Hypertension can be taken, which has the effect of lowering blood pressure.
* Used for qi deficiency and fatigue, mental fatigue or depression of middle qi, proctoptosis and uterine prolapse. It is often used with Dangshen and Atractylodes macrocephala to tonify qi and spleen. It is used for invigorating qi and rising yang, and is often combined with Radix Codonopsis, Cimicifuga rhizome, Radix Bupleuri and Radix Glycyrrhizae Preparata.
* Used for spontaneous sweating with superficial deficiency and unconsolidation. Externally deficient spontaneous sweating is often combined with ephedra, floating wheat and oyster. For those who are prone to wind-cold due to exterior deficiency, it can be used equally with Fangfeng and Baizhu.
* For patients with deficiency of both qi and blood, abscess invagination and persistent pus discharge. For abscess invagination or chronic ulcer, it can be combined with Radix Codonopsis, Cortex Cinnamomi and Radix Angelicae Sinensis. It can fester and not fester, and can be used with Angelica sinensis, Flos Lonicerae, Radix Angelicae Dahuricae, Squama Manis and Gleditsia sinensis.
* For edema, beriberi and facial edema. Atractylodes macrocephala, Poria, etc.
Chronic kidney disease
Mr. Yue Meizhong, a modern famous doctor, was inspired by the experience of treating edema with Astragalus porridge in Cold Records of Medicine, and created Astragalus porridge to treat chronic nephritis in children, which received good results. The prescription is: raw astragalus root 30g, raw coix seed 30g, adzuki bean 15g, chicken gizzard-membrane 9g, kumquat cake 2 and glutinous rice 30g. First, boil Radix Astragali with 600 ml of water for 20 minutes, and remove the residue. Then add Coicis Semen and Semen Phaseoli, and cook for 30 minutes. Then add chicken's gizzard-membrane and glutinous rice and cook it into porridge. Daily dose 1, take twice, and chew 1 kumquat cake after eating. This prescription has a high curative effect on chronic nephritis and residual edema of nephritis, and also has an effect on eliminating proteinuria. In fact, it is also effective to cook porridge with astragalus and glutinous rice alone. The method is as follows: astragalus 30-120g, glutinous rice 30-50g. First, decoct Radix Astragali, take juice, then add glutinous rice, and cook it into porridge, and eat it every day. Astragalus porridge is a traditional Chinese medicinal porridge, which was popular in Song Dynasty. Su Shi wrote a poem "Huangqi Boiling Porridge to Recommend Spring Cuisine", which shows that Su Shi has eaten Huangqi Porridge.
There are also folks who use astragalus to steam ducks to treat kidney disease. The method is: live duck 1 bird (about 1kg), 60g of astragalus. First, the ducks are slaughtered and cleaned, soaked in boiling water, and then fished out. Add Radix Astragali, Rhizoma Zingiberis Recens, and Herba Alii Fistulosi to the belly, and add a small amount of Fructus Zanthoxyli. Add a little star water wine to the belly, sew it with cotton thread and steam it for 2 hours. Go to Huang Qi, eat meat and drink soup. A duck can be eaten in three days. It can be used as a therapeutic prescription for chronic kidney disease (general medicine 1999 No.4).
Clinically, I often use Yupingfeng powder combined with Zhenwu decoction to treat chronic kidney disease, and insist on taking it, which can improve renal function.
(2) Cardiovascular and cerebrovascular diseases
① Hypertension: I often use Ji Fang Huangqi Decoction and Radix Puerariae to treat senile hypertension with edema of lower limbs, which has a good effect of eliminating edema and lowering blood pressure. Ji Fang Huangqi Decoction is a prescription in Synopsis of the Golden Chamber. My empirical dosage is: Astragalus membranaceus 30g, Atractylodes macrocephala 12g, Ji Fang 12g, Glycyrrhiza uralensis 3g, ginger 3 tablets, jujube 10 tablets, and Pueraria lobata 30g. If accompanied by hyperlipidemia, add 20g of Alisma orientale and 65440 of Chuanxiong.
