First, the efficacy of Trichosanthes kirilowii:
Trichosanthes is sweet in taste and cold in nature. Enter lung, stomach and large intestine meridian. Different parts of the drug have different effects.
Trichosanthes kirilowii bark can clear lung-heat, eliminate phlegm, benefit qi and broaden chest; Trichosanthes kirilowii can moisten the lungs and resolve phlegm, moisten the intestines and relieve constipation; Fructus Trichosanthis has both functions. Trichosanthes kirilowii is good at clearing away heat and resolving phlegm, benefiting qi and broadening chest, and it is "an important medicine for treating heat phlegm". At the same time, it can dredge the large intestine, clear heat and relieve constipation. It is especially suitable for patients with constipation due to phlegm stagnation in chest or intestine.
In modern times, it is often used to treat cough due to lung heat, yellow and thick phlegm, chest obstruction and heartache, breast abscess, lung abscess and intestinal abscess.
Summary of famous works:
Classic: "the main thirst-quenching, body heat annoyance, heat, tonic deficiency, continuous injury."
"Bielu": "The main chest pain is pleasing to the face."
Compendium of Materia Medica: "Moistening lung dryness, reducing fire, treating cough, resolving phlegm, relieving sore throat, quenching thirst, benefiting large intestine, and eliminating carbuncle, swelling, sore and poison."
Changsha medicinal solution: "It is best to clear the heart and moisten the lungs, clear the dirt and remove the annoyance, open the chest and diaphragmatic paralysis, clear the saliva and foam, and wash the blood stasis and turbidity, so as to solve the regret."
Second, the compatibility and application of Fructus Trichosanthis:
1. Used for cough due to lung heat, with thick phlegm that is difficult to cough up. Trichosanthes is cold and moist, and is good at clearing lung and moistening dryness. It can dilute thick phlegm, and is often combined with heat-clearing, phlegm-resolving and cough-relieving herbs such as Fritillaria and Anemarrhena. For patients with poor stool, Fructus Trichosanthis is often used with Scutellariae Radix, Fructus Aurantii Immaturus and Arisaema cum bile, namely Qingqi Huatan Pill.
2. Used for chest obstruction, chest knot, fullness or pain of chest diaphragm. Trichosanthes kirilowii can clear away lung and stomach heat, eliminate phlegm, promote qi circulation and dissipate stagnation to widen the chest, so it can dredge the chest diaphragm. There are three aspects worth learning in Treatise on Febrile Diseases: Fructus Trichosanthis and Bulbus Allii Macrostemi. To treat chest obstruction caused by deficiency of chest yang, Fructus Trichosanthis and Bulbus Allii Macrostemi are often mixed and decocted with white wine (today's yellow wine), namely Fructus Trichosanthis and Bulbus Allii Macrostemi white wine soup. If you can't lie flat because of chest pain and backache, you can add Pinellia ternata, that is, Fructus Trichosanthis and Scallion Pinellia Decoction. For chest obstruction, it is often combined with Fructus Aurantii Immaturus, Cortex Magnolia Officinalis and Bulbus Allii Macrostemi, namely Fructus Aurantii Immaturus Bulbus Allii Macrostemi Guizhi Decoction.
Tang Xiong is often combined with Banxia and Huanghuang to treat phlegm-heat and chest distress.
Li Shizhen said, "Zhang Zhongjing used Fructus Trichosanthis to treat chest obstruction, chest pain, back pain, cough and asthma, and chest pain. It is to take it sweet and cold without hurting the stomach, which can reduce the fire and phlegm. "
Chen Xiuyuan said: "The Golden Chamber should treat thoracic obstruction slightly, and Treatise on Febrile Diseases should treat thoracic obstruction to cover the knot before thoracotomy."
3. Used for intestinal dryness and constipation. Trichosanthes root can widen the chest and diaphragm, benefit the large intestine, clear phlegm and clear heat, and quench thirst. If it is used for relaxing bowels, Fructus Trichosanthis is more suitable.
In addition, Trichosanthes kirilowii is mixed with frankincense and myrrh, * * * is fine powder, which can be taken with warm wine to treat breast abscess, namely Trichosanthes kirilowii powder.
Zhang Xichun said, "Trichosanthes is sweet in taste and cool in nature. It can relieve chest pain and has hot phlegm in appetite, so Zhongjing has a small chest-trapping soup for treating chest pain, which is used by Trichosanthes kirilowii and Lian and Xia; There are some prescriptions for treating chest obstruction, such as Fructus Trichosanthis and Bulbus Allii Macrostemon, and Fructus Trichosanthis is compatible with Bulbus Allii Macrostemon, wine, cinnamon and cypress. If it is used with ochre, the antiemetic effect is good; If skin is used, it can clear lung and astringe lung, relieve cough and asthma. If you use its kernel, it has greater power to open the chest and lower the stomach, and it is good at defecation. "
Three. Usage and dosage of Fructus Trichosanthis:
Trichosanthes kirilowii is often used as a decoction, but less as a pill powder. Different parts of the drug have different functions and different doses. Generally, it can be decocted, and the whole Fructus Trichosanthis can be from a dozen grams to dozens of grams; Trichosanthes kirilowii, Trichosanthes kirilowii10g or more is enough. The medicine must be broken.
Fourth, the application of Trichosanthes kirilowii:
Trichosanthes is cold and slippery, which is not suitable for people with spleen and stomach weakness, false stool, or cold phlegm and wet phlegm.
There has been a saying that Fructus Trichosanthis is anti-aconite since ancient times, so it is good to understand it.
Wang Angyan said: "The solid circle is as long as a ripe persimmon, and the fruit is flat and fat, which can be used to remove oil. Evil dried ginger, aconite. Do not use diarrhea. "
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—— Practical Notes on Traditional Chinese Medicine 20.7. 12 noon
# Practical Notes on Traditional Chinese Medicine #