"Jin Kui Yaolu: Blood Paralysis Deficiency Labor Disease Pulse Syndrome and Treatment Sixth" cloud: "Blood paralysis is both yin and yang, the inch mouth is slight, the ruler is small and tight, and the external evidence is not benevolent, such as wind paralysis, astragalus cinnamon branch five things soup master." "This is Zhongjing's special prescription for blood paralysis, the main use of astragalus to replenish qi, cinnamon branches, peony to remove paralysis, ginger, jujube to reconcile the camp and health, together to play the effect of invigorating qi and yang, and camp paralysis.
药理探摘
Astragalus Guizhi Wuwu Soup, derived from "Jin Kui Yaolu", is Zhongjing for the evidence of blood paralysis. People with blood paralysis have numb skin and a slightly astringent and tight pulse. This recipe takes Astragalus membranaceus as the king, greatly replenishes the vitality and makes the qi prosperous and bloody; the cinnamon branch disperses the cold and passes the yang, which is the subordinate medicine; the peony medicine nourishes the blood and the camp, and the cinnamon branch goes hand in hand, and reconciles the camp and guard; the ginger is spicy and warm, and the wind evil is evacuated; the jujube is sweet and warm, nourishing the blood and invigorating the qi. The five medicines are combined, and they work together to invigorate qi and yang, and to promote paralysis.
Modern pharmacological studies have also confirmed that Astragalus can enhance immune function and improve blood circulation, Cinnamon branch has the effects of vasodilation, microcirculation and anti-inflammatory, peony can be analgesic, antispasmodic and anti-inflammatory, ginger can be anti-inflammatory, antioxidant, jujube can enhance muscle strength and anti-allergies. It can be seen that the pharmacological effect of Astragalus Guizhi Wuwu decoction is consistent with the efficacy of ancient prescriptions, and it is actually a good prescription for the treatment of blood paralysis.
Distinguish the symptoms
Astragalus Guizhi Wuwu Tang is suitable for people who are mostly characterized by weak muscles, fatigue, weakness and heaviness of limbs, numbness and pain in joints, edema, and self-sweating. Its complexion is mostly dull and unpretentious, the tongue is fat and purple, and the pulse is slightly thin and tight. This group of people is more common in middle-aged and elderly people, or people who are physically weak due to chronic diseases.
In terms of specific diseases, Astragalus Guizhi Wuwu Tang is mainly used to treat diseases manifested by numbness of the limbs. For example, diabetic peripheral neuropathy, coronary heart disease, angina, hypertensive encephalopathy, sequelae of cerebral infarction, etc., can cause symptoms such as limb numbness and sensory loss. In addition, diseases manifested by joint pain, such as lumbar disc herniation, cervical spondylosis, osteohyperplasia, etc., can also be treated with this prescription. For diseases manifested by edema, such as chronic nephritis, nephrotic syndrome, etc., Astragalus Guizhi Wuwu Tang can also be used as appropriate because of the effect of invigorating qi and water.
Addition and subtraction of clinical certificates
At the time of clinical syndrome, it is necessary to add or subtract changes according to the patient's condition. If the lower limbs are painful and numb, you can add ox knee to strengthen the muscles and bones, and clear the blood vessels; if you have high blood pressure, coronary heart disease, dizziness and headache, you can add kudzu root and Chuanxiong to promote blood circulation and relieve pain; if diabetic nephropathy and other blood stasis syndrome are seen, you can combine Guizhi Poria pills to promote blood stasis, dilute water and reduce swelling. In addition, according to Professor Huang Huang's experience, those with dark face, low back pain, and constipation can combine Guizhi Poria Pills, and those with diabetic foot and numbness and pain in the lower limbs can combine the four flavors of Jianbu Tang (Red Peony, Huai Ox Knee, Salvia, and Dendrobium).
Precautions for use
The following points should be paid attention to when using Astragalus Guizhi Wuwu Soup: firstly, people with thin body and bloated should use this formula with caution to avoid aggravating discomfort; secondly, a large amount of astragalus may lead to a decrease in appetite, and the dosage should be controlled in an appropriate amount; finally, for patients with complex or severe conditions, it is recommended to use it under the guidance of a doctor. In addition, pregnant and lactating women should not use this formula to avoid adverse effects on the fetus or baby.
Famous commentary
Professor Huang Huang believes that Astragalus Guizhi Wuwu Decoction is suitable for a deficiency constitution characterized by numbness, edema and fatigue of the limbs. This constitution is often accompanied by metabolic disorders and vascular lesions, and is common in the elderly and diabetic patients. Professor Huang pointed out that Astragalus Guizhi Wuwu Tang can be said to be a special prescription for advanced diabetes, which has the effect of eliminating numbness and pain, reducing fatigue and sweating, and promoting ulcer healing. For patients with diabetic foot, numbness and pain in the lower limbs, Professor Huang often uses Siwei Jianbu decoction to enhance the curative effect.
In addition, Professor Huang also emphasized the role of Astragalus Guizhi Wuwu Decoction in protecting cardiovascular and cerebrovascular diseases. He believes that the prescription can be used for symptoms such as blurred vision, tinnitus, deafness, dizziness and dizziness caused by diabetes, high blood pressure, cerebral arteriosclerosis, etc. Usually kudzu and Chuanxiong can be added to enhance the effect of blood circulation and circulation. For cardiovascular diseases with chest tightness, fatigue, and excessive sweating, it can also be used to treat them. This prescription can also be commonly used in the treatment of patients with coronary heart disease and angina pectoris, and in the later rehabilitation of patients with myocardial infarction.
In the treatment of chronic kidney disease, Professor Huang believes that there are more opportunities for the application of Astragalus Guizhi Wuwu decoction. For example, diabetic nephropathy, hypertensive nephropathy, chronic nephritis and other obvious edema are suitable for this prescription. For patients with obvious edema, Zhenwu decoction can be used to warm yang and benefit water; those who are susceptible to colds and self-sweating can use jade screens to disperse to benefit qi and strengthen the surface; those with inconspicuous edema, dark face and constipation can be taken alternately with Guizhi Poria Pill and Huang Fang to enhance the power of blood circulation and blood stasis. Professor Huang also pointed out that this formula has the effects of reducing swelling, controlling proteinuria, lowering blood creatinine, and delaying the progression of renal insufficiency.