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How to use Xiaochaihu granules can be understood after reading 4 cases.
Four children's cases teach you how to use "Xiaochaihu Granules" skillfully!

Xiaochaihu decoction, known as the eternal miracle prescription, is widely used at home and abroad, and its Chinese patent medicine Xiaochaihu granule (the formula is exactly the same as the classic Xiaochaihu decoction) is also favored by many mothers and western doctors. After studying syndrome differentiation, we know that Xiaochaihu is the main medicine of shaoyang syndrome, but many strict Chinese medicine mothers have not studied six principles of syndrome differentiation for the time being, but they want to use it but are worried about using it wrong. Here, let's discuss the application of 818 Xiaochaihu granules through several cases.

Xiaochaihu Granule, which explains the writing:

Comprises Bupleuri Radix, Scutellariae Radix, Ginseng Radix, Glycyrrhrizae Radix, Rhizoma Zingiberis Recens, Fructus Jujubae, and Rhizoma Pinelliae. Relieve exterior heat, soothe liver and stomach. It can be used for exogenous diseases with shaoyang syndrome, with symptoms of cold and heat, fullness in chest and hypochondrium, loss of appetite, vexation and vomiting, bitter taste in mouth and dry throat. It is a little difficult for mothers who have no foundation in traditional Chinese medicine to understand the symptoms of relieving exterior syndrome, dispersing cold, soothing the liver and regulating the stomach, and treating exogenous diseases with pathogenic factors. Then look directly at the symptoms of "cold and hot exchanges, bitter chest and hypochondrium, loss of appetite, upset and vomiting, bitter mouth and dry throat".

Shaoyang mentioned in it is one of the six principles of syndrome differentiation. This is a rare drug that directly mentions six dialectical nouns in the instruction manual of Chinese patent medicine. I think it's probably because Bupleurum chinense is easy to use, but it's also easy to use wrongly.

First add the concept of upper focus:

These two children have a fever. The upper body of the child is red, which is the position of the upper focus. That is, the position above our diaphragm, including the head, neck and upper limbs, is collectively called the upper focus.

Others are the main symptoms of Xiaochaihu Granule's adaptation: the chest and hypochondrium refer to the triangle area between the ribs, which is not the part from the armpit to the waist, but the bitter fullness is a feeling of tightness, and something is blocking it. Loss of appetite is what we often say is bad appetite, which is a problem of the spleen and stomach with moderate focus. Upset and vomiting, the disease is also in the middle focus. Therefore, to sum up, Xiaochaihu Granule has caused a series of problems when it is applied to the stagnation of middle energizer.

The qi and blood of the human body are constant for a period of time, and flow evenly in all parts of the body. Once the middle jiao is blocked, because the road is blocked, more qi and blood should be mobilized to deal with the blockage. When the qi and blood go up, the body will show heat syndrome of direct upper jiao and deficiency cold of lower jiao (because the qi and blood of lower jiao go up to solve the problem).

You can imagine putting up one of your fingers and holding it in the middle with a rope, and the upper part will definitely turn red. Hot, the lower part will turn white. The reason is that qi and blood go to the top and produce heat; The bottom is empty, so it will turn white and cold. There is a great chance of using Bupleurum chinense if there is upper scorching fever with lower scorching cold.

It should be noted that, for children, upper energizer fever is also caused by food accumulation and exogenous factors, which need to be ruled out.

Knowing this, let's take a look at Xiaochaihu Granule's corresponding upper-jiao heat syndrome and lower-jiao cold syndrome.

The heat syndromes of upper energizer are:

Throat: throat swelling, tonsil inflammation, tonsil suppuration, and throat discomfort;

Lips: inflammation or sores at the corners of the mouth, inflammation or sores around the lips;

Nose: yellow nose and yellow nose excrement;

Ears: ear pain, pus, otitis media, scratching the ear;

Eyes: redness, conjunctivitis, rubbing eyes;

Face: something grows on the face.

Cold syndromes of lower energizer include:

Stool: indigestible, sour, shapeless, loose stool, diarrhea.

Urine: long, heavy or frequent.

Careful mothers will find that the syndrome of upper energizer heat corresponding to Bupleurum chinense is almost always at the orifice.

