1. Points of identification

(1) the first to identify the deficiency of qi, blood, yin and yang: qi deficiency is characterized by low energy and laziness, fatigue, dizziness and dizziness, spontaneous sweating, and all the symptoms are aggravated by the activity. Blood deficiency is characterized by pale or yellowish face, pale lips, eyelids, claws and nails, numbness of the hands and feet, dry skin, and women's menstrual blood is small in volume and light in color, and even amenorrhea during the diffusion period. Yang deficiency is characterized by coldness, thirst or thirst for hot drinks, white face, fatigue, shortness of breath and sweating, and loose stools. The urine is clear and long, or the body is swollen, or the epigastrium is cold and painful and likes to be pressed; the tongue is pale, fat and tender, the tongue coating is white and slippery, and the pulse is dull and weak. Yin deficiency is characterized by heat, hot flashes and night sweats, flushed cheekbones, dry mouth and throat, emaciation, short and red urine, loose stools, red tongue with little fluid, little moss, and fine pulse.

(2) the second to identify the deficiency of qi, blood, yin and yang of the internal organs: lung qi deficiency to shortness of breath and sweating, low voice, cold and hot, easy to catch a cold in general. The spleen qi deficiency to eat less, after eating the stomach and epigastric discomfort, tiredness and fatigue, loose stools, yellowish color for the main. The heart blood deficiency to palpitation and anxiety, forgetfulness, insomnia, dreamy, the face is not gorgeous, the tongue is pale, the pulse is thin or knot generation is mainly. Lung Yin deficiency to dry cough, dry throat, hemoptysis, or even loss of voice, hot flashes, night sweats, flushed face, tongue red and less fluid. Yin deficiency of the heart is characterized by palpitations, insomnia, irritability, hot flashes, night sweating, or sores on the mouth and tongue, flushed face, red tongue with little fluid, and fine pulse. Yin deficiency of the spleen and stomach is characterized by dry mouth and lips, lack of appetite, dry stools, or even dry vomiting, eructation, flushed face, dry tongue, little or no moss. Liver yin deficiency is characterized by headache, dizziness, tinnitus, blurred vision, dry eyes, photophobia, irritability, numbness of the limbs, flushed face, dry red tongue. Kidney yin deficiency with lumbago, spermatorrhea, impotence of the feet, dizziness, tinnitus, or even deafness, dry mouth, zygomatic redness, sore throat, red tongue, and less fluid. Heart Yang deficiency is characterized by palpitations, spontaneous sweating, fatigue, sleepiness, tightness in the chest, cold limbs, and a whitish complexion. Spleen Yang deficiency is characterized by yellowish color, little food, coldness, tiredness and fatigue, lack of breath and laziness, loose stools, abdominal pain and intestinal tinnitus. Kidney yang deficiency to waist and back pain, spermatorrhea impotence, polyuria or incontinence, face white light since, cold limbs cold, discharging clear grain or five diarrhea mainly.

2. The principle of treatment is always based on complementary treatment, as the "Su Wen - three parts of the theory of the nine conditions," said: "false is to make up for it. Su Wen - yin and yang should be like the great theory of the chapter" also specifically pointed out: "the form is not enough, warm with gas; essence is not enough, tonic with flavor." The treatment methods of benefiting qi, nourishing blood, nourishing yin and warming yang are adopted respectively. Combined with the five viscera disease position using targeted treatment.

In addition, because the spleen is the foundation of the latter day, is the source of water and grain, qi and blood biochemistry; the kidney is the foundation of the innate day, housing the yuan yin and yuan yang, is the essence of life, so nourishing the spleen and kidney in the treatment of deficiency in labor has a more important significance.

(1) qi deficiency

①lung qi deficiency

Main symptoms: shortness of breath and spontaneous sweating, low and timid voice, cold and fever, easy to catch a cold, white face; pale tongue, weak pulse.

Treatment: tonifying lung qi.

Prescription: tonifying lung soup plus reduction. 12g of ginseng, 15g of astragalus, 9g of radix Rehmanniae Praeparata, 10g of schizandra, 9g of Morus alba, 9g of aster, 9g of oyster, 12g of dictyostelium, 9g of macrophylla.

②Spleen qi deficiency

Main symptom: reduced diet, gastric and epigastric discomfort, tiredness and fatigue, loose stools, yellowish color; pale tongue, moss and thin, pulse is weak.

Treatment: strengthening the spleen and promoting vital energy.

Prescription: add flavor four gentleman soup plus reduction. 12g of ginseng, 15g of astragalus, 10g of atractylodes macrocephala, 6g of licorice, 12g of poria, 10g of lentils, 9g of tangerine peel, 9g of half-summer, 12g of shenquan, 12g of maiyao, 9g of cinnamon.

If the spleen qi is deficient and the main reason is the lack of zhongqi and qi deficiency and sagging, the tonic zhong yiqi soup can be used to replenish zhongqi and raise yangqi. If heart qi deficiency is seen in palpitation, shortness of breath, spontaneous sweating, white face, fatigue, and weak pulse, Six Gentlemen Soup can be used to benefit qi and nourish blood by adding yuzhu, schizandra, and huangjing.

