Wang Qingren's "Medical Forest Correction" formula is clinically applied

Wang Qingren,Zi Xunchen,born in the 33rd year of Qianlong in the Qing Dynasty, died in the 11th year of Qing Daoguang, at the age of 64. The book "Correction of Mistakes in the Medical Forest" is his only work. Wang Qingren is a diligent and sincere person, tireless in learning, all-round in literature and martial arts, and proficient in medical science.

He has the courage to know people, find corpses and dissect them, have the courage to practice, dare to innovate, and are determined to "correct mistakes in the medical forest, cure diseases and save people" throughout his life. After decades of struggle, it has made pioneering achievements in human anatomy, qi and blood theory, clinical medicine and other aspects.

Although limited to the conditions at that time, there were still many errors in the anatomy of the internal organs and medical theory, but he did have a true insight into the exertion of the theory of qi and blood, and his clinical practice experience described and created the formula, which was very great.

As it is said in his "Self-Introduction": "The book "Correction of Errors in the Medical Forest" is not a complete book of healing diseases, but a book of internal organs. Among them, when there are still inexhaustible points, if future generations encounter the opportunity, see the internal organs, refine the supplement, or be lucky! He also emphatically pointed out: "The doctor wrote a book ... It is necessary to personally treat the disease, repeatedly test the method, and be foolproof before it can be passed on to future generations. ”

At the time of the testimony, the author used his methods and repeatedly obtained the results, and tried to cite the case to show one or two.

First, the method of invigorating qi and invigorating blood

All that man has is nothing but qi and blood, and blood is closely related to qi, and blood is not good without qi, and qi is not carried by blood. "Zhang's Medical Tong" Yun: "Cover qi and blood, two dimensions attached, qi can not be blood, then scattered and ununified, blood can not be qi, then coagulation and not flow." ”

Therefore, in the treatment, there is "those who heal the blood well do not seek the visible blood, but the invisible qi."

However, the successive generations of physicians have paid more attention to qi stagnation and blood stasis, and Yu Qi deficiency and blood stasis have not been paid attention to in the end, although Zhongjing has the establishment of astragalus guizhi five things soup, Yu Chang also has the theory that "the camp guard is weak, and the self-caused blood stagnation", but he has not been able to explore the source of the poor and reach the opportunity.

Inspired by the Inner Classics, "Qi is born in harmony, Jin and liquid are formed, and God is born by himself", Wang Shi highlighted the role of Yuan Qi, pointing out: "People sit and move, full of Yuan Qi, if Yuan Qi is sufficient, it is powerful, Yuan Qi is weak, and Yuan Qi is dead." Clearly put forward: "If the yuan qi is deficient, it will not reach the blood vessels, and the blood vessels will be airless, and they will stay and stasis." ”

Due to the lack of qi can not promote the blood to run, the blood line is stagnant, the meridians are blocked, and the blood cannot be nourished, resulting in symptoms such as half-body failure, crooked mouth and eyes, and unfavorable language.

Its treatment of half-body failure to create the tonic Yang wu tang, whether it is a theory or drug compatibility, are ingenious. Fangzhong astragalus is used to 120g, to greatly replenish the vitality, qi is strong can be bloody, the main drug; The evidence of qi deficiency and blood stasis, the original is virtual and the standard is real, the single replenishment of qi and the fear of stasis blood does not go, the meridians are difficult to pass, so it is supplemented by Sichuan root, safflower to activate blood, red peony, peach kernel to dissolve stasis, take angelica tail to nourish blood and activate blood, the earth dragon through the meridians, get the help of astragalus is "walking" to strengthen, can travel around the whole body to activate the meridians.

The various medicines cooperate with each other, so that the qi is vigorous and bloody, the stasis is clear, the meridians are unobstructed, the limbs can be nourished, and the half-body function can be restored, and the symptoms are gradually healed.

The author taught the law, with the treatment of stroke after the half of the body is not successful, as long as there is no obvious liver wind internal movement, liver fire, real heat, the sooner the effect is better.

At the same time, the party uses the treatment of other diseases, such as cerebral arteriosclerosis, vascular headache, cerebellar ataxia, myasthenia gravis, coronary heart disease, diabetes, cirrhosis, etc., as long as the identification is qi deficiency and blood stasis, often can slow down the map to reap the benefits.

Case 1

Li surname, female, 67 years old.

