Clinical practice: ten Zhongjing famous prescription treatment of otorhinolaryngological diseases

Han-Zhang Zhongjing "diligently seek the ancient teachings, the collection of all the formula", wrote "typhoid fever and miscellaneous diseases", by the later finishing for the "typhoid fever theory", "the Golden Mansion". The book contained in the formula, the formula is strict, less flavor and force specialization, the therapeutic effect is remarkable. The author of this Zhongjing prescription for the treatment of otolaryngology diseases is described below, in order to throw a brick to attract jade.

1 Gui Zhi Tang for allergic rhinitis Ying Wei disharmony type

Gui Zhi Tang nourishes yin and yang, and regulates Ying Wei, this is used for the treatment of sun stroke evidence. Clinical application is not limited to solar stroke, as long as the disease mechanism is Yingwei disharmony, can be applied.

Allergic rhinitis caused by Yingwei disharmony, the clinical manifestations of sudden and repeated episodes of nasal itching, sneezing, runny nose, nasal congestion, more cold, wind will be hair, or in the morning when you get up, itching more sneezing, snot more thin as water, local examination of the nasal mucous membrane pale oedema, the nasal passages have a large amount of watery secretion, the tongue coating is thin and white pulse floating, the use of Gui Zhi Tang and the Yingwei, dispel evil spirits and benefit the orifices.

In this formula, Gui Zhi is pungent, warm and dispersive, warming the Wei Yang and relieving the evil of Wei; Paeonia lactiflora is sour, bitter and slightly cold, taking in and nourishing the fluid, astringing the mucus; ginger is pungent and warm, dispersing the wind and cold with Gui Zhi to relieve the muscle; jujube is sweet and flat, nourishing the fluid with Paeonia lactiflora to nourish the camp; Radix glycyrrhiza glabra is sweet and flat, with Gui Zhi and Ginger, pungent and sweet, helping the Wei qi and the acidity and sweetness of Paeonia lactiflora, nourishing the Yin of the camp.

The combination of all the drugs, *** play the harmonization of Ying and Wei. In order to strengthen the desensitization function, you can also add cicadas and Xu Changqing, Wei qi deficiency and add astragalus qi solid surface.

2 Ephedra, almonds, licorice and gypsum soup for acute laryngitis, epiglottitis, sinusitis caused by the evil heat of the lung

Ephedra, almonds, licorice and gypsum soup for the lungs caused by the evil heat of the congestion of asthma and coughing, with the use of pungent and cool and cathartic, clearing the lungs and calming the asthma, take the ephedra of the open, almonds and the descending, and licorice and the gypsum of the times the cold, remove the internal and external solid heat. Acute laryngitis, acute epiglottitis evidence of the lung meridian heat, can not be cathartic, the accumulation of the pharynx, clinical manifestations in addition to fever and thirst, the former with hoarseness, or even loss of voice, the examination of the laryngeal mucous membrane is congested and swollen, the sound gate is unfavorable to open and close, the latter manifestation of the pain in the throat, pain in swallowing, the examination of the epiglottis tongue surface is congested and swollen.

Evil heat offending lungs, lung gas is not declared, purging and lowering of the duty, resulting in the opening and closing of the vocal folds unfavorable, sore throat and hoarseness to come, with the use of hemp apricot shi glycerin soup to clear and declaring the lungs heat, with the phlegm, Wu stiff silkworms, half-summertime, Tianzhuhuang; congestion is serious, plus Yam bean root, Lok Der Ta; pain is severe, plus the horse Bo, gold locks the key. The stubborn sinusitis is identified as lung heat moving brain, the clinical manifestations of the amount of snot is strange, yellow and thick (white and thin is cold), headache is not very (pain is bile heat moving brain), nasal congestion is not very (even if the Qing Yang does not rise), the examination: double middle turbinate congestion and enlargement, the nasal passages have yellow pus secretion, the front of the group of sinus area with pressure pain, can be used in the ephedra and almonds, licorice and gypsum soup, can be added to the formula of the fritillaries, the ground Dragon to clear lungs to drain pus.

The application of the clinical evidence, whether or not there is a combination of superficial evil can be applied, because the formula of ephedra still have the function of the relief of the surface, and gypsum still has the power of pungent penetration. The formula of ephedra is not only in the relief of the surface, and can lead the medicine into the lungs, directly to the place of disease; and gypsum in the clearing of the lungs in the evil heat, with the "fire and depression of the hair of the" ability. This formula is called San'ao Tang (三拗汤) in He Jie Bing Fang (和剂局方), and it can be used to treat deafness due to wind-evil attacking the lungs. This kind of deafness is mostly secondary to colds, which is caused by the wind and the lung, and the lung qi is not propagated, and the ear orifices are disturbed through the meridian, and the ear orifices are blinded by the evil.

