Exogenous internal injury affects the normal function of zang-fu organs and meridians, which can lead to qi stagnation of zang-fu organs and meridians; Or deficiency of qi and blood, loss of warming yang, abdominal pain.
The main points of syndrome differentiation are generally based on the location of abdominal pain. If there is abdominal pain, it is mostly a disease of the spleen and stomach, large intestine and small intestine; Hepatobiliary diseases, mostly in the right upper abdomen; For patients with less abdominal pain in the lower abdomen, their diseases are mostly in the lesions of the large intestine or Jueyin liver meridian. As far as the nature of abdominal pain is concerned, those with tangible pain are often food accumulation, insect accumulation and blood stasis; Invisible pain is often cold and heat deficiency pain.
The viscera involved in abdominal pain are mostly six viscera, and the treatment is mainly to regulate qi and dredge collaterals, that is, to pass the law. According to the different nature of abdominal pain, the methods of warming and dispersing, pathogenic heat, attacking toxin, promoting digestion, activating qi, promoting blood circulation, activating spleen, and relieving anxiety were adopted respectively, so as to make the viscera and meridians move smoothly and achieve the purpose of relieving pain.
Treatment 1. Symptoms of abdominal pain due to stagnation of cold syndrome: abdominal pain, paroxysmal, warm pain, severe cold pain, bowel sounds or vomiting and diarrhea. Cold sweat on the forehead, pale face, dark lips, cold hands and feet, red tongue, white greasy fur, heavy pulse and tight strings, and blue handprints. For those with abdominal pain due to cold coagulation and qi stagnation, Zhengqi Tianxiang Powder is used; For patients with acute cold and abdominal pain, Danggui Sini decoction and Evodia rutaecarpa ginger decoction are added. Fang Yi Zhengqi Tianxiang Powder consists of 6g of Lindera root, 2g of Rhizoma Cyperi12g, 3g of dried ginger, 3g of perilla leaf and 3g of dried tangerine peel.
Efficacy in the air, regulating menstruation and relieving pain.
Usage: decoct with water, one dose per day.
Fang Wu Jie medicine soothes the liver and relieves depression, promotes qi and relieves pain; Rhizoma Cyperi soothes the liver, regulates qi, regulates menstruation and relieves pain; Chenpi and perilla regulate qi and strengthen the spleen, with wide qi; Dried ginger warms the middle and dispels the cold.
Pollen Typhae and Oletum Trogopterori are added for patients with blood stasis; For patients with cold, Evodia rutaecarpa and fennel are added. The second prescription of Treatise on Febrile Diseases, Danggui Sini Decoction and Evodia rutaecarpa Ginger Decoction, consists of Danggui 12g, Ramulus Cinnamomi 9g, Radix Paeoniae Alba 9g, Asari 3g, Evodia rutaecarpa 10g, ginger 15g, jujube 8g, medulla tetrapanacis 6g and Radix Glycyrrhizae preparata 6g.
Efficacy: Warming channels to dispel cold, lowering adverse flow and stopping vomiting.
Usage: decoct with water, one dose per day.
Evodia rutaecarpa prescription for warming stomach and stopping vomiting: warm and cool stomach and dispel cold, cassia twig, asarum herb and medulla tetrapanacis warm meridians and dredge veins, and warm and dispel cold evil; Angelica sinensis and Radix Paeoniae Alba enrich blood and nourish blood. Ginseng spleen and qi; Radix Glycyrrhizae Preparata and Fructus Jujubae invigorate qi and spleen, and harmonize various medicines.
According to the statement, this prescription is mainly used for blood deficiency and cold coagulation with chronic cold syndrome. This prescription should not be used for damp-heat arthralgia.
2. The symptoms of dyspeptic abdominal pain syndrome are abdominal distension, pain refusing to press, not thinking about breast-feeding, eating sour food, or abdominal pain wanting to diarrhea. After diarrhea, the pain is relieved, vomiting, acid regurgitation, restless night sleep, sometimes crying, thick and greasy fur, heavy and slippery pulse and purple fingerprints. If the food stays still and there is no fever, use fragrant sand Wei Ping powder; For the symptoms of heat accumulation, constipation and obstruction of fu organs, Zhishi Daozhi Pill is used; Fang Yi Xiangsha Wei Ping Powder consists of Rhizoma Atractylodis 15g, Radix Aucklandiae 9g, Fructus Amomi 9g, Cortex Magnolia Officinalis 9g, Pericarpium Citri Tangerinae 9g, Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens and Fructus Jujubae 4g (the last two medicines are decocted and added).
Efficacy: invigorating spleen and eliminating dampness, promoting qi circulation and stopping vomiting.
