1, heart power pill: warm yang and qi, blood circulation and blood stasis. It is used for chest paralysis and heart pain, chest tightness and shortness of breath, palpitation and anxiety, coronary heart disease, angina pectoris, etc. caused by heart yang deficiency and qi stagnation and blood stasis.
2, plus flavor pulse drink, this drug consists of ginseng, maitake, schizandra, astragalus, epiphyllum, etc., each time to take 1 (10 ml), 2 to 3 times a day. Others, such as brain tonic pill and Fuzheng pulse booster, can also be used for reference.
3, Leling Jianzhong Tang ("He Dai Bian Fang"): 20g of Radix et Rhizoma Ginseng, 20g of Radix Astragali, 15g of Poria, 12g of Radix Glycyrrhizae Praeparata, 6g of Ginger, 10g of Jujubes, 12g of Cinnamon, 12g of Guixin, 5g of Cinnamon, 12g of Radix et Rhizoma Glycyrrhizae Praeparata, 12g of Radix et Rhizoma Glycyrrhizae Praeparata, 15g of Radix Angelicae Sinensis, 12g of Maitake, 12g of Radix et Rhizoma Glycyrrhizae Praeparata, 12g of Radix et Rhizoma Glycyrrhizae Praeparata, 12g of Radix et Rhizoma Glycyrrhizae Praeparata, Poria, half-summers to strengthen the spleen and phlegm; Angelica sinensis, maitake, white peony to nourish the heart; ginger, jujube and Ying and Wei, **** to warm the heart yang, replenish the heart and blood, strengthen the spleen and tranquilize the spirit of the work. If the extremities cold, loose stools, frequent urination, fine pulse, is a deficiency of Yang cold, can be added with 12 to 15 grams of slices of appendicitis, in order to warm and tonify the heart and kidney Yang.
The spleen and stomach live in the middle jiao, for the day after this, the source of qi and blood biochemistry, Ying and Wei of the self-expression, regardless of the viscera have a disease, or other visceral pathology, the spleen and stomach of the adjustments in the clinic are very important.
The treatment of spleen and stomach disease, from Li Dongyuan to Ye Tianshi has developed greatly. Dongyuan's theory of the spleen and stomach, for the ascending spleen, certainly a great invention, but in the lowering of the stomach to nourish the stomach, but the attention is not enough. Ye's treatment of the spleen and stomach was based on Dong Yuan's work, but supplemented his shortcomings, and the development was in lowering the stomach and nourishing the stomach, while at the same time paying attention to the transportation of the spleen and raising the spleen, so that the treatment of spleen and stomach disorders could be perfected.
In recent years, the author revisited Ye Tianshi's book "Clinical Guidelines for Medical Cases", and found that Ye's academic thought of nourishing the stomach and yin was very rich in experience in Ye's use of the case. Even if it is used in clinical practice nowadays, it still has certain guiding significance. In this paper, the use of Ye Tianshi's academic thought of stomach yin is analyzed as follows.
Sweet, cool and moist, clear and nourish the stomach yin
This method is mainly composed of sweet and calm in nature, and sweet, cool and tinnitus generating drugs, used for gastric yin deficiency of the disease, scattered in the "clinical guide to the medical case" gastric pain, inappetence, the spleen and stomach door. According to Ye, the main causes of gastric yin deficiency are dryness and heat, illness and injury, and medicines that move the stomach fluid. Evidence of no hunger and no food, or know hunger and little food, or poor taste, low tone and discouragement, no thirst, or thirst and think of cool drinks, bitter mouth and hard stools, tender tongue with little fluids, fine and slightly numb pulse, etc. Clinical manifestations of stomach yin deficiency is more serious, and dryness and heat have not yet been stabilized as the characteristics. The treatment should be sweet, cool and moistening. Sweet and cool can relieve dryness and heat, and moistening can nourish stomach yin, thus achieving the purpose of clearing and nourishing stomach yin. When the fluid is restored, the stomach's function of circulation and descent can be restored to normal, so called "the stomach should be descended and harmonized", which is one of his major inventions. This method has its origin in "The Essentials of the Golden Chamber", but has been developed from Maimendong Tang. It is often used Northern Radix Panax Quinquefolii, Ophiopogon, Dendrobium, Rhizoma Dendrobium, Rhizoma Dendrobium, Rhizoma Dendrobium, Rhizoma Dendrobium, Smallpox Powder, Glycyrrhiza Glabra, Sugar Cane Juice and other sweet, cool, moist and nourishing Yin, so as to make the Stomach Yin drop. Use round-grained rice, glutinous rice, jujube and other sweet and flat flavors that benefit the stomach and tonify the spleen qi to assist in ascending and transporting. Spleen qi rises, stomach qi descends, spleen and stomach elevation is normal, then the evidence of the nine orifices of disharmony, since it can be liberalized. In the clinic, the method is often used to treat children's anorexia, chronic atrophic gastritis, etc., the evidence of gastric yin insufficiency, repeated treatment.
