The function of aconite lies in warming yang, and Neijing says, "Yang is the cause of heaven's dislocation." Comparing the human body's yang with the sky and the sun, it is considered that yang is the foundation of human life and is very important for health preservation and disease prevention. Both on Dabao and Yi Guan of Zhao have incisive expositions on Yang. But the yang of a body is rooted in the kidney, which is a house of fire and water. The combination of yin and yang in the kidney can form a fire that is beneficial to the body. Therefore, the so-called warming yang first warms kidney yang, including heart yang and spleen yang. Under physiological conditions, Yang is the motive force of life, and under pathological conditions, Yang is the vitality to resist evil. Zhao's "one pass" is described as a lantern, and Zhang Zhongjing's Sini decoction and Fuzi decoction are used to warm yang and dispel cold. In fact, it can invigorate the functions of various organs in the whole body and enhance the strength and anti-evil ability of the body. Therefore, the clinical application of complex methods based on aconite root, such as "restoring yang to save inverse", "warming yang to promote diuresis" and "warming middle warmer to dispel cold", has a drum-like effect.
? 1. Is it used for stagnation of yang qi?
The clinical manifestations are cold hands and feet, weak pulse, cold sweat dripping, decreased blood pressure, pale and tender tongue, fainting and other symptoms. Sini decoction with ginseng, hawthorn, keel and oyster has a good effect. For example, acute myocardial infarction and cardiogenic shock can be temporarily maintained with western medicine pressor, but pressor cannot be stopped. After stopping the drug, blood pressure dropped, hands and feet were cold, face was blue, and spirit was listless. Thin pulse, tender and smooth tongue, etc.
20g of ginseng, 80g of aconite slices (fried separately), 0/5g of dried ginger/kloc-,0/5g of licorice/kloc-,20g of keel, 20g of oyster and 20g of dogwood. Decoct with water, take/kloc-0 every 4 hours, and take it continuously. Stop taking western medicine after blood pressure is stable, and continue taking it until the condition is cured. ?
2. Tully dehydration
Treat children with vomiting and diarrhea, limb syncope, blue lips, pale face, yang depression and dehydration, and thready pulse. Ginseng 10g, dried ginger 5g, aconite tablets 10g, licorice 10g, spiced spiced 5g, hawthorn 10g. This prescription, namely, the four-inverse ginseng decoction, returns to yang to remove stagnation, and combines Schisandra chinensis and Evodia rutaecarpa to astringe yin, which has repeated effects. This prescription is used to decoct medicine and drink it often. Once vomiting stops and hands and feet get warmer, blood pressure rises slowly and turns to safety. But at present, children are hospitalized in pediatric wards, and Chinese medicine has no chance to treat them, and the rest will not be used for a long time. If the dosage form can be improved in the future, it can play the role of Chinese medicine rescue.
1. Treating heart failure
Symptoms include pallor, palpitation, shortness of breath, low cough, thirst, hypothermia of limbs, short loose stool drowning, edema of lower limbs, abdominal distension, fat and tender tongue, dark purple tongue, cyanosis of labial nail, thin and astringent pulse, which is caused by deficiency of kidney yang, palpitation in cold water, and it is advisable to warm yang to turn qi into water.
Medicinal use: 20g of aconite (decocted first), 20g of poria cocos, atractylodes macrocephala 15g, radix paeoniae alba 15g, and ginger 10g. Add salvia miltiorrhiza, Eupatorium adenophorum leaves, peach kernel, motherwort and other blood-activating products. Such as pulmonary heart disease, heart failure complicated with infection, dull complexion, purple lips, full neck pulse, inability to open mouth and lift shoulders, phlegm in throat, cough and vomiting with thick phlegm, edema of ankle and foot, fat and light tongue, cold below waist, etc. Aster and callus should be added to this kidney-yang deficiency.
Because Zhenwu decoction warms kidney and helps yang, fire is flourishing, water and soil are healthy, and cardiopulmonary symptoms are eliminated. Yang failure, promoting blood circulation and removing blood stasis, and adding Radix Salviae Miltiorrhizae, Semen Persicae and Eupatorium adenophorum leaves to promote blood circulation and remove blood stasis; When phlegm-heat stagnates, Radix Asteris, Herba Houttuyniae, Semen Armeniacae Amarum and Nodules are added to clear away heat, resolve phlegm and expel turbidity, which can reduce lung qi. This method can treat both the symptoms and root causes.
