Summary of the experience of famous and old Chinese medicine practitioners 1 rheumatoid arthritis
1, Herba Siegesbeckiae, arthralgia due to rheumatism, I like Herba Siegesbeckiae best. It is not only good at expelling wind and removing dampness, but also can dredge meridians and promote blood circulation. Just in tune, and good at detoxification. It is known that this disease is related to streptococcus infection. When more than 60g is used, the medicine can obviously control rheumatic activities.
2, Chuanxiong, foreign evil mixed, leading to poor blood circulation, meridian block, Chuanxiong is good at promoting qi and blood circulation, blood circulation is smooth, wind, cold, wet, heat and other evil spirits stuck in joints and other places will dissipate, so I take milk as a companion, and I treat arthralgia with both qi and blood. This is also the meaning of blood circulation and self-destruction.
3. Fuzi and Fuzi Yuanyang are strong, which makes the whole body full of Yuanyang and can get rid of cold and dampness everywhere. It has a good curative effect on patients with cold and joint pain, especially for stubborn diseases. I will definitely use it.
4. Radix Angelicae Pubescentis and Notopterygii Rhizoma are the most common chronic diseases. These two herbs are pungent, warm, bitter and dry, and have obvious effects of expelling wind and removing dampness. The combination of the two can go straight up and down, across the limbs and knees, and come down in one continuous line, leaving evil nowhere to hide. For arthralgia, the upper limbs obviously reuse Notopterygium and the lower limbs obviously reuse Angelica pubescens. It is the most commonly used medicine for treating wind-cold-dampness arthralgia. It is often associated with Epimedium and Angelica sinensis, among which Angelica sinensis nourishes blood and promotes blood circulation, preventing warm dryness.
5, Astragalus membranaceus, long-term illness is mostly due to lack of positive energy, bad love, and it is more likely to hurt positive energy with Xin San Wen Bu products. For arthritis patients with obvious deficiency syndrome, it is easier to treat with Astragalus, which can make qi flow through the blood vessels, warm and promote, and even if the meridians have evil stagnation, they can also turn with the atmosphere, as well as Chuanxiong and others. In addition, Astragalus is good at invigorating spleen and eliminating dampness, treating arthralgia, tonifying lung and consolidating exterior, and resisting exogenous pathogens. The so-called healthy qi is hidden inside, and evil spirits cannot be dry. This is the advantage of Astragalus membranaceus.
6, white mustard seed, those with rheumatic nodules, white mustard seed is the first choice, white mustard seed can eliminate phlegm and knot, because of its sharp nature, go outside the epidermis, so it is used, mostly with white silkworm and Pinellia ternata.
The pain of rheumatoid arthritis used to be joint pain. I used Zaocys and Spatholobus suberectus to get results. If the pain is severe and cold, you can consider using Asarum and Radix Aconiti (anti-Pinellia), and you need to add licorice to reduce its toxicity; Dampness and obstruction of collaterals, or warming yang or invigorating spleen and eliminating dampness, and using papaya to protect oneself. Those who suffer from prolonged illness or limb contracture, such as scorpion, earthworm, silkworm, hive, etc. , is searching for insect drugs.
gout
1, atractylodes rhizome, Polygonum multiflorum Thunb. This disease is mostly caused by deficiency of both spleen and kidney, with damp-heat toxin as the standard. Long-term illness involves its viscera, endogenous phlegm and blood stasis (stones), and purine metabolism disorder, leading to excessive uric acid production or low excretion, resulting in hyperuricemia. Traditional Chinese medicine believes that the spleen is responsible for too much uric acid production, the spleen deficiency is neglected to transport and transform, the dampness is endogenous, and the kidney is responsible for too little uric acid excretion, which is distinguished as kidney deficiency. However, since the disease has been formed, it is not enough to pay attention to tonic treatment, and it is easy to retain evil spirits. It can only be added to non-greasy and impartial drugs to seek benefits and supplement deficiencies.
