Although these four prescriptions are similar, they all show that stomachache likes warm pressure, or it hurts when you are hungry, so you stop eating. Don't think about diet, fatigue, thin white fur, pulse deficiency and other symptoms. However, among the "great harmony", there are also small differences that are easily overlooked.
Xiangsha Liujunzi Decoction belongs to qi deficiency, which means cold, but the cold is mild, which is characterized by phlegm-dampness, qi stagnation, mild pain like pressing, severe pain, abdominal distension, belching, acid swallowing, loose stool, white fur and so on. Stomach distension is more than pain, and the aggravation of pain is the focus of syndrome differentiation.
Lizhongtang syndrome is depression of zhongyang accompanied by cold and dampness, with symptoms of pain like pressing lightly, cold like hot food, and cold like pain, and the pain is more severe than the previous symptoms. Pain over bloating is the key point of syndrome differentiation.
Xiaojianzhong decoction syndrome is characterized by deficiency of yin and yang in the middle jiao (that is, deficiency of yin and yang in the middle jiao). The symptoms are pain and heavy pressing, dry mouth slightly, normal or slightly dry stool, signs of coexistence of hand and foot heart heat with warmth and chills. Pain and heavy pressure are the key points of syndrome differentiation.
Xiangsha Yangwei Pill syndrome: spleen and stomach weakness, phlegm-dampness blocking collaterals, sallow complexion, mental fatigue, shortness of breath, laziness in speaking, loss of appetite, belching, nausea, chest tightness, abdominal distension, bowel movement and light tongue. White and greasy fur, slow pulse. The key points of syndrome differentiation are upper abdominal pain, diarrhea in loose stool, aggravation after eating greasy food, retching and pantothenic acid.
The above four aspects treat spleen and stomach deficiency and cold respectively, but there are differences in the same, and the clinical symptoms cannot be confused. Xiaojianzhong decoction is used for patients with yin and yang deficiency, which is a method of moistening dryness (Huangqi Jianzhong decoction and Danggui Jianzhong decoction also belong to this category); Lizhong decoction and its derivative prescriptions (Fuzi Lizhong decoction and Guifu Lizhong decoction) are the representatives. Xiaojianzhong decoction syndrome, if Lizhong decoction is misused, will be warm and dry and hurt yin; If you want to use Lizhong decoction to throw Xiaojianzhong decoction by mistake, you will be soft-hearted and love cold and dampness. Similarly, if Xiangsha Yangwei Pill misuses Lizhong Decoction, it can't strengthen the spleen and promote diuresis, harmonize the stomach with turbidity, and eliminate bloating and swelling. Clinical symptoms should be treated according to syndrome differentiation, and then used without doubt, so that medicine and symptoms can be harmonious, and * * * can play the role of warming the middle warmer, dispelling cold and tonifying the spleen and stomach.