2 English reference rhubarb aconite soup [Xiangya Medical Dictionary]
Dahuang Fuzi Decoction [2 1 Century Bilingual Dictionary of Science and Technology]
Dahuang Fuzi Decoction [Committee on Terminology of Traditional Chinese Medicine]. Terminology of Traditional Chinese Medicine (2004)]
Summary Dahuang Fuzi decoction is recorded in the volume of Synopsis of the Golden Chamber. Consists of 9g of rhubarb, 2g of aconite/kloc-0 and 6g of asarum. It has the effects of warming interior, dispelling cold, relaxing bowels and relieving pain, and is mainly used for treating abdominal pain caused by cold accumulation and Yang Qi stagnation. This prescription is a representative prescription for treating cold coagulation syndrome, which is often used to treat acute appendicitis, acute intestinal obstruction, biliary colic, postoperative gallbladder syndrome, pancreatitis, kidney calculi's disease, testicular swelling and pain, sciatica and so on.
Although aconite is the monarch drug, rhubarb is still the main drug to treat uremia, biliary colic and postoperative gallbladder syndrome, while aconite and asarum can play a positive role in improving uremia, hypertension and heart failure.
4 rhubarb aconite soup alias rhubarb aconite soup asarum soup
5 Prescription rhubarb three liang, prepared aconite three tablets, asarum two liang [1].
Rhubarb 9g, aconite 12g, asarum 6g[2]
Rhubarb 9g, aconite 9g, asarum 3g[3]
Three Liang of rhubarb, three pieces of aconite (processed) and two Liang of asarum [4].
6. [Indications] Warming the middle warmer to dispel cold, relaxing bowels and relieving pain. Indications: cold accumulation syndrome. Symptoms include abdominal pain, constipation, hypochondriac pain, fever, chills, cold limbs, hand and foot syncope, white greasy tongue coating and tight pulse. [2][ 1]
Yang deficiency and cold, abdominal pain, constipation, hypochondriac pain, fever, cold limbs, white greasy tongue coating and tight pulse. Now it is used for intercostal neuralgia, sciatica, kidney calculi's disease, gallstones, chronic appendicitis, pancreatitis, abdominal and femoral hernia, etc. People with jaundice have yellow body, slightly sweaty forehead, less loose stool and dark stools. This is because sexual injury and yellow blood are stored in his lower abdomen, so his lower abdomen hurts even below the waist. This prescription can really treat local pain, but it is not particularly local pain. It can also be used to treat cold hernia, colic in chest and abdomen extending to swelling of chest, waist and scrotum, occasional underwater sound in abdomen and severe aversion to cold.
7 rhubarb aconite soup is decocted with water and taken in three times. After eating it, it's like walking four or five miles and then eating it again. Function of warming the interior, dispelling cold, relaxing bowels and relieving pain [1].
Three flavors are mixed with 500 ml of water and 200 ml of boiled water, and taken in three times. If the strongman cooks 250 ml, take it three times, with an interval of about one hour.
Take 5 liters of water, boil 2 liters, and take it three times at different temperatures. If a strong person cooks two and a half liters, eat three servings at different temperatures. If you walk 45 miles after taking it, take 1.
Take five liters of water, boil two liters, and take it three times at different temperatures [4]. If you are strong, cook two and a half liters and eat it three times at different temperatures [4]. After taking it, if you walk four or five miles, take it [4].
Eight prescriptions can be used to treat abdominal pain caused by stagnation in cold and stagnation in Yang Qi, and to warm the interior to dispel cold, relieve constipation and relieve pain. In the prescription, aconite is pungent and hot, warming yang and dispelling cold; Rhubarb clears the stomach and depresses depression, and * * * is the monarch medicine. Asarum is used as an adjuvant, which can dispel cold and stagnation and relieve pain. Although rhubarb in the prescription is bitter and cold, it is pungent and hot with aconite and asarum, and the bitter and cold nature is restrained, and the purgative effect still exists. This method of compatibility is called "removing its nature and preserving its use". 3. The drug combination can warm the interior, dispel cold, relieve constipation and relieve pain. [2]
In the prescription, aconite root is pungent in heat, warming the interior to dispel cold, treating heart cold and pain, and rhubarb swings open and stagnates, and * * * is the monarch drug; Asarum is a ministerial medicine, which can dispel cold and relieve pain, and assist aconite to enhance the effect of dispelling cold. Although rhubarb tastes bitter and cold, it is combined with Radix Aconiti Lateralis and Herba Asari to restrain its cold and preserve its catharsis. Compatibility of the three herbs, * * * becomes the agent for warming middle warmer, dispelling cold, coagulating blood and lowering blood pressure in bitter middle warmer [1].
