Can deficiency of both qi and blood be treated with traditional Chinese medicine? What means can deficiency of both qi and blood be treated?

Deficiency of qi and blood is classified as weakness in traditional Chinese medicine.

Although there are many different deficiency syndromes in the syndrome differentiation of qi deficiency, qi and blood, yin and yang, it is always inseparable from the five zang-organs, and the syndrome differentiation of the five zang-organs is nothing more than qi, blood, yin and yang. Therefore, the syndrome differentiation of deficiency syndrome should focus on qi, blood, yin and yang, and aim at the deficiency of five internal organs.

First, the key points of syndrome differentiation

Although there are many different deficiency syndromes in the syndrome differentiation of qi deficiency, qi and blood, yin and yang, it is always inseparable from the five zang-organs, and the syndrome differentiation of the five zang-organs is nothing more than qi, blood, yin and yang. Therefore, the syndrome differentiation of deficiency syndrome should focus on qi, blood, yin and yang, and aim at the deficiency of five internal organs. Just as The Origin of Miscellaneous Diseases: the Origin of Deficiency, Tuberculosis and Furuncle said: "Although the five internal organs are divided, they contain nothing but essence, and there are four reasons for the loss: qi deficiency, blood deficiency in the day, yang deficiency in the day and yin deficiency in the day", "Qi, blood and yin have their own masters, and only by knowing their principles can we treat them". Generally speaking, if the condition is simple and the lesions are relatively limited, it is easy to distinguish the nature of deficiency of both qi and blood and yin and the location and viscera. However, due to the homology of qi and blood, the mutual root of yin and yang, and the correlation of five internal organs, the deficiency caused by various reasons often affects each other, from one deficiency to two deficiency, from one dirty to the other, which makes the condition tend to be complicated and serious, so we should pay attention to it when differentiating syndromes.

Generally speaking, if there is fatigue in syndrome differentiation and the course of disease is long, we should also pay attention to whether there is syndrome differentiation and treatment, especially in the following three situations:

1. If it is caused by a disease or exists for a long time, whether the primary disease still exists should be identified. If deficiency is caused by fever, cold syndrome or blood stasis, whether the primary disease has been cured.

2. Is there any performance because of virtual reality? If qi deficiency leads to weak blood circulation, it will form blood stasis; Deficiency of spleen-qi can't transport water dampness, so that water dampness stops inside.

3, whether it is also an exogenous evil. Exhausted people are easily influenced by external evils because of unstable external defense, and it is not easy to recover after feeling evil; Therapeutic drugs are also different from ordinary people's bad feelings.

If you have the above diseases, you should pay attention to the priorities and give consideration to the treatment.

Second, the principle of treatment

For the treatment of weakness, nourishing is the basic principle. As Su Wen San Lun Nine Stages said: "It is not enough to make up for it". In the process of tonic, firstly, according to different pathological properties, the therapeutic prescriptions of supplementing qi and nourishing blood, nourishing yin and warming yang should be adopted respectively; Second, we should closely combine the different positions of the five internal organs, choose prescriptions and strengthen the pertinence of treatment.

The following three points should be paid attention to when using the basic principle of tonifying to treat deficiency: 1. Pay attention to the role of invigorating spleen and kidney in treating asthenia. Only when the spleen and stomach are the foundation of the day after tomorrow, the source of qi and blood biochemistry and the spleen and stomach are healthy can the five internal organs and limbs be nourished. Kidney is the foundation of nature, including Yuan Yin and Yuanyang, and it is the essence of life. Paying attention to strengthening the spleen and tonifying the kidney can promote the recovery of deficiency of various viscera. 2. For those who suffer from central deficiency and feel exogenous evil, tonics should have diarrhea to strengthen the body resistance and eliminate evil. Judging from the dialectical relationship, eliminating evil can also protect healthy qi and prevent healthy qi from being further damaged by evil love. 3. The course of fatigue is long and there are many influencing factors. Drug therapy must be closely combined with diet adjustment and life adjustment in order to achieve better therapeutic effect.