Manifestation of the ear holding air, such as plugging cotton wool, or both fever and wind, thin white tongue coating, floating pulse, tuning fork test for conductive deafness. With the three axiom soup to promote the lung to facilitate the orifice, the so-called "deafness treatment lung" method, the effect is particularly good, at the same time with the pharyngeal tube blowing method is better.

3 White tiger soup for acute pharyngitis, herpes stomatitis, epistaxis belongs to the accumulation of heat in the lungs and stomach

White tiger soup consists of gypsum, Zhimu, licorice, round-grained rice, function of clearing heat and generating fluids, was originally used to treat yangming qi hot evidence.

In the formula, gypsum is cold, used to clear the lung and diarrhea stomach; Zhimu is thick, clearing the lung and generating fluids; licorice and round-grained rice nourish the stomach.

Acute pharyngitis, herpetic stomatitis clinical manifestations of pharyngeal and oral pain, burning sensation, foul breath, accompanied by fever, dry mouth, like drinking, dry ulcer yellow, red tongue, yellow fur, pulse, examination of the pharyngeal mucous membrane congestion, red, or oral herpes number of more, local congestion is obvious, evidence of the heat of the lungs and stomach. The heat of the lungs and stomach is bound to burn the fluid, so the treatment is to clear the heat and nourish the fluid.

The combination of Gypsum and Zhi Mu is suitable for this purpose. As for epistaxis, it is characterized by much bleeding, bright red blood, accompanied by irritable heat, thirst and drinking, and bleeding again whenever sneezing, coughing, (扌鼻)涕, washing the face with hot water, chewing hard objects, or strenuous exercise, etc., with constipation of the bowels and yellowish urination, and a red tongue with yellow moss, with dryness of nasal mucous membranes on local examination, roughness and congestion of the Lixi area, and even ulcerations, or active bleeding, which is due to the heat of yang-ming and the scorching of the nose and the orifices.

Although the lung orifices in the nose, but the pulse of yangming clip nose, and yangming for more gas and blood meridian, so bleeding, blood color bright red, should be considered from the yangming heat, rich blood vessels in the Li's area, in the rough, vesiculation covered with scabs, once dry and cracked, will cause bleeding.

At this time, it is necessary to moisturize to avoid bleeding. Selected Baihu soup, can also add raw land, Dampy, red peony to clear heat and cool blood; can also add Bai Mao Gen, cypress leaves to cool the blood to stop bleeding; constipation, plus Huang, Gua Pou Ren through the bowels to drain heat.

4 regulating stomach Chengqi Tang treatment of all acute diseases of ENT need to be attacked

regulating stomach Chengqi Tang was originally used to treat the yangming viscera real evidence, the king of rhubarb of bitter cold, the minister of the salty cold of the manna nitrate, attacking the heat and drain the fire, with the licorice Ganping, and can be and the middle.

All acute otorhinolaryngological diseases, with fever and thirst, constipation, yellow and red urine, red tongue, yellow fur, solid pulse, need to attack the lower, can also use this formula, especially for acute purulent diseases, such as suppurative tonsillitis, peri-tonsillar abscess, acute sinusitis, acute suppurative otitis media, etc., so that the evil heat can be dissolved from the lower.

Zhongjing's original formula of rhubarb is washed with wine, the wine washed rhubarb diarrhea weak, the author will be changed to raw rhubarb, in order to increase its laxative power, the effect is remarkable.

5 Platycodonopsis soup for all throat diseases

Platycodonopsis soup is the most famous and commonly used formula for laryngology, consisting of Platycodonopsis, licorice and two medicines.

Platycodon grandiflorum is hard, into the lung meridian, up to the focal point, good "open the knot of lung gas, declaring the depression of the heart gas", for the boat of all the medicines; licorice is sweet and flat, into the twelve meridians, not only to replenish the deficiency of qi, and can be "through the meridians, the blood," laxing out of the lungs in the ambush of the fire.

These are the first of a series of two major medicines.

This formula for the treatment of throat disorders of the basic formula, with the evidence of flavor and derivation of many formulas, in addition to Zhang Luyu plus Yam bean root, ginseng, Gu Shicheng plus asparagus, maitake is still known as Platycodonopsis soup, Yan with and add Sang Bai Pi, Bone skin, and so on for the diarrhea of the white powder, Liu Hetao to add the chebula name of the Qingyin soup, Li Dongyuan for the treatment of quarrelsome pain in the jaw and swollen in the tonifying the middle and benefit the qi soup to join the prescription, the "laryngeal palms" plus Fangfeng, thorns, days worm, mint called six soup, "Laryngeal palms" plus Fangfeng, thujia, Tianwu The "Laryngeal Guide" added Fangfeng, Jingbei, Tianwu, and Menthol to call it Six Flavors Soup, and "Chonglou Yuyao" added Chaihu, Shengma, and Chuanxiong to treat slow laryngeal wind, etc., to name a few.

