Xiaochaihu decoction, known as the eternal miracle prescription, is widely used at home and abroad, and its Chinese patent medicine Xiaochaihu granule (the formula is exactly the same as the classic Xiaochaihu decoction) is also favored by many mothers and western medicine. After learning syndrome differentiation, we know that Bupleurum chinense is the main medicine of shaoyang syndrome, but many strict Chinese medicine mothers have not learned the six methods of syndrome differentiation for the time being, but they are worried about using it wrongly. Here, the application of 8 18 Xiaochaihu granules is discussed through several cases.

Xiaochaihu Granule, with explanation written on it:

Comprise radix bupleuri, radix Scutellariae, radix ginseng, radix Glycyrrhizae, rhizoma Zingiberis recens, fructus Jujubae and rhizoma Pinelliae. Relieve exterior heat, soothe liver and stomach. Can be used for exogenous shaoyang syndrome, characterized by cold and heat, fullness in chest and hypochondrium, loss of appetite, vexation and vomiting, bitter taste in mouth and dry throat. For mothers who have no foundation in Chinese medicine, it is a little difficult to understand the symptoms of relieving exterior syndrome, dispersing cold, soothing liver and stomach, and exogenous diseases. Then look directly at the symptoms of "cold and hot, chest and hypochondriac pain, loss of appetite, upset vomiting, bitter mouth and dry throat".

Shaoyang mentioned in it is one of the six methods of syndrome differentiation. This is a rare drug that directly mentions six dialectical nouns in the instruction manual of Chinese patent medicine. I think it's probably because Bupleurum is easy to use, but it's also easy to use wrongly.

First add the concept of focus:

The two children have a fever. The child's upper body is red, which is the position of the upper focus. That is, the position above the diaphragm, including the head, neck and upper limbs, is collectively called the upper focus.

Others are the main symptoms of Xiaochaihu Granule adaptation: the chest and hypochondrium refer to the triangular area between ribs, not the part from armpit to waist, and the bitterness is a feeling of tightness, and something is blocking it. Loss of appetite is what we often say is bad appetite, which is a problem of the spleen and stomach, and the focus is moderate. Upset and vomiting, the disease is also in the middle. Therefore, to sum up, Xiaochaihu Granules caused a series of problems when it was applied to the stagnation of medium coke.

The qi and blood of human body is constant for a period of time and flows evenly in all parts of the body. Once the middle coke is blocked, because the road is blocked, it is necessary to mobilize more qi and blood to deal with the blockage. When qi and blood go up, the body will show heat syndrome of upper energizer and lower energizer deficiency and cold (because the lower energizer qi and blood go up to solve the problem).

You can imagine that if you put up a finger and hold it in the middle with a rope, the upper part will definitely turn red. If it is hot, the lower part will turn white. The reason is that qi and blood are on the top and heat is generated; The bottom is empty, so it will turn white and cold. There is a great chance to use Bupleurum chinense if the upper part burns and the lower part is cold.

It should be noted that, for children, upper scorch fever is also caused by food accumulation and exogenous factors, which need to be eliminated.

With this in mind, let's take a look at Xiaochaihu Granules' corresponding upper-jiao heat syndrome and lower-jiao cold syndrome.

Syndrome of upper energizer heat include:

Throat: swelling of throat, tonsil inflammation, tonsil suppuration, and throat discomfort;

Lips: inflammation or sores at the corners of the mouth, inflammation or sores around the lips;

Nose: the nose is yellow and the nose is yellow;

Ears: earache, pus, otitis media, scratching ears;

Eyes: redness, conjunctivitis, rubbing eyes;

Face: Something has grown on my face.

Cold syndrome of lower energizer includes:

Stool: undigested, sour, shapeless, loose stool, diarrhea.

Urine: long, heavy or frequent.

A careful mother will find that almost all of the syndromes corresponding to Bupleurum chinense are in the orifices.

