Platycodon grandiflorum is an important drug to expel pus. When we mentioned Platycodon grandiflorum, the first effective cough medicine we thought of was cough powder in Cheng Zhongling's medical mind.
This cough powder has a very good effect in the early stage of cough. Both cold and heat can be treated with this prescription, and Platycodon grandiflorum is mainly used for resolving phlegm and relieving cough.
Platycodon grandiflorum tastes bitter and pungent, and its nature is slightly warm. When it enters the lung meridian, it can eliminate phlegm and relieve cough, disperse the lung and expel pus. Mainly used for cough with excessive phlegm, sore throat, lung abscess and pus discharge, chest fullness and hypochondriac pain, dysentery and abdominal pain, and dysuria.
"Speculative Record of Materia Medica" contains: "The pungent taste of Platycodon grandiflorum can be dispersed, but the bitter taste can be reduced. After the bitter taste, it is pungent first, then falls and then rises, tossing in the throat, chest and stomach. "
So this medicine can lift and relieve diarrhea.
In Treatise on Febrile Diseases, Zhang Zhongjing treated Shaoyin sore throat with orange stem soup, and the dosage was one or two of platycodon grandiflorum and two of licorice.
The main mechanism of treating sore throat with Platycodon grandiflorum and Glycyrrhiza uralensis Fisch Decoction is that Platycodon grandiflorum can raise lung qi, while Glycyrrhiza uralensis Fisch can lower lung qi, clear away heat and relieve pain.
Therefore, anyone with shaoyin sore throat or shaoyang sore throat can add platycodon grandiflorum and licorice on the basis of syndrome differentiation.
The white powder of Platycodon grandiflorum contained in the Secret of Outer Taiwan consists of Platycodon grandiflorum, Croton and Fritillaria.
Other commonly used ingredients are three parts of platycodon grandiflorum, one part of croton croton and one part of Fritillaria, which are ground into powder, mixed evenly, encapsulated and taken with boiling water. Used for severe lung abscess of cold-dampness type. Symptoms are cough, bad smell of phlegm, chest pain, hypochondriac pain, heartache, refusal to press, and no defecation. The tongue coating is white and slippery, and the pulse condition is slow or tight. Confirm the pulse condition.
The significance of platycodon grandiflorum here is mainly to promote qi and blood circulation, clear the orifices and eliminate stagnation. Chen Shiduo's New Edition of Materia Medica shows that platycodon grandiflorum can eliminate upper energizer arthralgia and hypochondriac pain, and these two functions basically make the efficacy of platycodon grandiflorum very clear.
So clinically, I have concluded that there are two indications for treating lung adenocarcinoma with platycodon grandiflorum powder, one is excessive phlegm and saliva, and the other is thick and greasy fur.
At this time, you can take it in small doses, and the effect is generally better in the afternoon. Diarrhea should not start more than three or five times. Eating a bowl of cold porridge for more than five times can stop diarrhea.
Therefore, platycodon grandiflorum white powder is used well and has a good effect on lung tumors.
The main toxic substance of croton is crotonine, and the attenuation of croton is to remove oil. You can use a piece of paper with strong oil absorption, put it on the table, grind croton into powder, and roll it several times continuously to remove oil residue.
Or bake croton in the oven, crush it, and suck it dry with oil-absorbing paper.
In addition, platycodon grandiflorum white powder can also be used for the following diseases.
1. Acute laryngitis, acute laryngeal edema
Grind platycodon grandiflorum powder into powder, blow it into throat, and spit out a lot of phlegm and saliva after 3-5 minutes. After vomiting for 3-4 times, abdominal pain and diarrhea will occur for 3-4 times, which will generally be relieved after one medication.
2. Intestinal obstruction
Abdominal pain, vomiting, no exhaust, no defecation, diarrhea after taking rhubarb for 6-8 hours, diarrhea after taking kansui for 3-4 hours, and defecation after taking platycodon grandiflorum powder at the earliest about 1 hour.
However, platycodon grandiflorum white powder is only used for cold-damp intestinal obstruction, while excess heat and deficiency of both qi and blood are prohibited.
Usage: Take 1g once for people with strong constitution. If it doesn't work after 3-4 hours, swallow it again. If it still doesn't work, use other methods.
3. Small cell lung cancer
For the treatment of small cell lung cancer, platycodon grandiflorum white powder can be taken intermittently. After taking the medicine, there is often phlegm such as pus, and the rest are often flavored with Qianjin Stomach Meridian.
See Zhu Lao repeatedly used Agrimonia pilosa and Platycodon grandiflorum in the treatment of nonspecific colitis.
Later, the application of platycodon grandiflorum in chronic enteritis was explored.
"Danxi Heart Method" contains: Platycodon grandiflorum can promote all kinds of drugs, which is the agent of boat.
At that time, I only understood that Platycodon grandiflorum is a rising sun, and it is compatible with Agrimonia pilosa to treat purulent bloody stool.
Later, I studied the orange stem soup, pus-expelling powder and pus-expelling soup in synopsis of the golden chamber, as well as Lu Jiuji's ancient Zhai medical books in Qing Dynasty, all of which recorded the effect of platycodon grandiflorum in expelling pus.
