Keywords qi deficiency, old age, deficiency of dirty qi,
Sweat is more connected than heart.
He was pale and sweaty,
Fatigue, weakness, palpitation, shortness of breath.
Pale tongue with pale fur and white pulse,
Buqi roasted grass nourishing heart soup.
[Notes]
The reasons for the deficiency of heart qi are: due to old age, qi deficiency and decline. "Sweat is the body fluid of the heart", sweating is sad, so there are pale face, spontaneous sweating, fatigue, palpitation, shortness of breath, pale tongue, thin white fur, pulse knot and so on. The principle of treatment is to nourish the heart and qi, and the prescription is Yangxin decoction.
[Notes]
This syndrome includes some weakness, neurosis, heart disease and cardiac insufficiency in modern medicine. Only those who have the following symptoms can be treated.
The etiology of this syndrome is: due to the aging of the viscera of the elderly, rheumatism damages the heart qi "sweat is the liquid of the heart", and sweating injury and vaginal fluid caused by some reasons produce the syndrome of qi deficiency.
The clinical manifestations of this syndrome are palpitation, spontaneous sweating, shortness of breath, aggravation after exercise, pale tongue, thin white fur, pale face, fatigue and weak pulse.
The mechanism of this syndrome is that the heart governs the blood vessels, and qi is handsome blood. Lack of spirit, lack of encouragement, qi and blood can not function normally, lack of spirit, nothingness, panic in my heart, palpitations when I lose something. "Exercise leads to gas consumption", so palpitation increases after exercise. Qingcheng Wuji said: "Qi deficiency is due to the weakness of yang, the emptiness of heart and the movement of healthy qi, which is also a kind of fear." Conscience, lack of qi and blood, blood can not rush to the face, so the face is white; The heart begins to understand the tongue, and when the heart is insufficient, the tongue is pale and white with fur, and the heart is in harmony with the pulse. When the heart is guilty, the pulse condition is weak, or qi and blood can't intersect with the pulse, so the pulse is knotted.
The treatment principle of this syndrome: nourishing the heart and calming the nerves.
Commonly used drugs:
Strong heart: Radix Codonopsis, Radix Pseudostellariae, Radix Astragali, Radix Glycyrrhizae Preparata, etc.
Anxin Shen Yao: Poria, Polygalae, Semen Ziziphi Spinosae, Semen Platycladi, Fructus Schisandrae Chinensis, Caulis Polygoni Multiflori, Os Draconis, Concha Ostreae and Cinnabaris.
Prescription of this syndrome: Zhigancao Decoction
This recipe can replenish qi and nourish yin, and activate yang.
1. Yin deficiency and yang hyperactivity, heart and pulse dystrophy. Pulse knot formation, palpitation, qi deficiency and lack of qi, pale tongue with little coating, or dry and thin. 2. Complete lung disease. Dry cough without phlegm, or cough with saliva, small amount, thin and short breath, insomnia, spontaneous sweating and night sweats, dry throat and tongue, dry stool and weak pulse. This prescription is commonly used for patients with functional arrhythmia, premature beats, coronary heart disease, rheumatic heart disease, viral myocarditis, hyperthyroidism, etc. And palpitation, shortness of breath and pulse. It is yin and blood deficiency and yang deficiency. )
Zhigancao Decoction is a famous prescription for treating palpitation and pulse depression in Treatise on Febrile Diseases. Its syndrome is caused by typhoid sweating, vomiting, diarrhea or blood loss, or miscellaneous diseases such as deficiency of yin and blood and weakness of yang. Deficiency of yin and blood can not fill blood vessels, while weakness of yang can not invigorate blood vessels, and the pulse and qi are not connected, so the pulse is connected; Deficiency of yin and blood, psychosomatic dystrophy, or weak heart-yang deficiency can not warm the heart pulse, leading to palpitation. It is advisable to nourish the heart yin, do practical work, warm the heart yang, benefit the heart qi, and stop the palpitation with the pulse. In the prescription, Dihuang is used to nourish yin and blood, and Bielu of Famous Doctors says that Dihuang "tonifies internal injuries of five internal organs, promotes blood circulation and benefits qi". The compatibility of Radix Glycyrrhizae Preparata, Radix Ginseng and Fructus Jujubae is beneficial to heart-qi and spleen-qi, which are the biochemical sources of qi and blood. Colla Corii Asini, Radix Ophiopogonis and Fructus Cannabis nourish the heart and yin, nourish the heart and blood, and replenish the blood vessels. * * * is the Minister of Medicine. With cassia twig and ginger, it can warm the heart and yang, promote