First,? clause
1. The person who is sweating due to sun sickness, who is puzzled by sweating, still has fever, palpitation, dizziness, body vibration and desire to shake the ground, is the master of Zhenwu Decoction.
2. Shaoyin disease, which lasts for two or three days, until four or five days, abdominal pain, unfavorable urination, heavy pain in limbs, and self-benefiting, is a watery, coughing, unfavorable urination, or vomiting, and Zhenwu Decoction is the main one.
Second, the prescription composition
Zhenwu decoction
Poria cocos three Liang? Peony three Liang? Three or two pieces of ginger (cut)? Atractylodes macrocephala? One aconite root (peeled by cannon and broken into eight pieces)
Right five flavors, eight liters of water, three liters of boiled water, three times a day.
Third, the main card
1. Pulse sinking: no characteristic pulse, or weak and thin, slightly tight or floating.
2. Heavy body pain. Contrast: (1) Fuzi decoction: back aversion to cold, body pain; (2) Danggui's four opposites: cold limbs, no pain in the body, and pain when moving; (3) Guizhi Xinjia Decoction: There is a clear pain point, the kind of muscle soreness after exercise.
3. Bad urination: I have a fever after sweating, and I feel that it is more difficult to urinate, and the urine becomes a bit white.
4. Cold limbs, heavy pain and abdominal pain. Contrast: (1) Zhenwu Tang: pencil lead's belly, that is, the middle line between the top and bottom of the navel, has a stiff rib, which seems to have the feeling that pencil lead is buried in it. (2) Shenqi Pill: The lower abdomen is particularly stiff, that is, less abdomen is heartless.
5. Heart palpitations, dizziness, and poor body water metabolism. It's just that the stomach is a little bloated because of too much water vapor, and it will reach the top when the heart beats, so the heart will be nervous.
6. Vibrant: (1) I want to jump at the bed; (2) The cerebellum is out of balance, and it is easy to fall for no reason; (3) People who don't like to shake their legs at ordinary times become fond of shaking their legs.
7. The sensitivity to one's own body has seriously declined. The fever of Zhenwu decoction syndrome means that one feels dull and doesn't know that one is having a fever.
Fourth, modern clinical application
1. Senile hydrops, hypertension Zhenwu decoction syndrome usually swollen legs;
2. Zhenwu decoction is quite effective for ascites caused by chronic cirrhosis.
3. lose weight and treat water and fertilizer, that is, water poisoning obesity. Some people lose weight faster, and some people only see the effect in a few months;
4. If Zhenwu decoction gets angry and the anus is hot and painful, use Danggui Chidou powder to anneal;
5. The prostate gland is swollen, and Zhenwu Decoction is also effective.
6, Cataract Shenqi Pill is more effective, Zhenwu Decoction is more effective in glaucoma.
7. The patient with meningitis has a high fever and the whole person fainted.
8. Parkinson's disease.
9. Zhenwu decoction can reverse all kinds of human degradation and restore people's youth.
10, blind eyes, deaf ears.
Zhenwu decoction
Compose poria cocos, Paeonia lactiflora, ginger, cutting Atractylodes macrocephala and aconite root, processing, peeling and breaking into eight pieces.
Shui Han, a famous Tang town, is famous for its folk songs. The method of supporting yang is passed down with heart, and the technique of ling Shao ginger is attached, which makes it difficult to urinate because of palpitation.
It has the functions of warming yang, promoting diuresis, dispelling cold and relieving pain.
Indications: shaoyin disease, yang deficiency and indigestion of water.
In the prescription, aconite root is pungent and hot, which warms kidney-yang and dispels cold pathogens; Poria cocos and Atractylodes macrocephala strengthen the spleen and promote diuresis, which leads the water downward; ginger warms and dissipates moisture; and Paeonia lactiflora is in harmony with the interior. Together with aconite root, it can enter the yin to break the knot and astringe the yin and yang. It is an agent for warming yang, promoting diuresis, dispelling cold and relieving pain.
