Introduction:
As of the end of 2017, there were 241 million elderly people aged 60 and above in my country, accounting for 17.3% of the total population. China has entered an aging society. Faced with the ensuing elderly population and health problems, the prevention and treatment role of our traditional Chinese medicine cannot be ignored!
Treatment of common diseases in the elderly
Chronic bronchitis
There are many chronic bronchitis in the elderly. It is not advisable to only care about weakness during treatment and to apply supplements too much. Especially in acute attacks, if it is too divergent, not relieved in advance, or only replenish the deficiency but not remove the evil, it may cause the external evil to stay for a long time and the condition will worsen.
Baoyuan Decoction Heshengmai San plus ephedra, aconite and wolfberry are effective for chronic bronchitis in the elderly. This prescription takes into account both the symptoms and the lungs and kidneys, and you can also add lemon and jujube. This prescription can be used for emphysema, kidney deficiency and heart qi deficiency and asthma.
Mr. Yue Lao once treated an elderly woman with long-term cough and asthma, which was chronic asthma bronchitis. She attacked after a cold or fatigue. She often could not lie flat at night, and coughed and asthma when she lie flat. She used Yannian Banxia Decoction, which improved slightly. She also used Yupingfeng Sanhe Liujunzi Decoction plus psoralea and Ziheche, but it was not controlled. She used this prescription to control it. Stop the medicine and do it again, and the medication will improve and it will be proven repeatedly. Later, this prescription is prepared into pills and regulating slowly.
The elderly have chronic cough after the external evil is removed and the cough is basically calmed down. You can take Guben Pills to strengthen the body and cultivate the baby.
About the application of ephedra. If the kidney does not absorb qi, people with kidney deficiency cough and asthma should use it with caution. The above prescriptions also use ephedra, but they have Schisandra and aconite, which play a mutual restraint role, so they can be used. Shegan Mahuang Decoction also has ephedra, asarum, Pinellia ternata, Schisandra chinensis, and Coltsia. Schisandra chinensis can contain kidney qi . Xiaoqinglong Decoction also contains both ephedra and Schisandra chinensis.
Pistanum is warm in nature and spicy in taste, and has obvious effect on its use. Decocted with Pinellia meridians in water will be non-toxic and is a common medicine for warming and replacing cold phlegm. Among the "Eighteen Antis" of Materia Medica, there is "Pinxia Bladesh and Mizochima", so some people believe that Pinellia xia, Wu and Mizochima cannot be used together. In fact, in Zhang Zhongjing " Treatise on Febrile Diseases ", there is a summary of the experience of adding aconite to those with cold symptoms of Xiaoqinglong Decoction, which can still be used in combination.
Use Pinellia ternata for thin phlegm, and use bamboo ruta, Tianzhu Huang, bamboo juice, and sea pumice stone for thick phlegm. The slightest sensation is used to relieve the "sticky phlegm in the lungs" and also treat sputum. Saponica is also very good at treating gum and phlegm, and can be prepared into soapponica pills. The squid is also often used together with jujubes. Gum phlegm refers to the thick phlegm and thick phlegm.
bronary asthma
Traditional medicine treats cough and asthma, generally new cough treats lungs, phlegm cough treats spleen, and deficiency and asthma treats kidneys. For bronchial asthma, phlegm and qi are blocked, and the upper part is blocked in the lungs. For those with excessive phlegm, the lungs and spleen can be treated together. Suzi Jiangqi Decoction can be used. For those with deficiency, add ginseng. For those with shortness of energy, you can add 1 to 3 minutes of agarwood to take. If the kidney does not absorb qi, you can add Schisandra chinensis and Cordyceps sinensis. This method has been used to control some elderly asthma, or prolong the interval between attacks.
When wind and cold attack the lungs, wind and cold should be cured first. New panting and breathing are rapid and chest tightness, and you can use Dingpanto Decoction.
phlegm and asthma are also used to use Lu'an Decoction or Liujunzi Decoction with Suzi, almonds and Magnolia officinalis.
For those with kidney failure and kidney deficiency and deficiency of essence and energy, they can add Eagle Stone, Psorale, and Schisandra chinensis. You can usually take Jinkui Shenqi Pills. Maxing Ganshi Decoction combined with Banxia Houpu Decoction is effective in treating asthma.
patients with cough and asthma are easy to treat yang deficiency, but difficult to treat yin deficiency. During the remission period of patients with Yin deficiency, Jiling ointment can be used in "Wenre Jingwei" to correct the root cause. If you raise your shoulders and pant, and you will breathe and sweat before and after the rooster crows, it is a dangerous situation. You can swallow 60 tablets of recycled black tin pills, or take it with gecko tail as powder.
