Author / 1 Guo Feng 2 He Benyang 1 Community Health Service Center, Zhengyang Street, Qianjiang District, Chongqing 2 Community Health Service Center, Zhoubai Street, Qianjiang District, Chongqing
Editor / Liu Gang ⊙ Proofreading / Zhang Qianqian
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Modified and subtracted Xingsu Powder for the treatment of Wind-cold cough 116 cases
The author used modified and subtracted Xingsu Powder to treat 116 cases of wind-cold cough from January 2009 to December 2010, and achieved satisfactory results, which are summarized as follows.
1 Materials and methods:
1.1 Clinical data: 116 patients from the author’s hospital were selected and met the inclusion criteria. (Based on "Practical Internal Medicine of Traditional Chinese Medicine"): Cough, heavy voice, itchy throat, thin and white phlegm, which may be accompanied by nasal congestion and runny nose, headache, sore limbs, aversion to cold, fever, no sweat and other superficial symptoms symptoms, pale red tongue, thin white or greasy coating, floating or tight pulse. Exclude internal injury cough , wind-heat cough . Among them, there were 48 males and 68 females; the youngest was 1 month, the oldest was 86 years old, and the average was 52 years old; the shortest duration of the disease was 1 day, and the longest was 2 months.
1.2 Treatment method: is treated with Xingsu Powder. Medicinal uses: Platycodon, Pinellia , Front Pediculus, Poria , tangerine peel, Perilla leaf (posterior lower), almond, Cnidium 15g each, licorice 46g, 4 jujubes, 3 slices of ginger. additions and subtractions: for a stuffy nose and runny nose, add 12g of magnolia flower; if the coating is thin and less, remove the method of pinellia; if the tongue coating is thick and greasy, remove the jujube, add 15g of rugosa. Take 1 dose per day, add 250mL of water, decoct 120mL, take warmly in 3 times. 5 days is one course of treatment, and there are 2 courses of treatment in total.
1.3 Efficacy standard: is formulated with reference to the "Standards for Diagnosis and Efficacy of Traditional Chinese Medicine Diseases and Syndrome" of the State Administration of Traditional Chinese Medicine. Cure: Cough and clinical signs disappear. Improvement: The cough is relieved and the amount of phlegm is reduced. Not cured: Symptoms have no obvious change.
2 Results:
The statistical results after 2 courses of treatment: 78 cases were cured, 34 cases improved, and 4 cases were not cured. The total effective rate of was 96.55%.
3 Typical case:
Li, female, 10 years old, prone to colds, first diagnosed on September 25, 2010. The patient accidentally caught a cold 10 days ago and developed frequent coughing, white phlegm, itchy throat, stuffy nose and runny nose, and poor appetite. He took oral anti-inflammatory and antitussive drugs, but the effect was not good. The
X film was diagnosed as bronchitis , and treatment such as infusion (unknown drug name) in another hospital showed no improvement. When seeing the doctor, he had cough, white phlegm, stuffy nose and runny nose, light red tongue, white and greasy coating, and floating and tight pulse. Examination: Pharyngeal congestion (+), coarse breath sounds in both lungs, and a small amount of medium to fine rales in both lungs. The syndrome is exogenous wind-cold and phlegm-dampness blocking the lungs. The treatment is to dispel wind and cold, clear the lungs and resolve phlegm. prescription: 10g each of almond, Platycodon, Pediculus, Poria, Pinellia ternata, tangerine peel, Perilla leaf (lower back), Cnidium monnieri, magnolia flowers, Agastache rugosa, 3g licorice, and 2 slices of ginger. Take decoction in water, 3 times a day, 1 dose a day. After 3 doses, the nasal congestion and runny nose disappeared, and the cough and phlegm were relieved. So I removed the magnolia flower from the front and took another 3 doses and all symptoms disappeared. Later, he was treated with Yupingfeng Powder , and there was no recurrence after six months of follow-up.
4 Experience:
Cough is one of the main symptoms of the respiratory system. Zhang Jingyue, a famous doctor in the Ming Dynasty, pointed out that "all six qi make people cough, wind and cold are the main symptoms", indicating that coughs are mostly caused by wind evil and cold. Wind-cold pathogens come from the skin, and the lungs and defenses are affected by them. If the lungs fail to clear and descend, they will cough; if the wind-cold is affected by the upper part of the lungs and the lung orifices are unfavorable, there will be nasal congestion, runny nose, and itchy throat; Treatment should be to dispel wind and cold, relieve cough and relieve cough.Xingsu Powder comes from the "Tiaodiao Differentiation of Febrile Diseases" written by Wu Jutong. It is a representative prescription for treating cold and dry symptoms. It is especially effective for coughs with wind-cold syndromes or coughs with phlegm and dampness. In clinical practice, the author uses this prescription to modify coughs with wind-cold syndromes or coughs with wind-cold and phlegm-dampness, and achieves good results. In the prescription, Platycodon grandiflorum is used to relieve lung qi, while almonds and phlegm are used to lower qi and resolve phlegm. One of them is released and the other is reduced to restore the function of lung qi. Pinellia tangerine peel and Poria cocos are used to promote qi, expel phlegm and relieve coughs. Perilla leaves and ginger are used to disperse wind and cold, which can treat the cause of cough. They can eliminate evil and normalize lung qi. Pharmacological studies have shown that Platycodon and Platycodon can promote tracheal secretion, dilute sputum, and have an expectorant effect. In addition, Platycodon also has an antitussive effect; almonds can inhibit the respiratory center and have an antitussive effect; Perilla leaves can promote sweat gland secretion, have diaphoretic effects, and have anti-allergic effects. The combined use of various medicines has the effect of dispersing wind and cold externally and resolving phlegm and dampness internally, and can treat both external and internal diseases. In clinical treatment, as long as the cough is caused by wind or cold affecting the lungs. For those who suffer from wind-cold and phlegm-dampness, this prescription will be effective.
I Copyright statement: ○ The content of this article is excerpted from " Chinese Traditional Chinese Medicine Emergencies " Issue 8, 2011, page 1318.
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