Our side is the representative of the warming method. Indications: constipation, abdominal pain, hypochondriac pain, fever and tepid hands and feet caused by stagnation of internal cold and stagnation of yang. According to the principle that cold is heat, blood stasis is dispersion, and accumulation is attack, the treatment should be combined with warming and dredging. Therefore, the prescription uses the pungent heat of aconite to warm the interior and dispel the cold, and stop the abdominal pain. It is necessary to warm the interior and dispel the cold, but also to use laxatives to knot. Therefore, rhubarb is used to relieve internal stagnation. Asari has the effects of warming channels, dispelling cold and relieving pain, and can also help Radix Aconiti Lateralis to warm interior and dispel cold and relieve pain. Although rhubarb in the prescription is bitter and cold, it gets a lot of pungent and hot aconite, so the bitter and cold nature is restrained, and the purgative effect is especially good. The combination of the three drugs can play the role of warming and tonifying. [3]
9 Use 1. This prescription is the representative of treating cold syndrome. Abdominal pain, constipation, tepid hands and feet, white greasy fur and tight pulse can be treated with this recipe. [2]
2. Addition and subtraction: If abdominal pain is severe, if you like warmth, add cassia twig and white peony root; For patients with abdominal distension and greasy fur, Fructus Aurantii Immaturus, Cortex Magnolia Officinalis and Massa Medicata Fermentata are added; Foeniculum vulgare and Cinnamomum cassia are added for patients with hypochondriac cold pain; Mild stagnation, with rhubarb laxative; For people with weak constitution, Radix Codonopsis and Radix Angelicae Sinensis are added to invigorate qi and nourish blood and tonify deficiency. [2]
3. Precautions: The sum of the dosage of Radix Aconiti Lateralis Preparata and Asari in the prescription should be greater than that of Radix et Rhizoma Rhei, so as to achieve the purpose of warming the interior, dispelling cold, and inducing stagnation. [2]
4. Abdominal pain: A man in his fifties had abdominal pain for several years. The remaining diagnosis is swelling and hardening of the heart and thunder in the abdomen. It's made of Banxia Xiexin decoction, which is useless. One day, I suddenly felt terribly cold, and my colic was twice as big as usual, so I made rhubarb aconite soup and drank it, and the pain went away. After taking it for a few days, the disease no longer broke out.
5. Intercostal neuralgia: 7 1 year-old male complained of severe chest pain on the right side, pale face, anemia, limited foot movement and inconvenient walking. The pulse is large, the tongue is moist without coating, the abdominal force is moderate and slightly soft, and the rectus abdominis twitches, so it is once every 45 days. I gave rhubarb aconite soup, and it was cured in 25 days.
6. Meniere's disease: Qi, female, 40 years old. Susong suffers from Meniere's disease, which often occurs. A week ago, I was overworked with a cold, dizzy again, very dizzy, bedridden, and my head and physical activities increased. Spit sputum, spit saliva, 2 inches below the navel is swollen and painful, diarrhea, annoying. My mouth is thirsty and I want to drink water. My tongue is pale, my fur is thick and sticky, and my pulse is slow. As far as phlegm is concerned, it is suggested that Alisma Decoction combined with Erchen Decoction in Synopsis of the Golden Chamber has no effect. The tongue picture was diagnosed again, referring to the sub-umbilical pain syndrome. It is found that this syndrome is due to yang deficiency and cold excess, which accumulates in the stomach and causes swelling pain, obstruction of triple energizer, failure to clear yang and failure to descend turbid yin, resulting in dizziness. Add rhubarb aconite soup to taste: 8g of aconite, 0/0 g of rhubarb/kloc, 6g of asarum and 6 g of ginseng, 2 doses. After a mild diarrhea, dizziness and pain have been reduced by more than half; Take two more doses and all the symptoms will disappear.
10 modern indications [5]
Indications: This prescription can be used to treat patients with cold accumulation such as biliary colic, postoperative gallbladder syndrome, chronic dysentery and uremia.
10. 1 Gallbladder colic is common in cholecystitis and cholelithiasis, which are mutually causal. Cholestasis and bacterial infection are also important factors. The main mechanism of biliary colic is congestion and edema of biliary intima, bile duct stenosis or irregular contraction of blocked gallbladder.
