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? Brief analysis of Jianzhong decoction
A Brief Introduction to Jinbian written by Zhang Zhongjing in the Eastern Han Dynasty contains three Jianzhong Soups, namely Xiaojianzhong Soup, Dajianzhong Soup and Huangqi Jianzhong Soup. Because its function is to establish the qi of the spleen and stomach in the middle energizer, it is named Jianzhong. As The Collection of the Traces of Typhoid Febrile Diseases says: "Those who are in the middle of construction will establish the spleen and soil of middle jiao. Covering the spleen is the master of the five elements and the foundation of the four dirty organs, that is, the meaning of establishing the foundation and establishing the pole in Hong Fan. Deficiency of qi in the middle, weakness of spleen, inability of stomach qi, and heart throbbing, so it is urgent to establish middle qi. 」

Composition, efficacy, decoction and prescription

Xiaojianzhong decoction has three liang of cassia twig, two liang of licorice, twelve jujubes, six liang of peony, three liang of ginger and one liter of gum pulp. Serve six flavors, take seven liters of water, boil three liters, remove me, put in a jelly, and digest it with a small fire. Take one liter warm and take it three times a day. Xiaojianzhong decoction is composed of Guizhi decoction, Paeonia lactiflora and maltose. Although it is mainly to warm the spleen and establish the middle energizer, sweet and sour can melt yin and warm can help yang, so it can reconcile yin and yang. "synopsis of the heart in the golden chamber" says: "it is the harmony between Fang gan and Xin that gives birth to yang, and the sweetness of acid gives birth to yin, and the yin and yang are born together, and the qi is self-reliant. Therefore, those who seek the combination of yin and yang must be in the qi, and the establishment of the qi must be based on the construction. "Guizhi Xin Wen Tong Yang, Paeonia lactiflora is sweet and astringent, harmonizing camp and health. Ginger is pungent and warm, jujube is sweet and warm to tonify deficiency, and Xuantong Yingwei. Glycyrrhiza uralensis Fisch. and gum pulp are given priority to supplement the camp and health. Harmony between ying and Wei, secret yin and Pingyang, and normal function of zang-fu organs will lead to the recovery of deficiency. Its function is to warm the middle energizer, tonify deficiency, and relieve pain.

Dajianzhong soup with Sichuan pepper in two, dried ginger in four, and ginseng in two. To serve the three flavors, take four liters of water, boil two liters, remove me, stir-fry one liter with a mild fire, and take one and a half liters at different temperatures. For example, if you cook for a while, you can drink two liters of porridge, and then take it more. When it is a day, it is covered with warm water. In the prescription, Sichuan pepper and dried ginger are warm in the middle to dispel cold, while ginseng and gum pulp are weak in the middle. All the herbs in this prescription are combined to strengthen the middle qi and warm the yang to help transport, so the syndromes will heal themselves. As the Golden Mirror of Medical Zong says: "The main prescription is Dajianzhong Decoction, Sichuan pepper and dried ginger disperse cold evil, while ginseng and caramel are deficient. After taking it, it is warm and covered, so that there is slight sweat, then the cold goes away and the pain stops." This method is also used to treat the cold in the heart. Its function is to warm the yang, strengthen the body, dispel cold and relieve pain.

Huangqi Jianzhong decoction has one and a half parts of Huangqi, three parts of cassia twig, two parts of licorice, twelve dates, six parts of peony, three parts of ginger and one liter of gum pulp. Serve six flavors, take seven liters of water, boil three liters, remove me, put in a jelly, and digest it with a small fire. Take one liter warm and take it three times a day. Huangqi Jianzhong decoction is mixed with Xiaojianzhong decoction and Huangqi sweet medicine, so as to strengthen the spleen and stomach, harmonize the camp and Wei, and make the internal qi not urgent, and the deficiency will recover itself. "synopsis of the heart in the golden chamber" says: "those who are in a hurry must be sweet, those who are insufficient must be warm, and those who are filled with deficiency must be empty, so Astragalus is especially good at it. Its function is sweet and warm, and it can relieve pain.

