What is spleen deficiency and abdominal distension? Spleen deficiency and abdominal distension belong to the category of fullness in traditional Chinese medicine, which is characterized by fullness in the stomach, fullness and discomfort, and softness without distension. In addition to the above symptoms, stomach distension due to spleen deficiency also manifests as abdominal distension after eating, eating less, not thinking about eating, eating without digesting, being tired, being too lazy to talk, and being indifferent to loose stool. There are two classic prescriptions for treating abdominal distension due to weakness of spleen and stomach. One is Jiangpushen Decoction in Treatise on Febrile Diseases in Han Dynasty, and the other is Liujunzi Decoction in Women's Good Prescription in Song Dynasty. What's the difference between these two classic prescriptions? This is what we are going to learn today. What is ginger, magnolia bark, licorice and ginseng chicken soup? Jiangpushen decoction is an excellent prescription for treating abdominal distension. The original text describes it like this: "After sweating, Shentang is mainly for people with abdominal distension." This prescription is very simple. As the name implies, the medicines are Magnolia Officinalis, Ginger, Pinellia ternata, Glycyrrhiza uralensis and Ginseng. Relatively speaking, the dosage of Magnolia Officinalis, Ginger and Pinellia ternata is slightly larger, the dosage of Glycyrrhiza uralensis Fisch is smaller, and the dosage of Ginseng is the smallest. The original text is concise, which means that sweating will damage stomach qi and lead to insufficient stomach qi. Weakness of stomach qi is often accompanied by endogenous phlegm, which will also block qi movement, leading to conduction disorder between stomach → small intestine → large intestine, so the abdomen appears "virtual fullness". It is most suitable for the symptoms of weakness of temper, stagnation of phlegm and dampness, and poor qi movement. Ginger can not only stimulate stomach qi, but also promote the circulation of qi and provide stomach qi for the five internal organs. What is six gentlemen soup? Liujunzi decoction is Sijunzi decoction with Pinellia ternata and dried tangerine peel. Since the basis of this prescription is Sijunzi Decoction, the efficacy of Sijunzi Decoction is its root. Sijunzi decoction consists of ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza. Among them, ginseng is warm and beneficial, and has the effect of strengthening the spleen and nourishing the stomach; Atractylodes macrocephala is bitter and warm, and can strengthen the spleen and dry dampness; Poria cocos is sweet and light, good at invigorating spleen and infiltrating dampness; Roasted licorice, sweet and warm, can benefit qi and middle warmer. Four drugs are combined to strengthen the spleen and soil without leaving dampness. This prescription is the basic prescription for treating spleen and stomach weakness, spleen failure and lung damage, loss of appetite, thin body and yellow face, and alopecia, and it is also one of the most effective prescriptions for treating "tooth tongue". After adding dried tangerine peel to Sijunzi decoction, the effect of regulating qi and strengthening spleen has been improved, which is called "Yigong San". After adding dried tangerine peel and Pinellia ternata, not only the efficacy of regulating qi is improved, but also the efficacy of eliminating dampness and resolving phlegm is increased. This is the soup of six gentlemen. Pinellia ternata has a strong effect of eliminating dampness and resolving phlegm, but dry Pinellia ternata should be selected, and the similarities and differences between ginseng soup and Liu Jun Decoction are expounded. We found that in ginger, magnolia bark and ginseng soup, the dosage of magnolia bark, ginger and Pinellia ternata is larger, while the dosage of ginseng and licorice is smaller. Therefore, this is a prescription which mainly focuses on invigorating qi and resolving phlegm, dispersing stagnation and eliminating mass, and at the same time takes into account deficiency and cold of spleen and stomach. The main skeleton of Liujunzi decoction is Sijunzi decoction for invigorating qi and strengthening spleen, and then dried tangerine peel and Pinellia ternata are added on this basis. Therefore, this is a prescription that focuses on strengthening the spleen and regulating the stomach, taking into account dampness, phlegm and qi. This shows that the focus of these two prescriptions is different. Generally speaking, when a person has symptoms of fullness in the stomach due to weak temper, the first symptom is qi stagnation, and then the water is wet and phlegm is caused by poor qi movement. Water-dampness and phlegm-drink is yin evil, which is heavy, turbid and thick, which will further hinder the operation of qi and blood and lead to more and more deficiency of spleen and stomach. Moreover, water-dampness-phlegm drink is yin evil, which will cause yang deficiency and lead to new ones. For the first stage, when the disease shows spleen deficiency and qi stagnation, ginger, magnolia flower, licorice and ginseng are suitable snipers; If it drags on to the second stage of chronic illness, water dampness and phlegm, and spleen and stomach deficiency, Liujunzi Decoction is the interceptor. The second stage is also the most complicated stage of the disease. Sometimes not only spleen and stomach weakness, phlegm stagnation, but also heat evil hidden in the stomach cavity, showing a mixed image of cold and heat. At this time, Banxia Xiexin Decoction can be used first, which can remove bitterness, clear and reduce turbidity. After the illness is relieved, Liujunzi decoction can be used to deal with the aftermath. When treating sequela with Liujunzi decoction, patients with spleen deficiency accompanied by yellow greasy or thin yellow tongue coating can be treated with purslane and dandelion with the functions of clearing away heat and toxic materials, cooling blood and detumescence, and then with perilla stem to regulate qi and relax the middle energizer, so that qi flow is smooth and abdominal distension is often suddenly relieved. If the purslane moss is white and greasy or thin, it can be humidified with the fragrance of Pogostemon cablin and Eupatorium odoratum. But you can't stick to the tongue picture, sometimes spleen deficiency and abdominal distension that can't be cured for a long time, and there may be heat evil hidden in the stomach, but it doesn't appear on the tongue surface because of clearing the qi and stagnation. At this time, adding English and purslane may have unexpected effects. 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