There are several questions about the prescription of relieving pain and diarrhea that need to be clarified!

Q:

What medicine is Xie's monarch?

What medicine is the gentleman of Xieyao Fang? The prescriptions of the past dynasties have not been mentioned. However, judging from the name, dosage and indications of this prescription, the author thinks that Atractylodes macrocephala and Paeonia lactiflora should be the monarch.

one

Judging from the name of this prescription, this prescription was originally called "Baizhu Shaoyao Powder", and the dosage of the two drugs was only heavy (the original prescription was Baizhu Sanliang and Shaoyao Erliang).

It can be seen that this prescription is named after the main drugs in the prescription, aiming at the main symptoms and their main therapeutic effects, which accords with the theory that "the main disease is king" in Su Wen Zhi Zhen Da Lun. Therefore, it is known that Atractylodes macrocephala and Paeonia lactiflora are the monarch drugs in the prescription.

two

According to the analysis of this prescription, this prescription is mainly used to treat the pain and diarrhea syndrome of liver depression and spleen deficiency. Its pathogenesis is "local pet ponytail", and its main symptom is "abdominal pain and diarrhea, and the pain and diarrhea are endless". To treat this syndrome, we should purge the liver and strengthen the spleen, eliminate dampness and stop diarrhea.

Atractylodes macrocephala is sweet and bitter, which can strengthen the spleen, eliminate dampness and stop diarrhea, and can also "eliminate dampness and diuresis" ("Rihuazi Materia Medica"), which can consolidate stool. Most importantly, it can nourish the spleen and stomach, promote fluid production and nourish blood, and prevent excessive liver wood from invading the spleen.

Paeonia lactiflora is bitter and slightly cold, and has the functions of nourishing blood, astringing yin, softening liver and relieving pain. This is a specific medicine for relieving abdominal pain.

This classic says that it can cure abdominal pain caused by pathogenic toxin, while other records say that it can cure abdominal pain caused by cold and heat, and northern medicine says that it can purge liver fire and calm spleen and lung. Cheng Zhongling praised the product for "stopping abdominal pain like a ghost".

Moreover, this product is sour and can stop diarrhea. "Outline" says it can "stop diarrhea and aggravate abdominal pain", and "Jian Yao" says "it is suitable for abdominal pain covered by damp-heat in epigastrium. Therefore, with this astringency, the spleen and stomach must be healthy, and the evil poison is not harmful. "

Atractylodes macrocephala and Paeonia lactiflora have comprehensive effects on the pathogenesis and main symptoms of "pain and diarrhea", and the dosage is only heavy, so they are the monarch drugs in the prescription.

three

Judging from the prescriptions for treating abdominal pain and diarrhea created by famous doctors in past dynasties, there are many prescriptions for treating abdominal pain and diarrhea with Atractylodes macrocephala and Paeonia lactiflora as the main compatibility.

There is "white peony atractylodes rhizome soup"; There is "Weifeng Decoction"; There is "three self-dispersion"; There is "Baizhu Shaoyao Decoction".

Zhu Danxi said: "People with diarrhea due to spleen deficiency should be treated with Atractylodes macrocephala, Radix Paeoniae Alba and Poria." .

Ming Yi Zhangzhi includes Wuyin Decoction, Ershu Decoction, Rhizoma Atractylodis Pill, Shaoyao Zhi Zhu Pill, Tiaowei Baizhu Powder, etc.

Liu Yue said: "The spleen of the lunar month is wet, slightly heavy and full of leakage, sleepy and powerless, and there are countless violent discharges. If the water valley does not melt, first treat it with Baizhu Shaoyao Decoction. "

It is also said that the combination of the two drugs "strengthens the spleen and clears the spleen of damp-heat".

It can be seen that the combination of the two drugs is an extremely important compatibility method for treating diarrhea, and it is also the main drug for treating diarrhea.

Q:

What is the significance of compatibility between traditional Chinese medicine and dried tangerine peel?

Chenpi has two meanings in the menu.

First, regulating qi and strengthening the spleen, regulating the middle and stopping diarrhea.

: "Treating spleen can't eliminate valley and stop diarrhea"; Zhenquan said: "appetizing, treating qi dysentery";

It is said that "it is used with Atractylodes macrocephala to moisten the spleen and strengthen the spleen" and "without Atractylodes macrocephala, the spleen and stomach will diarrhea".

Chenpi can regulate qi and strengthen the spleen.

