Efficacy indication
1. Spitting food
It is used to induce vomiting due to ingestion of toxic substances, stagnation of food intake, phlegm and saliva, etc., and is often used alone.
2. diuresis and yellowing
Indications: damp-heat jaundice. However, this drug is toxic and can only be used temporarily, so it is generally not used to treat damp-heat jaundice in modern clinic.
Modern studies on toxicity show that melon pedicels mainly contain a variety of cucurbitacins, which are highly toxic.
Performance characteristics: the medicine is fierce.
Usage and dosage: decoct with water, 2.5-5g.
Adverse effects
1. Guati will damage Yang due to cold nature, aggravating Yang deficiency syndrome and cold syndrome. When using Guati in clinic, if you see yang deficiency syndrome, you should immediately regulate yang after vomiting, such as ginseng, velvet antler and aconite. If the yang qi is very weak, we should choose another method to treat it, and we should not use the method of inducing vomiting; If you see a cold syndrome, treat it first if it is urgent, and then treat it first if it is slow.
2. Guadi contains a variety of non-nutritional ingredients such as cucurbitacin, and its taste is difficult to be suitable for human taste, which will hinder gastrointestinal function. When using Guati in clinic, if you see someone with gastrointestinal discomfort, you should take the medicine of invigorating stomach and regulating intestines immediately after vomiting.
3. The emetic effect of Guati is a double-edged sword. On the one hand, it can vomit pathogenic solid substances and play a therapeutic role, on the other hand, it will vomit a large amount of gastric juice at the same time, which will cause great damage to the stomach. In addition, emetic drugs contain more non-nutritive components and have greater toxicity, and the mechanism of its poor emetic effect will greatly hurt the human qi and affect its physiological function. Therefore, the adverse effects of Guadi are worse than rhubarb and so on, and even worse than ephedra and so on, which belong to severe qi-damaging drugs. If (combined with the damage of disease and syndrome) the patient suffers from severe qi deficiency, it will affect the physiological function of qi in the whole body and various zang-fu organs and weaken the healthy qi, thus aggravating the disease and syndrome of various zang-fu organs and other body tissues in the whole body (including melon pedicle indications).
When using Guati in clinic, it is necessary to replenish qi immediately after vomiting. If the qi deficiency is serious, we should choose another method instead of vomiting.
Case: July 20 15, patient Jia, male, 45 years old. Abdominal pain caused by careless consumption of deteriorated starch powder, and immediately rushed to our place after discovery, demanding vomiting and gastric lavage. I saw that it had no deficiency in form and spirit, so I immediately used 3 grams of Guati alone, decocted it with water for 10 minute, poured out the liquid medicine, and made it slightly cold for the patient to drink. In less than 15 minutes, the patient vomited and vomited a lot of food and liquid. Then, diluted with cooked soybean milk for gastric lavage twice. After vomiting and gastric lavage, the patient's abdominal pain disappeared, but immediately there were some damaging symptoms, such as lack of breath, weakness of limbs, and then headache. I first use normal saline for intravenous drip. After two hours, the symptoms were relieved, and then ginseng15g and jujube15g were used to boil the water and let them drink. Two days later, the patient recovered.
4. Guadi contains more non-nutritive ingredients, has emetic effect and great toxicity, which greatly hinders and damages the viscera, especially the stomach function, thus injuring blood, aggravating blood deficiency syndrome, affecting the physiological function of blood and aggravating other blood diseases. When using Guati in clinic, if you see someone with blood deficiency syndrome, you must replenish blood immediately after vomiting. If the blood deficiency is serious, do not use the method of inducing vomiting.
5. Guadi will induce vomiting, and it will vomit a lot of gastric juice, which contains a lot of body fluid. Therefore, vomiting will damage body fluid and aggravate the syndrome of body fluid deficiency. When using Guati in clinic, if you see the syndrome of body fluid deficiency, you must adjust and replenish body fluid immediately after vomiting. If the syndrome of fluid deficiency is serious, do not use the method of inducing vomiting.
