This part of the content is commonly known as "pulse case". It is necessary to fully embody the characteristics of TCM syndrome differentiation and treatment. It is necessary to make a proper analysis and play in theory.
2. Prescription
Ointment and tonic should be based on tonic, which can not only "tonify deficiency" but also "treat disease". For example, an asthma patient has deficiency of both lung and kidney with spleen deficiency, and lung deficiency with phlegm and blood stasis. However, according to the principle of prescription, drugs such as Radix Codonopsis, Radix Astragali, Fructus Schisandrae, Herba Epimedii, and Fructus Psoraleae should be placed in the main position, while drugs such as Herba Ephedrae, Rhizoma Belamcandae, Radix Asteris, Flos Farfarae, Semen Armeniacae Amarum, and Perillae should be placed in the guest position. At the same time, we should pay attention to make up the prescription in time and avoid "making up".
Therefore, when using nourishing drugs, we should properly choose products such as Fructus Amomi, Pericarpium Citri Tangerinae and Fructus Citri Sarcodactylis. If we don't pay attention to this point, blindly supplementing it will often make some patients with poor digestive function of the spleen and stomach feel full and lose appetite after taking the ointment, so as to stop taking the ointment and give up halfway.
The number of flavors of prescription drugs is generally 20~30, which is 2 ~ 3 times that of decoction. The dosage of each medicine can generally be controlled at 65,438+000,200g, such as 65,438+000 ~ 65,438+050g for Radix Codonopsis, Radix Astragali, Radix Angelicae Sinensis and Radix Paeoniae Alba. Such as iron filings, magnets, oysters, concha Haliotidis, etc. , the dosage is large, about 300 grams; Amomum villosum dosage is small, generally about 50 grams. Therefore, based on this estimation, the usual dosage of an ointment is about 3000 grams, or equivalent to 20 30 pieces of decoction. Some medicines, such as Inula containing fluff, Pollen Typhae powder medicine, silkworm excrement, etc., will become paste after being slightly fried. This kind of medicine still needs to be fried. However, it is not always required to follow the general routine in ointment for drugs that need to be decocted first or taken later. Because the ointment needs to be decocted three times and takes a long time, it doesn't matter whether it is decocted first or later. If expensive drugs such as ginseng and pilose antler are used, they should not be decocted with other drugs to avoid waste. The thick juice should be decocted with slow fire, and the juice should be washed when the paste is collected, or ginseng and pilose antler should be ground into fine powder, and the paste should be mixed when the paste is collected. This can fully improve the curative effect.
3. Decocting method and taking method
Step one, honey extraction:
Honey extraction has two functions. One is to neutralize honey and remove prejudice; Second, remove impurities and moisture, improve quality and facilitate storage. Method: Melt the honey in the pot and boil it to remove the floating foam. When the water is about to boil, it will bubble, and honey will turn red. At this time, add a little water, pour it out after boiling, and filter out impurities for later use. Generally, a catty of honey makes a difference.
Step 2, boiling cream:
Mashing the medicine, soaking it in water for one night, then repeatedly decocting it until the taste of the medicine is very weak, then putting the decoction in one place, standing, and repeatedly filtering to remove impurities.
Then put the medicine juice into a pot, boil it with strong fire and concentrate it, and remove the floating foam at any time. When the medicine juice thickens, it is changed to low fire to avoid boiling, and it is called clear paste when a drop of medicine on the paper has no water seepage.
If there is glue in the formula, add the clear paste at this time. Gum (paste) category: there are meat gum and vegetarian paste. Meat glue, such as donkey hide glue, tortoise shell glue, tortoise shell glue, tortoise shell glue, bullwhip paste, Xia Tian glue, etc. Vegetarian cream such as Rosa laevigata, Mulberry Cream and Loquat Leaf Cream. Meat glue can be stewed with 250 ~ 500g yellow wine (Shaoxing wine, commonly known as old wine), because meat glue is mostly a kind of flesh and blood thing, which tastes fishy and sticky, and it is difficult to dissolve the fishy smell after soaking in wine, which is helpful for transportation.
If you have expensive powder to take medicine, you can also add it at this time and stir it evenly.
According to the taste, add the right amount of honey cooked in the previous step. If you don't use thick sugar, you can also stir-fry it in a pot, add a little water or reserved medicinal juice to dilute it, filter out impurities, then add fluid extract with it, concentrate it with slow fire and boil it until it can drop into beads.
The total amount of the above sugars can be controlled at about 500g, and the total amount of gum can be controlled at150 ~ 200 g. Sugar or gum components can be selected as needed, such as donkey-hide gelatin and tortoise plastron gum for those with yin deficiency and blood deficiency; Those with yang deficiency can choose antler glue; Those with yin deficiency and yang can choose guilu erxian ointment; Constipation can choose honey; Diabetes can be free of sugar; Liver disease does not need to be soaked in yellow wine. In short, the choice of ingredients will vary from person to person.
Service mode:
Take one tablespoon every morning on an empty stomach, or take one tablespoon every morning and evening on an empty stomach and take it with boiling water. If the prescription uses drugs such as Radix Rehmanniae Preparata, and the dosage of ingredients is large, the paste is too thick and sticky to melt, so it should be taken after steaming. And charge: if you have a cold, fever, diarrhea, etc. You should stop taking it. When taking ointment and tonic drugs, you should avoid eating radish and drinking tea. If it is yang deficiency and cold, avoid cold and cold diet; If yin deficiency is flourishing, avoid spicy and irritating food; Such as asthma patients, avoid the smell of shrimp and crab.