Traditional Chinese medicine has always attached importance to people's "healthy qi", also known as "middle qi". When righteousness is sufficient, they are not afraid of any external evil. In the past, a doctor compared Sijunzi decoction, saying that if the healthy qi was sufficient and the evil spirits came in, the room (body) was full of "gentlemen" and there was no room for them, so they slipped away in a friendly way. This is the truth that "healthy qi exists inside, and evil cannot be done". By invigorating qi and strengthening the spleen, this recipe has a good effect on viscera weakness, pale face, weakness of limbs, fullness of heart and abdomen, loss of appetite, diarrhea with bowel sounds, pale tongue with thin white fur and weak pulse. Its clinical application is based on syndrome differentiation.
Monarchs, ministers, aides and envoys
Sijunzi decoction is called "the first prescription of invigorating spleen and benefiting qi". Although there are only four kinds of drugs, the proportion is excellent, and the combination of monarch and minister is amazing.
Judging from the original weight, the tonic has a small weight. Since it is qi deficiency, why not make up the medicine with greater strength? Huangdi Neijing records: "People with qi deficiency ... tonify yang to drain yin, while purging yin to drain yang. If so, they can use sweet medicine instead of drinking. " Because if a person is deficient in qi, blood is not enough through the relationship between qi and blood. Therefore, if a large number of warm products are used when invigorating qi, it may affect appetite and even chest tightness. Only when the weight is small can we be impartial and replenish qi without hurting blood.
Ginseng is the king of prescriptions, which is warm and beneficial, invigorating the spleen and nourishing the stomach. Ginseng is a famous and precious medicinal material, suitable for all ages, which greatly invigorates the vitality, especially the perennial wild ginseng, which has the highest medicinal value. From the perspective of traditional Chinese medicine, ginseng is flat in nature, sweet in taste and slightly bitter, and enters the spleen, lungs and heart meridians. It has the effects of invigorating primordial qi, calming the nerves, nourishing the brain, strengthening body fluid and quenching thirst, and is mainly used for treating physical weakness, burnout, amnesia, dizziness, impotence, frequent urination and other symptoms.
I use Atractylodes macrocephala, which tastes bitter and warm, strengthens spleen and dries dampness, and strengthens the function of benefiting qi and helping transport. Atractylodes macrocephala is warm, sweet and bitter, and has the functions of invigorating spleen and benefiting qi, eliminating dampness and promoting diuresis, and is mainly used for treating spleen deficiency, anorexia, abdominal distension and diarrhea. The atractylodes macrocephala in Sijunzi Decoction is generally fried atractylodes, and fried atractylodes is suitable for patients who are not particularly wet and only need to tonify the spleen. If you make Sijunzi decoction yourself, when the patient's water is wet and there are symptoms such as backache and backache, you should use raw Atractylodes macrocephala, because raw Atractylodes macrocephala has a greater diuretic effect and also "benefits the qi between the waist and umbilicus". Chen Shiduo, a famous doctor in Qing Dynasty, was very skillful in using raw Atractylodes macrocephala. If you meet a patient with wet spleen and kidney, he will prescribe a large dose of raw atractylodes macrocephala, which is also a major feature of his treatment. Raw Atractylodes macrocephala also has antiperspirant effect. Yupingfeng powder is a famous prescription for strengthening exterior and stopping sweating, which uses raw atractylodes macrocephala. In the application of gynecology, fried atractylodes used more. In addition, fried atractylodes is divided into wheat bran frying and soil frying, in which wheat bran frying has a stronger spleen strengthening effect and soil frying has a better antidiarrheal effect.
Use sweet poria cocos to strengthen the spleen and ooze dampness. Because qi deficiency is caused by weak spleen and stomach function and insufficient transport and transformation function. The transport function of spleen is not only to transform Shui Gu's subtlety into qi and blood, but also to transport water and dampness and excrete excess. After spleen deficiency, the function of transporting water and dampness is also weakened, so some drugs with weak permeability should be used while strengthening spleen and benefiting qi. In Jianpi Yiqi recipe, using some drugs with weak permeability can strengthen the spleen more effectively.
So as to roast licorice, replenish qi, neutralize middle energizer and harmonize various medicines. It should be noted that when the patient's spleen and stomach are deficient in qi, the roasted licorice can be used, but if the patient's throat is unfavorable at the same time, it can be changed to raw licorice, with the help of its detoxification and sore throat. The compatibility of the four drugs plays a role in invigorating qi and strengthening spleen.
Prescription for people with qi deficiency constitution
Qi-deficiency constitution refers to the physical state of weak breathing and low viscera function caused by lack of vitality. During the flu season, some people are particularly prone to catch a cold in the same office, some people just sneeze twice, and some people may not be affected at all. Usually we say that people who catch colds easily are too weak. In fact, this is "qi deficiency". As early as the Yellow Emperor's classic Su Wen, there was a saying that "healthy qi exists in the interior, evil cannot be done, and if evil is combined, its qi will be deficient", that is to say, people with sufficient qi are more likely to resist the invasion of various germs, while people with insufficient qi will have various symptoms. The sub-health state that modern people often say, that is, people who often feel tired, belongs to the constitution of qi deficiency.
There are various manifestations of qi deficiency constitution, but there are only a few basic symptoms. If you feel that the characteristics described above are not easy to remember, you can master the symptoms of qi deficiency through the following Song formula: "Less qi, lazy speech, low and intermittent voice, spontaneous sweating and fear of the wind, aggravated exercise, easy to catch a cold, fatigue, pale face and weak pulse."
If a person is short of qi, his lungs will be empty, so he is unwilling to talk and has a low voice. Qi deficiency and spleen deficiency will make you weak all over. Even if you don't do heavy work, you will feel weak and unable to produce strength, especially in love sweating, especially after the activity. At the same time, due to qi deficiency, the facial color is white, which is different from pale white. Pale white is white with no color in the face and pale white, while hairy white is white with green light inside. These are the most important characteristics of qi deficiency.
Sijunzi decoction can be said to be suitable for most people with qi deficiency, because although it can greatly replenish vitality, it is mild in nature and will not be deficient. Of course, if the patient feels cold, he can't take Sijunzi decoction when he has a cold, so as not to converge the exogenous cold evil and aggravate the condition.
"Four gentlemen" can also add boiled rice porridge, which is very suitable for the long summer to reduce the consumption of the body in hot summer. As a routine maintenance, it is best to use codonopsis pilosula instead of ginseng. This porridge is suitable for invigorating qi and can be used as the first choice for men to resist fatigue. When men are lack of energy, inattention and low work efficiency due to qi deficiency, it may be used to make up for it. Women are prone to yellowing and fatigue after spleen deficiency, and the elderly are prone to spleen deficiency and decreased immunity. You can also try taking it.
Reference dose: Ginseng, Atractylodes macrocephala, Poria, Radix Glycyrrhizae Preparata.
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