6. Guadi has certain toxicity, so it will hinder liver function and aggravate hepatobiliary diseases. When using Guadi in clinic, if you find that you have liver function deficiency or other hepatobiliary diseases, you must adjust your liver function or treat other hepatobiliary diseases immediately after vomiting. If the liver function is insufficient or the hepatobiliary syndrome is serious, the method of inducing vomiting should not be used.
The sexual taste is cold and bitter. Liver, spleen, stomach, large intestine and pericardium meridian.
Efficacy indication
1. Diarrhea to relieve constipation
For constipation due to heat, it is often used with Glauber's salt and hemp seed.
2. Cool blood and detoxify
It is used to treat blood-heat rash, and is often used equally with cogongrass rhizome, bletilla striata and residual blood charcoal. For damp-heat jaundice, it is often used with Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati and Herba Lysimachiae.
3. Removing blood stasis and dredging channels
For treating amenorrhea, it is often used with safflower, peach kernel and motherwort.
Modern studies on toxicity show that rhubarb contains anthraquinone derivatives, tannic acid, fatty acids and other compounds, which is less toxic.
Performance characteristics: the medicine is fierce.
Usage and dosage: decoct with water, 5-9g.
Adverse effects
1. Rhubarb will be harmful to qi due to its purgative effect and the toxic and non-benign mechanism of containing more non-nutritive components such as anthraquinone derivatives, tannins and fatty acids.
The purgative effect of rhubarb has both positive and negative effects. On the one hand, it can purge secret stools and treat constipation caused by heat; on the other hand, it can excrete a large amount of intestinal juice, which will cause great damage to the intestinal tract, and it is faster than other drugs, such as the antiperspirant Maguiqiang. In addition, rhubarb contains more non-nutritive components such as anthraquinone derivatives, tannic acid and fatty acids, which is toxic and harmful to qi. In addition, rhubarb has strong attacking effect. Therefore, rhubarb has a greater adverse effect on qi injury, slightly more than ephedra, and it is a serious qi injury drug. If (combined with the damage of disease and syndrome) causes severe qi deficiency in patients, it will affect the physiological function of qi in the whole body and various zang-fu organs and weaken healthy qi, thus aggravating the disease and syndrome of various zang-fu organs and other body tissues (including rhubarb indications).
When rhubarb is used as a purgative in clinic, if you see qi deficiency or near-deficiency, you should add qi-invigorating drugs to improve the healthy qi of human body, such as ginseng and American ginseng. If there are other syndromes, they must be treated at the same time; If qi deficiency is serious, rhubarb should be abandoned and laxatives, such as hemp seed and aloe, should be selected instead.
Case: 1999 10 month, patient lei, male, 5 1 year old. See a doctor for damp-heat hepatitis. Symptoms: yellow face, hypochondriac pain, bitter taste, nausea, abdominal distension, Huang Chi in urine, yellow greasy tongue coating, rapid pulse, etc. The prescription is: Bupleurum chinense10g, Lysimachia christinae15g, Herba Artemisiae Scopariae15g, Polygonum cuspidatum12g, Gardenia jasminoides Ellis15g, Scutellaria baicalensis Georgi10g and rhubarb/kloc-0g. In the prescription, Herba Lysimachiae Christinae, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati, Fructus Gardeniae, Scutellariae Radix, Radix et Rhizoma Rhei, and Radix Curcumae are used to clear away heat and promote diuresis, remove jaundice and treat the root cause. Divine comedy is appetizing; Radix Aucklandiae and Pericarpium Citri Tangerinae regulate qi and neutralize qi; Bupleurum clears away liver fire, soothes the liver and regulates qi, and introduces various drugs into the liver and gallbladder meridians; Licorice harmonizes medicinal properties. Give a dose first and observe its effect; And ask the patient to fry rhubarb for 20 minutes to make it lose its purgative effect, then add other drugs and boil for another five minutes.
Unexpectedly, the patient didn't remember, but all the drugs were decocted in water at the same time, and the water only boiled for five minutes, which was the strongest time (in proportion) for decocting the ingredients of rhubarb.
