patient Mr. Cheng, 51 years old. I have had many years of history of chronic pancreatitis, and the disease symptoms may recur frequently after repeated treatment. At that time, I saw that the patient's tongue was dull, the tongue was thin, white and slightly greasy, and the pulse was deep and tight. After consultation, it was found that the patient had severe abdominal pain, unchanged, tired, and dry and stumps once every three or four days. Based on these symptoms, the patient is consistent with the severe abdominal pain according to Zhang Zhongjing . Guizhi Jia Dahuang Decoction is mainly used to treat "big solid pain". It is then fixed according to the pain, and the stool is dry and tumour once every three or four days, and is distinguished as spleen and collateral stasis blocking syndrome. So the following prescriptions were prescribed: Yanhusuo , Chuanyizi , Red Ginseng , Magnolia officinalis, Citrus aurantium , cinnamon twig, white peony, rhubarb , roasted licorice , ginger, jujube, etc. The prescription is made of cinnamon twig, white peony, rhubarb, etc. to warm the yang and nourish the spleen, remove blood stasis and unblock the meridians, add the prolonging of the Hu rope to promote blood circulation and unblock the meridians and relieve pain, and the citrus aurantium, Magnolia officinalis, and Citrus aurantium to promote qi and relieve pain, and red ginseng to nourish qi and replenish deficiency and relieve pain. Seven doses of medicine, decoct in water, take one dose each morning, noon and evening, one dose a day.
After taking the medicine, the patient said that the abdominal pain had improved and the stool was smooth. So the prescription was adjusted several times based on the original prescription. The patient took more than 30 doses of medicine before and after, and all the symptoms were eliminated. The patient was very happy.
[Consisting of Guizhijiadahuang Decoction Prescription]
cinnamon twig peeled, three liang (9 grams), six liang (18 grams), licorice roasted, two liang (6 grams), two liang (6 grams), cut ginger, three liang (9 grams), break jujube, twelve pieces [How to take]
top six flavors, boil with seven liters of water, remove the residue, take one liter warmly, and take three liters a day.
[Treatment for treatment]
Pathogen: Sun disease is accidentally removed, evil falls into Taiyin, and both internal reality. Treatment principles: relieve the muscles and eliminate evil, relieve the body and harmonize the internal organs.
Prescription: This prescription is composed of Guizhi Jia Shaoyao Decoction and rhubarb. Use Guizhi Jiashaoyao Decoction to treat spleen deficiency, qi stagnation, meridian stagnation, and blood stasis in Taiyin. Add rhubarb to relieve the stagnation of Yangming's stomach and internal organs.
[Key points of diagnosis]
This prescription can be considered as both solar disease and internal reality. Rhubarb and peony can damage stomach qi . Do not take it lightly for patients with spleen and stomach deficiency. For patients with relatively weak middle qi, even if they need to use rhubarb and peony, they need to reduce the amount appropriately to avoid injury to middle burner .
[Zhongjing Prescriptions]
"Treatise on Febrile Diseases " Article 279: This is a sun disease, and the doctor will treat it as a result of pain when the abdomen is full and painful, which is Taiyin, Guizhi Jiashaoyao Decoction is the main treatment; for severe pain, Guizhi Jiadahuang Decoction is the main treatment.
[Note to the Forum]
1. Xu Hong's "Golden Mirror Inner Platform": If the evil is not stopped, if it is taken off, then the evil spirit will be weak and the evil energy will be reversed into the inside. If the pulse is weak and the abdomen is full and painful, it is spleen deficiency and should not be lowered again. Please use Guizhi Jia Shaoyao Decoction to stop the pain; if the pulse is deep and solid, it is strong and painful, and press it with your hands to stop, it is spleen solid. Please use Guizhi Tang to harmonize the exterior, and add peony and rhubarb to attack the inside. Moreover, Red Peony is cool in nature and can relieve blood heat, and rhubarb can remove the essence and relieve the spleen.
Question: Use white peony in Guizhi Jiashaoyao Decoction, and use red peony in Jiadahuang Decoction. Both symptoms are the same, so why are there any differences? The answer is: White peony can nourish the spleen and relieve pain, and red peony can relieve pain. Add Shaoyao Decoction to the previous symptoms to treat deficiency evil; add Dahuang Decoction to the later symptoms to treat the excess evil, and because of the difference between deficiency and excess, there are differences in tonic and purgation.
2. Prince follows "Selected Notes on Ancient Prescriptions in Jiangxueyuan": Dahuang people were in Guizhi Decoction, hoping that it would break the spleen and not damage the yin. Rhubarb is not a medicine to treat Taiyin. If the spleen is strong and abdominal pain is caused by dryness and arrows in the intestines. Obviously, Taiyin turns into Yangming and Yang Tao is solid. Therefore, ginger and cinnamon people have Taiyin, which raises Yang division, kills Taiyin and causes stagnation. Then, when Rhubarb enters the spleen, it will have the function of regulating the stomach and inheriting qi. When the dry arrows are gone, and the inner path of Yangming is opened, the Taiyin meridian qi will flow out and the abdominal pain will be reduced. This is a double solution.
3. Chen Xiuyuan " Changsha Fangge Kuang ": Those who add rhubarb to cinnamon twigs should use rhubarb and ginger to increase evil; peony is introduced into Taiyin to encourage it to sink evil; rhubarb is added to the main body, open the tunnel, and remove the solid and full; dates and grass help transfer, so that their evil will be relieved from the outside and will be different from each other.
(famous doctor test case]
1. Cao Yingfu medical case
Qingsun, the onset of the disease is due to violent wind and cold, the bowel movement is not good, and the top of the head is painful. This is the same disease of the Taiyang Yangming. I took my own life-saving pill, and the stool was slightly cured. Now exterior syndrome has not been exhausted, the internal syndrome has not been exhausted, the pulse is floating and slow, and the body is often sweating. It is suitable for Guizhi Jiadahuang Decoction, Sichuan Guizhi 9 grams, raw white peony, raw licorice 23 grams, raw Sichuan Jun 9 grams, 3 slices of ginger, and 3 red dates.
2. Liu Duzhou Medical case
Li Moumou, male 36 years old, abdominal pain and diarrhea, militars and diarrhea, , three or four times a day, but it does not heal after years of treatment, and the treatment is ineffective. Cut the pulse of stringy and press it with yellow and red tongue coating. I said: This disease has a bad spleen and stomach qi, and there is a stagnant evil in the middle. If the accumulation of evil is not removed, diarrhea cannot be stopped. The method should be generalized and general. If the filth in the intestines is eliminated, the disease can be cured. For example, diarrhea: 6 grams of cinnamon twig, 18 grams of white peony, 9 grams of ginger, 6 grams of roasted licorice, 7 jujubes, and 6 grams of rhubarb. I ordered to decoction once, and the stool was diarrhea, which was sticky and smelly. From then on, diarrhea will appear lighter and slower, so it is cured.
