He Ren, a master of traditional Chinese medicine, is familiar with the four classics of traditional Chinese medicine, and his diagnosis and treatment of stubborn diseases are exquisite. He has rich experience and superb medical skills in treating various difficult and serious diseases with traditional Chinese medicine, especially in treating chronic gastritis, and his curative effect is outstanding. This paper combines some doctors' understanding of the etiology, pathogenesis, syndrome differentiation and treatment of this disease and the appreciation of He Ren's experience in treating this disease, hoping to carry forward He Ren's academic thought and experience in diagnosis and treatment and inherit benevolence.
Explaining pathogenesis
For the etiology of this disease, Dong Xindong and others think that it is mainly caused by stagnation of liver qi, disobedience to the stomach and disharmony between stomach and qi. Zheng Liang and others think that it is due to the weakness of the spleen and stomach caused by various reasons. Liu Hongyan and others think that this disease is mostly caused by emotional distress, food fatigue and surgical injury, and its pathogenesis is mainly liver depression and spleen deficiency, gallbladder deficiency and diarrhea, and stomach attack due to upward movement. Its disease lies in the stomach, and its cause lies in the gallbladder, which is based on the spleen and stomach, with the liver and gallbladder as the standard and the deficiency as the standard. Zhu Jidong, Chu Hongsheng and others believe that the main causes are long-term improper diet, emotional disorder, and damage to the spleen and stomach caused by pathogenic factors such as cold and heat, which leads to stagnation of spleen yang, stagnation of cold and dampness, disharmony of stomach qi and unfavorable qi movement, which leads to this disease. Lu Deyin believes that the occurrence of this disease is improper diet, fatigue, exogenous diseases, seven emotions and the spread of other diseases, among which emotional factors have the greatest influence, so the disharmony between liver and stomach is more common in clinic.
Professor Sun Guangrong believes that the balance of spleen and stomach depends on the temperature rise of the liver and the cold convergence of the lungs, so that the spleen can rise and the stomach can fall to make Shui Gu clear and turbid, and each belongs to its own place, so it is not sick. If the spleen does not rise, it will cause diarrhea, and if the stomach does not fall, it will vomit, which is normal. The cause of stomachache is different from the origin to the end. In this case, the body of stomach fu-organs is caused by cold and heat, qi and blood disorder, and yin and turbidity entanglement. In the end, the stomach is called carbuncle due to poor menstrual flow. Clinically, it is divided into two ends: one is cold and dampness of spleen and kidney, and the other is stagnation of liver and fu organs, which leads to hundred ends.
Guixiang advocated Li Dongyuan's concept of "spleen and stomach injuries lead to all diseases", holding that diet, fatigue and emotion are all pathogenic factors of spleen and stomach diseases, and spleen diseases and stomach diseases are mutually influenced and transformed. Disruption of diet first hurts the stomach, which is mostly manifested as excess syndrome and heat syndrome, with symptoms such as epigastric distension and pain, nausea and vomiting, bitter taste and dry mouth, hard stool, and fire rising to the face, etc. However, excess syndrome of eating and drinking hurts the stomach, which leads to spleen deficiency, yin fire burning the lungs, and symptoms such as shortness of breath, lack of energy, body heat and burning face. Excessive fatigue first injures the spleen, mostly manifested as deficiency syndrome and cold syndrome, with symptoms such as laziness, weakness of limbs, loose stools, etc. However, fatigue injures spleen deficiency, which makes the body fluid in the stomach not distribute, and the grain gas flows downwards, leading to the stomach disease.