After taking the medicine, the patient suddenly had diarrhea, went to the toilet for more than ten times a day, and it was difficult to get up in bed that day. Call urgently to urge Yu to look at it. The rest is made of cypress resin 1 g, which is divided into two times for patients to take, and the diarrhea will be stopped soon, and then detailed diagnosis will be made. However, the hypochondriac pain is even worse, the whole body is weak, and the other symptoms are aggravated to varying degrees. This is also a sign of hurting qi and injuring righteousness. On the basis of the original prescription, American ginseng15g, Chinese angelica15g, Radix Rehmanniae Preparata15g and Radix Paeoniae Alba15g are added. Nourish the qi of the whole body with American ginseng, and strengthen the qi and yin of the liver and gallbladder and inhibit the liver yang; Angelica sinensis, Radix Rehmanniae Preparata and Radix Paeoniae Alba nourish liver blood and protect liver. The combination of these four drugs can strengthen the physiological functions of the liver and gallbladder and the healthy qi of the whole body, and achieve the purpose of strengthening the body resistance and eliminating evil spirits.
For rhubarb, it is a "panacea" for removing dampness and Huang Zhi. Although it has disadvantages, it cannot be abandoned. When I use it again this time, I have repeatedly explained the correct frying method to the patients and their families, and repeatedly told them not to make mistakes again.
The patient took the medicine for two days, that is, hypochondriac pain and jaundice disappeared greatly, and recovered after more than 30 doses of the prescription.
2. When rhubarb falls down sharply, it will release a large amount of intestinal fluid, one of which is body fluid. Therefore, the diarrhea of rhubarb will hurt the body fluid and aggravate the syndrome of body fluid deficiency.
3. Rhubarb contains more non-nutritive components and has certain toxicity, thus hurting blood and aggravating blood deficiency syndrome.
4. Because rhubarb has the effect of removing blood stasis and dredging channels, it will aggravate bleeding syndrome.
5. Rhubarb falls violently, which will aggravate diarrhea syndrome.
6. Yang is injured due to cold nature and cold blood, which aggravates yang deficiency syndrome and cold syndrome.
7. Rhubarb contains certain non-nutritional ingredients, and its taste is not suitable for people's taste, which will hinder gastrointestinal function.
8. Because it has certain toxicity, it interferes with liver function. However, its toxicity is very small, so the adverse effects of hindering liver function are very small.
The sexual taste is cold, bitter and pungent. Return to lung, kidney and large intestine.
Efficacy indication
1.
For edema and swelling, constipation and oliguria, it is often used with Senna and Petunia.
2. Reduce swelling and dissipate stagnation
For the treatment of furuncle, toxic sore, carbuncle and scrofula, it can be combined with Stellera chamaejasme, mixed with vinegar for external application, or used alone.
Modern studies on toxicity show that Euphorbia Euphorbia contains components such as Euphorbia, alkaloids, gums, resins and anthraquinones, which are highly toxic.
Performance characteristics: the drug is violent.
Usage and dosage: It should be made with vinegar for oral administration, but not decocted in water. Take pills and powder,1.5 ~ 3g.
Adverse effects
1. Euphorbia Euphorbia is harmful to qi because of its purgative effect and the aggressive nature of containing more non-nutritive components with greater toxicity and drug action mechanism.
The purgative effect of Euphorbia Euphorbia has both positive and negative effects. When it purges accumulated fluid and plays a therapeutic role, it will also excrete a large amount of intestinal juice, which will damage the intestine and cause qi injury. Euphorbia Euphorbia contains many non-nutritive components such as spurge glycoside, alkaloid, gum, resin and anthraquinone, which is toxic and harmful to qi. The drug action mechanism of Euphorbia Euphorbia is strong. Therefore, Euphorbia Euphorbia has a great adverse effect on qi injury, which is even worse than the antiperspirant ephedra, and it is a serious qi injury drug. If (combined with the damage of disease and syndrome) the patient suffers from severe qi deficiency, it will affect the physiological function of qi in the whole body and various zang-fu organs and weaken the healthy qi, thus aggravating the disease and syndrome of various zang-fu organs and other body tissues in the whole body (including the indications of Euphorbia Euphorbia).
In the clinical application of Euphorbia Euphorbia, if you see qi deficiency syndrome or near-virtual image, you should add the prescription of invigorating qi for the same treatment.
