Qin Bowei is like a channel
Introduction: Today, I followed Mr. Qin Bowei to learn the clinical application of "Five Elements Xiangke".
Phase and symbiosis are also a physiological phenomenon.
The phase gram mentioned in the medical evidence includes the phenomenon of phase gram too much, phase gram and anti-gram, so there are symptoms of virtual reality and complexity.
In general, there are two sides of strength and weakness, that is, the grammer is strong, which is manifested as hyperfunction; the those who are overcome are weak and manifest as functional decline.
Therefore, in the treatment, at the same time, the means of suppressing the strong and helping the weak are adopted, and the emphasis is on controlling their strength, so that the weak are easy to recover.
On the other hand, if it is strong and has not yet occurred, this law can also be used when necessary to strengthen the strength of the person being overcome in advance to prevent the development of the disease.
From the perspective of the development and change of the disease, it is not consistent.
For example, bloating disease, the symptoms that he appeared in the entire course of the disease included phenomena such as mu heng ke soil, mu bu ke soil and soil anti-insult wood, although the treatment was not far from the liver, spleen, intestines and stomach, there was a big difference in the treatment method.
It shows that when using phase grams clinically, you cannot be stubborn at one end and remain unchanged.
01
Wood crosses the soil, wood does not thin the soil, and the soil insults the wood
Wood hengke soil, that is, liver and spleen weakness.
Hepatic wangduo refers to liver qi is too strong, manifested as head distension, flank pain, chest tightness too much, less bloating; spleen weakness includes gastric qi blockage, such as food sluggishness, swelling pain, frequent belching and arrow qi, etc.
Since the liver wangduo refers to the transverse of liver qi, the treatment is usually used to thin the liver and qi, combined with the spleen and stomach, such as chai hu loose liver dispersion (chai hu, white peony, Sichuan root, citrus shell, incense, orange peel, licorice, ginger), tonic soup (xiang fu, green tangerine peel, wu yao, wood incense, herbs, sand kernels, licorice) and agarwood deflation soup (agarwood, incense, yanhu, golden bell, sand kernel, licorice).
The symptoms of Muketu, to the liver qi to the stomach is more, and because of the stomach and affect the intestines, stomach pain in the qi, often caused by anger after the liver qi, Liu Cao window of the pain diarrhea recipe (white peony, tangerine peel, white art, windproof), the purpose is also for diarrhea liver and stomach and loose intestinal stagnation.
Therefore, this evidence is most common in the clinic and is generally called hepatic and gastric disharmony.
Wood is not sparse, caused by liver qi depression. Loss of liver qi, affecting spleen and stomach function is sluggish, there is mental depression, chest fullness, less difficulty, bloating, stool or constipation or loose and other symptoms.
To cure the liver and spleen, use The Loose Scatter (Angelica, White Peony, Chai Hu, Bai Shu, Poria Sativa, Licorice, Simmered Ginger) can also be added to citrus shells, tangerine peel and stomach.
The treatment of liver qi and liver depression, although the same as the rational qi, drugs such as chai hu, etc. are also common, but due to the different incidence and pathogenesis, the composition of the formula is not the same.
The phenomenon of anti-gram is also common in the liver, spleen and stomach, because there is wood and soil, which is better than the other.
However, the general soil anti-insult wood is mostly caused by wood yu can not thin the soil, that is, the consequences of wood not thinning soil, and because of the natural weak chemical strength, liver blood is not filled, resulting in liver fire depression, become a phenomenon of hypothesis, it is advisable to use liver frying (white peony, green orange peel, danpi, mountain gardenia, shellfish, Ze diarrhea).
If formed by the spleen and stomach, it is mostly damp and hot stagnation, and it is also closely related to the intestine, and it is added or subtracted with gas-guiding soup (skullcap, skullcap, angelica, white peony, citrus shell, betel nut, wood fragrance, rhubarb).
