Overview Edema refers to the retention of water in the body, which overflows the muscle surface, causing edema in the eyelids, head and face, limbs, abdomen and even the whole body. In severe cases, it can cause pleural effusion, ascites, etc. Edema first appears on the face and body. Some edema starts in the lower limbs and then spreads to the whole body.
Those who suffer from edema due to external attack of wind evil, soaking with rain and dampness, causing lungs and spleen to be trapped, mostly have yang water; while those with congenital deficiencies, internal damage to the spleen and kidneys, which cause edema, mostly have yin water. The two can be transformed into each other. If Yin water is reinfected by external evils and the swelling intensifies, symptoms of Yang water can be seen; Yang water lingers for a long time, resulting in internal deficiency of the spleen and kidneys, which can be converted into Yin water.
The formation of edema is mainly due to the abnormal qi transformation function of the lungs, spleen, and kidneys, and the three burners are unfavorable. If the lungs are deficient, the Qi will not transform into essence but will turn into water; if the spleen is deficient, the earth will not control water but will suppress it; if the kidneys are deficient, the water will have no master and will move erratically. Among the three internal organs, the kidneys are the basis, the lungs are the standard, and the spleen controls water. Treatments include methods such as diaphoresis, diuresis, water removal, spleen strengthening, kidney tonifying, warming yang, and turbidity. Today, there are also methods such as clearing away heat and detoxifying, activating blood circulation and removing blood stasis. The methods can be used alone or in combination.
Treatment 1. Yang Water (1) Symptoms of wind-cold external bundle syndrome include aversion to cold, no sweating, sore joints, cough and runny nose, stuffy nose and throat, edema of the eyelids first, then spreading to the whole body, pale red tongue, thin white coating, and floating and tight pulse.
Fang Yi Yue Mai Decoction is sourced from "Synopsis of the Golden Chamber" and consists of 9 grams of ephedra, 18 grams of gypsum, 9 grams of ginger, 6 grams of licorice, and 5 jujubes.
Efficacy: sweating and diuresis.
Usage: Decoction in water, one dose per day.
The prescription is ephedra, pungent and warm, relieving the surface, relieving the lungs and relieving asthma; gypsum, pungent and sweet, can clear away the heat in the lungs and stomach and promote fluid production; ginger warms the lungs and transforms into a drink; licorice and jujube are beneficial to the temperature and can moderate the temperature. Various medicines.
After taking the medicine for Xuanfei and Jieyu according to the language, sometimes there will be slight sweating, sometimes no sweating, but the urination will obviously increase, thereby reducing swelling, but it is not required to sweat profusely to reduce swelling. For those with short urination, add plantain seeds and poria bark; for those with red urine, add raw rehmannia root, thistle, thistle, and Imperata rhizome; for those with sore throat, add scrophulariaceae and pectin; for those with headaches and dizziness, add fangji and motherwort , antelope horns. For mild symptoms of wind-cold syndrome, use Ephedra and Forsythia Chixiaodou Decoction; for symptoms of superficial deficiency, use Fangji Huangqi Decoction; for those with yang deficiency and slow pulse, use Yuejiajiashu Decoction.
(2) Symptoms of wind-heat invasion syndrome include fever, mild aversion to cold, thirst and upset, swollen breast moths, or cough and sore throat, eyelids swell first, spreading to the whole body, short red urine, and floating pulse. Fang Yi Yinqiao Powder comes from "Tiao Bian of Febrile Diseases" and consists of 15 grams of honeysuckle, 15 grams of forsythia, 6 grams of platycodon, 6 grams of mint, 6 grams of burdock, 4 grams of bamboo leaves, 4 grams of schizonepeta, and 5 grams of light tempeh. , 5 grams of raw licorice.
Efficacy: dispel wind and relieve external symptoms, clear lungs and resolve phlegm.
Usage: Decoction in water, one dose per day.
In the prescription, Yinghua and Forsythia are pungent and cool, clearing away heat and detoxifying; mint and burdock dispel wind, clear away heat and relieve sore throat; Schizonepeta paniculata and light tempeh dispel exterior evils; reed root and light bamboo leaves clear away heat and promote fluid production. Platycodon can relieve cough and reduce phlegm; licorice combined with Platycodon can clear the throat and reconcile various medicines.