2, Smilax glabra, Smilax China, the treatment of this disease is mainly to clear away heat and toxic materials, promote diuresis and dredge collaterals. These two drugs have the functions of diuresis, purging turbid toxin, dredging channels and activating collaterals, and excreting uric acid, and are mostly related to Cortex Fraxini, Alisma orientalis, mole cricket and Lysimachia christinae, which can prevent and treat stones.
3, Herba Siegesbeckiae, acute attack period, the symptoms are redness and heat pain, that is, heat arthralgia. I prefer Herba Siegesbeckiae, which has the functions of expelling wind and removing dampness, cooling blood and detoxifying, promoting blood circulation and dredging collaterals, and is a rare medicinal material.
4. Earthworms, this damp-heat toxin is sticky and easy to mix with each other. Entering the blood, just like glue, it condenses phlegm and blood stasis for a long time and deposits on joints and other places, making joints stiff and even deformed. Lumbricus is good at promoting blood circulation and dredging joints, clearing turbidity and removing blood stasis. I often use Eupolyphaga sinensis and motherwort as my companions to get rid of it.
5, Bombyx Batryticatus, white mustard seed, phlegm and blood stasis combined into symptoms, visible subcutaneous nodules tophus, and even ulceration and creamy exudate, in line with the characteristics of phlegm. I like to use Bombyx Batryticatus and Semen Sinapis Albae best, because they are good at dispersing stagnation and dredging collaterals, and can remove stubborn phlegm, especially for phlegm in meridians of this disease, * * is my first choice.
This disease is mostly induced by eating a high purine diet or mental stress, fatigue, infection and other factors, so it is very important to raise the disease well. For patients with pain, Scorpio and Rhizoma Corydalis can be added. In addition, I have long heard that Shā rotto Katakuri is good at treating this disease, but my existing treatment methods have achieved good results, and because Shā rotto Katakuri is toxic, I don't know much about it, so it has not become my main drug for treating gout. Shā rotto Katakuri can clear away heat and toxic materials, and contains colchicine, which can directly treat gout. Friends who are familiar with and often use this medicine can choose to add it.
Summary of the experience of famous old Chinese medicine practitioners II Rheumatoid arthritis
1, pathogens such as speranskia tuberculata, rheumatism and blood stasis invade joints, stagnate collaterals and damage bones, and the pathogens are rooted in bones. Therefore, speranskia tuberculata is used to find pathogens in bones. It has the functions of expelling wind, removing dampness, detoxicating, relieving pain, warming and non-toxic, and has obvious effect. This is my essential medicine for this disease.
2. Scorpion, Bombyx Batryticatus and Eupolyphaga Seu Steleophaga, if pathogenic factors stay for a long time, will have phlegm and blood stasis, leading to chronic diseases. Scorpion expelling wind, attacking poison and relieving pain, stiff silkworm expelling wind, resolving phlegm and dredging collaterals, and Eupolyphaga Seu Steleophaga promoting blood circulation, breaking blood stasis and healing wounds. They are all insects, good at searching and clearing, and can dissolve sticky phlegm, blood stasis, poison and evil, thus making swollen joints contract and become stiff and flexible.
3. Tortoise shell and antlers, kidney stores essence as the main bone, liver stores blood as the main muscle, liver and kidney are insufficient, bones and muscles lose essence and blood, and pathogenic factors such as rheumatism and phlegm and blood stasis stay in joints, which is particularly serious and may eventually lead to joint bone destruction and disability. Tortoise shell and antlers are flesh and blood products, which greatly tonify essence and blood, strengthen bones and nourish tendons, and have a good effect on bone emptiness and synovial thickening at the end of bones. I usually use them.
4, honeycomb, this disease will affect the kidney for a long time, damage the governor Yang. There are many signs of yang deficiency in clinical manifestations, and cold joint pain is obvious. Honeycomb is not only good at expelling wind, attacking poison and relieving pain, but also good at warming kidney and helping yang. The combination of Rhizoma Drynariae and Achyranthes bidentata is of great significance for preventing and treating joint deformation. Because the beehive is powerful and suitable for many symptoms of this disease, it is my favorite product.
