The main blood vein of the heart, the pulse is the blood house, but the generation of the heart blood and the buda need to be promoted by qi. Shi Lao treats heart disease and pays attention to regulating qi and blood. He pointed out: Qi is yang, blood is yin, and the coordination of yin and yang is the root of curing diseases.
Therefore, for those who are insufficient in the yang of the heart, it is not appropriate to use Xin Wen for a long time, and pay attention to the protection of the yin, and for those who are insufficient in the yin of the heart, it is necessary to add the product of adjusting the qi in the blood nourishment.
Such as "heart and lung deficiency, phlegm wet lung cough and asthma case" Wang Mou, long-term illness, cough for many years, so that the attack is not timely, slight movement is wheezing, recently the body is puffy, panic, heartbeat, moss yellowish, weak pulse and intermittent. The diagnosis is a long-term deficiency of lung qi, insufficient blood, imbalance of qi and blood, and evidence of water and moisture. Shi Lao started from the adjustment of qi and blood, which not only strengthened the heart and nourished the blood, but also benefited the qi and helped the lungs, so that the lung qi was suppressed and the qi was calmed and coughed. Apply medicine to the north and south sand ginseng, ejiao, longan, bai zi ren, porcupine god, yuanzhi nourish the heart and lung qi and blood, with perilla seeds, almonds, white front, orange red, hot aster, ochre (swirling flowers with cloth bags), winter melon seeds, coix seeds, etc., so that the qi and blood are smoothed, cough and swelling. Because the blood depends on the luck of the qi, the qi depends on the blood, so the qi and blood are treated together and the effect is obtained.
Another example is the "heart blood shortage fever palpitation case" Deng Mou, who has suffered from heart disease for a long time, shortness of breath, chest tightness and shortness of breath overwork, red tongue, fine pulse and intermittent intermittent. The dialectic is the loss of heart and blood, yin deficiency and fever, and the treatment of yin and heat. The main party artemisia annua turtle soup, in the blood to nourish the blood serum heat of the formula added sand kernel flavor, the focus of the treatment of blood, but do not forget to communicate qi and blood, blood medicine to add gas medicine, both common sense, but also unique.
Another example is the "Heart and Spleen Two Deficiency Case" Wang Daughter, who is flustered and heartbeating, cannot sleep at night, is dizzy, and has a lot of plain belts. This certificate is weak in blood and qi, and it is necessary to regulate qi and blood, both of which are taken into account, and the initial preparation of the holy healing soup is the mainstay, and the tonic and beneficial qi soup and the spleen soup are treated with the evidence, so that the heart and yang qi can be replenished and invigorated.
"Qi and blood loss two deficiency case" Liu Nü, due to postpartum blood loss caused damage to the heart, liver and spleen three organs, shortness of heart, dizziness and irritability, restless at night, food is not tasteful, and finally can not work and recuperate at home. This evidence is clear that when blood replenishment is treated, although the heart, liver and spleen are related to blood production and operation, the key to the reconciliation of qi and blood cannot be ignored. The main blood of the heart wants to strengthen its heart, the blood of the spleen wants to increase its source, and the blood of the liver wants to adjust its drainage, all of which are inseparable from the role of qi as a blood marshal, and the blood must be adjusted. Therefore, with the four things soup, the five flavors of the different functions scattered, the appendages of the pills as the basic recipe, the soup pills are taken together, the qi and blood are replenished, and finally the full work is harvested.
For those who have poor blood operation, Shi Lao mainly uses danshen and sanchi, supplemented by calamus and yuanzhi, and more commonly uses melon, white, erchen and guizhi to adjust qi and activate blood.
For example, Liu Mou, "spleen and kidney yang deficiency water wet flood case", long suffered from shortness of breath, wheezing, foot puffiness, diagnosed as cardiac insufficiency. The swelling gradually progresses from the foot to the legs, gradually to the abdomen, the abdominal circumference increases, the swelling is full of discomfort, and the pulse is heavy. The former doctor believed that nian qi was weak, and repeatedly entered the medicine of Wenyang spleen, and the palpitations and puffiness were still not removed. Elder Shi believes that this certificate is the original false and evil reality, the ascites certificate can not be attacked for a long time and can not be supplemented, it is expensive to make up for emergency changes, legislation to make up for the deficiency and diarrhea, live blood to cure its symptoms, qi and blood to cure its causes, and the treatment of heart disease still needs to put the adjustment of qi and blood in the first place. Cubic ginseng "Su Shen Liang Fang" no obstacle pills (60 grams of large abdomen skin, curcuma, three ridges, betel nut, Yu Li Ren each 30 grams, Guangmu xiang 15 grams, a total of research, fried malt noodles boiled paste as pills) and combined with the meaning of Wulingsan to form a qi and blood invigorating agent, and finally make the qi tone, blood line, water conservancy and immediate results. Later, with the eight flavors of gui attached to the in and out, warm and yang, and the blood and water and slowly reap the full work.
Another example is the "qi stagnation blood stasis chest paralysis case" Kang Mou, panic and pain, shortness of breath, shortness of breath, shortness of breath, sluggishness, poor stool, pulse at first and small, intermittent. Shi Lao believes that his qi and blood disorders, vein inhibition, and poor epidemic are not smooth, and the treatment of qi and blood is invigorating and relieving pain. Medicinal astragalus, sandalwood, Su Terrier, Platycodon, Chai Hu, Xue Bai, Gui Zhi, Citrus Aurantium, Danshen, Angelica Tail, Tulip, Sichuan Root, Yuanzhi and other products that invigorate qi and blood, alternating soup pills, so that the heart qi and blood flow, function recovery, angina does not resume.
Shi Lao believes that qi and blood are the material basis for the function of the internal organs to be exerted, and the relationship between the two cannot be ignored for mutual incarnation and interdependence, and their important physiological role in the human body, so he proposed to increase the two qi and blood into the eight principles, called the "Ten Principles of Dialectics". Qi and blood are a whole, and the Ten Principles are a whole, and he attaches great importance to the holistic view of the treatment of diseases at all times, which is worthy of our imitation.
Editor's note: The medical cases mentioned in this article are from the book "Shi Jinmo's Clinical Experience Collection"