Ten Methods of Ye Guozhi Treating Spleen and Stomach Diseases
Ye Guozhi studied the spleen and stomach in detail according to the theories of Neijing, Treatise on Febrile Diseases, Li Dongyuan and Ye, and got the essence of the spleen and stomach. He attaches great importance to the important role of the spleen and stomach in the human body, emphasizing that "the spleen is full of qi and water is everywhere", which is the sea of water valley, the source of qi and blood biochemistry and the foundation of the day after tomorrow. In treatment, Ye Laoji's 40 years of experience in syndrome differentiation and treatment of spleen and stomach diseases, thoughtful legislation, accurate prescription selection and flexible medication, often achieved remarkable results. Ten commonly used therapies for spleen and stomach diseases are introduced as follows according to their indications, pathogenesis analysis, prescription selection and medication. , for the reference of kindred spirits.
First, the bitter drop method
Indications:
Under the heart (upper abdomen), nausea and discomfort, loose belching, no appetite, vomiting, or diarrhea. The tongue coating is yellow and white.
Analysis:
The discomfort of fullness under the heart is due to the weakness of the spleen and stomach, which leads to the combination of cold and heat and the mixing of turbidity and turbidity; Hiccups make the qi machine smooth for a while, so the rascal is stuffy and comfortable; If the stomach qi does not drop and the turbid qi goes up, it will cause nausea and vomiting; The temper does not rise, the clear air sinks, and the bowel sounds diarrhea. The combination of cold and heat is the root of the disease; Burping, vomiting and diarrhea are the symptoms of this disease. Therefore, it is necessary to treat both the symptoms and root causes, both cold and heat, plan the method of relieving bitterness, and choose Banxia Xiexin Decoction from Treatise on Febrile Diseases. This prescription uses the bitterness of Scutellaria baicalensis Georgi and Coptidis Rhizoma to clear away heat and shrink the stomach. The pungent taste of dried ginger and Pinellia ternata is to open the spleen, which is to increase the spleen; Ginseng, grass and jujube are used to help the middle energizer, which means "pathogenic factors will weaken the qi". If the swelling is very close and the pain is faint, the products of licorice and jujube can be reduced, and Amomum villosum and Guangdong incense can be added to strengthen the spleen, regulate qi and relieve pain.
Second, the method of drying dampness and strengthening spleen
Indications:
Abdominal distension, loss of appetite, listlessness and weakness of limbs, unsmooth mouth, greasy food, belching or vomiting, or diarrhea, white and thick tongue coating and thready pulse.
Analysis:
Because of dampness and turbidity, spleen and yang are not transported, and qi activity is unfavorable, abdominal distension is full, eating is not considered, and limbs are lazy and weak; Hate greasy food, because it helps damp and phlegm, so it is difficult to enter; Wet and turbid, so the mouth is sticky and uncomfortable, and the tongue coating is white and thick; Belching, vomiting or diarrhea are caused by dysfunction of the spleen and stomach. The treatment method is dampness and spleen strengthening, and the prescription is Wei Ping Powder in Hejiju Prescription. In the prescription, Atractylodes lancea, Magnolia Officinalis, Chenpi, Qi and phlegm are eliminated, and licorice, ginger and jujube are in harmony. The prescription is called calming the stomach, but it actually treats the spleen, removes spleen dampness, and all diseases heal themselves. According to the above symptoms, Pogostemon rugosa and Eupatorium odoratum are commonly used in clinic to drive away filth with fragrance; Pinellia ternata and Poria cocos reduce the side effects by wetting. If accompanied by hypochondriac pain, it is "soil horizontal", and firewood, peony and Rhizoma Cyperi can be added to regulate the liver; If the mouth is bitter and the fur is yellow, it is damp and hot, and Qin can be added to clear away heat.
Third, the method of clearing heat and resolving phlegm
Indications:
I feel stuffy in my chest and hypochondrium, and feel pain and nausea when pressing, even spitting, yellow tongue coating and slippery pulse.