Yuan Guodong believes that this disease often leads to spleen and stomach damage due to the loss of diet cold and heat. Usually, people like to eat spicy and thick food, which helps damp and generate heat, or the spleen loses health and transport, which causes dampness and heat, or stagnation of food, which leads to damp-heat in the spleen and stomach or excessive stomach fire; Or qi disorder, qi stagnation, stagnation of liver qi, stagnation of qi into fire, liver qi invading the stomach, resulting in stagnation of heat in the liver and stomach. In addition to the above-mentioned reasons, chronic gastritis is also an important pathological change of the disease, which is often caused by overeating cold food, or exogenous cold pathogens, or taking cold drugs. However, when the cold dominates the intake and the cold pathogen invades the stomach, the yang qi is restrained by the cold pathogen and cannot be stretched, resulting in qi stagnation and disharmony between the stomach and the qi. Therefore, it is manifested as cold pain in the epigastric cavity, aversion to cold drinks, preference for hot food, and reduction of warm pain. For example, as stated in Su Wen Ju Pain Lun, "The cold pathogen invades the stomach, but under the membrane, the blood cannot be dispersed, and the collateral is drawn urgently.
Xing Lihui thinks that children's chronic gastritis is mostly caused by children's improper diet, which damages the spleen and stomach. In addition, children's endowment is insufficient, the spleen and stomach are weak, the function of qi movement is disordered or the cold accumulates in the stomach, and the stagnation of qi and blood leads to stomachache, which leads to phlegm for a long time. The spleen and stomach are trapped by damp-heat, which leads to anorexia, stomach disharmony, and stomach qi going up, which leads to nausea and vomiting, just as Su Wen Bi Lun said: "Diet doubles itself." Liang Xianghong, Zhou Yong and others think that although the disease is located in the stomach, it is closely related to the liver and spleen. The stomach and spleen are connected by a membrane, and the stomach is responsible for accepting and decomposing Shui Gu, so that harmony is reduced to harmony. The spleen governs the subtle transport of diet, and the above is promoted to normal. Both of them are the foundation of the day after tomorrow, which cooperate with each other in physiology and affect each other in pathology. Such as fatigue and internal injuries, hunger and fullness disorders, mostly spleen and stomach diseases; The liver belongs to wood, because it is just dirty, it is fond of reaching the target, and it is mainly responsible for dispersing and discharging, and the liver-qi is transgressive, and the wood is flourishing, or the middle soil is stagnant, and the wood is depressed, or the liver fire is hyperactive and burning the stomach yin, and the stomach loses its glory, so stomach diseases are mostly related to the liver.
He Ren believes that this disease is mostly caused by liver-qi invading the stomach, disharmony between liver and stomach, and stomach-qi going up.
Explore the seclusion of the rule
For the treatment of this disease, Zhang Mingyan believes that it is appropriate to follow the principle that the stomach and fu-organs should be open. "Su Wen Wu Zang Lun" said: "Those who have six internal organs pass on things but don't hide them, so they can't be full." Stomach governs the flow of blood, and it hurts if it doesn't work. If it is urgent, it will treat the symptoms, and the medicine should be used in large quantities. If you slow down, you will cure the problem. If you take pills for a long time, you will receive work. At the same time, in the early stage of this disease, it is easy to distinguish between cold and heat, and in the later stage, it is more common to see cold and heat mixed with excess and deficiency. If the syndrome has been transformed, the treatment plan should be adjusted in time. If yin and yang are indistinguishable from exterior and interior, and cold and heat are indistinguishable from excess and deficiency, and the narrow understanding of "stomach qi is reduced to harmony" and "general principle is painless" will often lead to ineffective treatment and even side effects.
Xiang Jianzhong believes that the disease is located in the stomach, but it is closely related to the liver and gallbladder. Regulating qi and stomach is the main treatment method, but it should be combined with syndrome differentiation and treatment, and the treatment should be classified as follows: liver-qi invading the stomach, soothing the liver and regulating qi, and regulating stomach; Liver and stomach stagnation heat type, the treatment should be soothing liver and expelling heat, harmonizing stomach and descending adverse; Spleen and stomach weakness type, the treatment should be regulating qi and strengthening spleen, regulating stomach and descending adverse.
Gu Shoumin and others think that qi stagnation is the main pathogenesis, and there are many syndromes due to qi stagnation. Therefore, treatment should also grasp this key factor.