Syndrome treatment

Xiaojianzhong decoction's synopsis of the golden chamber deals with the disease of blood stagnation and asthenia, and discusses the syndrome and treatment of asthenia of yin and yang and asthenia and asthenia and asthenia. If Yin and Pingyang are secret, all diseases will not be born. Palpitation caused by spleen deficiency and loss of nourishment; Hemorrhage caused by spleen failing to control blood; Abdominal pain caused by spleen loss of warmth; Dry throat and mouth caused by spleen failing to transport body fluid. The jaundice in synopsis of the golden chamber, entitled "yellow man, self-interest in urine, should be treated as a small decoction for deficiency", discusses the syndrome and treatment of jaundice caused by deficiency. Jaundice should be bad for urination, but now the urine is yellow from self-interest. It can be seen that this is not damp-heat jaundice, but chlorosis caused by the deficiency of spleen-qi in the middle energizer and the inability of Shui Gu to be proud of his face. Therefore, Xiaojianzhong Soup was used to transport the coke, and Huang Zi went. The miscellaneous diseases of women in synopsis of the golden chamber, "Women's abdominal pain, Xiaojianzhong decoction governs it", discusses the syndrome and treatment of women's abdominal pain caused by fatigue. Because of the deficiency of qi and blood biochemistry, you can't nourish the meridians, so you have abdominal pain. If Xiaojianzhong decoction is used to invigorate the middle energizer, the qi and blood will be active and the meridians will be nourished, then the abdominal pain will stop. Xiaojianzhong decoction is widely used and has a far-reaching influence on later doctors.

Da Jianzhong Tang's synopsis of the golden chamber is full of cold and hernia, and the disease article "Great cold and pain in the chest, vomiting, inability to eat, cold in the abdomen, skin swelling on the upper side, head and feet, pain up and down but not touching" discusses the syndrome and treatment of yang deficiency and cold excess. Yang deficiency and cold are abundant, and when it goes against the stomach, it vomits and can't eat, and when it comes to the chest and abdomen, it hurts and can't be touched. Therefore, Dajianzhong decoction is used to warm Yang Jianzhong, dispel cold and relieve pain.

Huangqi Jianzhong decoction "synopsis of the golden chamber" refers to the disease of blood stagnation and fatigue, "fatigue in the interior is urgent, and all kinds of deficiencies are treated by Huangqi Jianzhong decoction", which discusses the syndrome and treatment of yin and yang deficiency and qi deficiency. As the saying goes in "Li Xu Yuan Jian", "The husband is tired and exhausted, and the qi and blood are both deficient, and the Chinese and foreign countries are lost, and the upper and lower breath are not enough. The left does not maintain the right, and the right does not maintain the left. The product of Astragalus is beneficial to qi and warmth, which dominates Zhongzhou, and the central flag is built, and the five lost teachers are listed. Astragalus membranaceus is used to enhance its function of invigorating qi and strengthening the building, so that the syndrome of deficiency of yang and yin can be eliminated, so the disease is getting worse.

clinical application

Clinical reports of Xiaojianzhong Decoction in recent years. The range of diseases treated by this prescription can involve various diseases of women and children at home and abroad. It has a good curative effect on many diseases caused by deficiency of spleen and stomach yang or deficiency of yin and yang, such as epigastric pain and diarrhea, and is effective for patients with deficiency heat after illness, postpartum and chronic illness, especially for those with deficiency cold caused by peptic ulcer, gastritis and abdominal pain. In addition, it has been reported that it is used to treat epigastric pain, irritable bowel syndrome, habitual constipation, dysmenorrhea, abdominal pain after abortion and so on.

Clinical reports of Dajianzhong Decoction This prescription is often used to treat biliary ascariasis complicated with biliary infection, peptic ulcer, ascaris intestinal obstruction, abdominal pain and diarrhea, and it is also effective for chronic superficial gastritis, functional constipation in children, acute attack of chronic pancreatitis and hydrocele.

Clinical reports of Huangqi Jianzhong decoction are often used to treat patients with peptic ulcer syndrome of deficiency-cold type, and it is effective for chronic gastritis, chronic pelvic inflammatory disease, endometriosis, children's orthostatic disorder, reflux esophagitis and other diseases with yin-yang deficiency and even qi deficiency. Cuttlefish bone, forging corrugated paper, and Fructus Toosendan can be added as appropriate in case of acid regurgitation, belching, hiccup and fullness due to disharmony between liver and stomach, which has obvious analgesic effect. This prescription can also be used for patients with deficiency of spleen and stomach, weak defensive yang and exogenous pathogenic factors.

"Soul Pivot: The Beginning" said: "If so, both yin and yang are insufficient, nourishing the yang will exhaust the yin, and purging the yin will remove the yang. If so, you can use sweet medicine, but you can't drink it. This is the foundation of Jianzhong Tang's legislative prescription. In modern times, many chronic diseases and even acute diseases are caused by debilitating factors or inducements, and their Jianzhong decoction can be used flexibly.