Sinisan-Bupleurum, Radix Paeoniae Alba, Fructus Aurantii, and Radix Glycyrrhizae.
? The dosage of Radix Aconiti is as follows: Bupleuri Radix12g, Radix Paeoniae Alba 15g, Fructus Aurantii15-20g, and Radix Glycyrrhizae-6-10g, and the dosage can be increased or decreased according to the symptoms of patients.
? The prescriptions for insomnia and anorexia of a patient in the outpatient clinic are as follows: Sinisan+raw keel 30g, raw oyster 30g, Polygonum multiflorum Thunb 30g, Ziziphus Spinosae seed15g, Raphani seed 30g, Endothelium Corneum Gigeriae Galli 30g, and Radix Curcumae15g. The above patients feel that their symptoms are halved and their mood is much better after taking it. This prescription is simple and clear, but the curative effect is very good.
? From this point of view, the compatibility of prescription and medicine is very important. In the prescription, Bupleurum chinense and Fructus Aurantii both rise and fall, soothing the liver and regulating qi, releasing chest qi when coming out and entering, and then combining with Paeonia lactiflora and Glycyrrhiza uralensis to relieve pain, relieve anxiety and soothe the nerves, with sedative drugs. Needless to say, the curative effect is very good, but we also add drugs to invigorate spleen and stimulate appetite to increase patients' appetite.
? Although Sinisan is a four-ingredient medicine, it is the crystallization of the wisdom of the ancients. It is a combination of movement and quietness, yin and yang, rigidity and softness, and dynamic and static. If the patient is depressed, obviously sulking, and has severe chest tightness and distension, Bupleurum and Fructus Aurantii can be reused to break the qi and promote qi circulation, and the depressed qi can be dispersed to achieve smooth qi movement, thus achieving the effect of smoothing qi, so Sinisan is also called Shunqi Decoction. If the patient is hyperactive, red-faced, and restless, he will reuse Radix Paeoniae Alba and Radix Glycyrrhizae to relieve pain and calm the patient's heart.
? The reason for the insomnia of the above-mentioned patients is that they quarreled with their families two days ago, but they were sulking and depressed. When they saw it, they reused Bupleurum 15g and Fructus Aurantii 25g, and the remaining doses were all routine. After taking three doses, the patient complained that the gas in his heart was gone, and his mood was relaxed. Naturally, he was much happier, and he was able to sleep and his food intake changed a lot.
? At the next visit, I will adjust Bupleurum chinense 12g, Fructus Aurantii 15g, Radix Paeoniae Alba 15g, Radix Glycyrrhizae 6g, radish seed 30g, stir-fried malt 30g, self-report a little acid regurgitation and belching, and add concha arcae 30g, and the dosage of the rest prescription remains unchanged. This prescription, combined with the basic prescription of Sinisan to adjust the dosage, and supplemented with drugs to regulate the spleen and stomach, is expected to have a good effect.
? During the third visit, the patient was very happy to come and even said thank you, and then the original prescription made a fine adjustment to let him continue to take 7 doses. After these 7 doses, he can see a doctor according to the situation. After this prescription, the patient has not seen a doctor so far. Listening to the patient's introduction of his recovery and promoting my recognition of the disease around his home, the effect is very good! )
? This insomniac should belong to qi stagnation disturbing the heart. Qi stagnation is the root, and the treatment should be smooth before it can be effective. Therefore, we should consider using Sinisan to adjust the patient's qi, and when the patient is smooth, he will feel much less ill.
? Sinisan, the formula is simple, but the compatibility is accurate, one liter and one drop, and one liter is the key.
? In the prescription, Bupleurum chinense enters the liver and gallbladder meridian, rising yang, soothing the liver and relieving depression, and expelling pathogenic factors, which is the monarch drug. Paeonia lactiflora is the minister drug for astringing yin, nourishing blood and softening the liver, and it is used together with Bupleurum chinense to nourish liver blood, so that Bupleurum chinense can ascend and disperse without damaging yin and blood. With the help of Fructus Aurantii, it can regulate qi and relieve depression, dispel heat and break stagnation, and reduce qi, and it is compatible with Bupleurum chinense, so as to enhance comfort.
? The four herbs * * * have the effects of clearing away pathogenic factors and relieving depression, soothing the liver and regulating qi, eliminating pathogenic factors and relieving depression, regulating qi and blood, clearing yang, and relieving depression caused by four adverse factors.
? I am conscious that this prescription is an antispasmodic and analgesic agent, and can relieve the physical symptoms such as insomnia and anxiety caused by psychological pressure. I think Sinisan is called Sinisan, which has a reason, and the limbs are cold, which is the characteristic of Sinisan. However, most of these patients are not seriously ill at ordinary times, but when it is cold in autumn and winter, people don't feel cold, but their limbs are cold first, or once they are nervous, they can have cold limbs, sweaty palms and pain.
? Of course, Sinisan also has its own contraindications: for example, hyperactivity of liver yang, hyperactivity of liver wind, hyperactivity of fire due to yin deficiency and hyperactivity of qi-flowing, it should not be used with caution, and it should not be used for those with cold limbs that I wrote before, and it should not be used for those with middle qi deficiency and cold.
? In addition, Sinisan can also treat habitual constipation of the elderly all the year round.
? There is a saying: it is difficult to be black. How can I put it? If a person has a black inkpad and a black face, he must pass his stool quickly. If it doesn't pass, his stool will be poisoned by blood, and the turbid gas will smoke the sky, and the turbid yin will not fall, and his body will be uncomfortable. Therefore, using Sinisan+Fructus Cannabis, Lily and Folium Perillae is the most effective pairing for reducing turbid yin. The effect of this prescription in constipation is equal to that of Bupleurum, and Fructus Aurantii enhances the peristalsis of viscera, which is promoted as soon as it rises and falls, and the dregs of intestine are eliminated accordingly.
? Sinisan has a classic compatibility and a good curative effect. Our doctors should study hard and apply it flexibly in clinic, and still need to explore continuously.
? A little experience of the four opposites, and you * * * encourage!
(The opinions in this article come from my clinical experience, and have also been published in Dr. Glycyrrhiza APP. I would like to learn from like-minded friends. )