If the stomach qi is not smooth, hard constipation is obvious, Ye's and every take spleen about half of the pill, with hemp, sweet almonds, raw white peony, barley kernel and other convergence of yin and intestines, moistening the intestinal tract. Do not advocate the use of attack, because "the internal organs should be through that is to make up", the stomach of the yin to be moistened, then the stomach gas natural smooth. Ye called this method "through the method", which is one of his medication is good at.
Nurturing the stomach and waking up the stomach must first control the liver
This method is mainly found in the "clinical guide to medical cases" wood multiplied by earth, vomiting blood door, etc., used for the liver and stomach yin injury, God injury and anxiety, wood fire, wind and sun disturbing the stomach. Symptoms include dystocia, nausea, dry vomiting and yelping, cold qi and heart pain, dizziness, numbness of limbs, dry pharynx and red lips, red tongue or light peeling of the tongue, and stringy left pulse. Clinical manifestations in addition to the deficiency of liver and stomach yin and fluid performance, there are wind and sun upturned, transverse violation of the stomach symptoms. For this kind of middle deficiency and wood thief, the treatment is tricky. Liver and qi is concerned about its pungent dryness and injury to the yin; tonifying the stomach is afraid of its congestion and stagnation. Ye's treatment, very experienced, proposed "avoid using medicine just use soft". He advocated that while tonifying the middle jiao, the liver must be controlled first, that is, the method of nourishing the stomach and calming the liver. It is also believed that the guarding of art and sweetness, and the ascending of ascending and chai, are even spleen medicines. If used for liver and stomach yin injury, can only be rarely effective. Because "the liver is a rigid organ, it is appropriate to be soft and harmonious. Stomach is yang earth, should be cool and moisturizing. Acid can control the liver, astringent yin to generate fluids, sweet can make the fluids also. Colla Corii Asini, Radix Rehmanniae Praeparata and Radix Paeoniae Alba are commonly used to nourish and soften the liver. Use ginseng, maitake, Zhimu, round-grained rice, broomcorn millet, poria, wheat, jujube, etc. to benefit the stomach and nourish the stomach. Use papaya, umeboshi, schizandra, neem, mulberry leaf, orange leaf, etc. Choose one or two flavors to check the Liver Wood. If the Liver Wind is moving internally and dizziness wants to fall, add oyster and tianma, etc. to calm the Wind-Yang. If it is caused by mental factors, Ye often uses cypress seed kernel, Poria, farzhi, sour jujube nut, Sichuan shellac, etc., to calm the spirit and tranquilize the heart, choose one or two flavors, as a combination.
Sweet and cool to nourish the stomach, up for the lungs
This method is to cultivate the earth to generate gold method, that is, the "Nei Jing" "deficiency is the mother of tonic" method. Scattered in the "clinical guide to medical cases" cough, vomiting blood and other doors, the evidence of the lungs and stomach yin deficiency. Investigation of its origin, Ye's believes that the main body of Yang Sheng, or suffering from dry heat of the evidence, or after the disease injury to the lungs and stomach of the yin, or mis-treatment of injury to the Jin, resulting in the stomach and Jin day depletion, not the Division for the lungs. Deficiency of lung and stomach yin makes it easy to generate internal heat. Therefore, the clinical symptoms are characterized by deficiency of stomach yin and lung dryness. Common: cough, choking cough, dry tongue and throat, dry and itchy throat, sputum is unfavorable, sputum with blood, or blood in the gas, low tone and shortness of breath, thirst, think of cool drinks, food is not sweet, stool dryness, dry tongue and lips, red tongue without moss, or cracks, pulse is weak and slightly count. For treatment at this time, Ye believes that it is not advisable to use Isokong San or Sen Ling Bai Zhu San to tonify the earth and generate gold. This is because it is a medicine for treating the spleen and is used for those with spleen qi deficiency. It is also not appropriate to "see the cough treatment lung", otherwise "angry day exhaustion. Proposed "sweet and cool stomach, up for the lungs" principle of treatment, the so-called "nourish and save the gastric fluid for the lungs, but sweet and cold is appropriate", "the first to make it sweet and cool, so that the stomach is happy to imitate the Jingyi deficiency is to make up for its mother". The sweet medicine is good for the stomach, which can be cultivated. Gan medicine stomach like, that can cultivate the earth, sweet cold (cold) that can nourish the stomach to produce fluids, can retreat dry heat, is the earth is prosperous to produce gold also. Against the generalization of the lungs and phlegm, bitter Xin open and drain, generalized treatment. Of course, the two are used in clinical practice, but also to weigh the importance, or to sweet medicine, or to clean and nourish the main. If the stomach yin is very weak, focus on the sweet medicine. Commonly used sasanqua, maitake, lentils, porcini, round-grained rice, jujube, glutinous rice root, etc.; lung dryness, focusing on the clear and nourishing. Commonly used in Sha Shen, maitong, dendrobium, bamboo, smallpox pollen, cane syrup, pear flesh, raw licorice and so on. If the two certificates are similar, then the above two types of drugs, and should be used in conjunction with each other. If the wind temperature dry lung dryness, add mulberry leaf, almonds, pungent, sweet, cool and moist; such as yin insufficiency, cough choking loss of blood, add fresh loquat leaves, almonds, mother-of-pearl, leucaena leucocephala, sweet and cold moist descending to purge the lungs of gold; such as coughing, vomiting, stomach cough, maitre dong soup plus bamboo, loquat leaves, cool and stomach; such as coughing and pharyngeal dryness and soreness, phlegm, add fresh rehmannia glutinosa, Dongguaoren, coix seeds, almonds, mother-of-pearl and mulberry leaf, pungent, cool and moisturize the lungs, stop coughing and resolve phlegm. Cough and phlegm.