Recurrent precordial pain for two months. Patients have a history of hypertension and hyperlipidemia. In the past two months, I often feel chest pain, there is a feeling of compression, movement is aggravated, taking danshen drop pills can alleviate, accompanied by sweating, shortness of breath, fatigue, palpitations. The tongue is reddish, mossy white, and the veins are fine. ECG: ST-T changes, incomplete right bundle branch block. Western medicine diagnoses coronary heart disease with angina.

TCM diagnosed with chest palsy. It is proved that the qi deficiency and blood stasis, heart pulse paralysis obstruction, treatment should be beneficial to qi and blood, through the pulse to dissolve stasis.

Prescription: Astragalus 30g, Guizhi 10g, Danshen 30g, Sichuan Root 10g, Peach Kernel 10g, Raw Pu Huang 10g, Safflower 6g, Fragrance Drop 6g, Licorice Root 10g. 7 doses.

After the drug, the patient's chest pain was alleviated, the interval was prolonged, the above was mainly added and subtracted, the treatment was more than 1 month, all the symptoms were removed, and the chest pain was not done.

Case 2

Liu Mou, male, 70 years old.

Known as coronary heart disease, diabetes, hypertension disease. The patient had urinary frequency, urgency and dysuria 1 week ago, and was admitted to a hospital for treatment, and was diagnosed as prostate hyperplasia by ultrasound and cystoscopy.

After symptomatic treatment, there was no obvious relief, the urine drip was not smooth, the red astringent pain, surgical treatment was recommended, indwelling catheterization, the patient was automatically discharged from the hospital and came to the Chinese medicine hospital for treatment.

Complaints of poor urination, inability to defecate, inexhaustible dripping, bloated lower abdomen, dry and bitter mouth, fatigue, dizziness, sore back, reddish tongue and purple edges, slightly greasy moss, and thin veins.

Chinese medicine diagnosed it as epilepsy, evidence of deficiency of vitality, water stasis, and gasification loss. Cure yi yi gasification stasis, diuretic through and closed, with Wang Qing Ren Baoyuan to dissolve the soup and add flavor.

Prescription: Raw astragalus 120g, talc 30g (pack), knotweed root 30g, Zelan 10g. 3 doses.

After the drug, the urination will feel smooth, and then add the product of kidney toning and peace.

Second, the method of activating blood and stasis

Qi is the handsome of blood, blood is the mother of qi, qi is blood, and stagnation is blood coagulation.

Wang Qingren's view is that qi and blood are alive, and there is no need to get rid of it. Therefore, Tang Rongchuanyun: "Wang Qingren's extreme words and blood stasis evidence is the most detailed." ”

He divided the human body into several parts, up and down, inside and outside, and the formation of blood stasis was nothing more than these parts.

Such as "outside, split head face limbs, blood vessels around the body; Inside, the upper and lower sections of the diaphragm, above the diaphragm, the cardiopulmonary throat, the left and right valves, and the rest of the things, are below the diaphragm", if the blood from the menstrual period cannot be discharged and removed in time, staying in the above parts, stasis in the organs and organs, blood stasis internal obstruction, disease production, that is, blood stasis evidence.

The ancients often used the method of activating blood and dissolving stasis, and Wang's clinical practice proved that this pathological change should increase the power of stasis, that is, it was changed to the method of stasis, and several stasis-by-stasis prescriptions were created.

For example, li blood house stasis soup, treatment of chest stasis disease evidence; The soup under the diaphragmatic stasis is treated for blood stasis in the abdomen; Erect a small abdomen and stasis soup, treat gynecological evidence of blood stasis in the abdomen; Standing pain and stasis soup, treatment of pain around the shoulder, arm, waist and legs with blood stasis; At the same time, it also has a blood soup to cure blood stasis in the blood vessels around the limbs of the head and limbs.

Wang's method of activating blood and chasing stasis is the inheritance and development of predecessors, innovation and improvement, and the clinical application "can make the qi of the whole body pass without stagnation, the blood is alive and not stasis, the qi is alive and bloody, and the disease is not removed." ”

Case 3

Guo Mou, female, 42 years old.

Insomnia for a long time, repeatedly, even sleepless all night, has been treated by a variety of methods, now every night before going to bed to take 2 capsules, Jiale Diazing 2 capsules to fall asleep.

With irritability, chest tightness and pressure, dizziness and pain, memory loss, gaunt face, blackened eye sockets, nagu not fragrant, dry stool, red tongue, ecchymosis, slightly yellowish moss, fine veins. Identify it as stasis insomnia, and add or subtract from the blood house stasis soup one by one.