10.2 post-cholecystectomy syndrome The common symptom of post-cholecystectomy syndrome is cholestasis, that is, biliary tract bleeding, which is caused by improper vascular ligation during operation. The clinical manifestations are severe epigastric colic, chills and fever, jaundice, hematemesis and hematochezia. Bile duct injury is common in postoperative gallbladder syndrome, and the injury site is common at the junction of cystic duct, common hepatic duct and common bile duct. In addition to anatomical variation of bile duct, inflammation at the triangle of gallbladder, formation of mucosa and scar, the main reasons are that bile duct is ligated and transected into cystic duct by mistake during operation, the gallbladder artery is clamped blindly, and part of bile duct wall is ligated or torn due to excessive pulling of common bile duct, which leads to postoperative obstructive jaundice, bile leakage, peritonitis and bile duct infection.
10.3 chronic dysentery is mainly acute bacterial dysentery, and the course of disease is more than 2 months. The pathogen is Shigella dysenteriae, and the lesions are mainly in sigmoid colon and descending colon, and the intestinal mucosa is congested, edematous and bleeding. The main clinical manifestations are long-term pain in the left lower abdomen, acute diarrhea and purulent bloody stool.
10.4 uremia is the late stage of renal failure, which is more common in patients with chronic renal failure. Any urinary system disease that destroys the normal structure and function of the kidney can cause renal failure, such as primary and secondary glomerular diseases, obstructive nephropathy, chronic interstitial nephritis, renal vascular diseases, congenital and hereditary nephropathy, etc. , may develop into renal failure. The common causes in China are glomerulonephritis, diabetic nephropathy, hypertensive nephropathy, polycystic kidney disease and obstructive nephropathy. When the glomerular filtration rate drops to about 75% of the normal value, the renal function will continue to decline until uremia occurs. When nephron is destroyed to a certain amount, the excretion load of metabolic waste of healthy nephron will increase, which will lead to compensatory high perfusion, high pressure and high filtration of glomerular capillaries, leading to foot process fusion of glomerular epithelial cells, mesangial and matrix proliferation, glomerular hypertrophy and hardening. Glomerular endothelial injury induces platelet aggregation, leading to microthrombosis and promoting glomerular sclerosis; Glomerular permeability increases, damaging tubulointerstitial. The three go on, forming a vicious circle. At the same time, the increase of angiotensin ⅱ and renin activity plays an important role in the above process. Due to the serious imbalance of water, electrolyte and acid-base balance in renal failure, the residual nephron can not fully excrete metabolites and uremic toxins (macromolecular nitrogen-containing substances, macromolecular toxic substances and macromolecular toxic substances) and renal endocrine dysfunction, thus producing a series of uremic symptoms, such as sodium-water imbalance, edema, hyperkalemia, metabolic acidosis, hyperphosphatemia, hypocalcemia and hypermagnesemia. Then it causes hypertension, left ventricular hypertrophy, heart failure, pericarditis, atherosclerosis, uremic pneumonia, anemia, bleeding, neuromuscular symptoms, gastrointestinal symptoms, skin itching, renal malnutrition, endocrine and metabolic disorders and concurrent infection.
10.5 Others are commonly used to treat acute appendicitis, acute intestinal obstruction, pancreatitis, kidney calculi, testicular swelling and pain, sciatica, etc. [2]
1 1 pharmacological effects of Dahuang Fuzi decoction [6]
1 1. 1 Rhubarb, a pathogenic microorganism, can inhibit a variety of Gram-positive and Gram-negative bacteria, including sensitive person such as Staphylococcus, hemolytic streptococcus, Neisseria gonorrhoeae, diphtheria, Bacillus subtilis, Bacillus anthracis, Salmonella typhi and Shigella dysenteriae. It has antibacterial activity against Bacteroides fragilis, a dominant anaerobic bacteria in the intestine. When intestinal obstruction or intestinal paralysis occurs, the number of bacteroides fragilis in the intestine increases, which is easy to cause duodenal cholecystitis and has strong antibacterial activity against Helicobacter pylori in the stomach. Rhubarb can inhibit the adhesion of Escherichia coli in pyelonephritis. Has therapeutic effect on acute suppurative cholangitis infection; Rhubarb can inhibit or inactivate influenza virus, hepatitis B virus, herpes simplex virus and CMV, and its main antibacterial components are emodin, rhein and aloe-emodin. Asari's ethanol extract and volatile oil have inhibitory effects on Gram-positive bacteria, Bacillus subtilis and Salmonella typhi, while the decoction has inhibitory effects on tuberculosis and Salmonella typhi. Asari volatile oil has antibacterial effect on Aspergillus flavus, Aspergillus Niger, Cladosporium cereum, Candida albicans and other 16 kinds of fungi, and its main antibacterial effective component is safrole. α asarone has inhibitory effect on respiratory syncytial virus. From the above antibacterial spectrum, it can be seen that this prescription has pathogenic treatment effect on biliary tract infection, intestinal infection, urinary system infection and other diseases.
