2 English reference Qingshu Yiqi decoction [Chinese medicine terminology Committee]. Terminology of Traditional Chinese Medicine (2004)]
There are about four prescriptions of the same name in Qingshu Yiqi decoction, among which the prescriptions recorded in Volume 4 of Wenjing Wei are commonly used. It consists of 5g of American ginseng, 3g of Dendrobium15g, 9g of Ophiopogon japonicus, 3g of Coptidis Rhizoma, 6g of bamboo leaves, 6g of lotus root15g, 6g of Anemarrhena asphodeloides, 3g of licorice, 0g of japonica rice15g and 30g of watermelon Cui Yi. It has the effects of clearing away heat and relieving summer heat, invigorating qi and nourishing yin, promoting fluid production and quenching thirst, and is a representative prescription commonly used in modern times to treat summer heat.
There are four prescriptions published in Wen Jing Wei, which are called Lectures on Prescription of Traditional Chinese Medicine. This prescription has a significant regulatory effect on nerve and endocrine function, water and electrolyte balance, and has a strong protective effect on important organs such as heart and brain. Therefore, this prescription has strong anti-hypoxia, anti-oxidation and anti-inflammatory effects, and should have a positive therapeutic effect on heatstroke. However, for severe heatstroke, especially those complicated with important organ failure, it is necessary to cooperate with western medicine's liquid therapy to correct the imbalance of water, electrolyte and acid-base, and at the same time cooperate with modern medical therapy such as physical cooling, reducing intracranial pressure and improving microcirculation, and we cannot rely solely on this prescription. Those who can drink water must drink plenty of water to prevent renal failure. In addition, lotus stem Chinese medicine believes that it can relieve summer heat, regulate qi and eliminate dampness, and japonica rice can replenish qi and strengthen the spleen, relieve anxiety and thirst, and stop diarrhea and dysentery, which have obvious therapeutic effects on heatstroke, but modern medicine has not fully studied its therapeutic mechanism. [ 1]
4. 1 Prescription Qingshu Yiqi Decoction
4.2 Qing Shu Yi Qi Tang alias Wang Qing Shu Yi Qi Tang [2].
4.3 American ginseng, Dendrobium, Ophiopogon japonicus, Coptidis Rhizoma, Bamboo Leaves, Lotus Roots, Anemarrhena asphodeloides, Glycyrrhiza uralensis, japonica rice and watermelon Cui Yi [3][2].
American ginseng 5g, Dendrobium nobile 15g, Ophiopogon japonicus 9g, Coptidis Rhizoma 3g, bamboo leaves 6g, lotus stalk 15g, Anemarrhena asphodeloides 6g, Glycyrrhiza uralensis 3g, japonica rice 15g and watermelon Cui Yi 30g[4].
4.4 Efficacy Indications: Sifang Qingshu Yiqi Decoction in Wenjing Wei has the effects of clearing away heat and relieving summer heat, benefiting qi and nourishing yin, promoting fluid production and quenching thirst. Indications: Summer heat, which is caused by excessive summer heat, consumes gas and damages body fluids [4]. The symptoms are high body heat, excessive sweating, yellow complexion, upset and thirsty, short and red urine, spontaneous sweating, pulse deficiency, fatigue, qi deficiency, mental fatigue and pulse deficiency.
The function of Qingshu Yiqi decoction is to clear away summer heat, replenish qi, nourish yin and promote fluid production [2]. It can be used to treat summer heat, exhaustion of qi and body fluid, body heat and excessive sweating, thirst and upset, mental fatigue and weak pulse [2].
