Prescription name
Gualou Bulbus Allii Macrostemon White Liquor Soup
source
Synopsis of the golden chamber
form
One fruit of Trichosanthes kirilowii (24g), one half liter of Allium macrostemon (12g) and seven liters of white wine (appropriate amount).
Fangge
Gualou Bulbus Allii white wine soup, chest pain, dyspnea and shortness of breath, cough and sleep, difficult to lie down, plus Pinellia ternata.
Square solution
The treatment of thoracic obstruction by this prescription is caused by the lack of yang in the chest and phlegm blocking qi stagnation. The qi of yang in the chest is transferred to the back, and the yang in the chest is weak, and the body fluid can not be transported, which condenses into phlegm, which hinders qi movement, so the chest is full of pain, or even chest pain runs through the back; Phlegm and turbidity hinder the lung, and the lung fails to declare the descending and ascending, so it breathes, coughs and spits, and shortness of breath; White and greasy tongue coating and heavy or tight pulse are all symptoms of phlegm and turbidity. The deficiency of chest yang is the root of this syndrome, and phlegm blocking qi stagnation is the standard. The treatment should be to dredge yang and dissipate stagnation, and to promote qi and eliminate phlegm. The prescription takes Fructus Trichosanthis as the monarch, which is beneficial to qi, broadens the chest, eliminates phlegm and dissipates stagnation. Allium macrostemon Bunge is a minister, warming the chest and yang, promoting qi circulation, dispersing stagnation and relieving pain. The two drugs are matched, one is to remove phlegm and stagnation, and the other is to supplement each other, which is the important drug for treating chest obstruction; With white wine, ascending and dispersing, promoting qi and blood circulation, in order to help Bulbus Allii Macrostemonae promote qi and yang. There are only three kinds of herbs in this prescription, but the compatibility is strict, which can make the yang in the chest clear, eliminate phlegm and turbidity, smooth the qi flow and eliminate chest obstruction by itself.
Activating yang to dissipate stagnation, activating qi and eliminating phlegm.
cure
Chest pain. Chest pain, even chest pain, wheezing, coughing and spitting, shortness of breath, white and greasy tongue coating, and heavy or tight pulse.
submit to the law
Decoct the three herbs together, take two liters, and take them at different temperatures. Modern usage: add appropriate amount of yellow wine and decoct in water.
Compatibility characteristics
Promoting qi and eliminating phlegm in parallel, broadening chest and activating yang in coordination, dispersing cold and promoting blood circulation in regulating qi.
Add, subtract and cut
If the phlegm is serious, Pinellia ternata, Acorus calamus and Magnolia officinalis should be added to enhance the effect of eliminating dampness and resolving phlegm. For yang deficiency and cold resistance, dried ginger, cinnamon and aconite can be added to help warm yang and dispel cold; If the qi stagnation is severe, the chest is full and distended, or the qi is also upwelling, Cortex Magnolia Officinalis, Fructus Aurantii Immaturus and Ramulus Cinnamomi are added to remove the fullness of the lower qi; For those with blood stasis and dark red tongue or ecchymosis, Radix Salviae Miltiorrhizae, Flos Carthami, Radix Paeoniae Rubra and Rhizoma Chuanxiong should be added to promote blood circulation and remove blood stasis.
Clinical application
1, key points of use: This prescription is the basic prescription for treating chest obstruction, with chest pain, short breath, white and greasy tongue coating and tight pulse as the key points of syndrome differentiation.
2. Modern application: This prescription is often used to treat coronary angina pectoris, non-suppurative costalitis, intercostal diseases, etc.
Attention to use
This prescription is warm and dry, and should not be used if the syndrome of chest obstruction belongs to yin deficiency and heat. The dosage of white wine in the prescription depends on the patient's alcohol consumption, which is generally 30~60ml, and should not be too much.
adverse effect
Gualou Allium Macrostemon White Liquor Decoction can cause slight digestive tract reactions such as stomach discomfort, nausea and vomiting because of its special smell.
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