Platycodonopsis treated throat diseases, mainly sore throat, dry throat or cough. Platycodonopsis in the formula dosage should not be large, generally 6g appropriate, because the Platycodonopsis has a stimulating effect on the throat can cause nausea and vomiting, clinical evidence should be noted.

6 Wu Ling San treatment of water-dampness in the stopping of the miaoli, sinusitis, Meniere's syndrome

Wu Ling San a party, the original line of the bladder water and set up, the main treatment of the sun's surface evil is not resolved, through the meridian into the bladder qi function, resulting in water and drink stopping of water in the sun water evidence.

The formula uses poria, poria, zedoary to facilitate urination, guide the water downward; atractylodes macrocephala strengthens the spleen and dries dampness; gui zhi warms the yang and transforms the gas in order to run the water and solve the evil in the epidermis.

Now the five ling powder for the chase inside and outside of the first agent of water and drink, all otolaryngological diseases manifested in the ear and nose water and dampness stop gathering, water can not be taken in, overflowing in the muscles, need to help the spleen to support the fire and seepage of dampness, can be applied.

Clinical application is not necessarily accompanied by superficial evil, such as acute and chronic non-purulent otitis media and acute suppurative otitis media symptoms have disappeared and a lot of purulent secretions; headache, snot more white, mild nasal congestion, olfactory sluggish sinusitis; water drink upward flooding, stagnation of vertigo in the ear (also known as water vertigo), etc.

The first time I saw this article, I was very surprised to learn that it was not a good idea.

And: in the treatment of vertigo must be reused zejiao, is to take Zhongjing zejiao soup treatment of phlegm drink disease bitter ventilating the meaning of vertigo.

7 Zhenwu Tang for allergic rhinitis, Meniere's syndrome

Zhenwu Tang warms the yang to facilitate the flow of water, the main treatment of the spleen and kidney yang deficiency, water and wetness of the internal stop, urination is unfavorable. In the formula of the epiphyllum, warm kidney to help Yang, in order to melt the water and warm the spleen, Poria, atractylodes, spleen water seepage, ginger to help epiphyllum in order to warm the Yang to get rid of the cold, and especially good in the peony acid can drain the liver wood in order to sparse water.

Kidney yang deficiency type allergic rhinitis, is due to the lack of kidney yang, the lungs are not warm, cold water on the nasal orifices, resulting in snot clear and thin as water, drenching; Meniere's syndrome is a deficiency of spleen and kidney yang, can not be warmed water, cold water, cold water, upward flooding in the ear for vertigo. Both of them coincide with the symptoms treated by Zhenwu Tang. Allergic rhinitis take this formula with cicadas, Xu Changqing, wind, etc., warm spleen and kidney, in addition to cold water and stop sneezing and convergence of snot.

Ménière's syndrome is used to warm the spleen and kidneys, remove cold water and stop dizziness, such as frequent vomiting, plus Cornus officinalis, Chen Pi, half-sia; tinnitus, plus magnetite, schizandra; both liver wind, plus tianmao, hooked vine.

8 Sai Gan Ephedra Soup for laryngogenic cough laryngogenic cough.

It is characterized by an itchy throat, and then coughing with it, coughing because of the itch, coughing short and dull, and sometimes the more coughing, the more itchy and can not be aborted, is the disease of the beast trapped in the lung meridian, difficult to drain for a long time due to. This is the only way to solve the problem, but of course, the ordinary declination of the force can not be reached, must be applied to the powerful prescription drugs, can be attacked to solve the siege.

The most appropriate to Sagan Ephedra Soup: Sagan eliminates phlegm and disperses knots and clears heat and toxins; Ephedra declares the lungs and calms asthma; Aster, half-summer, winter flowers lowering the gas to resolve phlegm; fine Xin, ginger, cold water; Ephedra, fine Xin, ginger dispersal of the evil; Sagan, Aster, winter, half-summer down the inverse qi, *** play the work of the evil to stop coughing.

9 Drabanemerosa hebecarpa jujube pill for stubborn nasal congestion

Drabanemerosa hebecarpa jujube pill specializing in the treatment of nasal congestion of chronic rhinitis, although the two flavors of the formula, but the force is strong and fierce, used for the actual evidence to see the effect is very quick. This kind of chronic rhinitis nasal congestion is the lung gas congestion, qi and blood not smooth due to clinical patients can be seen nasal congestion for a long time, persistent, check to see the double inferior turbinate enlargement, mucous membrane dark red, so the use of Drabanemerosa hebecarpa hebecarpa cathartic lung and pass the orifices. The main drug Drabanemerosa hebecarpa into the lung diarrhea, the main lung congestion on the gas. Drabanemerosa hebecarpa is, after all, a harsh medicine, although with jujube to moderate the medicinal properties, but also should not be used for a long time, the weak need to avoid using.