Zhou Heping thinks that this disease is mostly caused by deficiency and cold of the spleen and stomach, so the treatment should be based on warming the spleen and strengthening the stomach to relieve pain and harmonizing the rise and fall of the spleen and stomach. Liu Haoduan believes that according to the pathogenesis characteristics of this disease, the treatment should be based on tonifying the middle energizer, invigorating qi, promoting blood circulation and removing blood stasis, eliminating dampness and relieving flatulence, and harmonizing qi. Wu Qinghe and others highly praised the theory of "nourishing stomach yin" in the Annotation of Spleen and Stomach by Ye Tianshi, a famous doctor in Qing Dynasty. Ye Tianshi has a unique opinion on the spleen and stomach, and puts forward: "Eating governs the stomach, transporting governs the spleen ... It is too damp and wet, and it is the beginning of yang; Yangming dries the soil, and the yin is self-satisfied ... The spleen is happy to be dry, and the stomach is soft and moist. " The function of the spleen and stomach is further refined, and the concept of "stomach yin" is clearly put forward, and then the solution to the imbalance of stomach yin is further pointed out. "The so-called stomach should be depressed, so that it is harmonious ... but it is sweet and flat, or it is cool and moist, so as to nourish the stomach yin, then the body fluid will recover and make it pass down." Yu Shaoyuan also made good use of the method of "nourishing stomach yin" in clinic, and created "Yiwei drink" to treat chronic gastritis with nourishing stomach yin as the main part and promoting blood circulation to remove blood stasis as the auxiliary part, and achieved good results.
Sun Guangrong believes that although the disease is located in the stomach, it is most closely related to the liver and spleen. Physiologically, the spleen is dirty and the stomach is fu-organs, while the spleen is dominant in ascending and descending, and the stomach is dominant in ascending and descending. They are connected by meridians and live together in the middle energizer, which restricts and cooperates with each other, and is the hub of Qi-moving and subtle ascending and descending movements of Shui Gu. Ascending is the heart and lung, while descending is the liver and kidney. Pathologically, such as internal injuries and abnormal hunger and satiety, can lead to spleen and stomach diseases. The liver belongs to wood, which is the main source of catharsis, and the liver qi is rebellious, and the wood is flourishing; Or stagnation of liver-qi and burning of stomach yin can affect the ascending and descending function of spleen and stomach, leading to the occurrence of this disease. Therefore, in the treatment, it is necessary to warm the yang and strengthen the spleen to promote the clearing, regulate the stomach and reduce the adverse flow to smooth the flow, and soothe the liver and regulate qi to relieve pain.
Yang Zhanying believes that the treatment of this disease should be based on the pathogenesis characteristics of deficiency in origin and excess in substance, mixed cold and heat, and the main method is to relieve bitterness, regulate stomach, reduce adverse reactions, and remove the masses. Zhang Shengsheng and others think that although the causes are different, such as cold coagulation, food retention, phlegm retention, damp-heat, blood stasis blocking the stomach, or liver-qi invading the stomach, or yin deficiency, yang deficiency, and loss of nutrition in the stomach, the pathogenesis is the same. Therefore, regulating qi and relieving stomach pain is the fundamental method to treat stomach diseases. It is necessary to combine the specific pathogenesis and adopt corresponding treatment methods. It mainly has the functions of soothing the liver and regulating the stomach, dispelling cold and warming the stomach, purging heat and clearing the stomach, promoting digestion and purging the stomach, tonifying deficiency and warming the stomach, nourishing yin and nourishing the stomach, removing blood stasis and dredging the stomach, clearing the stomach, aromatizing the stomach turbidity, dredging the stomach qi, lifting and regulating the stomach, tonifying the middle energizer, stopping bleeding and protecting the stomach, resolving phlegm and smoothing the stomach, expelling phlegm and calming the stomach, etc. It can be used flexibly in clinic.