Case: In September 2003, patient Guo, a 46-year-old male, was treated for ascites due to liver cirrhosis at an early stage and had been treated in many ways for half a year. Symptoms: abdominal distension and shortness of breath, swelling and pain when pressed, abdominal blue veins exposed, stabbing pain in hypochondriac mass, dark complexion, red marks on palms, yellow and short urine, ecchymosis on tongue, yellow and slippery fur, and astringent pulse, which belongs to qi stagnation and blood stasis type.
Because of its urgent illness, it is planned to treat it first by purging water and eliminating its bloating. Prescription: kansui1.5g, spurge1.5g, Daphne genkwa1.5g, three medicines are combined into pills, which are taken with jujube 10 decoction.
In the prescription, Gansui, Euphorbia Euphorbia and Daphne genkwa are used to drain water and drink, which is urgent to get rid of the disease. Jujube is sweet and slow, benefiting qi, making Gansui, Euphorbia, and Daphne genkwa fierce.
After taking the medicine for several hours, the patient's urine and stool increased sharply. On the second day, the ascites disappeared greatly, and the swelling and wheezing gradually subsided. However, the whole body is weak, I can't get up when I lie down, and my ribs sting as before. Therefore, the treatment is to replenish liver and qi, promote blood circulation and remove blood stasis, and induce diuresis to reduce swelling. Prescription: Angelica sinensis15g, Radix Paeoniae Alba15g, Radix Rehmanniae Preparata15g, dried Mulberry15g, Carapax Trionycis 20g, Huoxueteng15g, and Rhizoma corydalis15g.
In the prescription, Trionyx Trionycis, Huoxue Teng, Rhizoma Corydalis, Carthami Flos, and Radix Curcumae are used to promote blood circulation and remove blood stasis, and soften the liver and dissipate stagnation. Herba Artemisiae Scopariae and Herba Lysimachiae Christinae clear away damp-heat in liver and gallbladder, and help Pericarpium Arecae, Semen Phaseoli and Poria to induce diuresis and reduce swelling; The liver is the dirty of wind and fire, and the body yin is used for yang. Therefore, Angelica sinensis, Radix Paeoniae Alba, Radix Rehmanniae Preparata and dried mulberry are used to replenish liver blood to invigorate qi and promote healthy qi, and help to eliminate furuncle; Bupleurum introduces various drugs into the liver and gallbladder meridian to play a special effect; Licorice harmonizes medicinal properties.
After taking 3 doses of medicine, the patient was able to get up and move, his mental state improved, his stabbing pain in his ribs eased, his urine was normal, and his ascites decreased a little. He continued to take this prescription.
2. Euphorbia Euphorbia has the effect of purging and expelling drinking, which will excrete a large amount of intestinal juice and expel a large amount of accumulated drinking. One of the components of intestinal juice is body fluid, which is the same as body fluid. When you expel body fluid, you will also lose body fluid. Therefore, the diarrhea of Euphorbia Euphorbia will damage the body fluid and aggravate the syndrome of body fluid deficiency.
3. Euphorbia Euphorbia contains more non-nutritive components, which has great toxicity and purgative effect, and will hinder and damage the function of viscera to some extent, thus causing blood injury and aggravating blood deficiency syndrome.
4. Diarrhea of Euphorbia Euphorbia will lead to diarrhea, which will aggravate the diarrhea syndrome.
5. Yang is injured due to cold nature, which aggravates yang deficiency syndrome and cold syndrome.
6. Promote and accelerate urine excretion due to the effect of expelling water, thus aggravating the syndrome of kidney failure to consolidate water.
7. Euphorbia Euphorbia contains certain non-nutritional ingredients, and its taste is not suitable for human taste, which has a great impact on gastrointestinal function.
8. Euphorbia Euphorbia is highly toxic, which has certain damage and obstruction to the liver and liver function.
The nature and taste are flat and sweet. Enter spleen, stomach and large intestine meridian.
Efficacy indication
relaxing bowel
For constipation caused by deficiency of body fluid and blood, it is often used with Angelica sinensis, Polygonum Multiflori Radix and honey. For gastrointestinal dryness and heat, insufficient body fluid and dry stool, it is often used with Fructus Trichosanthis, Semen Pruni and Herba Dendrobii.