Key points of prescription and syndrome
1. Yang deficiency with water flooding syndrome: palpitation, dizziness, body movement, edema or pain of lower limbs are the key points of syndrome differentiation. The main symptoms are always afraid of cold, especially in the chest and back, and often feel sleepy; Dysuria, fullness in chest and hypochondrium, shortness of breath, or fullness in abdomen, or rumbling sound between gastrointestinal tract, or fullness under heart, or edema of head, face and limbs; The tongue is pale, or the tongue body is fat, the tongue coating is white and slippery, and the pulse is heavy or weak. Mr. Hu Xishu once highly summarized this, "dizziness, palpitation, edema or pain in lower limbs, and heavy pulse".
2. Commonly used for chronic glomerulonephritis, cor pulmonale, hypothyroidism, chronic bronchitis, ascites due to cirrhosis, chronic enteritis, intestinal tuberculosis, Meniere's syndrome, cardiac neurosis, climacteric syndrome, chronic gastrointestinal weakness, chronic arthritis, ankylosing spondylitis, hyperosteogeny, etc., which belong to spleen-kidney yang deficiency and water-dampness excess.
3. Physical requirements: listlessness, chills and cold limbs, or edema, or diarrhea, or dysuria, or palpitation, or dizziness. The tongue is fat and coated with slippery teeth marks, and the pulse is heavy and weak. Most of them are seriously ill, and the function of important organs is often damaged.
Identification of similar prescriptions and syndromes
1. Zhenwu decoction and Fuzi decoction: Compared with Fuzi decoction, Zhenwu decoction is only inferior in medicine. Zhenwu decoction consists of aconite root and poria cocos, which warm yang and induce diuresis. It is mainly used to treat spleen-kidney yang deficiency and water-dampness stagnation. Fuzi Decoction is made up of Radix Aconiti Lateralis Preparata, Atractylodis Rhizoma, Ginseng Radix, and Rhizoma Zingiberis Recens. Although Radix Aconiti Lateralis is still the monarch, Atractylodis Rhizoma is the minister, and the two are compatible. Radix Aconiti Lateralis Preparata warms the channels and helps yang, while Atractylodis Rhizoma dries the dampness and strengthens the spleen, thus forming a cold-dampness removing agent, which is mainly used to treat arthralgia syndrome caused by cold and dampness.
2. Zhenwu decoction and Xiaoqinglong decoction: Zhenwu decoction has solved the disease of water vapor and cold deficiency at home and abroad; Xiaoqinglong decoction can treat the diseases of superficial incomprehensibility and moisture, and both inside and outside are cold and solid.
3. Zhenwu Decoction and Linggui Shugan Decoction: Zhenwu Decoction treats patients with aconite root syndrome accompanied by drinking water, so dizziness and palpitation are accompanied by aversion to cold, listlessness, weak pulse, abdominal pain, severe pain in limbs, etc. However, Linggui Shugan Decoction can treat Guizhi syndrome accompanied by drinking water, so dizziness and palpitation are accompanied by qi rushing to the chest and heart fullness, and are often induced by mental stimulation.
4. Zhenwu decoction and Wuling powder: Zhenwu decoction is mainly used to treat the deficiency of yin, the viscera and yang decline, the weakness of gasification and the flooding of water evil. The main symptoms are dizziness and even unstable body standing, palpitation, shortness of breath, heavy body fatigue, heavy pain in limbs, cold below the knee, etc. Wuling powder is mainly used to treat the abnormal gasification of the sun's water fu-organs and the suspension of water and fluid. The main symptoms are thirst, unfavorable urination and upset. Zhenwu decoction mainly solves the problem of the motive force of water metabolism (warming kidney yang) (water pump); Wuling powder mainly solves the pathway problems of water-liquid metabolism, such as blockage and uneven distribution (waterway).
original text
1. The person who is sweating due to sun disease, who is puzzled by sweating, still has fever, palpitation, dizziness, body [illustration] moving, and wants to shake the ground, Zhenwu Decoction is the main one. (82)
2. Shaoyin disease, which lasts for two or three days, until four or five days, abdominal pain, unfavorable urination, heavy pain in limbs, and self-benefiting, is dominated by Zhenwu Decoction, which means that there is moisture, and people cough, or have a little convenience, or have a bad appetite, or vomit. (3 16)
Sini decoction
Compose of licorice root, one half of dried ginger and one half of aconite root, raw, peeled and broken into eight pieces.
