Chinese medicine does not have the name gastroptosis. According to its clinical characteristics, it belongs to the categories of epigastric fullness, epigastric pain and epigastric pain. Modern physicians summarize the pathogenesis of this disease as disharmony between spleen and stomach and discomfort of middle qi. The reasons are improper diet, internal injuries, overwork or weakness of the spleen and stomach. The basic methods of treatment are invigorating middle energizer, invigorating qi, promoting yang to relieve depression, resolving food stagnation, nourishing yin and regulating stomach, soothing liver to relieve depression, warming yang to help transport, promoting blood circulation and removing blood stasis.
Fang Yi Buzhong Yiqi Decoction
Spleen and stomach theory originated from Gao Li
Comprises Radix Astragali 18g, Radix Glycyrrhizae Preparata 9g, Radix Ginseng 6g, Radix Angelicae Sinensis 3g, Pericarpium Citri Tangerinae 6g, Cimicifuga 6g, Radix Bupleuri 6g and Atractylodis Rhizoma 9g.
Function: Tonifying middle energizer, strengthening yang and relieving depression.
Indications: gastroptosis.
Astragalus membranaceus is reused in the prescription, which supplements the middle jiao and consolidates the exterior. Ginseng, Radix Glycyrrhizae Preparata and Rhizoma Atractylodis Macrocephalae are combined to invigorate qi and spleen, and used together with Radix Astragali to enhance their functions of invigorating the middle energizer and invigorating qi. Angelica supplements blood and nourishes beauty; Pericarpium Citri Tangerinae regulates qi and stomach, so that all drugs can be supplemented without stagnation; A small amount of cimicifugae Rhizoma and Bupleuri Radix. The combination of various drugs can make the qi deficiency supplement and the qi stagnation increase.
Pharmacology Astragalus membranaceus has the effect of enhancing small intestine movement and smooth muscle tension. Atractylodes macrocephala decoction can obviously promote gastric emptying and intestinal propulsion in mice. Angelica sinensis and its components Angelica polysaccharide and ferulic acid can enhance the immune function of the body. Bupleurum chinense can regulate gastrointestinal peristalsis. For example, the crude saponin of Bupleurum chinense can obviously enhance the contraction effect of acetylcholine on isolated small intestine of guinea pig and isolated intestinal muscle of rabbit. Cimicifuga extract can slightly enhance the contraction of gastrointestinal smooth muscle induced by acetylcholine chloride and vasoconstrictor.
Usage: decoction, daily 1 dose.
Fanger Zhi Zhu Decoction
Source Zhang Zhongjing's synopsis of the golden chamber
Comprise 30g of immature bitter orange and 30g of largehead atractylodes rhizome.
Function: invigorating qi and spleen, promoting qi circulation and dispersing stagnation.
Indications: gastroptosis. Symptoms are abdominal distension, dull pain, belching and anorexia. The tongue is pale, the coating is thin and greasy, and the pulse is thin.
In the prescription, Fructus Aurantii Immaturus promotes qi to relieve depression, and reduces swelling and bloating; Baizhu Yiqi Jianpi, Dryness and Dampness. * * * plays a supplementary role.
Pharmacological and pharmacological studies have proved that Fructus Aurantii Immaturus has an exciting effect on the gastrointestinal tract of animals, which can enhance gastrointestinal peristalsis and has rhythm. Atractylodes macrocephala can promote gastrointestinal secretion and increase peristalsis.
Decoct with water.
Fang San chai ping Tang
Source "journal of traditional chinese medicine, Hunan"
Comprises Bupleuri Radix, Fructus Aurantii Immaturus, Scutellariae Radix, Rhizoma Pinelliae Preparata, Cortex Magnolia Officinalis, Pericarpium Citri Tangerinae, Rhizoma Atractylodis 10g, Radix et Rhizoma Rhei 6g, Radix Paeoniae Alba, Herba Taraxaci, Rhizoma Phragmitis 15g and Radix Glycyrrhizae 5g.
Function of clearing away heat and dampness, promoting qi circulation and relieving pain.
Indications: gastroptosis. Symptoms include emaciation, abdominal distension, burning pain in both ribs, abdominal distension, red tongue with yellow greasy coating, and thin and smooth pulse.
Fangji Chaiping decoction is based on Dachaihu decoction, which can clear away the liver and gallbladder depression; Wei Ping dispels dampness, transports spleen and stomach, and widely circulates qi; Paeonia lactiflora and Glycyrrhiza uralensis can relieve pain urgently; Dandelion clears away heat and promotes diuresis; Reed clearing away heat, promoting fluid production and harmonizing stomach. The combination of all kinds of medicines can clear the stagnation of heat and remove damp-heat.
Pharmacological crude saikosaponin can obviously enhance the contractile effect of acetylcholine on isolated small intestine of guinea pig and isolated intestinal muscle of rabbit. The alcohol extract of Rhizoma Atractylodis has a slight excitatory effect on gastric smooth muscle of normal rats. Houpu decoction has obvious exciting effect on isolated intestinal muscles of rabbits. Low dose rhubarb can promote gastric motility in vitro and excite colonic smooth muscle.
