According to the relevant provisions of Treatise on Febrile Diseases, combined with the practice of diagnosis and treatment, the application indications of Banxia Xiexin Decoction are summarized as follows: fullness in the chest, aversion to appetite, red tongue with greasy fur, and slippery pulse.
The specific symptoms are: epigastric discomfort, fullness or dull pain; Or hiccups, belching, or pantothenic acid, heartburn; The tongue coating is greasy, or white or yellow, and the tongue is dark red; The pulse is slippery or has several signs. Commonly used in chronic gastritis, esophagitis, bile reflux gastritis, chronic cholecystitis, chronic peptic ulcer, chronic colitis and so on.
It is also pointed out that the mechanism of Banxia Xiexin Decoction is that cold and heat are used together to eliminate damp heat, and the pungent taste and bitter taste descend in order, and the reinforcing and purging are combined with strengthening the body resistance and eliminating evil.
Banxia Xiexin Decoction plus Evodia rutaecarpa (or Cinnamomum cassia);
Indications are chronic gastritis accompanied by pantothenic acid and vomiting. Coptidis Rhizoma and Evodia rutaecarpa are compatible in the prescription, which is Zuojin Pill, which has the effect of suppressing liver and stomach and suppressing acid. In specific application, the dosage ratio of Coptidis Rhizoma and Evodia rutaecarpa is 2: 1. If Evodia rutaecarpa is changed into Cinnamomum cassia, it will be Jiaotai Pill, which has the effects of communicating the heart and kidney, clearing away the heart and calming the nerves. In application, the dosage ratio of Coptis chinensis and Cinnamomum cassia is 2: 1.
Banxia Xiexin Decoction plus Prunella vulgaris;
Indications are chronic gastritis accompanied by headache and insomnia. Pinellia ternata and Prunella vulgaris are the right medicines in the prescription. Pinellia ternata is born in May, Prunella vulgaris withers in May, and yin and yang alternate, which is suitable for insomnia. Prunella vulgaris can also relieve the headache caused by stagnation of heat in the liver meridian. On this basis, Zhu Liangchun, a master of Chinese medicine, added mother-of-pearl to soothe the liver and treat intractable insomnia caused by various liver diseases.
Banxia Xiexin Decoction plus Huoxiang;
That is to say, Pogostemon rugosa, Eupatorium odoratum and Amomum villosum are added. These three flavors have the functions of invigorating spleen and stimulating appetite. When used together, they are mainly used to treat dampness and turbid obstruction in the middle, and to prevent transportation. The grains are not fragrant, the mouth is greasy and sticky, and sometimes sticky foam is spit out, and the tongue coating is delicate. In specific application, the three flavors of Pogostemon rugosa should be taken later.
Banxia Xiexin Decoction plus Sishen Pill;
Indications: chronic gastroenteritis, damp-heat blocking middle energizer, cold-dampness pouring down, fullness in the upper part, diarrhea in the lower part, dull pain in the abdomen and white greasy and slippery tongue coating. It has the functions of clearing the upper temperature and lowering the lower temperature, eliminating cold and stopping diarrhea. The dosage of Schisandra chinensis should be small, and it is easy to be sour when it is large.
Banxia Xiexin Decoction with Radix Aucklandiae and Aspongopus;
Indications: Damp-heat blocks the middle energizer, and the stomach qi does not drop, causing pain due to depression; Radix Aucklandiae can awaken the spleen and dispel dampness; Aspongopus is good at dispelling depression and relieving pain; the compatibility of the two herbs has the effect of dredging collaterals and inducing resuscitation; some people use it instead of musk to treat cerebral apoplexy, which is also an experience.
Banxia Xiexin Decoction plus three flowers:
Namely, magnolia officinalis flower, Daihua and Fingered Citron, and the three flowers have the functions of spicy incense, appetizing, invigorating the spleen and eliminating dampness. Indications: chronic gastritis, damp-heat stagnation, adverse qi movement, causing discomfort in the epigastrium, fullness from time to time, especially in the afternoon, or accompanied by hiccups, pale white greasy fur on the tongue surface, and stagnant pulse.
Pinellia Xiexin Decoction with Radix Saposhnikoviae and Fructus Piperis Longi;
Indications: chronic gastroenteritis, accompanied by abdominal discomfort, sometimes bowel sounds, foul breath, or excessive qi and poor stool. Saposhnikovia divaricata and piper longum have the effects of regulating intestine, regulating qi, removing putrefaction and resolving turbidity, which is a corresponding measure for those with abdominal fullness and frequent rising of qi.
Banxia Xiexin Decoction plus Paederia and Endothelium Corneum Gigeriae Galli;
Mainly used for chronic gastritis with anorexia, Paederia asiatica has mild properties and obvious effects of invigorating spleen and stomach, especially suitable for children and the elderly with dyspepsia; However, the chicken gizzard-membrane has strong digestion and accumulation, and the combination of the two flavors can not only stimulate appetite, but also strengthen the spleen and eliminate accumulation. When mixed with Banxia Xiexin Decoction, it can obviously improve the digestion and transport effect.