The square song is born with the old dried ginger, and the grass will have expertise, and the yin and yang deficiency limbs are not warm, and the vomiting is irritating and sleepy.
The function is to warm the middle warmer, dispel the cold, and restore yang to save the inverse.
Indications: cold syndrome with less yin deficiency.
The prescription with four inverses is mainly used for treating cold in both Chinese and foreign countries due to shaoyin, and syncope of limbs. You warm the yang with the sweetness of burning licorice; Minister with ginger attached to the Xin Wen, help Yang win the cold; Glycyrrhiza uralensis Fisch gets ginger, attached, drum kidney yang, warm in the middle and cold, and has the function of warming the soil in water; Ginger, licorice, joints, limbs, have the power to drive away yin and return to yang. When the kidney-yang drum and the cold yin disappear, the yang will reach the outside and the pulse will rise, and the hands and feet will be warm.
Key points of prescription and syndrome
1. Cold syndrome with less yin deficiency: the main points of syndrome differentiation are body heat aversion to cold, cold hands and feet, body pain, diarrhea, and abdominal distress. The main symptoms are limb syncope, body pain, aversion to cold and sweating, diarrhea, vomiting, cyanosis of lips and fingers, air-cooled mouth and nose, long urine, pale tongue, white and slippery tongue coating, and slow and weak pulse.
2. It is commonly used in cases of typhoid and yin syndrome, cold in the five internal organs, prostatitis, asthma, cold, constipation, diarrhea, acute food poisoning, hiccup, heart weakness, acute myocardial infarction, pulmonary heart disease, toxic shock, acute gastroenteritis, etc., which belong to spleen-kidney yang deficiency and yin-cold excess.
3. Physical requirements: fat body, dull, pale or dark yellow complexion, listless, tired face, dull eyes or puffy eyes, dull and dry lips, pale and dark tongue, and white (or black) moist or slippery tongue coating; Soft muscles, weakness in pressing, dry skin and edema in the morning. Usually, I am afraid of cold and like warmth, and my limbs are often cold, especially my lower body is cold. I am easy to get tired, quiet and restless, my stool is often thin and shapeless, my urine is long, my mouth is not thirsty, or I am thirsty and don't drink much, or I like hot drinks.
Identification of similar prescriptions and syndromes
1. Sini decoction and Danggui Sini decoction: both of them can be used to treat diarrhea, syncope and heartbroken pulse. Sinitang syndrome is anhidrosis or sweating all over the body, and the pulse is slow and late; The syndrome of Danggui Sini decoction is that the forehead must be slightly sweaty and the pulse is thin and floating.
2. Sini Decoction and Fuling Sini Decoction: Both can treat cold limbs. Sini decoction syndrome focuses on yang deficiency, and stops drinking without water, so there is no upset and urination is unfavorable; However, the syndrome of Fuling Sini decoction is that the water due to yang deficiency stops drinking, so it is upset and difficult to urinate.
3. Sini decoction and Tongmai Sini decoction: Tongmai Sini decoction syndrome is based on Sini decoction syndrome, and symptoms such as faint pulse, red face and sore throat are seen, which are more serious than Sini decoction syndrome and have the danger of dying yang.
4. Sini decoction and Sini powder: both can cure cold hands and feet. Sinitang syndrome is that yang deficiency prevents yang from reaching the limbs, so there are yang deficiency symptoms such as fear of cold and fear of cold; The Sinisan syndrome is that the liver-qi is uncomfortable, and the yang is depressed and cannot reach the limbs, so there are symptoms of liver-qi stagnation such as fullness in the chest and hypochondrium and sighing.