The toxicity of modern research shows that hemp seed contains fatty acids and their esters, lignin amides, steroids and other components, such as stearic acid, palmitic acid, cannabis amide, seaweed amide, campesterol, fenugreek alcohol, choline, which is slightly toxic.
Performance characteristics: mild medicine.
Usage and dosage: decoct with water, 5 ~15g. Break it and use it as medicine
Adverse effects
1. Fructus Cannabis contains many non-nutritive components, such as fatty acids and their esters, lignin amides, steroids, etc., which has certain toxicity (slightly greater), thus damaging qi and blood and aggravating qi and blood deficiency syndrome, but its mechanism of action is benign and its drug property is mild, so it belongs to a drug with slight qi injury. Therefore, it does not affect the physiological function of qi and does not harm the healthy qi; The adverse effects of blood injury are also slight. ?
2. Because it contains certain non-nutritive ingredients, and its taste is difficult for people to taste, it will hinder gastrointestinal function.
3. It interferes with liver function because of its toxicity. However, the toxicity is very small, so the adverse effects of hindering liver function are very small.
4. Hemp seed causes diarrhea because of its laxative effect, so it will aggravate diarrhea syndrome. But it is far less violent than catharsis.
In clinical application of hemp seed, if diarrhea syndrome is found, its main drug should be added to treat it together, and the drug or drug used should be able to eliminate the adverse effects of hemp seed; Or abandon hemp seed and choose other drugs to replace it.
Case: In mid-May 2008, due to the Wenchuan earthquake, I went back to my hometown to stay temporarily. Villager Gong Mou, male, 45 years old, delayed diagnosis and treatment for diarrhea. Chief Complaint: Diarrhea occurs after a slight careless diet, and diarrhea-like stool occurs in severe cases. Due to busy work, no systematic treatment was carried out, and diarrhea occurred around 5 am in the past six months, and the anus swelled after diarrhea. Symptoms: thin body, complexion? White, sore back and cold limbs, poor appetite, pale tongue, thin coating, heavy and thin pulse, etc.
The syndrome belongs to deficiency of kidney yang, lack of fire to cultivate soil, lack of healthy movement of spleen, and subsidence of clearing qi.
The prescription is as follows: Codonopsis pilosula15g, Dioscorea opposita15g, fried atractylodes15g, Evodia rutaecarpa 6g, Fructus Psoraleae15g, Alpinia oxyphylla15g, Rhizoma Zingiberis Preparata 8g, and Radix Aconiti Lateralis15g. In the prescription, Evodia rutaecarpa, Fructus Psoraleae, Fructus Alpinae Oxyphyllae, Rhizoma Zingiberis Preparata, Radix Aconiti Lateralis, and Semen Euryales are used to warm the yang and tonify the kidney, strengthen the soil and stop diarrhea. Spleen-invigorating and Qi-benefiting with Radix Codonopsis, Rhizoma Dioscoreae and fried atractylodes; Bupleurum chinense ascending yang and sinking; Divine comedy is appetizing; Licorice harmonizes medicinal properties.
The compatibility of this prescription must be rigorous, and the curative effect of the rest materials is not bad. Because there is no medicine, patients are asked to go to the town pharmacy to get medicine. I don't know if the patient takes one dose, but it has no effect, and the feedback is more than enough. Out of professional sensitivity, the first thing I thought of was that I caught the wrong medicine, so I went to the patient's home to inspect the medicine and found that there was more hemp seed in the medicine, but there was no gorgon fruit. Yu immediately took the patient to the town's accountability pharmacy, and the pharmacy owner had to admit the truth and apologize. It turned out that a clerk in a pharmacy was on duty without a license, and his knowledge of medicine was unprofessional, so that he mistakenly took hemp seed as a real one.
I asked the patient to grab three doses of medicine according to the prescription. After one dose, the patient's diarrhea was relieved, and his spirit was greatly improved after two or three doses. After three doses, the patient's illness was basically cured, and then he was changed to a flat prescription for half a month, and there was no recurrence after that.
