Aunt Zhang, a neighbor, came to my house last weekend and said that she was not feeling well all over her body, and she felt like she was covered with oil, and asked me to prescribe a prescription for her.
I asked her about her symptoms, and she recently felt chest tightness and shortness of breath and nausea after eating. What's more, there is always a feeling of fullness in the abdomen, and I want to go to the toilet from time to time, and the excretion looks for yellow and smelly, and the abdominal distension is relieved after discharge, and the tongue coating is yellow and greasy. I put her on the bed with her legs flexed and her abdomen palpated with no mass.
I judged that this was due to a series of symptoms caused by poor qi, dampness, and heat over time. So I thought of the addition and subtraction of positive qi dispersion series prescriptions in the differentiation of warm diseases, and the three plus and minus positive qi dispersion are very suitable for the treatment of these symptoms. After she drank it for a week, her symptoms improved significantly and the feedback was good.
The matter in our body is in a state of relative equilibrium, but it is not fixed. The qi in our body flows like a river, which promotes the circulation and exchange of other substances in the body. If the qi stops and clogs together, then the matter in our body will also accumulate, and where it stays, there will be problems.
When the flow of qi is blocked, it cannot promote the metabolism of water in the body, and the water and dampness will stop gathering in the corners of the body, and after a long time, dampness and heat will be generated. Sticky to our skin, spleen and stomach, like mud in the sewer, sticky and not refreshing, at this time it will affect our health.
When the sticky water is wet on the lungs, our breathing is not so smooth, and we will feel tightness in the chest and shortness of breath.
Because there is dampness in the spleen and stomach, it will cause nausea and abdominal distention, and when it is excreted, the blocked qi and dampness will be temporarily discharged, and the symptoms will be relieved.
Because the water humidifies the heat, the excrement will also reflect the heat image, yellow color and smelly smell, and it is also reflected in the tongue image, the tongue coating will become yellow and greasy.
Three additions and subtractions are positive qi dispersion
Huoxiang Zhengqi is a very common medicine in our lives, and there are various dosage forms on the market, such as Huoxiang Zhengqi Dripping Pills, Huoxiang Zhengqi Water, etc., we can choose according to our personal circumstances.
However, when it comes to the three additions and subtractions of positive qi dispersion, it may be a little unfamiliar, and many people do not understand the prescription of "addition and subtraction of positive qi dispersion".
In the "Differentiation of Warm Diseases", there are five kinds of addition and subtraction of positive qi dispersion, which all have the symptoms of water dampness and stagnation of the belly and swelling, and qi obstruction, so the five prescriptions are based on Huoxiang, Magnolia, tangerine peel, and Poria cocos to awaken the spleen, promote qi, and promote dampness.
However, each recipe has its own unique effect, and on the basis of the above four flavor medicines, it is applied additionally or subtracted according to different symptoms.
Among them, the three additions and subtractions of positive qi dispersion are our protagonists today, which is a prescription for regulating qi and dissipating dampness, and dissipating heat. If you have chest tightness and shortness of breath, stomach and abdomen fullness, accompanied by nausea, diarrhea, yellow and greasy tongue coating and a series of symptoms caused by poor qi, dampness and heat, you can try this prescription.
Compose:
Huoxiang, magnolia, tangerine peel, poria peel, almond, talc, decoction in water. When decoction, it should be noted that talc is in powder form, which can easily lead to turbidity of the liquid medicine, so it should be decocted.
Hsiang-hsien
Huoxiang, the medicinal properties are pungent, slightly warm, return to the spleen, stomach and lung meridians, have aromatic turbidity, appetizing and anti-nausea, and publish the effect of relieving heatstroke.
It is recorded in "Materia Medica" that patchouli is fragrant but not too violent, warm and not biased towards dry heat, can get rid of haze and dampness, and help the spleen and stomach to be upright, and is the most convenient medicine for those who are damp and sleepy and spleen yang, tired and weak, unwilling to eat and drink, and tongue coating and dirt.
Therefore, the herb is used to dissipate aroma, clear heat and dampness, and use Huoxiang to promote qi, regulate qi and neutralize, and dissolve dampness, which can be used together with Huoxiang leaves and Huoxiang stems.
Then use Huoxiang with magnolia bark and tangerine peel to dry and remove dampness. Magnolia officinalis is bitter and lowers the qi, pungent and warm and dry, tangerine peel is a kind of qi regulating medicine, which is the dry and mature peel of the rutaceae plant orange and its cultivated variety, which has the effect of regulating qi and strengthening the spleen, drying and dampness and dissolving phlegm.