He Ren thinks that this disease is mostly caused by liver qi invading the stomach, so it is advisable to soothe the liver and stomach, and promote qi and relieve pain.
Extraction of prescription and medicine
For this disease, Duan Feiru and others often use Sijunzi Decoction plus Rhizoma Coptidis and Radix et Rhizoma Rhei to treat it. The medicine composition is: Radix Codonopsis 15g, Rhizoma Atractylodis Macrocephalae 12g, Poria 12g, Rhizoma Coptidis 6g, Radix et Rhizoma Rhei 3g and Radix Glycyrrhizae 6g. This recipe can strengthen the spleen and replenish qi, clear away heat and toxic materials, eliminate dampness and remove turbidity, and treat 56 cases, with a total effective rate of 92.86%. Banxia Xiexin Decoction is commonly used in Ye Fan for treatment. The medicine consists of Rhizoma Pinelliae Preparata 10g, dried ginger 6g, Scutellariae Radix 10g, Coptidis Rhizoma 6g, Pseudostellaria heterophylla 15g, jujube 10g, Rhizoma Bletillae 15g and panax pseudo-ginseng 3g (taken orally). 56 cases were treated, and the total effective rate was 9 1.07%.
Zhao Shiyu is often treated with Banxia Xiexin Decoction. Basic prescription: Pinellia ternata, Scutellaria baicalensis Georgi, Coptidis Rhizoma, Zingiberis Rhizoma, Pseudostellaria heterophylla and Glycyrrhiza uralensis Fisch. For patients with abdominal distension, Radix Aucklandiae, Areca catechu, Fructus Aurantii Immaturus (shell), Cortex Magnolia Officinalis and Fructus Citri Sarcodactylis may be added. Diet stagnation plus Endothelium Corneum Gigeriae Galli, Jiao Sanxian and Raphani Semen; Rhizoma Corydalis, Fructus Toosendan, and Radix Angelicae Dahuricae may be added for patients with pain; Evodia rutaecarpa, concha arcae preparata and Os Sepiae preparata are added for acid regurgitation; Bile reflux gastritis plus Herba Artemisiae Scopariae and Radix Bupleuri; Herba Taraxaci and Herba Hedyotidis Diffusae can be added for patients with Helicobacter pylori infection (HP positive). 63 cases were treated, and the total effective rate was 88.9%.
Wang Yidong is often treated with Jiawei Sini Xiexin Decoction, which consists of Jiang Banxia 10g, Rhizoma Coptidis 6g, Scutellariae Radix 10g, Zingiberis Rhizoma 10g, Bupleurum Radix 10g, Fructus Aurantii Immaturus 10g and Radix Paeoniae Alba 10g. 40 cases were treated, and the total effective rate was 95%. Xu Hong and others treated 82 cases with Jinghua Weikang Capsule, which can regulate qi and dispel cold, clear heat and remove blood stasis. The total effective rate was 97.9%. Gao Yun is usually treated with Xianglian Pill decoction, which consists of Rhizoma Coptidis 6g, Coicis Semen 30g, Poria cocos 15g, Radix Astragali 30g, Radix Paeoniae Alba 12g, Endothelium Corneum Gigeriae Galli 15g, Fructus Crataegi, Massa Medicata Fermentata 15g, and Fructus Hordei Germinatus and Fructus Hordei Germinatus/kloc-0. 33 cases were treated, and the total effective rate was 90.90%.
Luyuan is usually treated with Hewei Jiangni Decoction, which consists of Bupleurum 15g, Rhizoma Corydalis 12g, Panax notoginseng 10g, Toosendan Fructus 12g, Pericarpium Citri Tangerinae 12g, Radix Paeoniae Alba 15g, and Atractylodis Rhizoma. Perilla stem 12g, zedoary 15g, lily 15g, ochre 30g, calcined corrugated 30g and licorice 6g. This recipe can soothe the liver, benefit the gallbladder, invigorate the spleen and regulate the stomach, reduce the adverse reaction and stop vomiting, regulate qi and relieve pain, and treat bile reflux gastritis 176 cases, with a total effective rate of 96.67%.
