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How to treat chronic renal failure?
Chronic renal failure (CRF) is a clinical syndrome that occurs in the late stage of various chronic renal diseases. It is the serious damage of nephron caused by various reasons, as well as the substantial and irreversible function damage of kidney, which leads to a series of poisoning symptoms such as protein's metabolic product retention, water electrolyte and acid-base imbalance, and various toxic excretion dysfunction in the body.

Chronic renal failure can develop from edema, stranguria, hematuria and other kidney diseases. Traditional Chinese medicine believes that all kinds of nephropathy damage the function of viscera for a long time, mainly due to deficiency of both spleen and kidney, and the condition gradually develops, which makes the condition worse. Finally, it leads to deficiency of vital qi, turbidity of pathogenic factors, blood stasis blocking kidney collaterals, loss of opening and closing function of kidney, and retention of wet and turbid urine toxin in the body, which leads to this disease. In the course of its development, some factors have accelerated the progress of the disease course and made the disease worse. Common causes such as exogenous pathogens, improper diet, overwork, etc. Chronic renal failure (CRF) has a long course of disease and complicated pathogenesis, characterized by loss of vital qi and accumulation of pathogenic factors, and belongs to the syndrome of excess and deficiency.

Treatment 1. Spleen and kidney qi deficiency syndrome is characterized by fatigue, shortness of breath, laziness in speaking, anorexia, abdominal distension, soreness of waist and knees, pale mouth and thirst, false stool and long urination. Pale tongue and weak pulse. Formula 1 ① Xiangsha Liujunzi Decoction ② Erxian Decoction Source ① Ancient and modern doctors' prescriptions ② Gynecology and Obstetrics is composed of 9 grams of Radix Aucklandiae, 6 grams of Fructus Amomi, 5 grams of Radix Codonopsis 18, 5 grams of Radix Glycyrrhizae, 0/5 grams of Poria 15 grams of Atractylodis Macrocephala, 0/5 grams of Rhizoma Curculiginis 12 grams.

Efficacy Yiqi Jianpi Bushen.

Usage: decoct with water, one dose per day.

Dangshen in the prescription strengthens the spleen and nourishes the stomach; Atractylodes macrocephala, Poria, spleen and dampness, and Lingshu, spleen and dampness are more combined. Adjust the middle with licorice; Radix Aucklandiae and Fructus Amomi awake the stomach and strengthen the spleen, which is helpful for diuresis; Adding Rhizoma Curculiginis and Herba Epimedii to tonify kidney.

According to the notes, Radix Rehmanniae Preparata and Rhizoma Polygonati can be added to nourish yin and tonify kidney. Prescription II ① Gui You Pill ② Lizhong Pill Source ① Jingyue Quanshu ② Treatise on Febrile Diseases and Treatment of Cholera Based on Syndrome Differentiation consists of Radix Rehmanniae Preparata 124g, Rhizoma Dioscoreae 12g, Fructus Corni 10g, Fructus Lycii 12g, Semen Cuscutae 12g, and Colla Cervi/kloc.

Efficacy Yiqi Jianpi Bushen.

When in use, the medicine is powder, medicated cream pill or porridge pill. Each capsule weighs 9g, each time 1 capsule, twice a day. Send light salt water soup or warm water on an empty stomach.

In the prescription, aconite and cinnamon are prepared to warm the fire of life gate to strengthen kidney qi; Radix Rehmanniae Preparata, Fructus Lycii, Fructus Corni, Eucommiae Cortex, and Semen Cuscutae nourish blood, tonify kidney and produce sperm; Radix Codonopsis, Rhizoma Dioscoreae, Atractylodis Macrocephalae, and Radix Glycyrrhizae Preparata strengthen spleen and replenish qi; Dried ginger warms spleen and yang; Angelica supplements blood and nourishes beauty; Colla cornus Cervi is a kind of flesh and blood product of Wendu Meridian.

According to the statement, spleen yang is insufficient, and ginger 18 g and psoralea corylifolia 15 g are processed frequently to warm yang and stop diarrhea; 15g Eucommia ulmoides Oliv. It is added to kidney yang weakness and cold limbs; Due to great deficiency of vitality, ginseng10g (stewed separately) and placenta hominis powder15g are added to tonify kidney, replenish essence and nourish blood.

