Xi Ning Shi Liqing Xiao is like a channel
Introduction: Today continue to study Professor Shang Xianmin's "Ten Methods of Treating Paralysis": heat dissipation method, phlegm dispersion method, blood activation and stasis removal method.
Professor Shang Xianmin's "Ten Methods for Curing Paralysis": Method of Dispersing Wind and Propagating Paralysis, Method of Dispelling Cold And Paralysis, Method of Dehumidifying Paralysis, Method of Clearing Heat and Dispersing Paralysis, Method of Dissolving Phlegm and Dispersing Knots, Method of Activating Blood and Dispelling Stasis, Method of Strengthening Spleen and Qi, Method of Strengthening Kidneys and Strengthening Bones, Method of Nourishing Liver and Blood, Method of Activating Meridians.
Scattered Wind Propaganda Method, Cold Elimination Method, Dehumidification Method: "Ten Methods of Cure Paralysis" and Prescription Medicine (Part 1)
Heat dissipation method, sputum dispersion method, blood circulation method, as follows:
04
Heat dissipation method
1. Concepts
The method of clearing heat and dissipating paralysis is to use the prescription medicine with the effect of clearing heat and declaring paralysis to clear heat, dryness, dampness, and heat and cool blood to treat the paralysis caused by heat evil.
This method is mainly used to treat fever paralysis, and is also used when other paralysis is used in conjunction with the evil depression fever.
2. Characteristics of treatment
This method can also be used as appropriate to treat heat paralysis caused by the feeling of rheumatic fever, or when the initial illness is to feel the wind cold and damp evil, and the evil of the evil is depressed over time.
3. Clinical manifestations
Limb joint pain, local redness and burning, even pain is out of reach, like a knife cut, the sore place wanders, or there is a fixed place, can not be flexed and extended, cold is comfortable, or there are skin erythema (hidden from time to time), or limbs and joints around the appearance of subcutaneous nodules, its size is different, the initial pain, bright red, gradually darkening, often accompanied by body heat, bad wind, sweating, thirst, irritability, yellowing, constipation and other systemic symptoms.
The veins are slippery, the tongue is red, and the tongue is yellow or yellowish.
The certificate is generally acute, short in course, and easy to treat. If the heat caused by wind, cold, and wet evil heat becomes a person with a fever paralysis, his body is yin deficiency or kidney deficiency for a long time, although the joints are red, swollen, hot and painful, he still likes to put the affected limb on the outside or placed in a cool place, but he is afraid of cold for a long time, and he is often accompanied by symptoms of cold and heat mixed with five upsets, cold and cold.
And generally the onset of the disease is slow, the course of the disease is long or recurrent, and the treatment is difficult.
Wind is yang evil, wet is yin evil, wind nature good deeds change several times, easy to combine with other evil qi, wet and sticky, once combined with other evil qi is not easy to separate. Therefore, the evil of rheumatism often combines as a disease.
Rheumatism and cold evil, or rheumatism and heat evil, can attack the muscles and block qi and blood and cause paralysis. However, its clinical presentation is different.
Because the heat is yang evil, its sex is fire, rheumatic heat intertwined, depressed meridian joints, poor operation of qi and blood, and a school of yang heat signs, so the limb joint pain, pain wandering, local redness, swelling and burning pain, cold is comfortable, in case of heat is even, pulse slip, tongue moss yellow or yellow thick greasy, this is the image of damp heat.
If the patient is yang in the body, has heat inside, or is sick and injured for a long time, the hypothermia is endogenous, and feels the wind cold and wet evil, then the evil qi is easy to heat from the yang, and the damp heat is steamed meridians, which can also cause heat paralysis.
Those whose evil fever is on the table are often accompanied by fever, bad wind, headache, body pain and other manifestations.
Its evil heat is often accompanied by strong heat, but the heat is not cold (that is, the heat is not cold), sweating, thirst and drinking, irritability, yellow constipation, red tongue, dry moss, and pulse flooding.