Hu Jianjun is often treated with Xiangsha Liujunzi Decoction, which consists of Codonopsis pilosula 15g, Atractylodes macrocephala 10g, Poria cocos 10g, Pericarpium Citri Tangerinae 10g, Fructus Aurantii 5g, Pinellia ternata 10g, Fructus Amomi 5g and Radix Aucklandiae 10g. This recipe can strengthen the spleen and regulate the stomach, eliminate dampness and eliminate phlegm, and treat 38 cases, with a total effective rate of 89.47%. Liang Yu and others often use Sanhuang Liujunzi Decoction for treatment. The medicine composition is: Coptidis Rhizoma, Scutellariae Radix, Cortex Phellodendri, Dandelion, cuttlefish bone, Radix Codonopsis, Atractylodis Rhizoma, Poria, Pericarpium Citri Tangerinae, Glycyrrhrizae Radix and Rhizoma Pinelliae Preparata 5 10g each. 42 cases were treated, and the total effective rate was 88. 1%. Ma Chun is usually treated with Ye's yangwei decoction, which consists of Ophiopogon japonicus 15g, raw lentils 10g, Polygonatum odoratum 10g, raw licorice 10g, mulberry leaves 10g and Adenophora adenophora 10g. After treatment of 3 1 case, the total effective rate was 90.32%.
He Ren is often treated with a self-made decoction for relieving abdominal pain.
Typical medical record
Male, 54 years old, first diagnosed on April 27th, 2006. Suffering from chronic superficial gastritis 12 years, gastroscopy showed "chronic superficial gastritis with erosion of gastric antrum" Recently, the intermittent epigastric pain lasted for 4 months. 1 week ago, the gastroscope showed "chronic superficial gastritis with erosion of gastric antrum". The pain was not fixed, sometimes nausea occurred, and the pain was aggravated after meals. When the mood was bad, the pain was aggravated, the tongue was pale, the fur was white and greasy, and the pulse was thready. Why should I use the self-made epigastric pain decoction to treat it? Prescriptions: Rhizoma Corydalis 20g, Radix Paeoniae Alba 20g, Radix Glycyrrhizae 10g, Fructus Toosendan 10g, Herba Taraxaci 30g, Lignum Aquilariae Resinatum 10g, Radix Linderae 10g, Rhizoma Cyperi preparata 10g and cuttlebone. Decoct, daily 1 dose. After taking 45 doses, gastroscopy showed that the erosion disappeared and there was no pain recurrence so far.
Clinical psychological method
From this medical record, it can be seen that stomachache is the main pain of patients, and the main causes of patients are liver-qi attacking the stomach, disharmony between liver and stomach and stagnation of qi and blood. Zhu Danxi said: "Qi and blood are in harmony, and all diseases are not born. When there is depression, all diseases are born." There are many diseases that cause stomachache, but stagnation of qi and blood is the crux. The stagnation of qi and blood is blamed on the liver. Therefore, "Su Wen Zhi Zhen Da Lun" said: "When the wood is depressed, the people are sick and have stomachache." Therefore, He Ren seized this key pathogenesis and adopted the following methods to focus on solving the problem of epigastric pain.
