Understanding of Zhu Danxi's idea of curing phlegm

Understanding of Zhu Danxi's idea of curing phlegm

Luo Xiantong, Zhang Juhua

Zhu Danxi is a master of clinical phlegm treatment, and his thoughts on phlegm treatment are unique, which has played an important role in promoting the development of phlegm disease theory in Chinese medicine in later generations. According to the different properties of phlegm, the syndrome differentiation and causation, the cause and treatment are comprehensively applied, and various basic treatment rules of traditional Chinese medicine are comprehensively used.

1. Dialectical governance

1. 1 Treatment of dampness and dryness

Damp phlegm, Zhu Danxi is in favor of using the method of dampness and phlegm. Make good use of Atractylodes, Atractylodes, Banxia, Bile Nanxing, Poria Cocos, etc., and think that fried Banxia can cure dampness and phlegm. And put forward a special dry and damp phlegm prescription: gall south star, banxia, clam shell powder. Another prescription for treating dampness and phlegm: Atractylodes, Atractylodes, Incense, Wine White Peony. Treatment of fat people damp phlegm: Sophora sophora, Banxia, Atractylodes, tangerine peel, bamboo drain. Those who are also hot will be given neutralization pills: Atractylodes, Skullcap, Banxia, and incense. Those who also eat and accumulate are given green stone pills: skullcap, poria cocos, gall south star, banxia, citrus aurantium, limestone, Xuanming powder.

1. 2 Treatment of hot phlegm clearing

Hot phlegm, Zhu Danxi proposed to use the method of clearing heat and dissolving phlegm. The fiery evil is guilty of internal crimes, causing the internal organs to malfunction normally, and the fluid cannot be transported normally to form phlegm. Therefore, the purpose of phlegm treatment is only to cure the symptoms, and clearing heat and expelling fire is to cure the root cause. The representative party has the diaphragm and phlegm pill, which is composed of Coptis chinensis, skullcap, cork, gardenia, incense, and atractylodes, which is the main evidence of phlegm and heat suppressing the chest and diaphragm. With Qinlian gardenia cypress to clear the upper, middle and lower three scorching heat, with incense, Atractylodes to regulate qi and dampness, do not dissolve phlegm and phlegm self-removal. As well as another heat-clearing and phlegm-clearing formula: black plum, alum, skullcap, atractylodes, tangerine peel, talc, green bark, citrus aurantium, gallant star, banxia, divine comedy, hawthorn, dried ginger, incense. As well as Coptis phlegm Pills: Banxia, Coptis chinensis, Evodia, Peach Kernel, Tangerine Peel. The specific drugs are Qingdai, skullcap, Coptis chinensis, smallpox pollen, etc., it is believed that skullcap cures hot phlegm, and if it is under fire, smallpox pollen can greatly cure hot phlegm.

1. 3 Treatment of cold phlegm and temperature

cold phlegm, Zhu Danxi advocates the method of using warm supplements. Recipe with two Chen decoction: tangerine peel, banxia, poria cocos, licorice; or Xiaoqinglong soup: ephedra, peony, fine spice, dried ginger, cinnamon branches, banxia, schisandra, licorice.

1. 4 wind phlegm

There are many miracles, and the treatment of Yisan is commonly used with gallant stars and white aconite. And proposed: Whoever treats wind and phlegm, must use white aconite, gastrodia, realgar, zombie silkworm, pig tooth soaphorn, etc., to wash the internal organs. To treat scorching wind and phlegm, give: melon seeds, coptis, banxia, pig tooth soap. Dispel wind and phlegm, and act turbidity, giving: parsnip, Chuanxiong, pig tooth soap, alum, tulip, centipede. Soufeng phlegm pills: ginseng, zombie silkworm, locust horn, alum, gastrodia, tangerine peel, nepeta, banxia, cinnabar.

1. 5 old phlegm is soft and makes good use of floating sea stone, melon wilt, banxia, incense, gallnut. It is believed that gallnut can be used as a medicine to cure stubborn phlegm.

