuanxiong, Ginseng Radix and Glycyrrhrizae Radix.
Indications: hyperactivity of liver fire, yellow eyes, hypochondriac pain, abdominal distension and pain, or tingling, or red urine on the left side, insomnia at night, and closed left pulse.
Prescription 9
Source: Medical System, Volume 60.
Prescription of Gentiana macrophylla 8 points, Cimicifuga 3 points, Bupleurum 3 points, Notopterygium root 1 money, wine phellodendron bark 1 money, Saposhnikovia divaricata 2 money, Ephedra 2 money, Atractylodis Macrocephala 5 points, Polyporus 3 points, Alisma 3 points, Ligusticum 2 points, Carthamus 2 points, Angelica 2 points, Scutellaria 5 points, Glycyrrhiza uralensis.
Function: It is mainly used to treat yellow urine, foul smell, dripping water, two grains of water, sweating on both buttocks and yin cold.
Usage and dosage: 1 put it on your mouth (dad's mouth). Decoct 2 cups of water and take it at a slight heat.
Pay attention to avoid drinking. noodle
Prescription 10
Source: Typhoid White Volume III
Prescription Gentiana, Radix Bupleuri, Scutellariae Radix, Coptidis Rhizoma, Radix Ophiopogonis, Rhizoma Arisaematis, Rhizoma Anemarrhenae, Glycyrrhrizae Radix, Indigo Naturalis, and Fructus Gardeniae.
Function: it means that there is fire in the liver and gallbladder, and you can't close your eyes; I'm scared in my heart, and my eyes can't stand it.
Prescription eleven
Source: Typhoid White Volume II
Comprises Hedyotis diffusa, Bupleurum Radix, Scutellariae Radix, Gardenia Fructus, Rhizoma Chuanxiong, Rhizoma Anemarrhenae, Radix Ophiopogonis, Ginseng Radix and Glycyrrhrizae Radix.
Indications: Liver meridian and blood mansion reduce fire and drain blood at the same time.
Prescription 12
Source: New Edition of Prescription, Volume XI
Is prepared from Gentiana scabra 1.5 yuan (stir-fried with wine), Guiwei 1.5 yuan, Scutellaria baicalensis Georgi 1 Yuan, Alisma orientalis 1 Yuan, Akebia Akebia 1 Yuan, Plantago asiatica 1 Yuan, and Radix Rehmanniae/kloc-Yuan.
Indications: excess fire, damp-heat, hypochondriac pain and deafness of liver and gallbladder.