Its heat seriously injures the genitals, limb joint pain, light day and night, often accompanied by five upset heat, dry mouth and throat, night sweats and cheek redness, low back pain, dizziness, short urine, dry stool, red tongue, and fine pulses.
In the case of renal deficiency, there are three situations: kidney yang deficiency, kidney yin deficiency or kidney yin and yang deficiency. In addition to the characteristics of heat paralysis, it is often accompanied by corresponding renal deficiency syndrome.
Because it is kidney deficiency-based, rheumatic fever as the standard, although the limb joints are red, swollen, hot and painful, but over time, some truths of the weakness of the kidney deficiency have appeared, such as cold and fear of cold, waist and knee pain, cold pain, frequent nocturia and other symptoms.
Its hot blood is divided, hot burning blood, blood overflow outside the vein, stasis on the skin, visible skin erythema. In those whose sputum is hot and cooperative, and who block the meridians, sputum nucleus injection and subcutaneous nodules can be seen.
4. Commonly used prescriptions
White Tiger plus Guizhi Soup ("Golden Essentials"): Guizhi, Zhimu, Gypsum, Licorice, Japonica Rice
Ermiao San (Danxi Heart Method): Yellow Cedar, Cang Shu. Added beef knee, named "Sanmyo Maru" ("Medical Orthodox Biography").
Xuan Yu Tang ("Wen Sick Article Discrimination"): Almonds, talc, coix kernels, forsythia, mountain gardenia, half summer, red adzuki beans, silkworm sand, self-defense
5. Commonly used Traditional Chinese Medicine
Raw plaster, Zhimu, Cangshu, Yellow Cedar, Coix Kernel, Gold and Silver Vine, Raw Ground Yellow, Red Peony, Danpi, Self-Defense
6. Precautions and instructions
(1) The cause of heat paralysis is rheumatic fever evil, and the origin of the disease and evil can be directly felt by rheumatic heat evil, or it can be made of wind, cold, and wet evil heat, so the dialectic of heat paralysis must first distinguish the virtual reality of heat, then distinguish the hot part, and then distinguish the amount of heat.
Those who feel rheumatic fever and evil on the outside are mostly real heat, and the first illness is hot and vigorous; those who are evil and hot due to wind cold and wetness, if the body is strong, they are also more really hot, and those who are weak in body and kidney deficiency and yin injury are mostly hypothermia (low fever, five upset fever).
The hot part is divided into the surface, or in the meridians, or in the bones and bones, or in the internal organs, or in the qi, or in the blood.
Heat in the gas, the treatment is mainly to clear the heat and dampness, clear the heat and dry and wet; the heat is in the blood, the treatment is mainly to clear the heat and cool blood and activate the blood. Those who are really hot should clear the heat and dispel evil, and those who are weak in heat should dispel evil and help the right to take care of it.
(2) Raw gypsum Xin Gan is cold, light weight, can clear the heat and fire; Zhimu bitter sweet cold heat nourishing yin, both are the essential medicine for clearing the heat of the qi, and must be used, and then match the guizhi with its xinwen to dredge the wind and channel, and the work of clearing the heat and dispersing the wind through the meridian.
Yellow cedar bitter cold and clear heat, Cang Shu bitter warm dry and wet, the two match, can clear the heat and dry wet. Self-defense, coix kernel can clear heat and dampness. The gold and silver vines divide the heat and pass through the meridians.
Raw land, red peony, Danpi all have the effect of clearing heat and cool blood, raw land clears heat and cool blood, nourishes yin and jin, while red peony and Danpi clear hot and cool blood, activates blood to disperse stasis and relieve pain.
When according to the virtual reality of heat, where the heat is, the above Chinese medicine is selected.
(3) When treating fever paralysis, the selection of prescription drugs should also pay attention not to use the cold. According to the patient's physique, the severity of the heat, the use of heat clearing agents.