Shengmaiyin and Shenfu are used to warm yang and replenish qi, while Ophiopogon japonicus and five flavors benefit yin and astringe yang, combining rigidity and softness, which can prevent the disadvantages of dryness and heat hurting yin. I have treated many rheumatic heart diseases and heart failure. The clinical manifestations are palpitation, shortness of breath, dyspnea, edema of lower limbs, short and red urine, abdominal distension, blue fingernails, dark cheeks, cold limbs, heavy or hard pulse, manifested as decreased heart yang, qi deficiency and blood stasis. Zhenwu decoction combined with Shengmai drink, safflower, peach kernel and Danshen Huoxue products are mostly effective.
It is particularly noteworthy that although cardiotonic drugs such as Ceylon (deacetyl lanatoside) and Digoxin can correct heart failure (partially ineffective), they are not as significant as Zhenwu Decoction in improving symptoms. After taking Zhenwu decoction, the patient's physical strength is increased and his spirit is vigorous, which is beyond the reach of western medicine. The dosage of aconite can be decocted with 3-6 yuan (9- 18 g) for more than half an hour according to the severity of the disease, so as to reduce its toxicity. If urine volume is still low after taking the medicine, Alisma orientalis, Polyporus and Ramulus Cinnamomi can be added.
2. Treating chronic glomerulonephritis edema
Edema belongs to yang deficiency of spleen and kidney, which can't warm yang water, and water can retain yin water. Symptoms include bloating below the waist, dysuria, chills in limbs, abdominal distension and loose stool, lumbago, or repeated edema, pale complexion, fat and tender tongue, pale color, slippery fur and slow or weak pulse. Ginseng and astragalus should be added to benefit the spleen and moisten the lungs, and the effect is especially good; If edema is accompanied by cough and asthma, swelling of the head and face, and it is impossible to lie flat, the lung, spleen and kidney should be treated at the same time. This prescription should add Herba Ephedrae and Herba Asari to disperse lung, or add Ramulus Cinnamomi to remove Paeonia lactiflora and Ma Xin Fuzi decoction, and use the rest. If the syndrome differentiation is accurate and mostly effective, proteinuria will improve with the disappearance of edema. The combination of Herba Ephedrae and Radix Aconiti Lateralis is the combination of lung and kidney. Jujube, Glycyrrhiza uralensis Fisch and Ramulus Cinnamomi contribute to warming spleen yang. Therefore, edema caused by yang deficiency and water dampness should be treated by both warming and treating.
Treat dizziness
It belongs to yang deficiency, watery sensation, cold limbs, pale face, cold hands and feet, edema of lower limbs, dizziness, headache, nausea and vomiting, fatigue, facial edema, tender and smooth tongue, fat tongue, deep and slow pulse, which should be treated with Zhenwu Decoction. Treatise on febrile diseases says: dizziness, palpitation, body movement, vibration and the desire to shake the ground are our masters. Mainly due to yang deficiency and flooding, I once met a patient with dizziness, unsteady gait and feet leaning outward. Western medicine diagnosed cerebral artery blood supply insufficiency, and drugs such as vinorelbutong were ineffective. I came to the clinic for treatment and observed that his tongue was fat, tender and slippery. Deep pulse, drowsiness on the face, syndrome differentiation as yang deficiency and light water, add Zhenwu decoction and ginseng, take 20 grams of aconite root, decoct in water, take six doses continuously, dizziness is greatly reduced, and then recover. ?
4. Treat hypothyroidism
Systemic myxedema is characterized by dizziness, lethargy, listlessness, limb aches, chills, cold hands and feet, shortness of breath, palpitation, wet tongue coating, weak or late pulse, which belongs to spleen and kidney yang deficiency. Codonopsis pilosula and cassia twig are added to this prescription, and the effect is very good.