2. The main symptoms of spleen and kidney yang deficiency syndrome are qi deficiency and fatigue, chills and limbs, shortness of breath and laziness, anorexia, abdominal distension, edema, soreness of waist and knees, chills and limbs, and loose stools. Pale tongue with teeth marks and weak pulse. Fang Yi Shi Pi Yin originated in Fang Jisheng, and consists of dried ginger 10g, epimedium 12g, Atractylodes macrocephala 15g, Poria 15g, papaya 15g, tsaoko 10g and Morinda officinalis/kloc-0.

Efficacy: Warming kidney and strengthening spleen, promoting qi circulation and promoting diuresis.

Usage: decoct with water, one dose per day.

Epimedium and dried ginger are the main drugs in the prescription. How to add Morinda officinalis how to warm spleen and kidney, support yang and suppress yin; Codonopsis pilosula, Poria cocos and Atractylodes macrocephala strengthen spleen and ooze dampness; Papaya aromatic spleen, dampness and water; Radix Aucklandiae and Fructus Tsaoko can reduce qi, guide stagnation, eliminate dampness and promote diuresis, and promote diuresis to eliminate dampness and pathogenic factors. The combination of various medicines has the effects of warming kidney and strengthening spleen, promoting qi circulation and promoting diuresis.

It is said that this prescription is partial to spleen deficiency. Fang Er Zhen Wu Tang and Fang Ji Fang Huang Tang Qi consist of 65,438 00 g of aconite, 65,438 00 g of Poria, 65,438 00 g of Atractylodes macrocephala, 65,438 00 g of Paeonia lactiflora, 65,438 05 g of Astragalus, 65,438 02 g of Stephania tetrandra and 6 g of Glycyrrhiza uralensis.

Efficacy: Warming kidney and strengthening spleen, promoting qi circulation and promoting diuresis.

Usage: decoct with water, one dose per day.

Fang Jie Zhenwu Decoction is mainly used to treat yang deficiency of spleen and kidney and internal resistance of water and dampness. In the prescription, aconite warms kidney yang, dispels cold and drives water; Poria cocos and Atractylodes macrocephala strengthen the spleen and promote diuresis, while Paeonia lactiflora converges yin and regulates yang. He Fangji Huangqi Decoction has enhanced the effects of invigorating qi and spleen, promoting diuresis and reducing swelling.

According to the statement, 6 grams of Angelica sinensis, Grifola umbellata 15 grams are added to patients with abdominal distension and short urination to promote yang and benefit qi, and 6 grams of Amomum villosum, 6 grams of dried tangerine peel and 0/0 grams of perilla stem/kloc-0 to strengthen spleen and benefit qi.

3. The main symptoms of liver and kidney yin deficiency syndrome are headache, dizziness, nausea, fever, soreness of waist and knees, dry stool, dry mouth and throat, red tongue with little coating, and deep and thin pulse. Fangliuyiwei Dihuang decoction is derived from "treating syncope according to pediatric medical syndrome", and consists of Radix Rehmanniae Preparata 15g, Cornus officinalis 12g, Alisma orientalis 15g, Cortex Moutan 12g, Radix Salviae Miltiorrhizae 12g, Poria 15g, and Radix Paeoniae Rubra.

Efficacy nourishes liver and kidney.

Usage: decoct with water, one dose per day.

Prescription and solution: Rehmannia glutinosa, nourishing yin and tonifying kidney, and replenishing essence; Cornus officinalis can nourish liver and kidney, astringent essence and stop astringency; Yam tonifies spleen and yin, and tonifies kidney and essence. The combination of Radix Rehmanniae Preparata, Rhizoma Dioscoreae and Fructus Corni nourishes the liver, spleen and kidney, and becomes a "three tonic". However, the dosage of Radix Rehmanniae Preparata is too large, so it is mainly to tonify kidney and nourish yin, which is not enough to cure the problem. Compatibility with Alisma orientalis to eliminate dampness and turbidity to prevent Rehmannia glutinosa from nourishing and loving evil; Peony bark can clear fire, and dogwood is warm and astringent; Poria cocos slightly permeates spleen dampness, which is helpful to the healthy transportation and transformation of yam. The three drugs are "three purges", which can remove dampness and turbidity, clear deficiency and heat, and calm down the symptoms. Radix Polygoni Multiflori, Fructus Ligustri Lucidi, Ecliptae Herba are added to tonify liver and kidney, Radix et Rhizoma Rhei is used to reduce turbidity, and Radix Salviae Miltiorrhizae is used to promote blood circulation and dredge collaterals. Fang Er Yi Guan Jian Xiao Yu Tang consists of Radix Glehniae 15g, Radix Ophiopogonis 10g, Radix Angelicae Sinensis 9g, Radix Rehmanniae 24g, Fructus Lycii 18g, Fructus Toosendan 8g, Carapax Trionycis 10g, Concha Ostreae 30g and Radix Paeoniae Rubra 12g.

