In the world, most people like more gentle people, after all, "moisturizing and silent" really makes people "like a spring breeze". In fact, in the world of traditional Chinese medicine, there are also some wonderful formulas, but also after all, the representative of gentleness, the idea of the whole party is set in the direction of "spring wind and rain", such a formula once it appears, often can sweep away the haze, like Mu Chunguang. So, what kind of story does such a formula have?
To say that there is a traditional Chinese medicine formula with the "spring wind and rain" version, we have to say a formula called Yang and Tang, because just listening to its name makes you feel the sunshine. So, what kind of traditional Chinese medicine is this yang and soup made of? Yanghe soup is composed of 7 flavors of Chinese medicine, including "one or two cooked ground yellow, one dollar of cinnamon (peeled, ground powder), five cents of ephedra, three cents of deer antler gum, two cents of white mustard seeds, five cents of ginger charcoal, and one coin of raw licorice". And this formula is a good recipe in the "Surgical Evidence and Treatment of the Complete Life", and later generations of doctors also highly respect its wonderful use, and it is also widely used in modern clinical applications.
What exactly does yang and soup do? Generally speaking, yang and soup has the effect of "warm yang replenishing blood, dispersing cold and stagnation", mainly used for the treatment of "yin, osteoarthritis, defurcation, flow injection, sputum nucleus, crane knee wind" and other diseases, clinically mainly to the affected area swelling and headless, skin color unchanged, soreness and no heat, mouth not thirsty and other typical symptoms, tongue veins often with pale tongue moss white, fine pulse or sluggishness and so on as a character. The core pathogenesis of this disease is mainly blood deficiency, cold coagulation and sputum stagnation, if not treated in time, it is often delayed and difficult to heal, and eventually becomes a difficult and complicated disease.
So, what exactly is the combination of yang and soup? The whole side uses cinnamon and ginger charcoal as the monarch medicine, which mainly plays the role of warming the meridians and channeling the veins, dispelling cold and dispelling evil spirits, and dissolving cold condensation; With cooked ground yellow and deer antler gum as medicines, it mainly plays the role of warming the kidneys and helping the yang, warming the blood, filling the essence and replenishing the essence, and strengthening the muscles and bones; Ephedra and white mustard seeds are used as adjuvants, mainly playing the role of dispersing cold evil and removing phlegm; Licorice is used as a medicine, which mainly plays the role of clearing heat and detoxification and harmonizing various medicines. The combination of the 7 flavors of Chinese medicine can play the role of "dissolving yin condensation and spreading yang harmony", hence the name "yang and soup".
Although Yanghe soup only has seven flavors of Chinese medicine, but the combination is very wonderful, let's first see what kind of secret is hidden in this formula. The first is the combined use of yin tonic medicine and warm yang medicine, which can warm up the deficiency of blood; The second is the combination and use of Xin powder medicine and warm tong medicine, which can dissolve the cold condensation, and the most wonderful thing is that the all-round combination complements each other, warm but not dry, dispersion does not hurt the positive, can make the yin break the yang vibration, cold phlegm. I have to say that the combination of yang and soup can be called a classic.
Although Yang and Tang are the representative of surgical vaginal evidence, when used clinically, they will also be added or subtracted according to the actual situation. For example, if the yang deficiency is cold, you can add aconite to enhance the effect of warm and yang to disperse cold; If the cold and wet condensation is more serious, fine spices can be added to enhance the effect of dispersing cold and stagnation; If the qi is deficient, you can add codonopsis and astragalus to enhance the effect of helping yang and invigorating qi; If the pain is severe, you can add frankincense and myrrh to enhance the effect of activating blood circulation and removing stasis, channeling and relieving pain.
Why is the prescription of Yang and soup named "Yang He"? In fact, this is still an allusion, the earliest from the "History of Qin Shi Huang", which says that "when in the middle of spring, the sun and the square rise", which means that in mid-spring, the mountain flowers are blooming, the grass grows and the warblers fly, the warm breath between heaven and earth rushes to the face, and the cold breath is swept away. Therefore, it is known for the warmth of spring, the sun shines, the haze dispels, and the compress is sunny and full of life. It can be seen that Yanghe soup is not only a rare miracle recipe, but also a classic recipe with considerable cultural heritage.
The famous Qing dynasty doctor Wang Hongxu founded Yang and Tang, which was specially set up for "crane knee wind, bone boil and all yin", and later generations of doctors treated Yin sores and diseases, most of them will refer to Yang and Tang, it can be said that Yang and Tang can be called the originator of the treatment of Yin He. For Wang Hongxu, a famous doctor of the Qing Dynasty, when he treated sores and diseases, if it was a negative evidence, he often used "cinnamon, ephedra, cannon ginger" three flavors of Chinese medicine, and Yang and soup are also based on these three core Chinese medicines, plus cooked ground yellow, deer antler gum to replenish deficiency, white mustard seeds, licorice to dispel evil spirits. The uniqueness of its creation has been taught by later generations of physicians.