② Ischemic heart disease: Radix Astragali is decocted in water for 3 times for 50g a day. 92 cases of ischemic heart disease were treated and compared with Xintongding and Danshen tablets respectively. The results showed that the curative effect of Astragalus membranaceus group was better. Not only the symptoms such as angina pectoris were obviously relieved, but also the clinical objective indexes such as electrocardiogram and impedance cardiogram were improved.
③ Cerebrovascular accident: Modern Ningbo famous doctor Fan is good at treating stroke hemiplegia with this prescription. Astragalus membranaceus is commonly used at 60~ 120g. He said: "Stroke is a disease. It is said that it belongs to fire, wind and phlegm, and treatment according to law is often ineffective. This is the extreme of qi deficiency, with many pulses and blood stasis. It is credible to use Wang Qingren Buyang Huanwu Decoction alone. Astragalus can be increased to four or two, and it is no harm to eat dozens of doses. " Buyanghuanwu Decoction is an experienced prescription of Wang Qingren, a famous doctor in Qing Dynasty. Consists of 60g of Radix Astragali, 6g of Radix Angelicae Sinensis 10g, Rhizoma Chuanxiong 10g, Radix Paeoniae Alba 10g, Semen Persicae 10g, 6g of Carthami Flos, and Pheretima 10g. Indications: Hemiplegia, mouth and eyes askew, poor speech, drooling, dry stool, frequent urination and enuresis. Modern medicine is used to treat cerebral infarction, cerebral thrombosis and diabetes. And has good curative effect.
(3) Diabetes
For diabetic patients with edema and yellow complexion, I often use Ji Fang Huangqi Decoction and Pueraria lobata. For patients with lower extremity ulcer or deep thrombosis caused by diabetes, 60g of raw Astragalus membranaceus is used together with 30g of Radix Puerariae, 30g of Achyranthis Radix, 30g of Dendrobium, 30g of Radix Paeoniae Rubra and 20g of Radix Salviae Miltiorrhizae.
(4) Chemotherapy, radiotherapy and postoperative treatment of tumor.
Patients with anemia, edema, loss of appetite, easy sweating and colds are often the indications for using Astragalus. Huangqi Jianzhong Decoction and Shiquan Dabu Decoction are commonly used in clinic. I have treated 1 patient with multiple myeloma, and the main symptoms are hyperhidrosis, bad wind and high fever. After taking Zhenwu decoction for 1 week, the aversion to sweat decreased obviously. After 1 year treatment, the condition was stable and almost no fever appeared. Shiquan Dabu decoction is a common physical strength enhancer after tumor, which is widely used in Japan. It consists of Radix Astragali 15g, Cortex Cinnamomi 3g, Ginseng 5g, Atractylodis Rhizoma 10g, Poria cocos 12g, Glycyrrhrizae Radix 3g, Radix Angelicae Sinensis 6g, Rhizoma Chuanxiong 6g, Radix Rehmanniae Preparata 12g, Radix Paeoniae Alba 10g, and is decocted in water for 2-3 times a day. Traditionally, there are pills and ointments in China and granules in Japan, mainly for the convenience of long-term administration.
(5) Chronic rhinitis
Commonly used Yupingfeng powder: Astragalus membranaceus 15g, Atractylodes macrocephala 12g, Saposhnikovia divaricata 10g. Indications: spontaneous sweating due to qi deficiency is easy to catch a cold. Allergic rhinitis, hay fever, asthma, and colds in the elderly are often used. 3 slices of ginger and 10 red dates can be added to the recipe.
(6) Osteoporosis
Osteoporosis, lumbar spondylosis, cervical spondylosis, anemia, etc. , accompanied by joint pain, numbness, spontaneous sweating and other symptoms, can be treated with Huangqi Guizhi Wuwu Decoction. Composition: Radix Astragali 30g, Ramulus Cinnamomi 10g, Radix Paeoniae Alba 15g, 3 pieces of ginger, and 0/2 pieces of red dates/kloc-0. Licorice is not allowed in this prescription. At that time, Fan treated the numbness of limbs for the wife of doctor Shen. She used to eat Guizhi soup, but it didn't work. Fan used the original prescription of Huangqi Guizhi Wuwu Decoction, and two doses were effective. Guizhi Decoction and Huangqi Guizhi Wuwu Decoction are only different from Glycyrrhiza uralensis Fisch and Huangqi Radix, but their functions are quite different (see Wei Changchun's clinical experience set).