10 Gui Zhi Poria Pill to treat blood stasis vocal polyps

Gui Zhi Poria Pill is from "The Essentials of the Golden Chamber", the original formula is used to treat the woman's abdominal obstruction in the abdomen, and now the efficacy of blood circulation and eliminate blood stasis, as a dispersant of polyps of the vocal cords, the efficacy of which is more satisfactory. This formula is a moderating agent for removing blood stasis and dissipating symptoms. In this formula, peach kernel and danpi are used to activate blood circulation and remove blood stasis; equal amount of white peony is used to nourish and harmonize blood; gui zhi is added to warm the blood to help peach kernel, and white peony is used to regulate qi and blood; and poria is used to promote dampness by seepage to make the water channel work, and to facilitate the flow of blood, so that dampness and blood stasis are dispelled and resolved. To sum up, the whole formula is to eliminate blood stasis and generate new, harmonize qi and blood agents.

Vocal polyps for tangible things, is the septic blood away from the menstruation, stagnation caused by the membrane, the patient manifested hoarseness, not healed for many years, the examination of polyps in the vocal folds, the color of the purple has a tip, the treatment of blood circulation and eliminate blood stasis, with Gui Zhi Fu Ling Pill, the nature of the slow and the work of the outstanding, to eliminate the evil and protect the positive.

First, the real evidence of diarrhea six

1, first adjust the middle jiao.

That is, the stomach qi is the basis, need to open the stomach. The moss is greasy with warm gallbladder soup. Yesterday, I said, warm bile soup four main drugs: bamboo, hedgehog, cloud ling, Chen Pi. There are four other medicines that are not used: half-summer can dispel phlegm and is too dry; ginger can dispel phlegm and is too dry; licorice and jujube are very nourishing and greasy and are not good for phlegm and turbidity. Inside, there are also combinations: with calamus and tulip gold to open the orifices; with forsythia and gongying to clear heat; with muxiang and sandren to wake up the spleen; and with jiao sanxian and shengneijin to open the stomach. This is a basic stomach qi as the basis, first regulating the middle jiao.

2, give the evil a way out.

Real evil must be given a way out so that the evil can be eliminated from the body. That is, there are four ways out:

(1) through sweating. Sweating, out of the muscle surface. For example, with the wind, Platycodonopsis, Cicada, sweating through the surface. Of course, we should avoid sweating, sweating too much to break the heart of Yang and stomach qi.

(2) through the laxative slow diarrhea from the stool out. With the whole piper betel, cassia, chrysanthemum and angelica. But avoid Junxia, to prevent injury to the positive.

(3) through the light seepage diuretic from the urine. The main use of plantain, zedoary, zephyr, zephyr, stone reed, raw coix seed, winter melon seed.

(4) by cooling the blood from the Yingwei out. Mainly use raw earth, danshi, red peony, raw gardenia, give the evil out of the way. Inside the four ways out, the safest and cleanest out is diuretic, and it will not hurt the positive.

3, dredging is appropriate.

The laxative method must be appropriate to dredge, dredge the way there are four ways.

(1) Penetrating the orifices. Choose Chuanxiong and Calamus.

(2) Regulate Qi to dredge. Use Chai Hu and Yu Jin.

(3) Activate blood to dredge. Use Ze Lan and Wang Bu Liu Xing.

(4) Use warmth to pass. Use Gui Zhi and Huajiao.

4, pay attention to the anti-Zuo.

Because the expectorants are all more potent are biased, often can get rid of evil, but often also bring side effects. In order to prevent deviation, correct the role of pay, to use the counter-zo. Counterzoom is divided into two categories.

(1) The first is the cold counterzoom. When you use warm medicine, you are afraid that it is too much, so you choose the cold counterzoom, add one or two Gongying, forsythia, gardenia, cypress, white flower snake tongue grass.

(2) hot anti-zo. When using cold medicines, afraid of too cold to hurt the positive, take the hot counter-zo. Add Cinnamon, Galangal, Wu Yao, Xian Ling Spleen and Deer Horn Cream.

5, pay attention to the induction of menstruation.

Attacking the evil plus inducing menstruation is the key to improving the efficacy of the medicine to get rid of the disease.

The medicines for inducing menstruation are divided into two categories;

(1) part of the categorization of inducing menstruation, inducing menstruation by parts. The upper part of the small amount of ascending hemp, mulberry branches, Pueraria Mirifica, Chai Hu, stiff yellow; the lower part of the weight of the Chuan Niu Knee, papaya, Duhuo and plantain, with or without the addition of meridian-inducing drugs, the efficacy of the treatment will be very different.