original text
1. Typhoid pulse floating, spontaneous sweating, frequent urination, upset, slight aversion to cold, and cramped feet, which is contrary to Guizhi Decoction's attempt to attack its exterior, is also a mistake ... If sweating occurs again and needles are burned again, Sini Decoction is the main one. (29)。
2. Typhoid fever, under medical treatment, can continue to clear the valley, and those who are in pain should be rescued urgently; Those who have pain in the back and clear their bowels are in urgent need of help. Save the interior with Sini decoction, and save the exterior with Guizhi decoction. (9 1)
3. Fever and headache, pulse sinking, if not bad, body pain, when to save it, Sini decoction. (92)
4. The pulse is floating late, the exterior is hot and the interior is cold, and those who benefit from clearing the valley are the masters of Sini decoction. (225)
5. shaoyin disease, heavy pulse, acute warming, should be Sini decoction. (323)
6. Shaoyin disease ... If there is cold drink and retching on the diaphragm, you should not vomit. When it is warm, it should be Sini decoction. (324)
7. Those who sweat profusely, can't get rid of the heat, feel anxious inside, have pain in limbs, and have a aversion to cold, should be treated with Sini Decoction. (353)
8. Sweating, if you are cold and cold, Sini Decoction is the main one. (354)
9. Those who are full of abdominal distension and physical pain will be attacked by warming their insides first. Wen Li yi si ni Tang, attack surface appropriate Guizhi Tang. (372)
10. Nausea and weak pulse, compound interest in urine, slight fever, syncope is difficult to treat, Sini Decoction is the main treatment. (377)
1 1. Sini decoction is the main treatment for those who vomit and sweat, have fever and aversion to cold, feel anxious in limbs, and feel cold in hands and feet. (388)
12. For those who vomit and benefit, urinate and sweat, lower the benefit and clear the valley, and feel cold inside and hot outside, and the pulse is slightly heartbroken, Sini Decoction is the main one. (389)
Zhuling decoction
One or two pieces of Polyporus, peeled Poria, Alisma orientalis, Ejiao and talc are formed.
Fangge Zhuling Decoction is used to treat deficiency of yin, heat and water accumulation, nausea and vomiting, unfavorable urination and thirst, and gum pork tuckahoe and talc.
Function of clearing away heat and purging fire, promoting diuresis and infiltrating dampness.
Indications: Pathogenic heat impairs yin, and water-heat interaction syndrome.
The prescription is that Polyporus umbellatus, Poria cocos and Alisma orientalis are lightly infiltrated to promote diuresis, Ejiao moistens and nourishes yin, and talc can clear away heat, ooze dampness and induce resuscitation, and can cleanse the six fu organs without the disadvantages of cutting. Together, it can clear away heat and purge fire without hurting yang, and promote diuresis and seep dampness without hurting yin.
Key points of prescription and syndrome
1. Yin deficiency and dampness-heat syndrome: The key points of syndrome differentiation are dysuria or pain in urine and thirst for water. The main symptoms are restlessness, thirst for drinking water, dysuria, fever, red tongue with slippery coating, and floating or rapid pulse.
2. Commonly used for glomerulonephritis, pyelonephritis, renal tuberculosis, kidney calculi's disease, bladder stones, cystitis, urethritis, stranguria, frequent urination, dysuria, uterine bleeding, intestinal bleeding, hemoptysis, hematuria, dysuria, enteritis, rectal ulcer, diarrhea, edema, spasm, epilepsy, insomnia, etc., which are caused by excessive heat and yin, and water and heat are mutually bound to lower energizer.
Identification of similar prescriptions and syndromes
1. Zhuling Decoction and Wuling Powder: Both can treat dysuria and thirst for water. The syndrome of Zhuling decoction belongs to yin deficiency and water-dampness stops inside, and there must be frequent urination, painful urination and short and red urine; Wuling powder syndrome is characterized by both exterior and interior symptoms, abundant water and dampness, and is characterized by upward flushing, sweating and dizziness.
2. Zhuling Decoction and Baihu plus ginseng soup: Both can treat fever, thirst and poor urination. The syndrome of Zhuling decoction belongs to yin deficiency and water-dampness stops inside, and there must be frequent urination, painful urination and short and red urine; However, the syndrome of White Tiger plus ginseng soup is heat-induced body fluid injury, which is characterized by fever, sweating and heavy pulse, and there is absolutely no water to drink and stop storing.