4.5 Usage and dosage of Qingshu Yiqi Decoction [2].
4.6 Fang Jie Qingshu Yiqi Decoction is a syndrome that summer heat consumes qi and body fluid. Summer heat is yang evil, and summer heat is the most likely to consume qi and body fluid. Therefore, to treat the summer heat injured, it is necessary to clear away the summer heat and replenish qi and promote fluid production. Therefore, legislation can clear away heat and relieve summer heat, replenish qi and nourish yin, and promote fluid production to quench thirst. [5]
In the prescription, American ginseng can replenish qi and promote fluid production, nourish yin and clear heat, and watermelon with jade clothes can relieve summer heat and clear heat. * * * is the monarch medicine. Dendrobium and Ophiopogon japonicus help American ginseng nourish yin and promote fluid production, and * * * is a minister medicine. Coptis chinensis tastes bitter and cold, and its work is devoted to purging fire to help clear away heat and summer heat; Anemarrhena asphodeloides is bitter, cold and moist, nourishing yin and purging fire; Bamboo leaves are sweet and light, clearing away heat and removing troubles, all of which are adjuvant drugs. Licorice and japonica rice benefit the stomach and are used as medicine. A variety of medicine combinations have the functions of clearing away heat and benefiting qi, nourishing yin and promoting fluid production. [5]
In the prescription, Radix Panacis Quinquefolii can replenish qi, promote fluid production, nourish yin and clear heat; Watermelon Cui Yi can clear away heat and relieve summer heat, promote fluid production and quench thirst, and * * * is the monarch medicine. Lotus root, Dendrobium nobile and Ophiopogon japonicus are monarch drugs for relieving summer heat, nourishing yin and promoting fluid production, and * * * is minister drug. Coptis chinensis clearing heart and purging fire; Anemarrhena rhizome nourishes yin and clears heat; Bamboo leaves are all adjuvant drugs for clearing away heat and annoyance. Licorice and japonica rice benefit the stomach and are used as medicine. The combination of all kinds of medicines can play the role of clearing away heat and relieving summer heat, benefiting qi and nourishing yin, promoting fluid production and quenching thirst. [4]
In the recipe, watermelon and lotus root are used to relieve heat and clear heat; American ginseng, Dendrobium, and Ophiopogon japonicus benefit qi and promote fluid production; Coptidis Rhizoma, Rhizoma Anemarrhenae and bamboo leaves are used for clearing away heat and relieving annoyance; Licorice and japonica rice are good for the stomach [2]. The combination of various drugs has the functions of clearing away heat, relieving summer heat and invigorating primordial qi [2].
4.7 The application of Qingshu Yiqi Decoction is a representative prescription for the treatment of summer-heat injury and body fluid syndrome. This prescription can be used to treat hyperhidrosis, polydipsia, fatigue, qi deficiency, pulse deficiency and other symptoms in summer heat season. [4]
4.7. 1 Add and subtract If the heat is high in summer, gypsum, Liuyisan, honeysuckle, etc. Can be added to enhance the effect of clearing away heat and relieving summer heat; For those suffering from fluid injury and thirst, Radix Rehmanniae, Trichosanthis Radix and Radix Scrophulariae are added to nourish yin and promote fluid production; For those who sweat too much, floating wheat and glutinous rice roots can be added to inhibit sweating. [4]
4.7.2 For those who are found to be greasy with fur due to summer sickness, this recipe should not be used to avoid nourishing and astringing pathogenic factors. [4]
4.8 Modern indications: Qingshu Yiqi Decoction is suitable for heatstroke, summer heat, persistent, polydipsia and fatigue, which belongs to qi deficiency and body fluid deficiency [5].
4.8. 1 heatstroke often occurs in high temperature and high humidity environment, and it is a disease characterized by dysfunction of thermoregulation center, sweat gland failure and excessive loss of water and electrolyte. The common reason is that the ambient temperature is too high, and the human body can get heat; Increased heat production, such as heavy physical labor, fever, hyperthyroidism, etc. ; Heat dissipation obstacles, such as high humidity, obesity and poor air permeability of clothes; Sweat gland dysfunction. During strenuous exercise or physical labor in summer, excessive heat is generated and heat is obtained from the outside. If this heat cannot be dissipated by radiation, evaporation, convection and conduction, the body temperature will rise. When the body temperature is higher than 42℃, it will cause extensive damage to human cells and organ dysfunction. At this time, the central nervous system is first involved, and the cells of the brain and spinal cord are degenerated and necrotic, which will stimulate brain edema, cerebral hemorrhage, increased intracranial pressure and even coma. Secondly, high fever can cause myocardial ischemia and necrosis, promote arrhythmia and cardiac insufficiency, and reduce skin blood flow to affect heat dissipation; ARDS may be caused by pulmonary vascular endothelial injury. Acute renal failure can be secondary to dehydration and cardiac insufficiency; Excessive sweating leads to water loss and sodium loss, as well as hypoxia and acidosis; Insufficient blood perfusion in gastrointestinal tract may lead to stress ulcer, liver necrosis and cholestasis; Severe muscle injury, elevated serum creatine kinase, etc. There are four main clinical types of heatstroke: one is muscle spasm caused by severe sodium deficiency; Second, the loss of sodium in body fluids, obvious dehydration will lead to fatigue, nausea, headache, hypotension, orthostatic syncope and other signs of heat failure; Third, the heart rate increased to 180 beats/min, the pulse pressure increased, and the rhabdomyolysis; Fourth, acute renal and liver failure, DIC or abnormal behavior, seizures, and then coma, heart failure, pulmonary edema, brain edema and other manifestations. [5]
