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Heavy agent proved application is discussed

 

 

 

TongXiaoLin  China's traditional Chinese medicine academy of sciences hospital gate

 

 

 

China's traditional Chinese medicine reported

 

 

 

        "Yin Yang belong to the partial quickly, cold evil attack resistance meridian, continuously to make such as cold heavy card and Yin pain syndrome; Or in the dampness of the cementing trapped not, certified by the tunneling joint resistance, long hard except dampness and initiative syndrome; Or the big heat injury Yang consumption Yin, Yin not gathered Yang, sun be the spirit will take off, Yin and Yang of separated themselves from dangerous card, but bold application proved large dose.

 

        "With lateral often cannot leave zhongjing's of liquorice with make, liquorice or dry ginger and with Fried aconite, can reduce the toxicity of lateral.

 

        "Big doses of aconite application, will long Fried to Massachusetts for degree not mouth, the key lies in cooked, not control the amount of it or to avoid the use of certain varieties.

 

 

        The lateral high-dose application, the ancient has. Such as the tang dynasty "for urgent daughter YaoFang" account with lateral "four two" of the ($today about 130 grams, according to the fifth edition the pharmacology of ancient and modern weights and measures in conversion method), to approach may taste WuPeiHeng chrysanthemum, such as large dose of lateral use repeatedly ChenKe up. But there are also many physicians for fear the poisonous to application, or with the improper, against the poisoning. Aconite, "medicine in four d" one of, it serves to show its important, to use and not be abused, need not disabled.

 

        Wide application

 

        Use the ancient and modern aconite, ZhangZhongJing specialists. As with dry ginger, radix aconiti suitable for back to save and Yang inverse one party, this is the most important of the lateral compatibility, also called "the compatibility of aconite zhongjing's law". The vulcan sent home such as WuPeiHeng, FanZhongLin, LuChongHan proved by, the most commonly used is four inverse soup, WuPeiHeng also often join cinnamon, called "back to Yang drink". The tang dynasty sun simiao gen wenpi decoction, will be proved, rhubarb, ginseng, dry ginger, liquorice melt in a furnace, work in rubbing spleen Yang, runs cold product, to approach used for acute bacterium dysentery, chronic nephritis, curative effect is very good. The song dynasty ChenZiMing the recipe with the woman of the participation with soup, for back to take off the representatives of the solid Yang prescriptions, is the main party rescue heart failure. WangQingRen qing dynasty record first aid to Yang soup, will be proved, dry ginger and compatibility of peachseed, be back to save inverse method and promoting blood circulation Yang remove stasis formula method model, to treat heart failure, save lives open the way for a new road. Can wen kidney Yang aconite, ZhuLiangChun with both for kidney Yang aconite vigilant of water, gas do not less urine resulted edema and is used in a virtual fatigue night more than frequency, waist pain god exhausting the wait for disease. And to attack proved for card medicine, ZhuLiangChun initiative with commonly used for rheumatic fever was proved pale, golden cypress, silk sandy, honeysuckle Bi Xie, kindhearted cane, YiRen; Not only bi syndrome, many chronic inflammation, multi-purpose also proved. At the same time also can be proved with qingrejiedu, remove blood stasis drugs compatibility. In recent years, mainly in four of the lateral inverse soup and the improved formulations, treatment of infectious shock, cardiac shock, widely used in clinical.

 

        Application indications

 

        ZhangZhongJing proved with the main indications is "little" Yin to a disease, pulse subtle, but also to sleep, "still emphasize" pee color white "is also less Yin disease characteristics, generally more in wu Yang Yang, take off and cold sex more pain, Yang water the four aspects, all belong to a cold syndrome (or says Yin card). Nasty are born in selected aconite, with its violent sex, cutting off will take 9-2 trend, used to back to Yang save inverse, BingShi reversal, in order to take quick; Practice proved slow and partial sex up, used for general Yang card as rheumatism bi pain, so slow work. Nanjing university of traditional Chinese medicine HuangHuang professor summarizes "lateral veins" : a weak pulse, heavy v, thin, or pulse suddenly float big and empty soft and weak.

 

        Tongue is valued and sichuan fan of Mr. Lin think, every tongue qualitative light or reddish, dim, tongue body fat or have teeth marks, white, grey greasy coating on the bored, white slippery person, namely the tongue is hot like, those who had proved or four inverse soup for the use of the indications. Liu boat crossing the professor think: "little Yin cold syndrome... if the tongue is in check, with brown rice color, or the tongue like pig waist, or as light ink, or white moss and embellish, or no moss and dry, or tongue short to stretch.