Corruption heart disease
According to traditional theory, "the chest is the home of clear yang", "the heart body is yin and uses yang", so the treatment of "chest pain" should be made with yang medicine and medicine to clear yin evil, and should not be mixed with "yin and soft and nourishing" products. Because the pathogenesis of coronary heart disease may be related to "weak chest yang, turbid yin and stems invade clear yang". The heart is in the Yang position and belongs to the Shaoyin meridian, which controls blood. Blood belongs to Yin, so "the heart is yin and uses Yang" and cannot be invaded by "turbid evil."
This disease is particularly common in the elderly. Because those with higher years have metabolic disorders, chest yang is not fluctuating, body fluids cannot evaporate, and blood circulation is slow and stagnant, which is easy to become "phlegm erosion" and "blood stasis".Therefore, it should promote numbness and promote qi, promote blood circulation and remove blood stasis. You can use Trichosanthes kirilowii Baijiu Decoction, Trichosanthes kirilowii Bai Banxia Decoction, and Citrus aurantium sashimi Decoction. Coix seeds and aconite powder are also available. To promote blood circulation and remove blood stasis, you can use "Biantongxuefu Zhuyu Decoction" (Xuefu Zhuyu Decoction removes Rehmannia, Bupleurum, White Peony, and Cinnamon and Saccharomycea). Suhexiang Pills can be used when opening and closing the cold.
These prescriptions have certain effects on treating angina pectoris with coronary heart disease. The elderly have heart pain, palpitations, , chest tightness, ginseng, Panax notoginseng, and amber powder are beneficial to the heart and qi, and can be used to unblock the meridians. You can take it three times a day, two minutes each time. Those who are more serious in removing blood stasis are used for Panax notoginseng, and those who are more serious in replenishing deficiency are mixed with Sesame oil, stir-fry half dry and like tiger skin color.
If there is insufficient Qi and Yin, use American ginseng. If there is asthma, add gecko tail and grind it into powder and take it. For those with myocardial infarction, Shengmai San or Shengmai San Jiabaoyuan Decoction can replenish Qi and Shengji, and for Yiyin Fumai, Zhigancao Decoction. Mr. Yue believes that 50 black tin pills can also be taken for taking ease of blood stasis and stop asthma.
Hypertensive
The diastolic pressure in elderly patients with hypertensive is often difficult to reduce and is difficult to control. Most of these patients have qi deficiency, which may be different from kidney qi deficiency and middle qi deficiency. Using Kuhan Xiegan or Erxian Decoction does not work. Using a large amount of Astragalus can sometimes have a certain effect.
Usage: Generally, use more than one or two liang of Astragalus, and use one qian of tangerine peel. The Buyang Huanwu Decoction in Wang Qingren's "Medical and Lin Jingwu" also has certain effects, but it is not suitable for those with "hot heat". Zhang Xichun's "Zhongzhong Shen Xilu" Zhengan Xifeng Decoction is also applicable to elderly patients with hyperactivity of liver yang. Some patients have fluctuations in blood pressure, which is high and low. Li Dongyuan, Banxia Baizhu Tianma Decoction is taken in a small amount of coarse powder, which can help adjust.
Kidney and ureteral stones
This disease is the "stone" in the "five rays", which are mostly caused by damp heat in the lower abdomen. There are some causes of insufficient kidney yang or insufficient kidney yin, and some are also caused by qi stagnation, blood stasis, and blood stasis. If the difference is used, select prescriptions and medicines. Those who are damp and heat are bet can use Zhuling Decoction and Shiwei San; those who are , who are kidney yin deficiency and , Liuwei Dihuang Decoction combined with Erzhi Wan; those who are kidney yang deficiency can use Jisheng Shenqi Wan or Liuwei Dihuang plus fennel and Morinica meat; those who are partially dysfunction use Bazheng San or Huoxing Drink; those who are stagnant and blood stasis use Muxiang Liuqi Drink or Xuefu Zhuyu Decoction.
This disease is also quite common in the elderly. Mr. Yue once used 7 liang of monsoon grass, 1 liang of sea and sand, 4 qian of talc, 1 qian of licorice, 6 qian of Sichuan Eucommia ulmoides, 4 qian of Sichuan Achyranthes stomata, 3 qian of stone washing reeds, 4 qian of carbama, 3 qian of Viagra, 1 qian of Guangmuxiang, 4 qian of monsoon, 4 qian of monsoon, 4 qian of monsoon, 4 qian of monsoon, 5 qian of Dashengdi, 5 qian of advance, retreat, plus and subtraction to treat a elderly patient with kidney stones. He used more than 30 jin of monsoon grass to clear heat and dampness, and used kidney-strengthening medicine to excrete stones, and basically restored the function of the left kidney from loss.
uses Zhuling Decoction, Shiwei San and Bazheng San as the main prescriptions to treat urinary tract stones in the elderly, and they are also effective, and there are cases of stone excretion.