5, papaya, Dioscorea nipponica, morning stiffness, unfavorable activities, these two drugs have good effects, and most of the products that dispel wind and remove dampness are pungent, warm and dry, which is easy to hurt body fluids if used for too long, and is not good for removing injured joints and phlegm and blood stasis. However, these two herbs are warm but not dry, and have no harm to body fluids, so they are good at expelling wind, removing dampness and dredging collaterals. So they are all selected, but papaya works well, so you need to stop taking it for a long time. This disease is different from rheumatism, but it also belongs to arthralgia syndrome, which can be treated according to the idea of arthralgia syndrome, such as aconite for cold arthralgia syndrome and Siegesbeckiae for heat arthralgia syndrome. The pathogenesis and process of this disease are extremely complicated and changeable. In the treatment, we should weigh the drug use according to the interest relationship between the real and virtual primary diseases, and also take into account other factors and issue certificates.
Diabetes (type 2)
1, Astragalus membranaceus, spleen governing valley as essence, body fluid injection. When people reach middle age, their temper gradually weakens, and body fluids are transported abnormally. Shui Gu didn't change his essence, but he swam in the blood or was excreted. So the blood sugar is high, but the diet is thin, the spleen deficiency is weak, and the body fluid can't be transported. Therefore, they are thirsty, the spleen does not suck sperm, and the body fluid descends, so they urinate more. Astragalus membranaceus tonifies the spleen and helps transport, so that Shui Gu can be subtle and distributed all over the body, so that water and body fluids can be carried out, blood sugar can be lowered, body fluids can be distributed, and body fluids can be spontaneously produced, and thirst can be cured without treatment. Pharmacology has proved that Astragalus can stimulate insulin sensitivity and regulate blood sugar in both directions. Most diabetic patients have symptoms of deficiency of both qi and yin. Astragalus membranaceus strengthens spleen and benefits qi. For qi deficiency, I often use atractylodes macrocephala, yam and so on.
2, Atractylodes lancea, obesity is easy to get this disease. Most obese people lack exercise or the taste of being fat and sweet, which leads to stagnation of spleen transport, difficulty in dissolving grain essence, high blood sugar when overflowing with blood, and malnutrition of spleen, which leads to wet resistance, so they see fatigue, thirst, heavy body fatigue, unruly grain essence and overflowing with urine, so they see sweet urine. Atractylodes lancea strengthens the spleen to help transport dampness, astringe spleen essence and lose weight. When the temper is strong, the humidity is developed, and the body fluid is unfolded, all symptoms will disappear.
3. The rise and fall of Pueraria lobata, Coix lachryma-jobi and Qi-Qi affect the subtle transmission and distribution of Shui Gu, thus affecting blood sugar. Pueraria lobata can increase spleen fluid, Coix seed can reduce spleen dampness, and the spleen will return to normal. Both of these drugs can treat diabetes, which can get twice the result with half the effort.
4. Anemarrhena asphodeloides, Salvia miltiorrhiza, Eupatorium odoratum and Bombyx Batryticatus are the most common diseases. Spleen deficiency can not transport body fluids to the stomach, and stomach soil heat is endogenous. Therefore, it is appropriate to eliminate hunger in the valley, heat hurts body fluids, and yin deficiency is even worse; Qi deficiency, inability to transport blood, dryness and heat consuming yin and blood will inevitably lead to blood coagulation and stasis; Spleen is not full of body fluid, and body fluid stops dampness; Qi deficiency does not transport, where dryness and heat are, water and dampness must be condensed and cemented. Therefore, dryness and heat, phlegm and blood stasis and dampness are the goals of diabetic patients. They often cause and effect each other and influence each other, resulting in extremely complicated and changeable situations. Sometimes Anemarrhena asphodeloides clears fire and nourishes yin, cures dryness and heat, Salvia miltiorrhiza cools blood and promotes blood circulation, removes blood stasis and promotes regeneration, and Eupatorium fortunei removes dampness and strengthens the spleen without hurting yin. According to their dynamic changes in clinical practice, adjust their dosage to alleviate contradictions and symptoms.