(2) Divide the organs to induce menstruation.

a, into the heart with roasted farzhi and amber. Succotash is a good medicine to induce the meridian is also a good medicine to calm the spirit, but succotash is now used succotash powder, succotash powder is not soluble in water, you want to eat succotash powder do not use water to adjust, to use honey to adjust, and later in the capsule inside the swallow.

b, into the spleen with sand nuts and dry ginger.

c, into the lungs with orange red and mulberry white peel.

d, for the liver, use mint and neem.

e, for the kidneys, use cypress and tonic.

6, in the middle of the disease.

It must be in the disease, can not be served often, can not be served for a long time, especially with the power to prevent overly strict products. Like half-summer, thick Park's dryness; the hotness of the seeds, cinnamon; gentian grass, the coldness of the white head; the toxicity of the insect medicine; should pay attention to in the disease, can not be used for a long time to long service.

Second, the law of supporting the positive and eliminating evil live.

The principle of its live use is: first get rid of the evil after supporting the positive, get rid of the evil to prevent it from injuring the positive, to support the positive to prevent it from loving the evil.

"Qi deficiency is often accompanied by stoppage of water"

"Blood deficiency is often accompanied by stagnant heat"

"Yin deficiency is often accompanied by phlegm-dampness"

"Yang deficiency is often accompanied by cold condensation"

Enhancement of the positive and dispel the evil, which is the most contradictory in the clinic, the most easy to neglect a law, the most common in the clinic is the mixture of the real and the imaginary. What should we do? To grasp a principle is the first to dispel the evil after supporting the positive, dispel the evil time to prevent it from injuring the positive; to support the positive time, to prevent it from loving the evil. For example, the treatment of coronary heart disease angina pectoris, angina pectoris is also more powerful, and in the hair suffocation and stuffiness; two a panic and shortness of breath, back pain. A look at the tongue is greasy, the pulse sinking fine, this is a contradiction, both phlegm, but also a deficiency of qi and kidney deficiency, this contradiction, on the false mixed. What should we do? First, dispel the evil spirits and resolve the phlegm and turbidity. Use Warm Gallbladder Tang and Er Chen Tang to dispel the phlegm and turbidity. But in the process of expelling phlegm, you can't add half-summer, thick park to resolve phlegm turbidity, it is dry, affecting its positive qi, phlegm is transformed, you can only use qi tonic, strengthen the spleen, regulate the kidney medicine. For example, Xiangsha Liu Junzi Tang, Qi Ju Di Huang Tang, and then give it to support the right. But at this time you can not use nourishing and greasy drugs, such as ripened earth, maitong, yuzhu you do not use, after the use of the evil, phlegm and turbidity again, this is the most common clinical contradiction in the treatment. Yesterday asked three questions, all involved in this issue, to resolve, can not delay, is to get rid of the evil, get rid of the evil to support the correct, so as to be effective. If you want to get rid of the evil and support the positive, you are sure to fail, this is my decades of experience. The original I also can not afford ah, said the patient is so weak just expectoration of phlegm can? This is the same as your thinking, that is, the use of expectorant drugs and useful to support the corrective medicine, the result of the tongue is more greasy, the effect is not good. Finally summarized, decisive, do not think twice, a single expectorant, a single corrective. This is the most common clinical contradiction treatment.

Three, the importance of ascending and descending turbidity.

To pay attention to the ascending and descending. The theory of Chinese medicine, the clear to rise, the turbulent to fall, lift in and out of the human body is an important physiological function, lift dysfunction is also the body of the important mechanism of disease. The spleen is the main ascending clear, the stomach is the main descending turbid. It is only when the spleen is clear that it can transport and transform, and it is only when the stomach is turbid that it can hold the grain. Therefore, all diseases should first adjust its elevation. What medicines are used for ascending and clearing? For ascending and clearing, use raw astragalus, various kinds of ginseng, atractylodes macrocephala, cactus, asparagus, chaihu, platycodon, cicadas, pueraria lobata, and chuanxiong. These ten medicines I have repeatedly told you, don't use all ten medicines once you ascend to the clear, you have no room to change back and forth with one or two of them. The medicines for lowering turbidity are Su Zi, Almonds, Chen Pi, Bamboo Roots, Ochre, Magnetite, Mother-of-Pearl, and Zuanfu Hua, which are the eight medicines for lowering turbidity. A very important part of this treatment is to elevate clearness and lower turbidity. As I said earlier, for patients with hypertension, if you give them the right symptoms and the right types of evidence, such as phlegm and stasis treatment, or regulating the kidneys, you can add another medicine to elevate clearness and lower turbidity. For example, phlegm and stasis with treatment, you add a Chaihu, you add a mother-of-pearl, ascending clear and descending turbid, his efficacy is not the same; diabetic patients, the colleague just now, diabetes, I give you to replenish the qi as the main, you go back to think, replenish qi and yin at this time, you add to ascending clear and descending turbid, ascending clear with Pueraria Mirifica or Senecio, descending turbid medicines, you use a almonds, the effect of lowering the sugar is not the same. So the dialectic is very symptomatic, the theory of treatment is very clever, you add to the ascending and descending will obviously increase the efficacy of the treatment.