4.8.2 The etiological mechanism of summer heat is basically the same as that of heatstroke, except that fever is not as serious as heatstroke. [5]
4.9 pharmacological effects of Qingshu Yiqi decoction [6]
4.9. 1 Effect on endocrine system; The monarch drug Panax quinquefolium can make the anterior pituitary gland secrete ACTH, and increase the synthesis and release of adrenocortical hormone; At the same time, the total glycosides of Panax quinquefolium have anti-stress effect and improve the hypoxia tolerance of brain and myocardium. Panax quinquefolium has anti-fatigue effect, improves muscle strength, reduces the consumption of liver glycogen, reduces the level of blood urea nitrogen during fatigue, and reduces the high lactic acid content of the body after exercise. The diol glycoside contained in it has adrenocorticotropic hormone-like effect. American ginseng can also resist the inhibition of atropine on saliva secretion and produce body fluid. American ginseng also has antidiuretic effect. Ophiopogon japonicus can enhance the function of pituitary-adrenal cortex system and improve the adaptability of the body. Coptis chinensis not only has diuretic effect, but also has the function of secreting ACTH. Anemarrhena asphodeloides can inhibit the catabolism of adrenocortical hormone in liver, obviously increase the content of plasma corticosterone, and resist the feedback decrease of plasma corticosterone caused by dexamethasone. Anemarrhena sapogenin can inhibit Na+K+ATPase, reverse transcriptase and various polymerases. Anemarrhena sapogenin can alleviate the toxic and side effects of glucocorticoid. Anemarrhena polysaccharide can enhance adrenal cortex function and reduce ACTH secretion; Anemarrhena asphodeloides can reduce the serum T3 level of patients with hyperthyroidism and yin deficiency, and make T4 return to normal. Glycyrrhiza uralensis Fisch can stimulate hypothalamus-pituitary-adrenal cortex axis to produce adrenocorticoid-like effect and promote the synthesis of corticoids. Glycyrrhetinic acid is similar to corticosteroids in structure, which inhibits the inactivation of corticosteroids in the liver, thus indirectly increasing the concentration of corticosteroids; Glycyrrhizic acid has adrenocorticotropic hormone-like effect, while glycyrrhetinic acid has deoxycorticosterone-like effect; At the same time, licorice also has antidiuretic effect. It can be seen that the monarch, minister, assistant and envoy of this prescription have different degrees of promotion on hypothalamus-pituitary-adrenal cortex axis. The results of this effect are as follows: firstly, the increase of glucocorticoid secretion can regulate and promote the metabolism of the three substances, play a powerful anti-inflammatory and antipyretic role, effectively play a "licensing" role, and make other hormones play a normal regulatory role; Second, the increase of mineralocorticoid secretion makes Na+ and water remain and reduces the continuous loss, which is very beneficial to the serious loss of water and salt, high fever and tissue cell necrosis during heatstroke.
4.9.2 Effects on nervous system such as brain. Panax quinquefolium and its monomer saponin Rb 1 not only have antipyretic, sedative, analgesic and anticonvulsant effects, but also have exciting and protective effects on life center. Rb 1 can promote learning and memory, significantly increase the number of M receptors in the center, significantly increase the number of synapses in the upper layer of pyramidal cells in CA3 area of hippocampus, increase the content of brain protein, promote the growth of nerve cells, and have anti-epileptic effect. Ophiopogon japonicus can scavenge superoxide anion and inhibit monoamine oxidase in brain. Ophiopogon japonicus saponin can obviously improve the hypoxia tolerance of animals under low pressure and hypoxia conditions. Dendrobium candidum also has antipyretic effect. Coptis chinensis has antipyretic and central sedative effects. Berberine can significantly increase the activities of SOD and GSHPx during cerebral ischemia, reduce the content of MDA, and obviously inhibit the increase of intracellular free calcium concentration during ischemia and glucose deficiency. Dilating meningeal blood vessels, increasing local blood flow, improving the tolerance of mitochondria, Golgi apparatus and rough endoplasmic reticulum of neurons in hippocampal CA 1 area in the early stage of ischemia, and reducing the death degree of delayed neurons in hippocampal CA 1 area in the late stage of ischemia reperfusion. Anemarrhena asphodeloides not only has antipyretic effect, but also can enhance the central inhibitory activity of rats by changing central transmitters or other factors, inhibit the sympathetic nerve center, slow down the heart rate, and inhibit the activity of adrenal DβH at the same time, so that the synthesis and release of CAS are reduced, which leads to the decline of the functional activity of sympathetic-adrenal system. FM 100 contained in Glycyrrhiza uralensis Fisch has certain anticonvulsant, analgesic and spasmolytic effects, and total flavonoids of Glycyrrhiza uralensis Fisch has protective effect on cerebral ischemia-reperfusion injury. Intravenous injection of glycyrrhizic acid can improve the activities of mitochondrial ATPase and lactate dehydrogenase in brain tissue after global cerebral ischemia-reperfusion and alleviate brain edema. This is very beneficial to treat heatstroke, such as excessive heat production, high fever, irritability, increased heart rate and brain dysfunction.
