Use Bupleurum well, don't call a doctor! The Secret of Xiaochaihu Decoction, the Top Ten Prescriptions of Traditional Chinese Medicine

Zhang Zhongjing was honored as a "medical sage" by later generations because of Treatise on Febrile Diseases. Among them, the prescription is called "classic prescription" by later generations. I believe that people who like Chinese medicine know the characteristics of the classic prescription: less medicine, heavy weight, the right medicine and good effect.

There are many famous prescriptions, such as Mahuang Decoction, Guizhi Decoction, Xiaochaihu Decoction and Dachengqi Decoction, which are widely used in TCM clinic. One of the prescriptions which is praised as "the most in line with China's humanistic tradition" is "Xiaochaihu Decoction".

The prescription consists of seven important functional components: Bupleurum chinense, Pinellia ternata, ginseng, licorice, scutellaria baicalensis, ginger and jujube. Bupleurum root in the prescription is bitter, pungent and slightly cold, and has the effects of dispersing bitterness, soothing the liver and relieving depression; Scutellaria baicalensis Georgi is bitter in taste, cold in nature and good at clearing yang and purging fire. The combination of the two, one dispersing and one clearing, has the effect of clearing away heat and evil spirits and regulating the qi of shaoyang; Pinellia ternata and ginger are pungent and warm in nature, which can harmonize the stomach, reduce adverse reactions, stop vomiting, reduce swelling and dissipate stagnation; Ginseng, Glycyrrhiza uralensis Fisch and Zizyphus jujuba can tonify qi, harmonize middle energizer, strengthen body resistance and eliminate pathogenic factors. The seven herbs are closely compatible and complement each other. The combination of cold and heat, hard work and reinforcing and purging can not only clear the evil of shaoyang, but also regulate qi activity.

Professor Liu Duzhou, a famous late Chinese medicine doctor, once said: "Xiaochaihu decoction is good at opening the stagnation of liver and gallbladder, so it can promote qi movement, make the six fu-organs unobstructed, the five internal organs peaceful, balance yin and yang, and harmonize qi and blood." It takes effect quickly and has a good therapeutic effect. Although there are no ephedra and cassia twig in the prescription, you can still sweat. Without mirabilite and rhubarb, it can relieve constipation, without poria cocos and atractylodes macrocephala, it can also benefit water, without Changshan and Amomum tsao-ko, and it can also cure malaria. Therefore, Liu Jiaoshou called it "not tracing its shape, treating its cause, relieving depression and promoting qi circulation, and its disease can be treated."

Modern pharmacological research shows that Xiaochaihu decoction has the functions of antipyretic, anti-inflammatory, bacteriostatic, liver-protecting, gallbladder-benefiting, immune enhancement, sedation, analgesia, antitussive, antiallergic, gastrointestinal function regulation, and alleviating the adverse reactions of chemotherapy drugs. This recipe is commonly used in clinic to treat exogenous diseases and various internal injuries.

The clinical application of Xiaochaihu decoction is expanding day by day, but how to apply Xiaochaihu decoction correctly is not an easy task. According to statistics, there are 143 cases of Xiaochaihu decoction in 27 journals of traditional Chinese medicine, including 49 diseases of traditional Chinese and western medicine, including internal medicine, gynecology, pediatrics, facial features and tumors, with more than 80 clinical symptoms. Such as loss of appetite, bitter taste, vomiting, fever, aversion to cold, dizziness, chest pain, upset headache, dry throat, thready pulse, white and yellow fur, etc.

In addition, 265 cases of medical records were analyzed and studied, and it was found that the most common symptoms treated with Xiaochaihu decoction were various exogenous fever; Followed by digestive tract symptoms, such as loss of appetite, nausea, vomiting and so on. Again, hypochondriasis. As far as tongue pulse is concerned, the most common ones are thin white coating, thin yellow coating, string pulse and string pulse.

As can be seen from the above, the symptoms treated by Xiaochaihu decoction are mainly fever, digestive tract and emotional symptoms. The main manifestation of fever is cold-heat exchange. At this time, due to the dispute between good and evil, healthy qi is gradually weak, which is not enough to resist evil, especially exogenous diseases; The symptoms of digestive tract and emotion reflect qi stagnation, disharmony between spleen and stomach, and poor triple energizer, which are reflected in two aspects: exogenous and internal injuries. Mastering the basic pathogenesis and main clinical manifestations of Xiaochaihu decoction is of great guiding significance for the correct clinical application of Xiaochaihu decoction.

Article 10 1 in Treatise on Febrile Diseases once said: "Typhoid apoplexy has the syndrome of Bupleurum, but you don't need to know it when you see one of its syndromes." However, doctors in past dynasties have different opinions on this, and think that Xiaochaihu decoction should not be misused accordingly. In Japan, there have also been incidents in which Xiaochaihu decoction was misused to death. Therefore, any good prescription should organically combine syndrome differentiation with disease differentiation before it can be used.

Pay special attention to the following points when taking Xiaochaihu decoction:

(1) Avoid being cold and spicy.

(2) Excess in the upper body and deficiency in the lower body should not be used by those who get angry.

(3) It is not suitable for hypertensive patients who vomit blood due to yin deficiency or hyperactivity of liver yang.

Tips:

In short, today I will give you a summary of Chinese medicine knowledge and compare it with myself. If you doubt that your syndrome belongs to this category, don't apply it in a hurry. You must use it under the dialectical guidance of a professional Chinese medicine doctor to ensure that it is correct. Don't take it without authorization, so as not to delay the illness. After all, Chinese medicine pays attention to syndrome differentiation and treatment, and only one person can fundamentally solve his own problems.