3. Zhuling Decoction and Huanglian Ejiao Decoction: Both can treat upset and sleepless. The syndrome of Zhuling decoction belongs to yin deficiency and water-dampness stops inside, and there must be frequent urination, painful urination and short and red urine; The syndrome of Huanglian Ejiao decoction is that the heart and kidney do not meet, the degree of yin deficiency is very serious, and there is no water to drink.
original text
1. If the pulse is floating and feverish, people are thirsty for water and have trouble urinating, Zhuling Decoction is the main one. (223)
2. Yangming disease, those who sweat too much and are thirsty, should not be combined with Zhuling decoction, which is dry in the stomach because of sweating too much, and Zhuling decoction will compound its urination. (224)
3. Shaoyin disease, the next six or seven days, coughing and vomiting thirst, upset and sleepless, Zhuling Decoction is the main one. (3 19)
mahuangxixinfuzitang
Compose Herba Ephedrae, Herba Asari, Radix Aconiti Lateralis, processed, peeled and broken into eight pieces.
Fangge Mahuang Asarum Fuzi Decoction, too little two senses to use this recipe, fever and aversion to cold pulse can not afford, warming meridians and relieving exterior syndrome have expertise.
Function of warming yang and relieving exterior syndrome.
Indications: syndrome of deficiency of sun and yin.
Fang Jieben Fang is a reinforcing and dispersing agent for attacking exterior and sweating, warming meridians and supporting yang and dispelling cold. Zhongsheng is used to treat cold syndrome with fever and deep pulse, with aconite root supporting yang, asarum activating yang and ephedra relieving exterior syndrome. Shaoyin disease is a syndrome of yang deficiency and cold, which should not have caused fever. If it starts at first, it will have both exterior and exterior symptoms, so Mahuang Asarum Fuzi Decoction is used to warm yang and relieve exterior symptoms.
Key points of prescription and syndrome
1. Syndrome of sun deficiency and yin deficiency: aversion to cold without sweat, headache with brain, severe cough and heavy pulse are the key points of syndrome differentiation. The main symptoms are aversion to cold, fever, cold hands and feet, drowsiness, aversion to cold, chest fullness, cough, expectoration, headache and body pain, and heavy or thin pulse.
2. It is commonly used for people with deficiency or old people, such as colds, flu, bronchitis, pneumonia, trigeminal neuralgia, maxillary sinusitis, wind-cold headache, cold head, cold feet, cold phlegm, etc., which belong to the two senses of deficiency of yang, exogenous cold pathogen and sun deficiency and yin deficiency.
3. Physical requirements: strong physique, but severe aversion to cold and extreme fatigue. Pale complexion, lethargy, listlessness, low voice, aversion to cold, especially in the back. Or headache, or sore throat, or hoarseness, or low back pain, or toothache, or cough and asthma, thirst, thin sputum. The tongue is pale, the coating is watery or thick, and the pulse is slow.
Identification of similar prescriptions and syndromes
1. Mahuang Asarum Fuzi Decoction and Guizhi Jiazi Decoction: both are prescriptions for treating the same disease with sun deficiency and yin deficiency. Mahuang Asarum Fuzi Decoction has deficiency in exterior but deficiency in interior, so there is no sweat. However, Guizhi plus Fuzi decoction is deficient in both exterior and interior, so it causes spontaneous sweating.
2. Mahuang Asarum Fuzi Decoction and Fuzi Decoction: Both can treat body pain, aversion to cold and heavy pulse. Ephedra asarum Fuzi decoction is a syndrome of two senses of sun deficiency and yin deficiency, with fever and absolutely no water and dampness.
The original shaoyin disease, which is caused at the beginning, has anti-fever and heavy pulse, and Mahuang Asarum Fuzi Decoction is the main one. (30 1)
mahuangxixinfuzitang
Compose Herba Ephedrae, Herba Asari, Radix Aconiti Lateralis, processed, peeled and broken into eight pieces.
Fangge Mahuang Asarum Fuzi Decoction, too little two senses to use this recipe, fever and aversion to cold pulse can not afford, warming meridians and relieving exterior syndrome have expertise.
Function of warming yang and relieving exterior syndrome.
Indications: syndrome of deficiency of sun and yin.
Fang Jieben Fang is a reinforcing and dispersing agent for attacking exterior and sweating, warming meridians and supporting yang and dispelling cold. Zhongsheng is used to treat cold syndrome with fever and deep pulse, with aconite root supporting yang, asarum activating yang and ephedra relieving exterior syndrome. Shaoyin disease is a syndrome of yang deficiency and cold, which should not have caused fever. If it starts at first, it will have both exterior and exterior symptoms, so Mahuang Asarum Fuzi Decoction is used to warm yang and relieve exterior symptoms.