Fourth, the liver and spleen system multiply insults.

Pay attention to the relationship between the liver and the spleen, the liver and the spleen, the wood and the earth ah, this is also a key to the clinical coincidence. Wood and earth, often the formation of the liver and stomach disharmony, just mentioned the use of the four reverse san. Liver qi, spleen and stomach are the root of all clinical diseases, an important disease mechanism. As I said, the "Nei Jing" says that all diseases are born in the qi, right? Li Dongyuan said that the spleen and stomach are the root cause of all diseases. So grasp the relationship between liver and spleen, wood and earth. Mainly with Chai Hu, Citrus aurantium, Paeonia lactiflora, Rhizoma Coptidis, Rhizoma Chuanxiong, Ochre, and Ledebouriella. This is a variation of the Four Reversed Powder, which is not the original Four Reversed Powder, but has a lot of other medicines added to it to improve its efficacy. On the other hand, Wood over Earth means that the Spleen and Stomach are not in balance, so we need to use Free and Easy San. The liver is qi and the spleen is deficiency. Atractylodes macrocephala and Yunling strengthen the spleen, Angelica sinensis and Paeonia lactiflora soften the liver, together with Chai Hu to ease the liver and Mentha piperita to induce menstruation, forming the Free and Easy San. I also give you the addition and subtraction of changes, which I have repeatedly said, you can never memorize the formula, the original formula care can not be. Because the formula and the ancient formula, the times are different, change a lot, you memorize the formula, certainly affect the efficacy, you have to master the meaning of its formula, right? You, for example, free powder, four reverse powder, four reverse powder it is the meaning of the formula is to dredge the liver and stomach, free powder is the meaning of the formula is to dredge the liver and strengthen the spleen, to master this principle, flexible changes in the addition and subtraction, and then with the pharmacology of Western medicine, very improve the effectiveness of the treatment, which is the skillful matching, do not stick to it.

Fifth, the wind does not forget and stomach.

The other Chinese medicine is the wind ah is the long of all diseases, what disease are inseparable from the wind. The first thing you need to do is to get your hands on a pair of shoes or boots, and then you'll be able to get your hands on a pair of shoes or boots, and then you'll be able to get your hands on a pair of shoes or boots. Of course, the ancients also nourish the blood to dispel wind, calm the liver to calm the wind, are not as good as and the stomach. How to harmonize the stomach? The wind is good at traveling and changing, so don't forget to add the medicine to harmonize the stomach, Er Chen Tang and Mu Xiang, Sha Ren, to harmonize the stomach! I often come across urticaria, which is very difficult to treat and very recurrent, and surgeons only know how to harmonize blood and wind. What do I use? I use the method of harmonizing the stomach to treat, what formula? I am not conservative here ah, to talk about the treatment of general medicine, tomorrow I have to talk about. What medicine? This is more effective for urticaria than simply nourishing blood and quenching wind, and it usually doesn't come back. Urticaria you do not eat hairy things, take this formula, well generally will not recur. You see in this formula, most of them are in harmonizing the stomach, Lapis lazuli, Yunling, Chenpi, Acorus calamus, Uljin are all medicines that harmonize the stomach. On the other hand, in the case of surface symptoms, the relief of the surface and the harmonizing of the stomach are added, with Poria, Chen Pi, and Jiang Han Xia. When the internal wind is restrained, stomach-healing herbs are also added, using Muxiang, Sha Ren and fried Cangzhu. This way the efficacy of dispelling the wind will be greater and the effect will be better. This is the real formula that I am talking about, and you basically copied it down.

Sixth, the heart and kidneys are united.

The unity of the heart and kidneys, this is a high trick inside the clever match. The heart of the fire, the kidney is the main water, the heart of the sun down, in order to moisturize the kidney water, kidney water on the moisturization, in order to calm the heart fire. Therefore, in all kinds of clinical diseases, we should think of the heart and kidney's disjunction, and take the transportation of the heart and kidney. To add Jiaotai Pill. Huanglian 10g, cinnamon 3g, 3:1, this is also a clever combination to increase the effectiveness.

Seven, the treatment should be live.

There are four rules for the treatment of external diseases.

There are two rules for the treatment of internal injuries.

