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Bad spleen and stomach, heavy moisture, Fuzi Lizhong Pill, Shen Ling Baizhu Powder, Erchen Decoction ... Which one to choose?
It is made by adding aconite into Lizhong Pill in Treatise on Febrile Diseases. Radix Aconiti Lateralis is suitable for deficiency-cold pathogen, cold pain or diarrhea with internal cold. Can be used in warm, too cloudy and cold, and the same temperature as dried ginger. You can also get rid of exogenous cold pathogens, such as Guizhi plus Fuzi Decoction.

The four drugs of Lizhong Pill itself use ginseng because of the problems of "indigestion" and stomach deficiency, and ginseng is used to adjust the middle energizer and replenish fluid. Use raw Atractylodes macrocephala, warm the interior and dry the dampness, and dispel the cold drink to treat cholera vomiting, diarrhea, vomiting, chest cold and other symptoms caused by cold drink. Atractylodes macrocephala can also help digestion, mainly for poor appetite and indigestion caused by drinking this water. After Atractylodes macrocephala removes water to drink, digestion will get better.

The dried ginger used is warm in the interior, and when it is combined with licorice, it becomes licorice dried ginger soup, which is also the reason that "warm in the interior is suitable for four generations".

Then add aconite into Lizhong Pill to strengthen the efficacy of removing cold and dampness in the middle position.

Fuzi Lizhong Pill is a warming agent, which is suitable for the cold of Taiyin, that is, "its dirty body is cold". It can be manifested as: indigestion when eating, discomfort when eating a little cold and cooling the stomach, abdominal pain, stomach pain, full abdominal distension, vomiting, hard stomach, loose bowels, frequent urination and so on. Generally speaking, I'm not thirsty, I don't want to drink water very much, and I don't drink much. If I want to drink water, I will drink more warm water. Some people will also have cold hands and feet, feel their stomachs cold, and be afraid of the cold.

Then the similarity of these symptoms is the problem of internal cold, accompanied by the problem of indigestion due to stomach deficiency.

On the other hand, if there is no cold in your stomach and there is heat in Yangming, it means that you are not afraid of cold but of heat, thirst, bad breath, abdominal distension, difficulty in defecation and constipation. Or symptoms such as cold and heat, excessive internal heat, bad breath, bitter taste, acne, upset, vomiting, abdominal pain, loose stool, etc., such as these conditions are not suitable for use.

Wuling powder

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Wuling powder is also a prescription in Treatise on Febrile Diseases, and it is known as "the first prescription for benefiting water".

Article 7 1: "Sun disease, sweating after sweating, restless stomach, insomnia, people who want to drink water, drink less, and make the stomach and qi harmonious, the better." If the pulse is floating, urination is unfavorable, and thirst is quenched by slight heat, Wuling powder is the main one. 」

This is a kind of solar disease with exterior cold and interior water heat, which can be manifested as thirst and excessive drinking, dysuria, vomiting, abdominal distension and cough, and may also affect sleep and insomnia, such as vomiting and diarrhea, or vomiting and dizziness. In this case, use Wuling powder. Polyporus umbellatus, Alisma orientalis and Poria cocos are all drugs with light osmotic diuretic effect. Alisma orientalis is special, which not only has the function of reinforcing diarrhea, but also can clear away heat. Atractylodes macrocephala is bitter, warm, wet and cold, while cassia twig is pungent and warm to relieve exterior syndrome.

Wuling powder is a kind of water drink with both exterior and interior diseases, and it is mainly empirical, suggesting that water drink must have absolute evil. If it is obviously physically weak or physically weak, it is not suitable to use Wuling powder.

Erchentang

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This is also a very famous prescription for treating phlegm. Comprises Pinellia ternate, dried tangerine peel, Poria, fried licorice, ginger and dark plum. Indications: excessive phlegm, vomiting, nausea, dizziness, palpitation, intermediate discomfort, cold and heat, eating cold, and disharmony between spleen and stomach. 」

This can actually be regarded as the change of Xiao Banxia plus Poria Decoction in synopsis of the golden chamber. Pinellia ternata, ginger and poria cocos have obvious effects of helping phlegm and dampness, cold and dampness. Adding orange peel has the functions of nourishing stomach, eliminating cereal, removing water and drinking, and facilitating defecation. And orange peel soup. Orange peel and ginger can relieve symptoms and drink water.

