The significance of Xiaobuihu Decoction based on the syndrome and treatment of circular motion in ancient Chinese medicine

Recipe: 15g each of Bupleurum Huangling, summer ginger, ginseng and roasted grass; 30g jujube meat

< p>Clinical manifestations: Treat Shaoyang menstrual disease, alternation of cold and heat, bitter mouth, dizziness, deafness, dry throat, chest fullness, hypochondriac pain, silent loss of appetite, upset and vomiting. Pulse condition is weak and small.

The original prescription comes from Treatise on Febrile Diseases, and the specific provisions are in the appendix.

The syndrome differentiation of the six meridians in Treatise on Febrile Diseases are Taiyang Meridian, Yangming Meridian, Shaoyang Meridian, Taiyin Meridian, Shaoyin Meridian, and Jueyin Meridian.

The mainstream view in textbooks on Febrile Diseases is that syndromes of the Taiyang Meridian are superficial syndromes, and syndromes of the Taiyang Fu-organs are internal syndromes.

Ancient Chinese medicine of circular movement believes that the theory of febrile diseases can be understood as an orange, and the external syndrome is Yingwei external syndrome, just like orange peel, Taiyin Fu syndrome, Yangming Fu syndrome, Taiyin internal syndrome, Shaoyin syndrome The internal syndrome and Jueyin internal syndrome are orange petals, and the Shaoyang meridian syndrome is orange collaterals, neither on the outside nor on the inside, between half the outside and half inside.

This is a development of the theory of Febrile Diseases in circular movement ancient Chinese medicine.

There are three prescriptions for external evidence and five prescriptions for internal evidence. The specific prescriptions are discussed in the previous article. There are two prescriptions that are half external and half internal, namely Xiao Bupleurum Decoction and Da Bupleurum Decoction.

This article is dedicated to Xiaobuihu Decoction. Xiaochaihu Decoction is mainly used to reconcile Shaoyang. Reconciliation with Shaoyang means that one cannot release the outer surface and sweat, cannot warm the interior, and cannot attack the enemy, and can only adopt the method of reconciliation. The feeling of reconciliation means to reconcile.

The main clinical manifestations are some symptoms of the Shaoyang meridian. The Shaoyang meridian circulates on both sides of the body, so there will be swelling and pain in the flanks, headaches on both sides, and the Shaoyang gallbladder meridian, which is prone to oral cavity. Bitterness, dizziness, upset, vomiting, and inability to eat are described in scriptures as silent inability to eat. Pulse condition is weak and small.

Shaoyang syndrome also manifests as fever, aversion to cold, alternating cold and hot, and alternate cold and heat.

Use Xiaochaihu Decoction to relieve Shaoyang. Nowadays, the Chinese patent medicine Xiaobupleurum Granules can be used and the effect is quite good. This is the progress of modern society.

The Triple Burner Meridian of Hand Shaoyang and the Gallbladder Meridian of Foot Shaoyang. The Gallbladder Meridian runs from the head to the feet and mainly descends. The Triple Burner Meridian runs from the hand to the head and mainly ascends.

If the gallbladder meridian is disturbed, the triple energizer meridian will not rise and the gallbladder meridian will not descend. Therefore, Bupleurum is used to ascend the triple energizer meridian and Scutellaria baicalensis is used to descend the gallbladder meridian. When the triple burner meridian rises, the gallbladder meridian descends, and the circular motion returns to a circle, balance can be achieved.

Syndrome differentiation and treatment:

The Shaoyang Gallbladder Meridian is located in Rongwei, between the internal organs. A disease caused by this meridian is the discord between yin and yang. If you are gloomy, you will feel aversion to cold, and if you are yang-yin, you will have fever. The depression is not resolved, so cold and heat come and go.

The gallbladder meridian does not descend, and the element fire rises and reverses, resulting in bitter mouth, deafness, dizziness, and dry throat.

The gallbladder meridian runs from the head to the feet, behind the ears, under the chest, around the stomach, and along the flanks. The gallbladder meridian does not descend, so chest fullness, hypochondriac pain, inability to eat, upset and vomiting.

The fire trap is weak, so the pulse is weak and small. Wood fire is stagnant, so the pulse is stringy and rapid.

Prescription:

In this prescription, Bupleurum root ascends the triple burner meridian downward, and Scutellaria baicalensis descends the gallbladder meridian upward and reverses. The gallbladder meridian must be reversed if it goes against the stomach meridian, and pinellia meridian and ginger will reverse the stomach meridian. If fire is in reverse, the Qi and body fluid in the body will be damaged. Ginger, jujube, zhicao, and ginseng replenish qi and produce body fluid.

When fire is in reverse, the viscera and yin are prone to move, so it is important to use supplements to prevent the viscera and yin from moving. In this disease, the upper part is inverse and the lower part is depressed, and the middle part is deficient. This method is used to raise the sunken part on one side and reduce the inverse part on the other hand, and tonify the middle part to regulate the rising and falling part. This is the method of reconciliation.