 

        More than used for cold empty aconite card. ZhuLiangChun fever with the standard of aconite for: tongue light embellish tender fat, thirst, do not want to drink, or but drink hot soup; Pale, sweat out, his limbs owe temperature, pee color clear. Though at the same time and see high fever, god faint, be agitated, pulse number, also proved when use, in order to cheer the sun be the spirit languishing, avoid wu Yang JueTuo the change. Cover in hot ill little fever, and all who died of heart failure. And rescue fever heart failure, also is the "save inverse" drug of choice, which is proved, clinical to catch the fever consumption sad this key force.

 

        The author proved with the experience is: differentiation of Yin and Yang slant cold, cold evil attack resistance meridian, continuously to make such as cold heavy card and Yin pain syndrome; Or in the dampness of the cementing trapped not, certified by the tunneling joint resistance, long hard except dampness and initiative syndrome; Or the big heat injury Yang consumption Yin, Yin not gathered Yang, sun be the spirit will take off, Yin and Yang of separated themselves from dangerous card.

 

        Dose and security

 

        WuPeiHeng aconiti use, the general virtual cold syndrome, dosage of lateral usually 20 to 100 grams for, acute Yin and Yang, Yin and Yang, rejected the dangerous wait, then for 60-250 g. During the period of the republic of Yun people with experience of lateral iron firewood, every dead Yang syndrome and Yang syndrome with 50 grams heavier as above. It was summed up WangZiQuan old Chinese medicine application of lateral experience: general syndrome dosage can be in 25 to 30 grams, critical to 50 ~ 60 g, a few for emergency and severe cases to 100 grams or more. It is proposed that to increase or decrease after taking the drug proved a have "3 q" : sleep, urinate, action--if medication after become long can't sleep, or restless better, or awake all night, urinate yellow or short astringent, and that is when the minus its dosage. I wish flavour chrysanthemum to think, to have never served in the lateral patients, but from the dose began, and gradually added amount, etc.

 

        Large doses of lateral application, the suppression of the compatibility of the drugs poison efficiency is very important. With lateral often cannot leave zhongjing's of liquorice with make, liquorice or dry ginger and with Fried aconite, can reduce the toxicity of lateral. The author thinks that, liquorice dosage in about half of aconite, enough to supervise the poison of the lateral. LiuLiGong professor noted that, roasted liquorice make ginger, with a real continued role sweet-scented birk shades. Still can match BaiMi and ebony, etc.

 

        And with this aconite, pharmacopoeia think belongs to compatibility taboo. But a lot of clinical prove, in view of the "cold", "phlegm", both with and without side with adverse reactions, but enhance curative effect. Late WangZiQuan old Chinese medicine experience is, insufficient endowment, lung kidney Yang, after the attacks by, and unable to warm water, gas, the cold dampness resolving phlegm, congestion in the lung of hair to cough and asthma disease, both inside and outside and evil, both lodge cold, and a wet sluggish, if not ginger remarks without help Yang by cold, sprouting up, south star cannot dry wet wind, if constrained "18 against" taboo, will attend, delay's condition.

 

        Decocting methods

 

        The major components of the toxicity of lateral to the aconitine and its derivatives, this kind of double ester type alkaloids not stable in heating conditions will hydrolysis into toxic small single ester type alkaloid and monkshood original alkali, further can be hydrolyzed to amine alcohols alkaloids, its toxicity is only the aconitine 1/4000 ~ 1/200. In large doses of application of aconite, must strictly comply with Fried service method.

 

        Make the best use of the large dose of aconite vulcan sent physicians, advocating 1 ~ 3 hours long Fried. Old Chinese medicine WangZiQuan think, eliminate the toxicity of lateral, the key lies in cooked, not control or amount to avoid the use of certain varieties, its method are as follows: (1) before decocting, as far as possible a add enough water to a boil and lateral input, such as midway water is not enough, can only add boiling water, do not break the fire or add cold water; (2) decoction time to type and dosage of lateral erratically, regular doses of black, white aconite, decoction 1 ~ 2 hours, so the salt, the lateral head, or to 200 grams or more of lateral dose, will decoction 2 ~ 3 hours, then took out a little chewing once, such as not feel numb mouth, can join his medicine with Fried.

 

        The author use the experience of the lateral for: when the pain started from 15 g, gradually added amount, the biggest to 240 grams, will long Fried at least half an hour or more mouth taste without hemp feeling, also can be equipped with licorice, ginger, BaiMi to by drugs poison.