Soothing the liver and purging heat, promoting qi circulation and relieving pain due to stagnation of liver qi, stagnation of qi and blood, obstruction of stomach collaterals, and pain due to obstruction; And qi stagnation can turn fire into heat, burn stomach collaterals, and make stomach collaterals tight and painful. Therefore, He Ren first chose Jinling Zisan from Taiping Shenghuifang. In the prescription, Fructus Toosendan tastes bitter and cold, and enters the liver by entering the meridian. This product can relieve diarrhea, relieve liver depression, clear liver fire, stop pain, remove damp-heat, clear away heat, soothe the liver, promote qi circulation and relieve pain; Corydalis yanhusuo tastes bitter and warm, and enters the liver and stomach. This product is warm and smooth, fresh and moist, and can smooth blood vessels, remove blood stasis, dissipate stagnation of qi, dredge meridians and relieve pain. It can not only treat qi stagnation in blood, but also ventilate blood stagnation in blood. It is gentle and not too severe, so it is an important drug for relieving pain. For example, in Compendium of Materia Medica, a small amount of ground Rhizoma Corydalis is commonly used to treat stomachache. Shen Shi Zun Sheng Shu Xuan Hu Suo San and Jisheng Fang Sanshen Pills are commonly used with a small amount of Rhizoma Corydalis in combination with Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Curcumae and Radix Aucklandiae to treat women's dysmenorrhea. Juhe Pill in Jisheng Prescription and Tiantai Wuyao Powder in Medical Invention are commonly used to treat hernia pain. Therefore, "Compendium of Materia Medica" says: "Xuan Husuo can treat qi stagnation in blood, and qi stagnation in blood, so he specializes in treating all kinds of pains in the whole body, and it is wonderful to use it." "Seeking Truth from Materia Medica" records: "Corydalis yanhusuo, whether it is blood or qi, can be reached by taking this force. With its warm nature, it can be smooth in qi and blood, while its pungent taste can be moistened and dispersed in qi and blood, so it is often more effective to manage all the pains in the whole body." It can be seen that the two drugs are mutually complementary and each has its own emphasis. Jinlingzi powder clears away heat and promotes qi, and relieves pain by discouraging heat; Corydalis yanhusuo promotes blood circulation and qi circulation, and relieves pain by stagnation of blood. * * * Play the functions of clearing away liver heat, promoting qi circulation and relieving pain. Liver stagnation, smooth qi and blood, smooth stomach collaterals, and its pain will stop itself.
Sour sweetness turns to yin, and the stagnation of liver-qi can relieve pain, which can not only lead to disharmony between liver and stomach, but also turn liver-qi stagnation into fire, causing fire pathogen to burn stomach yin, and stomach collaterals are tight and painful. "Huangdi Neijing" says: "The liver is bitter and anxious, and it is slow to eat urgently." Therefore, He Ren also used the famous prescription of Paeonia lactiflora and Glycyrrhiza Decoction, which was used by the medical sage Zhongjing to soothe the yin and relieve pain. Radix Paeoniae Alba tastes bitter, acidic and slightly cold, and enters the liver and spleen meridians. This product is bitter and sour, but feminine. When it enters the liver meridian, it can dissipate yin and replenish blood, and harmonize and astringe yin. First, it can replenish liver blood and nourish meridians, and astringe yin essence to harmonize the camp and guard, which is an essential medicine for the liver family. Second, it can regulate liver blood and relieve spasm, moisten tendons and veins and soften the liver to relieve pain, which is the top grade for relieving pain. "Seeking Truth from Materia Medica" records: "Red peony and white peony have similar indications, but white peony has the power to gather yin and benefit the camp, while red peony only means to disperse evil spirits and promote blood circulation; White can shed wood in the soil, while red can treat stagnation with blood. " Licorice is sweet and flat, and belongs to the twelve meridians. The taste is thick and strong, and its nature is peaceful. First, it can replenish qi, tonify deficiency, slow down the middle energizer, strengthen the spleen, pass through hundreds of veins and nourish the five internal organs; Second, it can slow down the deficiency, reconcile the taste of the medicine, relieve the fierceness and protect the righteousness. "Materia Medica Zhengzheng" says: "Glycyrrhiza uralensis Fisch, which is sweet in taste, can neutralize and tonify. Therefore, the solution of poison is just the combination of medicine and its nature, which shows that Tokunosuke is the only medicine, and the remedy is slow. It is well known to help Shenqi to become qi deficiency, and to help Rehmannia glutinosa to treat the danger of yin deficiency. Eliminate pathogenic heat, strengthen bones and muscles, strengthen spleen and stomach, and grow muscles. With the gas medicine into the gas, with the blood medicine into the blood, it is impossible to go anywhere, so it is called the country's old. " Therefore, in the prescription, Paeonia lactiflora and Glycyrrhiza uralensis are combined, which is sour and sweet, relieves yin, relieves pain, and is combined with qi-regulating products, which not only soothes liver qi, but also relieves liver anxiety. One dispersing and one collecting complement each other, and hits the point of activating the liver, so the effect is very quick.
