There is a difference between inside and outside the phlegm. Coughing and breathing on the diseases, for the phlegm outside; flowing away in the internal organ meridians, it is internal phlegm.
Among them, the disease of epilepsy and dementia that becomes convulsive and demented by the phlegm of the heart is effective from the theory of opening up the phlegm, which is a major feature of the theory of phlegm disease in Chinese medicine.
These conditions, which are quite common in children, are closely related to their physical temperament. Such as weak dirty qi, weak heart, weak spleen and liver, resulting in saliva and wind movement, blocking the spirit;
There are also those who are injured in the head at the time of fetal birth or after birth, the Yuan God is damaged, and the wind phlegm rebels, and because of the cowardice, easy to frighten and fear, can produce phlegm stagnation and blind the pericardium.
The former sages pointed out: "If the qi and blood are turbid and reversed, the liquid is not clear, and the fumigation is gathered and becomes phlegm" ("Miscellaneous Works of Ming Medicine"); its symptoms are "fire is born, qi stagnation is strong, wind is blowing, and it becomes strange and strange" ("Miscellaneous Diseases Flow Rhinoceros Candles"). All of them discuss the pathogenesis of qi and blood losing its correctness and changing into wind and phlegm to disturb god.
01
For these children who are evidenced to be phlegm saliva deep diving and wind and heat, their shock, fainting, epilepsy, and dementia, Mr. Dong Tingyao inherited the family tradition and made good use of the polyester phlegm soup to rule the law, and the effect was relatively good.
Polyester phlegm soup (tangerine peel, half summer, poria, licorice, citrus aurantium, bamboo ru, southern star, calamus, ginseng) was originally from the "Miracle Recipe", functional expectorant propaganda, good gasification turbidity.
Dong aging cut is as follows: generally subtract citrus fruit, licorice, ginseng, add white appendage, hook vine, dragon teeth, as the basic application of phlegm opening trick to suppress panic.
Clinically, it is treated from the perspective of the symptoms.
If the tongue is thick and greasy, the veins are slippery, the phlegm in the throat is thick, the pharynx is like a stem, or the pharynx is vomited from time to time, and the snoring in sleep is full of phlegm, and it is necessary to increase the number of expectorant heavenly pulp shells, melon peels, mountain mushrooms (or ice balls), almonds, and sichuan shells;
Those who are shocked by many things, add gastrodia, amber, purple shell teeth, magnets, and even use whole scorpions and centipedes.
The bamboo ru in the square, I feel that its strength is too light, and each change to Tianzhu Yellow or Bamboo Drain (ginger juice must be added to a few points to serve).
For those whose sputum is intertwined, it is necessary to roll sputum pills and fry them; in light cases, it is necessary to use clear gas to dissolve the sputum pills.
However, there is wind sputum knots, wheezing chest full, panic phlegm gushing, that is, the urgent need for Wanying bao red dispersion, do 1 dose of chemical service, 1 time a day, can be used for 3 doses.
To the heart and liver hyperactivity, it should still be added to Chuanlian, gentian and the like, or with bovine yellow qingxin pills, 1 pill per day to take.
In addition, orange networks and loofah networks, and open-minded yuanzhi and yujin are also commonly used products.
02
The following will be the application of the polyester sputum soup method for example.
Example 1: Ou Mou, female, 2 years old (wind phlegm convulsion). He was admitted to the hospital on October 27, 1982.
The child has been sleeping at night for a year, once a week, for a quarter of an hour to 20 minutes; recently, he has been coughing for 2 weeks, and the low-grade fever has not subsided. As a result, there were many consecutive seizures within 10 days; usually he often sighed with joy, breathed thick phlegm, cold hands and feet, and stool was still passable.
The veins are slippery and the tongue is white and greasy.
Liver depression, sputum heat disturbance, treatment of quasi-weathered phlegm.
Hook vine, dried calamus, gall star, tianzhu yellow, bamboo knot white appendage, orange red network, sky pulp shell, bamboo half summer, dragon teeth, tulip.
Second diagnosis on November 3: after taking the drug, he vomited a lot of yellow phlegm, and he was shocked once this week, the degree was lighter and the time was shorter.
Now the heat has not receded, there is still a cough, the limbs are not warm, still sighing. The veins and tongues are as before. The sputum depression is slightly resolved, and the sputum must be loosened.
Orange red network, loofah network, dried calamus, tianzhu yellow, hook vine, sky pulp shell, chai hu, qingzhuang stone, tulip, bamboo lime half summer.
7 doses. After taking it, the shock is flat, the sigh is also relieved, the hands and feet are mild, but occasionally there is a night cough, and the phlegm is not refreshing. Above remove chai hu, orange network, add melon bark, clear gas phlegm pills (packets). 14 doses, the disease was cured.