blood circulation and remove blood stasis. If you get ginger and cinnamon, it will nourish but not greasy. When in use, the sake is added for decoction, which can warm the blood vessels and exert the drug effect, thus making the medicine. The combination of various medicines can nourish but not greasy, warm but not dry, make qi and blood sufficient, harmonize yin and yang, and balance palpitation and pulse condition. Flaccidity belongs to patients with deficiency of both qi and yin. When this prescription is used, it is used to replenish qi, nourish yin and tonify lung. However, for those patients with yin deficiency and lung dryness, the dosage of ginger, cinnamon and wine in the prescription should be reduced or not used, because warm medicine has the disadvantages of hurting yin fluid after all, so it should be used with caution. Both this prescription and Shengmai Powder have the functions of tonifying lung qi and nourishing lung yin, and can treat chronic cough due to deficiency of lung qi and yin. However, this prescription has a strong effect of invigorating qi and nourishing yin, and its ability of astringing lung and relieving cough is insufficient. Focus on the root cause, tend to warm and tonify, yin deficiency and lung dryness are not suitable for internal heat. Shengmai Powder is not as powerful as this prescription, but its cough relieving effect is better than Zhigancao Decoction because of its compatibility with convergent Schisandra chinensis, which treats both the symptoms and the root causes, and is partial to clearing and tonifying, so it can be used as appropriate in clinic.
2. Heart yang deficiency
Keywords long-term yang deficiency, viscera decline,
Deficiency of heart qi leads to yang failure.
Yang deficiency and cold,
My heart is stuffy and my mouth is blue.
Adhere to the method of warming yang and add cassia twig and licorice to save it.
[Notes]
Deficiency of heart yang is caused by long-term decline of dirty qi or deficiency of heart qi. People with heart-yang deficiency are particularly cold in body and limbs, with chest tightness and blue lips. The treatment is mainly to warm and tonify the heart yang, and the prescription can be Guizhi plus Glycyrrhiza decoction and aconite.
[Notes]
The syndrome includes heart disease, cardiac insufficiency, angina pectoris, arrhythmia and shock in modern medicine.
The etiology of this syndrome is: due to the long-term deterioration of viscera, qi deficiency leads to yang deficiency, which can be regarded as this syndrome.
The clinical manifestations are palpitation, spontaneous sweating, shortness of breath, cold limbs, chest tightness, pale face, pale or dark purple tongue, thin or knotted pulse.
The mechanism of this syndrome is: deficiency of heart qi leads to long-term deficiency of Yang Qi, and Yang Qi can't transfer heat, so it is cold in form and limbs. If the yang can't reach your face, your face will be dull. Heart fluid loses yang, Wei yang is not firm, and body fluid leaks out, leading to spontaneous sweating; When the heart yang is insufficient, the chest yang is weak and the heart pulse is blocked, so the chest tightness; Stagnation of blood stasis leads to pain, and stagnation of heart leads to pain in precordial area. Lips are purple and black, which is the image of congestion. For those with severe heart-yang deficiency, the Shanghai Stock Exchange is aggravated, short of breath, unable to lie down and flustered. Deficiency of heart yang and weakness of yang qi lead to poor circulation of qi and blood, even stagnation of pulse channels, so the pulse is knotted and the tongue is purple and dark.
The treatment principle of this syndrome is to warm and tonify kidney yang.
Commonly used drugs:
Medicine for warming heart-yang: aconite, dried ginger, cinnamon and cassia twig.
Commonly used prescriptions for this syndrome: mild: Guizhi Gancao decoction; Serious: Sijunzi decoction with aconite and dried ginger.
Addition and subtraction: spontaneous sweating with astragalus, Schisandra and oyster; For patients with chest yang deficiency, heart pulse obstruction, chest tightness and even angina pectoris, Ligusticum Chuanxiong, Angelica sinensis, peach kernel, Carthami Flos and Salvia Miltiorrhiza are added with Fructus Aurantii Immaturus and Bulbus Allii Guizhi Decoction; For patients with arrhythmia or pulse knot, add or subtract Radix Glycyrrhizae Preparata, Radix Codonopsis, Ramulus Cinnamomi, Radix Ophiopogonis, Radix Angelicae Sinensis, Fructus Schisandrae Chinensis, Radix Aconiti Lateralis Preparata, etc. Sini powder and Shengmai powder can be used for heart-yang deficiency: aconite, dried ginger, licorice, ginseng, Schisandra chinensis and Ophiopogon japonicus.