For those with hematuria, add Radix Rehmanniae, Thistle, and Thistle; for those with headaches, add Antelope Horn, Uncaria, and Earthworm; for those with nausea and vomiting, add Pinellia ternata and Bamboo Ru; for those with constipation, add Trichosanthes melon seeds. If the external symptoms are gone but the heat poison enters the inside, use the method of clearing away heat and relieving the external symptoms.
(3) Symptoms of internal heat toxin return: recurring sores for several months. The sores heal and become swollen, with edema on the face and body, short red urine, and thin yellow fur. Recipe 1: Five-flavor disinfectant drink sourced from "Yizong Jinjian" consists of 20 grams of honeysuckle, 15 grams of wild chrysanthemum, 15 grams of dandelion, 15 grams of purpurea root, and 15 grams of purpurea seed.
Efficacy: clear away heat and detoxify, dissipate boils.
Usage: Decoction in water, add one or two spoonfuls of wine, and take it as a kimono. One dose per day. The dregs can be crushed and applied to the affected area.
In the prescription, honeysuckle is used to clear away heat and detoxify, and dissipate carbuncle swelling; Purpurea purpurea, geranium seed, wild chrysanthemum, and dandelion all have the effect of clearing away heat and detoxifying. When used in combination, they are particularly effective in clearing away heat and detoxifying. powerful. Add a small amount of wine to unblock the blood vessels to enhance the efficacy of the medicine.
Notes: The dialectical key points of this prescription are local redness, swelling, heat and pain, or sores shaped like millets, hard and deep roots, red tongue and rapid pulse.
(4) Symptoms of Cold and Heat Stagnation Syndrome: face and body edema, chest tightness, swollen mouth and greasy mouth, limb weakness, short urine, greasy white coating, and slow pulse.
Prescription 1 ① Wuling Powder ② Wupi Drink Source ① "Treatise on Febrile Diseases" ② "Fahrenheit Zhongzang Jing".
Composition: 15 grams of Alisma, 9 grams of Polyporus, 9 grams of Atractylodes, 6 grams of Guizhi, 9 grams of Morus bark, 9 grams of orange peel, 9 grams of Poria peel, 9 grams of ginger peel, Belly skin 9 grams.
Efficacy: Tongyang, diuresis and swelling.
Usage*** Grind into coarse powder, 9 grams each time, 3 times a day.
The prescription can relieve Alisma and reach the bladder, diuretic and dampness; Poria cocos and Polyporus cocos can dilute dampness and enhance diuresis; Atractylodes strengthens the spleen and dries dampness, cultivates soil and controls water; Guizhi both relieves the external evil of the sun and helps the bladder internally. gasification. The subcutaneous qi of the large abdomen circulates water, eliminating swelling and fullness; tangerine peel regulates qi and stomach, awakens the spleen and resolves dampness; mulberry bark removes lung qi, regulates water channels, dilutes water and reduces swelling; ginger bark disperses water qi, and removes the surface and resolves dampness. Reduce swelling.
Note: If the upper body is swollen or even wheezing, add ephedra and almond; if the coating is white and thick, the mouth is light, the spirit is tired, the abdomen is distended, and the lower limbs are heavy and it is difficult to walk, add Magnolia officinalis, Peppercorns, and Radix Fragrant; for those who are afraid of cold and have cold limbs , plus additional attachments.
(5) Symptoms of damp-heat stagnation syndrome include headache and severe symptoms, such as being wrapped in a veil, troublesome heat in the chest, bitter taste and greasy mouth, edema of the face and body, red tongue, yellow and greasy coating, thin and slippery pulse . The prescription Yishu Chiyin Zi comes from "Jisheng Prescription" and consists of equal parts of Alisma, Adzuki Bean, Phytolacca, Noxious Root, Dabupi, Jieshimu, Akebia, Radix Genchi, Areca Nut and Poria Bark.
Efficacy: clear away dampness and heat.
Usage: Decoction in water, one dose per day.
