First, the efficacy application
Angelica is sweet, pungent and warm. Liver, heart and spleen meridians entered.
Function can enrich blood and promote blood circulation, regulate menstruation and relieve pain, moisten intestines and relax bowels. It is characterized by nourishing blood and promoting blood circulation, tonifying without stagnation, especially treating gynecological diseases, and is known as an important drug for nourishing blood and regulating menstruation.
It is often used to treat blood deficiency, sallow, dizziness, palpitation, irregular menstruation, amenorrhea, dysmenorrhea, abdominal pain due to deficiency of cold, rheumatalgia, traumatic injury, carbuncle swelling and ulceration, intestinal dryness and constipation.
Summary of famous works:
Classic: "housewives leave their children behind, and all kinds of evil sores and golden sores."
Theory of medicinal properties: "Treating diarrhea and abdominal pain."
"Rihuazi Materia Medica": "Breaking evil blood, nourishing new blood, treating disease addiction and cooling stomach."
Compendium of Materia Medica: "Treat headache, heart pain, moisten stomach, bones and muscles, skin, treat carbuncle, expel pus and relieve pain, and replenish blood."
"The Origin of Medicine": "Angelica has three uses: one is the medicine for heart meridian, and the other is to enrich blood, which can cure various diseases at night."
Materia Medica: "Those who are sick at night, those who are sick with blood, should use it, and those who are deficient in cold should use it."
Materia Medica Zheng Zheng: "Angelica sinensis is sweet and heavy, so it can replenish blood, and its qi is light and pungent, so it can promote blood circulation, tonify middle energizer and tonify middle energizer. It is the medicine in blood and the holy medicine in blood. "
"Changsha Medicinal Solution": "Nourishing blood and liver, refreshing wind and moistening wood, starting essence and meridians, reversing limb cold, relieving abdominal pain, conditioning postpartum and before abortion, being able to pass urine during pregnancy, being good at the large intestine of pregnant women, running dolphins, spitting, having hernia due to cold, and warming meridians are the most effective."
Compendium of Materia Medica: "Sweet warming blood, pungent warming to dispel cold, bitter warming to help heart dispel cold are all qi drugs in blood. It can be used for treating asthenia, cold and heat, cough and asthma, malaria, dysentery, headache, lumbago, heartache, wind spasm, anhidrosis, paralysis and carbuncle. All kinds of deficiency, all kinds of anemia, yin deficiency and yang hyperactivity. Moisturize the stomach, nourish blood and promote granulation, expel pus and relieve pain. "
"Medical Enthusiasm to Participate in the West": "Medicine for promoting blood circulation. Its strength can rise and fall, moisten the viscera internally and reach the muscle surface externally. It can moisten lung dryness, relieve anxiety of liver and wood, nourish spleen and blood, and make people's skin Hua Ze. Promoting granulation and removing blood stasis can treat paralysis, limb pain and sores; Promoting blood circulation can stop bleeding, so hematemesis and epistaxis can be treated, followed by hemostasis; Moistening stool can also facilitate urination, which is suitable for blood deficiency, blood dryness and yin deficiency. "
Second, compatibility and application.
1. Used for blood deficiency. Angelica sinensis is a good medicine for enriching blood and is suitable for various syndromes caused by blood deficiency. In clinical application, it is often combined with qi-invigorating drugs to make use of the interaction between qi and blood. To treat blood deficiency syndrome, it is often combined with large dose of Astragalus, namely Danggui Buxue Decoction.
2. Used for gynecological diseases such as irregular menstruation, amenorrhea and dysmenorrhea. Angelica sinensis can not only replenish blood and promote blood circulation, but also be good at relieving pain. It is an important medicine for regulating menstruation in gynecology. For women with blood deficiency and irregular menstruation, Rehmannia glutinosa, Ligusticum Chuanxiong and Radix Paeoniae Alba are often combined, that is, Siwu Decoction, a famous prescription for tonifying blood and regulating menstruation. This recipe is the basic recipe for nourishing blood and regulating menstruation, and its clinical symptoms change endlessly, which should be paid special attention to.