In the Qing Dynasty, Lu recorded in Lu Yi Fang Ji: "In the treatment of adverse reactions, platycodon grandiflorum can accelerate the discharge of pus."
Jiang Ruoxin, an old Chinese medicine practitioner in Nan Yi Tan, had an experience. He reused 20 ~ 50g of Platycodon grandiflorum and added 0/5 ~ 20g of Paeonia lactiflora/kloc-to treat chronic dysentery or nonspecific colitis with purulent stool, which is an ancestral prescription of his family.
Clinically proven, Platycodon grandiflorum is the first choice for treating massive purulent bloody stool, especially those with acute internal pain and severe back pain.
Many valuable experiences of our predecessors are worth discovering, cherishing and developing.
After talking about the white powder of platycodon grandiflorum, let's talk about platycodon grandiflorum separately.
It is also good to use platycodon grandiflorum in clinic.
One is for sinusitis, and the other is for dysentery, which is chronic nonspecific colitis.
Sinusitis, also known as rhinosinusitis and brain leakage, is a stubborn disease, mainly manifested as dizziness, runny nose, foul smell and olfactory failure.
In the treatment, platycodon grandiflorum is mainly used to expel pus, and Radix Puerariae is added. Shennong's materia medica contains "Radix Puerariae expels pus and breaks blood".
The principle of platycodon grandiflorum in treating purulent bloody stool lies in "opening lung qi, releasing large intestine depression and dispersing ascending". So platycodon grandiflorum is also good at treating abdominal pain and diarrhea.
Nowadays, the incidence of rhinitis is increasing year by year. If the treatment is not thorough, it is easy to cause sinusitis, and the general prescription effect is not obvious.
Conclusion: Platycodon grandiflorum can be reused in acute stage, but it can be combined with Coicis Semen and Radix Rubiae in chronic stage to enhance the pus discharge ability of Platycodon grandiflorum.
There are two empirical prescriptions commonly used to treat sinusitis.
An ingredient is as follows: Radix Platycodi 30g, Radix Puerariae 15g, Rhizoma Phragmitis 30g, Coicis Semen 30g, Semen Persicae 10g, parched Fructus Xanthii 10g, Flos Magnoliae 10g, Radix Angelicae Dahuricae 10g, Herba Menthae 5g and Flos Lonicerae/kloc-0g. Mainly, Qianjin Weijing Decoction combined with Fructus Xanthii powder is flavored, and platycodon grandiflorum is reused.
Another prescription is used for sinusitis with deficiency of both qi and blood. Patient's face? Treating pallor, fatigue and listlessness with Buzhong Yiqi Decoction and Radix Platycodi and Radix Puerariae. Generally, there are more patients with these two syndromes.
My experience in treating colitis is that Radix Puerariae decoction is used in acute stage and Bulbus Allii Macrostemon and Radix Platycodonis in chronic stage, while Danggui Sini decoction is added with Ejiao and Radix Platycodonis.
Medical record sharing
Chen Mou, male, 40 years old. First visit on March 4th, 20 19.
Chief complaint: headache, yellow pus and runny nose for more than 6 years.
History: Chronic rhinitis for 6 years.
At first, I had a headache and stuffy nose, and then it got worse, and my nose was yellow and pus, and it smelled bad.
He was diagnosed with upper frontal sinusitis in the hospital. After puncture, irrigation and drug treatment, his condition improved and soon became worse.
Diagnosis: increased yellow pus and nasal discharge, decreased sense of smell, fatigue, red tongue without coating, and deep and thin pulse.
Syndrome differentiation: yin deficiency and heat excess syndrome.
Prescription: Self-made prescription.
24g of Astragalus membranaceus, 10g of Radix Scrophulariae10g, 30g of Radix Platycodi, 30g of Coicis Semen, 0g of Radix Rubiae10g, 0g of Flos Lonicerae15g, 0g of Fructus Forsythiae10g, 0g of Radix Puerariae15g, and Flos Chrysanthemi10g.
10. After one dose, the yellow pus and nasal discharge decreased obviously, and the symptoms disappeared after 20 doses of continuous use.
The use of platycodon grandiflorum should pay attention to:
(1) cannot be used for chronic cough. For chronic cough, angelica should be used instead of platycodon grandiflorum. Do not use platycodon grandiflorum for a long cough.
(2) Physicians of past dynasties believed that taking a large amount of platycodon grandiflorum was easy to cause vomiting, mainly because platycodon grandiflorum contained platycodin, which caused bad smell. Studies show that saponin is a complex glycoside, which can produce lasting soap-like foam after being mixed with water and shaken.
Saponins are widely distributed in the plant kingdom, and many traditional Chinese medicines, such as ginseng, notoginseng, Anemarrhena rhizome, polygala tenuifolia, licorice, platycodon grandiflorum and Bupleurum, contain saponins.
China used to wash clothes with Gleditsia sinensis because it contained saponin compounds.
Studies have also shown that some saponins also have antibacterial activity or valuable biological activities such as antipyretic, sedative and anticancer. Oral saponin is easy to cause vomiting.
My experience shows that 30g platycodon grandiflorum must be used for the upper frontal sinusitis pyogenic syndrome to be effective.
In order to prevent vomiting, one can be decocted for a long time and the other can be taken after meals.