Usage * * * is coarse powder, 6-9 grams each time, 9 grams of ginger and 2 pieces of jujube. Or made into decoction and decocted in water.
Fang Jie Muxiang promotes qi and relieves pain; Amomum villosum can dispel dampness and promote qi circulation, stop vomiting and stop diarrhea by warming; Atractylodes lancea is bitter in taste, warm in nature and dry in nature, and it is the best to remove dampness and transport spleen; Magnolia officinalis is fragrant and moistens dryness, promotes qi circulation and reduces bloating; Pericarpium Citri Tangerinae regulates qi and stomach to awaken spleen with fragrance; Stir-fried licorice Blend all the drugs.
According to the statement, the tongue coating is yellow and greasy, the mouth is bitter and the throat is dry, but not thirsty. Coptidis Rhizoma and Scutellariae Radix are added in case of damp heat; Damp diarrhea, plus Poria and Alisma orientalis; For food stagnation, abdominal distension and constipation, Semen Raphani, Pericarpium Arecae and Fructus Aurantii can be added.
Usage: decoct in water. A daily dose of Erzhishi Daozhi Pill consists of 30g of rhubarb, 0g of Fructus Aurantii Immaturus15g, 0g of Massa Medicata Fermentata15g, 9g of Poria, 9g of Coptidis Rhizoma, 9g of Atractylodis Macrocephalae, 9g of Scutellariae Radix and 6g of Alismatis Rhizoma.
Efficacy: clearing away heat, dredging fu organs, and inducing downward stagnation.
Usage: decoct with water, one dose per day.
In the prescription, Fructus Aurantii Immaturus is used to break qi, guide stagnation, eliminate food accumulation and relieve bloating; Rhubarb works to guide stagnation, clearing heat and purging fire; Flexion, digestion and spleen strengthening; Scutellaria baicalensis Georgi and Coptis chinensis can clear away heat and dry dampness; Poria cocos and Alisma orientalis ooze moisture to stop diarrhea; Atractylodes macrocephala strengthens the spleen and eliminates dampness, which can not only eliminate dampness and evil, but also make the whole prescription play its role without hurting vital qi.
According to the statement, this prescription is characterized by abdominal distension and pain, abnormal stool, yellow and greasy fur and strong pulse. For patients with severe abdominal distension, Radix Aucklandiae and Semen Arecae are added; For patients with severe heat toxicity, Flos Lonicerae and Radix Pulsatillae are added; And vomiting, plus Zhu Ru.
3. The symptom of abdominal pain caused by insect accumulation is abdominal pain around navel, which stops and stops, and the pain is relieved if it is rubbed. When the pain occurs, the saliva is clear, the diet is not thought, and the spirit is exhausted. When it doesn't hurt, eat and play as usual; Or sudden epigastric pain, bent back, tossing and turning, nausea and vomiting, cold sweat in limbs, and heavy pulse. Fang Yi Wu Mei Pill is from Treatise on Febrile Diseases, which consists of 480g of ebony coptis root, 300g of dried ginger, 0/80g of asarum herb/kloc-,0/80g of aconite root/kloc-,0/80g of cassia twig/kloc-,0/80g of phellodendron bark/kloc-and 0/80g of ginseng/kloc-.
Efficacy: tranquilizing mind, relieving pain and expelling contraction.
Usage: Soak Mume in vinegar overnight, remove the core and mash, mix with the rest, dry in the sun or dry in the sun, grind into powder, and add honey to make pills. Each capsule weighs 9g, each time 1 capsule, once a day 1 ~ 3 times, and is taken with warm water on an empty stomach. It can also be decocted in water, and the dosage is decreased according to the original proportion.
In the prescription, ebony acid is used to relieve pain; Asarum, Sichuan pepper, spicy medicine, used to suppress phlegm, warm viscera and dispel cold; Coptidis Rhizoma and Cortex Phellodendri are bitter to Shimonoseki, clearing stomach heat; Dried ginger, aconite and cassia twig can not only help them warm and tonify viscera and dispel cold, but also stimulate them to control contraction; Ginseng and angelica tonify qi and blood, strengthen the body resistance, nourish blood and dredge veins with Guizhi, harmonize yin and yang, and relieve limb syncope; In the process of soothing honey and sweetness, all kinds of drugs are combined, cold and heat are treated together, and both evil and healthy are taken into account. * * * plays the role of warming and nourishing viscera, clearing away heat, calming phlegm and relieving pain.