The sexual taste is cold and bitter. Liver and heart meridian.
Efficacy indication
1.
For hyperactivity of liver-yang and dizziness, it is often used with Apocynum venetum, Concha Haliotidis and Oyster.
2. Downward movement of major towns
It is used to treat stomach qi ascending, and is often used equally with Amomum cardamom, bamboo shavings and Inula. It is used to treat vomiting and dyspnea. It is often used with magnet, agarwood and Inula.
3. Cool blood to stop bleeding
For emesis due to blood heat, metrorrhagia and bloody dysentery, it is often used with Bletilla striata, Paeonia lactiflora and Celosia cristata.
Modern research on toxicity shows that ochre contains iron trioxide and impurities such as magnesium, aluminum, silicon and arsenic, so it is less toxic.
Performance characteristics: strong medicinal properties.
Usage and dosage: decoct with water, 5-30g, smash and decoct first15min; Take pills and powder, each time1~ 3g. Cooling blood, calming liver, lowering adverse effects, astringing and stopping bleeding.
Adverse effects
1. ochre has the disadvantage of hurting gas. There are three factors that lead to the injury of ochre: first, ochre has the effect of reducing adverse events in important towns, which is violent and heavy. The qi has the opportunity to rise and fall, the ancestral qi rises and the stomach qi falls. If the settlement is too much, the clan spirit will not rise, and if the clan spirit does not rise, the gas will disperse, so it will hurt the gas. Secondly, the mechanism of ochre is non-benign, which will hinder the function of zang-fu organs to some extent, so it will also hurt qi. Thirdly, ochre contains mostly ferric oxide and impurities such as magnesium, aluminum, silicon, arsenic and other non-nutritive substances, and has certain toxicity, which will damage and hinder the function of viscera, so it hurts the qi.
Because of the above-mentioned multiple factors, the adverse effect of ochre is slightly greater, which is a mild gas-damaging drug.
In clinical application of ochre, if patients with qi deficiency syndrome or near-deficiency syndrome are found, their main drugs should be added for the same treatment. The drugs or drugs used must be able to counteract the adverse effects of ochre, and will not aggravate the indications of ochre.
Case: In May, 20 10, patient He Mou, female, aged 56, came to see a doctor because of frequent hiccups and seeking medical treatment everywhere in the past two months, with little effect. Symptoms: fullness of both ribs, hiccup, belching, acid regurgitation, thin yellow fur, pulse string, etc., which is characterized by liver-qi invading the stomach. The prescription is: 20 g of ochre, 0/5g of Inula/kloc-,0/2g of persimmon/kloc-,0/0g of Bupleurum/kloc-,0/2g of bergamot/kloc-,0/0g of corydalis tuber/kloc-and 0/0g of Paeonia lactiflora. Decoct with water and give 3 doses. In the prescription, bergamot, Rhizoma corydalis and Pericarpium Citri Reticulatae Viride are combined with Bupleuri Radix to soothe the liver and regulate qi. Ochre, Inula, Persimmon Pedicel; Amomum villosum, Radix Aucklandiae and Cortex Magnolia Officinalis regulate stomach and promote qi; Radix Paeoniae Alba and cuttlefish bone are used to calm the liver and make acid; Roasted Glycyrrhiza uralensis Fisch. benefits qi and regulates medicinal properties.
Second diagnosis: the patient complained that the hiccup was relieved when taking the first dose, and the condition was aggravated after taking the second dose, and dizziness appeared. I diagnosed his pulse, and it was like a thin string. Therefore, 20 grams of ginseng was added to the front, and the dosage of Paeonia lactiflora was adjusted to 20 grams, so as to eliminate the disadvantages of ginseng rising yang and indirectly enrich the qi of the liver and gallbladder, and still give the patient 3 doses of medicine. I know that ochre is harmful to qi, but I don't abandon it because ochre is the holy medicine for calming down the rebellion.
Three diagnosis: As expected, the symptoms of dizziness disappeared, and symptoms such as hiccup and rib swelling were alleviated.
After taking 5 doses of effective prescription, it recovered.
2. Because it contains more non-nutritive components and has certain toxicity, it slightly injures blood and aggravates blood deficiency syndrome.