Analysis:
Chest hypochondriac fullness is caused by phlegm-heat interaction in upper abdomen, upper abdomen and even chest hypochondria. Phlegm heat block, qi stagnation, so pain; Phlegm blocks qi stagnation and the stomach loses harmony, so the symptoms are nausea and even vomiting and salivation; Yellow and slippery tongue coating and slippery pulse are all signs of phlegm heat. The main treatment is clearing away heat and resolving phlegm, and Tang Xiong, a fairy from Treatise on Febrile Diseases, is selected. In the prescription, Rhizoma Coptidis is bitter and cold to clear heat, Rhizoma Pinelliae is mild and stomach is expectorant, and Fructus Trichosanthis is sweet and cold to clear heat and expectorant. The compatibility of the three herbs makes it a product for clearing away heat and resolving phlegm, resolving food stagnation and resolving stagnation. Clinically, Bupleurum root can be added to clear away heat, Fructus Aurantii Immaturus can reduce turbidity, dried tangerine peel and bamboo shavings can clear away heat and stop vomiting, and the effect is better.
Fourth, the method of dispelling cold and regulating qi
Indications:
Stomach pain, fullness and discomfort of hypochondriac ribs, preference for warm pressure, relief of food pain, belching, white and smooth tongue coating and tight pulse.
Analysis:
Stomach pain and hypochondriac discomfort are caused by stagnation of stomach cold and stagnation of liver qi. Because there is cold in the stomach, when the sun is hot, it will be accessible, and the cold evil will dissipate. Therefore, if you like warm pressure and pain, you will feel less pain. Depression of the liver and belching lead to smooth qi movement, so the fullness of hypochondriac ribs is suspended. The method of dispelling cold and regulating qi was adopted, and Fu Liang Pill in "Axillary Tibetan Recipe" was selected as the modified prescription (namely Fu Liang Pill with Ramulus Cinnamomi, Radix Paeoniae Alba, Rhizoma Faxia, Pericarpium Citri Tangerinae and Radix Glycyrrhizae). In the prescription, ginger warms the middle and dispels cold, and Cyperus rotundus promotes qi and relieves pain; Adding cassia twig to promote yang, reusing Paeonia lactiflora, blending camp with roasted licorice, calming stomach and lowering adverse reactions. If the diet is extremely reduced, the body is emaciated, and the limbs are tired and weak, ginseng can be added to help make up for the deficiency of licorice.
News:
The main symptoms of hard purgation are fullness of stomach cavity, discomfort of obstruction and yellow and white tongue coating; Its pathogenesis is spleen and stomach weakness, abnormal ascending and descending, and entanglement of cold and heat. The main symptoms of the method of drying dampness and strengthening spleen are abdominal distension and thick and greasy tongue coating; Its pathogenesis is that the spleen is trapped by dampness and turbidity, which leads to unhealthy spleen. The method of clearing heat and resolving phlegm, the main symptoms of which are swelling and pain in the upper abdomen, upper abdomen, upper abdomen and chest and hypochondrium, and yellow and slippery tongue coating; Its pathogenesis is phlegm-heat internal resistance and stomach disharmony. The main symptoms of the method of dispelling cold and regulating qi are epigastric pain, warm pressure, tightness in chest and hypochondrium, and white and slippery tongue coating; Its pathogenesis is stomach cold coagulation, liver depression and qi stagnation. In short, due to the different clinical symptoms and pathogenesis, there are the above differences in treatment methods.
Five, Yiqi Shengyang method
Indications:
Abdominal fullness, pale mouth, loss of appetite, weakness of limbs, dizziness, pain of limbs, or aversion to cold, weak pulse and pale tongue.
Analysis:
The spleen is weak, and the clear yang does not rise, resulting in turbid yin not falling, so the abdomen is full and the dizziness is heavy; Spleen deficiency is endogenous damp evil, which flows into joints and blocks qi movement, so limb pain; Spleen governs taste and limbs. Due to spleen deficiency and dereliction of duty, the mouth is dull and boring, the appetite is poor, and the limbs are weak. If you hate cold at the same time, it is because the spleen and soil are weak and do not produce lung gold, which leads to insufficient lung qi and weakened external function; Weak pulse and pale tongue are symptoms of spleen deficiency and insufficient source of qi and blood. The treatment should be based on the method of invigorating qi and promoting yang, and the Shengyang Yiwei decoction in Li Dongyuan's spleen and stomach theory should be selected. Ginseng, astragalus, medicine and grass are used in the prescription to benefit it; Qiang, independence, firewood and defense are prosperous together; Second, Chen wants to drop it; Ling and Ze were infiltrated; Even Shao Zhiqing knows this. The choice of prescription is suitable for the rise and fall of spleen and stomach yin and yang. If the limbs are not painful or hot clinically, Notopterygium Rhizoma, Radix Angelicae Pubescentis and Rhizoma Coptidis can be removed.