The blood is weak, the qi is exhausted, the phlegm is open, and the evil spirits enter, fighting against the healthy qi and binding under the threat. Good and evil are contended, cold and heat are exchanged, rest for a while, hey hey don't want to eat, the viscera are connected, and the pain is bound to come down, and the evil is high and painful, so it makes vomiting, and Xiaochaihu decoction governs it-treatise on febrile diseases 97

If the skin is our first portal, then the hole is the second portal. According to the usage provisions of Xiaochaihu Decoction in Treatise on Febrile Diseases, when qi and blood are insufficient, it is very easy to fight between good and evil in the second portal, which is what western medicine calls inflammation, and what Chinese medicine refers to is heat syndrome. (Note: Chinese medicine understands that red and yellow are heat, blue and white are cold, and inflammation of western medicine is also synonymous with heat syndrome)

Then, look at the case.

1

One eye is red and swollen when getting up in the morning, the skin on the face has been dry, and the eyes are red and swollen (heat syndrome)

Stool: about three times, not too smelly, yellow, with undigested food (cold syndrome)

Hot and cold: I always don't like to cover the quilt, as long as I wake up, I won't cover it.

Urine: normal

Appetite: quite good.

Sleep situation: not bad

Sweating: normal

Drinking water: I don't like drinking water very much, but it's ok.

Is the palm hotter than usual? No, it's not.

How old is the child: one year and five months.

Other symptoms: dry skin, nothing else.

To do the analysis:

There is heat syndrome of upper energizer: red eyes and dry skin (heat syndrome)

Cold syndrome of lower energizer: indigestible stool, not smelly (cold syndrome)

And the disease occurs in the hole of the eye.

Medication: Xiaochaihu granules

Feedback: After three days, it will be fine to give feedback to your eyes, and they are not swollen.

2

Case 2: One-year-old and five-month-old children have a lot of gum in their eyes when they get up early, which makes them unable to open their eyes, all of which are mucus. Yesterday, I started to give more water to drink. I had gum in my eyes when I slept in the afternoon. At ordinary times, I had gum in my eyes during the day. This morning, I had a lot of gum, and my eyes were red and swollen, so I couldn't open them. My throat was a little red in small tongue.

Diet: Drink porridge in the morning, add some eggs, mung bean porridge in the evening, potatoes, and eat two jujubes yesterday.

Shit: shit once a day these days.

Hot and cold: as usual

Urine: yellow in the morning, normal after drinking water during the day.

Appetite: It's normal.

Sleep: Not bad.

Sweating: love sweating than usual, mainly on the back.

Drink water: a little more than usual.

Palm: normal

Others: I had a fever just two days ago.

Analysis:

Heat syndrome of upper energizer: red eyes with gum and red throat. (heat syndrome)

Xiaochaihu granule is recommended because there is nothing abnormal in the lower jiao and it is a heat syndrome in the eyes and throat.

Feedback statement: Drink half a bag of Xiaochaihu granules at night, and the gum is a little bit this morning, and it is not so swollen. Do Tai Chi at night, and the color of the tongue coating is particularly good this morning. Thank you for your help.

three

Case 3: Seven-month-old baby, vomiting and diarrhea, vomiting even after feeding a small amount of milk. For seven days, the water separated and the taste was sour. I pulled it seven or eight times a day, hoping to stop diarrhea, and how to solve the red bottom, all bleeding rotten.

Stool: diarrhea for seven days, yellow color, water separation, no shape, no odor, sour.

Hot and cold: I am afraid of heat and sweat a little more than before.

Urine: yellow urine, small amount.

Diet: I don't like to eat milk all the time, pure milk powder, and I eat less. I started to add complementary food in the first half of the month and fed it several times before diarrhea. Rice congee and rice paste, no complementary food after diarrhea.

Sleep: I don't like sleeping all the time, and I don't sleep for a long time. I sleep for two hours at night to get up and eat some milk, and I sleep once during the day for about half an hour.

Sweat: Sweat more than usual

Drinking water: I have never had the habit of drinking water, and occasionally drink 20 ml of warm water.

Temperature: The palm of your hand is a little hotter than usual, and your hands and feet have been sweating and cold since birth.