4.9.3 Effects on Cardiovascular System Monomer Saponin Rb&; Shy; 1, Rb2, Rb3 all have calcium channel blocking effects, and high-dose saponins can inhibit the excitability of sympathetic nervous system or block the increase of intracellular free Ca2+ concentration, so they have obvious antiarrhythmic effects. Panax quinquefolium saponins can also inhibit and reduce the production of free radicals, alleviate the damage of free radicals to myocardial lipid membrane, protect myocardial ischemia-reperfusion injury, improve myocardial circulation and increase myocardial blood flow; At the same time, it can protect myocardial cell membrane, enhance the transmembrane potential activity of myocardial cells, make the changes of myocardial myofibrils tend to be normal, increase the content of PEG2, and make the ratio of PEG2/TXA2 dynamically balanced, thus stabilizing the blood environment; Panax quinquefolium can enhance the body's specific resistance to various adverse conditions and has anti-shock effect; The glycosides contained in American ginseng have obvious protective effect on cell membrane, which reduces serum AST, ALT, LDH and CPK. It has protective effect on myocardial cells, alveolar type ⅱ epithelial cells and platelet ultrastructure; It can reduce the excessive elevation of serum NE and 5HT, improve microcirculation, and alleviate acidosis and tissue hypoxia. It can activate superoxide dismutase and reduce the production of lipid peroxide. The decoction of Dendrobium candidum can weaken the vasoconstrictive effect of high concentration phenylephrine and 5HT. Dendrobium alcohol extract can reduce whole blood viscosity and plasma fibrinogen, inhibit ADP-induced platelet aggregation and prolong prothrombin time. Ophiopogon japonicus can significantly improve myocardial contractility and cardiac pumping function, increase coronary blood flow, and at the same time have anti-arrhythmia and anti-shock effects, which can quickly repair obviously damaged myocardial cells, reduce the damage of hypoxia to myocardial cells, and reduce the area of myocardial infarction and necrosis. Berberine contained in Rhizoma Coptidis can promote the influx of extracellular Ca2+ in myocardial cells, resulting in the increase of intracellular Ca2+ concentration. Small dose can excite the heart, increase its contractility and increase coronary blood flow, while large dose can inhibit the heart. At the same time, it has antihypertensive effect, and its effect is enhanced with the increase of dose. Its main mechanism is to directly dilate blood vessels, inhibit the motor center of blood vessels, antagonize adrenaline, inhibit various pressor reflexes and antagonize cholinesterase. Berberine can also reduce myocardial autonomy, prolong action potential duration and effective refractory period, eliminate reentry impulse, inhibit myocardial fast Na+ influx and possible Ca2+ channel block, thus playing an antiarrhythmic role. Berberine can reduce myocardial oxygen consumption, protect ischemic myocardium and significantly reduce the range of myocardial infarction. Berberine can significantly improve the hypoxia tolerance of heart, brain and whole body, and inhibit platelet aggregation. Anemarrhena asphodeloides has obvious inhibitory effect on platelet aggregation. Glycyrrhiza uralensis Fisch can reduce blood lipid and prevent atherosclerosis, and glycyrrhetin has antagonistic effect on arrhythmia caused by various reasons. Glycyrrhizic acid has the effect of angiotensin ⅱa 1 receptor agonist, which can narrow the scope of acute myocardial infarction, and licorice has the effects of inhibiting platelet aggregation and thrombosis. This has a positive therapeutic effect on heart dysfunction and circulatory disorder during heatstroke.
