? Diagnosis and treatment technology of tuberculosis in traditional Chinese medicine

Tuberculosis is a chronic lung infection caused by Mycobacterium tuberculosis, which can spread to the whole body and lurk in tissues for a long time, often when the human body's resistance is low. Its pathological morphology is characterized by nodules, infiltration, caseous necrosis and cavity formation. This disease belongs to the category of tuberculosis in traditional Chinese medicine, which is discussed in detail in traditional Chinese medicine. For example, Yu Suwen's "On the Storage of Market Towns" said: "The bones are withered, the meat is sunken, the chest is full of gas, the breathing is inconvenient, the internal pain leads to shoulder pain, the body is hot, and the meat is broken ..." It vividly describes some main symptoms of tuberculosis. "After Elbow" pointed out that this disease "accumulates over time, gradually stagnates, and even dies, and then spreads to others after death, and even dies." Fully realize that this disease is a chronic disease and infectious. Sanyinfang holds that the disease is not caused by seven internal emotions, not by four external qi, and is mostly caused by insect bites. Both ancient and modern medical systems emphasize that "people who are afraid of love" are the most likely to get sick. On this basis, The True Story of Medicine puts forward two therapeutic principles, namely, "killing insects and removing roots, and supplementing them is not enough to restore their true elements", which still effectively guide the clinical practice of traditional Chinese medicine.

treatment according to syndrome differentiation

1, loss of qi and yin

Symptoms: weak cough, dry cough with little phlegm, or sticky white sputum, or bloody sputum, or hot flashes, burning hands and feet, chest pain, dry mouth and throat, spontaneous sweating due to fear of wind, hoarseness, improper diet, shortness of breath, laziness and mental fatigue. Red tongue, less fur, thin or weak pulse.

Treatment: benefiting qi and nourishing yin, moistening dryness and relieving cough.

Prescription: Baozhen Decoction: Ginseng, Atractylodes macrocephala, Radix Angelicae Sinensis, Radix Rehmanniae, Radix Rehmanniae Preparata, Fructus Schisandrae Chinensis, Cortex Lycii and Radix Bupleuri each 65438±00g, Poria and Radix Astragali each 65438±05g, Radix Paeoniae Alba, Radix Paeoniae Rubra, Radix Asparagi, Radix Ophiopogonis, Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis each 65438±02g, and Radix Glycyrrhizae 6g.

2. Deficiency of lung yin

Symptoms: dry cough, or a small amount of sticky white sputum, short cough sound, and sometimes blood in sputum, such as silk. In the afternoon, my palms are burning, my skin is dry and burning, my mouth and throat are dry, and even my throat is itchy and hoarse. Chest pain, poor diet, fatigue and weakness. The tongue edge is sharp and red, the coating is thin and sparse, and the pulse is thin and numerous.

Treatment: nourishing yin and moistening lung, stopping bleeding and killing insects.

Prescription: Yuehua Pill: Radix Rehmanniae, Radix Rehmanniae Preparata, Radix Asparagi, Radix Ophiopogonis and Radix Adenophorae each 65438±02g, Bulbus Fritillariae Cirrhosae, Mulberry Leaves, Flos Chrysanthemi and Colla Corii Asini each 65438±00g, Stemona Stemona 30g, Radix Notoginseng (prepared) 3g, Poria and Rhizoma Dioscoreae each 65438±05g.

3. Yin deficiency and fire flourishing

Symptoms: cough, choking cough, shortness of breath, thin and sticky sputum, or thick and yellow sputum, repeated hemoptysis, bright red and frothy, chest and rib pain, night sweats, hot flashes, especially in the afternoon, red cheekbones, thirst, upset and insomnia, impatience and irritability, emaciation, male wet dream, female with scanty menstruation or amenorrhea. The tongue is red and dry, and the pulse is rapid.

Treatment: nourishing yin and clearing heat, subduing yang and calming the nerves.

Prescription: Baihe Gujin Pill, Gentiana macrophylla powder: Lily 30g, Carapax et Plastrum Testudinis, Carapax Trionycis 15g, Ophiopogon japonicus, Scrophularia, Radix Rehmanniae, Radix Rehmanniae Preparata 12g, Rhizoma Anemarrhenae, Gentiana macrophylla, Bupleurum, Cortex Lycii, Artemisia annua, Colla Corii Asini (chemical) and Radix Rehmanniae/kl.

4. Deficiency of lung and spleen qi

Symptoms: shortness of breath, cough, fatigue, chest tightness, anorexia, diarrhea, mental fatigue, low voice, spontaneous sweating, sallow complexion and fear of cold. The tongue is pale, the coating is white, and the pulse is thin.

Treatment: strengthen the spleen and replenish qi, cultivate the soil and produce gold.

Prescription: Jiawei Sijunzi Decoction: Ginseng 15g, Stemona 30g, Atractylodes macrocephala, Radix Astragali, Poria, Radix Glycyrrhizae Preparata 12g, and Pericarpium Citri Tangerinae 10g.

5. Yang deficiency of heart and kidney

Symptoms: swollen limbs, shortness of breath, palpitation, cold limbs, pale complexion, diarrhea in the fifth watch, impotence in men, nocturnal emission, amenorrhea and infertility in women. The tongue is moist and light, and the pulse is thin or knotted.