For women with abdominal pain due to blood deficiency, or accompanied by edema of lower limbs and dysuria, it is often combined with Chuanxiong, Paeonia lactiflora and Atractylodes macrocephala, namely Danggui Shaoyao Powder.
If blood deficiency and blood stasis are treated and amenorrhea is blocked, Taohong Siwu decoction can be based on Siwu decoction, combined with peach kernel, safflower and other products for removing blood stasis and dredging menstruation.
If we treat a variety of chronic diseases or intractable diseases caused by qi stagnation and blood stasis, we can add Siwu Decoction and Sini Powder to promote blood circulation, remove blood stasis, and promote tissue regeneration. Treating stubborn diseases often has a miraculous effect, that is, Xuefu Zhuyu Decoction.
Xiaoyao Powder is often combined with Bupleurum, Radix Paeoniae Alba, Poria and Atractylodis Rhizoma to treat irregular menstruation caused by liver depression and blood deficiency and disharmony between liver and spleen.
It is often combined with Evodia rutaecarpa, Colla Corii Asini, Cortex Moutan, Radix Paeoniae Alba and Rhizoma Chuanxiong to treat gynecological miscellaneous diseases such as deficiency and cold of chong and ren, blood stasis, irregular menstruation and metrorrhagia. It plays the role of warming meridians, dispelling cold, nourishing blood and removing blood stasis, that is, warming meridians decoction.
For treating abdominal pain due to stagnation of qi in menstruation, Jiawei Siwu Decoction can be used as the basic prescription, and it can be used with herbs such as Rhizoma Cyperi and Rhizoma Corydalis to promote qi circulation and relieve pain.
Wang Angyan said: "Blood belongs to yin, and Siwu decoction can nourish yin, and yin can nourish yin, so blood is self-generated, and non-Siwu decoction can also produce blood. If people are weak in qi deficiency and blood, ginseng is used to take the meaning of yang flourishing and yin blood. "
3. Used for abdominal pain due to deficiency cold, blood stasis pain, traumatic injury, joint pain and numbness. Angelica sinensis can replenish blood and promote blood circulation, is good at stopping bleeding and removing blood stasis, is warm in nature and has the effect of dispelling cold. For abdominal pain due to deficiency cold, it is often combined with Xiaojianzhong Decoction, namely Danggui Jianzhong Decoction.
It is used to treat abdominal pain and hypochondriac pain caused by cold hernia, or postpartum abdominal pain and fatigue. Mutton is often combined with ginger, that is, angelica and ginger mutton soup. This recipe can also be used for diet therapy today, and it is really a good recipe.
If you treat all kinds of pain caused by blood stasis in your heart, it is often combined with Salvia miltiorrhiza, Olibanum and Myrrha, which is an effective elixir for activating collaterals.
For traumatic injury, it is often combined with rhubarb, peach kernel and safflower.
For joint pain or skin numbness, it is often used together with Notopterygium, Cinnamomum cassia twig and Gentiana macrophylla, that is, Juanbi Decoction.
Ramulus Cinnamomi, Herba Asari, Radix Paeoniae Alba and Glycyrrhrizae Radix are often combined with Danggui Sini Decoction to treat blood deficiency and cold Jue syndrome, or accompanied by cold hands or pain in waist, thigh, calf, foot, shoulder and arm.
4. It can be used for carbuncle and ulcer for a long time. Angelica sinensis can replenish blood and promote blood circulation, relieve swelling and pain, expel pus and promote granulation, so it is a commonly used medicine for surgical sores. At the initial stage of carbuncle treatment, patients with swelling and pain are often combined with honeysuckle, angelica dahurica, Fritillaria, spina gleditsiae, frankincense and myrrh.
If the sores and carbuncles caused by physical weakness are not closed for a long time, they are often combined with Siwu Decoction and Sijunzi Decoction to add flavor, tonify qi and blood, expel pus and promote granulation, that is, Shiquan Dabu Decoction.