Usage: decoction, daily 1 dose, taken in the morning and evening. 15 days is 1 course, with an interval of 3 days, 1 course, and 3 courses.
Fangsidiao Zhong Yi Qi Tang
Source "New Chinese Medicine"
Consists of 45g of Radix Astragali, 9g of Ginseng Radix and Cimicifuga Rhizoma, 30g of Rhizoma Atractylodis and Radix Aucklandiae, 2g of Pericarpium Citri Reticulatae12g and 6g of Radix Glycyrrhizae.
Function: regulating middle energizer, benefiting qi, promoting qi circulation, and reducing adverse reactions.
Indications: gastroptosis.
Radix Astragali, Radix Ginseng, Radix Bupleuri, Rhizoma Cimicifugae and Radix Glycyrrhizae in the prescription have the effects of invigorating middle energizer, invigorating qi, strengthening yang and relieving depression. Radix Aucklandiae and Pericarpium Citri Tangerinae have the functions of promoting qi circulation, regulating middle energizer and lowering adverse reactions. Atractylodes rhizome dries dampness and strengthens spleen.
Pharmacology Astragalus membranaceus has the effect of enhancing small intestine movement and smooth muscle tension. Ginseng can obviously promote immune function. Aucklandia root can increase motilin in blood and promote gastric emptying, and its extract can obviously enhance the peristalsis and muscle tension of isolated rabbit intestine.
Usage: decoction, daily 1 dose. 15 days is 1 course of treatment. After the course of treatment, the drug was stopped for 3 days, and then the second course of treatment was conducted. Avoid eating cold, spicy and irritating food during treatment. In addition, apply the residue to the upper abdomen with a cloth while it is hot, and massage clockwise and counterclockwise for 15 minutes, twice a day.
According to the statement, cooked aconite and dried ginger are added to those with spleen and kidney yang deficiency; Ginseng Radix and Dendrobium officinale are added for patients with insufficient stomach yin; Pollen Typhae and Oletum Trogopterori are added for patients with blood stasis.
Wu Fang Shi E Li Zhongtang
Source: Jilin Traditional Chinese Medicine
Comprises 30g of immature bitter orange and largehead atractylodes rhizome, 5g of poria cocos and codonopsis pilosula10g, 6g of dried ginger and liquorice.
Function: Warming the spleen and stomach, promoting digestion, and expelling wine.
Indications: gastroptosis, manifested as spleen and stomach deficiency and cold, turbid drinking stagnation. The symptoms are fullness in the upper abdomen, sometimes falling pain, light on an empty stomach, aggravated after eating, sometimes spitting, emaciation, pale tongue, thin and greasy fur and slow pulse.
Recipe Jiezhi Lizhong Decoction uses Lizhong Decoction to warm the spleen and stomach, expel Fructus Aurantii Immaturus and Poria, regulate qi and reduce swelling, and then add Poria to Banxia Recipe to eliminate phlegm and dampness and regulate stomach qi, and add Bupleurum to promote middle qi to remove turbidity. The combination of various drugs can supplement and eliminate the middle energizer, reduce the middle energizer and increase the middle energizer, and the spleen and stomach can rise and fall in an orderly way, so that the stomach can return to its original position.
Pharmacological Fructus Aurantii Immaturus has an exciting effect on the gastrointestinal tract of animals, which can enhance gastrointestinal peristalsis and has rhythm. Atractylodes macrocephala decoction can obviously promote gastric emptying and intestinal propulsion in mice. Codonopsis pilosula can regulate gastrointestinal motility, and Codonopsis pilosula liquid can increase the tension and contraction of isolated guinea pig ileum. Pinellia ternata can significantly enhance the intestinal transport ability of rabbits.
Usage: decoction, daily 1 dose.
Add radish seed, fried hawthorn, medicated leaven and malt as required; For pantothenic acid, cuttlebone and calcined concha arcae are added; Hypochondriac pain with incense attached and corydalis tuber; Constipation, yellowing; For patients with blood stasis, salvia miltiorrhiza is added; Coptidis Rhizoma is added for patients with fever.
Fangliuxiao nourish soup
Source: Journal of Zhejiang University of Traditional Chinese Medicine
It consists of 30g of Massa Medicata Fermentata, 30g of malt, 30g of hawthorn, 0/5g of Radix Astragali and Radix Bupleuri, 0/0g of Radix Codonopsis and Atractylodis Macrocephalae, 5g of Fructus Aurantii, dried tangerine peel and Cimicifuga rhizome.
Function: digestion and accumulation, benefiting qi and rising yang.
Indications: gastroptosis, weakness of spleen and stomach, dyspepsia and food retention.
In the prescription, hawthorn eliminates greasy meat, medicated leaven eliminates stale wine and food, cereal malt eliminates cereal food, tangerine peel regulates qi, and bitter orange reduces qi, which enhances the movement of promoting qi, and * * * eliminates digestion and novelty; Astragalus membranaceus, Codonopsis pilosula and Atractylodes macrocephala are used for invigorating spleen and benefiting qi, while Cimicifuga rhizome and Bupleurum root are used for clearing yang, so that the spleen is healthy and the drooping stomach rises.