Key points of prescription and syndrome
1. Syndrome of sun deficiency and yin deficiency: aversion to cold without sweat, headache with brain, severe cough and heavy pulse are the key points of syndrome differentiation. The main symptoms are aversion to cold, fever, cold hands and feet, drowsiness, aversion to cold, chest fullness, cough, expectoration, headache and body pain, and heavy or thin pulse.
2. It is commonly used for people with deficiency or old people, such as colds, flu, bronchitis, pneumonia, trigeminal neuralgia, maxillary sinusitis, wind-cold headache, cold head, cold feet, cold phlegm, etc., which belong to the two senses of deficiency of yang, exogenous cold pathogen and sun deficiency and yin deficiency.
3. Physical requirements: strong physique, but severe aversion to cold and extreme fatigue. Pale complexion, lethargy, listlessness, low voice, aversion to cold, especially in the back. Or headache, or sore throat, or hoarseness, or low back pain, or toothache, or cough and asthma, thirst, thin sputum. The tongue is pale, the coating is watery or thick, and the pulse is slow.
Identification of similar prescriptions and syndromes
1. Mahuang Asarum Fuzi Decoction and Guizhi Jiazi Decoction: both are prescriptions for treating the same disease with sun deficiency and yin deficiency. Mahuang Asarum Fuzi Decoction has deficiency in exterior but deficiency in interior, so there is no sweat. However, Guizhi plus Fuzi decoction is deficient in both exterior and interior, so it causes spontaneous sweating.
2. Mahuang Asarum Fuzi Decoction and Fuzi Decoction: Both can treat body pain, aversion to cold and heavy pulse. Ephedra asarum Fuzi decoction is a syndrome of two senses of sun deficiency and yin deficiency, with fever and absolutely no water and dampness.
The original shaoyin disease, which is caused at the beginning, has anti-fever and heavy pulse, and Mahuang Asarum Fuzi Decoction is the main one. (30 1)
Huanglian Ejiao decoction
It consists of coptis root, scutellaria root, peony root, gallus gallus domesticus brisson, donkey-hide gelatin and donkey-hide gelatin. One cloud and three stands
Fangge Huanglian Ejiao treats shaoyin, fidgety and insomnia, frequent pulse, plum-like tongue tip, Qin Lian Shao Jiao Huang and stir well.
Function of nourishing yin and clearing heat, nourishing yin and reducing fire.
Indications: shaoyin disease, yin deficiency and excessive fire syndrome.
The outline of the prescription to solve Shaoyin disease is "but want to sleep", but I can't lie in my heart now, but when the condition of wanting to sleep changes, I feel annoyed in my heart, which shows that the qi of water and yin can't be handed over to my heart fire. Being upset and unable to lie down shows that the qi of heart fire can't be transferred to water and yin, which is a syndrome of deficiency of yin and heat. In the prescription, Coptidis Rhizoma and Scutellariae Radix clear the heart fire, while Paeonia lactiflora, Colla Corii Asini and gallus gallus domesticus brisson nourish the yin of spleen and kidney, so that the heart and kidney can get in touch. If the fire and water are ji ji, the heart will be annoyed and you will not be able to lie down and heal yourself.
Key points of prescription and syndrome
1. Syndrome of excessive fire due to yin deficiency: chest heat, restlessness and insomnia are the key points of syndrome differentiation. The main symptoms are chronic dysentery, abdominal pain, purulent blood, vexation in the heart, insomnia, sweating, restlessness in the heart, dry throat and mouth, insomnia and dreaminess, sore limbs, hot hands and feet, aversion to heat and aversion to cold at ordinary times, red tongue with little coating and rapid pulse.
2. It is commonly used for pneumonia, typhoid fever, measles, scarlet fever, erysipelas, cerebral hemorrhage, meningitis, hysteria, hypertension, schizophrenia, mania, hematemesis, hemoptysis, eye bleeding, hemorrhoid bleeding, hematuria, colitis, rectal ulcer, urine dripping, itchy skin, psoriasis, dermatitis, neurosis and insomnia.