Efficacy nourishes liver and kidney.

Usage: decoct with water, one dose per day.

Fang Jie decoction nourishes liver and kidney, and Xiaoyu decoction cools blood and removes blood stasis.

Note: If dizziness is obvious, Gastrodia elata 12g, Uncaria rhynchophylla 12g and Tribulus terrestris 12g can be added to calm the liver and suppress yang. Add Cistanche deserticola 12g, Fructus Cannabis 15g, Polygonatum odoratum 12g, and dry the bowels to relieve constipation. 4. The main symptoms of deficiency of both yin and yang are mental fatigue, mental fatigue, dizziness, cold waist and knees, thin stool, fat tongue and heavy pulse. Anti-ant Guifu Bawei Pill consists of Radix Rehmanniae 15g, Fructus Corni 12g, Rhizoma Dioscoreae 12g, Rhizoma Alismatis 12g, Poria 15g, Cortex Moutan 10g, Cortex Cinnamomi 3g and cooked Radix Aconiti Lateralis Preparata 65438.

Yin and yang effects.

Usage: decoct with water, one dose per day.

Fang Jie Rehmannia glutinosa and Cornus officinalis nourish kidney yin; Alisma orientalis and Paeonia suffruticosa are turbid; Poria cocos, yam. Astragalus membranaceus is the source of invigorating qi and spleen and nourishing qi and blood biochemistry. Cinnamon, aconite, epimedium, warming kidney and strengthening yang; It interacts with drugs that nourish kidney yin and tonify yin and yang.

According to the annotation, tortoise shell can tonify true yin, and Rhizoma Curculiginis can warm and tonify kidney yang to enhance the function of yin and yang. The prescription Erjishengshenqi Decoction consists of Radix Rehmanniae Preparata120g, Rhizoma Dioscoreae 30g, Fructus Crataegi15g, Cortex Moutan10g, Poria15g, Rhizoma Alismatis12g, Radix Aconiti Lateralis Preparata 3-6g and Ramulus Cinnamomi 6g.

Efficacy of warming spleen and kidney.

Usage: decoct with water, one dose per day.

Ramulus Cinnamomi and Radix Aconiti Lateralis in the prescription can activate yang, transform qi, tonify coke, bake yang, and benefit kidney qi. Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Cortex Moutan, Poria and Alismatis Rhizoma constitute Liuwei Dihuang Pill for tonifying kidney and nourishing yin; Achyranthes bidentata leads downward, promoting blood circulation and promoting diuresis; Plantain seeds benefit from water; All kinds of drugs have the function of promoting qi and blood circulation.

According to the remarks, if the skin is rough and moist and the waist and knees are sore obviously, Fructus Psoraleae 12g and Rhizoma Drynariae 12g can be added to tonify kidney and replenish essence.

Sixteen. Diabetes is a common metabolic endocrine disease. Its basic pathological feature is the metabolic disorder of sugar, fat, protein, water and electrolyte caused by relative or absolute insulin secretion deficiency, which is manifested as hyperglycemia and diabetes. Clinically, symptoms such as polydipsia, polyphagia, polyuria, fatigue and emaciation may occur, and in severe cases, ketoacidosis may occur. Common complications and accompanying diseases include acute infection, tuberculosis, atherosclerosis, renal and retinal vascular diseases and neuropathy.

Chinese medicine believes that diabetes is a disease caused by yin deficiency of lung, stomach and kidney and abnormal Shui Gu metastasis. The basic pathogenesis is dryness-heat due to yin deficiency, with yin deficiency as the basis and dryness-heat as the standard. The two are mutually causal, and the dryness and heat are more virtual, and the dryness and heat are more severe. The diseased viscera can be biased towards the lung, spleen and kidney, and interact with each other. Yin deficiency is strong in the early stage, qi and yin deficiency appears in the middle stage, and yin deficiency and yang hyperactivity lead to yin and yang deficiency in the later stage.

