Clinical usage strategy # 2 due to the quantity

China's traditional Chinese medicine to

        Because of the quantity, we call it the related concentration-response relationship, referred to as the "effects".

        Certificate, including symptoms, signs, physical condition, age, gender, etc. Syndrome differentiation and treatment is based on patients' symptoms, signs, physical factors, such as individual identify the pathological essence, amount due to the applied stress is France medicine science is determined, the quantity accurately. Symptoms of appropriate dosage of the same disease, symptoms of the person that weigh is large, light person consumption should be small. Such as large and small qinglong decoction, for table disease severity is different, so the different dosage of ephedra. The potential difference, consumption is also different. Critical syndrome, the appropriate dosage is large, light shallow syndrome, the dosage should be small. Such as four unclogged arteries decoction syndrome with Bai Tong soup.

        In addition, the patient's constitution, age factors such as dosage of reference also. Generally young and middle-aged, physical strength, dosage can be as big, elderly, pregnancy and infants, use appropriate light, heavy, which can cut upright. Such as cassia twig to guangxi monkshood soup, add the following limit note after yue: "three lateral root of aconite could also more, weak and maternal home, take the appropriate reduced."

        Because of the amount applied in summary contains the "quantity" and "quantity" for people of two parts.

        With disease of quantity

        According to the weight of the symptoms or the changes decided to consumption. In general, the dosage of the same disease need to be confirmed according to the symptom severity. Treatise on febrile disease cuhk qinglong decoction syndrome, small qinglong decoction has the cold symptoms, but big qinglong decoction syndrome "pulse tight", "pain", "no sweat" table cold symptoms such as minor green dragon decoction syndrome are heavier, so big tsing lung soup ephedra use 6 two, two and three in the small qinglong decoction mahuang.

        Prescription drugs of the same, due to the different symptoms, treatment the same doses will also be different. Such as hopu three soups, hopu rhubarb soup and the small bearing gas soup, the three drug composition is the same, all is magnolia bark, rhubarb and immature bitter orange, magnolia bark but three things decoction syndrome with pain and symptoms, closed by hopu, definite is a gentleman, gas in addition to the full line is given priority to, eight party with hopu two, five pieces of frutus aurantii immaturus, rhubarb four two; Small gas bearing decoction syndrome is primary symptom with constipation, so is jun with rhubarb, flooded with product, with four two rhubarb, 2 two hopu, acid-insoluble ash three; Hopu big when card is given priority to with chest filled with symptoms, treatment is more emphasis on facilitating, hopu a foot to jun, rhubarb 6 two, immature bitter orange, four for a minister.

        Now with the use of radix aconiti, making grass treatment of diabetic peripheral neuropathy is a case, discusses the dosage of the "amount with disease" strategy.

        Medical record 1

        Patients, 58 years old, female, with lower limb pain down 1 year. Diagnosed with type 2 diabetes more than a decade ago, a year ago a double lower limbs pain, cold, continuous attack. You have pain clinic syndrome see double lower limbs, hair is cool, with edema, occasional hands numb. Defecate deformed, 3 ~ 4 times/day. Glycated hemoglobin 6.2%.

        Western medicine diagnosis of diabetic peripheral neuropathy, TCM diagnosis for BiZheng (hemopenia collaterals stasis), cure to keep blood know luo analgesic method, using aconitum tonga subtraction.

        Characteristics: the system of radix aconiti 9 g, 9 g, grass cassia twig 30 grams, 30 grams of radix paeoniae alba, radix astragali 30 grams, 30 grams of caulis spatholobi, main licorice 15 g.

        Above to add and subtract, patients taking medicine for 3 months, the double lower limb pain, cold, his hands numb symptoms disappeared basically, not attack again.

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