Prescription: Angelica 10g, raw land 15g, peach kernel 10g, safflower 6g, platycodon 6g, red peony 15g, chai hu 10g, Sichuan root 10g, citrus aurantium husk 10g, beef knee 10g, raw licorice 3g, Huai wheat 30g, sour jujube kernel 20g, summer dry grass 10g, northern barley rice 30g. 7 doses.

After taking 3 doses above, the night sleep improved significantly, and then with this prescription as the mainstay, adding and subtracting in and out, gradually reducing Western medicine, adjusting and treating for more than two months, insomnia basically recovered, and could sleep peacefully for about 6 hours a night.

Case 4

Wang Mou, male, 46 years old.

Within 5 years, he had done gallbladder stone removal and intrahepatic bile duct stone removal surgery 4 times, and 1 month ago he felt right upper abdominal distension pain, went to a hospital for examination, CT showed: multiple stones in the hepatic bile ducts. The symptomatic treatment did not see significant improvement, and it was recommended to undergo further surgery, and the patient was overwhelmed and asked for TCM treatment.

The patient is now right, upper abdominal distention pain, local tenderness is obvious, abdominal fullness, dry and bitter mouth, slightly yellow eyes, nausea, nagu is not fragrant, stool once every 2 days, partial dry, described as emaciated, purple tongue, slightly greasy moss, pulse strings.

TCM diagnosed as bile distension. It is evidenced to be damp and hot stasis and internal resistance, hepatobiliary drainage disorder. It is advisable to treat liver choleretic, remove stones one by one, and add or subtract from the diaphragm one by one.

Prescription: Danpi 20g, Red Peony 20g, Peach Kernel 10g, Sichuan Root 10g, Xiangfu 15g, Wuling Fat 10g, Citrus Aurantium 15g, Wu Yao 6g, Rhubarb 15g, Guangqian Herb 30g, Chicken Inner Gold 15g, Raw Mountain Gardenia 10g, Yin Chen 30g. 7 doses.

After the drug, the patient's epigastric bloating pain was significantly reduced, Nagu improved, stool was once a day, it was mainly the above, with the addition and subtraction of symptoms, treatment for nearly two months, the symptoms basically disappeared, sodium, stool adjustment, CT review of the liver did not see obvious stones.

3. Detoxification and blood activation method

The detoxification and blood activation method is a treatment method formed by Wang Qingren's organic combination of detoxification and detoxification with blood activation and stasis, which is another innovation in the theory of qi and blood.

The detoxification and blood soup it founded was originally designed for the treatment of plague vomiting and diarrhea, fangzhong angelica, red peony, peach kernel, safflower to activate blood stasis, citrus shell li qi, forsythia, kudzu root, chai hu, licorice clear heat and detoxification, raw and nourish yin and blood.

The whole party is used together, activating its blood, detoxifying it, smelting blood with plague poison, blocking the qi and blood pathway, vomiting and turning tendons at the beginning of the disease, and the righteous qi is not injured.

The author uses this formula to add or subtract from the treatment of measles combined with pneumonia, meningitis, flat warts, acne, melasma, chronic hepatitis, alcoholic cirrhosis and other evidence of evil fever, qi and blood loss.

Case 5

Liu Mou, female, 38 years old.

Facial melasma for 2 years, gradually increasing, dark brown, has been treated with masks and traditional Chinese medicine has not seen significant improvement, accompanied by upset and irritability, restless nights, chest tightness and pressure, dizziness and swelling pain, menstrual delay, menstrual pain, purple bruises, dry and bitter mouth, dry stool, red tongue and thin yellow, astringent pulse strings.

The diagnosis is melasma, which is evidenced by liver depression and fire, stagnant blood stasis, detoxification and blood circulation, liver thinning and camping.

Prescription: Angelica 15g, Red Peony 20g, Chai Hu 10g, Citrus aurantium 15g, Peach Kernel 10g, Safflower 6g, Forsythia 15g, Danpi 15g, Tulip 10g, Comfrey 15g, Raw Shou Wu 20g, Sour Jujube Kernel 20g, Raw Mountain Gardenia 10g, Raw Licorice 3g. 7 doses.

The above is the main addition and subtraction of the conditioning for nearly two months, the melasma basically subsides, the night sleep improves, the stool is once a day, and the residual symptoms are basically eliminated.

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