Sixth, the method of invigorating spleen and regulating qi
Indications:
After a long illness, the stool is watery and mushy, several times a day, with poor appetite, mild abdominal pain, less pain after defecation, emaciation, sallow complexion, slightly thirsty mouth, pale tongue and weak pulse.
Analysis:
Diarrhea after a long illness, mushy, loss of appetite, abdominal distension (especially in the afternoon or evening), is caused by weak temper and weakened transport function; Shui Gu's subtle infiltration can't nourish his body because of his long illness and diarrhea, so his body is thin, sallow and thirsty. The treatment should be based on the method of invigorating spleen and regulating qi, and the prescription is Qiwei Baizhu Powder from Qian Yi's Guide to Pediatric Medical Syndrome. Fang, Shu, Ling and Spleen; Radix Aucklandiae and Herba Agastaches regulate qi; Pueraria lobata is added to promote yang qi and body fluid, thus restoring the transport function of spleen. Clinical application of this syndrome in the treatment of chronic diarrhea with spleen deficiency has obvious curative effect. If diarrhea is severe, Mume Fructus and terminalia chebulae can be added to relieve diarrhea by astringing the intestine; If there is mucus in the stool, you can take Xianglian pills to stop dysentery.
News:
Yiqi Shengyang method is characterized by full abdomen, loss of appetite and dizziness. The method of invigorating spleen and regulating qi is characterized by mild abdominal distension and pain, loss of appetite and diarrhea. Compared with the two, although they both belong to spleen deficiency, their pathological mechanisms are different. The former is spleen deficiency, and clearing yang does not rise, so strengthening spleen and benefiting qi and rising yang are the treatment; The latter is spleen deficiency, clearing qi and sinking, so the method of invigorating spleen and regulating qi and promoting fluid production is adopted.
Seven, Ganwen Yiqi method
Indications:
Loss of appetite, mental fatigue, shortness of breath and laziness, chills and spontaneous sweating, or fever, weak pulse, white or thin yellow tongue coating.
Analysis:
Due to the dysfunction of the stomach to control acceptance and the spleen to control transportation and transformation, the appetite is poor. Deficiency of spleen qi and insufficient biochemical sources of qi and blood, on the one hand, lead to deficiency of lung qi and weakened defense function against the outside world; On the other hand, it leads to the loss of vitality and excessive deficiency fire, so it is manifested as mental fatigue, shortness of breath, laziness, fear of cold, spontaneous sweating or fever, and weak pulse. The treatment was Buzhong Yiqi Decoction in Li Dongyuan's spleen and stomach theory. Its prescription means: due to the weakness of spleen and stomach and the lack of biochemical sources of lung qi, Astragalus membranaceus is the monarch, which can replenish lung and qi, help yang and consolidate exterior; Ginseng, Atractylodes macrocephala and Glycyrrhiza uralensis Fisch are the ministers who tonify the spleen and stomach. Angelica sinensis nourishes blood to prevent Atractylodes macrocephala from drying; Chenpi regulates qi to prevent stagnation of grass; Take the promotion of salary and promotion as an ambassador. The combination of these drugs can strengthen the spleen and stomach. Spleen yang rising, yin fire descending, heat retreating; When the vitality is sufficient, the reason will be solid and the cold will be removed. If accompanied by hypochondriac pain, Radix Paeoniae Alba and Rhizoma Cyperi can be added to regulate the liver.
Eight, Han Gan nourishing Yin method.
Indications:
Loss of appetite, dry mouth and throat, dry tongue with little or no coating, dry stool and rapid pulse.
Analysis:
The stomach belongs to dry soil, which mainly receives and nourishes vaginal fluid. Because of vomiting, diarrhea or excessive heat, the gastric juice is damaged, which leads to the loss of nutrition in the stomach, so it shows loss of appetite; Due to the deficiency of stomach yin, body fluid can't moisten the mouth and tongue, and the lower body can't moisten the intestines, so the upper body is dry and thirsty, the lower body tongue is dry with little or no moss, and the stool is dry. The treatment is mainly based on the method of nourishing yin with sweet cold, and the prescription is Yiwei decoction in Wu Jutong's Treatise on Febrile Diseases. The Radix Adenophorae, Radix Ophiopogonis and Rhizoma Polygonati Odorati in the prescription are all sweet, cold and yin-nourishing products, which are supplemented with Radix Rehmanniae to cool blood and rock sugar to nourish lung and yin. The compatibility of various drugs has become an important prescription for benefiting stomach and promoting fluid production. In clinical application, Dendrobium candidum and raw rice buds can also be added to enhance the efficacy of nourishing yin and regulating stomach. If accompanied by vomiting, Pinellia ternata can be added to reduce vomiting.