Then this prescription can be used for cough with excessive phlegm, nausea and vomiting, dizziness and insomnia, palpitation, white and greasy fur and slow pulse caused by phlegm-dampness stagnation. But if the physical weakness is obvious, or there is no absolute water to drink evil spirits, we should be cautious.

Huoxiang Zhengqi water

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Huoxiang Zhengqi Water is composed of Pogostemon cablin, Folium Perillae, Rhizoma Atractylodis, Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis, Radix Angelicae Dahuricae, Poria, Pericarpium Arecae, Rhizoma Pinelliae and Glycyrrhrizae Radix, and it is also from the Prescription of Taiping Huimin Mixture. It has the functions of aromatic dampness elimination and warm drinking.

Huoxiang Zhengqi Powder is mainly used when there is moisture and cold inside. At present, it is mostly used for summer-dampness cold and gastrointestinal cold, with symptoms such as headache, nausea, abdominal distension and pain, vomiting and diarrhea.

Patchouli, divergent, has the efficacy of sweating and eliminating dampness, such as fatigue caused by heavy humidity and heavy body, as well as skin problems such as acne, eczema, itchy skin and beriberi. It can also dissolve turbid qi in human stomach, such as vomiting and diarrhea caused by wet weight of spleen and stomach.

Perilla leaves are pungent and warm, and can promote sweating, promote qi circulation, regulate stomach, relieve phlegm and promote diuresis. Pericarpium Citri Reticulatae, Rhizoma Pinelliae, Pericarpium Arecae, Rhizoma Atractylodis, Cortex Magnolia Officinalis, etc. It can regulate qi, strengthen spleen, eliminate dampness and eliminate phlegm, and can eliminate symptoms such as chest tightness, shortness of breath, cough, belching, vomiting, and abdominal distension caused by unfavorable stagnation of triple energizer and waste water scouring. Glycyrrhiza uralensis Fisch is not here to tonify body fluid, but to match these bitter, pungent and warm drugs to eliminate evil spirits.

A major feature of Huoxiang Zhengqi Water is that it can be used for heatstroke and cold-dampness constitution. But if it is simple heatstroke, it can't be used.

Moreover, many Huoxiang Zhengqi water on the market now contains alcohol, so people who are allergic to alcohol should avoid it. Don't take it with cephalosporin.

Shen Ling Atractylodes macrocephala powder

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Also from Taiping Huimin Hejiju Prescription in Song Dynasty is Shen Ling Baizhu Powder, which consists of Ginseng, Poria, Atractylodes macrocephala, White Lablab, Yam, Lotus Seed, Amomum villosum, Coicis Semen, Platycodon grandiflorum and Radix Glycyrrhizae Preparata. After the adjustment of Ancient and Modern Medicine, there are more orange peels.

Then this prescription is mainly used for spleen and stomach qi deficiency with dampness. Symptoms include weakness of limbs, physical weakness, dyspepsia, vomiting or diarrhea, chest tightness, sallow complexion, greasy fur, and weak and slow pulse. It is also often used to stop diarrhea, relieve cough and recuperate weak constitution.

Among them, Poria, Atractylodes macrocephala, white lentils, orange peel water, yam, lotus seeds, ginseng and fried licorice can tonify the middle energizer, nourish the stomach and promote the production of body fluid and blood. Coix lachryma-jobi is sweet and slightly cold. It is mentioned in "A Record of Famous Doctors" that it can relieve edema, benefit the stomach, help digestion and make people eat. There is also a kind of platycodon grandiflorum, which is often used for abdominal distension and hypochondriac pain. Coix seed and Platycodon grandiflorum are mild cold medicines, which can expel pus and dissipate stagnation. Unlike ginger and Pinellia tuber, which are often mentioned before, they have a certain heat-clearing effect.

* Note: Part of this article comes from the series of courses "Twenty-five Lectures on Core Prescriptions of Treatise on Febrile Diseases" by Teacher Wang Yi. If you need to take the Chinese patent medicine mentioned in this article, please do it under the guidance of doctors' professional syndrome differentiation, and don't use it at will.