A young woman in Ceng Zhi, a student of Fudan University, dropped out of school after suffering from this disease. She used to take thyroxine tablets, but the outpatient treatment had no obvious effect, such as Shanghai syndrome. Blood pressure 90/55 mm Hg, give 20 g of aconite, add ginseng 15 g, and add 8 doses. The edema disappeared completely and all the symptoms were relieved. More than 50 doses of prescription, go to Shanghai to resume school after complete cure. Another female surnamed Zhang, aged 38, suffers from hypothyroidism, such as severe edema in recent days, chills in limbs, palpitations, dizziness, listlessness, lethargy all day, weak pulse and slippery tongue. She was given cassia twig 15g, ginseng 15g and licorice 10g, and she recovered after more than a month. Mucoedema is cold limbs, which is consistent with yin water disease. Most diuretics are ineffective. In the above two cases, both Chinese and western medicine diuretics have no effect. Because the kidney yang drops, it can't be hydrated, and the water is wet. Warming the kidney yang makes it hydrated, small and convenient, and the edema disappears, but the spirit is shaken.
In synopsis of the golden chamber, there is a syndrome that Fuzi jingmi decoction can treat severe cold abdominal pain. Radix Aconiti Lateralis Preparata is used to warm middle warmer, dispel cold and relieve pain, and Rhizoma Pinelliae is used to reduce adverse reactions. Jujube is used for invigorating spleen and harmonizing middle energizer. This prescription is very effective in treating abdominal pain caused by cold.
A farmer from Yushu County, Ceng Zhi suffered from abdominal pain and bowel sounds, and his attack turned to him. He vomited and couldn't eat. After a long period of treatment is ineffective, seek treatment. I saw that his face was blue, his hands and feet were cold, his pulse was weak, and his tongue was fat and tender.
Syndrome differentiation is that the cold is rushing up and the spleen and stomach are not harmonious. Fuzi japonica rice soup is given. Add dried ginger 15g and aconite root 30g to the original prescription, decoct for half an hour, and then add another medicine. After adding the dose of 10, the abdominal pain was greatly reduced and the bowel sounds disappeared. Continue to adjust and cure.
This patient is a farmer. He has suffered from this disease for more than two years and can't take part in labor. His systematic examination in the hospital showed no results, but he was cured by the compound prescription based on Fuzi decoction. It can be seen that aconite is an important drug to warm the middle warmer and relieve pain.
Aconite is an indispensable medicine for cold patients. ? For abdominal pain due to cold accumulation, aconite and rhubarb are used together. Its symptoms are constipation, abdominal pain, dry tongue, cold abdomen, and tight pulse. Non-aconite root is not enough to dispel cold, and non-rhubarb is not enough to remove excess heat. The combination of aconite and aconite is a wonderful combination of traditional Chinese medicine.
I once met a patient with abdominal pain in the navel and refused to press it. When it rains or it's cold, abdominal pain is aggravated, stool will not stop for several days, pulse is heavy, mouth is dry, and tongue coating is thick and greasy. This is not excess heat, but cold accumulation. The prescription of Wenpi decoction is: Codonopsis pilosula 15g, Radix Aconiti Lateralis 15g, Zingiberis Rhizoma 15g, and Radix et Rhizoma Rhei 15g.
After three doses, the pain in umbilicus and abdomen, the stool decreased like lard, and the pain was greatly relieved. After three doses, the stool turned round and the abdominal pain stopped, so it recovered.
It must be noted that abdominal pain due to cold accumulation is not an indication for rhubarb and mirabilite. However, when it is combined with Radix Aconiti Lateralis and Rhizoma Zingiberis, pungent heat and dispelling cold can adjust its bitterness and coldness, and play a laxative role. This combination of cold and heat is wonderful.
Zhongjing has Fuzi Xiexin Decoction and Dahuang Fuzi Decoction, which can be used for reference. ? Aconitum carmichaeli not only treats abdominal pain by warming the middle warmer, but also treats wind-cold arthralgia. Treatise on Febrile Diseases includes Guizhi Fuzi decoction, Guizhi Qugui plus Baizhu decoction and Glycyrrhiza Fuzi decoction, all of which use aconite to treat rheumatism and body pain. All patients with cold arthralgia syndrome use aconite to dispel cold and relieve pain, and aconite and heat-clearing drugs are also used for arthralgia syndrome with mixed cold and heat, similar to Guizhi Shaoyao Zhimu Decoction.