Poria cocos skin
It is the dry skin of the sclerotia of Poria cocos, which belongs to a fungus such as the Polypore family, and is a kind of water-diluting and wetting drug. When processing medicinal materials such as "Poria Cocos Tablets" and "Poria Cocos Blocks", the peeled skin is collected and dried in the shade, which is the skin of Poria cocos.
It is recorded in the "Compendium of Materia Medica" that Poria cocos skin is watery and does not consume gas, which is better than pot-bellied skin. Sweet, light, flat in nature, return to the lungs, spleen, kidney meridians, has a good effect of diluting water and reducing swelling, can eliminate excess water and dampness in the body.
almond
Warm and bitter taste, there is a small poison, with the effect of lowering qi and asthma, promoting lung cough, moistening the intestines and laxative, "Materia Medica" records: apricots have veins for the heart fruit, and the kernel is the main vein of the gas and for the lung fruit.
Fangzhong uses almonds to open the lungs and clear the large intestines. Open the passage in the upper and lower directions, one side is announced from above, and the other side is excreted from below, and the two roads pass together, which is more conducive to the qi to go out quickly with water and moisture.
talc
It got its name because of its smooth medicinal properties. It has the effect of diuretic drenching, clearing heat and relieving heat. Talc is sweet, light and cold, and while draining water from below, it can also discharge the heat in the body, allowing the sticky mud attached to our body to slide out on the slide.
The whole recipe can not only regulate qi and qi, strengthen the spleen and stomach, and unblock the three-coke qi machine, but also excrete water and dampness, evacuate heat and evil, and rescue the spleen and stomach from "water and fire".
When the spleen is healthy, the function of transportation is strong, and the dampness can be carried away, and the heat and evil in the stomach can be removed, and the function of the stomach will return to normal.
Positive air dispersion family applications
After learning more about the three additions and subtractions of positive qi dispersion, let's take a look at the other four plus and minus positive qi dispersion, if the symptoms are consistent, you can add and subtract them under the guidance of a doctor.
One addition and subtraction is positive qi dispersion
Composition: Huoxiang Stem, Magnolia officinalis, Poria cocos, tangerine peel, almond, Shenqu, malt, Mianyin Chen, pot-bellied skin.
Main treatment symptoms: abdominal distension and unpleasant stool.
This is due to the dampness and stagnation of the three cokes, which affects the rise and fall of the qi machine, so add almonds to lower the upper coke, plus the Divine Comedy, malt to guide the middle coke, plus Yin Chen, the big belly skin to adjust the lower coke, when the qi machine rises and falls back to normal, the stagnation of the damp evil can be discharged, and the symptoms of abdominal distension and unpleasant stool will naturally disappear.
Second, add and subtract positive qi dispersion
Composition: Huoxiang Stem, Magnolia officinalis, Mandarin orange peel, Poria cocos peel, Fangji, soybean roll, Tongcao, Coix seed.
The main treatment symptoms: stuffiness, loose stools, body aches, pale tongue.
This is a series of manifestations due to dampness, evil and stagnation of three cokes, paralysis and obstruction of the intestines, so it is compatible with self-defense, coix seeds to clear paralysis, solve the problem of body pain, plus soybean yellow roll (freshly sprouted black beans), through grass to facilitate urination to solid stool.
Fourth, add and subtract positive qi dispersion
Composition: Huoxiang, Magnolia officinalis, Mandarin peel, Poria cocos, grass fruit, hawthorn, Divine Comedy.
Main symptoms: Turbidity and dampness are blocked inside, and the tongue coating is white and slippery.
It is mainly caused by the cold and dampness blocking the qi, so the addition of pungent and hot grass fruits, aromatic dampness, warm and spleen yang, plus hawthorn, Shenqu to dissipate stagnation, promote the ability of transport.
Five, add and subtract positive qi dispersion
Composition: Huoxiang, Magnolia officinalis, tangerine peel, Poria cocos, Atractylodes atractylodes, pot-bellied bark, grain buds.
Main symptoms: stuffiness, diarrhea.
Mainly due to the severity of dampness, it is necessary to dry dampness and spleen during treatment, add Atractylodes to dry dampness, use the big belly skin to perform qi widening, and add grain buds to raise stomach qi.
Among the five additions and subtractions of positive qi dispersion, the first, second, and third plus or minus positive qi dispersion are all prescriptions that focus on treating dampness more than heat, and the fourth and fifth plus or minus positive qi dispersion are prescriptions for treating cold and dampness. In clinical use, it is necessary to distinguish between cold and heat, so as to prescribe the right medicine.
Precautions for use:
1. Not suitable for infants and young children.
2. People with physical weakness and pregnant women should take it with caution.
3. People with yin deficiency constitution should not use it.
4. When adding or subtracting the dose of the drug, it should be noted that almonds are slightly toxic and should not be used in excess.