5. Used for restless fetal movement, fetal leakage and abdominal pain during pregnancy. Angelica sinensis can replenish blood and promote blood circulation, and it has the function of supplementing without stagnation. It is an important medicine in gynecology. For treating carbuncle of pregnancy, it is often combined with Paeonia lactiflora, Atractylodes macrocephala, Chuanxiong and Poria, namely Danggui Shaoyao Powder.
For qi and blood deficiency and unstable fetal movement, it is often combined with Ginseng, Astragalus, Atractylodes Macrocephala, Amomum villosum, Parasitism and Dipsacus. Taishan Panshi Powder, which plays the role of invigorating qi, strengthening spleen, nourishing blood and preventing miscarriage.
It is often used with Ejiao, Folium Artemisiae Argyi, Radix Rehmanniae Preparata and Radix Paeoniae Alba for stopping bleeding and preventing miscarriage.
6. Used for blood deficiency, intestinal dryness, constipation, etc. Angelica has the function of nourishing blood and moistening intestines. For constipation due to blood deficiency and intestinal dryness, it is often combined with Cistanche deserticola, Fructus Cannabis and Polygoni Multiflori Radix to nourish blood and moisten intestines.
For yin deficiency of liver and kidney and stagnation of liver-qi, it is often combined with Radix Adenophorae, Radix Ophiopogonis, Radix Rehmanniae, Fructus Lycii and Fructus Toosendan to nourish yin and soothe the liver.
For blood dryness, damp-heat, head and face sores, papules and rosacea red, it is often combined with Fritillaria and Sophora flavescens to remove blood stasis, clear away heat and promote diuresis, and induce diuresis for stranguria, namely Danggui Kushen Pill.
In a word, Angelica sinensis is one of the most frequently used Chinese medicines in clinic, and there are many prescriptions, and there are countless classic prescriptions that have been passed down to this day. It is a blind Chinese medicine that everyone who studies Chinese medicine should focus on.
Three. dosage
Angelica sinensis is often used for decoction and pill making. The commonly used dosage of decoction ranges from ten grams to dozens of grams, and the specific dosage should be flexibly mastered; If it is used to relieve constipation, a larger dose can be used in the short term.
Different parts of angelica have different effects. Angelica partial blood, angelica tail partial blood circulation, Angelica partial blood; Angelica sinensis wine decoction can enhance its blood circulation.
Li Dongyuan said: "The head stops bleeding, the body nourishes blood and is centered, the tail breaks blood and flows down, and the blood rises without going."
Li Shizhen said: "Use the head, the body, the tail and the whole." .
Wang Angyan said, "Qi and blood belong to each other, hence the name. Blood stagnation can be cleared, blood deficiency can be replenished, blood dryness can be moistened, and blood disorder can soothe the nerves. Cover the qi with Xin Wen to divide the qi, so that the qi can adjust the blood. "
Fourth, the application of attention.
Angelica sinensis is greasy and has the disadvantage of slippery intestines, so it is not suitable for people with damp diarrhea.
Materia Medica Jing Shu: "Weakness of the stomach, diarrhea and all diseases of the spleen and stomach, bad food, lack of food and unnecessary food are forbidden, even before delivery."
Huang Yuanyu said: "Its nature is stagnant, and it is most unsuitable to defeat the spleen and stomach and slip the large intestine. The yang is weak and the soil is wet, and the diet is unnecessary, so it is slippery. If you have to, use ginger, cinnamon and Erling to supplement it. "
Wang Angyan: "Sliding the large intestine, purging is forbidden. Many people have taken four kinds of gloomy drugs, but they have caused harm. "
Zhang Xichun said: "People who are overworked, sweaty and loose stool should not use it."
Author's point of view: people with weak physical strength, especially those with weak spleen and stomach, should not use large doses of angelica or prescriptions based on angelica. It hinders spleen and stomach transport and is not conducive to the recovery of deficiency syndrome. Therefore, although angelica is often used in many tonic prescriptions, doctors should not be superstitious about angelica.
-Notes on actual combat of TCM: 20. 1 1.9 nights.
# Practical Notes on Traditional Chinese Medicine #