Deficiency of qi and blood, exhaustion of qi, opening of phlegm, entry of evil spirits, resistance to healthy qi, and restraint under threat. There is a struggle between good and evil, cold and heat come and go, take a rest, hey hey, don't want to eat, the viscera are connected, and the pain will inevitably come down. If the evil is high, it will hurt, so it will cause vomiting, and Xiaochaihu Decoction will treat it-Treatise on Febrile Diseases 97

If the skin is our first entrance, then the hole is our second entrance. According to the usage of Xiaochaihu Decoction in Treatise on Febrile Diseases, when qi and blood are insufficient, it is very easy to have a dispute between good and evil in the second portal, which is inflammation in western medicine and heat syndrome in Chinese medicine. (Note: Chinese medicine understands that red and yellow are heat and blue and white are cold, and inflammation in western medicine is also synonymous with heat syndrome)

Then, look at the case.

1

In the morning, one eye is red and swollen, the skin on the face has been dry, and the eyes are red and swollen (heat syndrome)

Stool: about three times, not too smelly, yellow, with undigested food (cold syndrome)

Hot and cold: I always don't like to cover the quilt, as long as I wake up.

Urine: normal

Appetite: It's good.

Sleep: Not bad.

Sweating: normal

Drink water: I don't like drinking water very much, but it's ok.

Is the palm hotter than usual? No, it's not.

How old is the child: one year and five months.

Other symptoms: dry skin, nothing else.

To analyze:

There is heat syndrome of upper energizer: dry skin with red eyes (heat syndrome)

Cold syndrome of lower energizer: stool is difficult to digest and does not stink (cold syndrome)

The disease occurs in a hole in the eye.

Medication: Xiaochaihu granules

Feedback: After three days, the eyes will be fine and not swollen.

2

Case 2: One-year-old and five-month-old children have a lot of gum in their eyes when they get up early, which makes them unable to open their eyes. They are all mucus. Yesterday, I began to give more water to drink. I have gum in my eyes when I sleep in the afternoon. I usually have gum in my eyes during the day. There was a lot of gum this morning, and my eyes were red and swollen, so I couldn't open them. My throat is a little red.

Diet: Drink porridge in the morning, add some eggs, mung bean porridge and potatoes in the evening, and eat two jujubes yesterday.

Shit: shit once a day these days.

Hot and cold: as usual

Urine: yellow in the morning, normal after drinking water during the day.

Appetite: It's normal.

Sleep: Not bad.

Sweating: love sweating than usual, mainly in the back.

Drink water: a little more than usual.

Palm: normal

Others: I just had a fever two days ago.

Analysis:

Syndrome of upper energizer heat: red eyes with glue and red throat. (heat syndrome)

Xiaochaihu granule is recommended, because there is nothing abnormal in the lower energizer, which is eye and throat heat syndrome.

Feedback statement: I drank half a bag of Xiaochaihu granules at night, and my gums were a little less swollen this morning. Playing Tai Chi at night, the color of tongue coating is particularly good this morning. Thank you for your help.

three

Case 3: Seven-month-old baby, vomiting and diarrhea, vomiting after feeding a small amount of milk. It's been seven days, and the water is gone, and it tastes sour. I pulled it seven or eight times a day, hoping to stop diarrhea. How can I get rid of my red ass? It's all bleeding.

Stool: diarrhea for seven days, yellow in color, divided into water, shapeless, odorless and sour.

Hot and cold: a little more afraid of heat and sweat than before.

Urine: yellow urine, a small amount.

Diet: I don't like to eat milk all the time, pure milk powder, and eat less. Supplementary food was added half a month ago, and it was fed several times before diarrhea. Rice porridge and rice paste have no complementary food after diarrhea.

Sleep: I don't like sleeping all the time, and I don't sleep for a long time. Sleep for two hours at night, get up and eat some milk, and sleep once during the day for about half an hour.

Sweat: Sweat more than usual

Drinking water: I have never had the habit of drinking water, and occasionally drink 20 ml of warm water.

Body temperature: The palm of your hand is a little hotter than usual, and your hands and feet have been sweating and getting cold since birth.