If the human body is yin deficiency and hot, both suffer from heat paralysis, and take care of the yin liquid in the heat.
If its human body is weak and cold, often suffer from wind and cold and wet paralysis, evil depression heat, even if the use of antipyretic drugs, should not be too much, when the cold damage to the righteous qi, and there are patients, evil depression for a long time, although the heat has been reduced, but not completely heat, but can not be vainly cold.
If the heat has entered the blood, it is necessary to pay attention to whether the blood is consumed and moved, and in the hot and cool blood, it is also necessary to prevent its stasis.
(4) The heat evil is blazing, and the person who vomits after taking the antipyretic medicine can be less than the ginger, half-summer or cold medicine of xinwen in the antipyretic agent, and take the reverse treatment method of "heat due to heat use".
05
Sputum dispersion method
The method of dissolving stasis and dispersing the knots is to use drugs or prescriptions with expectorant or anti-sputum effects to treat the nodules, cysts and fistulas that occur in patients with paralysis due to the wet injection of sputum into the meridians, joints and limbs.
All patients with paralysis, regardless of the type, can be treated with this method whenever there are subcutaneous nodules, joint cysts and fistulas.
Paralysis, or for novelty, or for chronic disease, limb joint pain, swelling or local skin color red, burning, visible around the joint or around the limb extensor appear subcutaneous nodules, different sizes (as large as dates, small as beans), initial pain, bright red color, long dark, tender pain, can also be seen around the guanfang cyst or joint swelling deformity into a fistula, cysts are soft, skin color is unchanged, fistula is tough, dark skin color.
The veins are slippery, dull or slippery, the tongue is normal or dark, and the tongue is white, white, slippery or yellow.
Sputum is the product of pathological changes in the internal organs.
"Jingyue Quanshu Phlegm Drinking" "Phlegm is the liquid of human beings, which is nothing but the transformation of the valley of water, and this phlegm is also a thing that is transformed, not a genus that does not dissolve." But if it is corrected, it is strong in shape and full of guards. And phlegm is all blood. If it is lost, the internal organs are sick, the jin liquid is defeated, and the blood gas becomes phlegm. ”
Therefore, the production of sputum is closely related to the lungs, spleen and kidneys.
If the lung is incurable due to the invasion of external evil, irregular diet, injury to the seven emotions, old age and long-term illness, etc., the lung is incurable, the spleen is not healthy, and the kidney is lost, the gasification of the three burns is unfavorable, the water cannot be transported, and the drinking and wetness are stopped and gathered as phlegm.
If you feel the evil of fiery heat, or the external evil heat, or the yin deficiency of the body, the virtual fire is endogenous, and it can cause the hot evil to refine the liquid into phlegm.
Therefore, in ancient times, there was a saying that "phlegm is the visible fire, and fire is the invisible phlegm". Sputum is in the body, rising and falling with the air, everywhere. Depending on where they are, different symptoms may be seen.
If sputum is coughing in the lungs, vomiting in the stomach, palpitations in the heart, dizziness in the head, cold in the back, prickly in the chest, swollen in the flanks, diarrhea in the intestines, swollen in the meridians, numb and painful in the limbs, sputum nucleus injection and cysts in the muscles.
It can be seen that people with lumps on the body, middle and bottom are mostly phlegm, which refers to this situation. If the paralysis does not heal for a long time, the sputum is cloudy and stasis, the bone nodes are enlarged and deformed.
Because the sputum is caused by the abnormal transportation of fluid in the body, the water is wet and stopped, the sputum is stagnant in the limb joints, so the blood veins are not smooth, so the limb joints are painful and swollen, and the phlegm is hot, the skin is red and burning, and the phlegm is wet and cold, the skin color is unchanged or from red to dark.
The number of veins slippery, dull or slippery, and the white or yellow moss are all signs of phlegm.
