(1) announce the law. That is, the method of dispersing lung qi. Lung qi is used for spreading and spreading. Only when lung qi is clear and smooth can it effectively absorb turbidity and maintain the needs of life. If there is hidden phlegm in the lungs, exogenous pathogens are re-felt, or emotional injury is caused by careless diet, causing lung qi to be lost and asthma is caused. Its treatment principle should be to use turbidity to promote lung qi. Clinically, according to the different causes, turbid propaganda can be divided into "warming propaganda", "clearing propaganda" and "eliminating propaganda". That is, cold wheezing, warm propaganda and communication; Those who are hot and wheezing are clear and clear; Turbid wheezing, dispel propaganda to pass.
1 Wen Xuanfa. Wenxuan method is a prescription with pungent taste, which warms and disperses the cold evil in the lungs, decomposes the cold phlegm that is intertwined, and thus spreads the lung qi, so as to stop asthma and relieve asthma. This method is used for cold asthma syndrome, which is characterized by asthma induced by feeling cold or eating raw and cold things, acute asthma, chest tightness and shortness of breath, cold limbs, blue face and purple lips, white and sticky phlegm, white and greasy tongue coating, thready pulse, wheezing in the throat and wheezing in the lungs.
Use Shegan Mahuang Decoction and Xiaoqinglong Decoction to add and subtract drugs, such as Shegan, Ephedra, Asarum, Faxia, Ramulus Cinnamomi, Ginger, Schisandra chinensis, Glycyrrhiza uralensis, etc. Hemp, thin, ginger and cinnamon are all drugs for dispelling cold and dispersing lung, especially asarum, which is a pioneer in opening airway. Ephedra is hard and warm, dispersing lung qi in the upper part, and descending against qi, which not only opens the ghost door, but also cleans the house. It is the main commander of dispersing lung qi and relieving asthma.
Ginger and Pinellia ternata are good at dispelling cold phlegm, while Rhizoma Belamcandae and Ramulus Cinnamomi are combined with cold and warm. They are good at relieving sore throat and removing stagnation, and less with Schisandra chinensis to restrain lung qi to prevent lung qi from being injured by excessive dispersing. Glycyrrhiza uralensis is also good at relieving asthma by harmonizing various drugs. In this way, the cold dissipates phlegm and the airway is unobstructed, and asthma is self-calming.
(2) Qing Xuan method. Qingxuan method is a kind of treatment method that uses cold and cool prescriptions to clear away heat and phlegm, and promote lung qi, so as to stop asthma and relieve asthma. It is suitable for the syndrome of heat asthma caused by phlegm-heat obstruction and airway obstruction. The symptoms are high wheezing sound, thick flatulence in the chest, distension that can't be tolerated, mouth opening, shoulders lifting, difficulty in lying down, fast exhalation, or fever, dry mouth, profuse sweating, red tongue, yellow fur and slippery pulse. Listening to the sputum in the throat is like a drag saw, and there are wheezing sounds in the lungs, even dry and wet rales (multiple systems complicated with infection).
Self-made Qing Xuan Ping Xiao Tang is commonly used, that is, Maxing Shigan Tang is added with medicines such as Lepidium, Aristolochia, Cortex Mori and fresh bamboo juice. Maxing Shigan Decoction is pungent and cool, which can clear lung and relieve asthma, supplemented by prickly heat and Aristolochia, bitter and cold to reduce qi, mulberry bark and bamboo juice are sweet and cold to moisten lung, so that lung heat can be cleared and phlegm heat can be resolved, and the two evils can be eliminated, and the airway can be self-opened. What about asthma? ③ Dispelling propaganda method. The method of dispelling propaganda refers to the method of expelling common cold. Allergic asthma, which comes quickly and goes away with illness, conforms to common cold's characteristic of "being good and changing several times", so it is more appropriate to classify allergens as common cold. The method of dispelling Xuan and calming asthma is used to treat asthma which is superior to common cold. The symptoms are sudden attack of asthma, chest tightness and suffocation, itchy throat, choking cough, little or no phlegm, clean tongue coating and smooth pulse.
Common Qufeng Decoction (self-made prescription): Radix Saposhnikoviae 10g, Schizonepeta tenuifolia 10g, Radix Angelicae Dahuricae 6g, Herba Asari 3g, Lumbricus 10g, Cicadae Cicadae 6g, Mubutterfly 5g, Herba Menthae 6g, Fructus Xanthii 10g, and Radix Glycyrrhizae 10g. The wind is light, and the guests are good at burning, so the medicine should be light, not only in dosage, but also in quality, such as Jing, Fang, Xin, Cicadas and Mu Butterfly. Only when the medicinal properties are light and the upper jiao is vented can it play a role in dispelling wind and stopping asthma. This so-called "upper jiao is like a feather, and it is not easy to lift it".