Third, treatment based on syndrome differentiation

Deficiency of vital qi

1, lung qi deficiency

Symptoms: shortness of breath and spontaneous sweating, low voice, sometimes cold and sometimes hot, usually easy to catch a cold, pale face, pale tongue and weak pulse.

Treatment: tonifying lung qi.

Prescription: Bufei Decoction.

This recipe has the effects of tonifying lung and kidney, astringing lung and dispersing lung. In the prescription, ginseng and Astragalus membranaceus are used to replenish qi and moisten lung, Radix Rehmanniae and Fructus Schisandrae Chinensis are used to tonify kidney and astringe lung, and Radix Asteris and Cortex Mori are used to moisten lung and relieve cough.

If you don't have a cough, you can go to mulberry bark and aster. For patients with excessive spontaneous sweating, oyster and ephedra root are added to consolidate the exterior and astringe the sweat. If the deficiency of both qi and yin is accompanied by hot flashes and night sweats, Carapax Trionycis, Cortex Lycii and Radix Gentianae Macrophyllae are added to nourish yin and clear heat.

2. lack of heart

Symptoms: palpitation, shortness of breath, especially fatigue, mental fatigue, spontaneous sweating, pale tongue and weak pulse.

Treatment: Yiqi Yangxin.

Prescription: Qi Fu Yin.

This prescription has the effects of invigorating qi and blood, nourishing heart and calming nerves, and is suitable for palpitation, shortness of breath, spontaneous sweating, mental fatigue, insomnia and other symptoms caused by deficiency of both qi and blood and malnutrition of heart branches. This prescription consists of Five Blessingg, Ziziphus Spinosae Semen and Polygalae Radix. In the prescription, Ginseng, Atractylodes macrocephala, Radix Glycyrrhizae Preparata and Radix Angelicae Sinensis nourish yin and blood, Semen Ziziphi Spinosae and Radix Polygalae soothe the nerves.

For those with excessive spontaneous sweating, Radix Astragali and Fructus Schisandrae can be added to replenish qi and strengthen the body, and the diet should be less thoughtful. Amomum villosum and Poria can be added to stimulate appetite and strengthen the spleen.

3. lack of temper

Symptoms: reduced diet, stomach discomfort after eating, fatigue, loose stool, sallow complexion, pale tongue with thin coating and weak pulse.

Treatment: invigorating spleen and benefiting qi.

Prescription: Jiawei Sijunzi Decoction.

This recipe has the effects of invigorating qi, invigorating spleen and removing dampness. Ginseng, Radix Astragali, Atractylodis Macrocephalae and Glycyrrhrizae Radix are used for invigorating qi and invigorating spleen, while Poria and Lentils are used for invigorating spleen and eliminating dampness.

If the stomach loses balance and falls, the stomach cavity is full, belching and vomiting, Pericarpium Citri Reticulatae, Rhizoma Pinelliae and the stomach cavity are added to regulate qi and reduce adverse flow. Add medicated leaven, malt, hawthorn and chicken's gizzard-membrane to help digestion and strengthen stomach. For patients with qi deficiency and yang deficiency, abdominal pain and diarrhea, and hypothermia of hands and feet, cinnamon and processed ginger should be added to warm the middle and dispel cold.

4. Deficiency of kidney qi

Symptoms: listlessness, soreness of waist and knees, frequent urination, thin leucorrhea, pale tongue and weak pulse.

Treatment: Yiqi Bushen.

Prescription: Dabuyuan Decoction.

This prescription has the effects of benefiting qi and tonifying kidney, producing sperm and nourishing blood. In the prescription, ginseng, yam and roasted licorice are used to tonify qi and kidney, Eucommia ulmoides and Cornus officinalis are used to warm and tonify qi, and Radix Rehmanniae Preparata, Fructus Lycii and Radix Angelicae Sinensis are used to nourish essence and blood.

For those who are tired, add Astragalus to replenish qi. Frequent incontinence, such as Semen Cuscutae, Fructus Schisandrae Chinensis, and Fructus Alpinae Oxyphyllae. For patients with spleen deficiency and loose stools, Radix Rehmanniae Preparata and Radix Angelicae Sinensis should be removed, and nutmeg and Fructus Psoraleae should be added to warm the spleen and strengthen the astringency.

