In the process of clinical application, we will add or subtract Qingyi Tongfu Decoction based on the patient's symptoms to achieve precise therapeutic effects based on syndrome differentiation and individualized treatment.
For those with obvious heat signs, add Scutellaria barbata and honeysuckle; for those with both dampness and heat, add Yinchen and Gardenia; for those with severe dampness, add Poria, and Atractylodes; for those with dry mouth and bitter mouth, add Reed root; if there is difficulty in defecation, use rhubarb and add Glauber's salt. If it is accompanied by high blood lipids, add hawthorn. If it is accompanied by gallstones, add Desmodium and Gallus gallus gallis. If pancreatic edema is obvious, add Use Smilax and Hedyotis diffusa.
Modern medical research on Qingyi Tongfu Decoction
Modern medical research shows that Qingyi Tongfu Decoction can reduce abdominal distension and pain, promote the discharge of stool, relieve intestinal paralysis, protect the intestinal mucosal barrier, reduce systemic inflammatory response, and reduce the risk of infection. Thereby shortening the course of pancreatitis and reducing mortality.
Time of use of Qingyi Tongfu Decoction
Based on clinical experience and efficacy observation, we found that the earlier Qingyi Tongfu Decoction is used in the treatment of pancreatitis, the better the effect.
After patients are diagnosed with pancreatitis, they can use Qingyi Tongfu Decoction immediately.
When the patient's symptoms disappear and the blood and urine amylase returns to normal, the drug can be discontinued after continued use for 7 days.
Precautions for using Qingyi Tongfu Decoction
After using Qingyi Tongfu Decoction, the frequency of bowel movements will increase. Doctors need to observe the patient's bowel movements every day. If the frequency of bowel movements increases significantly, the dosage of Qingyi Tongfu Decoction can be reduced. Half.
People with pancreatitis combined with gastrointestinal bleeding are prohibited from using Qingyi Tongfu Decoction.
Recipe Features of Qingyi Tongfu Decoction
Pancreatitis belongs to the category of "abdominal pain" in traditional Chinese medicine. This disease is mostly related to factors such as improper diet, excessive work and rest, poor mood and other factors. The heat caused by the six exogenous substances from the outside enters the inside, and the dampness and heat accumulate inside. Nodulation of the central burner leads to the loss of spleen and stomach transportation and liver and gallbladder disorders, leading to disease.
Therefore, clinical diagnosis and treatment are mostly based on the main principles of promoting qi and reducing swelling, clearing away heat and detoxifying, and purging and attacking accumulation.
The idea of formulating the Qingyi Tongfu Decoction comes from the Dabupleurum Decoction and Shaoyao Licorice Decoction in the "Treatise on Febrile and Miscellaneous Diseases" by the medical sage Zhang Zhongjing. Bupleurum and Zhishi in the prescription are monarch drugs, which can promote qi and reduce swelling. Scutellaria baicalensis, white peony root, rhubarb, and dandelion are ministerial drugs, which have the effects of clearing away heat and promoting diuresis, purging the bowels, cooling blood and detoxifying. Forsythia suspensa detoxifies, and the compatibility of these medicines can promote the circulation of qi, reduce swelling, clear away heat and detoxify, and relieve diarrhea. It has the effect of clearing the fu organs.
Warm reminder: Traditional Chinese medicine treatment pays attention to syndrome differentiation and treatment. Different constitutions and symptoms are different, and the prescribed medications are also different. Please use Qingyi Tongfu Decoction under the guidance of a professional doctor.
(Editor Rainbow. Picture source network, infringement and deletion)
Hunan Medical Chat special author: Yiyang Central Hospital Chen Yan
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