According to the statement, the medicine is characterized by ascariasis, abdominal pain, boredom and vomiting, frequent spontaneous vomiting and cold hands and feet. For those with excessive heat, remove Radix Aconiti Lateralis, Rhizoma Zingiberis and Ramulus Cinnamomi; Coptidis Rhizoma and Cortex Phellodendri are reduced for patients with severe cold; For patients with severe abdominal pain, Radix Aucklandiae and Fructus Toosendan are added to promote qi circulation and relieve pain; Those who are healthy and healthy can go to ginseng and angelica. This side is mainly anthrax, and its insecticidal power is weak. You can add gentleman, betel nut, etc. So as to enhance the insecticidal effect. Fangchexiachong Pill consists of neem root bark150g, white Wuyi150g, gentleman150g, ticks150g, areca nut150g, angelica sinensis120g, etc.
Efficacy: anthelmintic, astringent and analgesic.
Usage: decoct with water, one dose per day.
The formula of dissolving neem root bark, white grass, gentleman, crane louse and betel nut has insecticidal effect; Angelica supplements qi and blood and helps healthy qi; Rhubarb excretes work products; Honey is softening.
It is said that if the abdominal pain is severe and accompanied by vomiting, it should be relieved first, then let the insects sleep, stop vomiting, and then relieve the abdominal pain. When the worm is sour, it will be safe, when it is spicy, it will be weak, and when it is bitter, it will go down. Therefore, the way to relieve pain should be both bitter and sour. In addition to using large doses of insecticides, the prescription of insect repellent should be light to facilitate defecation and insect repellent. 4. Symptoms of excess heat abdominal pain include abdominal pain, abdominal distension, pain refusing to press, hot flashes, constipation, dysphoria and thirst, fever in hands and feet, red lips and tongue, Huang Gan fur, slippery or heavy pulse, and purple fingerprints. Fang Yi Dachengqi Decoction comes from Treatise on Febrile Diseases and consists of rhubarb 12g, mirabilite 9g, immature bitter orange 12g and magnolia officinalis 15g.
It has the effects of clearing away fu-organs, purging heat, promoting qi circulation and relieving pain.
Usage: decoct with water, one dose per day.
In the prescription, rhubarb purges heat to relieve constipation and clear stomach; Glauber's salt helps rhubarb clear heat and relieve constipation, and can soften and moisten dryness; Magnolia Officinalis and Fructus Aurantii Immaturus promote qi circulation to dissipate stagnation, eliminate swelling and fullness, and help nitrate yellow to push stagnation; The combination of these four drugs, * * * plays a serious role in heat depression.
According to the remarks, this prescription is mainly characterized by fullness, dryness, fullness, yellow fur and solid pulse; For patients with qi deficiency, ginseng is added; Radix Scrophulariae and Radix Rehmanniae are added for patients with yin deficiency and body fluid deficiency; For treating acute necrotizing enteritis, Radix Scutellariae, Fructus Gardeniae, Radix Sangusorbae, Flos Sophorae Immaturus and Radix Pulsatillae are added; To treat acute pancreatitis, remove Cortex Magnolia Officinalis, and add Fructus Crataegi, Caulis Sargentodoxae, and Herba Patriniae. Fangerzengye Chengqi Decoction consists of 9 grams of rhubarb, 30 grams of Scrophularia, 24 grams of Ophiopogon japonicus, 24 grams of Rehmannia glutinosa and 5 grams of mirabilite.
Efficacy: promoting fluid production and nourishing fluid, clearing fu-organs and purging heat.
Usage: decoct with water, one dose per day.
Radix Scrophulariae, Radix Ophiopogonis and Radix Rehmanniae in the prescription can nourish yin and promote fluid production, moisten dryness and smooth intestines; Glauber's salt and rhubarb are soft, hard and dry, purging heat and relaxing bowels; The combination of the two groups of drugs can restore vaginal fluid, accumulate heat, treat both healthy and evil, and achieve the effect of nourishing yin.
According to the remarks, due to the loss of liver and gallbladder, hot abdominal pain actually occurred, and Dachaihu decoction was used.
5. Symptoms of abdominal pain due to qi stagnation include abdominal distension, sudden attack, pain on both sides, or abdominal pain, which is relieved by belching or upper qi, with pale tongue, thin fur, thin pulse and light fingerprints. If liver qi is not sparse, it is advisable to guide qi to disperse; For patients with qi stagnation in small intestine, five kinds of medicines should be taken by grinding. Wuyinmozi, an ant-preventing agent, comes from Fang Yi Ji Jie and consists of areca nut10g, Linderae root10g, Fructus Aurantii 6g, Radix Aucklandiae 6g and Aquilariae Resinatum 6g.
Has the effects of moistening intestine, relaxing bowels, regulating qi and relieving pain.
The usage of the above five flavors is thick ground with a small amount of white wine, and then mixed with boiling water.