Among the deficiency of qi, blood and yin and yang, qi deficiency is the most common type in clinic, especially lung and spleen deficiency, and there are also many heart and kidney qi deficiency. When there are symptoms of qi deficiency due to liver disease, such as listlessness, eating less loose stool, pale tongue and weak pulse, we should treat it based on syndrome differentiation of primary liver disease combined with spleen deficiency.

deficiency of blood

1, lack of effort

Symptoms: palpitation, forgetfulness, insomnia, dreaminess, pale complexion, pale tongue, thready or knotted pulse.

Treatment: nourishing blood and calming the heart.

Prescription: Yangxin Decoction.

This prescription has the effects of invigorating qi, promoting blood production, nourishing blood and calming the nerves. Ginseng, Radix Astragali, Poria, Fructus Schisandrae Chinensis and Glycyrrhrizae Radix are used for invigorating qi and promoting blood production; Angelica sinensis, Rhizoma Chuanxiong, Semen Platycladi, Semen Ziziphi Spinosae and Radix Polygalae are used for nourishing blood and calming the nerves; Cinnamomum cassia and Pinellia ternata are used for warming the middle warmer and strengthening the spleen, which helps qi and blood biochemistry.

Insomnia and dreaminess are more serious. Flos Albiziae and Caulis Polygoni Multiflori can be added to nourish the heart and soothe the nerves.

2. Spleen and blood deficiency

Symptoms: fatigue, anorexia, palpitation, shortness of breath, forgetfulness, insomnia, sallow complexion, pale tongue, thin and white fur and slow pulse.

Treatment; Strengthening spleen and nourishing blood.

Prescription: Guipi Decoction.

In the prescription, ginseng, astragalus root, medicinal materials, ginger and jujube are used to warm the spleen and replenish qi, angelica is used to replenish blood, Poria, Ziziphus jujuba seed, longan pulp, polygala tenuifolia are used to nourish the heart and soothe the nerves, and radix aucklandiae is used to regulate qi and invigorate the spleen. This prescription is a combination of invigorating spleen and nourishing heart, benefiting qi and nourishing blood, and is a commonly used prescription for treating spleen blood deficiency and heart blood deficiency.

3. liver blood deficiency

Symptoms: dizziness, dizziness, hypochondriac pain, numbness of limbs, muscle tension or muscle fatigue. Women with irregular menstruation will have amenorrhea, pale face, pale tongue, thin or astringent pulse.

Treatment: nourishing blood and softening liver.

Prescription: Siwu Decoction.

This prescription has the effects of nourishing blood, regulating blood and nourishing without stagnation. In the prescription, Radix Rehmanniae Preparata and Radix Angelicae Sinensis are used to nourish blood and soften liver, while Radix Paeoniae Alba, Rhizoma Chuanxiong and Yingtiao blood are used.

For patients with blood deficiency, Radix Polygoni Multiflori Preparata, Fructus Lycii and Caulis Spatholobi are added to enhance the efficacy of nourishing blood and softening liver. Loofah sponge, Radix Curcumae and Rhizoma Cyperi are added for hypochondriac pain to regulate qi and dredge collaterals. If the eyes are red and blurred, add Fructus Broussonetiae, Fructus Lycii and Semen Cassiae to nourish the liver and improve eyesight.

Heart governs blood, spleen governs blood, and liver stores blood, so deficiency of heart, spleen and liver blood is more common.

Because the spleen is the acquired foundation, the source of qi and blood biochemistry, and blood is the mother of qi, blood deficiency is accompanied by different degrees of qi deficiency symptoms, and in the long-term clinical practice of traditional Chinese medicine, it is considered that it is not appropriate to supplement blood with blood-enriching drugs alone, but to properly combine qi-invigorating drugs to achieve the purpose of supplementing qi and generating blood. Therefore, in the treatment of various syndromes of blood deficiency, we should combine the methods of invigorating spleen, benefiting qi and generating blood, such as Guipi Decoction, Danggui Buxue Decoction, Yu Sheng Decoction and other prescriptions, which all reflect this treatment idea.