Mahuang Aconite Asarum Decoction
Ephedra Asarum Fuzi Decoction comes from Article 301 of “Treatise on Febrile Diseases”: “Shao Yin disease, it is the first, anti-fever pulse sinker, Ephedra Asarum Decoction Master.
“Shaoyin disease sees the pulse sinking, which is the essence of kidney yang deficiency; those who are antipyretic are caused by wind and cold depression that prevents the sun’s meridians.
The same disease occurs on the surface, so the ephedra and the wind are colder than the sun; the aconite warms up the shady yin;
The medicine has only three flavors, “to keep the temperature and the yang from falling, and the cold and the evil to be scattered”. The author used it as a miscellaneous disease, and its effect was as expected.
Here are three of them to communicate with colleagues.
Epistaxis Zhang, male, 32 years old.
He has suffered from bronchitis since childhood and rhinitis in recent years.
Carved diagnosis: nasal runny nose, stuffy nose, soreness in the nasal cavity, which leads to insensitivity to the sense of smell. Otolaryngology was diagnosed as “allergic rhinitis”. It was treated with antibacterial anti-inflammatory and anti-allergic drugs.
The tongue coating is thin white and slippery, with thin pulses and tightness.
The disease is “nasal pimple” in Chinese medicine, which means that the nasal congestion is unreasonable.
It is a weak constitution since childhood, deficiency of lung and kidney qi, loss of protection from the outside, and repeated external attacks of wind and cold. Therefore, the portal of the outside of the body-nasal ventilation dysfunction.
Fa Dang Fuyang guards and dispels the cold.
The recipe uses ephedra asarum aconite soup with flavor: 5g raw ephedra, 5g asarum, 6g cannon aconite, 15g honey pickled astragalus, 10g windproof, 10g stir-fried atractylodes root, 10g licorice root, 7 doses, decoction.
Second diagnosis: Improved nasal ventilation, still runny nose, cold and cold, and the same tongue.
Add canape to 15g (and fry for another 40 minutes), add canned ginger 10g, 7 doses.
The third diagnosis: nasal runny nose is significantly reduced, the skin and nasal cavity have a warm feeling, the shell aconite is reduced to 10g (still fried first), 10 doses.
Four consultations: The symptoms basically disappeared.
Prescription Jinshen Shenqi Pills, taken in small doses, to support kidney qi.
It was the Spring Festival.
The name of nasal pimple was initially found in “Su Wen · Xie Jie Pian”, but it was asymptomatic; to the “Six Kinds of Medical Books of Liu Hejian” in the Jin Dynasty, it said: “People who have nasal discharge and clear their noses.
“Ming Dynasty Dai Sigong’s” The Essentials of Zhengzhi “said:” Those who clear their noses are caused by coldness in the brain and coldness in the lungs.
“Deficiency of the lungs and kidneys is the main factor of epistaxis. It is imperative to help the kidneys and protect the lungs.
Aconite is an essential medicine for Fuyang. If there is too much kidney yang and Wei Qi is activated, the external function of Wei Zi will naturally increase.
Another take Yupingfeng San Jianpi Yifei to stimulate the role of Zhongjiao Shengwei.
The spleen and kidney are full of gas, the physiological function of the lung system will be improved, and the nasal cavity belonging to the lung system will restore normal physiological functions.
Xie Bi, male, 48 years old.
Suffering from numbness in the lower extremities for more than 1 year and pain for 1 month.
Check the lumbar spine and knee joints without abnormalities, severe varicose veins in both lower extremities, cold and warm.
The tongue is dark red and the pulse is thin and tight.
It is a blood stagnation plasma, diagnosed as yang dysentery, cold coagulation pulse.
Fadang Wenyang replenishes qi, promotes blood circulation and dispels cold: 10g of shelled aconite (fry for 30 minutes first), 5g of asarum, 5g of raw ephedra, 30g of raw astragalus, 10g of angelica, 10g of raw licorice, 5 doses, decoction.
The second diagnosis: the aftereffect is not obvious, but there is no discomfort.
Following 7 doses, the lower limbs have a warm sensation. Add 30g of Yarrow grass and 15g of Achyranthes bidentata, and use Sanjiu-free decoction granules: 2 packs each of Leech, Dilong, and Silkworm, divided into 2 batches.