In the prescription, betel nut can promote qi to break stagnation, dispel dampness and disperse stagnation; Lindera herb soothes the liver, regulates qi and relieves depression; Radix Aucklandiae, Lignum Aquilariae Resinatum, regulating middle energizer, relieving pain, lowering adverse qi and relieving asthma; Fructus Aurantii has a wide circulation of qi, which can relieve abdominal distension.
According to the statement, for patients with constipation, belching, abdominal distension or pain, Fructus Aurantii Immaturus and Radix et Rhizoma Rhei are added; Perilla frutescens, Radix Peucedani, Cortex Cinnamomi and Radix Angelicae Sinensis can be added when symptoms appear in patients with bronchial asthma. Fangerdaoqi Decoction consists of 3 grams of Evodia rutaecarpa, 0/2 grams of Toosendan Fructus/kloc-,9 grams of Radix Aucklandiae and 6 grams of Fructus Foeniculi.
Efficacy: promoting qi and soothing the liver, dispelling cold and relieving pain.
Usage: decoct with water, one dose per day.
Fang Jie Evodia rutaecarpa dispels cold and relieves pain, warms up and stops vomiting; Fragrant products of Radix Aucklandiae and Fructus Foeniculi, promoting qi and soothing the liver; Effect of Fructus Toosendan on promoting qi circulation, dispersing stagnation and relieving pain.
If it is cold, add cinnamon; For patients with blood stasis, peach kernel and safflower are added.
6. Symptoms of Blood Stasis Abdominal Pain Syndrome: Abdominal pain is persistent, the pain is limited, the pain is like acupuncture, or the abdominal mass refuses to be pressed, the abdominal distension is hard, the veins are exposed, the tongue is dark or petechiae, and the pulse is astringent. Fang Shaoyi and Zhu Fuyu Decoction originated from Yi Lin Gai CuO, and consists of fennel, dried ginger, corydalis tuber, Ligusticum Chuanxiong, cinnamon and myrrh, 9 grams of Angelica sinensis and Pollen Typhae, and 6 grams of fried Trogopterori.
Efficacy: promoting blood circulation, removing blood stasis, activating qi and dredging collaterals.
Usage: decoct with water, one dose per day.
Angelica sinensis, Radix Paeoniae Rubra and Rhizoma Chuanxiong are used for promoting blood circulation, removing blood stasis and relieving pain. Fennel, ginger and cinnamon have the functions of warming, dispelling cold and relieving pain; Pollen Typhae, Oletum Trogopterori and Myrrha promote blood circulation, remove blood stasis and relieve pain; Corydalis yanhusuo promotes qi and blood circulation.
Atractylodes macrocephala, Codonopsis pilosula and Astragalus membranaceus are added for patients with qi deficiency. Blood heat; Adding Cortex Moutan, Folium Platycladi and Radix Rehmanniae; Radix Rehmanniae Preparata, Radix Dipsaci and Semen Cuscutae are added for patients with kidney deficiency; Rhizoma Sparganii and Rhizoma Curcumae are added for qi stagnation and blood stasis.
7. Deficiency-cold abdominal pain syndrome: The symptoms of abdominal pain are continuous and intermittent, with pain and warm pressure, pale complexion, listlessness, cold hands and feet, less food, or loose stool after eating, pale lips and tongue, heavy and thin pulse and reddish fingerprints.
Fang Yi ① Xiaojianzhong Decoction ② Lizhong Decoction Source ① Treatise on Febrile Diseases ② Treatise on Febrile Diseases consists of 9g of Ramulus Cinnamomi, 8g of Radix Paeoniae Alba18g, 6g of Glycyrrhrizae Radix, 30g of maltose, 9g of ginger, 4g of jujube, 9g of ginseng, 9g of Atractylodes macrocephala and 9g of dried ginger.
Efficacy: warming middle warmer, tonifying deficiency and relieving pain.
Usage: decoct with water, one dose per day.
Fang Jie Jiang Gan and Guizhi warm the middle and dispel the cold; Ginseng, Atractylodes macrocephala, dampness and spleen, spleen and qi; Caramel is warm and urgent; It is urgent for Paeonia lactiflora to nourish yin; Radix Glycyrrhizae Preparata strengthens spleen and qi, and harmonizes various medicines; Ginger and jujube warm the stomach and strengthen the spleen.
Radix Aconiti Lateralis Preparata and Cortex Cinnamomi are added for patients with obvious deficiency of qi and blood; For patients with pain, vomiting and salivation, Flos Caryophylli and Fructus Evodiae are added; Abdominal pain due to spleen deficiency and qi stagnation is treated with fragrant sand and Liu Jun decoction of Magnolia officinalis, rice bud, hawthorn and Endothelium Corneum Gigeriae Galli.