(2) Blood deficiency

①Heart blood deficiency

Substantive evidence: palpitation and anxiety, forgetfulness, insomnia, dreamy, face color is not gorgeous; tongue texture is pale, pulse is fine or knot generation.

Treatment: nourishing blood and tranquilizing the mind.

Prescription: nourishing the heart soup plus reduction. Ginseng 15g, Astragalus 15g, Poria 12g, licorice 6g, Rhizoma Ligustici Chuanxiong 9g, Angelica Sinensis 12g, Schisandra chinensis 9g, Cortex Eucommiae 12g, Yuanzhi 9g, Semixia Qu 12g, cinnamon 10g.

② liver blood deficiency

The main evidence: dizziness, dizziness, dizziness, dystocia, numbness of the limbs, muscle constriction, or alarming twitching meat, women's menstrual disorders or even menstruation closed, the face of the color; tongue pale The tongue is pale, and the pulse is thin or astringent.

Treatment: nourish blood and liver.

Prescription: four things soup plus reduction. Radix Angelicae Sinensis 12g, Rhizoma Ligustici Chuanxiong 9g, Radix Paeoniae Alba 12g, Radix Rehmanniae Praeparata 10g, Radix Polygoni Multiflori 15g, Rhizoma Polygoni Multiflori 15g, Fructus Lycii 10g, Radix Bupleurum Chinense 9g, Rhizoma Polygoni Multiflori 9g, Radix Cassia Obtusifoliae 12g.

Among the blood vacuities, blood vacuities of the heart, the spleen and the liver are more common. Spleen blood deficiency is often seen together with heart blood deficiency. The spleen is the root of the day, the source of qi and blood biochemistry, and because the blood is the mother of the qi, so the blood deficiency have different degrees of qi deficiency symptoms, and in the clinical practice of Chinese medicine, it is not suitable for blood supplementation with blood medicine alone, when paired with qi medicine, in order to achieve the purpose of benefiting the qi and blood.

(3) Yin deficiency

①Lung Yin deficiency

Main symptoms: dry cough, dry throat, hemoptysis, or even loss of voice, hot flashes, night sweats, flushing; red tongue with little fluids, and fine pulse.

Treatment: nourishing Yin and moisturizing the lung.

Prescription: Sha Shen Maitong Tang plus reduction. 10g of sasanqua, 10g of bamboo, 10g of maitake, 9g of smallpox pollen, 12g of mulberry leaves, 6g of licorice, 9g of Pseudostemonopsis, 30g of fresh root, 12g of dictyostelium, 12g of silver chaihu.

② Heart Yin deficiency

Main symptom: palpitations, insomnia, irritability, hot flashes, night sweats, or sores on the mouth and tongue, flushing; red tongue, less fluids, fine pulse.

Treatment: nourishing Yin and nourishing the heart.

Prescription: Heavenly King's Heart Tonic Dan plus reduction. 9g of raw dihuang, 10g of maitong, 10g of asparagus, 9g of xuan shen, 12g of ginseng, 9g of schizandra, 12g of angelica sinensis, 12g of poria, 12g of salvia, 12g of jujube nut, 12g of cypress kernel, 6g of yellow rhizome, 12g of bamboo leaf.

3) deficiency of Yin in the spleen and stomach

Main symptom: dryness of the mouth in the lips, not thinking of food, dryness of the stools, or dryness of vomiting and eructation, redness of the face, dryness of the tongue, little or no coating, thin pulse, and a thin pulse. little or no moss, fine pulse.

Treatment: nourish Yin and harmonize the stomach.

Prescription: Yi Stomach Tang Plus Reduction. 10g of maitong, 10g of raw dihuang, 12g of yuzhu, 12g of sasanqua, 6g of rock sugar, 15g of dendrobium, 10g of pollen of smallpox, 12g of maitake, 9g of lentils.

4. Deficiency of liver yin

Main symptom: headache, vertigo, tinnitus, blurred vision, dry eyes, fear of light, impatience and irritability or numbness of the limbs, flushed face; dry and red tongue, fine and number of pulse strings.

Treatment: nourishing liver yin.

Prescription: tonifying the liver soup plus reduction. Radix Angelicae Sinensis 12g, Rhizoma Ligustici Chuanxiong 9g, Radix Paeoniae Alba 9g, Radix Rehmanniae Praeparata 9g, Radix Carica Papaya 10g, Radix et Rhizoma Glycyrrhizae 6g, Rhizoma Ophiopogonis 12g, Zao Zao Ren 12g, Rhizoma Cassiae Vulgaris 15g, Rhizoma Gastrodiae Praeparatae 12g, Fructus Lycii 10g, Scutellariae Barbatae 12g.

5 Kidney Yin Deficiency

Main Symptoms: Lumbar soreness, spermatorrhea, impotence of both feet, dizziness, tinnitus or even deafness, dry mouth, zygomatic redness, sore throat; red tongue with less fluids, pulse Sedimentation.

Treatment: nourish kidney yin.