3. Physical requirements: The patient is of medium build, with white skin, irritability and body heat, insomnia and dreaminess, rough skin with desquamation, easy bleeding, sticky texture, common subcutaneous purpura, epistaxis, hematochezia, metrorrhagia, etc., prone to oral ulcers and joint pain. The tongue is dark red like a fire, strawberry-like, or accompanied by erosion, ulceration and cracks in the tongue body, with dry tongue surface and little body fluid, or with mirror-like tongue or flower peeling, red lips, red throat, and thready and rapid pulse.
Identification of similar prescriptions and syndromes
1. Huanglian Ejiao Decoction and Gardenia Soy Sauce Decoction: Both can treat insomnia due to asthenia. The syndrome of Zhizi Chichi Decoction is that the pathogenic heat is accumulated in the chest and diaphragm, and the heart is depressed [illustration], or the chest is suffocating, or the heart is painful, and the pulse is slippery and strong. Although the words are empty and annoying, there is no weakness in clinic.
2. Huanglian Ejiao Decoction and Suanzaoren Decoction: Both can treat insomnia. Ziziphus jujuba seed decoction belongs to fatigue, and should have symptoms such as dizziness, thirst, fever, impatience and fatigue.
3. Huanglian Ejiao Decoction and Chaihu Jialonggu Oyster Decoction: Both can treat upset and sleepless. The syndrome of Chaihu plus Longgu Oyster Decoction is that liver depression turns into fire and produces phlegm, which disturbs the mind, and is often accompanied by chest palpitation, heavy pulse, or upper thenar pulse.
The original text is shaoyin disease, which lasts for more than two or three days. I am annoyed and can't lie down. Huanglian Ejiao Decoction is the main one. (303)
Fuzi decoction
Consists of two aconites, processed, peeled and broken, eight pieces of poria cocos, three ginseng, two atractylodes macrocephala, four peony and three peony.
Fang Ge Fu Zi Tang treats the aversion to cold in the back, deep pulse and yang deficiency, and Shenfu Lingshu Paeonia lactiflora * * * treats the pregnant abdomen like a fan.
It has the functions of warming meridians, supporting yang, removing dampness and relieving pain.
Indications: shaoyin disease, yang deficiency and body pain.
Fang Jie Fu Zi Tang can be used to supplement the deficiency of Yuanyang. Surgery is combined to remove the evil of cold and dampness; Add peony to monitor the fierceness of aconite. All kinds of drugs play the role of warming meridians, supporting yang, removing dampness and relieving pain.
Key points of prescription and syndrome
1. Syndrome of body pain due to yang deficiency: two cold pains (one is cold of hands and feet, the other is aversion to cold on the back; One is physical pain, and the other is joint pain. The main symptoms are stomach deficiency and cold drink, joint pain, acute pain in lower limbs and heavy pulse, body joint pain, no heat and aversion to cold, cold in hands and feet, neutralization in mouth, visible heart swelling, palpitation, edema, dysuria and heavy pulse.
2. It is commonly used for colds, flu, neuralgia, rheumatism, arthritis, eczema, urticaria, dermatitis, cold pain in the lower abdomen, peritonitis, nephropathy, edema, ascites, stomatitis, cold pain in the waist, cerebral hemorrhage, mouth-eye deviation, hemiplegia, paralysis of consciousness, spinal curvature, leg cramps, dysphagia, itchy hands in winter, and abdominal pain during pregnancy.
3. Clinical expansion and application
(1) has a aversion to cold. This prescription can often be effective in treating coronary heart disease and other "back aversion to cold" caused by chest yang deficiency and yin cold excess. Clinically, if the tongue has ecchymosis, safflower, salvia miltiorrhiza, radix paeoniae rubra and other products for promoting blood circulation and removing blood stasis should be added; Cold limbs and cassia twig; Astragalus membranaceus is added to patients with qi deficiency, and Ginseng Radix is reused; Poria cocos, Bulbus Allii Macrostemon and Rhizoma Pinelliae are added to the sputum.