According to the language: This example belongs to the wind phlegm obstruction network, so the shock array, throwing a polyester phlegm soup to cut, focusing on the Qinghua wind phlegm, the wind is frightened.
Children often sigh with joy, which can be seen from time to time in such diseases, which is the reason for the intercourse of phlegm and depression. Fang Zhong is accompanied by various products to relieve depression and communicate, and the symptoms are healed.
The former sages called the treatment of phlegm "shun qi first" principle also.
Example 2: Cai Mou, male, 5 years old (phlegm fever epilepsy). Initial consultation on September 15, 1982.
After the child fell 2 years ago and injured his brain, he suffered from epilepsy, and from time to time he fell down with small hair, and had a large convulsive convulsions in the moon. EEG shows focal abnormal epileptic waves.
Low heat lingering, night sleep frightened, dreams a lot, hot boils, smelly breath, dry stools are difficult to knot, two or three days a day, two pulses slippery, thick tongue, sharp red.
Its symptoms begin with the shock of the fallen servant, the phlegm on fire, the cure must be open to the phlegm and the heart, and the liver and wind are calm.
Hook vine, bamboo li banxia, gall star, Chuanbei, bamboo white appendage, amber (posterior lower), dragon's tooth, Chuanlian, Zhu Porcupine, Poria rolling phlegm pills (packet). 7 doses.
After the drug, there is more spitting, the moss turns thin and greasy, the heat gradually recedes, the stool sleeps peacefully, the phlegm fire has been frustrated, and the faint servant does not do it. Go to Lian, Bei, Jia Zhuru, Yuanzhi, and serve for 3 weeks. Continuous observation, shock did not occur, basically stable.
According to the language: This case is traumatic epilepsy, due to the shock of the fall, it is frightened, resulting in a reversal of the heart and the heat of phlegm. Give a heat-clearing and calming agent, open up phlegm and flatten the liver, and its symptoms are safe. Although this is based on the method of purifying phlegm soup, it is also necessary to always be reasonable and legal, and to combine the disease with medicine.
Example 3: Zheng Mou, male, 5 years old (sputum fever epilepsy). He was admitted to the hospital on May 18, 1982.
Although the child is 5 years old, he has not yet been able to speak, he can only simply shout, his intelligence is also blunt, his limbs are uncertain, his breath is heavy, he sometimes coughs up phlegm, saliva is frequent, he sleeps at night, his stool is dry, his pulse is deep and empty, his tongue is red, and his moss is thick.
Evidence belongs to the sputum stagnation heart trick, the treatment of sputum to open the knot trick.
Tangerine peel, dried calamus, bamboo liquor half summer, gall star, yuanzhi, bamboo knot white appendage, hook vine, sky pulp shell, mountain ci mushroom, another: ox yellow qingxin pill 1 capsule. 7 doses.
This party has been taken for two weeks, the phlegm has been less, the saliva is also harmonious, the breath is smooth, the two stools are adjusted, the sleep is anajia, and the veins are thin.
Above go to Lian, peony, beef yolk qingxin pills, add almonds, ice balls, clear gas phlegm pills (packets), and tell them to continue to treat for a period of time in order to consolidate the improvement.
According to the language: children's language is late, the former sages called "those who are timid, then sexually stupid and late" ("Pediatric Health General Micro-theory"). Clinically seen, there are differences between virtual and real.
This example is dialectical, it is a sputum stagnation heart trick, so the treatment is to purify the heart and open phlegm.
Niuhuang Qingxin Pill contains Beef Yellow, Chuanlian, Skullcap, Mountain Gardenia, Tulip, Cinnabar, a Wan's Niuhuang Pill, which is a good agent for clearing the heat. Because the child has a more obvious sign of heart heat and closure, he joins the costume.
As Yu Jiayan said: "Judge that it is true, use this soup (referring to the soup of polyester phlegm) to adjust the niuhuang pill,...... Foot open phlegm through the trick", it can be seen that the soup and pills are combined, which can enhance the efficacy.
However, such children are originally difficult, although the language has just begun to open, and their intelligence has improved slightly, but it is not easy to return to their normal.
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In summary, it can be seen that Dong Lao used the polyester sputum soup method to treat a variety of pediatric difficult sputum diseases, and each one obtained a good effect.
Examination of polyester phlegm Yuyuan Fang, the main treatment of stroke phlegm obsessive, tongue strength can not speak.
Qian zhe pointed out: "The heart, spleen and kidney three pulses are weak, then the phlegm saliva is closed by the weakness of its veins, so the tongue cannot transport speech." ”
It shows that this side is good at opening up the heart, suitable for the disease mechanism of "wind phlegm plugging its meridians", and after the menstruation, it has strengthened the ability to awaken the gods.
The few examples given may be able to glimpse the rationale in between, and these experiences are indeed of valuable significance for our clinical treatment of many neuropsychiatric disorders in pediatrics.
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