Finally, to summarize for you, today I talked about a day on the treatment of clever matching, that is, on the treatment to live, how to live it? There are four ways to live with exopathic diseases.

(1) wind-cold, pungent and warm to resolve the table, with Jingfeng septic powder; wind-heat, pungent and cool to resolve the table, with Sangju drink and Yinqiao San. This is the first major principle to live.

(2) Pay attention to the penetration of the surface. To dialectically use Chuanxiong, Platycodonopsis, Cicada, Sangbai Pi and Rehmannia. That is, in the Xin cool relief of epidermis, Xin warm relief of epidermis, should be appropriate to add one or two transmitting the epidermis of the drug to improve the therapeutic effect. The first thing you need to do is to pay attention to the penetration of the epidermis.

(3) to pay attention to the points of profit, that is, diuretic and laxative. The main addition of Plantago Ovata and Zeran is diuretic; Cuscutum officinale and Psoralea vulgaris is laxative.

(4) The fourth living method, to emphasize the support of positive. To select and add raw astragalus, white lentil, Xianhe Cao.

So to summarize for you, Chinese medicine treatment is only a class of external real disease, a class of internal injury miscellaneous diseases. The four keys to the exogenous real disease, live on the effective, this is the first part. External sensory disease to live, which I summarized for you, Chinese medicine internal medicine to distinguish external sensory, distinguish internal injuries, external sensory is so simple.

There are two treatments for internal injuries, two live.

(1) The first is a deficiency in terms of tonifying the spleen rather than regulating the kidneys, using the wolfberry chrysanthemum dihuang soup. There are seven main medicines: white chrysanthemum, wolfberry, raw rhubarb, yellow essence, raw eucommia, sang qisheng and snake bed seed. This is a deficiency.

(2) solid evidence to be phlegm and blood stasis treatment, warm gallbladder soup is the main formula. Bamboo Ru, Citrus aurantium, Yunling, Chenpi, Acorus calamus, Uljin, Leptospermum and Salvia miltiorrhiza. Danshen should be used 30g.

Chinese medicine is very mysterious, learning Chinese medicine is very difficult, these two days I will give you the most simplified. How do you distinguish between deficiency and actual symptoms of internal injuries? The first thing you need to do is to take a look at the tongue and see if it's a good one. But I see a symptom is, it is not necessary to have all the symptoms. If you see greasy moss, treat phlegm and blood stasis together, and if the moss is thin, adjust the kidneys. Simplified, very simple. For exogenous diseases, you should distinguish between wind-cold and wind-heat, and use transmitting surface, distributing benefits, and supporting corrections. I've simplified a lot of my family's secret recipes to this point! You remember this step, and then with the pharmacology of Western medicine, almost 70-80% of your clinical patients will be effective, but not perfect. I've been practicing medicine for a long time, and I still have a lot of problems! Right? It doesn't work with this approach. The efficacy of 70-80% of the efficacy, you have confidence, Chinese medicine is good to get, not mysterious.

(I) Treatment of God's basic formula

The four God's formula: Baihui, Shenting, Ben Shen, four Shencong, Shenmen.

Functions: Benefiting qi and elevating yang, clearing heat and diarrhea, calming the mind.

Indications: all affective disorders.

Press: The formula has four "Shen" points, so it is called "Four Shen Fang", is the main treatment of emotional and mental illnesses, the purpose is to make the human body "the spirit of the internal guard, the true qi from which the disease is safe from". The purpose of this is to make the human body "spirit of internal control, the true qi from the, disease safe from".

(2) The method of resolving depression and tranquilizing the mind

Four Guan Fang: Hegu, Taichong.

Functions: calming and tranquilizing the mind, dispersing the liver and relieving depression; calming the liver and submerging the yang, clearing heat and diarrhea; relieving spasm and resting the wind, opening the orifices and awakening the mind; searching for the wind and treating paralysis, and activating the meridians and collaterals.

Indications: insomnia, anxiety, chest tightness and shortness of breath; headache of liver-yang, toothache, dizziness, eye swelling and pain, tinnitus, deafness, coercive and rib distension and pain, herpes zoster pain; convulsions, stroke coma, epilepsy, mania, eclampsia, dirty mania; wind-cold and dampness paralysis, numbness of the limbs, clonus, and so on.

Press: "Four Guan Fang" is one of the most common acupuncture prescriptions used by the majority of acupuncturists, and has been recorded in many ancient and modern medical books, and the name "Four Guan" was first seen in the "Spiritual Pivot - Nine Needles and Twelve Principles": "Twelve original out of four off, four off the main treatment of the five organs, the five organs have disease, when the twelve original". Acupuncture and Moxibustion Dacheng" cloud: "four off four points, that is, the two Hegu, two Taichong points is also". The "standard Pui Fu" said: "contracture occlusion,遣八邪而去矣, cold and wet paralysis, open the four passes and the".