1. 6 Yu Phlegm Kai Dan Xi treatment Yu phlegm good use of zombie silkworm, almond, melon, fritillary, chebula, gallnut.

1. 7 commonly used in the elimination of phlegm, malt, hawthorn. It is believed that melon and talc can also cure phlegm and cleanse the internal organs. There are cucumber pills: melon seeds, banxia, hawthorn, divine comedy.

1. 8 treatment of phlegm commonly used indigo, melon.

2. Adjudication and treatment

According to the different parts of the phlegm stay, Danxi comprehensively uses menstrual inducing drugs to achieve results. It is believed that the phlegm is under the flank, and the non-self-mustard seeds cannot be reached. The phlegm is outside the membrane and cannot be channeled without ginger juice or bamboo drain. The phlegm is in the limbs, and it is not drained from the bamboo. If the phlegm tuberculosis is in the throat and cannot be dry, then use phlegm-reducing drugs and salty soft and hard drugs, such as melon wilt, almond, sea pumice, bellflower, forsythia, less miscanthus and ginger. Phlegm in the compartment, make people crazy, forgetful, should use bamboo drain. Blood stagnation is not good, and those who have phlegm in the middle of the coke should be given three or four wine cups for cold leek juice. If the phlegm is drunk into a sac, it is very effective to use Atractylodes to perform phlegm.

3. Specimen urgency

This is the basic treatment principle of traditional Chinese medicine, Zhu Danxi also fully applies this treatment principle when discussing the treatment of phlegm syndrome, and believes that the phlegm is reversed by fire, and the fire is the first, atractylodes, skullcap, soft gypsum, etc., to achieve the purpose of clearing the heat and phlegm whitening. To treat phlegm, it is commonly used to benefit qi and dissolve phlegm, which is suitable for qi deficiency and phlegm depression. Danxi believes that if the internal injury contains phlegm, it is necessary to use ginseng, membranaceus, and atractylodes, and use ginger juice to convey or add half summer, and even add bamboo drain.

If the internal injury is such as phlegm, it is added to the tonic and beneficial qi decoction Banxia and bamboo drain, and the ginger juice is still less transmitted. One side is composed of skullcap, tangerine peel, banxia, atractylodes, white peony, and poria cocos. As well as the phlegm pills: It is composed of fritillary, banxia, aracea, melon wilted seeds, fragrant mushrooms, clam shell powder, etc. For internal injuries and phlegm, ginseng, astragalus, and atractylodes must be used, and ginger juice must be used to transmit, or add half summer. It is not confined to the theory of making up for mud and phlegm. It is believed that there is phlegm in the void, because the stomach qi is also nourished, so it cannot be attacked, and if it is attacked, the more weak it is. Among the many phlegm-reducing drugs, Danxi highly admires sea noodles (Note: "Jin Kui Hook Xuan" points out that sea noodles are floating sea stones), believing that "sea noodles can reduce hot phlegm, wet phlegm can dry, phlegm can be soft, and stubborn phlegm can be eliminated."

4. Flexibly use the method of attacking evil spirits

Zhu Danxi highly admired Zhang Congzheng's view that "one of the diseases is not in the human body, or it enters from the outside, or it is born from the inside, and it is all evil", so when discussing the treatment of phlegm syndrome, he carefully examines the different parts where the phlegm stays, and flexibly uses the method of attacking evil spirits, so as to achieve the purpose of "phlegm is removed and vitality recovers itself". Think: Eating phlegm must be attacked. However, when Zhu Danxi applied the method of attacking evil spirits, he did not simply use it, but it depended on the specific situation of the change, believing that Zhongjiao has phlegm and food accumulation, and the stomach qi depends on it, so it is inconvenient to be deficient. If you attack it, you will be empty; If you treat phlegm, use too much medicine, attack too much, cause spleen qi deficiency, spleen deficiency to transport water and dampness, then phlegm is easy to grow and more.