For Yang and Tang, the medicine of the whole prescription is also controversial, such as Zhang Bingcheng, a famous doctor of the Qing Dynasty, who believes that "the medicine of cooked yellow and great tonic yin blood is the king". However, according to Wang Hongxu's clinical experience, some doctors summarized that ephedra, cinnamon, and cannon ginger were used as the medicine [1-2]. Some doctors believe that cooked ground yellow and deer antler gum should be used as the medicine[3]; Some doctors believe that the medicine of yang and soup needs to be flexible, if the cold elephant is compared, cinnamon and cannon ginger are the jun medicine, and the deficiency is worse, then cooked ground yellow and deer antler gum are used as the king medicine, if the deficiency and cold are equally important, then cinnamon and cooked ground yellow are the jun medicine [4]; There are also doctors who use a large amount of cooked ground yellow with a small amount of ephedra, which are a total of two medicines, which replenish qi and blood, open up the reason, and can solve the cold of yin and blood, and the sores that have collapsed can be contained; And ripe yellow to ephedra, replenish blood without greasy partition; Ephedra is ripe and unpublished [5]. Therefore, for the medicine of yang and soup, in fact, it is still the opinion of the benevolent and the wise, and there is no conclusive conclusion.
Since its inception, Yanghe Tang has been widely praised in clinical practice, and Ma Peizhi, a famous doctor of the Qing Dynasty, praised, "This prescription cures yin syndrome without exception". Therefore, in clinical practice, it is widely spread. For Yang and Tang, modern pharmacology has also done in-depth research, pharmacological studies have shown that Yang and Tang can strengthen heart diuresis, increase coronary flow, expand blood vessels, inhibit platelet aggregation, increase white blood cells, and have hormone-like effects, but also protect the liver, choleretic, bacteriostatic, anti-hyperthyroidism and regulate gonadal function [3]. This also shows that Yanghe Tang has opened one door after another to its application in modern clinical practice through the analysis of modern pharmacology.
For the modern clinical application of Yanghe Tang, it can be called extensive, such as cold empyema, postoperative pain of lung cancer, elderly chronic bronchitis, adenomyosis, hypochondronhea, breast hyperplasia, endometriosis, chronic pelvic inflammatory disease, acute mastitis, ankylosing spondylitis, knee osteoarthritis, senile primary osteoporosis, sciatical nodular bursitis, rheumatoid arthritis cold and wet paralysis, cold recurrent lumbar disc herniation, chronic eczema, facial melasma, acne, pustular psoriasis, colon adenomatous polyps, diabetic peripheral neuropathy, benign prostatic hyperplasia, arteriosclerotic occlusion of the lower extremities, Hashimoto's disease, cradle carbuncle [3]; Diseases such as encephalopathy, chronic osteomyelitis, sick sinus syndrome, alveolar wind, thoracic and lumbar tuberculosis, cancer pain of bone metastases, cervical spine instability, frozen shoulder, lumbar disc herniation, sciatica, rheumatoid arthritis, urticaria [4]; Bone tuberculosis, aseptic suppuration, bone tumors, impotence, delayed union of fractures, chilblains, prostatic hyperplastic seizures, painful paralysis, gynecomastia, hip osteomalacia, asthma, trigeminal neuralgia, fractures of the lower extremities, cold erythema multiforme [6] and other diseases.
The clinical use of yang and soup, in addition to surgical diseases such as vaginosis, for gynecology, pediatrics, dermatology, andrology, orthopedics and other diseases, there are also many applications, it is worth mentioning that its application in the field of internal medicine is worth paying attention to, such as can be used to treat respiratory diseases, digestive diseases, cardiovascular system diseases, nervous system diseases, endocrine system diseases, immune system diseases, urinary system diseases and other diseases, the use is appropriate, quite effective [7]. Most of the diseases treated by yang and soup are difficult and miscellaneous diseases that cannot be cured for a long time, and those who are identified as yang deficiency and yin prosperity, phlegm and stasis internal obstruction can be used dialectically. However, it should be remembered that due to the warm nature of yang and decoction, it is not suitable for those who have yang carbuncles and yin deficiency and heat, or carbuncles have ruptured, and half-yin and half-yang evidence.
bibliography
[1] CHEN Boyi. Clinical utility of yang and tang formula[J].Fujian Journal of Traditional Chinese Medicine,1985,16(6):44.)
[2] SUN Shifa. Anatomy of Yanghe Tang[J].Henan Journal of Traditional Chinese Medicine,1986,(6):25+30.)
[3] CHEN Zhidan,WANG Jingying,JIANG Yan. Modern Chinese Medicine,2017,37(1):86-88.)
[4] LI Fei. Advanced Series of Traditional Chinese Medicine, Formulae (2nd Edition)[M].Beijing:People's Medical Publishing House,2011.
[5] WU Xinxin,ZHU Yao,ZHU Jin. New Chinese Medicine,2015,47(3):291-293.)
[6] CHEN Rui. Chinese Community Physician,2012,28(25):15.)
[7] CHEN Jing, LIU Xinxin, LI Xuan, et al. Clinical application and basic research progress of Yanghe Tang[J].Chinese Journal of Traditional Chinese Medicine,2022,40(8):10-13.)
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