3. Blood stasis syndrome is aggravated by hemostasis.
4. Injury of Yang and aggravation of cold syndrome due to cold nature and blood cooling effect.
5. Because its taste is not suitable for people's taste and contains more non-nutritional ingredients, it hinders gastrointestinal function.
6. Impairment of liver function due to its toxicity. However, the toxicity is very small, so the adverse effects of hindering liver function are very small.
The taste is slightly cold, bitter, sweet and astringent. Liver, lung and stomach meridians entered.
Efficacy indication
Convergence and hemostasis? ersheng rd
For the treatment of lung and stomach bleeding, it is often used with carbonized blood, hairyvein agrimony, notoginseng and lotus root node. Used to treat gastrointestinal mucosal erosion, it is often used with Paeonia lactiflora, Fritillaria and cuttlefish bone. For patients with ulcerated sores and carbuncles who do not stop for a long time, they are often ground into powder for external use.
Modern studies on toxicity show that Bletilla striata contains glucomannan, volatile oil, mucus and other components, and its toxicity is extremely small.
Performance characteristics: strong medicinal properties.
Usage and dosage: decoct with water, 5 ~10g.
Adverse effects
1. Rhizoma Bletillae contains more non-nutritive components such as glucomannan, volatile oil and mucilage, and has certain toxicity, which slightly hurts qi and blood, aggravating qi and blood deficiency syndrome. However, Bletilla striata is extremely toxic, and its medicinal properties are mild, and its effects of hurting qi and blood are extremely small, which can be ignored.
2. Injury of Yang due to coldness aggravates Yang deficiency syndrome and excess syndrome.
3. Blood stasis syndrome is aggravated by astringent and hemostatic effects.
4. It slightly hinders the gastrointestinal function because of its unpleasant taste and certain non-nutritive ingredients.
5. Because it has certain toxicity, it interferes with liver function. However, its toxicity is very small, so the adverse effects of hindering liver function are very small.
6. Constipation syndrome is aggravated by astringent effect.
Bletilla striata has astringent effect and strong efficacy, which makes it extremely astringent, so it has the function of astringing intestines and stopping diarrhea, so it will aggravate constipation.
Clinical application should be timely. If constipation is found, laxatives or purgatives should be added.
Case: Duan, male, 46 years old. He came to see a doctor on 20 1 1 year1month for coughing up blood. Symptoms: dry cough without phlegm, chest pain caused by cough, dry nose, dry throat, sore throat, red tongue tip, thin yellow fur, rapid pulse, which is characterized by dry heat and lung injury. The prescription is as follows: mulberry leaf12g, Adenophora adenophora15g, Fritillaria thunbergii10g, fermented soybean12g, Gardenia12g, pear peel 20g, and Trichosanthes root15g. ***3 doses, decocted in water. In the prescription, mulberry leaves and fermented soybeans are used to disperse the heat; Adenophora adenophora, pear skin and Trichosanthes root moisten dryness and produce fluid; Fritillaria thunbergii and bletilla striata relieve cough and stop bleeding; Gardenia jasminoides Ellis and Phragmites communis clearing away lung heat; Licorice harmonizes medicinal properties.
The second diagnosis: the symptoms are slightly relieved, the curative effect is not effective, and the phenomenon of constipation appears. After careful examination of the prescription, it was found that Bletilla striata was misused. Whiteness and its extremely astringent nature will hinder the transmission of intestinal fluid, which is not suitable for dryness syndrome. Therefore, the original prescription was revised, bletilla striata was removed, and 20 grams of charcoal was added to stop bleeding and promote fluid production. Give three more doses.
Three days later, I called back and found that all the symptoms were removed, and the stool was not knotted, and I recovered.
The sexual taste is warm and sweet. Spleen and stomach meridian.
Efficacy indication
1.
For expelling ascaris lumbricoides and pinworms, it is often used equally with areca nut, neem bark and pumpkin seed.
2. Strengthen the spleen and eliminate stagnation
For infantile malnutrition, it is often used with Huhuanglian, Leiwan and Jiyateng.
