This is a young patient, a woman in her twenties, who did not say anything sick or uncomfortable when she first came to the doctor, so let me take a quick look at it.
I looked at the patient although he was young, but his face was very bad, the whole facial axis was blue hair, with the saying "Yintang is black", and then I saw that the patient's eyes were slightly protruding, the look was exposed, and there seemed to be a shock, I said: "Have you been frightened recently?" ”
She felt very mysterious when she heard it, and then nodded her head and said, "Recently, my neighbor in my hometown passed away, and I was afraid in my heart." I haven't been able to sleep for a week, I've been keeping my eyes open almost every night, and I still can't sleep for two days. ”
I interrupted and asked, "Is it a dream, is it sleepy during the day?"
"No, I didn't fall asleep at all, what dreams don't dream, during the day I am still energetic, I don't delay my work, I am a little dizzy, you can quickly show it!"
I then looked at her whole body, in addition to the central axis of the blue hair dark, the whole face is also sallow yellow, not too much luster, the nose is more green and dark than the yintang, and then look at the tongue is light, slightly a little bit of light red, there is no moss on the tongue, a little bit of veining slightly heavy string. Ask again what other symptoms there are, what diet, stool, sweating are fine, menstruation is usually a little less, there is a history of dysmenorrhea, there is no vaginal discharge.
When I was uncertain in my heart, a patient next to me said, "Why don't you first see what happens to my hot palms?"
"My palms are also hot, my feet are also hot, especially at night," the patient also interjected, while saying that he also let me touch the palms of my hands, I touched it really hot.
So I quickly searched from my brain pool for "Sheng Yang Scattered Fire Soup", which was originally used to treat the heat of the hands and brothers! And I remember That Dongyuan said that because of the problem of blood deficiency, I couldn't understand it at the time, since it was a problem of blood deficiency, I used a bunch of divergent medicines (wind medicine in the traditional sense), wasn't it more painful to consume blood! Therefore, I have always kept in mind that when encountering such patients, I must try to see how the effect is. Now I finally have a chance to try this famous party. Three doses, formula granules, water flushing, one dose per day.
I am looking forward to the efficacy of these three doses of medicine, after returning home, I also deliberately opened the "Spleen and Stomach Theory" to review the original text, "to treat men and women with limb fever, muscle heat, tendon fever, bone marrow fever, drowsiness, heat like a fire, the burning hand, this disease is mostly due to blood deficiency and get it." Or the stomach is weak and eats cold, suppressing the yang qi in the spleen soil, and the fire is depressed. Although at that time, I still didn't understand why this "yin fire" could not be directly treated by supplementing the spleen and stomach, or nourishing the blood, and choosing such a divergent method, or waiting for this medicinal effect to see it.
Three days later, the patient came to me with great energy and told me, "My insomnia is better, I can't wake up now, after taking a dose and a half of medicine, it's like this, it's really God!" ”
I also feel very nervous, and then look at the patient's face on the axis, the shade of the seal hall is not obvious, but the nose and head are still blue and dark, the hands and siblings are still hot, but it has not affected the patient's normal life.
At this time, on the one hand, I admired the profundity of Dongyuan's Taoism, and on the other hand, I began to reflect that from the perspective of this patient, the problem of blood deficiency was obvious. Such as sallow face, less menstrual flow, insomnia, none of them do not support blood deficiency, but if the hands and brothers are hot in the conventional sense, it is easy to understand it as yin deficiency. But whether it is yin deficiency, blood deficiency, the use of wind medicine divergence always feels that it is not compliant, wind medicine is better than wet, yin blood is similar to wet liquid, wind medicine can naturally hurt yin and consume blood. For yin deficiency, we will definitely use wind medicine cautiously, because yin deficiency fire is easy to prosper, yang is easy to be hyper,and yang thunder fire is floating on it, even if you can use wind medicine to raise the sun, dissipate ah, if that must not be inflamed by wind and fire! The problem of blood deficiency seems to be the same, as if the wind medicine should also be abandoned. But if you think about it, the truth is far from simple.
First analyze what is going on with this blood. "Spirit Hub: Determination" "What is blood?" Qi Bo Yue: The middle focus is taken by the qi to take the juice, the change is red, it is called blood", it can be inferred that the formation of this blood is related to the middle focus, there is a process of "receiving gas" and "taking juice", as well as "change", in general, the blood cannot be generated without qi. But if there is only qi, and there is no medium focus, this "juice" cannot be generated. As for whether the subsequent question of "change and redness" is only about the spleen and stomach, the answer may be incorrect. At least we currently know that the production of blood cannot be separated from the kidneys, and I think that the problem of this change and redness is related to the gasification of the kidneys, or the transpiration of Yuanyang. Therefore, some diseases of modern medicine such as leukemia, aplastic anemia and other hematologic diseases, some scholars advocate treatment from the kidneys, I think it is very necessary.
