1 Etiology
The formation of damp-heat syndrome of the spleen and stomach is due to a variety of etiologic factors, but the functional state of the spleen and stomach is the determining factor. Weakness of the spleen and stomach, can not be normal transportation of grain water, water is wet, grain is stagnant, wet and stagnant for a long time will be transformed into heat, the formation of dampness and heat; at the same time, a variety of disease factors can easily be triggered by the dysfunction of the spleen and stomach and the birth of dampness and heat. Therefore, there are three causes:
1. Feeling the external evil
Because of the physiological characteristics of the spleen and stomach, dampness and dryness are easy to invade the spleen and stomach. The spleen for the wet earth, for the "wet area", wet evil is most likely to hurt the spleen; stomach for the dry earth, like wet evil dry easy to suffer from dry disease, dry for the yang heat of the evil, dry even hot, stomach heat spleen wet combination of wet that is hot and humid. The combination of stomach heat, spleen heat and dampness is dampness-heat. Other external evils such as wind-heat, in the case of spleen deficiency and internal dampness, wind-heat and internal dampness will also become dampness-heat. As Xue Sheng Bai said, "The sun is injured internally, the dampness and drink stop gathering, the guest evil again, the internal and external attraction, so the disease of dampness and heat." At the same time, the external evils offending lungs, chest tightness and coughing, air lifting and lowering of dysfunction, and can injure the weak spleen and stomach, resulting in dampness from the internal birth of the depression and heat, the formation of dampness-heat.
2. Uncontrolled diet
Uncontrolled diet is the most common cause of injury to the spleen and stomach. "If you eat and drink too much, your spleen and stomach will be hurt". Alcoholism, oversatiety, overeating and unclean diet, irregular diet are easy to hurt the spleen and stomach, causing food stagnation, dampness, stagnation of qi, etc., and food stagnation, dampness, stagnation of qi for a long time can be transformed into heat. Alcohol itself is "gas heat and quality wet", gas stagnation is also an important factor in the stagnation of water and dampness, fat, sweet and thick flavors are very wet and hot properties, it can be seen that a number of dietary irregularities can be the cause of the formation of dampness and heat of the spleen and stomach certificate, the stomach is like to moisten the evil dryness, but the formation of dampness and heat of the spleen and stomach and the stomach also has a direct relationship. Food first by the stomach, clinical often first see the symptoms of gastrointestinal disorders such as gastric epigastric plumpness, dull, nausea. Spleen and stomach *** for the middle of the earth, physiological coordination and cooperation, *** with the completion of the function, pathology, each other, so the relationship between dampness and heat and the stomach is inseparable, it is called the spleen and stomach damp-heat certificate.
3. Emotional factors
"Spleen in the Zhi for thought", "thought of the gas knot". Zhang Jingyue once said: "but bitter thoughts are difficult to release the spleen". Excessive thinking, emotional upset, will affect the liver's excretion function, the liver's normal excretion is the important condition of the spleen and stomach to coordinate the spleen qi healthy transportation, that is, "the soil get wood and reach". Liver loss of drainage can not regulate qi, spleen rise and fall out of tune, the spleen loss of healthy transport of wet, wet depression heat, wet heat is into.
The above causes will cause different spleen and stomach diseases in different individuals, which is determined by the individual's different physical qualities, different functional traits of the spleen and stomach, and different forms of reaction to the cause of the disease.
2Clinical manifestations
1. Burning pain in the epigastrium, noisy and acidic.
2. Dry mouth, bitter mouth, thirst, or sweet and sticky mouth, sweet food is acidic, nausea, heavy body and limb fatigue.
