Hello, I am a Chinese medicine person, Zhou Guangbai.
In the past, when I was studying Chinese medicine Xi, my teacher said a sentence. That is, the user must grasp the "main evidence".
The main evidence and the prescription are opposed, and there is no second word, so boldly use it.
However, if you can't catch it, or you can't catch it accurately, that's another matter.
In addition to being familiar with the patient's condition and having a comprehensive grasp of the patient's condition, the main thing is to learn more and see more and hone one's clinical thinking.
Since then, I have focused on observing and collecting clinical examinations. That's why I have written one Chinese medicine story after another.
Come on, I'll give you an example.
It is said that there was a man who was 81 years old at the time.
What's going on? Constipation. He felt as if he had no strength and pulled down to poop. I have the urge to defecate, but I can't get rid of it. With the use of cork, there is no effect.
In a blink of an eye, the old man had not pooped for several days, and he was very painful and worried. So I went to see a Chinese doctor.
At the moment, the patient's tongue was pale red, greasy, blood pressure was a little high, he felt palpitated, and his heartbeat was a little fast. At the same time, under the questioning of Master Liu, the patient made it clear that he had always had a bitter mouth, but he was not disgusting.
After learning about these situations, the book side wrote a poem. But see—
Bupleurum, skullcap, banxia, ginger, red ginseng, boiled licorice, jujube.
After taking 7 doses, the patient's stool was automatically expelled and it was very smooth. The bitterness of the mouth is lost.
This is the basic process of the medical case.
You see, the patient complains of constipation.
Generally speaking, when we mention constipation, we will definitely think of the so-called dry stool, which is bright and solid. Patients often have yellowish dryness, slippery pulses, and red tongue. In other words, one is hot, the other is dry.
But you see, this patient, it doesn't seem to be like that. His tongue was pale red and greasy. This is different from the general perception.
So what is the cause of constipation?
The key clue lies in two words: bitter mouth.
This is the so-called "main evidence". When we think of bitterness in the mouth, what can we think of? When we think of the disharmony of the liver and gallbladder, and the rebellion of the gallbladder. This suggests that the patient's problem is likely to lie in the liver and gallbladder and is caused by the unfavorable qi of the liver and gallbladder .
Because the liver is drained. If the liver is stagnant and the liver and gallbladder are unfavorable, the excretion is abnormal. When the stomach qi cannot be lowered, the spleen qi cannot be raised, and the rise and fall are abnormal, how can the garbage in the human intestines go down smoothly? Therefore, the patient will be constipated.
Then, the next thing to do is to clear the liver and gallbladder qi, so that the patient's qi is smooth. His stool naturally went down.
In the formula, Bupleurum soothes the liver, and skullcap clears the liver heat. In the middle of summer, ginseng, licorice, ginger, and jujube strengthen the spleen. In general, it has the effect of soothing the liver and relieving depression and regulating qi. What's more important is that the typhoid fever and Shaoyang syndrome of Xiao Chai Hu Tang do have such a symptom as bitter mouth. This is exactly the same as the patient's condition. The main evidence is correct, indicating that the patient's problem lies in the liver and gallbladder, so it is appropriate to use Xiao Chai Hu Tang.
Therefore, using Xiao Chai Hu Tang to treat constipation is a good experience in the application of scriptures. It is a traditional Chinese medicine method that many elderly friends should pay attention to.
In short, there is a trick to choosing a prescription for TCM treatment. The way to find the right trick is to grasp both ends, grasp the patient's main evidence, and grasp the main treatment of the prescription. The two ends match, just like the key found the lock, and the problem is solved at once.