5, Schisandra chinensis, spleen disease kidney or ventricular strain damage the kidney, so that the kidney is unsealed, hidden leakage, visible proteinuria, urine sugar, Schisandra chinensis kidney, can be used with ootheca mantidis, Rosa laevigata, can achieve significant results.
6, cinnamon, for patients with yin deficiency and excessive fire, a small dose of cinnamon will lead to excessive internal heat. For patients with chronic diseases with yin and yang deficiency, cinnamon can replenish yang and body fluids. Superior cinnamon can lower blood sugar and stimulate insulin sensitivity, so it is my favorite (generally no large dose is needed). The pathogenesis of this disease is mainly deficiency of both qi and yin, dryness and heat, phlegm and blood stasis, and dampness and turbidity. In the early stage, the symptoms of "three realities and one deficiency" are not obvious, only blood sugar is increased, or there are symptoms of spleen deficiency. After that, the treatment of "three profits and one loss" gradually appeared, which can be treated according to the "three elimination types" in the textbook. When the general trend of dryness and heat has gone, deficiency of both qi and yin can become the main symptoms, and at the same time, yin can damage yang, phlegm and blood stasis is more difficult, because the disease is too complicated to describe all the drugs in just a few words. We can only choose its main points, take its essence, and make up for it with a post.
bronchial asthma
1, white mustard seed, phlegm blocking airway, airflow blocked, phlegm eliminating airway, avoiding cold, heat and cold phlegm first. I like to use white mustard seed, which is good at searching out internal and external phlegm and chest diaphragm cold phlegm. For the treatment of cold phlegm, I often combine perilla and Pinellia tuber.
2, Arisaema cum bile, hot sputum I like to use Arisaema cum bile, this hot sputum is mostly cemented sputum, not easy to melt, so I use Arisaema cum bile, silkworm, pumice and so on. Arisaema cum bile has obvious effect and is my first choice.
3, floating flowers, lung qi ascending, see cough and asthma, this medicine is salty and can soften phlegm, warm meridians and stagnation, cold and heat can be used. For chronic diseases, the dosage can be increased to more than 40g, which is an essential medicine for me to treat this disease.
4, Trichosanthes kirilowii, allergic inflammation of trachea is the main pathogenesis of this disease, clearing lung and resisting allergy can quickly relieve symptoms, and I must use Trichosanthes kirilowii as a product for clearing lung, which can clear lung and resolve phlegm, and can also broaden chest, and it is often used with Scutellaria baicalensis and Houttuynia cordata (clearing lung is ineffective according to wet toxicity, and it is combined with Sophora Flavescentis and Smilax glabra, etc.); Trichosanthes kirilowii can relieve constipation, and the lungs and large intestine are from the outside to the inside. Trichosanthes kirilowii is compatible with rhubarb, which can dredge fu-organs and spread lung. Furthermore, it can soothe the liver and relieve depression, and when dispersing lung is ineffective, it can often get obvious effect, especially for asthma caused by emotion, which is often used equally with Bupleurum, Paeonia lactiflora and Fructus Aurantii. Liver qi relaxes and lung qi dissipates. As the saying goes, wood doesn't hit gold, and gold doesn't sound.
5, scorpion, this disease is related to allergies. The onset of bronchiolitis is wind, which can be controlled by expelling wind and relieving spasm. This is why scorpions are good at treating whooping cough, and the effect of this disease is also obvious. I often use it with Bombyx Batryticatus, Cicada and Saposhnikovia divaricata.
6, earthworm, silkworm, the lasting root of this disease lies in the cementation of phlegm and blood stasis in the lungs. I prefer these two medicines for resolving phlegm and removing blood stasis. At the same time, they are good at dredging collaterals and calming wind, treating both the symptoms and the root causes, and the effect is second to none. They are typical symptoms of this disease.
The principle that the disease is deficient in essence but excessive in substance, the essence should be treated when it is urgent, and the essence should be treated when it is slow, such as using Yupingfeng to tonify the lung and consolidate the exterior in remission.