It is often used to treat spleen-stomach damp-heat syndrome. Zhong Fang Erchen Decoction can dispel dampness, eliminate phlegm, regulate qi and regulate middle energizer. Pinellia ternata has the functions of eliminating dampness and resolving phlegm, harmonizing stomach and dispersing stagnation, tangerine peel regulating qi and regulating stomach, moistening dryness and benefiting qi, Poria strengthening spleen and eliminating dampness, licorice mixing medicine, benefiting qi and harmonizing middle warmer, ginger and jujube strengthening spleen and regulating stomach, consolidating soil and eliminating dampness, immature bitter orange inducing stagnation, reducing swelling and promoting diuresis, bamboo shavings are sweet and cool in nature, harmonizing stomach, and clearing heat and resolving phlegm. * * * play the role of eliminating pathogenic factors, strengthening the body resistance, eliminating dampness and clearing heat, regulating qi and guiding stagnation. Although strengthening the spleen without stagnation, eliminating dampness without helping heat. Treating damp-heat syndrome of spleen and stomach, clearing heat but not helping dampness, is quite symptomatic.
Because the damp-heat syndrome is lingering, it is necessary to investigate the causes, distinguish damp-heat and add and subtract flexibly. Damp-heat syndrome of spleen and stomach is characterized by abdominal distension, fullness, nausea, drowsiness, dry mouth without drinking or less drinking, sticky mouth, sticky stool or dark knot, pale or red tongue, yellow and greasy tongue coating, and smooth or slow pulse. When the wet weight is greater than the hot weight, Rhizoma Atractylodis, Herba Agastaches, Coicis Semen, Fructus Amomi Rotundus and Rhizoma Acori Graminei are added; Removing damp heat from Rhizoma Zingiberis Recens and Fructus Jujubae, and adding Scutellariae Radix or Coptidis Rhizoma and Herba Artemisiae Scopariae; It is rare that heat is heavier than moisture, and cold should not be used too much. In the combination of damp and heat, reed rhizome is added to clear away heat, promote fluid production and diuresis, and radish seed and burnt areca nut are added to clear away heat and remove feces. Eat with Jiao Sanxian and radish; Radix Bupleuri, Caulis Perillae, and Cortex Magnolia Officinalis are added for stagnation of liver qi; Atractylodes rhizome and Atractylodes macrocephala are obviously added to spleen deficiency. Exogenous damp-heat of spleen and stomach is combined with warming gallbladder and benefiting intestines in the syndrome differentiation and treatment, and both exterior and interior are treated. In patients with damp-heat syndrome of spleen and stomach, gastroscopy often finds a large amount of retention fluid in the stomach, which is viscous. At this time, Atractylodes lancea is reused, and its fragrance is used to remove dampness, invigorate the spleen and help transport.
It should be noted that heat belongs to Yang, while dampness belongs to Yin. If you clear away heat, use cold medicine; Cold helps dampness; To treat dampness, warm drugs should be used; If you are warm, you should help to heat it. In addition, the herbs for treating dampness are fragrant and dry, and are easy to consume body fluids. Therefore, it is necessary to distinguish carefully in clinic and master the discretion of medication. Deficiency and cold of spleen and stomach is the source of dampness, which often occurs first and then turns into heat. Clinically, dampness is heavier than heat, that is, both damp and heat are equally important. The treatment is mainly to eliminate dampness and regulate qi, because dampness is the easiest to block qi-flowing, and regulating qi is helpful to eliminate dampness. The most common fragrant and mild products for eliminating dampness, such as Pogostemon cablin, Eupatorium odoratum, Amomum villosum, Acorus gramineus, Poria cocos, Coicis Semen, etc., are added with heat-clearing drugs when eliminating dampness and clearing heat.