1 1.2 anti-inflammatory, anti-oxidation and anti-allergic effects: aconite has obvious anti-inflammatory activity on inflammatory exudation, edema and granulation tissue hyperplasia. Most scholars believe that this anti-inflammatory activity is achieved by stimulating hypothalamus-pituitary-adrenal cortex system and promoting adrenal cortex function through its effective components aconitine, aconitine and hypoaconitine. At the same time, aconite also has the effect of corticosteroid. Rhubarb can obviously inhibit the lipid oxidase of peritoneal macrophages, reduce the synthesis and release of arachidonic acid metabolites leukotriene β4 and 5- hydroxy eicosatetraene, inhibit cyclooxygenase, reduce the synthesis of PGE, activate monocytes to secrete TNFα, and cooperate with PHA to activate monocytes to secrete IL2 and INFγ, so it has obvious anti-inflammatory activity, and has obvious antagonistic effects on early inflammatory exudation, increased capillary permeability, leukocyte migration and inflammatory edema. At the same time, rhubarb can scavenge oxygen free radicals and hydroxyl free radicals, inhibit the formation of LPO induced by hydroxyl free radicals, and has obvious antioxidant effect, and its anti-inflammatory activity is roughly equivalent to that of aspirin. In addition to enhancing the function of adrenal cortex, Asari volatile oil, as an adjuvant, has adrenergic effect, and can also inhibit the release of inflammatory mediators. It has strong abilities of scavenging oxygen free radicals and inhibiting lipid peroxidation, protecting hyaluronic acid and aminopolysaccharide in articular fluid induced by oxygen free radicals, and also has antihistamine and antiallergic effects, thus obviously inhibiting the increase of capillary permeability, exudation, edema, leukocyte migration and granulation tissue proliferation of inflammation. These anti-inflammatory effects are obviously beneficial to the treatment of cholecystitis, postoperative gallbladder syndrome and uremia.
1 1.3 effects on circulatory system and hemorheology racemic northeophylline contained in aconite has obvious cardiotonic effect, enhances myocardial contractility and increases cardiac output, especially for heart failure. Fuzi has obvious anti-bradycardia effect, which can improve atrioventricular conduction, accelerate heart rhythm and restore sinus rhythm. Fuzi injection can obviously reduce myocardial oxygen consumption and antagonize myocardial ischemia and hypoxia; It can obviously improve the decline of cardiac output and cardiac index during endotoxic shock, improve the function of sinoatrial node, promote atrioventricular conduction, and show the dual effects of exciting β receptor and blocking α 1 receptor. Fuzi and its compound preparation have obvious anti-shock effect. Fuzi has both antihypertensive and antihypertensive effects. Among them, noraconitine can block α 1 receptor and excite β receptor, which is an effective component for lowering blood pressure. Methyl dopamine oxide is an agonist of α receptor, and norepinephrine is an effective component of pressor. In addition, aconite has obvious anticoagulant and antithrombotic effects, so it can change hemorheology. Fuzi and its compound preparations Shenfu decoction and Sini decoction have antihypertensive and anti-shock effects on hemorrhagic shock, endotoxic shock and cardiogenic shock. Besides lowering blood pressure, reducing blood lipid and strengthening heart, rhubarb can also inhibit platelet aggregation, inhibit TXA2 production, prevent thrombosis and inhibit calcium influx. Rhubarb can also inhibit the activity of cell membrane Na+K+ATPase, increase plasma osmotic pressure, transfer water in tissues to blood vessels, dilute blood flow, thus reducing blood viscosity and improving microcirculation, thus improving hemorheology and reducing the concentration of plasma endotoxin in acute infection, which is beneficial to prevent DIC. Asarum has positive muscle strength and frequency effect on myocardium, and significantly improves left ventricular pump function and myocardial contractility. The alcohol extract of asarum can increase the average arterial pressure and left ventricular systolic pressure, decrease the central arterial pressure, increase the coronary blood flow, prevent myocardial ischemia, resist hypobaric hypoxia and dilate peripheral blood vessels. These effects of this prescription should have a certain therapeutic effect on uremia complicated with hypertension arrhythmia, heart failure, glomerular thrombosis and circulatory disorder, and abnormal hemorheology.