In addition, among the symptoms of deficiency of heart yang, there is a kind of "water vapor permeates the heart", and its symptoms are divided into two types: one is weak heart yang deficiency, lung qi deficiency can not transport water and body fluid, or retain drinking, or water vapor upwelling. Pulse symptoms are mainly palpitation, shortness of breath, heaviness in the heart, shortness of breath, chest tightness, cough, thin and white sputum, white tongue coating and heavy pulse. Gui Ling Shugan Decoction can be used for the treatment of activating yang and resolving yin.
3. Deficiency of heart yin
Deficiency of heart yin
Deficiency of heart yin and chronic diseases,
If the heart fails to nourish yin, it will be absent.
Uneasy, uneasy,
Five troubled hot dreams with multiple frequencies.
Hot flashes, night sweats, thready pulse,
Raise cloudy days and fill your heart.
[Notes]
Yin deficiency of the heart is the loss of yin fluid of the heart, which is mainly caused by long-term illness or insufficient heart blood. Blood is yin fluid, and blood hurts yin, so the clinical manifestations are: restlessness, palpitation, upset, fever, dreaminess, night sweats, hot flashes and rapid pulse. Treatment principle: nourishing heart and yin. The prescription can be treated with Tianwang Buxin Dan.
[Notes]
All kinds of tuberculosis, neurosis, menopausal syndrome, viral myocarditis and rheumatic heart disease in modern medicine have this syndrome.
Etiology of this syndrome: chronic illness, physical weakness, seven emotions secretly hurting yin and blood, resulting in insufficient blood.
The clinical manifestations of this syndrome are irritability, palpitation, upset, fever, dreaminess, night sweats, dry mouth, red tongue, scanty body fluid and rapid pulse.
The pathogenesis of this syndrome is: heart governing blood, blood governing yin, palpitation due to deficiency of yin and blood, restlessness, palpitation due to deficiency of qi and blood, upset and dry mouth. "Syndrome Treatment and Supplement": "When the heart is weak and the spirit fails, the qi disappears and the phlegm stops, and the heart is occupied by phlegm, so the reason why the fright is held high is also". Deficiency of heart yin, yin does not control yang, deficiency heat is endogenous, so low fever, five upset heat, hot flashes; Because after falling asleep, Yang is connected with Yin, and Yin deficiency is connected with Yang, so it bothers me to see it. Deficiency of heart yang is not dependent on yang, excessive heart fluid is night sweat, and the number of red tongue and pulse is heart yin deficiency.
Treatment principle of this syndrome: nourishing heart and yin, calming heart and calming nerves.
Commonly used drugs:
Peace of mind: Polygonum multiflorum Thunb. , keel, arborvitae seed, Ziziphus jujuba seed.
Nourishing heart yin: Radix Rehmanniae, Lily and Ophiopogon japonicus.
The commonly used prescriptions in this syndrome are: Shengmai drink is light, Tianwang Buxin pill is heavy: Radix Rehmanniae, Radix Polygalae, Radix Asparagi, Radix Ophiopogonis, Radix Salviae Miltiorrhizae, Radix Angelicae Sinensis, Poria, Lily, Fructus Schisandrae Chinensis, Semen Ziziphi Spinosae, Semen Platycladi, etc.
Addition and subtraction: Artemisia annua, Cortex Lycii, Carapax Trionycis and Radix Scrophulariae can be added if there is low fever; Herba Ephedrae and Concha Ostreae can be added for night sweats.