Treatment 1. The main symptoms of yin deficiency and dryness-heat syndrome are thirst, thirst with drink, dry throat and tongue, overeating and hunger, dark red constipation, red tongue with little body fluid and yellow fur. Pulse slip number or chord number. Fang Xiao-Yi Fang comes from the Golden Chamber and consists of 30g of Trichosanthes, 30g of Rhizoma Coptidis 10g of Radix Rehmanniae, 30g of Lily 10g of human milk 10g.

Nourishing yin and clearing away heat.

Usage: decoct with water, one dose per day.

In the prescription, pollen is reused to promote fluid production and quench thirst; Cooperate with coptis chinensis to clear heart and reduce fire; Radix Rehmanniae, lotus root juice, human milk and lily nourish yin, moisten dryness and increase fluid; Ginger juice is suitable for the stomach to prevent bitter cold from hurting the stomach.

Note: Ophiopogon japonicus and Pueraria lobata each10g for people with dry mouth; 30 grams of cassia seed is added to constipation caused by fluid injury; It will turn yellow 3 ~ 6 grams when it is dry and hot. Fangerzhibaidihuang Pill consists of 24g of Radix Rehmanniae Preparata, 20g of Cornus officinalis12g, 0g of Rhizoma Dioscoreae12g, 0g of Rhizoma Anemarrhenae12g, 0g of Cortex Phellodendri12g, 9g of Poria, 9g of Alismatis Rhizoma and 9g of Cortex Moutan.

Nourishing yin and clearing away heat.

Usage: decoction, one dose a day, one dose a day.

In the prescription, Rehmannia glutinosa nourishes kidney yin, while Cornus officinalis and Dioscorea opposita nourish liver and kidney and strengthen spleen. Anemarrhena asphodeloides and Phellodendron amurense clear deficiency fire; Poria cocos, Alisma orientalis and Cortex Moutan can purge spleen and kidney.

According to the statement, Ophiopogon japonicus, Adenophora adenophora, Dendrobium, etc. Adding nourishing yin and moistening dryness; If retinal hemorrhage is bright red and massive, Rhizoma Imperatae, Eclipta prostrata, Herba Cirsii and Notoginseng Radix should be added to cool the blood and stop bleeding.

2. The main symptoms of deficiency of both qi and yin are weakness, shortness of breath, spontaneous sweating, increased exercise, dry mouth, excessive drinking and urination, vexation and fever, constipation, soreness of the waist and knees, pale or dark tongue, teeth marks on the edge of the tongue, thin white or less fur, and thready pulse. Fangji Shengmai Drink, which originated from medical exotic sources, consists of Ginseng 10g, Ophiopogon japonicus 30g and Schisandra chinensis 10g.

Benefiting qi and nourishing yin.

Usage: decoct with water, one dose per day.

Ginseng in the prescription supplements vitality, promotes fluid production and quenches thirst; Ophiopogon japonicus nourishes yin and produces body fluid; Schisandra chinensis astringent solution

According to the statement, Astragalus membranaceus and Polygonatum odoratum are added to those with obvious qi deficiency. Fanger Yunv Decoction is composed of Radix Rehmanniae Preparata 65438±02g, Gypsum Fibrosum 65438±05g, Anemarrhena asphodeloides 65438 00g, Achyranthes bidentata 65438 00g and Ophiopogon japonicus 65438 00g.

Benefiting qi and nourishing yin.

Usage: decoct with water, one dose per day.

Gypsum in the prescription is sweet in taste, cold in nature, and can clear Yangming fire without hurting yin, so it is the monarch medicine. Rehmannia glutinosa is sweet and slightly warm. It is a minister medicine and nourishes kidney water. Harmony between the monarch and the minister, clear fire and strong water, taking into account the actual situation. Anemarrhena asphodeloides is bitter, cold, moist and nourishing, which can help gypsum to clear stomach heat and stop polydipsia, and help radix rehmanniae to nourish kidney yin. Ophiopogon japonicus is slightly bitter and sweet, which is helpful to tonify kidney, moisten stomach, clear heart and relieve annoyance. Both are adjuvant drugs. Achyranthes bidentata conducts heat, leads blood downward, nourishes liver and kidney, and is an auxiliary medicine for reducing inflammation and stopping bleeding.