3. Yellow-colored urine, irregular bowel movements, red tongue, yellowish tongue coating, slippery pulse.
3 Identify and treat
The principle of treatment adopts clearing heat and resolving dampness, regulating qi and harmonizing the middle. The main prescription Qingzhong Tang. In the formula, Huanglian, gardenia clearing heat and dampness, half-summer, Poria, nutmeg to strengthen the spleen and eliminate dampness, Chenpi, licorice to regulate qi and stomach. Heat constipation, add silver flower, dandelion, rhubarb, citrus aurantium; gas stagnation and abdominal distension, add thick park, abdominal skin.
If the dampness and heat is serious, abdominal pain, vomiting, vomiting, white or yellow tongue, thirst, thirst for water, diarrhea, urination is not good, or red and short, yellow slippery tongue, the principle of treatment to clear the heat and dampness in parallel, it is desirable to open the method of clear, can be used in Wang's Lianpuo drink. The prescription medicine: thick park, Sichuan even (ginger fried), calamus, the system half summer, fragrant black beans, jiao gardenia, reed root, the formula in yellow dock, gardenia bitter cold, clearing heat and drying dampness. Houpu, half-summer, calamus three drugs match, bitter warm and pungent warm and use, hard to open and drain, dry dampness and turbidity. Semixia has the function of harmonizing the stomach and stopping vomiting. Edamame promotes and transmits heat. Rehmannia glutinosa clears heat and generates fluids. The combination of all the drugs, for the drying of dampness and clearing the heat of the good formula,
If the spleen and stomach damp-heat evidence, wet heavy evidence, it is proposed to clear the damp-heat, clearing the qi, with the Three Ren Soup: almonds, fly slippery stone, white through the grass, white cardamom kernel, bamboo leaves, thick Park, raw Job's tears, half-summertime. If the cold and heat are intertwined, dry yelping, food odor, the heart under the plump hard, can be used half Xia Laxin Tang plus subtractions.
The clinical manifestation of chronic spleen and stomach disease is mostly the deficiency of the standard, and dampness and heat is one of the manifestations of the standard. "When the main contradiction is the rise of dampness and heat, it is necessary to clear the dampness and heat, supplemented by strengthening the spleen to help transport.
4 clinical prescription
Warm gallbladder soup from the "three causes of extreme - disease prescription," the composition of the drug for the Chen Pi, half-summer, Poria, Hovenia, bamboo, hot licorice, ginger, jujube. The original "treatment after a serious illness, false annoyance can not sleep, this gallbladder cold, but also for palpitations". The warmth and coolness of its medicinal properties are all in the size of the amount of flavor of the constituent medicines. The formula is simple, calm, through the flexibility of addition and subtraction, deficiency, cold and heat of the surface and internal certificates can be applied, the clinical application far beyond the scope of the original record of the evidence of the treatment.
This formula is often used in the treatment of damp-heat syndrome of the spleen and stomach. In the formula, Er Chen Tang dries dampness and resolves phlegm, regulates qi and harmonizes the middle. Half-summer dry dampness and phlegm, and the stomach to lower the inversion, eliminating gangrene, Chen Pi qi and stomach, qi line is dampness, Poria spleen and seepage dampness, licorice and all the medicines, the benefit of qi and in the ginger and jujube to strengthen the spleen and stomach, so that the earth healthy in order to win the dampness, hedgehogs under the qi stagnation elimination of stagnation, to eliminate gangrene to help the dampness of the Zhu Zhu sweet and cold to lower the inversion of the stomach, clearing away the heat and eliminate phlegm. *** play to get rid of the evil to support the positive, dampness and clear heat, the effect of qi stagnation. It strengthens the spleen without congestion and resolves dampness without helping heat. The treatment of heat in the spleen and stomach is quite symptomatic as it clears heat and does not help dampness.