Others: red mouth

Course of disease: I was ill for 7 days, with vomiting and diarrhea. Take it to the hospital for blood test and stool test. Amoxicillin and durabao were prescribed, but it didn't work for three days. The stool was still separated from water. The tongue coating is red and clean, with nothing on it.

Syndrome of upper energizer heat includes: red lips, hot palms and red tongue coating.

Cold syndrome of lower energizer is: water and feces are separated, not smelly or sour.

Combined with vomiting and diarrhea, I feel that the middle energizer is blocked. There's no sign of food piling up. Medication: Xiaochaihu granules

four

Case 4 Chief Complaint: One-year-old and eight-month-old boy: Fever of 38.2 degrees, sweating to cool down, and then fever. Diarrhea, it has been four times since the early morning.

Stool: The number of stools increased the day before yesterday, once or twice a day, three or four times these days, yellow, sticky, shapeless and smelly.

Hot and cold: I feel that children don't like to cover the quilt and always take off their socks.

Urine: urine increased from the night before, with clear color and good taste. I don't pee too much at night, so I don't need to change diapers. I can't change it now.

Appetite: My appetite is worse than before, and I ate one third less.

Sleep: It's easier to fall asleep than before. I can fall asleep as soon as I go to bed, but I will toss and turn, sleeping on my stomach half the time and lying on my side half the time, and lying on my back less. Cry once or twice at night after a fever.

Sweating: I used to wear a love sweating on my head, but I don't go out much recently.

Drink water: I have never liked drinking water.

Body temperature: The palms are always hot, and the stomach is hotter than the back. The spine is easy to cool, the soles of the feet are not easy to heat, and the limbs are generally cold, only when there is a fever. When you have a fever, your palms sweat.

Others: a little bad breath.

I have a fever for 24 hours, have loose bowels for two days, four times a day, and it is easy to poop every time I pee. I gave him baohe pills last night, but I didn't deal with them today. The middle back of the tongue coating is a little thin and white, so he won't take my picture. I feel like diarrhea caused by deficiency of spleen and kidney yang. I don't know if I ate too much and caught a cold. My tongue is not red, my temper is weak and my mouth is watering a lot. I dare not give medicine in my sleep. I'm just ambivalent. I want to use Jiao Sanxian and chicken gizzard-membrane to accumulate food, but I am afraid that these drugs will aggravate diarrhea. I want a massage, but he has a fever. I don't know if I can pinch it upside down and massage his thumb with my spleen and stomach. The problem of diarrhea is to fill the large intestine, but I'm afraid I can't get food out. His limbs are warmer than other children of the same age, and his stool is easily deformed. I still feel yang deficiency. He urinated a lot these two nights, and had loose bowels, feeling that spleen-yang deficiency affected the kidney.

Syndrome of upper energizer heat include: palm fever, halitosis and repeated fever.

Cold syndrome of lower energizer includes polyuria and long urine.

Repeated fever is due to the lack of healthy qi, which can not resist diseases and pathogens for a long time, resulting in tug-of-war (tug-of-war is also the focus of Bupleurum application). Combined with various cold and heat symptoms of upper and lower jiao, food accumulation and exogenous diseases can be eliminated.

Medication suggestion: Xiaochaihu granules

Medication feedback: I still have a cough and slippery sputum after two days of medication. A little stuffy nose, much better mental state. I slept well last night. In my experience, it's almost over and healthy qi has returned to normal.

Blade parting line

We used a simple and rude way to distinguish between upper coke and lower coke, lower coke and cold, and talked about the scenes that Bupleurum chinense might use. The combination scheme of Xiaochaihu granules and other Chinese patent medicines can treat countless diseases. This is just an idea, or I suggest that you learn comprehensive syndrome differentiation in your spare time, distinguish between exterior and interior cold and heat, and treat specific problems in a specific way, which will be more objective and accurate.

Blade parting line

A seemingly complicated disease can be accurately identified through clear dialectical analysis, and an ordinary Chinese patent medicine can solve the problem that drives children crazy.