 

 

        readings

 

        YiAn excerpts from ancient and modern

 

        Vomiting blood-four inverse soup (ZhengQinAn YiAn)

 

        In the late qing dynasty emperor guangxu period, then he's wife chengdu with vomiting blood disease for over a year, and the medicine is invalid, the medical surrender. Delay zheng fu to advice. Clinical see: the patient was pale, although be the summer solstice season, the bed still paved felt, cover silk floss is big, very afraid of cold. Tongue qualitative reddish, coating on the white boring.

 

        Prescription: aconite char 120 grams, gun dry ginger 120 grams, roasted liquorice 60 grams.

 

        And then after see fang gaping, this FangGan ginger, are big heat of aconite medicine and the quantity exceed constant, treat such severe hematemesis, that he should not have surprised him. ShuLiao patients after taking the whole consciously cool, chest, comfortable and vomiting blood had stayed, and two small bowls of rice porridge with food. The patient level road, from this and more (" Chinese YiAn vulcan sent all the solution ").

 

        These are divided into two ZhengQinAn the Yin and Yang outline, called "Yin fire" and "Yang fire". With its many years experience, think Yin caused by fire these far more than the Yang fire, "the people of vital qi blood for the small, upright a failure, and the cloudy evil inverse, ten in the eight or nine, ten only caused by fire and twos". This case is obvious.

 

        Reuse of lateral to diabetes (medical record the) paralyzed stomach

 

        GaoMou, female, 38 years old. April 28, 2008 my first time. Repeated nausea and vomiting for 5 years, type 1 diabetes 12 years history examination. 2002 start to appear nausea and vomiting, and cause many times TongZheng acidosis, gastroscope inspection for "stomach slumped", to the insulin pump treatment, blood glucose control is fair. Visit disease see: nausea and vomiting, especially since morning what abdominal pain, diarrhea, pantothenic acid, o faithless smell stinky, no heartburn, as poor sleep. Tongue light, moss white, his tongue stasis sluggish, pulse string acerbity.

 

        Western medicine diagnosis: diabetes stomach slumped. Traditional Chinese medicine diagnosis: thirsting disorder, vomiting, diarrhea.

 

        TCM syndrome differentiation: sheng cold empty, empty stomach QiNi. Treatment: wen descended non-return oh.

 

        Prescription: Daniel proved in this soup decoction and small, Sue leaves reduced coptis chinensis franch tonga. Light attached piece of 30 grams (first Fried 8 hours), dry ginger 30 grams, YunLing 60 g, Sue leaf stalks the 9 g, coptis chinensis franch 15 grams (single package), 30 grams of officinale, roasted liquorice 15 grams, red ginseng 15 grams (single Fried confirmed into), clear sprouting 15 g.

 

        On May 5, 2008 two diagnosis: relieve diarrhea, vomiting and since morning after eating vomiting has diminished, still pantothenic acid, approach the burning pain. The sleep better. Pulse string tight number. Adjust prescription: aconite 30 grams (first Fried 8 hours), dry ginger 30 grams, 9 g herb infarction, corrugated son 30 grams piece (first Fried), astragalus membranaceus 45 g, cassia twig 30 grams, root of herbaceous peony 60 g, roasted liquorice 15 grams.

 

        May 20, 2008 three diagnosis: diarrhea basic relief, already a week did not happen vomiting. Pantothenic acid and approach the burning pain disappeared, as can sleep. Above party take three months to add and subtract, some patients when not happen again cause vomiting, already have no symptoms. We can stop taking traditional Chinese medicine, and give priority to with insulin therapy.

 

        The patients with type 1 diabetes for stomach slumped, already appeared in the pathogenesis of traditional Chinese medicine XuHuo burning. Patients have nausea and vomiting, belch smelly shouts, pantothenic acid, poor sleep symptoms, visible in the stomach XuHuo still fill, like a hot. Regularity abdominal pain diarrhea, and tongue light moss white, his tongue stasis sluggish, pulse string astringent, show viscera as cold empty. Its pantothenic acid and no heartburn, but really Yang the inadequacy of the reason. For patients with cold empty zang-fu organs, stomach and drop, with Richard of aconite party soup, "banxia xiexin decoction" and even Sue drink to add and subtract.

 

        Patients spleen deficiency of the kidney failure, stomach Yang decline, so with large doses of attached to YangYi light back to the kidney. In addition, treatment ZhongYang decline type paralyzed the stomach, the drug application is a characteristic. We often plaint with piece and share, the cognition to the drop non-return ou work especially the, clinical did not find with caused could with side effects. D4