"Meridian point compilation - people have four off theory" said: "Hegu, Dachong, is said to be four off". Acupuncture Points Introduction" said: "four off the treatment of wind, cold and damp paralysis". Acupuncture and moxibustion meridian outside the point atlas" said: "four off the main treatment of chills in the limbs, hoarseness, and can play a sedative role". Based on his clinical experience, Zhou believes that "Si Guan Fang" can not only treat paralysis, but also be used to calm the nerves, pain relief and first aid.

(3) Tonic and tranquilizing method

The formula of the five viscera plus diaphragm Yu: Lung Yu, Heart Yu, Diaphragm Yu, Liver Yu, Spleen Yu, Kidney Yu.

Functions: tonifying the five viscera, regulating qi and blood, calming the mind and tranquilizing the spirit, and activating the meridians.

Indications: palpitations and shortness of breath, lumbago, insomnia and forgetfulness, loss of appetite, lack of color, low menstrual flow, after-effects of stroke, and all the fatigue injuries.

Press: The back of the Yu points for the organs of the essence of the convergence of the place, it can not only reflect the functional state of the internal organs, so as to regulate the internal organs of the qi, to improve the phenomenon of dysfunction of the internal organs; and one of the lungs, the heart, the liver, the spleen, the kidneys, the five Yu has to make up for the deficiency of the five organs and the benefit of the qi of the blood, so that the qi and blood is full of the God's peace. If the five organs are dysfunctional, the deficiency of qi and blood will lead to divine chaos. Therefore, adjusting the five organs by acupuncture and tonic method can play a calming and tranquilizing role.

Diaphragm Yu is the meeting point of the blood, has the function of regulating qi and blood, and energizing the meridians and collaterals, and the five viscera Yu combined, said the five viscera Yu plus the diaphragm Yu Fang, not only to strengthen the qi of the five viscera regulating effect, but also to make the qi, blood, meridians and collaterals flow, so as to achieve the purpose of tonifying the five viscera, regulating qi and blood, and tranquilizing and energizing the mind and the meridians and collaterals.

The five viscera plus diaphragm Yu is the "Golden Needle" Prof. Wang Leiting's "Thirteen Treatments for Stroke" in the "One Treatment", which is mainly aimed at patients who have a weak body after a stroke, and whose meridians and blood are not functioning well. patients. In his clinical work, Zhou has continuously expanded the scope of use of this formula, especially for those who suffer from fatigue and injury, depression and insomnia, forgetfulness and weakness, palpitation and shortness of breath, and low menstrual flow, the effect is even better. As a result, the five viscera yu plus the diaphragm yu is listed as the tonic and tranquilizing method in Zhou Lao's method of curing the spirit.

(4) Re-centering and tranquilizing the mind

Thirteen needles of the Vertical Chakra: Baihui, Fengfu, Daxi, Tao-dao, Body Pillar, Shendao, Zhiyang, Sinews Contraction, Spinal Cord Middle, Suspended Pivot, Vital Gate, Lumbar Yangguan, Changqiang.

Functions: Re-calming and tranquilizing the mind, strengthening the waist and spine; energizing the meridians and collaterals, relieving spasm and wind.

Indications: affective disorders, epilepsy, mania, eclampsia, agitation, insomnia, ADHD and Tourette's syndrome, autism, lumbar and spinal pain, impotence of the lower limbs, neck and back constriction, horn and back pain, tremors, and so on.

Press: The Vertebrae is a part of the Kidney, the Governor of the body's yang, supplementation of which can replenish the yang and benefit the qi, strong waist and strong spine; and the Vertebrae is upstream to the wind, and into the brain. The kidney is the main bone marrow, the upper brain is gathered in the brain for the medulla oblongata. The brain is the sea of marrow, and for the "house of the spirit", so the Governor also has a healthy brain and calming the spirit of the brain.

Acupuncture has a dual role, both tonic effect, but also the effect of diarrhea. Therefore, diarrhea can clear heat and fire, dredge the meridians, so that the evil out, in order to wake up and open the mind, spasm and wind and through the meridian work.

The so-called heavy town, that is, for the evil gas is full of Zhengqi has not been weak and weakened the treatment of patients with heavy evidence, including acupuncture techniques heavier, the needle should be thick, into the needle should be deep, such as the treatment of stroke hemiplegia, often used for long illness but the positive energy is still full of the limbs of the patients who do not need to be used; children with Tourette's syndrome and hyperactivity disorder of phlegm and fire in the congestion of the child, the spleen of the children; often used to treat mania and irritability of patients. It is also often used to treat manic and irritable patients with persistent insomnia.