4.9.4 Effects on Digestive System and Metabolic Function The monarch drug Panax quinquefolium can promote the synthesis of protein in liver, brain, serum, bone marrow and other organs, especially the synthesis of protein in liver cells, and has the function of lowering blood sugar. Dendrobium candidum decoction can promote gastric juice secretion, help digestion, enhance metabolism, and reduce spontaneous intestinal activity and gastrointestinal propulsion. Maimendong decoction can reduce blood sugar and promote gastrointestinal tract, which increases with the increase of dosage, but it can inhibit gastrointestinal propulsion and tension contraction of small intestinal smooth muscle caused by neostigmine, acetylcholine and BaCl2. Berberine contained in Rhizoma Coptidis can reduce blood sugar by inhibiting the heterogenesis of hepatic glycogen and promoting the glycolysis of glucose in peripheral tissues. Berberine is beneficial to bile, promotes bile formation, promotes the excretion of conjugated bilirubin in bile, significantly inhibits experimental gastric ulcer and stress gastric ulcer, and significantly inhibits gastric acid secretion, which has strong anti-Helicobacter pylori effect and protective effect on gastric mucosal injury. Low concentration berberine can cause intestinal contraction, while high concentration berberine can inhibit intestinal contraction, which has a significant antagonistic effect on intestinal hypersecretion, diarrhea and death caused by Vibrio cholerae and Escherichia coli. Anemarrhena asphodeloides not only has hypoglycemic effect, but also has significant inhibitory effect on stress ulcer. Glycyrrhiza uralensis Fisch has a significant inhibitory effect on experimental gastric ulcer, which can obviously reduce gastric juice volume, free acidity and total acidity, promote gastric mucus secretion, prolong the growth time of gastric epithelial cells, inhibit pepsin activity and promote epithelial regeneration of digestive tract. Glycyrrhiza uralensis Fisch can increase the content of hexosamine in gastric mucosal cells, and gastric mucosal epithelial cells can synthesize and release PG with mucosal protection to protect gastric mucosa from damage. Glycyrrhiza uralensis Fisch also has papaverine-like specific antispasmodic ability; Glycyrrhiza uralensis Fisch can directly inhibit the action of phosphatase A2 causing liver injury, thus stabilizing lysosomal membrane and reducing the release of various proteases, thus improving liver function and protecting liver injury. The above-mentioned effects of this prescription have a certain protective effect on the damage of liver, gallbladder and gastrointestinal tract caused by heatstroke.
4.9.5 Effect on Immune Function: The monarch drug Panax quinquefolium decoction can obviously increase the antibody titer, the weight of thymus and spleen, and promote the development of thymus and lymphocyte transformation rate; Enhance the activity of NK cells; Panax quinquefolium can inhibit the intracellular free calcium concentration of spleen lymphocytes in a dose-dependent manner, which is beneficial to prevent immune failure caused by excessive intracellular free calcium concentration. The decoction of Dendrobium candidum can significantly increase the phagocytosis percentage and phagocytosis index of macrophages, and Dendrobium polysaccharide has significant immune activation and antagonizes the inhibitory effect of hydrocortisone on phagocytosis of macrophages. Ophiopogon japonicus can significantly increase spleen weight, enhance phagocytosis of reticuloendothelial system, increase peripheral white blood cells and improve immune function. Coptis chinensis can enhance the phagocytosis of white blood cells. Glycyrrhrizae Radix not only has antiallergic effect, but also glycyrrhizic acid can increase the weight of spleen and thymus, enhance the activity of reticuloendothelial system and activate lymphocyte proliferation. Glycyrrhiza polysaccharide can improve the phagocytosis of reticuloendothelial system and monocytes. Glycyrrhizin can inhibit the release of histamine from mast cells and enhance the secretion of IL-2 from lymphocytes induced by ConA. Glycyrrhetinic acid can increase lymphocyte ratio; β -glycyrrhetinic acid is an inhibitor of the classical pathway of human complement, which significantly increases the production of antibodies; Licorice Lx can also reduce the amount of antigen, inhibit antibody production, prevent and treat penicillin anaphylactic shock, and show immunosuppression.
