Chinese medicine believes that the root cause of pulmonary tuberculosis lies in the weakness of healthy qi, weak innate endowment, acquired craving and fatigue, and prolonged illness, resulting in the impairment of vital energy, tuberculosis taking advantage of deficiency to corrode lung leaves, lung heat damage, cough, expectoration, asthma, hot flashes, night sweats and other symptoms. Lung collateral damage, mostly hemoptysis. Traditional Chinese medicine therapy can tonify deficiency and nourish yuan, regulate qi and blood, focus on lung, and tonify spleen and kidney at the same time. To improve clinical symptoms and reduce the side effects caused by chemotherapy.
2 dialectical points of pulmonary tuberculosis
1. We should distinguish the differences between qi deficiency, yin deficiency and hyperactivity of fire due to yin deficiency, and master the relationship between lung and kidney.
2. eradicate the four main syndromes of cough, hemoptysis, hot flashes and night sweats, and identify the syndromes in combination with other complications.
3 The treatment principle of pulmonary tuberculosis
focuses on invigorating lung, benefiting qi, nourishing yin, and reducing fire and yang deficiency. Insecticidal treatment is mainly aimed at the cause of disease, so the treatment of this disease should be based on the principles of tonifying deficiency, nourishing yin and nourishing yuan and resisting tuberculosis and killing insects.
4 dialectical treatment of pulmonary tuberculosis with lung yin deficiency
dry cough without phlegm, or less phlegm, sometimes bloodshot, hot hands and feet, dry mouth and throat, night sweats, red tongue tip, thin coating and rapid pulse.
therapeutic principle: nourish yin and moisten lung. The prescription is modified with Xiebai Powder and Lily Gujin Decoction.
Common Chinese medicines: Ophiopogon japonicus, Colla Corii Asini, Cortex Mori, Cortex Lycii, Radix Paeoniae Alba, Radix Scrophulariae, Radix Rehmanniae, Bulbus Fritillariae Cirrhosae, Radix Glycyrrhizae, and Lily.
Rehmannia glutinosa was used in the prescription, and Radix Scrophulariae was used to cool the blood to stop bleeding; Cortex Mori and Cortex Lycii are used for purging heat in the lungs. Radix Paeoniae Alba and Colla Corii Asini invigorate qi and nourish blood; Ophiopogon japonicus, Lily and Fritillaria nourish yin and moisten lung to relieve cough; Raw licorice and Chinese herbs.
symptoms of excessive fire due to yin deficiency
: choking, shortness of breath, scanty phlegm, uncomfortable expectoration, or excessive phlegm, thick yellow, hemoptysis from time to time, red cheekbones, hot flashes due to bone steaming, night sweats, vexation and thirst, feverish five, emaciation, red and dry tongue, thin yellow fur and rapid pulse.
therapeutic principle: nourishing yin and reducing fire, the prescription is modified with Gentiana rigescens biejia powder.
Common Chinese medicines: Ophiopogon japonicus, Trionyx Trionycis, Cortex Lycii, Artemisia annua, Anemarrhena rhizome, Bupleurum chinense, Gentiana macrophylla, Radix Rehmanniae, Mume Fructus, Ophiopogon, Stemona and Zi Yuan.
Radix Rehmanniae, Radix Ophiopogonis, Rhizoma Anemarrhenae and Mume are used to nourish the yin of lung and kidney. Carapax Trionycis, Cortex Lycii, Radix Gentianae Macrophyllae, Herba Artemisiae Annuae, and Radix Bupleuri for clearing away deficiency and heat; Ophiolite stops bleeding; Zi Yuan, Stemona can eliminate phlegm and relieve cough.
deficiency of both qi and yin
symptoms: low cough, tight breath when moving, occasional hemoptysis, reddish blood, hot flashes in the afternoon, red face and cheekbones, spontaneous sweating and night sweats, eating less loose stool, and fatigue. The tongue is tender red, and the pulse is weak.
therapeutic principle: benefiting qi and nourishing yin. The prescription is modified with Yuyin Peiyuan Decoction.
Common Chinese medicines: Radix Asparagi, Radix Ophiopogonis, Rhizoma Anemarrhenae, Radix Rehmanniae, Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Colla Corii Asini, Radix Astragali, Radix Pseudostellariae, Cortex Lycii, Radix Stemonae, Rhizoma Bletillae and Fructus Schisandrae Chinensis.
Radix Pseudostellariae, Radix Astragali and Fructus Schisandrae Chinensis are used to tonify lung qi; Radix Rehmanniae, Radix Asparagi, Radix Ophiopogonis, and Rhizoma Anemarrhenae nourish yin and produce body fluid; Bone skin is clear and hot; Radix Rehmanniae Preparata, Radix Angelicae Sinensis and Colla Corii Asini stop bleeding and replenish blood; Stemona root, bletilla tuber and cough relieving.
deficiency of both yin and yang
Symptoms: cough, dyspnea, lack of breath, hoarseness, sometimes blood in sputum, dull blood, hot flashes, spontaneous sweating and night sweats, cold limbs, impotence in men, spermatorrhea in women, scanty menstruation or amenorrhea; Red tongue with scanty body fluid or pale tongue with fat body, weak pulse or thready number.
therapeutic principle: nourishing yin and tonifying yang, and adding and subtracting Bu Tian Da Zao Wan.
commonly used Chinese medicines: ginseng, astragalus, yam, tortoise shell, wolfberry fruit, prepared rehmannia root, placenta hominis, cornu Cervi Degelatinatum, Schisandra chinensis, angelica sinensis, cordyceps sinensis and terminalia chebula.