Tinglizi, first recorded in "Shen Nong's Herbal Classic", is also known as Dingli, Dashi and Dashi. It is the seeds of the cruciferous plants Trichosanthes sibiricum, Trichosanthes sibiricum and Artemisia vulgaris. Tinglizi has acrid and cold nature and flavor, and returns to the heart, lungs, liver, stomach and bladder meridian. It has the effects of purging the lungs and lowering qi, dispelling phlegm and relieving asthma, diuresis and reducing swelling, and purging evil spirits. It is mainly used for asthma and cough due to phlegm and saliva blocking the lungs, lung abscess, edema, water accumulation in the chest and abdomen, difficulty in urination, chronic corpus pulmonale, asthma and swelling due to heart failure, scrofula and tuberculosis.

"Compendium of Materia Medica": Tinglizi is bitter and pungent powder, but cold in nature, so it can break stagnation and open knots, calm down the flow of blood and relieve asthma, diuresis and reduce swelling. "Ben Jing" mainly treats "poor discharge" as its meaning. However, cold-dispersing products can channelize excess evil qi, but cannot replenish the deficient righteous qi. If it is not due to excessive heat and suffocation, you should know what to worry about. "Bie Lu": Taking it for a long time makes people feel weak. This is the most reasonable thing. However, symptoms such as phlegm-fire obstruction, pervasive cold drinks, shortness of breath, or swelling in the Lung family must rely on the ability to pound holes and plow the courtyard. I believe that Tinglizi can relieve the qi blockage caused by the yang component and relieve the retained heat in the bladder. It can be used to treat phlegm in the diaphragm and shortness of breath. It is an important medicine for clearing water channels. Those with water in the lungs, shortness of breath, fullness and shortness of breath should not be cured. This causes the water vapor in the lungs to be purged out from the bladder, thereby relieving coughs, removing phlegm and calming asthma. Whenever the accumulation of cold and heat comes from water vapor, this medicine is suitable. The diarrhea of ??rhubarb starts from the middle Jiao, and the diarrhea of ??Tingli starts from the upper Jiao. Therefore, in "Treatise on Febrile Diseases", rhubarb is used for Chengqi Decoction, and Tingli is used for Xianxiong Decoction.

Tingli Dazao Xiefei Decoction uses 15 grams of Tingli seeds and 15 grams of jujube. It can be used to treat lung abscess, fullness and distension of the chest, edema all over the body and face, stuffy nose, discharge of clear mucus, no smell of sour and pungent smell, cough and upper breath, and stridor. "Golden Chamber" orders you to take three doses of Xiaoqinglong Decoction first, and then add this decoction. I also commonly use Tinglizi in clinical practice. I have one side with Tinglizi. Named "Naqi and Pingchuang Decoction". It is often effective in treating asthma caused by deficiency of both lungs and kidneys! Prescription composition: 30g Rhodiola rosea 20g Ginseng 20g Ophiopogon japonicus 20g Citrus aurantium 15g Perilla 15g Dogwood 20g White mustard 15g Schisandra chinensis 10g. Usage: Decoction in water, 1 dose per day, 2 times a day. Functions: Tonify the kidneys and lungs, relieve asthma, relieve cough and reduce phlegm. Indications: bronchial asthma, chronic asthmatic bronchitis, emphysema, and cor pulmonale. Modifications and subtractions: For severe yin deficiency, add Radix Scrophulariaceae to enhance the function of nourishing the kidneys; for severe qi deficiency, add Astragalus and Atractylodes; for palpitations, add Ziziphus jujube kernels, Shenglongmubaizi kernels; for edema, add Poria cocos and Yiren Psyllium. Son; severe asthma, plus gecko species. This disease is indeed difficult to treat, but fortunately a few traces of Qi linger between the upper and lower parts. If you use cool medicine to calm the fire, it will speed up the death; however, if you use osmanthus to replenish the fire, it will also speed up the death. When the Qi is about to die, it should be continued slowly rather than suddenly. For example, if the fire in the furnace is extinguished and there are no sparks left, it is better to use firewood to induce it. If you throw a large number of attached flakes into it suddenly, the fire will be extinguished. Even if it is moved by cold or warm things, it will rarely be alive. The wonderful thing about this prescription is that it is a kidney-tonifying and lung-tonifying medicine. When used together with ginseng, it can penetrate directly into the yin and generate its qi. When the kidney qi is generated, the spleen will also be generated, and it can naturally continue in the land of nothingness. Furthermore, ginseng goes up to the lungs to help the mother of the kidneys. The mutual rebirth of son and mother can save the dead.

