Atractylodes macrocephala is bitter, sweet and warm. Spleen and stomach meridian.

Efficacy can invigorate qi and spleen, eliminate dampness and promote diuresis, stop sweating and prevent miscarriage. It is one of the "four gentlemen" of traditional Chinese medicine, and is praised by doctors as an important medicine for invigorating the spleen and treating phlegm edema.

It is often used for the treatment of spleen deficiency, anorexia, abdominal distension and diarrhea, phlegm, dizziness, edema, spontaneous sweating, fetal movement and other syndromes.

Summary of famous works:

Classic: "(Atractylodes macrocephala and Atractylodes macrocephala are not included in this classic) governs cold and dampness, paralyzes muscles, spasms and jaundice, stops sweating and removes heat, and helps digestion."

"Bielu": "Effective phlegm and water, in addition to skin swelling due to wind and water, warm stomach and eliminate food addiction."

"Pearl Capsule": "Removing dampness and benefiting qi, tonifying the middle energizer and yang, eliminating phlegm and expelling water, promoting fluid production to quench thirst, stopping diarrhea and swelling of the tibia."

"Compendium of Materia Medica": "Spleen hates dampness, and when dampness prevails, qi can't be transformed. How can body fluid be born? Therefore: Bladder is the house of body fluid, and gasification can lead to stagnation. If you use Atractylodes macrocephala to remove its dampness, you will be angry and fluid will be born. "

"Ben Jing Feng Yuan": "Atractylodes macrocephala has the functions of eliminating dampness and benefiting dryness, eliminating phlegm and promoting diuresis, treating arthralgia due to wind-cold-dampness, muscle spasm and jaundice, dispersing blood between waist and umbilicus, and flushing pulse, which is a disease and is urgent in the interior; When cooked, it has the effects of invigorating qi, quenching thirst and promoting fluid production, stopping sweating and removing heat, entering diet and preventing miscarriage. "

"Changsha Medicinal Solution": "Atractylodes macrocephala can tonify the middle energizer, quench thirst and promote fluid production, benefit the spleen essence, nourish the stomach qi, reduce turbid yin and enter the diet, stop vomiting, clear yang and eliminate Shui Gu, and can cure and drain benefits."

"Compendium of Materia Medica": "Nourishing blood and invigorating qi. Without sweat, you can send it, and with sweat, you can stop it. Drying dampness can facilitate urination, produce body fluid, stop diarrhea, eliminate phlegm and edema, and jaundice and dampness. Replenishing the spleen can help people to enter the diet, dispel fatigue, stop muscle fever and eliminate addiction. And then you can vomit, stop the pain and prevent miscarriage. "

"Medical Enthusiasm in the West": "Good spleen and stomach, effective phlegm and water, stop diarrhea. Treat spleen deficiency for bloating, spleen dampness for thirst, spleen weakness for limb movement weakness, or even pain. "

Second, compatibility and application

1. It is used for syndromes such as anorexia, loose stool, abdominal distension, lassitude and weakness caused by spleen-qi weakness and abnormal transportation. Atractylodes macrocephala is an important medicine for invigorating qi and spleen. For patients with spleen-qi weakness, physical weakness and fatigue, it is often combined with ginseng, poria cocos and licorice, that is, Sijunzi decoction, a prescription for tonifying deficiency. Based on Sijunzi Decoction, it is the basis of tonifying deficiency and many prescriptions, and it is one of the most commonly used prescriptions in clinical medicine, which should be mastered emphatically.

Sijunzi decoction seems to have a simple prescription, but in fact it contains the principle that "strengthening the body resistance and consolidating the foundation is the key to cure all diseases". It has been recorded many times in the medical records of the Japanese classical prescription Otsuka that Sijunzi decoction is flavored for patients to take for a long time, and many cases of debilitating and seriously ill patients have been cured.

For spleen and stomach deficiency and cold, epigastric cold pain and diarrhea, it is often combined with Dangshen, dried ginger, fried licorice, etc., that is, Lizhong Decoction. In Peng Ziyi's "axle wheel theory", Lizhongtang is the basic side of the method of "transporting the wheel by axle" and the first side to protect the day after tomorrow.