Shengmai powder: ginseng; Maimendong; The main function of Schisandra chinensis is to promote fluid production and benefit qi, astringe yin and stop sweating;
Treatment should benefit qi, nourish yin and promote fluid production. Ginseng in the prescription is warm in nature, beneficial to vitality, tonifying lung qi and promoting fluid production, which is the monarch medicine. Maidenghong is sweet and cold in nature, nourishing yin and clearing heat, moistening lung and promoting fluid production, which is used by ministers. If ginseng and Ophiopogon japonicus are used together, the effect of supplementing qi and nourishing yin will be enhanced. Schisandra chinensis is sour and warm, astringing lung to stop sweating, promoting fluid production to quench thirst, and it is an adjuvant medicine. The combination of the three herbs, one nourishing and one moistening, has the effects of benefiting qi and nourishing yin, promoting fluid production to quench thirst, astringing yin and stopping sweating, benefiting qi and promoting fluid production, stopping sweating and stopping yin, benefiting qi and promoting pulse, hence the name "Shengmai Drink". 《
Tianwang Buxin Pill
Tianwang Buxin Dan: It has the functions of nourishing yin, clearing away heat, nourishing blood and calming the nerves. Indications: Yin deficiency and blood deficiency, mental disorder. Palpitation and insomnia, listlessness and forgetfulness, or wet dream, has fever in hands and feet, sores on the mouth and tongue, dry stool, red tongue with little coating, and rapid pulse. The syndromes in this prescription are mostly caused by worry, dark consumption of yin and blood, deficiency of both heart and kidney, deficiency of yin and blood, and internal disturbance of deficiency fire. Yin deficiency and blood deficiency, so palpitation and insomnia, tired and forgetful; Internal heat due to yin deficiency and internal disturbance due to deficiency of fire lead to hand, foot, heart heat, asthenia and vexation, nocturnal emission and sores on mouth and tongue; Red tongue with little coating and rapid pulse are symptoms of yin deficiency and internal heat. The treatment should be nourishing yin and clearing heat, nourishing blood and calming the nerves. Rehmannia glutinosa is sweet in taste, cold in nature, nourishing blood in the heart and yin in the kidney, so it can nourish yin and blood, benefit water and control deficiency fire, and is a monarch drug. Radix Asparagi and Radix Ophiopogonis nourish yin and clear heat, Semen Ziziphi Spinosae and Semen Platycladi nourish heart and soothe nerves, Radix Angelicae Sinensis nourish blood and moisten dryness, and * * * help radix rehmanniae nourish yin and nourish blood, nourish heart and soothe nerves, all of which are minister drugs. Scrophularia root nourishes yin and reduces fire; Poria cocos and polygala tenuifolia nourish the heart and soothe the nerves; Ginseng tonifies qi and produces blood, which can soothe the nerves and improve intelligence; The acidity of Schisandra chinensis is used to gather the heart and soothe the nerves; Salvia miltiorrhiza clearing heart and activating blood circulation, combined with blood-enriching drugs, is easy to produce; Cinnabar calms the mind and calms the nerves, and treats its target, supplemented by the above * * *. Platycodon grandiflorum is a boat, which carries medicine upwards, so that the medicine slowly stays on the heart meridian, thus making medicine.
Suanzaoren decoction
Jujube has the effects of nourishing blood, calming nerves, clearing away heat and relieving annoyance. Insomnia, palpitation, night sweats, palpitation, night restlessness, dizziness, dry throat and mouth. This syndrome is caused by liver blood deficiency's deficiency-heat disturbance. The liver hides the soul and gets angry internally. liver blood deficiency makes the soul uneasy, and the virtual fire disturbs the heart, so there is no sleep and palpitations; Yang deficiency is disturbing, so the leader is dizzy; Deficiency heat forces body fluid to leak out, so night sweats; Dry throat, dry mouth and rapid pulse are manifestations of yin deficiency and internal heat. Ziziphus jujuba seed is a recipe for nourishing blood and liver, calming the heart and calming the nerves; Shen Fu calms the heart and nerves; Anemarrhena rhizome nourishes yin and clears heat; Chuanxiong regulating qi and soothing liver; Raw licorice clears away heat and neutralizes heat.
Guipi decoction is used to treat palpitation and insomnia with deficiency of qi and blood. Cinnabar soothes the nerves and is used for palpitation and insomnia caused by excessive heart fire. Suanzaoren decoction is used for fatigue, insomnia, fright and dreaminess. Tianwang Bushen is used for heart yin deficiency, palpitation and insomnia.
Suanzaoren Decoction, Tianwang Buxin Dan and Ganmai Jujube Decoction are the same and different.
Similarities, all three can nourish and soothe the nerves. Suanzaoren decoction can clear away heat and relieve vexation, liver and blood deficiency, internal disturbance of deficiency fire, insomnia, dry throat and mouth, dizziness and pulse. Tianwang Buxin Pill nourishes yin and blood, with deficiency of both heart and kidney, deficiency of yin and blood, and internal disturbance of fire deficiency. Upset and insomnia, red tongue with little fur, or sores on the mouth and tongue, rapid pulse.
Ganmai Jujube Decoction is helpful to relieve anxiety, and can also tonify anxiety and stagnation of temper, deficiency of essence and blood, floating fire, restlessness (depression of heart and liver), unprovoked sadness, insanity, upset and insomnia, restless sitting and lying, and red tongue with little fur.
Excerpted from Dialectical Melody edited by Zhang Deyun, published by 1986 and adapted by 20 10, the first edition of Inner Mongolia Science and Technology Press.
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