Angelica sinensis is a commonly used medicine in clinic, and everyone must be familiar with it. We can see angelica in many prescriptions. Commonly used must be because it is easy to use. Angelica sinensis can play a role in treating various diseases and syndromes in clinic. What are its wonderful uses? Teacher Song Yonggang made the following summary-
Angelica sinensis is an important drug for enriching blood, which is warm and moist. Anyone who looks pale or dull, or who is diagnosed as anemia by western medicine, can apply this product. Traditional Chinese Medicine (TCM) is usually used with Radix Rehmanniae Preparata, Radix Paeoniae Alba and Rhizoma Chuanxiong to treat various symptoms of blood deficiency, such as dizziness and scanty menstruation. It is often combined with Radix Astragali (Danggui Buxue Decoction) to treat pallor, mental fatigue, dizziness, fatigue and fever caused by deficiency of both qi and blood. Pay attention to the dose ratio of the two drugs, that is, astragalus and angelica = 51; Angelica sinensis has nourishing effect. The classic contains its main principles "all kinds of malignant sores, ulcers and golden sores". Those who insist on treating carbuncle for a long time are mostly caused by deficiency of qi and blood, and they are supplemented with qi-invigorating products such as ginseng and astragalus.
When returned, it can promote blood circulation, taste pungent and warm, enter the blood and promote blood circulation, and can be widely used for various blood stasis syndromes. Because angelica is mainly for enriching blood, it can promote blood circulation without hurting blood. To treat blood stasis syndrome, Chinese angelica often uses peach kernel, safflower, Ligusticum chuanxiong and white peony root, such as Taohong Siwu decoction, which is the basic prescription for promoting blood circulation; To treat hemiplegia due to qi deficiency and blood stasis, a large dose of Astragalus membranaceus is added with peach kernel and earthworm, such as Buyanghuanwu decoction.
Women's menstrual diseases are most closely related to blood, and both blood deficiency and blood stasis can cause irregular menstruation. Because angelica can not only enrich blood, but also promote blood circulation, it can be used for a variety of menstrual diseases, such as irregular menstruation, dysmenorrhea, amenorrhea and so on. And it is really a good medicine for menstruation in gynecology. It is used to treat dysmenorrhea, menorrhagia and amenorrhea caused by blood stasis due to cold. It is often combined with Guizhi, Chuanxiong and Ejiao, such as Wenjing Decoction. Danggui Shaoyao Powder, combined with Radix Paeoniae Alba, Rhizoma Chuanxiong, Poria, Alismatis Rhizoma and Atractylodis Rhizoma, is used to treat menorrhagia, loose stool and edema caused by blood deficiency and water retention. This powder has better curative effect than decoction. For dysmenorrhea due to blood stasis, this product can be used together with Guizhi Fuling Pill.
Angelica sinensis is rich in oil, which can moisten the intestines to relieve constipation and treat constipation caused by intestinal dryness. In view of this, the author often determines the dosage of Angelica sinensis according to whether the patient's stool is dry or not when applying this medicine. If the stool is dry, the dosage of Angelica sinensis should be large, and it must be reused, sometimes as much as 60g, which can not only enrich blood and promote blood circulation, but also relieve constipation, with good effect; If the patient has loose stool, the dosage of Angelica sinensis is small, only 3.5g For example, when Wu Mei Pill is used to treat diarrhea, the dosage of Angelica sinensis is very small.
In addition, this classic claims that this product can "relieve cough and reverse qi", that is, it has the effect of relieving cough and asthma, which is the primary effect of angelica sinensis. It can be seen that this classic attaches great importance to the antitussive and antiasthmatic effects of Angelica sinensis, but it is not widely used in clinic nowadays, but it cannot be denied that Angelica sinensis has the antitussive and antiasthmatic effects. The author thinks that the mechanism of relieving cough and asthma of Angelica sinensis may be related to its effect of promoting blood circulation, because Angelica sinensis can improve the blood circulation in the lungs, reduce the formation of phlegm, promote the exchange of blood oxygen and improve the ventilation function of the lungs. Ancient medical books also recorded the application of Angelica sinensis in treating cough and asthma, such as Lily Gujin Decoction, which was used together with this product. Danggui, which is contained in Perilla Ginger Qi Tang, has the effect of relieving cough and asthma. It is often effective to add Chinese angelica, peach kernel and other blood-activating products to treat chronic cough after a cold.
Zhou, female, 20 years old, thin, 2012101October 22nd. The menstrual cycle was accurate six months ago, but now it is not. Less menstrual flow, clean in three days, no blood clots, obvious four adverse reactions, full breasts before menstruation, more leucorrhea, fine texture and no itching. The last menstrual period was 20 12 10.08. Nake, Mianke, Stripe, and tongue pulse are normal. Take Sini Powder and Danggui Shaoyao Powder: 40g of Bupleurum, 40g of Radix Paeoniae Alba, 40g of Fructus Aurantii, 40g of Glycyrrhiza, 40g of Radix Angelicae Sinensis, 40g of Rhizoma Chuanxiong, 80g of Poria, 80g of Alismatis Rhizoma and 80g of Atractylodis Rhizoma. * * * is a fine powder, which will be taken on 16 days. 165438+1October 4th, when menstruation comes, the amount of menstruation increases. I didn't come to the clinic again
Press: The patient's menstrual cycle was accurate six months ago, but it is not accurate now, and the four opposites are obvious. In addition, premenstrual breast fullness is a typical Sinisan syndrome. Danggui Shaoyao Powder originated from Synopsis of the Golden Chamber. The original prescription is mainly used to treat "women's pregnant abdominal pain" caused by blood deficiency and excessive water, and now it is mostly used for irregular menstruation and dysmenorrhea. The patient has less menstrual flow, but there is no blood clot, and the blood deficiency syndrome is also; More leucorrhea, thin texture, no itching, no heat, is a wet and turbid bet. Blood and water are the same disease, so Danggui Shaoyao powder should be used. The combination of the two ingredients has the effects of soothing the liver, relieving depression, nourishing blood and eliminating dampness. It should be noted that Sini powder itself is powder, and Danggui Shaoyao powder is also powder. Clinical research shows that its powder has better curative effect than decoction.
Classic books on clinical drugs
This book discusses 30 kinds of traditional Chinese medicines commonly used by Zhang Zhongjing from five aspects: source, traditional expression, pharmacological analysis, case analysis and others. Among them, pharmacological analysis and case analysis are the focus of this book. Pharmacological analysis, the author consulted a large number of experimental data, and based on this, made a reasonable analysis of the efficacy of drugs. Case analysis is a relatively successful test case accumulated by the author in recent years. Every medical case is written in case language, which is convincing for studying the application of drugs.