In the prescription, Phytophthora lucidum drives water away from diarrhea and facilitates bowel movements; Betel nut and Daphne bark promote qi and water conduction; Poria bark, Alisma, Akebia, Capsicum angustifolia, and adzuki bean promote water and remove dampness. Qianghuo, Genji, and ginger dispel the wind and cause the water on the surface to drain out from the skin.
If the heat is severe, add honeysuckle, forsythia, Imperata root, Shegan, Scrophulariaceae, dandelion, red peony root and kochia.
2． Yin water (1) Symptoms of spleen deficiency and excessive dampness: edema throughout the body, distension in the epigastrium, loss of appetite, tasteless mouth, dull complexion, fatigue, loose stools, scanty urination, fat tongue, white and greasy coating, and slow pulse.
Fang Yi Shipi Powder is sourced from "Re-editing Yan's Jisheng Prescription" and consists of 6 grams of Magnolia officinalis, 6 grams of Atractylodes macrocephala, 6 grams of papaya, 6 grams of costus, 6 grams of grass kernels, and Dabupi. 6 grams, prepared aconite (fried first) 6 grams, 6 grams of ginger, 6 grams of poria, 3 grams of licorice, 9 grams of ginger, 3 jujubes.
Effects: Warming yang and strengthening the spleen, promoting qi and diluting water.
Usage: Decoction in water, one dose per day.
In the prescription, aconite warms kidney yang to help qi transformation and removes the stagnation of yin water; dried ginger warms spleen yang to help transportation and transformation, dispersing the condensation of cold water. The two medicines warm and nourish the spleen and kidney, and support yang. Suppress yin; Poria cocos and Atractylodes rhizome invigorate the spleen and exude dampness, so that water and dampness can pass through the urine. Papaya, Magnolia officinalis, Acosta, Dabuzi, and Caoguo lower the qi stagnation, transform dampness and move water, make the qi transform into dampness, and make the qi flow smoothly, then it will be full and eliminated. Licorice, ginger, and jujube blend various medicines to benefit the spleen and harmonize the heart.
In clinical practice, patients with swelling mainly treat Qi, and those with swelling mainly treat water. For patients with lung dysfunction, add cinnamon twigs and platycodon; for patients with qi stagnation in the lower burner, add fennel and radix aegypti.
(2) Symptoms of spleen and kidney yang deficiency syndrome include swollen body, big belly like a drum, sunken body when pressed, cold body and cold limbs, tiredness and tiredness, pale complexion, sluggish diet, enlarged scrotum, tongue Light and swollen, white and moist coating, slow and weak pulse. Fang Yi Zhenwu Decoction comes from "Treatise on Febrile Diseases" and consists of 9 grams of Paofu Pian (fried first), 9 grams of Poria, 9 grams of ginger, 9 grams of white peony root, and 6 grams of Atractylodes macrocephala.
Effects: Strengthen the spleen and kidneys, warm yang and diuresis.
Usage: Decoction in water, one dose per day.
In the prescription, the pungent and hot aconite is used to warm the kidneys and help yang, transform qi and move water, and warm the spleen soil to transport water and dampness; Poria cocos and atractylodes are used to strengthen the spleen and remove dampness, so that water and qi can be removed from childhood. Just come out. The pungency of ginger is used to disperse water qi, which helps Poria cocos to diuretic, and Aconite to help warm yang and dispel cold. White peony has three uses as a medicine: ① Facilitates urination to promote water qi; ② Concentrates yin and nourishes yin to relieve tendons, and prevents yin damage due to pungent and dryness; ③ Softens the liver and relieves abdominal pain. The combination of various medicines can warm yang without overpowering, protect yin without restraining evil, embody the method of warming yang and diuresis, and play the role of warming yang and diuresis.
Note: If Yang Qi has not been restored and Yin deficiency syndrome occurs again, edema occurs repeatedly, mental fatigue, dizziness, tinnitus, and gum bleeding are caused by Yang deficiency and Yin, Yin deficiency cannot reach Yang, and Yang deficiency is disturbed. , the treatment should be to nourish kidney yang and facilitate urination. It can be treated with Jisheng Shenqi Pills and Dabu Yuan Decoction.