For diarrhea due to spleen deficiency and deficiency of both spleen and lung, Ginseng, Poria and Pericarpium Citri Tangerinae are often combined, namely Shenling Baizhu Powder and Qiwei Baizhu Powder. It is the representative of "cultivating the soil to generate gold" and is worth learning.

If spleen deficiency is treated with stagnation, loss of appetite and abdominal fullness, the method of attacking and reinforcing can be used to strengthen the spleen with Atractylodes macrocephala and cooperate with Fructus Aurantii Immaturus to eliminate fullness, that is, Fructus Aurantii Pill.

2. It is used for spleen deficiency, stagnation of water and dampness, phlegm and edema. Atractylodes macrocephala can invigorate qi and spleen, and it can also dry dampness and promote diuresis, which is an important medicine for treating phlegm edema. Guizhi, Poria and Glycyrrhrizae Radix are often combined to treat various water vapor diseases, namely Linggui Shugan Decoction.

In addition, there are many classic prescriptions, such as Wuling powder, Zhenwu decoction, Fuzi decoction and Alisma decoction, all of which adopt the method of "cultivating soil to make water" to treat all kinds of phlegm and edema, which must be mastered.

3. It is used for the syndrome of spleen deficiency and weak qi, exterior deficiency and spontaneous sweating. Atractylodes macrocephala can replenish qi and spleen, and has the effect of consolidating exterior and stopping sweating. It is usually combined with Astragalus and Saposhnikovia divaricata, namely Yupingfeng Powder, to treat spontaneous sweating due to exterior deficiency and qi failing to converge on yin. In the prescription of Quan Xiao Xin Jian, Astragalus membranaceus and floating wheat are combined to treat asthenic sweating.

4. It is used for the syndrome of spleen deficiency and weak qi in pregnancy and uneasy fetal qi. Atractylodes macrocephala can invigorate qi and strengthen the spleen, and has the function of preventing miscarriage. To treat fetal movement restlessness, if there is internal heat, Scutellaria baicalensis Georgi is often used to clear away heat and prevent miscarriage; For patients with qi stagnation, chest distension and fullness, they are often combined with qi-regulating drugs such as Su Geng, Amomum villosum and Chenpi. For those with deficiency of qi and weakness of qi, they are often combined with tonics such as Codonopsis pilosula, Poria cocos and Radix Glycyrrhizae Preparata. If the patient is dizzy and flustered due to blood deficiency, he is often combined with blood tonic drugs such as Radix Rehmanniae Preparata, Radix Angelicae Sinensis and Radix Paeoniae Alba. If the fetus is unstable, backache and abdominal pain, it is often combined with liver and kidney tonics such as Eucommia ulmoides, Dipsacus asperoides and Ejiao to strengthen the fetus.

Iii. Usage and dosage

Atractylodes macrocephala is often used as decoction or as pill powder. The amount of decoction used is more than ten grams. If it is the main medicine in the prescription, it can also be used to dozens of grams or even larger doses.

The effect of raw Atractylodes macrocephala is also related to the dosage. With more than ten grams, it has the function of strengthening the spleen and stopping diarrhea. If it is used in large doses, it can promote defecation.

It is generally believed that it is suitable for drying dampness and promoting diuresis, for invigorating qi and invigorating spleen and for frying, and for invigorating spleen and stopping diarrhea.

Fourth, the application of attention

Atractylodes macrocephala is easy to damage yin, so it is only suitable for the disease of dampness in middle energizer, and it is not suitable for those with yin deficiency and internal heat or body fluid deficiency and polydipsia.

Huang Yuanyu said, "Atractylodes macrocephala is quite stagnant, so it should be supplemented by products that are beneficial to people. If the lung and stomach don't open, add ginger and Pinellia to drive away turbidity, but the liver and spleen don't reach. Add Amomum villosum and Ramulus Cinnamomi to dispel depression and make them rotate and supplement, which will be beautiful and good without harm. "

Wang Angyan: "Atractylodes macrocephala is forbidden for those with blood dryness and no dampness. It can cause pus and pain, and ulcers should be avoided. "

-notes on actual combat of traditional Chinese medicine: 2 1. 1. 10 revised in the afternoon.

# Practical Notes of Traditional Chinese Medicine #