(7) Ulcers that cannot heal for a long time
Astragalus membranaceus is a traditional medicine for sores, which has the function of promoting granulation, and is especially suitable for "chronic ulcer", that is, purulent infection with chronic ulcer. Its manifestations are clear pus, flat wound and poor general condition. Mr. Zhao Bingnan, a famous doctor of modern Chinese medicine surgery, has a prescription of Huangqi ointment, which is decocted with Huangqi water and mixed with the same amount of honey.
Upper digestive tract ulcers, such as gastric and duodenal ulcers, can be treated with Huangqi Jianzhong decoction. Composition: Radix Astragali 15g, Ramulus Cinnamomi 10g, Radix Paeoniae Alba 15g, Radix Glycyrrhizae 6g, 3 slices of ginger, 0/2 slices of jujube/Kloc-0, and maltose for oral administration. More suitable for chronic diseases, mild anemia, spontaneous sweating and night sweats, sweet food, and pale tongue. If you are thin, you should not use Astragalus in large quantities, otherwise it will lead to abdominal distension and loss of appetite.
3 reference
(l) When using Astragalus membranaceus, pay attention to the patient's physique: the physique of Astragalus membranaceus-yellow white or yellow red, or yellow black, lacks luster. A swollen appearance, disgraceful. Soft muscles and weak abdominal wall, like a cotton pillow, have no sense of resistance and pain. The author calls it "Huangqi abdomen". Usually easy to sweat, afraid of the wind, allergic to cold, or stuffy nose, cough, or cold. The stool is not formed, so it should be dried before turning. It is easy to edema, especially swollen feet and numbness of hands and feet. The tongue is light and fat, and the fur is wet.
(2) Middle-aged and elderly people have more opportunities to use Astragalus membranaceus: lack of exercise, malnutrition and aging can all lead to muscle weakness, especially abdominal muscle atrophy, fat accumulation and edema. This kind of person is the so-called "venerable person" in synopsis of the golden chamber. This figure is especially common among middle-aged and elderly people. Therefore, Astragalus membranaceus is widely used in middle-aged and elderly people.
(3) Astragalus membranaceus can only be effective if it is taken for a long time: Astragalus membranaceus is not used for typhoid fever, and four kinds of adverse reactions are rare in golden chamber, indicating that Astragalus membranaceus is used for internal injuries and miscellaneous diseases. According to Mr. Yue Meizhong's experience, "Astragalus membranaceus is effective for paralysis, numbness and muscle amputation of nervous system diseases, and it must be taken for one day from counting money to counting two for major diseases, and its effect is effective". Astragalus membranaceus is usually used in the range of 10~30g, and the high dose can reach 120g or even more. I met Mr. Sun Lao, an old dermatologist in my hometown, who used Astragalus membranaceus to 500g g, but too much will lead to chest tightness, abdominal distension, loss of appetite, dizziness, hot flashes and so on. In particular, people with tight muscles and constipation should use it less or with caution. Fever and sweating, sore throat, not suitable for use.
(4) The dosage range of Astragalus membranaceus used by Zhang Zhongjing: Astragalus membranaceus is used to treat water vapor, yellow sweat and edema in a large amount (5 Liang), wind arthralgia and physical weakness in a moderate amount (3 Liang) and asthenia in a small amount (65,438+0.5). Modern application can be changed according to Zhang Zhongjing's medication experience. If used to treat edema, the dosage can reach 60~ 100g, and 30 ~ 60 g is used to treat hemiplegia and hyperosteogeny pain. Upper digestive tract ulcer, available 15~30g.
(5) The pulse condition of Huangqi syndrome is not specific. Ji Fang Huangqi Decoction is used for floating pulse, while Huangqi Shaoyao Guizhi Kujiu Decoction is mainly used for sinking pulse. Therefore, the use of Astragalus membranaceus, regardless of floating pulse or sinking pulse, depends on whether the body shape and muscles are soft or not.