Banxia Xiexin Decoction plus three buds;
That is to say, raw malt, grain bud and rice bud are added, and the three buds have the effects of soothing the liver and strengthening the spleen and appetizing eating. This prescription is effective for the syndrome of stagnation of liver and spleen (stomach), such as epigastrium and fullness of both sides, frequent hiccups after eating and mental fatigue.
Banxia Xiexin Decoction plus Wubei Powder;
Wubei powder, namely cuttlefish bone and Fritillaria, has the function of eliminating dampness and making acid, and is a commonly used stomach-invigorating and acid-making agent for doctors. When both sides are used together, it can often have the effect of "covering the cup" for patients with heartburn, acid swallowing, dull pain in the epigastric cavity or general salivation in the mouth.
Banxia Xiexin decoction plus Stemona root and Scutellaria baicalensis Georgi;
Indications: cough caused by gastroesophageal reflux. Cough is one of the most common extraesophageal symptoms of this disease, which is often ignored. The main symptoms are heartburn, pantothenic acid, chest pain, nausea, etc. Cough is mostly irritating dry cough. Stemona root and Scutellaria baicalensis Georgi are the right medicines for clearing away heat and relieving cough, which have the effects of clearing away heat but not chilling, and stopping without blocking.
Banxia Xiexin Decoction with Radix Salviae Miltiorrhizae, Radix Paeoniae Rubra and Lignum Dalbergiae Odoriferae;
The last three flavors are "Xiaoguanxin No.2" prescription, which has the functions of promoting blood circulation, removing blood stasis, regulating qi and relieving pain. It is used for patients with "heart and stomach diseases", that is, those suffering from chronic gastritis with myocardial ischemia, often accompanied by chest tightness, stomach fullness, dull tongue and hiccups from time to time.
Banxia Xiexin Decoction plus Medulla;
Fengmudan, namely Amomum villosum, Cortex Phellodendri and Glycyrrhrizae Radix, is mainly used for patients suffering from oral ulcer due to disharmony between spleen and stomach, but its tongue coating will be yellow or white greasy. When used together, it has the effects of clearing away heat, removing dampness, nourishing soil and suppressing fire. In case of frequent occurrence, Radix Cyathulae and dried ginger (or cinnamon) can be added to restore the original fire and balance yin and yang.
Banxia Xiexin Decoction with Cortex Moutan and Fructus Gardeniae;
Indications: Gingival swelling and pain caused by damp-heat of spleen and stomach, or grinding teeth and gurgling at night, and clearing away heat and removing blood stasis from peony bark; Gardenia jasminoides Ellis is used to clear qi and divide heat and depression, and fried to clear blood and divide heat and depression, which is selected according to the clinical symptoms. The dosage of gardenia should be small, so as not to hurt the gas too much.
Banxia Xiexin decoction plus Zhizhu decoction (pill);
Fructus Aurantii Immaturus Pill consists of Fructus Aurantii Immaturus and Rhizoma Atractylodis Macrocephalae, which is a famous prescription for invigorating stomach and promoting digestion. Fructus Aurantii Immaturus can eliminate stagnation and Rhizoma Atractylodis Macrocephalae can tonify spleen, which was created by Zhang Zhongjing and played by Zhang Jiegu. It is compatible with Banxia Xiexin Decoction to treat chronic gastropathy caused by damp-heat in spleen and stomach, accumulation in deficiency, fullness in stomach and indigestion.
Banxia Xiexin Decoction plus Radix Astragali and panax pseudo-ginseng;
Indications: peptic ulcer, the symptoms are dull pain in the stomach, acid swallowing, heartburn, or black stool, and the body is getting thinner day by day. Astragalus membranaceus can tonify the spleen and stomach, replenish qi and absorb blood, and help blood circulation: panax pseudo-ginseng can dispel blood stasis and generate new blood, and it is appropriate to take it orally. The combination of the two herbs can promote ulcer healing.
Rhizoma Atractylodis Macrocephalae, Semen Armeniacae Amarum and Fructus Cannabis are added to Banxia Xiexin Decoction;
Indications: constipation caused by chronic colitis. Raw Atractylodes macrocephala strengthens the spleen and promotes transport, almonds lower lung qi to moisten intestines, and hemp seeds moisten intestines to relieve constipation. The best effect lies in the dosage of raw Atractylodes macrocephala, which is 30 grams or more for adults and 60 or 90 grams for those with stubborn constipation.
Banxia Xiexin Decoction plus Bian Que Sandou Drink;
Sandauyin is composed of white lentils, red beans, mung beans and honeysuckle, which is beneficial to dampness, heat-clearing and detoxification. The combination of the two prescriptions is the first choice for patients with fullness in the stomach, no appetite, greasy tongue coating, acne, sores and spots on the face caused by damp-heat in the spleen and stomach.
summary
Banxia Xiexin Decoction can treat 70% spleen and stomach diseases if it can be changed.
The application of classical prescriptions focuses on the revision, and there are countless changes in both the main syndrome and the syndrome, and the clinical syndrome should also change a lot. The essence of this dialectics is also.