4.9.6 Anti-inflammatory and Antioxidant Effects The monarch drug Panax quinquefolium can improve the hypoxia tolerance of important tissues and organs such as heart, brain and liver, obviously prolong the survival time of mice with hypobaric hypoxia and asphyxia, and has good anti-hypoxia ability on mice with cerebral hypoxia caused by bilateral common carotid artery ligation and myocardial hypoxia caused by isoproterenol, which is related to the function of adrenal cortex. The decoction of Dendrobium candidum can increase SOD activity and decrease MDA content and MAO level. Ophiopogon japonicus injection can obviously improve the hypoxia tolerance of animals, prolong the survival time of hypoxia tolerance under normal pressure, remove superoxide anion, increase the activities of SOD and GSHPx, reduce the content of MDA, and improve the ability of resisting superoxide anion. Adjuvant drugs Anemarrhena asphodeloides and Anemarrhena asphodeloides polysaccharide can significantly inhibit inflammatory capillary permeability, exudation and granuloma by promoting adrenal cortex function. Berberine contained in Rhizoma Coptidis can obviously reduce the content of PGE2 in inflammatory tissue, the activity of PLA2 in WBC, the production of inflammatory mediators, the chemiluminescence caused by hydroxyl radicals and H2O2 produced by WBC, the activity of SOD and GSHPx in brain and the content of MDA, so it has obvious anti-inflammatory and antioxidant effects. Bamboo leaf extract can obviously inhibit lipid peroxidation and increase SOD and GSHPx activities. Flavonoids from bamboo leaves have a strong scavenging effect on superoxide anion and hydroxyl radical, so that licorice has a significant inhibitory effect on all stages of inflammation, as well as scavenging free radicals and antioxidation.
It can be seen that the prescription has strong anti-hypoxia, anti-inflammatory and anti-oxidation effects, which is especially important for treating heatstroke.
4. 10 Various factions discussed the Lecture on Prescriptions of Traditional Chinese Medicine: Coptidis Rhizoma, Folium Bambusae, Lotus Stalk and Watermelon were used to clear away heat and relieve summer heat, and American ginseng, Ophiopogon japonicus, Dendrobium, Anemarrhena asphodeloides, japonica rice and licorice were used in the prescription. When they are used together, they can clear away summer heat and benefit yuan, hence the name "Xia Qing Yiqi Decoction".
4. 1 1 Songfang American ginseng, bamboo leaves, cicada grass and lotus stalks that clear away heat and relieve summer heat and benefit qi; Ophiopogon japonicus and Mi Hu are connected with melons, and summer heat hurts body fluids. [4]
4. 12 source warm longitude and latitude Volume 4
On Spleen and Stomach (Excerpted from Ten Medical Books in Li Dongyuan) Volume 5. 1 Traditional Chinese Medicine Prescriptions for Clearing Heat, Eliminating Summer Heat and Supplementing Qi: Radix Astragali (five points for less sweating), Rhizoma Atractylodis (soaking and peeling hair), Rhizoma Cimicifugae, Radix Ginseng (removing reed), Rhizoma Alismatis, stir-fried koji, Pericarpium Citri Tangerinae, Rhizoma Atractylodis Macrocephalae, wheat.
Radix Astragali (sweat minus five points), Rhizoma Atractylodis preparata and Cimicifuga rhizome are one yuan each, Ginseng Radix, Alismatis Rhizoma, Massa Medicata Fermentata preparata, Pericarpium Citri Tangerinae and Atractylodis Rhizoma are five points each, Ophiopogon japonicus, Angelica sinensis and Radix Glycyrrhizae preparata are three points each, Pericarpium Citri Reticulatae Viride is two and a half, Cortex Phellodendri (washed with wine) is two or three points, Radix Puerariae is two points, and Schisandra chinensis is nine pieces [2].
Radix Astragali, Rhizoma Atractylodis (soaked and peeled), Rhizoma Cimicifugae, Radix Ginseng (peeled) 3g, Rhizoma Alismatis, Massa Medicata Fermentata (fried yellow), Radix Ophiopogonis (peeled) 15g, Radix Angelicae Sinensis, Radix Glycyrrhizae Preparata, Pericarpium Citri Reticulatae Viride (peeled) 0g, Cortex Phellodendri (washed with wine) 0g, and Radix Puerariae 0.6-0.9g
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5.2 Function Indicating Chinese medicine Qingre Yiqi Decoction has the effects of clearing heat and eliminating dampness, benefiting qi and promoting fluid production, strengthening spleen and regulating stomach (extracted from ten medical books in Li Dongyuan). Indications: deficiency of both qi and yin at ordinary times, feeling summer-heat-dampness, or exhaustion of summer-heat-dampness impairs qi and yin, body heat and upset, drowsiness in limbs, listlessness, chest tightness and shortness of breath, pain in limbs, thirst and spontaneous sweating, thin stool, short and red urine, greasy fur and pulse deficiency.
