Common clinical manifestations of damp-heat syndrome: fever, low body heat, heavy headache, heavy body pain, bitter taste, chest swelling, yellow and short urine, red tongue, yellow and greasy tongue coating, and rapid pulse.
When damp-heat invades different viscera, there are four syndromes: damp-heat in liver and gallbladder, damp-heat in large intestine, damp-heat in bladder and damp-heat in spleen and stomach.
Each syndrome has different symptoms, treatment methods and drugs used, so it should be treated differently when using drugs.
0 1, damp-heat syndrome of liver and gallbladder
Symptoms and manifestations: hypochondriac swelling and pain, or burning sensation, anorexia, abdominal distension, bitter and uncomfortable mouth, irregular stool, short and red urine, or cold and heat exchanges, or yellow eyes, or severe pain in the upper abdomen, or a lump under the hypochondriac.
Common symptoms: acute icteric hepatitis, cholecystitis, gallstones, intractable migraine, hypertension, acute conjunctivitis, etc.
Treatment: clearing away heat and promoting diuresis, and eliminating jaundice.
Commonly used drugs: Yindan Pinggan Capsule, Xiaoyan Lidan Tablet, Longdan Xiegan Pill, Yinchen Wuling Pill.
On behalf of drug interpretation:
Longdan Xiegan Pill consists of Radix Gentianae, Scutellariae Radix, Fructus Gardeniae, Alismatis Rhizoma, Caulis Akebiae, Semen Plantaginis, Radix Angelicae Sinensis, Radix Rehmanniae, Radix Bupleuri and Radix Glycyrrhizae.
Solution:
① Radix Gentianae in the prescription is the monarch drug for clearing liver and gallbladder fire and purging liver and gallbladder damp heat;
(2) Scutellaria baicalensis Georgi and Gardenia Gardenia are both minister drugs for clearing liver and purging fire, clearing heat and drying dampness;
③ Semen Plantaginis, Akebia Akebia, and Alisma orientalis clear away heat and promote diuresis, and conduct damp heat downward; Angelica sinensis and Radix Rehmanniae nourish yin and blood, so as to make bitter dryness seep and benefit without hurting yin and blood; Bupleurum is used as an adjuvant to smooth the qi of liver and gallbladder;
④ Glycyrrhiza uralensis Fisch. clears away heat, mediates middle energizer, and mediates medicinal properties, so as to make medicine.
All the drugs are compatible, purging and tonifying, dispersing and nourishing, eliminating evil without hurting the right, strengthening the right without hindering the evil.
Efficacy: Purging excess fire in liver and gallbladder, clearing damp-heat in lower energizer.
Application: It is suitable for the syndrome of excessive fire in liver and gallbladder and downward flow of damp-heat in liver and gallbladder. It can be used for intractable migraine, hypertension, acute conjunctivitis, furuncle of external auditory canal, acute cholecystitis and other diseases.
02. Bladder damp-heat syndrome
Symptoms and manifestations: frequent micturition and urgency, burning pain in urethra, turbid urine Huang Chi, short and unsmooth urine, even obstruction, small abdominal distension and pain, fever, low back pain, or hematuria, or gravel in urine.
Common symptoms: acute pyelonephritis, cystitis, urethritis, prostatitis, urinary calculi, etc.
Treatment: clearing away heat and purging fire, inducing diuresis and treating stranguria.
Commonly used drugs: Bazheng Granule, Compound Shiwei Tablet, Sanjin Tablet, Qinglin Granule, Lysimachia christinae Granule, Bifenfen Pill.
On behalf of drug interpretation:
Bazheng Granule consists of Semen Plantaginis, Herba Dianthi, Herba Polygoni Avicularis, Talcum, Fructus Gardeniae, Radix Glycyrrhizae Preparata, Caulis Akebiae, Radix et Rhizoma Rhei, and Juncus Junci.
Solution:
① In the prescription, Akebia Akebia, Talcum, Plantago asiatica, Dianmai, and Zhulishuitonglin products are collected, which have remarkable effects in clearing away damp heat.
② Gardenia Renqing purges triple energizer damp-heat, rhubarb purges heat and reduces fire, licorice harmonizes medicinal properties, and Juncus effuses heat.