Erchen Tang (Taiping Huimin and Pharmacy Bureau Fang): Half Summer, Tangerine Peel, Poria and Licorice
Three sons of yang kin soup ("Miscellaneous Diseases"): Perilla seeds, white mustard seeds, Lai Zi
Half Summer, Poria, Tangerine Peel, Cholenanxing, White Mustard Seed, White Appendage, Shellfish, Zombie Silkworm.
(1) Patients with paralysis whose sputum is cloudy and block the joint meridians can see three kinds of cold sputum, hot sputum and wet phlegm. The law of treating phlegm is always inseparable from "warm medicine and it", and is often used to dissolve, eliminate and purify the three methods.
Usually use "phlegm", when the sputum is heavier, use "eliminate phlegm", and when the sputum is cloudy and does not go, use the "polyester phlegm" method.
Among them, the chemical method is the most common, and the phlegm is cleared and warmed. In The Qinghua uses Sichuan shellfish and melon, and the warming uses poria, half summer, tangerine peel and the like. If the sputum is occluded to the meridians and cannot be removed, the sputum elimination method should be used.
Because of its hard and tangible sputum, it is also called soft firm method or phlegm elimination soft firm method, such as white mustard seed, white appendage, Zhejiang shellfish, zombie silkworm, half summer, bile South Star and so on.
In short, the sputum dispersion method is used for hot phlegm, and the shellfish and white silkworm can be selected, and the white mustard seed, white appendage, and tian gall southern star can be used for cold phlegm; for wet phlegm, half-summer, poria, tangerine peel, and tian gall south star can be selected.
(2) The sputum dispersion method is actually a method of treating the symptoms, generally in the dialectical treatment, the main method of the main evidence is targeted treatment, and the compatibility of this method is applied, and it is rarely used alone.
If it is a hot phlegm that needs to be purified and soft, it is often combined with the method of dispersing wind to clear heat and dampness; those who need to warm up the cold phlegm are often combined with the method of dispelling cold and warm meridians.
(3) Because the sputum stagnation can cause blood flow is not smooth, it does not heal over time, the sputum stasis is knotted, and the stagnation of qi and blood is aggravated, so it is often necessary to cooperate with the activation of blood to dispel stasis and meridian activity at the same time.
(4) Due to the multi-warm and dry nature of sputum dispersion, it should be used with caution for those who are full of yin deficiency and heat, and pay attention to the half-summer anti-aconitum.
06
Blood activation and stasis removal method
All drugs that take the blood vein, promote blood circulation and dissipate blood stasis as the main role are called blood stasis drugs, which are good at dispersing, and have the effect of blood circulation, stasis, menstruation, paralysis, swelling reduction and pain.
The method of activating blood stasis is a method of using blood stasis medicine to treat paralysis and blood stasis sputum knots.
Poor qi and blood and blocking are common to all paralysis.
However, not all patients with paralysis have signs of blood stasis, if the patient is known for stasis, and suffers from paralysis, or long-term paralysis, stagnant blood stasis, or paralysis sputum knots, sputum stasis mutual obstruction, and the evidence of blood stasis block, this method is applicable to the treatment.
However, sometimes this method is also used in patients with inconspicuous signs of blood stasis and severe pain, which can enhance the operation of qi and blood to achieve the purpose of meridian activity and pain relief.
It is more common in the disease for a long time, there is obvious pain in the joint limbs, the pain is like a needle, and the pain site is fixed, the pain is even worse at night, or the pain is regular at night, and it is accompanied by signs of bruising, such as purple skin color, ecchymosis of the skin, sputum nucleus injection, and dark complexion.
The veins are dull, the tongue is dark, there are ecchymoses or petechiae, and the moss is thin.
Wind cold, dampness and heat evil invade the muscle surface, meridians, qi and blood operation is not smooth and cause paralysis, such as long-term paralysis does not heal, qi and blood blockage, blood veins are not clear, not through the pain, so the joint limb pain is more severe, and it is tingling, fixed.
