How to use the "three treasures of first aid" in traditional Chinese medicine?
Speaking of first aid, few people think of Chinese medicine. In fact, Chinese medicine also has "three treasures of first aid", Angong Niuhuang Pill, Zixuedan and Zhibaodan. Compared with Angong Niuhuang Pill, Zixuedan and Zhibaodan are little known. Yao Weihai, chief physician of the emergency department of Beijing Hospital of Traditional Chinese Medicine, pointed out that Angong Niuhuang Pill is used the most, Zixuedan is relatively less, and Zhibaodan is basically not used. Sambo is an "old prescription" Angong Niuhuang Pill, which comes from Treatise on Febrile Diseases written by Wu Tang in Qing Dynasty. It consists of bezoar, rhinoceros horn, musk, coptis root, scutellaria root, raw gardenia, cinnabar, pearl, borneol, realgar and turmeric. Chinese medicine believes that the heart is like a monarch in the human body, and the pericardium is the palace of the heart. An Gong describes that taking medicine can make the heart "live in its palace". Yao Weihai introduced that up to now, the formula of Angong Niuhuang Pill has changed a little, such as using artificial bezoar and rhinoceros horn instead of buffalo horn concentrated powder. But Yao Weihai believes that this does not affect the curative effect. "Many years' examples show that a large number of buffalo horns can be compared with rhinoceros horns." Zixuedan has the longest history among the three treasures, and it is named Zixuedan because of its appearance like "frost and snow purple" and cold medicinal properties. The medicine contains gypsum fibrosum, mirabilite, talc, rhinoceros horn, antelope horn, radix aucklandiae, lignum Aquilariae Resinatum, Radix Scrophulariae, cimicifugae Rhizoma, Glycyrrhrizae Radix, Flos Caryophylli, mirabilite, saltpeter, Moschus and Cinnabaris. Zi Xue powder, another dosage form of this drug, is widely used in the market at present. Zhibaodan is a combination of many precious medicinal materials, and its curative effect is outstanding. He who gets it gets its treasure, hence the name. This kind of party was first seen in the book Ling Fiona Fang. The ancient prescription of Zhibaodan originally contained 50 pieces of gold and silver foil in addition to precious medicinal materials such as musk, rhinoceros horn and amber, in order to enhance the efficacy of amber and cinnabar in the prescription. Now the rhinoceros horn in Zhibao Danli has also been changed into buffalo horn concentrated powder. At present, what is common in the market is "local treasure powder". Sambo is a clinical subject of acute fever and infectious diseases. "First-aid Sambo" is mainly used to treat infectious diseases and infectious diseases, and it is a representative drug for clearing away heat and inducing resuscitation. Therefore, it is also called "three treasures of epidemic febrile diseases". But their medicinal properties are different. Angong Niuhuang Pill is the coolest, followed by Zixuedan and Zhibaodan. Angong Niuhuang Pill is suitable for patients with high fever, coma and "muddleheaded". Zixuedan is suitable for patients with convulsions, irritability, hand and foot convulsions and frequent murmurs. Zhibaodan is more suitable for coma patients with fever, unconsciousness and silence. Based on these characteristics, the word-of-mouth of TCM has become "beating Zixuedan, quietly arriving in Bao Dan, muddleheaded Niuhuang Pill". Angong Niuhuang Pill can be used for patients with pericardial fever syndrome differentiation, epidemic encephalitis B, epidemic cerebrospinal meningitis, acute cerebrovascular disease, hepatic coma, stroke, respiratory diseases, febrile convulsion in children, high fever coma caused by infection or poisoning, etc. During the period of 1956, large-scale Japanese encephalitis broke out in Beijing, Hebei and other places. At that time, a large number of Chinese medicine practitioners pointed out that Angong Niuhuang Pill might have a better effect, so Mao Zedong also gave instructions to encourage the use of this drug. Zhibaodan is suitable for Japanese encephalitis, epidemic cerebrospinal meningitis, coronary heart disease, angina pectoris, uremia, heatstroke and epilepsy. Western medicine diagnosis, TCM syndrome differentiation belongs to phlegm-heat blocking pericardium. Zixuedan is especially suitable for high fever coma with convulsion and limb convulsion except clearing away heat and inducing resuscitation. Nowadays, many children will have febrile convulsions due to tonsil inflammation and suppuration, and Zixuedan has a good antipyretic and spasmodic effect. Therefore, if there are children at home, Zi Xue Powder should be used under the guidance of a doctor and treated with other decoction. Be careful when taking Sambo. Nowadays, many families bring Angong Niuhuang Pills as first-aid medicine, especially after a stroke, and they take them themselves without asking the symptoms or the guidance of a doctor, thinking that they can come back to life. But Yao Weihai stressed that this idea is completely wrong. First of all, Chinese medicine pays attention to syndrome differentiation, otherwise life-saving drugs may become "poison"; "Three treasures of epidemic febrile diseases" are all great flu drugs. People who are weak may save lives instead of killing them, so don't use them without authorization. Secondly, these drugs are expensive and not suitable for long-term storage. Finally, there are many taboos when taking Sambo, for example, it can only be used for a short time, and it is not advisable to eat spicy, greasy and fishy things during taking medicine, and pregnant women should also avoid using it. For patients who are physically weak but must be used, we should pay attention to the mode of administration, such as taking Angong Niuhuang Pill with ginseng soup. , should be carried out under the guidance of a doctor.