How to write prescription questions

"Jun, Chen and Fu" are the principles of TCM prescriptions. This prescription principle was first seen in Neijing. Su Wenzhi's Great Theory on Town said: "The main medicine refers to the monarch, the auxiliary monarch refers to Chen, and the minister should refer to history."

In the Yuan Dynasty, Gao Li once again put forward in Spleen and Stomach Theory: "The monarch medicine is the heaviest, followed by the minister medicine, followed by the minister medicine. You can't make the minister too arrogant, the monarch and the minister are orderly, and you can fight evil and get rid of diseases. "

In the Qing dynasty, Wu further explained: "the main patient is the medicine for the treatment of the disease, so it is called the king." A gentleman has a few flavors and is heavy, mainly depending on this. Zuo Jun thinks that he is a minister, which is a little more flavorful and a little lighter, so Kuang Jun is neither arrogant nor impetuous.

In response to the minister's statement, we can do it, and the quantity can go in and out, but the weight is relatively light, and we are going to do it through the guide. This is the meaning of monarch, minister and assistant. "The monarch, minister, assistant and envoy in the prescription of traditional Chinese medicine is a form of compatibility of traditional Chinese medicine, which is determined according to the function of a single traditional Chinese medicine in the prescription. Jun is the meaning of the Lord, and Jun is often the traditional Chinese medicine that plays a leading role in treatment.

For example, Sijunzi Decoction is used to treat anorexia, loose stool, long urine, abdominal distension, pale or sallow complexion, weakness of language, weakness of limbs, thready or heavy pulse and other symptoms caused by spleen and stomach qi deficiency. Its formula is composed of ginseng, Atractylodes macrocephala, Poria and licorice. Ginseng has a good effect of invigorating qi, strengthening spleen and strengthening yang, but it has poor appetite and loose stools. Ginseng plays the role of monarch in Sijunzi Decoction.

Atractylodes macrocephala is also a good medicine for strengthening the spleen, which has a good effect of warming and tonifying the spleen, but its effect is not as good as that of ginseng, and its nourishing power is weak. Auxiliary medicine refers to poria cocos, which has diuretic effect and can strengthen the spleen and soothe the nerves. Chinese medicine believes that the spleen likes dryness and is afraid of dampness, and poria cocos can induce diuresis. Therefore, it is more effective to add poria cocos to strengthen the spleen.

Glycyrrhiza uralensis Fisch is the leading medicine in Sijunzi Decoction, which can cooperate with the therapeutic effects of ginseng as the monarch medicine, Atractylodes macrocephala as the minister medicine and Poria as the adjuvant medicine, and at the same time guide all the medicines to the zang-fu organs and meridians that need treatment, so that the therapeutic effect is more targeted. Some prescriptions, such as Liuyi Powder and Baihu Decoction, are not necessarily compatible according to the principle of assistant between monarch and minister, but their general principle is also the relationship between main medicine and assistant medicine. How to match specific prescriptions depends on the syndrome differentiation of diseases.