According to Yun, a young woman in Ceng Zhi suffered from lower limb pain and chills after giving birth. Although the lower limbs also have the feeling of blowing in midsummer, they failed after long-term treatment. The rest were treated with Glycyrrhiza Fuzi decoction with 65,438+05g of Achyranthes bidentata and 65,438+05g of Radix Aconiti Lateralis, which had a little effect. After that, the amount was increased, and finally it was 80 grams, and more than 80 doses were added. It can be seen that aconite root is the only effective drug for warming meridians, dispelling cold and activating yang to relieve pain. Aconitum carmichaeli decoction needs to be decocted for 40 ~ 60 minutes to reduce its toxicity, and then other drugs are taken. ?
In treatise on febrile diseases, cloud 30 says: "Guizhi plus Fuzi decoction is the main method for patients with sun sickness, endless sweating, bad wind, unfavorable urination, slightly acute limbs and unfavorable flexion and extension." This article is a syndrome of yang deficiency due to sweating and disharmony between camp and health. According to clinical observation, this prescription is effective for people with yang deficiency due to excessive sweating and aversion to cold.
A young man in Ceng Zhi has been sweating for many years and suffers from aversion to cold. He received Chinese and western medicine treatment, but it didn't work. Western medicine diagnosed him as autonomic nervous dysfunction. He came to our hospital for treatment in midsummer. When he saw the doctor, he was sweating profusely. He described himself as having a bad wind. He felt his hands as cold as ice, his tongue moistened his mouth, and his pulse was slow and weak. Syndrome differentiation is disharmony between camp and health, unstable yang deficiency and sweating.
The prescription is as follows: cassia twig 15g, white peony root 15g, licorice root 10g, ginger 15g, 5 red dates and aconite root 15g. Decoct with water. After taking 8 doses for the first time, sweating decreased and the whole body was slightly stronger. After using this prescription, the amount of aconite increased to 80 grams, and 8 doses were added, which stopped most of the sweating and greatly reduced the evil wind.
And told him to continue to use this prescription unchanged and take 60 doses. After sweating, the hands and feet turned warm, and there was no aversion to cold, and they recovered.
There are many cases of spontaneous sweating due to Yu Lin's syndrome. Most patients have red tongue with dry fur and spontaneous sweating due to heat. They like to use Danggui Huang Liu Decoction to clear heat, nourish yin and consolidate exterior, or cooperate with Ganmai Jujube Decoction to achieve good results. However, some patients have yang deficiency and aversion to cold, and both yin and yang deficiency are mixed with cold and heat, which can not be cured for a long time. In the original prescription (Danggui Huang Liu Decoction), aconite 10 ~ 15g is added for both cold and warm purposes. After a few doses, the sweat stopped and the aversion to cold disappeared at the same time. Fuzi helps yang, combined with yin-nourishing drugs, has the miraculous effect of nourishing yang and generating yin. Harmony of yin and yang leads to spontaneous sweating. ?
Treat internal injury, fever, fatigue, spontaneous sweating, dizziness, shortness of breath, weak pulse and pale tongue caused by yin deficiency and hyperactivity of yang. For this kind of fever, the method of removing heat with sweet temperature is ineffective, and the rest is used to suppress floating yang, add aconite root to restore the fire, and even use ginseng to replenish qi. Cynanchum atratum, Bupleurum chinense and Artemisia annua have good heat-clearing effects on deficiency heat.
A woman in Ceng Zhi had a low fever for 9 months, and her body temperature was generally between 37.6℃ and 37.8℃. After the hospital system inspection, there was no result. She used dozens of doses of traditional Chinese medicine, such as Han Gan nourishing yin and clearing away heat and warming, but all of them were ineffective. She came to the clinic for treatment. Burnout spontaneous sweating, dizziness, shortness of breath, low fever, thready pulse and pale tongue. The syndrome differentiation is yin deficiency and Yang Qi floating, so it is advisable to help yang, replenish qi and subdue yang.
