In clinic, I met many patients with upper heat and lower cold. These people often used Chaihu Guizhi Ganjiang Decoction and Wumei Pill. After I came back from Master, I tried to combine the differentiation of six meridians with Master's thinking, and slowly thought and clinically, and achieved good results.
I told Donghai and Jin Yi about this thought, and they went to clinical practice and the effect was ok after treatment.
This article is a summary of the East China Sea.
"Sansi Decoction" is composed of Sini Decoction, Sijunzi Decoction and Sini Powder, which is called Sansi Decoction by Master. The main therapeutic mechanism is spleen-kidney yang deficiency and liver-qi stagnation. Clinically, it has been used for mental illness, anxiety, insomnia, depression, internal medicine and gynecological diseases, and achieved good results.
Sini decoction, composed of aconite, dried ginger and roasted licorice, has the effects of warming middle warmer, restoring yang and saving adverse reactions. Li Kelao, an old doctor of traditional Chinese medicine, thinks that all patients with mental illness have the characteristics of deficiency of yang, and the treatment of mental illness with Sini decoction has achieved satisfactory results. The clinical manifestations of these patients are mostly deep and thin pulse, cold limbs, frequent loose stool urination, fat tongue and watery.
Sijunzi decoction, composed of ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza uralensis Fisch, has the effects of invigorating qi and strengthening spleen and stomach. Spleen and stomach are the foundation of the day after tomorrow. Spleen and stomach weakness, lack of transport and metabolism, and lack of qi and blood biochemistry can lead to symptoms such as shortness of breath, weakness, sallow complexion and loss of appetite.
Sini Powder, composed of Bupleurum, Fructus Aurantii Immaturus, Paeonia lactiflora and Glycyrrhiza uralensis, is an effective prescription for soothing the liver and regulating qi, relieving depression and activating yang.
The combination of Sini Decoction and Sijunzi Decoction is intended to care for both the innate and the acquired, and Sini powder can soothe the liver and relieve depression and smooth the qi.
The classic prescription of "Sansi Decoction" is Taiyin Shaoyang, and from the perspective of viscera, the liver, spleen and kidney are in tune. There are great opportunities for application in various systems, and the effect is quite good. Pay attention to addition and subtraction in clinical practice.
Spleen and stomach diseases, abdominal distension and pain, combined with Baihe Wuyao Powder and Sanwei Decoction.
When the fire due to deficiency of yang is disturbed, three stones should be added to induce yang to descend and yang to enter yin, which can be used to treat mental diseases, insomnia, upset, fright and other symptoms, and jujube seed, polygala tenuifolia, lily and other drugs should be added as appropriate.
Gynecology, dysmenorrhea, irregular menstruation and hysteromyoma can be combined with Danggui Shaoyao Powder, Guizhi Fuling Pill and Siwu Decoction.
He Guizhi Fuling Pill is used to resist the stagnation of qi in soup and peach pit for blood stasis, such as mania, insomnia and abdominal pain, which belongs to yang deficiency and blood stasis.
Combined with Shensiwei, Wuzi Yanzong Pill, Deer Fetal Cream, etc., it is used to treat andrology diseases, impotence and premature ejaculation, poor sperm motility, oligospermia and dead sperm.
In clinical practice, Master also added cassia twig and took Linggui Shugan decoction for dizziness and dizziness. Because the water drinks upward, the qi rushes upward and pushes upward. Use Linggui Shugan decoction or add Alisma orientale to form Alisma orientale drink with Atractylodes macrocephala. Hexiao Trapping Chest Decoction: The heart is full, the tongue coating is yellow and greasy, or there is phlegm and phlegm is yellow and sticky. Gardenia and black bean soup: nameless boredom in my heart.
The clinical symptoms of Sansi Decoction and Chaigui Ginger Decoction include chest tightness, dry mouth and bitter taste, upset, and dysuria. Similarities, the pathogenesis of Sansi decoction is spleen and kidney yang deficiency and liver qi discomfort; the syndrome differentiation of six meridians is Taiyin Shaoyang, which belongs to Jueyin; Chaigui ginger is gallbladder heat and spleen cold; the syndrome of Taiyin Yangming is Taiyin Shaoyang, Jueyin disease; the deficiency and cold in clinical manifestations of Sansi decoction are more serious than Chaigui ginger, and the gallbladder heat of Chaigui ginger is more obvious than Sansi decoction.
For example:
Middle-aged male, who has suffered from repeated insomnia for 2 years, came to see me in mid-May. Insomnia, sleepless all night, upset, dry mouth and bitter taste, no appetite, loose stool all the year round, diarrhea after eating a little greasy fruit, fatigue, fat tongue, white fur and weak and delicate pulse. I prescribed Sansi Decoction and took 5 doses. At the second visit, I said that I had been able to sleep for 7 hours, and he felt very satisfied. Because of work, I didn't continue to take it. At the third visit, I stopped taking medicine for a week and was able to sleep for 5 hours. I thought it was not good enough. I came to see it again and told me the results of the second visit.
The treatment of mental illness is very special and complicated, involving many factors. I am also constantly exploring and clinically, especially for some intractable insomnia, anxiety, depression, etc. There are still many ineffective treatments. The occurrence of such diseases is not only influenced by biological factors, but also by family, environment, stress, disease and other factors. The treatment is quite difficult. What I feel most is our doctor, who needs to accompany him to grow up, perhaps sometimes. A junior girl, I accompanied her for four years. After she was admitted to the university, she was completely depressed. An aunt, who accompanied her for four years, completely recovered her normal social function and life. Every story will make people feel distressed.
Every case has never been easy. There is a stubborn insomnia and anxiety. After treatment, she has recovered for a while, and her mood and sleep are very stable. However, due to the pressure of work, she sometimes suffers from insomnia again and again. As doctors, we will not say, quit your job and your sleep will be fine. In fact, many patients have this kind of psychology, but it can't solve the problem. How to solve the cognition sometimes requires the patient's own awakening, yes, awakening, awakening of body and mind.
Experience in the application of Sini decoction, Sini powder and Sijunzi decoction in mental illness
Sini decoction, Sijunzi decoction and Sini powder, which I call Sansi decoction, are commonly used for mental illness, anxiety, insomnia and depression in clinic, and have achieved good results, but there may be some limitations due to few clinical cases.
Sini decoction, which is composed of aconite, dried ginger and roasted licorice, is very familiar to everyone. It has the functions of warming the middle warmer to dispel cold and restoring yang to save the adverse. I found that many patients with mental illness have the characteristics of deficiency of cold in the Taiyin, deficiency of yang and deficiency of yang, which are often manifested as deep, thin, subtle and heavy pulse, cold hands and feet, cold lower limbs and frequent urination at night. At this time, you often have the opportunity to use Sini Decoction. They are often particularly sensitive to sounds, and some are externally sensitive and frightened. They don't have enough sense of security in their hearts. Sometimes they need people to stay with them all the time and sleep with their families. I think this is also a manifestation of yang deficiency.
Sijunzi decoction is composed of ginseng, atractylodes macrocephala, poria cocos and licorice. Why is it called Sijunzi?
These four gentlemen can invigorate qi, invigorate the middle energizer, and replenish the spleen and stomach, which are the foundation of the day after tomorrow. When they are in the middle, the spleen and stomach can turn, and each system will move. Some patients with mental illness have no appetite, and the middle energizer has a weak spleen and stomach, and they don't want to eat. At this time, the application scope of the prescription of the four gentlemen is mainly various symptoms caused by spleen and stomach weakness and deficiency of qi and blood, such as