Moreover, this herb is also a meridian guide medicine for spleen meridian, which can introduce all drugs into spleen and restore its health. As Li Dongyuan said, "If you want to nourish the spleen and stomach, you can't do without this famous saying".

Third, dispel wind and remove dampness, and promote yang to stop diarrhea.

As the saying goes, "windproof, wind energy is better than dampness, so it can also dispel dampness." If you use various drugs to replenish qi, you can also stop sweating and raise yang. "

There is a saying that "wind medicine is often dry, dampness is soil disease, wind is wood medicine, wood can overcome soil, and wind can also overcome dampness". The so-called ".

He also said: Fangfeng "can also enter the spleen and stomach meridians, thinking that it can dispel wind and remove dampness" and "use Yiqi medicine to promote sweating".

It can be seen from the above that Saposhnikovia divaricata has the functions of expelling wind and removing dampness, strengthening yang and stopping diarrhea.

The main symptom of this prescription is diarrhea, because the liver qi inherits the spleen, which makes the spleen motionless, and the clear gas does not rise, and the clear gas does not distinguish turbidity. Therefore, at the same time of restraining trees and supporting soil, it is helpful to treat this syndrome by preventing wind, combining dried tangerine peel and eliminating dampness and rising yang.

In short, the significance of Fangfeng in the prescription is just as Ang summed up: "Xin can soothe the liver, Xiang can strengthen the spleen, wind can overcome dampness, and spleen channels must be adjusted." ("Hutchison's Prescription")

Q:

Since you want to soothe the liver, why not use Bupleurum?

There are three reasons why Bupleurum is not used to soothe the liver.

First, it is inconsistent with the syndrome and pathogenesis of this prescription.

Although Bupleurum is an important drug for soothing the liver and relieving depression, the syndrome of this prescription is caused by excessive liver qi, excessive turbidity discharge and excessive spleen suppression, that is, liver depression and spleen deficiency, rather than insufficient liver qi stagnation and turbidity discharge.

Therefore, instead of simply soothing the liver and relieving depression, it is better to treat the liver by calming the liver, so Bupleurum is not used.

Second, the function of the spleen is unreasonable.

Bupleurum can soothe the liver, but it is unreasonable for the spleen. As long as it can be windproof and multi-purpose. And it has the disadvantage of robbing the yin, so it is not necessary.

Third, there is no antidiarrheal effect.

Bupleurum has no antidiarrheal effect. Yao Lin Ji indicates that it can "bring forth the old and bring forth the new", and "Introduction to Medicine" thinks that this product "causes diarrhea when used in large quantities."

Therefore, wind should be used to stop pain and diarrhea, not Bupleurum.

Q:

What is the purpose of reusing Atractylodes macrocephala in China?

The diarrhea consists of Atractylodis Rhizoma, Radix Paeoniae Alba, Radix Saposhnikoviae and Pericarpium Citri Tangerinae.

The dosage of Atractylodes macrocephala is heavy, which highlights the importance of Atractylodes macrocephala in this recipe.

Zhang Jingyue said: "The origin of diarrhea is due to the spleen and stomach. The spleen covers the stomach as a sea of water and grains, while the spleen governs transportation and makes the spleen strengthen the stomach. Then Shui Gu decomposes qi into blood, thus maintaining health."

Said: "Generally speaking, the spleen is rich in soil, which can overcome dampness by itself, and it will not leak without dampness." "Shameless soil, water evil is not full, so diarrhea is soil wet and wet is spleen deficiency. Shui Gu granary. However, deficiency is not nourishing, and dampness is heavier. Insufficient experience, we must make up. " It is pointed out that the method of "drying spleen" should be used to treat diarrhea.

Atractylodes macrocephala can not only benefit qi and spleen, but also dispel dampness and induce diuresis to stop diarrhea.

This means that it can "digest food", for example, "except acute satiety and cholera vomiting under the heart." It means "urinating". The real fist says "eliminating dampness and benefiting qi, harmonizing middle energizer and strengthening yang" and "promoting fluid production to quench thirst and stop diarrhea".

To sum up: "Why does Atractylodes macrocephala specialize in strengthening the spleen, with the bitterness and dampness of the spleen as the cover, hard food is dry, and hard food is slow?" Atractylodes macrocephala is bitter and sweet, which can dry dampness and strengthen tendons.

Therefore, ginseng, poria cocos and licorice are not spleen-strengthening drugs in this prescription.