Because the night is yin, yin and yang, the drum pulse is weak, and the blood veins are running more and more stagnant, so the pain at night is very bad, or the pain is regular at night.
Purple skin color, ecchymosis of the skin, dark sputum nucleus, dull pulse, dark tongue or petechiae are all signs of blood stasis.
Pink Four Things Soup ("Yizong Jinjian"): Angelica, Sichuan root, white peony, ripe land, peach kernel, safflower
Activating elixir ("Medical Heart of Zhongshen Xilu"): Angelica, danshen, frankincense, myrrh
Safflower, peach kernel, frankincense, myrrh, earth dragon, ox knee, red peony.
(1) Peach kernels and safflowers have a strong effect of activating blood and dispelling stasis, which is an important medicine for blood circulation and stasis. Where there is stasis, local deformation and blood deficiency, constipation knots are more likely to use peach kernels, blood stasis and amorphous use of safflower, the two are used together, there is a synergistic effect.
Frankincense and myrrh are good at activating blood and dissipating stasis, and relieving pain through menstruation. Frankincense for the line of qi to activate blood, and can stretch the muscles and relax the network and relieve pain, myrrh is to disperse stasis and activate blood, reduce swelling and pain, one bias in qi, one bias in blood, the combination of the two drugs complement each other. Therefore, limb and joint pain caused by wind, cold and wet paralysis are often used in combination.
The earth dragon clears the heat and water, passes through the meridians and active networks, and is more advanced than the treatment of waist, knees, legs and feet.
Ox knee acid bitter flat, diuretic through the shower, live blood and dispel stasis, liver and kidney, strong muscles and bones, good sex to go down, to treat the lower body waist and knee joint pain as its specialty.
Red peony not only activates blood and scatters stasis, but also nourishes blood and blood, blood stasis and blood deficiency, and this medicine is commonly used.
Earth turtle insects are also known as ground turtle insects, soil yuan, that is, insects, salty cold has a small poison, has the power to break blood and stasis, and has the ability to continue the tendons and bones, heal the wounds and relieve pain, and can be used when the blood stasis is severe.
(2) External sensation of wind and cold and damp evil, evil paralysis meridians, or hot camp blood, or sputum obstruction blood stagnation, or qi deficiency stagnation, qi stagnation blood stasis, etc. can cause qi and blood to block the meridians, blood stasis block is not passed, and see the stasis evidence, in addition to the need to activate blood stasis during treatment, it should also be used in the combination of wind and cold, dehumidification and heat removal, phlegm dispersion, qi and blood for the cause of the disease in order to cure the root cause.
(3) Qi is yang, blood is yin, qi can be blood, qi is blood handsome, blood is pneum, blood can carry qi, so the relationship between qi and blood is the most close, qi is blood, qi stagnation is blood stasis, so at the same time as activating blood stasis, it is often necessary to match qi medicine, warm yang medicine, tongluo medicine and beneficial qi medicine, etc., to enhance the effect of activating blood and dispelling stasis.
(4) People with sickness, late stage is often accompanied by anemia, and even bleeding, at this time should be cautious to use the method of activating blood stasis, if you need to activate blood, it is advisable to choose stasis hemostatic drugs, such as panax notoginseng, pu huang.
(5) If the pain is severe, you can choose to add insects to search for meridian products, such as earth dragons, earth turtles, etc. to enhance the effect of meridian activation, blood circulation and pain relief.
07
Healthy Spleen And Qi Method
To be continued...
Note: Please follow the doctor's instructions for specific treatment and medication! This article is excerpted from "Shang Xianmin's Prescription Medicine Experience", edited by Xi Ning and Shi Liqing, published by Science and Technology Press, 2010.5. This public account is only used for academic exchanges, if there is infringement, please contact to delete, please indicate the source of the reprint.
The cover image is from Photograph.