Treatment: Warming kidney to help yang, nourishing heart and benefiting qi.

Prescription: Ding Xin Zhengyang Lilao Decoction: Ginseng, Astragalus, Atractylodes macrocephala, Schisandra and Angelica each 65438±02g, Glycyrrhiza 6g, Cinnamomum cassia 65438±00g and Pericarpium Citri Tangerinae 8g.

Unilateral prescription

1, Qin Shen anti-tuberculosis soup: Radix Glehniae, Os Draconis, Concha Ostreae and Rhizoma Dioscoreae each 12g, Scutellariae Radix Charcoal, Agrimonia pilosa, Radix Asteris preparata, Radix Stemonae preparata, Radix Rehmanniae, Radix Angelicae Sinensis and Fructus Evodiae each 9g, Cortex Moutan and Colla Corii Asini beads each 6g, and Lily 6438. One dose a day, decocted twice, mixed with medicinal juice, and taken twice on an empty stomach. It is suitable for early pulmonary tuberculosis and invasive pulmonary tuberculosis.

2. Wuwei anti-tuberculosis powder: Bletilla striata, Lily, Coicis Semen, Almond150g, and Bulbus Fritillariae Cirrhosae 30g. * * * ground powder, daily 10g, taken orally for 3 times. One dose is a course of treatment and lasts for 3 courses. Suitable for cavitary pulmonary tuberculosis.

3. Bai Ye Sanqi Decoction: fresh leaves of Platycladus orientalis, Cordyceps sinensis, Fructus Gardeniae Heishan, clam powder, hairyvein agrimony, Rhizoma Bletillae and Stemonae each 65,438 02g, Callicarpa formosana, Radix Rehmanniae and Radix Adenophorae each 65,438 02g, Prunella vulgaris, Radix Astragali and Oyster each 65,438 05g. One dose a day, decocted in water. It is suitable for patients with pulmonary tuberculosis who repeatedly hemoptysis and spit.

4. Ermayina Sini Decoction: 45g of roasted ephedra and ephedra respectively, 9g of almond, ginkgo (crushed), peach kernel and plum kernel respectively, 65,438 05g of Smilax glabra, forsythia suspensa and honeysuckle, 65,438 02g of Stemona Stemona, Atractylodes macrocephala and Codonopsis pilosula, and 65,438 08g of Astragalus and Adenophora adenophora respectively. One dose per day, decocted in water, and taken continuously for 5-6 months. It is suitable for severe pulmonary tuberculosis with no obvious effect after long-term administration of anti-tuberculosis drugs, continuous excretion of bacteria and frequent infection.

5. Stemona Xiaoshi Pill: Stemona Stemona, Scrophularia, Prunella Spica, Forsythia suspensa, Viola yedoensis and Ranunculus ternatus each 65438±05g, Sargassum and Eupatorium adenophorum each 65438±00g, Lily, Fritillaria and Pseudostellaria heterophylla each 65438±02g. * * * Grinding, sieving with 100 mesh sieve, adding refined honey (the ratio with Chinese medicinal powder is1:1.25 ~1.3) to make pills, each weighing 9g. One pill each time, three times a day, and 30 days is a course of treatment. It is suitable for all types of tuberculosis.

Other therapies

1, paste method

1 tuberculosis ointment: 30g of pigeon dung, 30g of trogopterus dung, 30g of white mustard seed, 30g of garlic, 30g of impatiens with roots and leaves, and 0.6g of vinegar musk. Firstly, pigeon manure, Oletum Trogopterori and Semen Sinapis Albae are ground into fine powder, then garlic and Impatiens balsamina are added and mashed into mud, and musk is added, and mixed evenly and stored for later use. Take Shu Fei, Plaster, Bailao and Pishu, and take a piece of ointment the size of broad bean at each acupoint, stick it on the acupoint, cover it with gauze and fix it with adhesive tape. Change once a day, two weeks is a course of treatment, rest for 3 days, and continue to apply. It is suitable for infiltrative and hematogenous pulmonary tuberculosis.

2 white mustard seed paste: appropriate amount of white mustard seed, stir-fried, ground, and made into paste with rice vinegar. First, warm the Jiedu ointment, take 2 grams of mustard seed ointment, apply it to the ointment, and apply it to acupoints (Fengmen, Shu Fei, Xinshu and Gaojia). Choose a pair of acupoints at a time and apply them alternately. Generally stick 1 ~ 3 hours, and take it off when there is a burning sensation locally. Each pair of acupoints is applied once every 5 days, and 3 months is a course of treatment. Suitable for cavitary pulmonary tuberculosis.

2. moxibustion

Choose Shu Fei, Dazhui, Guanyuan, Pishu, Gaomang and Shenshu, with 3-5 strong moxibustion at each point, every other day/kloc-0 times, which is suitable for all types of pulmonary tuberculosis.

3, atomization inhalation method

Garlic 30-50g, mashed, put into a device, atomized for 30-60min each time, twice a week, and 3 months as a course of treatment. It is suitable for all types of tuberculosis. (Excerpted from Diagnosis and Treatment Technology of Infectious Diseases in Chinese and Western Medicine)