Now let me take a look at a medical case. Traditional Chinese Medicine Medical Records of Chronic Bronchitis and Emphysema,

Qin Moumou, male, 75 years old, from Nanchang, Jiangxi. Visited on August 25, 2020. The patient has chronic bronchitis and a history of emphysema for more than 20 years. In the past year, the shortness of breath has worsened, especially when moving, and he cannot lie down at night. The attack was severe and he was hospitalized for intravenous drip. The hospital diagnosed him with chronic bronchitis with infection, emphysema, and cor pulmonale.

Treatment with antibiotics, corticosteroids, etc. will temporarily improve. Due to eating greasy food in mid-August, the disease recurred. During the examination, the patient was seen to be emaciated, with a yellow complexion and low energy. The cough and asthma worsened at night, the phlegm was yellow and sticky, and difficult to cough up. The mouth was dry and the tongue was dry, and the stool was constipated and lasted for several days. It is necessary to use albuterol spray at night to lie down flat, and there are pressure marks on both lower limbs. The tongue is peeling, the tongue base coating is thin and greasy, and the pulse is thready and a few times.

According to TCM syndrome differentiation, phlegm is accumulated and the lungs and kidneys are deficient. The appropriate treatment should be to distinguish the symptoms, and if it is urgent, treat the symptoms first and treat the lungs first. The prescription for the first consultation is: 15g of sunburned winter flowers, 15g of sunburned aster seeds, 15g of sunburned perilla seeds, 15g of coriander seeds, 30g of almonds, 10g of Houttuynia cordata, 30g of Tiechuanzi, 30g of Ophiopogon japonicus, 30g of Jiangxi Citrus aurantium, 15g of red ginseng, 15g of winter melon seeds, 30g of whole melon and 15g of Trichosanthes trichosanthes. ) Scutellaria baicalensis 10g, white Poria cocos 30g, purple salvia miltiorrhiza 15g, clear pinellia 10g. Decoction in water and take. Instructions not to eat greasy food, not to smoke, and to go to bed early and get up early.

In the second examination, after 7 patches on the upper part, the phlegm was coughed up more smoothly than before, the phlegm became thinner, and the amount of phlegm decreased.

But if it still moves, there will be shortness of breath, and the fur and veins will be the same as before. Once the symptoms are resolved, the underlying symptoms can be treated by relieving the symptoms, which include tonifying the kidneys, relieving asthma and releasing qi. Remove Houttuynia cordata, winter melon seeds, and skullcap from the top, and add 10g of Schisandra chinensis, 1 pair of geckos, and 10g of Ziheche. After taking the above supplement for nearly 3 weeks, all symptoms were significantly improved, and the albuterol spray was stopped at night. Stop taking the decoction, break the ginseng and gecko powder into powder, and take it twice a day to consolidate.

Case review: Chronic bronchitis, emphysema, and pulmonary heart disease, according to their symptoms, belong to the category of asthma syndrome in traditional Chinese medicine. When treating asthma with traditional Chinese medicine, it is necessary to prioritize the symptoms and to strengthen the kidneys. The lungs are the masters of qi, and the kidneys are the roots of qi. This disease is closely related to the lungs and kidneys. Lung metal is the mother, kidney water is the son, and the mother's disease can be related to the son. If you suffer from this disease for a long time, your kidneys will become weak. Deficiency of kidney qi and failure to accept qi will affect the function of the lungs in controlling qi, and asthma syndrome will easily occur. Therefore, by nourishing the kidney and nourishing the essence, the kidney will be strong and the qi will be solid, and asthma can be reduced. I believe that the treatment of asthma should be random and prudent. If the symptom is more important than the symptom, treat the symptom. If the symptom is more important than the symptom, treat the root cause. If one end is solved, the other end will be leveled. However, when using the prescription, we should never forget the basic method of nourishing the kidney and strengthening the root.

It can be used if there is evidence of kidney deficiency, and it can also be used if there is no evidence of kidney deficiency. I like to use Zihe Che, Gecko, Schisandra chinensis, etc. to nourish the kidneys and relieve Qi, but if the phlegm is thick and abundant, the symptoms above need to be relieved to be effective.