Medication: 20 g of Os Draconis, 20 g of Oyster, 2.6 g of Radix Aconiti Lateralis, 20 g of Cynanchum atratum, 65,438 05 g of Bupleurum, 65,438 05 g of Scutellaria baicalensis, 65,438 05 g of Ophiopogon japonicus, 65,438 00 g of Glycyrrhiza uralensis and 65,438 00 g of Ginseng. Decoct with water.
After taking 6 doses at the top, the body temperature tends to drop. It has been between 37.1℃ and 37.3℃ these days, and I feel stronger and better, but I still feel dizzy, my hands and feet are hot, and my pulse is very small. This is because the yang is slightly convergent and the upper part remains unchanged.
After 6 doses, the body temperature was around 36.5℃ for several days, which was not seen for several months. The whole body is stronger than before, but sometimes I still sweat, and my tongue is pale with fur. After six doses of this prescription, the body temperature is stable from now on, between 36.4-36.8℃, and the sweating physical strength and brain power are restored as usual, thus recovering. ?
The rest of this recipe is like adding keel soup. On the one hand, aconite, keel and oyster are used, and Tibetan yang is used to ignite the fire; On the one hand, Ophiopogon japonicus, Scutellaria baicalensis, Cynanchum atratum and Bupleurum chinense are used to nourish yin and clear heat, and then ginseng is used to replenish qi, which is quite effective for people with low fever and fatigue, and has the same effect as the method of warming and tonifying heat. ?
"synopsis of the golden chamber: quenching thirst" says: "people who have trouble urinating have water vapor, and their people are bitter and thirsty, and Trichosanthes kirilowii is the main one." In this prescription, aconite is used to warm yang and transform qi, which makes body fluid rise and quench thirst, while water vapor decreases. In addition, the roots of Trichosanthes kirilowii clear away heat and moisten the lungs, and the lungs are the source of water, and the lungs are clear and the water vapor drops. Qumai Lishui, Poria, Yam and Radix Aconiti Lateralis can strengthen the spleen and tonify the kidney. The original prescription treats thirst caused by upper heat and lower cold. The rest of the teachers plan to use aconite with heat-clearing and dampness-promoting agents or sweet and cold-clearing agents to treat intractable edema due to spleen, lung and renal insufficiency, and have achieved good results repeatedly. In addition, adding aconite root to the recipe of clearing heat and promoting diuresis or nourishing liver and supporting yang in the brigade is convenient and eliminates edema. ?
The patient is a male, surnamed Li, aged 39, with chronic glomerulonephritis, high edema and proteinuria (++). After long-term treatment, the edema did not disappear, and there was little urine. Diuretics such as furosemide have no obvious effect, and diuretics are ineffective. Pale face, edema all over, urinating about 300 ml a day. He is thirsty, heartburn and cold in his lower limbs.
Pollen 15g, Ophiopogon japonicus 15g, Anemarrhena asphodeloides 15g, Radix Adenophorae 15g, Radix Astragali 25g, Rhizoma Dioscoreae 20g, Poria 20g, Herba Dianthi 20g, Herba Polygoni Avicularis 20g, Herba Leonuri 30g, Lotus Seed 15g, and Radix Rehmanniae. Decoct with water twice a day.
After taking the dose of 10, the urine volume in 24 hours is 2500 ml, and the edema is completely eliminated, especially the whole body is stronger than before, the spirit is good, the appetite is increased, the dry mouth and throat are greatly reduced, the urine protein is changed from (++) to (++), the urine protein (+) is continuously adjusted, and the total plasma protein is 0.7g.. ..
This prescription is a combination of warming yang and nourishing yin, clearing away dampness and heat, which conforms to the pathogenesis and can be effective. ?
Treatment of intestinal carbuncle with Yinkui Yaolue Yizi Fuzi Patrinia Powder. Its pathogenesis is yang deficiency, which is caused by stagnation of qi and blood due to dampness and turbidity, so it is not suitable to treat it with bitter cold. This prescription uses aconite to support yang, and Patrinia scabiosa is bitter and cold, clearing away heat and toxic materials, promoting blood circulation and expelling pus, and coix seed clearing away heat and promoting diuresis. The combination of the three drugs can treat yang deficiency without abscess or pus discharge.