Because of the difficulty of treating dampness-heat syndrome, it is necessary to examine the cause of the syndrome, identify the importance of dampness and heat, and flexibly add or subtract. The most common symptoms of dampness and heat in the spleen and stomach are distension of the epigastric region, stuffiness, nausea, dryness of the mouth, or drinking, sticky mouth, sticky stools or secretions, pale red or red tongue, yellow tongue coating, and slippery or slow pulse. Dampness is more important than heat, add Cangzhu, Huo Xiang, Coix seed, Cardamom nut, Calamus; Dampness and heat is more important than ginger, jujube, add Scutellaria baicalensis or Huang Huanglian, Yin Chen; Heat is more important than dampness is rare, and can not be overused cold, in the formula of Dampness and Heat is more important than heat, add Rehmanniae root to clear away heat and produce fluids to promote urination, add Laptop and Jiao Penang, so that the heat is taken away from the feces. Add Jiao Sanxian and Lycopodium; add Chaihu, Sophora, Houpu for liver depression and stagnation; add Cangzhu and Atractylodes macrocephala for obvious spleen deficiency. Damp-heat of the spleen and stomach triggered by exogenous infection, combined with warming the gallbladder and intestines in the diagnosis and treatment formula, and treating both the surface and the inside. Spleen and stomach damp-heat certificate patients, gastroscopy often found in the stomach more retention of fluid, viscous, at this time the heavy use of cangzhu, to aroma dredge water dampness, wake up the spleen to help transport.
It should be noted that the heat is Yang, wet Yin, clearing the heat with cool medicine, cool is to help wet, the treatment of wet with warm medicine, warm is to help hot, plus the treatment of wet medicine, more dry, easy to consume fluid, so the evidence need to be carefully discerned, the use of medication to grasp the right balance. Weakness of the spleen and stomach is the source of dampness, often the first dampness and then heat, clinical wet is not seen more than heat, that is, dampness and heat, the treatment is also more than the dampness of the main qi, dampness is most likely to block the qi, qi can help dispel dampness, dampness is most common patchouli, peperomia, kouren, calabash, poria, coix seed, etc. Aromatic light and seepage and flat products, to be wet to go to the heat of the lone and then add the appropriate heat-cleansing medicines.
5 prevention
The main reason for the spleen and stomach dampness and heat certificate for the above disease failed to get effective treatment, lesions repeated activities and development results. Secondly, it is also related to the bad lifestyle, such as eating fat, sweet and greasy, spicy, smoking and alcohol, which leads to the injury of the spleen and stomach, and the accumulation of dampness and heat. Therefore, to prevent the occurrence of dampness and heat in the spleen and stomach, the first step is to actively treat the above mentioned underlying diseases. At the same time, to change the bad lifestyle, to do the diet, do not smoke, do not drink alcohol, try not to eat thick flavor cream, seafood.
When regulating the spleen and stomach, you should also promote the lungs. Because the spleen main transportation of water and grain, such as compost, the lungs main dissemination of micro-experts lose cloth such as fog, the spleen needs the assistance of the lungs, in order to complete the dissemination of water and grain micro-experts, as the "Su Wen - Jing Veins and Veins," the cloud: "Spleen main dispersal of the essence of the lungs, through the adjustment of the waterway, the next transmission bladder." Lung main declared hair purging, spleen and stomach main ascending and descending turbid, the same division of qi lifting and lowering. Thus, the treatment of the spleen do not forget to manage the lungs, the treatment of the lungs must investigate the spleen, clinical medicine should be in the spleen and stomach products, discretionary addition of Xuan Lung relief products, such as almonds, gua vulgaris, ephedra and so on. Ye Tianshi in the "clinical guide to medical cases" in the almonds to promote the lungs to relieve depression, so that the wet blockage of transportation, the first to promote the lungs to promote the spleen of the first water.
6 therapeutic
1. Job's tears and red bean porridge
Barley and red bean according to the ratio of 1:1, and then add an equal amount of rice, eat more than 20 days, can be changed to barley and red bean ratio of 2:1, the other half is rice, porridge boiled to the not thick and not thin.
2. winter melon soup
With the skin of the winter melon stewed with water.
3. Maitake
Heat is heavier, can be used to maitake porridge, can also be soaked into the chrysanthemum tea to drink.