According to the remarks, 30 grams of raw Astragalus membranaceus is added to those who are weak, spontaneous sweating and short of breath; 10 ~ 15g Polygonatum odoratum is added to people who eat too much and are hungry; Very thirsty people add 30 grams of pollen.

3. The main symptoms of yin and yang deficiency are fatigue and spontaneous sweating, cold limbs, soreness of waist and knees, dry helix, excessive drinking and diuresis, turbid as ointment, edema and oliguria, or diarrhea in five shifts, impotence and premature ejaculation, pale tongue with white fur and weak pulse. Fang Yi Jin Shen Kui Qi Pill consists of 6 grams of Radix Aconiti Lateralis Preparata, 0/5g of Cinnamomum cassia/kloc, 40g of Radix Rehmanniae, 20g of Cornus officinalis, 0/5g of Rhizoma Dioscoreae/kloc, 0/2g of Cortex Moutan/kloc, 0/0g of Rhizoma Alismatis/kloc and 0/0g of Poria/kloc.

The effect of warming yang and nourishing yin.

Usage: decoct with water, one dose per day.

In the prescription, aconite root and cinnamon warm and tonify kidney yang, and lead the fire back to the yuan; Liuwei Dihuang nourishes kidney yin, seeks yang in yin, and coordinates yin and yang.

Note: If nocturia is frequent or urine is like a paste, add Alpinia Oxyphylla, Semen Cuscutae and Ginkgo biloba10 ~15g respectively; For oliguria or edema, 30g of Astragalus membranaceus, 0/0g of Atractylodes macrocephala and 0/0-20g of Stephania tetrandra are added; Patients with diarrhea due to five changes are added with Psoralea corylifolia 10 ~15g, Evodia rutaecarpa10g and Nutmeg10g; Epimedium for impotence and premature ejaculation 10 ~ 15g Curculigo 10 ~ 15g.

4. Blood stasis is the main symptom. All the above syndromes can be accompanied by blood stasis, such as facial ecchymosis, limb pain, numbness, headache, chest pain, hypochondriac pain, hemiplegia, tongue ecchymosis, cyanosis or hypoglossal vein swelling, abnormal hemorheology, microcirculation disturbance, etc. Fang Yi Taohong Siwu Decoction, from the apex of gynecology of medical zong Jinjian, is composed of peach kernel 65438 00g, safflower 65438 00g, prepared rehmannia root 65438 00g, angelica root 65438±02g, Ligusticum chuanxiong 9g and Paeonia Rubra 65438 00g.

Efficacy: promoting blood circulation and removing blood stasis.

Usage: decoct with water, one dose per day.

Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Alba and Radix Rehmanniae in the prescription nourish blood and promote blood circulation; Peach kernel and safflower promote blood circulation and remove blood stasis.

According to the remarks, if the blood stasis syndrome is mild, 30 grams of salvia miltiorrhiza and 30 grams of motherwort can be added; For patients with severe blood stasis syndrome, leech 10g and scorpion 3-5g are added. Fangge Xuefu Zhuyu Decoction, which originated from Yilin Gaicuo, consists of 5 grams of Chuanxiong, 9 grams of peach kernel 12, 9 grams of safflower, 6 grams of red peony root, 3 grams of Bupleurum root, 5 grams of platycodon grandiflorum, 6 grams of bitter orange, 9 grams of Achyranthes bidentata, 9 grams of angelica sinensis, 9 grams of rehmannia root and 6 grams of licorice root.

Efficacy: promoting blood circulation and removing blood stasis.

Usage: decoct with water, one dose per day.

This prescription can solve the problems of stagnation of blood stasis in the chest, obstruction of qi movement, qi stagnation and blood stasis, and liver qi softening; If blood stasis turns into heat, it will cause blood stasis to heat up and stomach gas up. Radix Angelicae Sinensis, Radix Paeoniae Rubra, Rhizoma Chuanxiong, Semen Persicae and Flos Carthami in the prescription promote blood circulation and remove blood stasis; Chaihu soothes the liver and relieves depression; Fructus Aurantii and Radix Platycodi open the chest to promote qi circulation; Achyranthes bidentata causes heat drop; Rehmannia glutinosa clearing away heat and nourishing yin; Glycyrrhiza uralensis Fisch blends various drugs.

According to the statement, leech 10g and scorpion 3 ~ 5g are added to patients with severe blood stasis syndrome.

