A patient came to the outpatient clinic and said that he had a bitter taste in the mouth, a bloating and painful head, and red eyes. He thought it would be too troublesome to go to the hospital, so he searched on Baidu and bought some gentian for diarrhea. After taking the pill, my head no longer hurts, but I no longer feel like eating, and now I still can’t eat.

Application of Longdan Xiegan Pills

This patient’s head swelling and pain, red eyes, and bitter mouth are indeed manifestations of excessive inflammation of the liver and gallbladder. Because the liver meridian of Foot Que Yin is connected to the eye system and enters the top of the head, and the liver and gallbladder are the exterior and interior of each other. Therefore, head swelling and pain, red eyes, and bitter mouth are indeed related to excess inflammation of the liver and gallbladder. However, clinical medication should also be combined with consultation, tongue and pulse imaging, etc., and the four diagnostic methods should be combined with reference.

Longdan Xiegan Pill is a commonly used prescription for clearing liver-fire in clinical practice. It can purge excess fire in the liver and gallbladder and clear away dampness and heat in the lower Jiao. Treatment:

①Acute cholecystitis, acute jaundice hepatitis and other syndromes caused by liver and gallbladder excess fire. Symptoms include headache, red eyes, tinnitus and deafness, hypochondriac pain, bitter mouth, red tongue with yellow coating, stringy and weak pulse.

②Acute cystitis, acute urethritis, acute pelvic inflammatory disease, acute conjunctivitis and other syndromes caused by dampness and heat in the liver meridian. Symptoms include turbid vaginal discharge, short red urine, swollen vulva, vaginal itching, turbid urine, yellow and smelly vaginal discharge in women, red tongue with yellow coating, stringy and weak pulse.

Contraindications for the use of Longdan Xiegan Pills

The recipe for Longdan Xiegan Pills is: Bupleurum, Astragalus, Gardenia stir-fried with wine, Gentian grass stir-fried with wine, Rehmannia glutinosa stir-fried with wine. , Plantago, Alisma, raw licorice, Akebia, and Angelica sinensis stir-fried with wine.

The gentian in it is bitter and cold. It clears liver and gallbladder fire at the top and purges the dampness and heat at the bottom. It is a monarch medicine. Astragalus and gardenia can clear liver fire and dry dampness, and are ministerial medicines. , Alisma , and Plantago chinensis , can also clear away heat and promote dampness, and are used as auxiliary medicines.

Although, there is licorice to benefit the stomach and neutralize the stomach, and prevent bitter cold from hurting the stomach; there are raw rehmannia glutinosa and angelica to nourish yin and nourish blood to nourish the liver. However, it is still bitter, cold, and diuretic in general, and cannot be taken for a long time; patients with spleen and stomach deficiency or yin deficiency and yang hyperactivity should not take it.

Moreover, the medicine itself must ensure that the family and genus correspond, the preparation method is correct, and the storage method is correct. For example, the Akebia in Longdan Xiegan Pills uses the dried canes of Akebia, a plant of the family Akebiae, and Akebia, a plant of the Aristolochiaceae family, cannot be used. Aristolochic acid contained in Akebia can damage the kidneys. In the early 1990s, a group incident of aristolochic acid nephropathy occurred because patients took Longdan Xiegan Pills containing Guanmu Tong, which also gave Longdan Xiegan Pills the reputation of causing renal failure.

It is safer to take medication under the guidance of a doctor

This patient has a red tongue and yellow coating, and a stringy and rapid pulse. He does have excess fire in the liver and gallbladder, but his spleen and stomach are weak and cold. Bitter cold hurts the spleen and stomach. Therefore, clinical medication must be under the guidance of a doctor and cannot be used randomly by oneself.

When we doctors use medicine, we have to add and subtract medicines, add and subtract medicines, and use additions, subtractions, modifications, and combinations of prescriptions. We have learned "Basic Theory of Traditional Chinese Medicine" and "Diagnosis of Traditional Chinese Medicine" , "Prescriptions", "Chinese Materia Medica", "Traditional Chinese Medicine Internal Medicine", etc., you can read the "Huangdi Neijing", "Treatise on Febrile and Miscellaneous Diseases", "Febrile Diseases", etc. You can learn it immediately by searching on Baidu Of?

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