1 1.4 Effects on renal function and urinary system Although aconite has no direct effect on kidney and other urinary systems, its cardiotonic, anticoagulant, anti-myocardial ischemia and anti-shock effects are especially suitable for treating uremia complicated with heart failure, shock and hypertension, and can improve the hypercoagulability of renal tubules such as nephritis, nephropathy and uremia. Rheum officinale has obvious curative effect on renal failure, especially uremia. Firstly, emodin, rhubarb anthraquinone and rhein anthrone glucoside contained in rhubarb can inhibit the formation of glomerular mesangial cells and the growth of renal tubular epithelial cells, thus slowing down the process of glomerulosclerosis; Rhubarb can also stabilize lysosomal membrane, prevent the influx of intracellular calcium ions, resist platelet aggregation, dilate blood vessels and increase the function of macrophages, thus protecting kidney injury; Rhubarb can also inhibit compensatory renal hypertrophy. Secondly, rhubarb can not only slow down glomerulosclerosis and renal tubular hypermetabolism, but also regulate lipid metabolism, thyroid function and protein, which is beneficial to the treatment of uremia, hyperlipidemia, low calcium and high phosphorus and endocrine dysfunction. Thirdly, the purgative effect of rhubarb is beneficial to treat uremia with water and sodium retention and hyperkalemia, which can reduce the absorption of amino acids in intestine, increase amino acids in blood and increase the synthesis of R in protein. At the same time, emodin and rhein can inhibit Na+K+ATPase in renal medulla and reduce sodium reabsorption in renal tubules. Rhubarb extract can inhibit the development of nephropathy, so that urea and creatinine in blood are obviously reduced, methylguanine disappears, the state of low calcium and high phosphorus is improved, the excretion of urea and creatinine in urine is obviously increased, and the abnormal amino acid transport in renal tubules is corrected. Rhubarb tannins can inhibit protein decomposition, promote nitrogen reuse and eliminate azotemia, thus effectively improving glomerular filtration rate and metabolic disorders such as water, electrolyte and acid-base balance, which is particularly important for the treatment of uremia. The immunosuppressive effect of Asari, an auxiliary drug, can not only treat renal injury caused by immune reasons such as nephropathy, but also increase coronary blood flow, improve myocardial hypoxia, dilate blood vessels, and treat uremia, hypertension and heart failure. Asarone can inhibit the excretion of urinary protein caused by renal injury and improve serum biochemical indexes. Racemic arginine contained in it has a wide range of physiological functions similar to adrenaline β stimulant, so it has the functions of strengthening the heart, dilating blood vessels, relaxing smooth muscles, increasing lipid metabolism and raising blood sugar, which is more conducive to the treatment of hypertension, hyperlipidemia, heart failure and uremia metabolic disorder.
Effects of 1 1.5 on hepatobiliary and gastrointestinal tract Fuzi decoction can significantly stimulate the spontaneous contraction of jejunum, which has choline-like and histamine-like effects and is beneficial to jejunum emptying; Fuzi decoction can also inhibit water immersion stress and hydrochloric acid-induced gastric ulcer formation. Rheum officinale can also directly enhance intestinal peristalsis without affecting the absorption of nutrients in the small intestine. The purgative effect of rhubarb has been described in the last section of Dachengqi Decoction, and the tannin contained in rhubarb has the effect of astringency and antidiarrheal. The purgative and antidiarrheal effects of rhubarb are mainly related to the decocting time of rhubarb. When the decocting time is short, the purgative effect is mainly, and when the decocting time is long, the antidiarrheal effect is mainly. Rhubarb can also promote bile secretion, strengthen gallbladder contraction, relax Oddi sphincter, and increase bile acid secretion and bile flow. Rhubarb has obvious antibacterial activity against Bacteroides fragilis, a dominant anaerobic bacteria in the intestine. This kind of bacteria usually grows only under the jejunum. When intestinal obstruction and intestinal paralysis occur, anaerobic bacteria in the intestinal tract rise and spread to the duodenum, transforming bound cholic acid into free cholic acid, which is easy to cause cholecystitis to mucosa. Therefore, rhubarb has obvious therapeutic effect on biliary tract infection and post-cholecystectomy syndrome complicated with infection, and can relieve biliary colic. Rhubarb has obvious hemostatic effect on both internal bleeding and external bleeding, and the effective rate of single decoction for upper gastrointestinal bleeding can reach 96.7%, with an average of 2.2 days for hemostasis. Oral rhubarb decoction has obvious hemostatic effect on bloody stool and mucus bloody stool in acute necrotizing enteritis, and can be used for postoperative biliary bleeding.