Qingshu Yiqi decoction can treat qi deficiency, summer dampness, spleen dampness, body heat headache, thirst and spontaneous sweating, lethargy of limbs, anorexia, chest distress and loose stool, short and red urine, greasy fur and pulse deficiency [2].
5.3 In the prescription, Ginseng and Astragalus membranaceus replenish qi and consolidate exterior, while Atractylodes lancea and Atractylodes macrocephala strengthen spleen and dry dampness; Cortex Phellodendri, Radix Ophiopogonis, and Fructus Schisandrae Chinensis purging fire and promoting fluid production, while Pericarpium Citri Tangerinae, Pericarpium Citri Reticulatae Viride, and Alismatis Rhizoma regulating qi and infiltrating dampness; Angelica sinensis nourishes blood and regulates yin; Cimicifuga rhizome and kudzuvine root relax tendons and promote blood circulation; Licorice and Chinese herbal medicine. In this prescription, * * * has the effects of clearing heat, eliminating dampness, benefiting qi and promoting fluid production.
5.4 Is the usage and dosage of Qingshu Yiqi Decoction the same as the previous one? Mouth [3]. Make one, two glasses of water, stir-fry to one cup, remove me, and eat at a far temperature [3]. The dosage of the drug, clinical consideration [3]
It is coarse powder, decocted in water and eaten far away [2].
Medicine? Mouth. Decoct 300 ml of water to 150 ml, remove me and take it on an empty stomach.
For those with spleen and stomach deficiency and cold, use Cimicifuga rhizome less and add Bupleurum root less; If you are full, go to licorice; Cough and go to ginseng; Dry mouth and throat, add Radix Puerariae; If you sweat less, the yellow flag will be reduced by five points; If the heart is swollen, add less coptis chinensis.
5.5 The experimental study on pharmacological action of Qingshu Yiqi Decoction showed that in high temperature environment, the peristalsis function of digestive tract in mice decreased, the water content of blood decreased and the water content of tissue increased, and the phagocytosis function of white blood cells decreased [2]. After giving Qingshu Yiqi decoction, all indexes returned to normal [2].
5.6 Source of Spleen and Stomach Theory (from ten medical books in Li Dongyuan).
6. Qingshu Yiqi Decoction is the second prescription of Pulse Diagnosis (6. 1), which is composed of Radix Astragali, Rhizoma Atractylodis, Cimicifugae Rhizoma, Ginseng Radix, Atractylodis Rhizoma, Pericarpium Citri Tangerinae, Massa Medicata Fermentata, Alismatis Rhizoma, Cortex Phellodendri, Radix Puerariae, Radix Angelicae Sinensis and Radix Ophiopogonis.
6.2 Efficacy and indications: Treating qi deficiency, damaging summer heat, tonifying middle energizer and saving lung. Cough due to summer heat injury: for those with pulse deficiency, body heat and body fatigue due to qi deficiency, Qingshu Yiqi decoction is used.
6.3 Source: Pulse Diagnosis Volume II.
7 "Effective Prescriptions Collection" Volume 3 Self-made Qingshu Yiqi Decoction 7. 1 Fangmingqing Shuyiqi Decoction
7.2 Consists of Ginseng 5, Angelica sinensis 1 min, Radix Paeoniae Alba (fried with wine) 1 min, Radix Rehmanniae Preparata 1 min, Poria 1 min, Radix Ophiopogonis 1 min, Fructus Schisandrae Chinensis 10, Pericarpium Citri Tangerinae 7/min.
7.3 Indications Heat-clearing, Summer-relieving and Qi-supplementing Decoction belongs to the three parties in the Library of Effective Prescriptions, and is mainly used to treat Xia Yue's summer fever, limb drowsiness, listlessness and pulse deficiency.
7.4 Usage and dosage of Qingshu Yiqi Decoction: Add ebony 1 tablet, fried rice 1 tablet and 2 jujubes, and decoct in water.
7.5 sources