Prescription: Zuo Gui Wan plus reduction. The formula is: 10g of ripened dihuang, 12g of yam, 12g of tortoise board gum (another package of melting), 12g of wolfberry, 9g of hyssop, 9g of antler gum (another package of melting), 9g of cornelian cherry, 9g of cuscuta, 9g of motherwort, 9g of cypress, 9g of dictyostelium, 12g of gorgonian fruit, 12g of lotus root.

(4) yang deficiency

①Yang deficiency of the heart

Main symptom: palpitation, sweating, tiredness and sleeplessness in the chest, and a deep, thin pulse in the chest. Tiredness and sleepiness, stuffiness in the chest, cold limbs, white face; pale or purplish tongue, weak or sluggish pulse.

Treatment: benefit qi and warm yang.

Prescription: Zheng Yang Rilao Tang plus reduction. Ginseng 15g, astragalus 15g, schizandra 12g, licorice 6g, ginger 6g, cinnamon 9g, chen pericarp 9g, angelica sinensis 12g, atractylodes macrocephala 12g, jujube 9g, danshen 10g, tulip 9g, panax quinquefolium 9g.

② Spleen yang deficiency

Main symptom: yellowish color, little food, cold, tiredness and fatigue, breathlessness and laziness, loose stool, abdominal pain and intestinal chicken; tongue pale, moss white, weak pulse. The pulse is weak.

Treatment: warming the middle and strengthening the spleen.

Remedy: Add subtraction of Radix et Rhizoma Polygoni Multiflori. 12g of ginseng, 12g of atractylodes macrocephala, 6g of licorice, 6g of dried ginger, 9g of epimedium (first decoction), 9g of galangal, 6g of cornelian cherry, 9g of sand nuts, 9g of Chenpi.

3) Kidney yang deficiency

Main symptom: lumbar and back pain, spermatorrhea, impotence, excessive or incontinence of urination, bladder white color, fear of cold and cold limbs, discharging clear grains or diarrhea in five; pale and fat with dentate markings on the tongue, white coating, and slow pulse.

Treatment: warming and tonifying kidney yang, and nourishing essence and blood.

Prescription: right return pill plus reduction. 9g of Radix Angelicae Sinensis (first decoction), 9g of Cinnamomum Cassia, 12g of Radix Rehmanniae Praeparata, 15g of Rhizoma Dioscoreae, 15g of Fructus Lycii, 12g of Radix Angelicae Sinensis, 10g of Cortex Cuscutae, 9g of Antler's Gum (another packet of melting), 10g of Cornus Officinalis.

The deficiency of labor was categorized as deficiency in qi, blood, yin, and yang, which made it easy to identify and treat the deficiency.

In clinical practice, it is often wrong to see each other. Generally speaking, the short duration of the disease, more injury to the blood, see the gas, blood deficiency, as well as the evidence of gas and blood deficiency; the long duration of the disease, more injury to the yin and yang, see the yin, yang and yin and yang deficiency of the evidence of deficiency.

The deficiency of qi and blood and yin and yang are both related and different, such as essence, blood and fluid belong to the scope of yin, but the difference between blood deficiency and yin deficiency is manifested in the following: blood deficiency is mainly manifested in the blood is not full, the loss of moistening symptoms, such as the face is not gorgeous, lips and tongue color pale, weak pulse, etc.; and yin deficiency is mostly manifested in the symptoms of heat, such as the five heart heat, zygomatic red, dry mouth and throat, tongue red, less fluid, pulse is thin and number of symptoms, etc.. Yang deficiency is accompanied by qi deficiency, but yang deficiency is often developed from qi deficiency, qi deficiency is manifested as shortness of breath and fatigue, spontaneous sweating, little food, loose stools; pale tongue, weak pulse, etc.; yang deficiency is further aggravated on the basis of qi deficiency, and manifested in the cold symptoms, such as lethargy, cold, cold limbs, intestinal tinnitus, diarrhea, pale tongue, weak pulse or sedentary, etc..

Patients with deficiency labor are susceptible to external evils due to the weakness of the body and external defenses. After feeling the evil, more injury to the vitality, the treatment should support the positive and eliminate the evil balance, can be used Dioscorea Pill plus subtractions. The first thing you need to do is to take a look at the actual product, and you'll be able to see that it's a good idea to take a look at it.

The treatment of deficiency labor, in addition to drugs, should be approached from various aspects, such as body work, acupuncture, massage can be used in conjunction. Treatment should also pay attention to lifestyle and dietary regimen, maintain optimistic mood, in order to improve the efficacy of treatment and promote recovery.

The general course of deficiency labor is long, mostly for a long time, and its regression and prognosis, and the strength of the body, the vitality of the strength, whether to get rid of the causes of disease, as well as whether to get timely and correct treatment, care and other factors. Generally speaking, if the spleen and kidneys are not weakened, the vital energy has not been lost, and the patient can eat and drink, the prognosis of the patient is good. On the other hand, those who are tired, do not want to eat, have shortness of breath, have diarrhea, and have a weak or late pulse, or a few, have a poor prognosis.

Prevention

(1) Diet is based on light and easy-to-digest food to promote the recovery of the spleen and stomach functions.

(2) Happy mood, strengthen physical exercise, improve the ability to resist disease.