Regulating qi, promoting qi circulation and relieving pain due to stagnation of liver qi, liver failure, resulting in stagnation of qi, stagnation of stomach collaterals, and pain if it is blocked. Therefore, He Ren used agarwood koji, Lindera root and Cyperus tuber in the prescription. The heavy fragrance is hard and slightly warm, and it enters the spleen, stomach and kidney, which can relieve pain by qi, stop vomiting by warming, and accept qi to return to the yuan. Radix Linderae is pungent and warm, and enters the spleen, lung, kidney and bladder. This product is pungent and warm, ascending spleen and lung, descending kidney and bladder, regulating upper and lower qi, regulating qi, descending adverse qi, relieving stagnation, dispelling cold and relieving pain. Compendium of Materia Medica: "Wu Yao, pungent and fragrant, can disperse all kinds of qi, so Taiping Huimin Heji Ju Fang (hereinafter referred to as Ju Fang) treats stagnation of seven emotions, and those who have asthma and need Si Mo Tang urgently will fall in the middle and rise in the middle, while those who stay in the middle will make up for it." "Seeking Truth from Materia Medica": "Wu medicine has the same merits as Radix Aucklandiae and Rhizoma Cyperi, but Radix Aucklandiae is bitter and warm, and it is cool and stagnant in the spleen, so it is suitable for food retention; Cyperus rotundus is hard, entering the liver and gallbladder, opening up depression and dissipating stagnation, and every depression is wonderful; This is an evil spirit across the chest and everywhere, so it is used to think that the evil spirit in the chest and abdomen needs medicine. " Cyperus rotundus is slightly bitter and flat in taste, and belongs to liver, spleen and triple energizer meridians. This product is pungent and bitter, and has a flat fragrance. It can soothe liver qi, relieve stagnation, widen the chest diaphragm, regulate the spleen and stomach, remove swelling, enter the diet, ascend the chest diaphragm, descend the liver and kidney, disperse all qi and relieve all depression. Therefore, Yueju Pill in Danxi Heart Method, Xiaowushen Decoction in Jufang, Liangfu Pill in Liangfang Jiaxil and Kuaiqi Decoction in Jufang all take the merits of regulating qi and relieving depression. Compendium of Materia Medica: "The qi of Cyperus rotundus is flat but not cold, fragrant but can flee, its taste is pungent and can disperse, slightly bitter and mild. Dispersal qi-cold epidemic. Li Sanjiao, relieve six depression, eliminate food accumulation, and drink phlegm. " It can be seen that the three flavors are combined, regulating qi, promoting qi and relieving pain, and the strength is specialized and effective. Qi flow is smooth, collaterals are smooth, and the pain stops itself.