Pharmacological medicated leaven and grain malt promote digestion. Hawthorn can promote the contraction of gastric smooth muscle in relaxed state in rats. Codonopsis pilosula can regulate gastrointestinal motility, and Codonopsis pilosula liquid can increase the tension and contraction of isolated guinea pig ileum. Atractylodes macrocephala can promote gastrointestinal secretion and increase peristalsis. Cimicifuga extract can slightly enhance the contraction of gastrointestinal smooth muscle induced by acetylcholine chloride and vasoconstrictor.
Usage: decoction, daily 1 dose, 20 days for 1 course of treatment, 3 courses of treatment.
Qifanghua Ganjian (Cailiuzhou)
Source "China famous doctors pay for gastrointestinal diseases"
It consists of Cortex Moutan, Fructus Gardeniae, Fructus Toosendan, Radix Ophiopogonis, Scutellariae Radix, Radix Paeoniae Alba and ochre.
Function: Soothing liver, clearing away heat, reducing turbidity and clearing away heat.
Indications: Gastroptosis, characterized by stagnation of heat in the liver and stomach and upward movement of qi. Symptoms include burning pain in the stomach, chest distension, bitter taste, constipation, red tongue with thin yellow fur and thready pulse.
In the prescription, peony bark can clear heat and cool blood; Toosendan Fructus promotes qi circulation and relieves pain; Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis clearing away heat and purging fire; Ophiopogon japonicus and Radix Paeoniae Alba nourish yin and soften liver; Represents ochre, lowering gas and suppressing adverse events.
Pharmacological ethanol extract of Gardenia jasminoides Ellis can increase the tension of isolated intestine of rabbits and rats and reduce intestinal peristalsis. Toosendan seed can excite intestinal smooth muscle and increase its tension and contractility. Ophiopogon japonicus can obviously promote gastrointestinal propulsion. Ochre has an exciting effect on the intestinal tract, which makes the intestinal peristalsis hyperactive.
Usage: decoction, daily 1 dose, taken in the morning and evening.
Fangba Fu Xuan Dai Tang Zhe (Cailiuzhou)
Source "China famous doctors pay for gastrointestinal diseases"
Consists of Inula 12g, ochre, Radix Codonopsis, Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae 10g, Radix Glycyrrhizae Preparata 6g and Poria 15g.
Function of eliminating dampness and resolving phlegm, regulating stomach and descending adverse flow.
Indications: gastroptosis, manifested as spleen losing healthy transport and phlegm obstructing qi. Symptoms include epigastric distension and pain, chest tightness and nausea, vomiting, phlegm and saliva, dizziness and fatigue, pale tongue, greasy white fur and slippery pulse.
In this way, ochre and Inula are used instead to reduce qi and suppress rebellion; Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae, Poria, and stomach phlegm; Codonopsis pilosula and Radix Glycyrrhizae Preparata tonify stomach qi.
Pharmacological ochre has an exciting effect on the intestinal tract, which makes the intestinal peristalsis hyperactive. Codonopsis pilosula can regulate gastrointestinal motility, and Codonopsis pilosula liquid can increase the tension and contraction of isolated guinea pig ileum. Pinellia ternata can significantly enhance the intestinal transport ability of rabbits.
Usage: decoction, daily 1 dose, taken in the morning and evening.
Fangjiu Gastroptosis Prescription (Liu Huimin)
Source: Biography of China Famous Doctors and Prescriptions and Gastrointestinal Diseases.
Comprises 50g of ginseng, 90g of raw atractylodes macrocephala, 50g of chicken embryo powder120g of chicken gizzard-membrane120g, 45g of cardamom and nux vomica powder.
Function: Tonifying middle energizer, invigorating spleen and regulating stomach.
Indication is gastroptosis, characterized by weakness of spleen and stomach and deficiency of middle qi. Symptoms include epigastric pain, abdominal distension and belching, especially after eating, loss of appetite, emaciation and fatigue, yellow complexion, red tongue, thin and white fur, and deep and thin pulse.
Fang Jie ginseng, Atractylodes macrocephala, Yiqi Jianpi, help them relieve the power of clearing heat; Chicken embryo and endothelium corneum Gigeriae Galli are flesh and blood products, which can invigorate qi, generate blood and help transport spleen; Cardamom warms the middle and strengthens the spleen; Used together to tonify the middle energizer, strengthen the spleen and stomach.
Pharmacological ginseng has obvious promoting effect on immune function. Atractylodes macrocephala decoction can obviously promote gastric emptying and intestinal propulsion in mice. Semen Strychni contains brucine, which can not only enhance the muscle tension of the stomach, but also promote the secretion of digestive juice, and is an important drug for the treatment of gastroptosis.
Usage: Grind the medicine into fine powder, add 1.5g refined semen Strychni powder into every 30g powder, grind evenly, 4.5g each time, twice a day, and take it after meals.