Buzhong Yiqi decoction was created by Gao Li, a doctor in Jin and Yuan Dynasties, and it is a classic prescription for tonifying the middle energizer, invigorating qi, rising yang and relieving depression. When Professor Lv Renhe studied under the famous doctor Mr. Zhang Zhichun in the early days of the founding of the People's Republic of China, he had heard Zhang Lao explain the application experience of Buzhong Yiqi Decoction. Young students in those days have now become famous masters of Chinese medicine at home and abroad. What do you feel differently when you recall what you learned in those years?
Zhang Lao said: Buzhong Yiqi Decoction is an important prescription for spleen deficiency in Spleen and Stomach Theory written by Li Dongyuan in Jin and Yuan Dynasties. The original prescription contains a small amount of drugs, including five parts of Radix Astragali, five parts of Radix Glycyrrhizae Preparata, three parts of Radix Ginseng, three parts of Radix Angelicae Sinensis, Pericarpium Citri Tangerinae, Cimicifugae Rhizoma, Bupleuri Radix and Atractylodis Rhizoma, which are often increased tenfold in clinical use.
The recipe combines kidney qi to replenish vitality, temper and clan qi. Surgery and drugs focus on invigorating the middle energizer. In order to prevent stagnation of middle energizer, tangerine peel is added to regulate qi, Cimicifuga rhizome helps to raise the qi of Taiyin Yangming in the spleen and stomach, and Bupleurum root soothes the liver and benefits the spleen, which can raise the qi of shaoyang. Danggui with Qicheng Danggui Buxue Decoction can replenish qi and nourish blood, while Danggui with Chaihu can soothe and nourish liver, soften liver and benefit spleen. Dong Yuan believes that "stomach-qi-based" is put forward by the theory that "stomach-qi leads to life and stomach-qi leads to death", which is essentially consistent with the statement that spleen and stomach are the foundation of the day after tomorrow. The middle jiao is the pivot, the spleen dominates the ascending and the stomach dominates the descending. Properly ascending and descending, the meridians of the whole body are accessible, the qi and blood are unobstructed, and the source of biochemistry is normal. If you want to reduce the fire, you must first raise the fire. As long as you can improve, you can lower yourself. However, this prescription definitely treats the syndrome that spleen deficiency cannot rise. Spleen governs limbs, muscles and qi and blood. Depression of middle qi is essentially spleen deficiency, so the main symptoms are deficiency of middle qi, general weakness, heavy limbs, fullness after eating, dizziness, low fever, spontaneous sweating, oozing blood, rectocele, uterine prolapse, metrorrhagia, bloody stool, visceral prolapse and so on. The author has been using this prescription to treat the above diseases for decades.
Specific addition and subtraction usage
1. For people with congenital deficiency and physical weakness after serious illness who can't be cured for a long time, such as shortness of breath, heavy limbs, fullness after taking, fatigue or inability to exert force, thick tongue coating, weak pulse and short pulse by two inches, use Buzhong Yiqi Decoction, and add Pinellia ternata, ginger and bamboo shavings. Long-term illness can lead to depression and phlegm for a long time. There is tangerine peel in Buzhong Yiqi decoction, which can also resolve phlegm, but its medicinal properties are not strong enough. Not resolving phlegm is like a rusty and greasy machine. If the machine is to turn, it must be cleaned. If you want to lose your temper first, you must stop resolving phlegm.
2. nameless low fever, hot nights go away and days come, the grains are not fragrant, the whole body is tired, the limbs are heavy, the tongue is fat, the fur is yellow and white, and the pulse is weak, which is due to the weakness of rotation, stagnation and heat, and the heat overflows the triple energizer. Buzhong Yiqi decoction is used, the dosage is increased tenfold, and Gardenia 10g is added to make the spleen move, the meridians connect, the triple energizer stagnates, and the fever is less. Gardenia is the most effective.