(3) Symptoms of heart yang deficiency include edema of the lower limbs or the whole body, palpitations, cold limbs, shortness of breath and cough, abdominal distension, lumps under the flanks, pale tongue or petechiae, and thin fur White, thready or rapid pulse. He even sweated profusely, his limbs felt cold, and his pulse was weak and weak. For those with heart-qi deficiency, use Guipi Decoction; for those with weak heart-yang, use Zhenwu Decoction; for those with heart-blood stasis, use modified Taohong Siwu Decoction. Fang Yiguipi Decoction comes from "Jisheng Prescription" and consists of 30 grams of Atractylodes macrocephala, 30 grams of Poria, 30 grams of astragalus, 30 grams of longan meat, 30 grams of jujube kernels, 15 grams of ginseng, 15 grams of costus, 8 grams of licorice, and angelica. 3 grams, 3 grams of polygala root, 6 grams of ginger, 1 jujube.
Effectively nourishes qi and blood, strengthens the spleen and nourishes the heart.
Usage: Decoction in water, 1 dose per day.
In the Fangjie prescription, astragalus nourishes the spleen and qi; longan meat nourishes qi and nourishes the heart and blood, and is the king medicine. Ginseng and Atractylodes are auxiliary drugs to nourish Qi; Angelica sinensis is a auxiliary drug to nourish blood, both of which are ministerial drugs. Fu Shen, Zizioren, and Polygala pacificans calm the mind and calm the mind; Agarwood regulates qi and invigorates the spleen, all of which are adjuvant medicines. Zhigancao replenishes qi and nourishes the middle part of the body, and is used as a herbal medicine by harmonizing various other medicines.
Note: The key points of this prescription are palpitations, insomnia, physical fatigue, less food, or blood loss, sallow complexion, pale complexion, white coating, and thin and weak pulse. For patients with blood in the stool, add donkey-hide gelatin, Sanguisorba, etc. to nourish the blood and stop bleeding. The recipe of Zhenwu Decoction comes from "Treatise on Febrile Diseases" and consists of 9 grams of Paofu Pian (fried first), 9 grams of Poria, 9 grams of ginger, 9 grams of white peony root, and 6 grams of Atractylodes macrocephala.
Effects: Strengthen the spleen and kidneys, warm yang and diuresis.
Usage: Decoction in water, one dose per day.
In the prescription, the pungent and hot aconite is used to warm the kidneys and help yang, transform qi and move water, and warm the spleen soil to transport water and dampness; Poria cocos and atractylodes are used to strengthen the spleen and remove dampness, so that water and qi can be removed from childhood. Just come out. The pungency of ginger is used to disperse water qi, which helps Poria cocos to diuretic, and Aconite to help warm yang and dispel cold. White peony has three uses as a medicine: ① Facilitates urination to promote water qi; ② Concentrates yin and nourishes yin to relieve tendons, and prevents yin damage due to pungent and dryness; ③ Softens the liver and relieves abdominal pain. The combination of various medicines can warm yang without overpowering, protect yin without restraining evil, embody the method of warming yang and diuresis, and play the role of warming yang and diuresis.
Note: If Yang Qi has not been restored and Yin deficiency syndrome occurs again, edema occurs repeatedly, mental fatigue, dizziness, tinnitus, and gum bleeding are caused by Yang deficiency and Yin, Yin deficiency cannot reach Yang, and Yang deficiency is disturbed. , the treatment should be to nourish kidney yang and facilitate urination. It can be treated with Jisheng Shenqi Pills and Dabu Yuan Decoction. (4) Symptoms of weak spleen and stomach include edema of the head, face and limbs, which sometimes disappears, fatigue and weakness, poor appetite and loose stools, or abdominal distension and stuffiness, yellow face and cold limbs, pale tongue, less coating, and slow and thready pulse. Those with spleen and stomach qi deficiency should take Shenling Baizhu Powder; for those with spleen and stomach yang deficiency, Shipi Powder should be taken with either addition or subtraction. Fang Yishenling Atractylodes Powder is sourced from "Daping Huimin Heji Bureau Prescription" and consists of 50 grams of lotus seed meat, 50 grams of coix seed, 50 grams of amomum villosum, 50 grams of fried platycodon, 75 grams of white lentils, 100 grams of white poria, and 100 grams of ginseng. , 100 grams of fried licorice, 100 grams of Atractylodes, and 100 grams of yam.