Effects of 1 1.6 on nervous and endocrine functions; Aconitum carmichaeli can adjust the body to a balanced state by affecting central neurotransmitters; Aconitum carmichaeli and its aconitine can increase the pain threshold and have significant analgesic effect, as well as hypnotic and sedative effects. Fuzi has anesthetic effect on peripheral nerves. More importantly, Aconitum can stimulate the hypothalamus-pituitary-adrenal cortex system. Rhubarb is an official medicine with antipsychotic and antipyretic effects. The volatile oil of asarum has obvious antipyretic, sedative and analgesic effects, and its analgesic degree is equivalent to that of antipyrine, which can obviously increase the pain threshold. It is worth noting that Asarum also has a similar effect to Alte, enhancing the function of adrenal cortex. Therefore, both Radix Aconiti Lateralis and Asari can increase the level of corticosteroids in blood, which not only makes the prescription have powerful anti-inflammatory, antipyretic and metabolic functions, but also its "permissive" function is more conducive to coordinating other endocrine hormones in the body, improving the adaptability of the body, restoring the balance of nerve and endocrine functions, and is of great benefit to the treatment of its indications.
Effect of 1 1.7 on immune function Fuzi injection can obviously promote the increase of spleen antibody-forming cells and the production of serum antibodies caused by SRBC immunization, and increase the content of serum complement, so that the rosette formation rate and T lymphocyte transformation rate can be significantly increased. Rhubarb, a minister medicine, has a variety of immunomodulatory effects on intestinal mucosal cells and brain cells, protecting bone marrow cells from immunosuppressants. Rhubarb can obviously improve the immune function of infected animal models, induce the production of interferon in vivo, and obviously inhibit the secretion of cytokines by macrophages induced by endotoxin. This effect is enhanced with the increase of rhubarb concentration and the extension of action time, and at the same time, the levels of TNFα and IL6 in plasma are reduced. Asari's water and ethanol extracts, as adjuvants, can inhibit the release of allergic mediators in immediate allergic reaction, and have obvious inhibitory effects on cellular immunity and humoral immunity.
12 Various opinions 1. Zhang Lu quoted from Medical Zong Jin Jing: Dahuang Fuzi decoction combines cold and heat, and combines rigidity and softness. In modern times, I know the next cold method, and I never knew there was a warm method. Cover the violent hot knot with cold. Can the cold knot accumulated for a long time be cold? Dahuangfuzi decoction uses asarum and aconite to attack the cold knot under the threat, which is also the cold nature of rhubarb to guide it. The combination of cold and heat and warm attack is obvious and incredible.
2. "Syndrome Differentiation of Warm Diseases": aconite warms the interior to promote yang, asarum warms the viscera, and eliminates the evil of cold and dampness; There is no way out for the liver and gallbladder, so rhubarb and stomach are used as the way out. The bitterness of rhubarb is combined with the acrimony of aconite and asarum, which can reduce the flow of energy, but the general principle is painless.
3. "It is convenient to study", and the yin and cold converge in one place. Although there is fever, it is also caused by stagnation of yang. Therefore, if it is not warm, it cannot disperse its cold, and if it is not cold, it cannot disperse its accumulation. Therefore, it is easy to disperse the pungent heat with aconite and asarum, and then it can be dispersed with rhubarb.
Calculation and evaluation of body mass index index of human body surface area calculator safety period calculator expected date of delivery calculator Normal weight gain during pregnancy Drug safety classification (FDA) Five elements and eight characters Adult blood pressure evaluation Body temperature level evaluation Diabetes diet suggestion Clinical biochemical common unit conversion basal metabolic rate calculation Sodium supplement calculator Iron supplement calculator prescription common Latin abbreviations Quick check Pharmacokinetics common symbols Quick check Effective plasma osmotic pressure calculator Alcohol intake calculator.
Encyclopedia of medicine, count now!
13 Notes Dahuang Fuzi Asarum Decoction (Notes on Wandering Miscellaneous Notes in Volume III of Synopsis of the Golden Chamber).
14 rhubarb, aconite and asarum decoction, hypochondriac cold coagulation and hernia pain prescription; The accumulation of cold has formed an empirical evidence that the cold under warm conditions can be recovered. [2]
15 excerpt