News:
Anorexia is the main symptom of two methods, which are warm and nourishing qi and cold and nourishing yin. The difference between the two is that one is mental fatigue, less gas and lazy words; First, dry mouth and throat, dry tongue and less fur. The former is located in the spleen, and the pathogenesis is that clearing yang does not rise, so it is treated by warming and tonifying qi; The latter is located in the stomach, and the pathogenesis is yin deficiency, so the method of nourishing yin with sweet cold is used.
Nine, promoting blood circulation and relieving pain
Indications:
The pain in the upper abdomen is severe, with mild swelling pain, and the pain is fixed, but it is relieved when gently rubbed, and then it is painful on time, with frequent belching, or there are petechiae on the tongue edge and unsmooth pulse.
Analysis:
Swelling is heavier than pain, and the disease is biased towards qi; Pain is heavier than abdominal distension, and the disease is partial to blood. Blood stasis is tangible but not moving, so the pain has a fixed point, and then it hurts; Depressed qi is invisible and easy to disperse, and it is comfortable to rub gently. This is blood stasis and qi stagnation, and the treatment should be promoting blood circulation and relieving pain, and adding and subtracting Shixiao Powder of Hejiju recipe. This prescription was originally designed for women with irregular menstruation due to blood stasis or postpartum blood stasis stagnation. However, in clinical application, adding Radix Angelicae Sinensis and Radix Paeoniae Alba to nourish blood and regulate nutrition, and adding Radix Curcumae and Rhizoma Cyperi to regulate qi have a good effect on stomachache with blood stasis and qi stagnation. If the tongue coating is white and slippery with cold symptoms, dried ginger and cinnamon can be added to dispel the cold; Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis can be added for clearing away heat if the tongue coating is yellow and hot.
Ten, warm spleen hemostasis method
Indications:
Abdominal pain, hot compress, bloody stool, colored paint, tepid limbs, pale or sallow complexion, dizziness, palpitation, pale tongue, thin white fur and weak pulse.
Analysis:
The stomach is the fu-organ with excessive qi and blood, and the spleen is the organ that controls blood. Spleen deficiency is cold, so blood oozes from the stool (that is, far blood mentioned in synopsis of the golden chamber), and the color is black as glue paint. Due to excessive blood loss, blood deficiency can not be proud of the head and raised in the heart, so the face is pale and dizzy. Abdominal pain, hot compress, tepid limbs, pale tongue and heavy pulse are all manifestations of spleen and stomach deficiency and cold. Huang Tu Decoction from Synopsis of the Golden Chamber should be selected for the treatment of warming the spleen and stopping bleeding. The prescription uses the yellow soil in the focus to warm the spleen to stop bleeding, and cooperates with the operation to restore the qi of healthy movement and ascending and descending; Colla Corii Asini, Radix Rehmanniae, and Radix Glycyrrhizae Preparata nourish blood and nourish yin to make up for their consumed blood; Combined with the bitter cold of Scutellaria baicalensis Georgi, supplemented by manipulation and pungent warming. Because of its strict prescription, proper compatibility, combination of rigidity and softness, warming yang without hurting yin and nourishing yin without hurting yang, it is called "master of warming classics" in synopsis of golden chamber.
News:
The method of promoting blood circulation and relieving pain, the main symptom is pain with fixed points and refusal to press, and the pathogenesis is blood stasis and qi stagnation; Warming the spleen to stop bleeding, its main symptoms are abdominal pain, like hot compress, bloody stool like glue, and the pathogenesis is spleen deficiency and cold, which is out of control. Although they all belong to hematological diseases, the treatment methods are different due to the difference of deficiency and excess.
Ten methods commonly used by Ye Lao to treat spleen and stomach diseases are mainly used for internal injuries and miscellaneous diseases. As for the syndrome of excess heat in gastrointestinal tract caused by exogenous factors, it is another matter. The prescriptions selected after each treatment are typical examples, and the clinical fashion can be flexibly changed according to law, not rigid. Drug addition and subtraction is a summary of Ye Lao's long-term clinical practice. Elymus believes that Fang is dead and the disease is alive, and killing Fang cannot cure the living disease. Therefore, all doctors should be principled and flexible when treating diseases. As Bing Wang, a doctor in the Tang Dynasty, said, "If you get the secret, you will achieve great success, and if you use it shallowly, you will achieve great success." That's the reason.
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