Note: This prescription is mainly used to treat night sweats due to yin deficiency, excessive fire due to yin deficiency, red face and dry mouth, dry mouth and lips, yellow urine, red tongue and rapid pulse.
Sweat is the liquid of the heart. Yang in the exterior and interior of zang-fu organs is dominated by the heart, so its change is based on the body fluid produced by Yang and the perspiration caused by fire. People who are peaceful in yin and yang will wake up in the yang and fall asleep in the yin at night. So Yin and Yang Gigi are normal. When people with yin deficiency and excessive fire fall asleep, the defensive qi moves in the yin, but the yin deficiency can't be Jiyang, and the yang fire is strong and disturbed in the yin, and the yin fluid comes out. At this point, the defensive yang is disturbed by the outside, losing fixation, and the vaginal fluid leaks out, resulting in night sweats. People wake up to defend qi, because of yang, yin is quiet and not disturbed by yang. Yang qi goes out of the exterior and interior, and sweating stops. This is the reason why night sweats are due to yin deficiency and excessive fire. In this prescription, angelica is the main medicine for nourishing blood and heart. Nourishing yin and cooling blood in both places are auxiliary drugs; Purge fire with Qin Bai, the yin is firm, the sweat is not discharged, the heat is clear, and the fire is not disturbed. Astragalus membranaceus can replenish qi and consolidate exterior, which can not only replenish exterior yang, but also absorb the discharged liquid (with angelica sinensis, nourishing blood and benefiting heart is more effective); Taking coptis root into the heart to clear fire, taking peace of mind as the medicine, nourishing yin and clearing away heat, consolidating exterior and stopping sweating, achieving the secret of Yin and Pingyang, and treating the spirit as the purpose.
When I use this recipe to treat night sweats due to yin deficiency, I often add Radix Paeoniae Alba, Os Draconis, Concha Ostreae, Radix Scrophulariae and floating wheat. A middle-aged woman in Ceng Zhi, with swollen neck, emaciated figure, low-grade fever in the afternoon, night sweats, red tongue, thin yellow fur and deep and thin pulse. Syndrome differentiation is the syndrome of qi stagnation causing fire, fire depression damaging yin, and night sweats due to yin deficiency. The treatment is mainly to nourish yin and reduce fire, relieve depression and soften liver. The prescription of Danggui Huang Liu Decoction and Xiaoyu Pill is: Radix Rehmanniae 15g, Radix Scrophulariae 30g, raw oyster 30g (initial), raw Radix Paeoniae Alba 12g, fried Radix Scutellariae 10g, Rhizoma Anemarrhenae 10g, Cortex Phellodendri 10g, and Fritillaria thunbergii 65438. According to the syndrome, add or subtract 60 doses to stop night sweats, remove low fever, increase appetite and eliminate scrofula.
When treating night sweats, it should be noted that miscellaneous night sweats are different from typhoid night sweats. Typhoid fever and night sweats are mostly the evil of half exterior and half interior, which is out of balance, so exterior and interior are the main factors. Miscellaneous diseases and night sweats are due to yin deficiency and fire flourishing, so it is mainly to save yin and clear fire. Don't be confused.
What needs to be distinguished again: Danggui Huang Liu Decoction is the main one, which is caused by lung deficiency and night sweats due to excessive liver qi; Liver blood deficiency, guilty of night sweats, mainly uses Ziziphus jujuba seed soup; For patients with kidney yin deficiency, tortoise plastron, carapax Trionycis, Radix Asparagi and Rhizoma Anemarrhenae are added.
This prescription has a strong effect of nourishing yin and clearing away heat, and is suitable for people with deficiency of body due to yin deficiency and excessive fire and dryness and heat. Because there are many drugs for bitter cold, people with weak spleen and stomach and low intake of loose stool should not use them.