The toxicity of modern research shows that the quisqualia contains potassium quisqualia, oleic acid, palmitic acid, stearic acid, linoleic acid, myristic acid, arachidic acid, fenugreek base, proline succinate and other components, which is slightly toxic.
Performance characteristics: slightly stronger medicinal properties.
Usage and dosage: decoct with water, 7 ~12g, mash and decoct; Or stir-fry and chew Fructus Junzi, with children taking 1 ~1.5 capsules each year, adults taking15 ~ 20 capsules each time, daily1time for 3 days.
Adverse effects
1. The gentleman aggravates the heat syndrome due to warmth. However, it has no effect of heat dryness and warming, and helps heat without generating heat. Therefore, the adverse effects are negligible.
2. The taste of Jejunzi is not suitable for people's taste, and it contains many non-nutritive ingredients such as potassium Jejunzi, oleic acid, palmitic acid, stearic acid, linoleic acid, myristic acid, arachidic acid, fenugreek base, proline succinate and so on, which will hinder and affect gastrointestinal function to some extent.
In clinical application, if you see a slight gastrointestinal discomfort, you can identify the cause and add some main drugs, but don't usurp the host's role, and you must ensure the specificity of the insect repellent; Or treat gastrointestinal diseases first, and then expel worms after healing; When treating infantile malnutrition with Gentleman, if you see gastrointestinal diseases, you should add the main drugs for the same treatment to control the adverse effects of Gentleman.
3. Due to containing more non-nutritive ingredients and having greater toxicity and non-benign drug action mechanism, the Gentleman injured qi and blood, which aggravated the syndrome of qi and blood deficiency, and was a mild medicine for hurting qi. If the syndrome of qi deficiency is aggravated, it will cause severe qi deficiency, which will affect the physiological function of qi in the whole body and various zang-fu organs and weaken the healthy qi, thus aggravating the syndrome of various zang-fu organs and other body tissues in the whole body (including the indications of gentlemen).
In clinical application, if you see the deficiency of qi and blood, you should treat the deficiency of qi and blood first, and then expel worms after recovery; If there is no deficiency of qi and blood, you can expel worms first, and then make a little adjustment of qi and blood.
Case:1One morning in July, 986, a middle-aged man of about forty years old took a boy of six or seven years old to see a doctor at Yu Fu's clinic. The little boy cried, clutching his stomach, screaming that it hurt. The middle-aged man complained: My son began to have a slight abdominal pain the day before yesterday, but it got worse in the middle of last night. He thought he was caught cold, so he boiled some mugwort water for him to drink, but it didn't get worse. What's wrong with it?
My father carefully examined the little boy, and the symptoms he collected were: paroxysmal colic in the navel, loss of appetite, hunger, diarrhea, weight loss, grinding his teeth while sleeping, salivation, and vomiting ascaris. It was diagnosed as intestinal ascariasis.
My father took 30 capsules of Gentleman, peeled the shell and took the kernel, and slightly fried them. He told the middle-aged man to let the children chew 10 capsules every night before going to bed for 3 days, and then come back to recuperate after pulling the ascaris lumbricoides.
Four days later, the middle-aged man took the child to the clinic and complained: A lot of roundworms have been driven out these days, and my stomach has stopped hurting. My son said yesterday and today that he was relaxed. But he said that he felt his hands and feet were soft. My father said, Ascaris sucks away nutrients from the body, and expelling insects hurts. How can you not be weak? However, he feels relaxed after deworming, which is a sign that he can recover quickly.
The father prescription is: ginseng 8g, yam10g, Atractylodes macrocephala 8g, Poria cocos10g, white lentils10g, lotus seeds10g, Amomum villosum 8g, angelica 8g and licorice 2g. ***5 doses. Ask water to decoct.
After the middle-aged man feedback, the little boy is all right and has gained a lot of weight.
4. The gentleman has a certain toxicity, so it will hinder the liver function and aggravate the hepatobiliary syndrome.
In clinical application, if you find that there are liver insufficiency or other hepatobiliary diseases, you should add its main drugs for the same treatment; If the gentleman is used to expel worms, the liver function deficiency or hepatobiliary syndrome should be treated first, and then the worms should be expelled after the treatment.