Efficacy: clearing away heat and purging fire, promoting diuresis and relieving stranguria.
Application: It can be used for frequent micturition, urgent micturition, unsmooth dribbling, muddy urine color, obstinacy, abdominal fullness, dry mouth and throat caused by damp-heat stranguria of bladder. Cystitis, urethritis, acute prostatitis, urinary calculi, etc. can be used.
03, damp-heat syndrome of large intestine
Symptoms: abdominal pain is acute and then heavy, short and red urine, thirst and so on.
Common diseases: bacillary dysentery, amebic dysentery, allergic colitis, acute enteritis, etc.
Treatment: clearing away heat and toxic materials, and harmonizing qi and blood.
Commonly used drugs: Shaoyao Decoction, Compound Berberine Tablets, Gegen Qinlian Tablets, Xianglian Huazhi Pills.
On behalf of drug interpretation:
Xianglianhuazhi Pill consists of Coptidis Rhizoma, Radix Aucklandiae, Huang Cen, Fructus Aurantii Immaturus (parched with bran), Pericarpium Citri Tangerinae, Pericarpium Citri Reticulatae Viride (parched with vinegar), Cortex Magnolia Officinalis (parched with ginger), Arecae Semen (parched), Talcum, Radix Paeoniae Alba (parched), Radix Angelicae Sinensis and Radix Glycyrrhizae.
Solution:
① Coptidis Rhizoma and Scutellariae Radix are the monarch drugs in the prescription, which can clear away heat and dry dampness, thicken intestines and stop dysentery;
② Radix Paeoniae Alba and Radix Angelicae Sinensis are minister drugs for nourishing blood, promoting blood circulation and relieving pain;
(3) Radix Aucklandiae, Fructus Aurantii Immaturus, Pericarpium Citri Reticulatae Viride, Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis, and Areca catechu have the functions of regulating qi, eliminating dampness, regulating middle energizer and relieving pain, and talc has the functions of clearing heat and promoting diuresis, all of which are adjuvant drugs;
(4) Glycyrrhiza uralensis Fisch harmonizes various medicines to make medicines.
Efficacy:
Clearing heat and promoting diuresis, promoting blood circulation and resolving stagnation.
Application: It is used for dysentery caused by damp-heat in large intestine, with symptoms of pus and blood in stool, acute diarrhea, fever and abdominal pain.
04. Damp-heat syndrome of spleen and stomach
Symptoms and manifestations: abdominal distension, no appetite, aversion to greasy food, nausea and vomiting, heavy limbs, unpleasant or dry stool, foul smell, little yellow urine, bitter taste and dry mouth, which may be accompanied by fever, yellow face, thirst and other symptoms, red tongue and yellow greasy fur.
Common symptoms: chronic superficial gastritis, gastric ulcer, recurrent oral ulcer, etc.
Commonly used drugs: Xianglian Pill, Pingwei Powder, Huoxiang Qingwei Capsule, Weitongning Tablet, etc.
On behalf of drug interpretation:
Pingwei powder is composed of atractylodes rhizome, magnolia bark, tangerine peel, fried licorice root, ginger, jujube and so on.
Solution:
① Atractylodes rhizome is reused in the prescription to dry dampness and transport spleen, which is the monarch medicine;
(2) Magnolia Officinalis can help Atractylodes lancea strengthen the effect of eliminating dampness and regulate qi to eliminate abdominal distension and fullness, so it is a minister medicine;
③ Pericarpium Citri Tangerinae can promote qi and stomach, and magnolia officinalis can help promote qi and relieve fullness, and Atractylodes lancea can enhance the function of drying dampness and harmonizing middle energizer, which is an adjuvant medicine;
(4) Radix Glycyrrhizae Preparata harmonizes the medicinal properties to make medicine.
⑤ Ginger, jujube and stomach tonify spleen, and further strengthen the function of this prescription in harmonizing spleen and stomach.
Efficacy: dampness and spleen, qi and stomach.
Application: It can be used for abdominal distension, anorexia, tasteless mouth, nausea and vomiting, belching and acid swallowing, heavy limbs and other diseases caused by damp-heat of spleen and stomach, chronic gastritis, digestive tract dysfunction, gastric and duodenal ulcer and other diseases.