Appendix:

1. Stroke on the 5th or 6th day of typhoid fever, alternating cold and heat, bitter fullness in the chest and side, silent lack of desire to eat, upset and vomiting, or trouble in the chest without vomiting, or thirst , or pain in the abdomen, or hardness under the flanks, or palpitations under the heart, difficulty in urination, or lack of thirst, slight fever in the body, or cough, Xiao Chaihu Decoction is the main treatment. (96)

2. When the blood is weak and the qi is exhausted, the interstitium is opened, the evil qi enters, fights with the righteous qi, and forms knots under the ribs. Good and evil are at odds with each other, there is a constant flow of cold and heat, there are periods of rest, and there is a silent lack of desire to eat or drink. The internal organs are connected, and the pain will come from them. The evil is high and painful, causing vomiting. Xiaochaihu Decoction is the master. After taking Bupleurum decoction, if the thirsty person is Yangming, treat it with the law. (97)

3. On the fifth or sixth day of typhoid fever, sweating on the head, slight aversion to cold, cold hands and feet, fullness in the heart, loss of appetite, hard stool, and thready pulse are symptoms of Yang micro-knot. There must be an exterior, but also an interior. A sinking pulse is also inside. Sweating is Yang Wei. If there is pure Yin knot, there will be no external evidence, and it will be inside, which is half inside and half outside. Although the pulse is heavy and tight, it does not indicate Shaoyin disease. Therefore, if there is no sweat in the Yin, and sweat is coming from the head now, it is not Shaoyin. Can be used with Xiao Bupleurum Decoction. If you can't fix it, you'll get shit. (148)

4. If the Taiyang disease subsides within ten days and the pulse is floating and thin and the patient is prone to sleeping, the disease has been cured externally. If the patient has chest fullness and hypochondriac pain, treat him with Xiao Bupleurum Decoction; if his pulse is floating, treat him with Mahuang Decoction. (37)

5. After six or seven days of illness, the pulse was slow and weak, aversion to wind and cold, and the hands and feet were warm. He was treated for two or three times. He was unable to eat and had full pain under his flanks. His face and body were yellow, and his neck was strong. For those who have difficulty urinating, taking Bupleurum Decoction will cause heavy urination afterwards. Those who are thirsty and vomit after drinking water, Bupleurum does not respond, and those who eat grains vomit. (98)

6. For those who have typhoid fever on the fourth or fifth day, with body heat, bad wind, strong neck, fullness under the ribs, warm hands and feet and thirst, Xiaochaihu Decoction is the treatment. (99)

7. Typhoid fever, astringent Yang pulse, stringy Yin pulse, severe pain in the abdomen. Take Xiaojianzhong Decoction first; if it is good, use Xiaobuihu Decoction. (100)

8. Typhoid fever and stroke have Bupleurum syndrome, but it is sufficient to see just one syndrome, and there is no need to fully identify it.

If the symptoms of Bupleurum decoction are not resolved, the patient will be treated with Bupleurum decoction again, and the symptoms will be subsided, but the fever will relapse and the patient will be relieved by sweating. (101)

9. If a woman has a stroke and continues to have cold and heat for seven to eight days, with occasional attacks and moderate menstrual flow, this is heat entering the blood chamber. The blood will stagnate, so the symptoms are like malaria, which sometimes attacks. Xiaochaihu Decoction can cure it. (144)

10. For Yangming disease, hot flashes, loose stools, urination, and chest and hypochondrium fullness that does not go away, Xiaochaihu Decoction should be used. (229)

11. For Yangming disease, hardness and fullness under the flanks, vomiting without defecation, and white coating on the tongue, Xiaochaihu Decoction can be used. The upper Jiao is cleared, the body fluid is released, the stomach Qi is harmonized, and the body is relaxed and relieved by sweating. (230)

12. Yangming stroke, stringy and large pulse, shortness of breath, fullness in the abdomen, pain under the ribs and in the heart, suffocation of breath due to long-term pressure, dry nose, no sweating, sleepiness, and all over the body. The eyes are yellow, it is difficult to urinate, there are hot flashes, frequent hiccups, swelling of the front and back of the ears, and small differences in thorns. For those who are unable to understand externally, who have been ill for ten days and have persistent and floating pulse, use Xiaobuihu Decoction. (231)

13. If the original Taiyang disease is incomprehensible and turns to Shaoyang, the lower side of the body will be hard and full, retching, inability to eat, and alternating cold and heat. For those who have not vomited and have a heavy and tight pulse, take Xiaobupleurum decoction. (266)

14. For those with fever due to vomiting, Xiaochaihu Decoction is suitable. (379)

15. After the typhoid fever is severe, the fever becomes more severe. Xiaochaihu Decoction is the main treatment. If the pulse is floating, use sweating to relieve it; if the pulse is heavy and solid, use the following methods to relieve it. (394)

16. People with yellow syndrome, abdominal pain and vomiting should take Bupleurum Decoction. ("Synopsis of the Golden Chamber? Combined Treatment of Jaundice, Pulse and Syndrome No. 15")

17. Question: Newly-pregnant women have three diseases. One is spasm, the other is depression and cold, and the third is difficulty in defecation. , what is it? ... If the stool is hard and the patient is vomiting and unable to eat, Xiao Bupleurum Decoction is the remedy.

("Synopsis of the Golden Chamber? Treatment of Postpartum Pulses and Pulses in Women No. 21")