Promoting qi and blood circulation, removing blood stasis and relieving pain "Huangdi Neijing" says: "Qi is the handsome of blood, and blood is the mother of qi; Qi circulation leads to blood circulation, while qi stagnation leads to blood stasis. Liver qi is not comfortable, qi is not smooth, and blood will be reached for a long time, which will cause blood stasis and stomach collaterals, and it will be painful if it is blocked. Treatment is suitable for promoting qi circulation and blood circulation, removing blood stasis and relieving pain, so He Ren also used two kinds of drugs, namely roasted hedgehog skin and aspongopus, in the prescription. Roasted hedgehog skin is sweet and warm, and enters the liver and stomach, which can regulate qi and relieve pain, remove blood stasis and regulate the stomach. Aspongopus, also known as dung beetle, is a good medicine for treating pain caused by qi stagnation and blood stasis, and is widely used in clinic to treat various pains. For the treatment of chest pain, 90g aspongopus and 60g scorpion can be used. Grinding, honeyed pills, each pill weighs 3g, half pills each time, twice a day; For stomachache, flatulence and hiccup, three aspongopus and three fennel worms can be used for grinding. Swallow with warm water, 3 times a day; To treat epigastric pain caused by stagnation of qi due to middle energizer, it can be combined with Alpinia officinarum to warm the middle energizer, dispel cold, regulate qi and relieve pain; To treat pain associated with soreness of waist and knees, it can be combined with Eucommia ulmoides to tonify kidney, strengthen yang, strengthen waist and relieve pain. The two drugs are combined to promote qi and blood circulation, remove blood stasis and relieve pain, smooth qi and blood harmony, remove blood stasis and dredge collaterals, and the pain will be eliminated by itself.
Clearing away stomach heat, relieving pain with acid; due to stagnation of liver-qi, it can relieve fire, accumulate heat in the stomach, burn stomach collaterals, and cause pantothenic acid pain. It is appropriate to clear stomach heat, suppress acid and relieve pain, so dandelion and cuttlebone are used in the prescription. Dandelion is bitter and sweet in taste and cold in the liver and stomach meridians. This product can relieve stagnation of fire, remove heat and toxin, expel damp heat, disperse stagnation of qi, dredge collaterals and eliminate carbuncle and swelling. Its nature is peaceful, and it has the characteristics of bitter catharsis without hurting righteousness and clearing away heat without hurting stomach yin. The taste of cuttlebone is salty and slightly warm, and it goes to the liver and kidney. This product is light and crisp, salty and warm, and it can dry dampness and control acid, astringe and stop bleeding. The combination of the two drugs can clear away stomach heat, suppress acid and relieve pain. The liver fire goes away, the stomach heat clears, the pantothenic acid stops, and its pain is eliminated by itself.
Clearing liver and gallbladder, expelling evil spirits and going out. Because this patient's medical history has been as long as 12 years, he will be deficient after a long illness. However, spleen deficiency and weak stomach, dereliction of duty in transportation and transformation, can cause water and dampness to stop inside, so the tongue coating is white and greasy. At the same time, liver-qi invading the stomach, affecting the spleen and soil, can also make the healthy movement dereliction of duty, make the water wet, and make the stomach-qi lose balance and become heavier. Treatment should clear the liver and gallbladder, promote diuresis and ooze dampness, and drive away evil spirits. Therefore, He Ren used corn stigma in the prescription. This taste is sweet and mild, and it belongs to kidney, stomach, liver and gallbladder channels, and can induce diuresis to reduce swelling and clear away liver and gallbladder. Modern pharmacological research has proved that corn stigma has good diuretic, cholagogic, liver-protecting, blood lipid-lowering, hemostatic and antibacterial effects. This compatibility can make the liver and gallbladder clear, the stomach fu-organs smooth, the stomach qi recover, and the evils of dampness, heat, fire and stagnation emerge from urine. Liver and gallbladder benefit can't restrain spleen and soil, and stomach qi will recover itself when dampness and turbidity are removed, and all diseases will heal themselves.
To sum up, it can be seen that He Ren's treatment of this syndrome is meticulous in syndrome differentiation, and the legislation is to the point of pathogenesis, and the prescription compatibility is ingenious. Soothes the liver and depresses it, nourishes the liver in the sour and sweet, and clears the stomach fire at the time of promoting qi and removing dampness. Follow the machine to change, purging fire and removing blood stasis, eliminating dampness and benefiting water, and opening the door to drive away evil spirits. The whole prescription uses both cold and warm, treats both qi and blood, treats both symptoms and root causes, takes the lead, and is willing to use drugs, so the effect is like a drum. So long as more than ten years of chronic illness, after the month, I will receive extraordinary work.
The content of the article is for reference only. Please consult professional medical institutions for specific diagnosis and treatment.