(2) Deep pulse and cold hands and feet. This recipe is modified to treat peripheral vascular diseases (such as thromboangiitis obliterans, arterial embolism and Raynaud's phenomenon), and chilblain is characterized by cold hands and feet and heavy pulse. Hirudo, centipede, scorpion, etc. are added to treat Raynaud's phenomenon; Hirudo, peach kernel, safflower, etc. are added to embolic lesions; Radix Angelicae Sinensis and Radix Astragali may be added for the elderly and infirm; Herba Asari and Ramulus Cinnamomi are added for patients with severe limb cold.
(3) Joint pain. This recipe is modified to treat arthralgia of rheumatoid arthritis and rheumatoid arthritis, which belongs to the winner of yang deficiency and cold. Ramulus Cinnamomi was added to the upper limb; Add coix seed to the wet weight, and reuse 30 ~ 60g of Atractylodes macrocephala; 30 ~ 45g of processed aconite root is reused in patients with severe cold. Rheumatoid arthritis can be supplemented with products such as Astragalus membranaceus, Olibanum, Myrrha, etc.
(4) Abdominal pain. In the synopsis of the golden chamber, Zhong Jing said, "A woman is pregnant for six or seven months, and her pulse is hot, and her fetus is getting bloated. Those with abdominal pain and aversion to cold have less abdomen like a fan, so if it happens, the child is dirty, so it is necessary to warm it with Fuzi decoction." During his lifetime, Mr. Zhou Liansan often used this prescription to treat women's fetal distension and abdominal pain. He said, "This prescription is a warming and nourishing agent, and aconite is a toxic product, so it should be used with caution in the third and fourth months of pregnancy. Zhongjing used aconite in June and July of pregnancy because the fetus has been formed. At this time, using aconite does not have the disadvantages of miscarriage, not to mention the deficiency of cold in the uterus and the loss of warmth. If there is evidence, the medicine is used, and there is no reason for it. Syndrome differentiation should be strictly controlled, mainly including abdominal pain, chills, severe pain at night, preference for pressing and warmth, long urine, aversion to cold, tiredness, fetal distension and thready pulse, pale tongue with white and watery fur, etc., which can be treated by this recipe. Fuzi is a good product for nourishing yang and relieving pain. "
Identification of similar prescriptions and syndromes
1. Fuzi Decoction and Zhenwu Decoction: Compared with Zhenwu Decoction, Fuzi Decoction is only inferior in medicine. Fuzi decoction takes aconite as the monarch, but atractylodes macrocephala as the minister, and the two are compatible. Aconite warms meridians and helps yang, while atractylodes macrocephala dries dampness and strengthens spleen, forming a cold-dampness eliminating agent, which is mainly used to treat arthralgia syndrome caused by cold and dampness. Zhenwu decoction, on the other hand, is made up of aconite root and poria cocos, which can warm yang and promote diuresis, and is mainly used to treat various diseases such as spleen and kidney yang deficiency and water-dampness stagnation. In fact, Fuzi decoction and Zhenwu decoction are dual and unified prescriptions. They all treat yang deficiency and kidney yang deficiency, one is that there is cold water in yang deficiency, and the other is that there is cold and dampness outside yang deficiency. In clinic, Fuzi decoction is used for patients with insufficient pulse condition. For those who have difficulty urinating, use Zhenwu decoction.
2. Fuzi Decoction and Guizhi Xinjia Decoction: Both can treat body pain and slow pulse. The syndrome of Guizhi Xinjiatang is that after sweating, the exterior evil is not solved, but both qi and yin are deficient, and the bones and muscles are not nourished, so there must be symptoms of disharmony between camp and health, such as fever and sweating.
3. Fuzi Decoction and Baihu plus ginseng soup: Both can treat aversion to cold in the back. The syndrome of aconite soup is that the whole back is particularly afraid of cold and chills from beginning to end; However, the degree of aversion to cold in White Tiger plus ginseng soup syndrome is slight, and it appears after sweating in heat.
original text
1. shaoyin disease, get one or two days, the mouth is neutral, and those whose back hates cold should be treated as moxibustion, and Fuzi decoction is the main one. (304)
2. Shaoyin disease, body pain, cold hands and feet, joint pain, heavy pulse, Fuzi decoction is the main one. (305)