3. Repeated turbid urine, no pain, white turbid urine in the bottle, no special routine urine examination, frequent fatigue, shortness of breath, loss of appetite, and even pain in the waist and legs, white and fat tongue coating, and heavy pulse are signs of deficiency of both spleen and kidney and deficiency of both qi and yang. Buzhong Yiqi decoction was used, with the dosage of 10 times, and Erxiandan (Rosa laevigata 15g, Euryale euryales 15g) was added. Rosa laevigata was born on the hillside, strengthening the spleen and benefiting the kidney; Gordon Euryale was born in the swamp, which tonifies the kidney and strengthens the spleen. The combination of the two drugs is helpful to regulate menstruation of Buzhong Yiqi Decoction. Evidence and medicine are effective.
4. Leucorrhea is clear and thin, without foul smell, shortness of breath, fatigue, heavy limbs, uncomfortable eating rice, thin stool, fat tongue with white fur and weak pulse. It is planned to use Buzhong Yiqi Decoction, the amount of which is increased tenfold, and fried Atractylodes lancea 15g, Cortex Phellodendri 10g, Semen Plantaginis (including fried) 15g, and Rhizoma Dioscoreae 15g, which have many good effects.
5. Urinating blood is pale. After comprehensive examination, there is no special reason, such as shortness of breath, fatigue, fat tongue and weak pulse. Use Buzhong Yiqi Decoction, add 10 times the amount, and add 5 grams of Sanqi (counted separately).
6. Mild proctoptosis, with Buzhong Yiqi Decoction as the main symptom, adding Galla Chinensis 10g and Fructus Aurantii 6g.
7. Mild uterine prolapse, with Buzhong Yiqi Decoction as the main symptom, with Buzhong Yiqi Decoction, plus Alpinia oxyphylla 10g, Schisandra chinensis 10g (beat).
8. Habitual abortion, with Buzhong Yiqi Decoction as the main symptom, with Buzhong Yiqi Decoction plus 65438 00 g of Cuscuta chinensis and 65438 00 g of Eucommia ulmoides Oliv. Dipsacus 65438±00g.
9. If you have diarrhea for a long time, you have the main symptom of Buzhong Yiqi Decoction. Use Buzhong Yiqi Decoction, add 65,438 00 grams of Pueraria lobata powder, 65,438 00 grams of fried yam, 65,438 00 grams of fried plantain seeds and 65,438 00 grams of Psoralea corylifolia.
10. Patients with mild renal ptosis should take 6 grams of Buzhong Yiqi Pill in the morning and Liuwei Dihuang Pill 1 pill in the evening.
1 1. Mild gastroptosis is mainly manifested by Buzhong Yiqi Decoction. Buzhong Yiqi Decoction uses Pueraria lobata 10g, fried Fructus Aurantii 3g, and fried Fructus Aurantii 3g. Here, Pueraria lobata can help Buzhong Yiqi Decoction to promote the development of stomach qi, but the stomach governs the decline, and the stomach qi does not decrease the spleen and cannot rise. Therefore, stir-fry Fructus Aurantii Immaturus and Fructus Aurantii Immaturus slightly in the promotion, so as to reduce the stomach qi.
12. Stop drinking at the border, have a cold back, and have the main symptoms of Buzhong Yiqi Decoction. Buzhong Yiqi decoction is used, and Poria cocos 15g, Ramulus Cinnamomi 20g and Alisma orientalis 10g are added.
There are many diseases, and this recipe can be used to treat the main symptoms of Buzhong Yiqi Decoction.
When Professor Lu Renhe was studying, it was the envy of Chinese medicine practitioners: Qin Bowei, Zhang Cigong, Ren Yingqiu, Zhao Bingnan, Chen Shenwu, Liu Duzhou, Hu Xishu, Zhu Chenyu and other famous doctors gathered, and they had the opportunity to study face to face with these Chinese medicine practitioners.
Although we can't travel back to that era, we have a chance to make up for this regret.
Some students of Beijing College of Traditional Chinese Medicine (now Beijing University of Traditional Chinese Medicine) 1956 compiled and edited the dictation and heartfelt wishes of some famous Chinese medicine practitioners in Beijing and the whole country during their study in the 1950s and early 1960s.