Clean and nourish the stomach and yin, the system of yang stop bleeding
Blood is not outside the cold, heat and solidity, and yin deficiency with heat, the most tricky, and not the general hemostatic agent can be effective. Ye's treatment of blood, unique. Clearing and nourishing the stomach yin, restraining the Yang movement and Yang ascension, so as to achieve the purpose of stopping blood, which is a different way of thinking about the use of medicines, worthy of our emulation. It is often used in coughing up blood and epistaxis, etc., where the evidence belongs to deficiency of stomach yin, and the blood overflows to the upper orifices due to damage of the ligament. Its etiology and pathogenesis are characterized by internal injuries. The cause is due to the five flavors of partial victory, visceral yang and visceral yin for the injury, or over-exertion of its yang, blood spillage in the upper orifices, blood to go to the yin must be injured to generate heat, or gastric yin deficiency, the false fire, burn the blood channels. Clinical evidence, both stomach yin deficiency, such as dry mouth does not want to drink, hunger does not want to eat, tongue light or cracks, no moss, or low fever. There are also signs of hemorrhage, such as coughing up blood, or sputum with threads of blood, or epistaxis, which is small in quantity and bright red in color. In cases of blood loss after prolonged illness, there are signs of deficiency of spleen and stomach qi, such as tiredness, loss of food, low tone, shortness of breath, or loose stools, and empty, large and weak pulse. At this point in the treatment, Ye's advocate "stomach medicines to sit down in the Palace is appropriate", to "static medicine can control the movement of the sun". Avoid bitter cold, warm and dry, nourishing and greasy. Because bitter and cold easy to damage the stomach gas, warm and dry to help the fire to move the Jin, nourishing and greasy with the disadvantages of stagnation. The so-called sitting in the Palace of the stomach medicine, Ye's more sweet and cold products, such as Northern Radix et Rhizoma Ginseng, Ophiopogon, Bamboo, Dendrobium and other Yin static medicine, nourish the stomach yin, clearing the heat and checking the yang movement. For those who have been ill for a long time and have lost blood and insufficient stomach qi, they will take sweet and flat or sweet and slow products, such as Chinese yam, raw lentils, Poria, glutinous rice root, round-grained rice, jujube, roasted licorice, etc., to support the stomach, choose 1 or 2 flavors, or 2 or 3 flavors, in the clearing of the stomach yin agent. In this way, it nourishes stomach yin and benefits stomach qi at the same time. It has the characteristics of supporting the correctness without warming, benefiting the yin without cooling and stagnation. Benefit the stomach without nourishing the stomach, yang and yin long, yin fluid to fill, yin with yang, yin to check the yang, the arrogance of the virtual yang and fire, can be converged and down, bleeding evidence, can also be convalescent. The so-called "Yang move blood loss, are all Yin loss, must be long into the fill solid dirty Yin, the floating and since and". As for the use of antiemetic drugs, Ye's in the identification of the basis for the mechanism of the drug, appropriate with one or two flavors of cool blood antiemetic drugs, or blood antiemetic drugs, to truly achieve the identification of the evidence and treatment. And cautioned us, "do not see the blood to cast cool". His common medicines for stopping bleeding can be used as a method of treatment: for example, ginseng and panax notoginseng, peach kernel, danshen, cow's knee, lotus root, etc., which are used for stopping bleeding by promoting blood circulation. Dampi and lotus leaf juice that stop bleeding by cooling the blood, as well as suzi, descending incense and tulip gold that lower the blood and smooth the qi, all of these are y "lowering the qi that is why it lowers the fire", "lowering the qi that is why it stops the bleeding", "stopping the bleeding without forgetting to activate the blood and remove blood stasis". The purpose of "stopping bleeding without forgetting to activate blood circulation and remove blood stasis", trying to avoid the drawbacks of cold and suppressing the retention of blood stasis. The author in the clinic will be the law slightly change, for tuberculosis, bronchial dilatation hemoptysis, evidence of lung and stomach yin deficiency, yin deficiency and fire rise of blood loss, every effect. It can be seen that Ye's method, still has practical significance.