Then again, this blood is related to the above three steps of the problem, not simply is to nourish the yin and tonify the blood, I think this is also the Materia Medica before the Tang Dynasty, for "Angelica", which we think is a very common blood tonic in modern times, but there is no mention of blood tonic, and the "Shennong Materia Medica" first mentions the effect of its "main cough reverse qi", which is actually related to the problem of qi reversal; "Beilu" says that its "warm pain relief, except for the internal plugging of the guest's blood", is actually the role of blood activation. Later, as soon as the Tang and Song Dynasties' four-thing soup came out, the future generations gradually classified it as nourishing yin and nourishing blood, so that posterity gradually forgot the problem of blood being born of qi.
Four things soup can nourish blood and replenish blood, is it not four gentlemen soup to nourish blood and blood?
The four gentlemen's soup was originally used to "cure the weakness of the rong and the guard, the weakness of the internal organs, the bloating of the heart, the total lack of food, the intestinal sound and diarrhea, the vomiting and vomiting, and the great suitability to serve." Often take a gentle spleen and stomach, eat a good diet, and ward off the cold and evil miasma." In this treatment, in addition to wei qi deficiency, don't forget to say that there is also honor deficiency! Besides, if you think back to those patients who use the Four Gentlemen's Soup, qi deficiency is already to that extent, is there really no problem of blood deficiency? Of course there is! Then why not use the Eight Treasures Soup directly, how good is that, and it is good for qi and nourishing blood. This first have to ask people about the spleen and stomach function, people's spleen and stomach are weak like that, their own focus on that bit of jin liquid is difficult to melt, if at this time also use a little four things soup to help others increase the jin liquid, that use a quasi-in-gastric coke. Gas is less, how easy it is to take juice, that is to say, this juice is completed under the premise of gas, which is more important from the perspective of Angelica blood soup, it is more important to understand that gas is more important than taking juice.
Looking at this Shengyang Scattered Fire Soup Certificate born of blood deficiency, this soup recipe is as its name suggests, in addition to ginseng, peony, and grass, it is all wind medicine, why make it? Nature is the sun scattering the fire! Dongyuan believes that Yang Qi is depressed in the spleen soil, so is it because the blood deficiency causes the Yang Qi to be depressed in the spleen soil, or is it because the Yang Qi is depressed in the spleen soil that causes the blood deficiency?
From the original text of Dongyuan, it is said that "this disease is mostly due to blood deficiency and gets it", it seems that it is because of blood deficiency yang qi depressed in the spleen soil, since it can be dispersed with wind medicine, the natural coke of jin juice is not too bad, otherwise it is still the theory that wind wins wet, and blood is even more unsustainable. So if the juice is enough, but it can't produce blood, is it a problem that can't be changed? If so, then you have to supplement the kidneys and help the yang, which is obviously not the case.
In this way, there is only one question left to be angry. Is this qi insufficient? If it is, how not to use the four gentlemen or the party ginseng, astragalus and other medicines to directly replenish qi, how to use a bunch of wind medicine. In this way, this qi is not particularly insufficient.
What's going on?
The original key is this "Yu" word, the Yang Qi in the spleen soil can not reach the middle of the scorch, naturally can not go to the qi to take juice, depressed in the soil, naturally have to rise out. This ascension process will inevitably consume jin blood, so some ginseng, peony, and grass are appropriately treated to fix the yin liquid. This process only solves the problem that Yang Qi is depressed in the spleen soil and cannot produce blood, but does not solve the problem of why Yang Qi is depressed in the spleen soil.
So why does the blood deficiency Yang Qi become depressed in the spleen soil? We know that "qi is the main xuzhi, and the blood is the main one", the blood was originally used to moisten the internal organs and limbs, and the blood naturally carried the qi, and the more the blood naturally carried the more qi, and the less the blood carried the qi. Therefore, in the case of blood deficiency, the yang qi floats outside, at this time, if the appearance is cold, the inner body is cold, the yang qi is easily depressed, the light is depressed in the spleen, and the heavy is depressed in the bone marrow of the tendons and bones. Yu Yu spleen soil when the rise and dispersion, Yu Yu tendon bone marrow of course should also rise, so Zhang Zhongjing used to treat "limb joint pain, body swollen, swollen feet like shed" Gui Peony Zhimu soup, also used windproof is not! It's just that it's deeper and easier to melt the heat, so I also used Zhimu to clear the heat. From this point of view, Dongyuan was originally inherited from Zhongjing!