5. The main symptoms of Yin-Yang Sadness Syndrome are mostly seen in diabetic ketoacidosis coma or diabetic hyperosmotic coma, characterized by apathy, stupor, lethargy coma, shortness of breath, ketosis, dry skin, polyuria, dry tongue, thready and heartbroken pulse or thready and numerous pulse. Fangji Shengmai Powder consists of ginseng 30g, Ophiopogon japonicus 30g and Schisandra chinensis 15g.

Efficacy saves yin and restores yang.

Usage: decoct with water, one dose per day.

The ginseng in the prescription greatly supplements the vitality and returns to the yang to save the inverse; Ophiopogon japonicus and Schisandra chinensis astringe yin to promote fluid production, clear away heat and quench thirst.

According to the notes, Radix Astragali and Rhizoma Polygonati Odorati can be added to strengthen the function of invigorating qi and nourishing yin. Fangge Shenfu Decoction consists of 12g ginseng and 15g cooked aconite root, which is produced from Yao Lei Zhengzi.

Efficacy saves yin and restores yang.

Usage: decoct with water, one dose per day.

Ginseng in the prescription greatly tonifies the vitality, and aconite warms the kidney and strengthens the yang. The combination of the two drugs has the functions of invigorating qi, restoring yang and strengthening the body. Shenmai injection or Shengmai injection can also be used for intravenous drip.

It is said that if the pulse is slightly heartbroken, add aconite root 10 ~ 15 g to restore yang and save inverse; If the heat is excessive, pericardium invades, and adduction and extroversion occur, Angong Niuhuang Pill or Zhibaodan can be used as appropriate to clear away heat and enlighten the mind.

Seventeen. Overview of osteoporosis Osteoporosis is a systemic bone disease, which is characterized by a decrease in bone mass per unit volume, insufficient production of bone organic components and a decrease in secondary calcium deposition. The incidence of osteoporosis is related to gender, age, race, region, eating habits and other factors. The incidence of osteoporosis in women is much higher than that in men. Osteoporosis is a manifestation of aging. If osteoporosis is accompanied by fracture, obvious low back pain or nervous system symptoms, it should be regarded as a disease. Osteoporosis can be divided into primary osteoporosis, without other diseases or obstacles that cause osteoporosis; Secondary osteoporosis is mostly caused by endocrine gland dysfunction.

Although there is no such disease name in TCM, it has been recorded in TCM for a long time. According to its clinical manifestations and TCM literature, osteoporosis belongs to the category of "bone arthralgia" and "bone flaccidity" in TCM.

1 treatment. The main symptoms of kidney essence deficiency syndrome are bone pain, bone deformation, soreness of waist and knees, tight tendons, emaciation and haggard, stumbling and slow response, while adults show symptoms such as premature aging, toothache, impotence and nocturnal emission, tinnitus and deafness, forgetfulness and so on. Children are slow in growth and development, short in stature, mentally retarded, prone to panic, night sweats or convulsions, reddish tongue and weak pulse. Prescription 1: Zuogui Pill 2: Qian Hu Pill Source 1: Jingyue Quanshu 2: Danxi Heart Method consists of Dahuai Dihuang 1250g, Yam 120g, (fried) Lycium barbarum 120g, Cornus officinalis meat 120g and Achyranthes bidentata 90g. Tortoise plastron120g (stir-fried with wine), rhizoma anemarrhenae 60g (stir-fried with wine), radix paeoniae alba 60g (stir-fried with wine), Cynomorium songaricum 45g, tiger bone 30g and dried ginger15g.

Efficacy nourishes liver and kidney, strengthens tendons and bones.

When in use, the medicine is powder, medicated cream pill or porridge pill. Each capsule weighs 9g, each time 1 capsule, twice a day. Send light salt water soup or warm water on an empty stomach.

In the prescription, Radix Rehmanniae Preparata, Carapax et Plastrum Testudinis, Cornus officinalis, Semen Cuscutae and Radix Paeoniae Alba nourish yin and tonify deficiency, and tonify the yin of liver and kidney; Cynomorium songaricum and deer glue warm yang and benefit essence, nourish tendons and moisten dryness; Lycium barbarum is good for eyes; Cortex Phellodendri and Rhizoma Anemarrhenae purging fire and clearing heat; Tiger bone (can be replaced by ox bone) and Achyranthes bidentata strengthen the waist and knees, and strengthen the bones and muscles; Chinese yam, dried tangerine peel and dried ginger warm the spleen.