4． 1 Lower method

Zhu Danxi believes that all evil stagnation can be cured at the bottom. If the phlegm is in the stomach and intestines, it can be healed; If there is a lump in the middle and lower part of the body, most of them are phlegm, ask them what they eat on weekdays, and then vomit it and use medicine.

4． 2 Vomiting method

Zhu Danxi made good use of the spitting method, pointing out: The pulse floats and there is phlegm when spitting; Typhoid fever has phlegm, should vomit; Those with miscellaneous diseases and pulse sinking belong to phlegm, and should vomit; It is believed that phlegm is on the diaphragm, and the method of vomiting must be used, and phlegm is "must be vomited" in the meridians, and there is a meaning of divergence in vomiting. For those who are sputum and fire in the heat, you can use the spitting method. Lifting medicines such as parsnip, Chuanxiong, bellflower, etc., can promote vomiting. The phlegm of the house shall be vomited, and the diarrhea shall not be removed; The phlegm is solid and hot, and the one that is on top will vomit; Those who are glued will be spit out. The use of Erchen Tangjiawei as an emetic agent is also the first of its kind in Danxi. "If a mortal has a lump on his body, in the middle and below, which is phlegm, ask him what he eats on weekdays, and spit it it out and use a medicine to eliminate it. ’ ’

In the specific application of the spitting method, Zhu Danxi believes: the spitting method, combined with bud tea, water, ginger juice, vinegar a little, melon and a little melon, plus parsnip, bellflower, all raise its qi, and then vomit; Spit method, with aconite tip, bellflower reed, ginseng reed, guati, arsenic is not very useful, quinoa, mugwort leaves, end tea; Medicine, this is self-vomiting, no need to probe, but the medicine and soup can be vomited; To spit, first put a cloth on your waist and do this in an unventilated place. Half a pound of radish seeds, pounding, and a bowl of syrup water, filter off the coarseness, less oil and honey, spin to half temperature, and then use goose feathers to probe and vomit. Whoever uses goose feathers must be soaked in tung oil, but wash off the fertilizer with soaphorn water, and dry it in the sun; Another method, use half a catty of shrimp with shell, human sauce, green onion, ginger and other ingredients to boil the juice, eat the shrimp first, then drink the juice, and seduce the vomit with the feather, and the stomach must be tightened.

5. For the condition. In terms of the specific use of drugs alone, Zhu Danxi also discussed the characteristics of the phlegm treatment drugs. It is advocated that the treatment of drugs with a strong target can obtain curative effects. Think: Skullcap can cure hot phlegm, and it is easy to reduce fire; Citrus aurantium is a phlegm, can rush to the wall; Fried in oil for half a summer, to treat damp phlegm: Smallpox pollen can cure hot phlegm on the diaphragm; Gallic adjunct. Great treatment of stubborn phlegm; melon, talc, great treatment of phlegm.

6. Make good use of Erchen soup, add or subtract with the evidence

Zhu Danxi used Erchen decoction as an important medicine for the treatment of phlegm, and added or subtracted with the different concomitant syndromes. Think: Erchen decoction, the phlegm of the whole body can be managed, if you want to go down, add the medicine, and add the medicine on the top; For those with spleen deficiency, clear the middle qi to lower the phlegm, Erchen decoction and atractylodes atractylodes to strengthen the spleen and dissolve phlegm, and also use medicine; Dizziness and noisy are caused by fire, and the second Chen decoction is added to the mast and Qinlian to clear the heat and dissolve the phlegm.

7. The prognosis of phlegm syndrome is dangerous

The lesions of sputum pattern are widespread, and the prognosis of sputum pattern varies according to the depth of the disease location and the severity of the disease. Therefore, Zhu Danxi mentioned: phlegm is lumpy, or vomiting can not be made, and those who are depressed are difficult to treat. It is difficult to treat patients with dampness and phlegm fever. The qi is solid and phlegm is hot, and it is difficult to spit out, or lumpy, or spit out. Qi stagnation is difficult to treat. The disease is dangerous, and the prognosis is often poor.