Function: Invigorate qi, strengthen the spleen, exude dampness and stop diarrhea.
Usage: Decoction in water, one dose per day.
The ginseng, Atractylodes, and Poria in the Fangjie prescription can replenish qi, invigorate the spleen and exude dampness; lotus seed meat and yam can help ginseng and replenish qi, and can also stop diarrhea; lentils and coix seed can help Atractylodes, tuckahoe, invigorate the spleen and exude dampness; sand Ren awakens the spleen and harmonizes the stomach; Platycodon calms the lung qi and carries medicine upward; licorice invigorates the spleen and harmonizes the middle and harmonizes various medicines.
The instructions are for fine powder, 6 grams each time, taken with jujube soup. For children, the dosage should be adjusted according to age. If it is used as a decoction, the dosage should be determined according to the proportion of the original recipe. Fang Er Shipi Powder comes from the "Re-edited Yan's Jisheng Prescription", which consists of 6 grams of Magnolia officinalis, 6 grams of Atractylodes, 6 grams of papaya, 6 grams of Acosta, 6 grams of Cao Guo Keren, 6 grams of Dafu Pi, and prepared Aconite (first Fried) 6 grams, 6 grams of ginger, 6 grams of poria, 3 grams of licorice, 9 grams of ginger, 3 jujubes.
Effects: Warming yang and strengthening the spleen, promoting qi and diluting water.
Usage: Decoction in water, one dose per day.
In the prescription, aconite warms kidney yang to help qi transformation and removes the stagnation of yin water; dried ginger warms spleen yang to help transportation and transformation, dispersing the condensation of cold water. The two medicines warm and nourish the spleen and kidney, and support yang. Suppress yin; Poria cocos and Atractylodes rhizome invigorate the spleen and exude dampness, so that water and dampness can pass through the urine. Papaya, Magnolia officinalis, Acosta, Dabuzi, and Caoguo lower the qi stagnation, transform dampness and move water, make the qi transform into dampness, and make the qi flow smoothly, then it will be full and eliminated. Licorice, ginger, and jujube blend various medicines to benefit the spleen and harmonize the heart.
In clinical practice, patients with swelling mainly treat Qi, and those with swelling mainly treat water. For patients with lung dysfunction, add cinnamon twigs and platycodon; for patients with qi stagnation in the lower burner, add fennel and radix aegypti.
(5) Symptoms of qi stagnation and blood stasis include weight loss, distension in one abdomen, distending pain in both flanks, and uncomfortable belching, especially after eating, or dark complexion, uneven skin, hepatosplenomegaly, and spider veins. Moles, liver palms, exposed abdominal wall veins, thin fur, purple spots on the edge of the tongue, stringy pulse. Fang Yi Bupleurum Soothing Gan Powder is sourced from "Jingyue Quanshu" and consists of 6 grams of tangerine peel, 6 grams of Bupleurum, 5 grams of Ligusticum chuanxiong, 5 grams of Cyperus rotunda, 5 grams of Citrus aurantium, 5 grams of peony, and 2 grams of licorice.
Effects: Soothing the liver and relieving stagnation, promoting qi and relieving pain.
Usage: Decoction in water, one dose per day.
In the Fangjie prescription, Bupleurum soothes the liver and relieves depression; Cyperus cyperus regulates qi, soothes the liver and relieves pain, Ligusticum chuanxiong promotes qi, activates blood and relieves pain; tangerine peel and tangerine peel regulate qi and stagnation, awaken the spleen and harmonize the heart; peony and licorice nourish blood and soften the liver. , relieve pain and relieve pain; Zhigancao harmonizes various medicines.
It is said that in the early stage of ascites, the righteousness is still strong and can be attacked. Grind kansui and licorice into fine powder, 1 to 2 grams each time, and swallow it once a week. In the late stage of ascites, when there is deficiency but excess, during dialectical treatment, use 2 grams of cricket powder, swallow it twice a day.