Chronic nephritis
Chronic nephritis in the elderly generally does not require severe or sweating methods. It is often used to strengthen the spleen, warm the kidney and replenish qi. Liujunzi Decoction is better for treating "qi deficiency, phlegm and fluid, vomiting, fullness, spleen and stomach disorder, and swelling". Therefore, it is useful for those with fatigue, blood deficiency, soft abdomen, weak pulse, and easy to get cold hands and feet. It can also be diagnosed with adding wood fragrance to unblock the triple burner, and amomum villori to unblock the middle qi. If the spleen is weak and the body is severe and swelling, you can also use spleen drinking to achieve the purpose of qi flowing through water and solid spleen to control water. Jisheng Shenqi Decoction is also available. This prescription is rarely used for young children and young people, and is mostly used for middle-aged and especially elderly patients. Wuling San and Wupi Drink are both more stable in the prescription for treating edema. For the elderly, Huangqi Decoction (Fangji Fuling Decoction and Fangji Huangqi Decoction) are used first, and then the diurnal medicine (used regularly by Jisheng Shenqi Pills), which has a certain effect on reducing swelling and improving kidney function. Patients with azotemia also have certain effects on using Rhubarb Fuzi Xixin Decoction or Wenpi Decoction.
diabetes
elderly diabetes symptoms are often very prominent in lung dryness, stomach heat, and kidney yin deficiency. Long-term illness can also damage yin and yang. It is common for kidney yang deficiency and yin and yang deficiency. In response to this pathogenesis, Yue Lao often treated Liuwei Dihuang Decoction with gypsum and aconite. He used 80 cents per dose of aconite and 3 cents of gypsum. When it was not tested, the amount of aconite was appropriately added in proportion to promote the gypsum to quench thirst.
There are many sores and boils in the skin at the end of diabetes, which cannot be cured for a long time. Mr. Yue’s experience of deer antler is effective. Take one minute each time, twice a day, and it will take effect. Mr. Yue has used this prescription for himself, and it does have the functions of closing the mouth quickly and relieving itching. Adding geckos can lower blood sugar.
prostatitis
This disease generally passes chronically and belongs to the category of "leukemia" in traditional Chinese medicine. If you are tired, you will be severe. In acute attacks, you may have pyuria and hematuria, frequent urination, urgent urination and pain. Zhuling Decoction can be added with raw rhubarb, and red blood cells can be added with Yuanshen and Hanergy grass. After the disease, Jinkui Shenqi Pill or Jisheng Shenqi Pill can be used. If it is yin deficiency, Liuwei Dihuang Pill can be used.
chronic diseases with deficiency and rapid kidney pulse and white tongue root can also be taken as a decoction for Jisheng Shenqi Pills. Bazheng Powder is not easy to use. Because there are many yin deficiency syndromes, it is afraid that bitter, cold and dryness will be used. Xiaoji Yinzi is not ideal. Mr. Yue once treated an elderly patient with hypertrophy of the prostate and prostatitis (72 years old). The urine flow is bifurcated or thin, which is not easy to be excreted. After more than a month using Jisheng Shenqi Decoction, urination is basically normal.
Chronic diarrhea
Chronic diarrhea in the elderly can be effective by strengthening the spleen. It is better for those with unsmoothed grains, loose stools, frequent times, poor mentality, sallow complexion, pale tongue, and slow pulse. Such as Shenling Baizhu San, Buzhong Yiqi Decoction, etc.
But there are also some methods that cannot be used to strengthen the spleen. Mr. Yue said that Pu Fu, Mr. Zhou, had discussed with him before, and believed that Yougui Wan should also be used to increase kidney fire and evaporate spleen yang, or treat both spleen and kidney. The elderly have too weak kidney yang. Before dawn, intestinal rumbling will cause excretion, which is called 5th-century or rooster rumbling or kidney rumbling. The ancient prescriptions are used for Zisheng Pills, but it is not enough. Yougui Pills should be added.
There is another type of pain and discharge that belongs to "liver qi transports the spleen", and you must use the "suppressing liver and supporting spleen" method. Mr. Yue once treated a senior woman with diarrhea for several months and had abdominal pain before diarrhea. He used the method of treating the spleen and kidneys to improve slightly but could not cure it. The liver pulse was stringy and the spleen pulse was weak. Therefore, Liu Caochuang's "Best Prescription for Pain and Dirty" was added to Liu Caocun to improve liver qi, which promoted spleen qi, and improved day by day. Later, Yigong San was used to cure the aftermath. If you have this syndrome, use this prescription and medicine, the effect is indeed very good.
constipation
constipation is quite common in the elderly, and is mostly caused by insufficient qi and blood. If qi deficiency occurs, the large intestine is weak to transmit, and if blood deficiency occurs, the small amount of fluid cannot nourish the large intestine. There are also people with high body and weak kidney yang, which makes it cold and cold secret.
qi deficiency patients with pale tongue, thin tongue, weak tongue, weak pulse, sometimes the stool is not dry and dull, but it is difficult to discharge, and even sweat and shortness of breath during defecation. Buzhong Yiqi Decoction plus Cistanche is the main indication. For those with blood deficiency and poor blood deficiency, you can use the Runchan Pills of "Shen's Zunsheng Book". The prescription angelica is a good medicine for treating constipation in the elderly and nourishing blood and moistening the intestines. For Yangshou Wentong, you can use "Jufang" barsulfur pills or add Angelica sinensis, Cistanche, and walnut meat.