Third diagnosis: The numbness and pain of lower limbs are reduced, and the local vein shape is improved.
On top of it, use external fumigation and washing formulas: 30g of perennial grass, 30g of tomb head, 30g of Sichuan achyranthes, 30g of Millennium Health.
First soak for 30 minutes, then simmer on fire, mix 2 decoctions, pour into the foot basin, then add 100ml of white wine and 100ml of ginger vinegar, smoke first and wash (affected limb).
Each dose can be smoked and washed twice.
Four consultations: Half a month later, the symptoms of pain and numbness in the lower limbs disappeared, and the local vein bloating was significantly reduced. The treatment of blood stasis syndrome is seen in the “Golden Outline”, whose evidence is “like the wind is paralyzed”, with numbness as the main symptom, but there are also people with pain and soreness, mostly sweating from fatigue, shaking from time to time, opening the door, and getting cold.Into the cause.
Huangqi Guizhi Wuwu Decoction replenishes Qi and camp, dispels wind and relieves numbness, but the power of warming and dispersing cold is weak.
Although this case belongs to the blood stasis disease, it has the symptoms of wind stasis and cold coagulation and blood stasis. Therefore, it can replace the ephedra and asarum aconite decoction with warming and dispersing cold.Medicine to Jitongluo to remove stasis.
The external washing formula is an experience formula. Those who have numbness, pain and soreness in the limbs can be washed. It has the functions of removing wind and dispersing cold, Tongluo Huayu, warming and activating blood, and has been used for many years.
Delayed Pulse Xu, female, 57 years old.
Suffering from chest tightness and flustered for more than 1 year.
Was diagnosed with “sick sinus node syndrome”.
Carved diagnosis: chest tightness, palpitation, dizziness, dizziness, seeing fatigue, fatigue, weak hands and feet, nocturia, reddish tongue, thin white fur, thin pulse strings, slowness, and symptoms.
Check blood pressure 96 / 58mmHg, electrocardiogram chart heart rate 48 beats / min, sinus bradycardia and irregular.
The disease is caused by deficiency of heart and kidney yang, and heart yang cannot be caused by warm blood.
Fadang Wenyang Yiqi, Tongluo Fumai: 10g of aconite seed (fried for 30 minutes first), 6g of raw ephedra, 5g of asarum, 10g of American ginseng (fried separately), 15g of red scallion, 15g of scallion, 10g of cinnamon sticks, 30g of pickled licorice,7 doses, decoction.
The second diagnosis: relief of chest tightness, the remaining symptoms were not reduced, but no discomfort, followed by 7 doses to see the effect.
The third diagnosis: dizziness and no onset, heart rate 50 beats / minute, adding tea tree root 20g, 10 doses.
The fourth diagnosis: hand and foot warming, but nocturia is still more, add nootropic kernel 30g.
Fifth diagnosis: The heart rate is maintained between 50-55 beats / min, and the symptoms are significantly improved.
Afterwards, on the basis of the above, add sour dates, Schisandra chinensis, broad-breasted chestnuts, and ginger.
After 3 months of treatment, the symptoms disappeared.
The average heart rate is 55 beats / min, and after exercise can reach 65 beats / min. ECG: The heart rate is 55 beats / min, showing sinus bradycardia.
The “pulse classics” cloud: “Late for Yang is more than Yin, so the pulse is too late.
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“Li Shizhen said,” Being late is the last one, but the third is yin and blood is cold.
“The late pulse is a sign of yang deficiency. Due to yang deficiency, cold signs will appear in the internal organs.
Therefore, the main treatment should be Wenyang Yiqi, followed by warming and activating blood circulation medicine to promote the spreading of Yangqi and the blood flow.
Mahuang Xixin Fuzi Decoction can both warm Yang Yang in the kidney (Shao Yin) and Wei Yang in Yang Yang (Sun).Warm by the cold.
The added medicines are mostly products for warming the qi and replenishing qi, promoting blood circulation and removing blood stasis; however, the roots of tea tree are not ordinary, and most of them are mainly used for coronary heart disease, arrhythmia, etc., which have the effect of warming blood and promoting blood circulation.
The dosage should not exceed 30g, otherwise there will be nausea.