The method of handling is: the method of suppressing wood and supporting the soil, the method of thinning the liver and strengthening the spleen, the method of flat liver and stomach, the method of conditioning the liver and spleen, and the method of rationalizing the qi.
Commonly used drugs:
Liver Qi - Green Skin, Incense Stick, Golden Bell Seed, Citron, Chai Hu, Broad Tulip, Rose Flower, Luo Zi, Lychee Core;
Adjust the spleen and stomach qi - citrus shell, orange peel, sand kernel, coco kernel, bergamot;
Dissolves the spleen and stomach damp heat stagnation - huanglian, half summer, wood fragrance, citrus fruit, large belly skin.
02
Tuwangke water, Tubu Ke water, water anti-Ke soil
Tuwangke water, that is, the stomach really consumes kidney yin, is commonly seen in the stomach with real heat, that is, the "Typhoid Fever" Shaoyin disease with the evidence of urgent storage of yin. However, in the clinic, it is customary to call the evil heat wound yin, and rarely quotes the Shengke theory.
On the contrary, the soil is spleen deficiency and the water is wet and flooded, becoming swollen and full of water. Zhang Jingyue said: "Water is the yin, so it is in the kidneys; water is only afraid of the soil, so it is made in the spleen." ”
It is advisable to treat the spleen and yang in temperature, and use the real spleen drink (baishu, poria, dried ginger, ginger, red dates, licorice, cardamom, large belly, magnolia, wood fragrance, appendage, papaya) as the mainstay.
Water anti-ke soil for kidney disease affects the function of the spleen, commonly seen in edema evidence, the so-called "kidney of the stomach of the guanye, closed door is unfavorable, so the accumulation of water and from its kind also", with jinkui kidney qi pills (appendages, cinnamon, cooked land, mountain, yam, poria, Ze diarrhea, Dan pi) warm kidney mainly, combined with stomach soup (Cang shu, Magnolia, tangerine peel, licorice, cinnamon, white art, Ze diarrhea, pig lily, poria) to treat the symptoms.
The method of handling is: the method of storing yin under the emergency, the method of duntuli water, the method of warming the kidney and strengthening the spleen.
Diarrhea and stomach fever - rhubarb, Xuanming powder, citrus aurantium;
Wen Spleen Yang - see above;
Wen Ren Yang - see before;
Lishui wet - poria peel, ze diarrhea, psyllium, winter melon peel, Sichuan pepper eye, pig lily, large belly skin, gourd scoop, ginger peel, tongcao.
03
Water Wonk Fire, Water Does Not Catch Fire, Fire Counter Gram Water
Water Wangke fire, that is, kidney depression to curb the heart yang, manifested as water vapor upward reversal, first there is umbilical palpitations, goodbye chest tightness palpitations, Ben Dolphin certificate is this category, yi guizhi plus gui soup (guizhi, white peony, licorice, ginger, jujube).
If the water vapor stops, the life fire weakens and cannot be vaporized, and if the symptoms of weak heart qi are not seen, the kidney water should be warmed with zhenwu soup (zhizi, baishu, poria, ginger, white peony).
Water is not gram fire is kidney yin deficiency, heart fire is too strong, witness sperm waist pain, upset insomnia, it is advisable to nourish the kidneys to purify the heart, with Huanglian Ejiao soup (Huanglian, Ejiao, skullcap, white peony, chicken yellow) add raw land.
Two issues should be noted here:
First, water belongs to the north, and fire belongs to the south, so Huanglian Ejiao soup is also called the supplementary north and southern method. However, this formula mainly focuses on the blood deficiency of the heart itself, if there are symptoms of kidney deficiency, it is advisable to add kidney medicine.
The second is that the kidney is the dirt of water and fire, and the kidney yin deficiency can also make the fire partial, there are dream remains, tinnitus, sore throat, dry throat and other evidence, also known as water does not make fire, it is advisable to use the Zhibai Eight Flavor Pills (Raw Land, Mountain, Yam, Danpi, Poria, Ze diarrhea, Yellow Cedar, Zhimu). This kind of partial prosperity and decline that belongs to the water and fire of the soil itself cannot be confused with the water and fire of the five elements.
