Clinically, I have met many patients with upper fever and lower cold. These people often use Chaihu Guizhi Ganjiang Decoction and Wu Mei Pill. After I came back from Master, I tried to combine the differentiation of six meridians with Master's thinking, thinking slowly and clinically, and achieved good results.
I told Donghai and Jin Yi about this idea, and they went to clinical practice, and the effect was ok after treatment.
This article is a summary of the East China Sea.
"Sansi Decoction" consists of Sini Decoction, Sijunzi Decoction and Sini Powder, and is called Sansi Decoction by the master. The main therapeutic mechanisms are spleen-kidney yang deficiency and liver-qi stagnation. Clinically used for mental illness, anxiety, insomnia, depression, internal medicine and gynecological diseases, and achieved good results.
Sini decoction is composed of Radix Aconiti Lateralis Preparata, Zingiberis Rhizoma and Radix Glycyrrhizae Preparata, which has the functions of warming the middle warmer, restoring yang and saving adverse reactions. Li Kelao, an old Chinese doctor, thinks that all mental patients have the characteristics of yang deficiency, and Sini decoction has achieved satisfactory results in treating mental diseases. The clinical manifestations of these patients are mostly deep and thin pulse, cold limbs, loose stool, thick tongue coating and watery stool.
Sijunzi decoction is composed of ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza uralensis Fisch. It has the effects of invigorating qi, strengthening spleen and regulating stomach. Spleen and stomach are the foundation of the day after tomorrow. Deficiency of spleen and stomach, insufficient transport and metabolism, and insufficient biochemistry of qi and blood can lead to shortness of breath, fatigue, sallow complexion, loss of appetite and other symptoms.
Sinisan is composed of Bupleurum, Fructus Aurantii Immaturus, Radix Paeoniae Alba and Radix Glycyrrhizae. It is an effective prescription for soothing liver and regulating qi, relieving depression and activating yang.
The combination of Sini decoction and Sijunzi decoction is intended to give consideration to both congenital and acquired, and Sini powder can soothe the liver and relieve depression and regulate qi.
The classic prescription of "Sansi Decoction" is Taiyin Shaoyang. From the perspective of viscera, the liver, spleen and kidney are in harmony. It has great application opportunities in various systems and the effect is quite good. Pay attention to addition and subtraction in clinic.
Spleen and stomach diseases, abdominal distension and pain, Baihe Wuyao Powder, Sanwei Decoction.
When the fire of yang deficiency is disturbed, three stones should be added to induce yang to descend and yang to enter yin, which can be used to treat psychosis, insomnia, upset, fright and other diseases, and drugs such as Ziziphus jujuba seed, polygala tenuifolia and lily should be added as appropriate.
Gynecology, dysmenorrhea, irregular menstruation and hysteromyoma can be combined with Danggui Shaoyao Powder, Guizhi Fuling Pill and Siwu Decoction.
He Guizhi Fuling Pill is used to resist qi stagnation and peach pit stasis in soup, such as mania, insomnia and abdominal pain, which belongs to yang deficiency and blood stasis.
Combined with Shensiwei, Wuzi Yanzong Pill, Deer Fetal Cream, etc. It can be used for treating andropathy, impotence and premature ejaculation, poor sperm motility, oligospermia and spermatorrhea.
In clinical practice, Master also added Guizhi and took Gui Ling Shugan Decoction to treat dizziness. Because water drinks up, gas rushes up and pushes up. Gui Ling Shugan Decoction or Rhizoma Alismatis and Rhizoma Atractylodis Macrocephalae are added to form Alismatis Drink. Xiao He Trapped Chest Decoction: The heart is full, the tongue coating is yellow and greasy, or there is phlegm, and the phlegm is yellow and sticky. Gardenia Black Bean Soup: I feel inexplicably bored.
The clinical symptoms of Sansi Decoction and Chaigui Ginger Decoction include chest tightness, dry mouth and bitter taste, upset and dysuria. Similarities, the pathogenesis of Sansi Decoction is spleen-kidney yang deficiency and liver-qi discomfort; Six meridians are classified as Taiyin and Shaoyang, belonging to Jueyin; Chaigui ginger is gallbladder heat and spleen cold; Taiyin-yang syndrome is Taiyin-shaoyang and Jueyin disease; The clinical manifestations of Sansi decoction are more serious than Chaigui ginger, and the gallbladder heat of Chaigui ginger is more obvious than Sansi decoction.
For example:
Middle-aged male, with repeated insomnia for 2 years, came to see me in mid-May. Insomnia, sleepless nights, upset, dry mouth and bitter taste, loss of appetite, loose stool all the year round, diarrhea after eating greasy fruit, fatigue, fat tongue, white fur, weak pulse. I opened three soups and ate five doses. On the second visit, I said that I had been able to sleep for seven hours, and he felt very satisfied. I didn't continue filming because of my work. See a doctor for the third time, stop taking medicine for a week, and you can sleep for 5 hours. I don't think it's good enough. I came to see it again and told me the result of my second visit.
The treatment of mental illness is very special and complicated, involving many factors. I am also constantly exploring and clinical, especially for some intractable insomnia, anxiety, depression and so on. There are many ineffective treatments. The occurrence of such diseases is not only influenced by biological factors, but also by family, environment, stress, disease and other factors. Treatment is quite difficult. What I feel most is our doctor, who needs to grow up with him, maybe sometimes. A junior girl, I accompanied her for four years. After she was admitted to college, she was completely depressed. An aunt, who accompanied her for four years, completely recovered her normal social function and life. Every story will make people feel distressed.
Every case is not easy. There is a stubborn insomnia and anxiety. After treatment, she has recovered for some time, and her mood and sleep are stable. However, due to the pressure of work, she sometimes suffers from insomnia. As doctors, we won't say, just quit your job and go to sleep. In fact, many patients have this kind of psychology, but this does not solve the problem. How to solve cognition sometimes requires the patient's own awakening, yes, awakening, physical and mental awakening.
Application of Sini Decoction, Sini Powder and Sijunzi Decoction in Mental Diseases
Sini decoction, Sijunzi decoction and Sini powder, which I call Sansi decoction, are commonly used in clinic for mental illness, anxiety, insomnia and depression, and have achieved good results. However, due to the few clinical cases, there may be some limitations.
Sini decoction, composed of aconite, dried ginger and roasted licorice, is familiar to everyone. This product has the functions of warming the middle energizer, dispelling cold, restoring yang and rescuing adverse reactions. I found that many mental patients have the characteristics of too yin deficiency and cold, insufficient yang, and yang deficiency, which are often manifested as deep, thin and heavy pulse, cold hands and feet, chills in lower limbs, and frequent urination at night. At this time, you often have the opportunity to use Sini Decoction. They are often particularly sensitive to sound, and some are sensitive to the outside world and are frightened. They don't have enough sense of security inside. Sometimes they need someone to stay with them all the time and sleep with their families. I think this is also a manifestation of yang deficiency.
Sijunzi decoction consists of ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza. Why are they called Four Gentlemen?
These four gentlemen can replenish qi, middle energizer and spleen and stomach, which is the foundation of the day after tomorrow. When they are in the middle, the spleen and stomach can rotate and each system will move. Some mental patients have no appetite, weak spleen and stomach, and don't want to eat. At this time, the scope of application of Sijunzi prescription is mainly various symptoms caused by spleen and stomach weakness and deficiency of qi and blood, such as