Chronic hepatitis
Chronic hepatitis in the elderly often shows symptoms of "blood stasis", dark complexion, skin erectile dysfunction, large liver, painful liver area, dark red tongue, or ecchymosis, and frequent stringy and astringent pulse. These are often manifestations of qi stagnation for a long time, disease has entered the meridian for a long time, and stagnation of the Ying Qi and meridians.
Mr. Yue believes that "liver disease is like evil", and it is not advisable to cut off the liver. It is advisable to regulate the liver and add supplementary supplements to regulate the middle. If you only nourish the liver or spleen, you will not do it. Symptoms of spleen and stomach may also be very prominent, because the liver is strong and weak, and the root cause is still in the liver. The liver is a blood-prone organ, so it is better to regulate and nourish. Chai Shao Liujun Decoction combined with Danggui Buxue Decoction can be used to add corrugated and kalpaed beans to promote blood circulation and remove blood stasis. There are still many effective cases in this regard.
It is generally believed that the pathogenesis of hepatitis is caused by "dampness and heat accumulation", and it is used to clear heat and relieve dampness. Those who have symptoms of dampness and heat in the early stage are the correct treatment method. But if you stick to one law and one side. If the treatment is not performed in a differentiation manner, clearing heat for a long time will damage the yang, and removing dampness for a long time will damage the yin. If both yin and yang are damaged, it will inevitably lead to both yin and yang diseases and turn into other diseases. Mr. Yue once treated a case of hepatitis who had been cured for a long time without hepatitis. He was quickly cured by replenishing blood and replenishing qi. Some people also use the Qinghua method to fail, and use Li Dongyuan Shengyu Decoction to significantly improve liver function.
Thumb paralysis syndrome
Higher cerebral arteriosclerosis is not uncommon for elderly people to cause tremor paralysis syndrome. Traditional Chinese medicine treatment can relieve symptoms. Mr. Yue believes that the pathogenesis of this disease is similar to that of stroke precursor, which is a manifestation of qi deficiency and blood stasis and internal movement of liver wind, and can be treated with the method of invigorating qi and promoting blood circulation and unblocking meridians.
Yue Lao once treated two elderly patients with this disease, and achieved significant results. One case had tremors with the right upper and lower limbs, and the left side was also affected. He was "mask", with his head leaning forward, his torso bent, and his walking was in a "panicked gait". He squatted in one step, his pulse was floating and large. After treatment with Buyang Huanwu Decoction (4 liang of Astragalus, 1 qian of Angelica sinensis, 1 qian of Chuanxiong qian of peach kernel, 1 qian of safflower, 1 qian of red peony, 3 qian of diarrhea), he improved after one week, and after two weeks, he squatted down and his walking "panicked gait" was significantly reduced.
Another case of walking and turning to fall, taking a broken step, the right pulse is large, which is responsible for qi deficiency. After using Buzhong Yiqi Decoction and Longgu Ganpine, the step becomes slightly larger, and then consolidated with Jianbu Huqian Wan.
flat
elderly people with hemiplegia or poor foot strength, Sanbi Decoction is effective. This prescription is better than Duhuo Jiesheng Decoction and Jisheng Shenqi Decoction. Mr. Yue once treated a 60-year-old patient who was unable to walk and could not get out of bed. He could walk for several miles after taking twenty doses. Buyang Huanwu Decoction and Huangqi Decoction are suitable for people with Qi deficiency, especially for chronic diseases. Astragalus can prolong cell lifespan, which is worth studying. When using tangerine peel for the elderly, the ratio is one or two liang to one qian.
Insomnia
The elderly show insufficient heart and spleen, easy to wake up from dreams, and many people are unable to sleep after eating. This is true for many years. Guipi Decoction should be used to nourish the heart and spleen and slow regulation. If you have an upset, dizziness, tinnitus, forgetfulness, palpitations, soreness in the waist, and excessive yin deficiency, you can send Buxin Decoction to Tai Wan or Zhusha Anshen Pills. If the stomach is in harmony and descending, phlegm and fire are disturbed internally, the feces are greasy and slippery and rapid pulse, Huanglian Wendan Decoction can be effective. (This article is reproduced from the Health Circle)