Fire and water: Water and fire are often mutually causal, and there is not much difference in the treatment. Clinically, it is also a general heat that hurts the yin, and it is customary to call it water without making fire, which has a different meaning.
The method of handling is: tongyang water method, Fuyang yin method, yin and fire reduction method, supplementing the north and the south method, nourishing the yin and clearing the heat.
Wen Xinyang - see before;
Pure heart fire - huanglian, bamboo leaf, jiaoshan gardenia, lotus core, lamp heart;
Qing Ming Fire - Yellow Cedar, Zhimu.
04
Fire Wonk Gold, Fire Not Gram Gold, Gold Counter Gram Fire
Fire WangkeJin, that is, the heart fire to extinguish the lungs and yin. Heart and lungs cohabitation on the scorch, heart fire inflammation, easy to make the lungs hot and injured, such as fire cough cough sputum thick and sticky, throat unfavorable, with skullcap Zhimu soup (skullcap, Zhimu, Shanxiang, almonds, shellfish, mulberry skin, pollen, orange stem, licorice).
It is customary to distinguish between general evil heat wounds to the lungs, also known as huokejin.
Fire is not a heart yang can not warm the lungs, belongs to the lung cold syndrome.
The "Inner Classic" says that "the heart moves cold to the lungs, the lungs disappear, drink one and two", and the "Golden Essentials" says that "those who vomit saliva and do not cough in the lungs are not thirsty, they must enuresis, and urinate, so of course, the above void can not be controlled, so this is cold in the lungs", all of which are heart fire failure, forming lung qi extinction.
Heart and lungs are originally two yang dirty, want to warm lung gold, when the heart yang, but should be warm, warm, not biased to the heat, with warm lung soup (ginseng, cinnamon, dried ginger, licorice, stalactite, half summer, orange red, wood fragrance) plus or minus.
Jin Anti-Ke Fire should be cold for the lungs and affect the heart and yang, because it is clinically rare, from omitted.
The method of treatment is: laxative fire clear gold method, clear heat and moisturize the lungs, nourish the heart and warm the lungs.
Pure Heart Fire - see before;
Clear lung fever - sangpi, aristolochia, Sichuan shellfish, skullcap;
Warm lung cold - winter flowers, white quartz, yuanzhi, hundreds.
05
Jinwang Kemu, Jin Bu Ke Mu, Wood Reverse Ke Jin
Jinwang Kemu, that is, the lungs are too strong, and the liver qi is restricted.
Clinically, for liver syndrome, lung bypass is commonly used, the so-called Sakin Pingmu, but liver disease formed by the lungs alone is rare, from the slightest.
Jin Bu Ke Mudang is a lung deficiency and causes liver hyperactivity, which is also relatively rare clinically. Although tuberculosis occurs in the later stage, it is mostly related to kidney deficiency and inability to nourish the liver.
Wood regurgitation gold refers to the partiality of liver fire, affecting lung qi purification, also known as wood fire punishment gold. It is manifested by flank pain, bitter mouth, cough, blood in the sputum, impatience and boredom, and the number of pulses. At this time, the lungs are also hot, when using liver decoction (white peony, danpi, mountain gardenia, green tangerine peel, shellfish, Ze diarrhea) plus green dai, golden boiling grass, melon, loquat leaves, you can also temporarily use gentian grass, aloe vera to relieve the fire.
The method of treatment is: Sakin flat wood method, diarrhea liver clearing method.
Lung qi - golden boiling grass, suzi, loquat leaf;
Clear liver fire - skullcap, qingdai, danpi, summer dry grass, gentian grass, aloe vera.
Note: Please follow the doctor's instructions for specific treatment and medication! This article is excerpted from "Qianzhai Medical Lecture Manuscript", edited by Qin Bowei, published by Shanghai Science and Technology Press, 2009.4. 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.