Others: red mouth

Course of disease: I have been sick for 7 days, with vomiting and diarrhea. I took it to the hospital for blood test and stool examination. I prescribed amoxicillin and durabao, but it didn't work for three days, and the stool was still separated by water. The tongue coating was red and clean, and there was nothing on it.

Heat syndromes of upper energizer include: red mouth, hotter palms than usual, and red tongue coating.

The cold syndromes of lower energizer are: water and stool are separated, not smelly and sour.

Combined with vomiting and diarrhea, it feels that there is a blockage in the middle coke. And there is no evidence of food accumulation. Medication: Xiaochaihu granules

four

Case 4 Chief Complaint: One-year-old and eight-month-old boy: The fever is 38.2 degrees, he sweats to cool down, and then he has a fever. Diarrhea, four times since the early morning.

Stool: The number of stools increased the day before yesterday, originally once or twice a day, three or four times these days, yellow, sticky, shapeless and smelly.

Hot and cold: I feel that children don't like to cover the quilt, so they always take off their socks.

Urine: Urine has increased since the night before, with clear color and good taste. I didn't urinate too much at night, so I don't need to change my diaper. Now I can't do it without changing it.

Appetite: My appetite is worse than before, and I ate one third less.

Sleep: it's easier to fall asleep than before. I can fall asleep as soon as I go to bed, but I will toss and turn, sleep on my stomach and sleep on my side for half the time, and lie on my back less. Cry once or twice at night after the fever.

Sweating: I used to wear love sweating on my head, but I have been out less recently.

Drinking water: I have never liked drinking water.

Body temperature: the palms of your hands are always hot, and your stomach is hotter than your back. The spine is easy to get cold, the soles of your feet are not easy to get hot, and your limbs are usually cold, only when you have a fever. When you have a fever, your palms sweat.

Others: A little bad breath.

I've had a fever for 24 hours and diarrhea for two days, four times a day, and it's easy to poop every time I pee. I gave him baohe pills last night, but I didn't deal with them today. The tongue coating is a little thin and white in the middle and back, so he won't take pictures of me. I feel like diarrhea due to yang deficiency of spleen and kidney. I don't know if I overeat and have a cold, but my tongue is not red, my temper is weak, and I drool a lot. I dare not give medicine when I sleep. I am just very contradictory. I want to use Jiao Sanxian and chicken's gizzard-membrane for food accumulation, but I am afraid that these medicines will aggravate the diarrhea. I want to chiropractic, but he has a fever. I wonder if I can pinch it upside down and massage his thumb with my spleen and stomach. The problem of diarrhea is to replenish the large intestine, but I am afraid that I can't get out of the food. His limbs are warmer than those of other children of the same age, and his stool is easily deformed. I still feel yang deficiency. He urinated a lot these two nights, and with diarrhea, I feel that spleen-yang deficiency affects the kidney.

The heat syndromes of upper energizer are: palm fever, bad breath and repeated fever.

The cold syndromes of lower energizer are: increased urine and long urine.

Repeated fever is due to the lack of healthy qi, which can not resist diseases and pathogens for a long time, and there is a tug-of-war situation (tug-of-war is also the key point for the application of Bupleurum chinense). Combined with various cold and heat symptoms of upper and lower energizers, food accumulation and exogenous diseases can be eliminated.

Medication suggestion: Xiaochaihu granules

Medication feedback: I still have a little cough after two days of medication, and my sputum is very slippery. I have a little stuffy nose, and my mental state is much better. I slept well last night. In my experience, it's almost over, and healthy qi has returned to normal.

Leaf dividing line

We used a simple and rude way to distinguish the upper coke from the lower coke and the lower coke from the cold, and talked about the scenes that Xiaochaihu might use. The combination scheme of Xiaochaihu granules and other Chinese patent medicines can treat countless diseases. This is just a train of thought, or I suggest that you learn comprehensive syndrome differentiation in your free time, distinguish between exterior and interior cold and heat deficiency and excess, and treat specific problems concretely, which will be more objective and accurate.

Leaf dividing line

A seemingly complicated disease can be identified accurately through clear dialectical analysis, and an ordinary Chinese patent medicine can solve the problem of maddening children.