According to the notes, this prescription can supplement both yin and yang, and the clinical symptoms can be increased or decreased according to the rise and fall of yin and yang. Formula 26-flavored Dihuang Decoction is derived from treating infantile syncope with syndrome differentiation, and consists of Radix Rehmanniae Preparata 15g, Fructus Corni 12g, Rhizoma Alismatis 15g, Cortex Moutan 12g, Radix Salviae Miltiorrhizae 12g, Poria 15g, and Rhizoma Dioscoreae/kloc.

Efficacy nourishes liver and kidney, strengthens tendons and bones.

Usage: daily 1 dose, decocted in water, daily 1 dose.

The prescription uses Radix Rehmanniae Preparata and Cornus officinalis to nourish kidney yin, Alisma orientalis and Cortex Moutan to remove turbidity, Poria and Rhizoma Dioscoreae to strengthen spleen and replenish qi, and Polygoni Multiflori Radix, Fructus Ligustri Lucidi and Eclipta prostrata to nourish liver and kidney, rhubarb to reduce turbidity, and Salvia miltiorrhiza to promote blood circulation and dredge collaterals.

According to the statement, turtle shell, earthworm, Gentiana macrophylla and mulberry branches are added for joint pain or fever; Replacing Radix Rehmanniae Preparata with bone steaming hot flashes, and adding Herba Artemisiae Annuae, Radix Bupleuri and Rhizoma picrorhizae; Adde papaya, radix Stephaniae Tetrandrae, caulis Trachelospermi and Glycyrrhrizae radix into tendon; Concha Ostreae, Os Draconis, and Ramulus Uncariae cum Uncis are added for patients with weakness, upset, convulsion, hyperhidrosis, and convulsion; If you have the symptoms of blood stasis, such as tingling, refusing to press or induration of muscles and joints, skin ecchymosis, dryness and dullness, dark and white lips, purple tongue or ecchymosis, and unsmooth pulse, you can choose Xuefu Zhuyu Decoction and Fuyuan Huoxue Decoction to add and subtract, so as to nourish blood and promote blood circulation, activate collaterals and soften hardness.

2. Spleen and kidney qi deficiency syndrome is characterized by pain in the joints of waist and back limbs, weakness of limbs, muscle weakness, light day and heavy night, bone deformation, unfavorable movement, pale complexion, pale mouth, spontaneous sweating, edema of limbs, increased nocturia, shortness of breath, lazy speech, abdominal pain due to bowel sounds, diarrhea in loose stool, even five shifts, pale, fat, white and watery tongue, and weak or slow pulse. Fang Yi ① Gui You Pill ② Lizhong Pill Source ① Jingyue Quanshu ② Treatise on Febrile Diseases and Treatment of Cholera Based on Syndrome Differentiation consists of Radix Rehmanniae Preparata 124g, Rhizoma Dioscoreae 12g, Fructus Corni 10g, Fructus Lycii 12g, Semen Cuscutae 12g, and Colla Cervi/kloc.

The effect of strengthening spleen and tonifying kidney.

When in use, the medicine is powder, medicated cream pill or porridge pill. Each capsule weighs 9g, each time 1 capsule, twice a day. Send light salt water soup or warm water on an empty stomach.

In the prescription, aconite and cinnamon are prepared to warm the fire of life gate to strengthen kidney qi; Radix Rehmanniae Preparata, Fructus Lycii, Fructus Corni, Eucommiae Cortex, and Semen Cuscutae nourish blood, tonify kidney and produce sperm; Radix Codonopsis, Rhizoma Dioscoreae, Atractylodis Macrocephalae, and Radix Glycyrrhizae Preparata strengthen spleen and replenish qi; Dried ginger warms spleen and yang; Angelica supplements blood and nourishes beauty; Colla cornus Cervi is a kind of flesh and blood, which nourishes Du Meridian.

According to the remarks, Wu Jian, Asarum, Scorpion and Scolopendra are added for patients with acute pain; Poria, Alisma orientalis, Coicis Semen and Radix Astragali are added for edema and joint swelling; Ganoderma, Polygoni Multiflori Radix, Caulis Spatholobi and Colla Corii Asini can be added for muscular atrophy.