(2) drop method. That is, the method of dredging and lowering lung qi. The lung dominates the descending, and the descending of lung qi is smooth, and the upwelling of congestion is reverse. The congestion of lung qi is mostly caused by the stagnation of phlegm in the stomach and the resumption of exogenous pathogens, so phlegm and qi cross-block, blocking the airway and causing asthma. Therefore, the method of reducing qi is often used to treat asthma.
Clinical evidence is divided into two methods.
① the method of regulating qi and descending inverse. Most of the methods of regulating qi and lowering adverse flow are composed of drugs for removing phlegm, widening chest and lowering qi, which are used to treat asthma with phlegm-qi obstruction. The symptoms are asthma attack, high-pitched breathing, phlegm in the throat like a drag saw, chest tightness, fullness of breath, or nausea, vomiting, phlegm and saliva, thick and greasy tongue coating, and slippery pulse or string.
Perilla Jiangqi Decoction can be combined with Sanzi Yangrong Decoction: Perilla, Semen Sinapis Albae, Radish Seed, Orange, Pinellia ternate, Angelica, Peucedanum, Magnolia Officinalis, Ginger, Cinnamomum cassia twig, Aquilaria Resinatum and Glycyrrhiza uralensis. This prescription takes Sanzi, Orange, Pinellia and Peucedanum as the main drugs to remove phlegm, in which Raphani seed, Orange, Magnolia Officinalis and Aquilaria Resinatum are the auxiliary drugs, while Angelica sinensis, Cinnamomum cassia twig, ginger and Glycyrrhiza uralensis can promote blood circulation, because the lung is facing hundreds of pulses, and Bai Mai Tong Li is beneficial to the decline of lung qi. The whole prescription can not only remove phlegm and reduce qi, but also dredge blood vessels, so that the airway is unblocked and asthma can be relieved.
(2) the bottom pay method. The lung and the large intestine are exterior and interior, and if the lung qi does not drop, the stool will be difficult to pass; On the other hand, if the stool is blocked, the lung qi will be difficult to fall, and both of them can induce or aggravate asthma. Generally, it is more common in asthma with lung heat and phlegm stagnation, or those who have already developed asthma and have heat stagnation in large intestine. Symptoms include asthma attack, loud wheezing, chest tightness and abdominal distension, constipation, and inability to pass for several days, or sweating on the forehead, thirst in the mouth, dark red tongue, yellow and thick fur, and slippery pulse.
Xuanbai Chengqi Decoction can be used to clear away lung-heat, reduce qi, eliminate phlegm and relieve diarrhea. Drugs such as rhubarb, gypsum, almond, Fructus Trichosanthis, Cortex Mori, Fructus Aurantii Immaturus, Magnolia Officinalis and Raphani seeds can be used. Glauber's salt is added to patients with severe constipation. If the illness is urgent and it is inconvenient to decoct the decoction, you can also swallow 3 ~ 5g of raw rhubarb powder alone, 2 ~ 3 times a day, which is also effective.
(3) Nafa. Lung qi is treated by combining breathing and inhaling, and promoting mutual aid. If lung qi only breathes but does not inhale, or only inhales but does not exhale, lung qi will die out. If there is less propaganda, the lung qi will dissipate without roots and form deficiency asthma.
If Nado announces less, the lung will be congested and become asthma. Therefore, the fluctuation of lung qi is closely related to the cause of asthma. The method of receiving qi is mostly used for those who have asthma without asthma, and it is more common in the intermittent period of chronic asthma, those who have asthma without asthma, are prone to panting and shortness of breath. Clinically, according to different syndromes, there are two kinds of methods: tonifying kidney and absorbing qi and suppressing hyperactivity.
① Bushen Naqi method. Kidney-tonifying and Qi-receiving therapy is used for deficiency asthma syndrome due to deficiency of both lung and kidney, which is characterized by shortness of breath, shortness of breath, low asthma, easy sweating, even worse exercise, often accompanied by dizziness, tinnitus, backache, leg weakness, nocturia and weak ulnar pulse.
Ginseng Gecko Powder can be added and subtracted, and Yupingfeng Powder, Fructus Schisandrae Chinensis and Radix Asteris can be added for those who are prone to cold and cough due to lung qi deficiency and excessive sweating. For patients with kidney deficiency, yang deficiency, fear of cold, soreness of waist and legs, impotence and nocturia, walnut meat, epimedium, cistanche deserticola, goose tube stone, etc. are added; Radix Rehmanniae Preparata, Radix Ophiopogonis, and Fructus Schisandrae Chinensis can be added for patients with yin deficiency, vexation, fever, night sweats, dry mouth without drinking, thin figure and rapid pulse, or wheat-flavored Dihuang decoction can be used instead.
② Zhen Na Fu Yang method. The method of calming the stomach and floating yang has been used for asthma for many years. Those who are extremely deficient in vital qi and have dissipated vitality have symptoms of shortness of breath, shortness of breath, sweating with cold limbs, pink or pale complexion, panic-stricken, fine or floating pulse without roots. Choose Shenrong Heixitan to swallow, or Shenfu Longmu Decoction.