Accordingly, I treated a woman with chronic urinary tract infection, a large number of pustules in her urine, ineffective use of various antibiotics and anti-inflammatory drugs, and persistent symptoms of urinary tract irritation all the year round to treat abnormal pain. Sore waist, fear of cold, thready pulse and moist tongue coating. According to the analysis, this is due to the heat toxicity and purulent bladder caused by yang deficiency. Simply clearing heat and detoxifying, not supporting yang, invincible, so it can't be cured. Therefore, Patrinia scabiosaefolia was given.
Prescription: 30g of Coicis Semen, 0/5g of aconite/kloc-,30g of Patrinia, 30g of Hedyotis diffusa, and 0/5g of licorice/kloc-. Decoct with water. After taking 6 doses, the symptoms of urinary tract irritation were greatly reduced. After taking the dose of 10, all urine turned negative, and low back pain and chills were eliminated, thus recovering.
After that, many similar patients were cured with this prescription. For those with chills in the lower body, backache, chills in limbs, general fatigue, leukocytosis or pustules in urine, deep pulse and wet tongue coating, it belongs to yang deficiency and heat evil according to syndrome differentiation, and aconite with heat-clearing and detoxicating effect is better. Long-term use of antibiotics, bazheng powder and the like for such patients is effective at first, but ineffective after continuous use, lingering and everywhere. 30 grams of Radix Astragali can be added for patients with qi deficiency, and Akebia stem, Yunnan wheat and Xuxu can be added for patients with heat evil.
In short, it is necessary to weigh the weight of good and evil and turn it into a standard, so that the right medicine can be prescribed. In addition, if there is prostatitis, there are a lot of white blood cells in the prostate, backache, and cold testicles, this prescription can also be cured.
Zhu, a student, has a large number of white blood cells in his prostatic fluid, which causes pain in perineum and urethra. Low back pain, fear of cold, was diagnosed as prostatitis by the hospital, but all treatments failed. After taking more than 20 doses of prostatic fluid, the white blood cells turned negative, and all the symptoms were eliminated and cured. ?
Aconitum carmichaeli enters the heart, spleen and kidney meridians, warms the kidney and circulates water, strengthening the heart and restoring yang. In addition to using aconite with drugs for promoting blood circulation and removing blood stasis (see aconite for warming yang and promoting diuresis), supplementing qi and promoting blood circulation is also quite effective in treating arrhythmia belonging to heart-yang failure.
A man in Ceng Zhi suffers from arrhythmia and frequent ventricular premature beats, but the antiarrhythmic drugs verapamil, amiodarone and bradycardia are not effective. He has general weakness, palpitation, shortness of breath, cold hands and feet, pulse knot, and pale tongue. The syndrome differentiation is heart-yang deficiency and blood stasis blocking collaterals, and the method of invigorating qi, supporting yang and dredging collaterals is used.
Prescription: Radix Aconiti Lateralis Preparata10g, Radix Ginseng Rubra15g, Ramulus Cinnamomi15g, Bulbus Allii Macrostemon15g, Radix Astragali 30g, Flos Carthami15g, Semen Persicae15g. Decoct with water. After taking the dose of 17, the heart rhythm returned to normal and all the symptoms were relieved. In addition to poor sleep at night, 20 grams of jujube kernel, Poria cocos 15 grams and polygala tenuifolia 15 grams were added before, and all the symptoms were cured.
When arrhythmia, heavy pulse, wet tongue coating, chills, yang deficiency and other symptoms appear, aconite can be corrected with drugs for invigorating qi and promoting blood circulation. Fuzi Shenfu Yangcan also inspired Xin Yang to combine Shenqi and Yiqi. Salvia miltiorrhiza and peach kernel can promote blood circulation and treat both qi and blood. ?
In a word, Fuzi Xin, hot and good, can communicate with the twelve meridians, from top to bottom, from the outside to the inside. It is an important medicine for restoring yang and saving inverse. If compatible, it can play its multi-purpose function.