Rhubarb FaWei application

WeiWenHao hebei province bao ding city hospital of traditional Chinese medicine

China's traditional Chinese medicine reported

        Rhubarb extreme sexual flavour, be the stomach and colon, liver, spleen after, with attack stagnant, clear and humid and purging fire, cool blood remove stasis, detoxification, such as effectiveness. Beijing university of Chinese medicine professor JiangLiangDuo clinical use rhubarb, he thinks, wants to use good rhubarb, is not easy, and is not tickler, as long as often for ancient precept, takes the best, master of rhubarb processing, decocting, dosage forms, the dose, the drug compatibility, drug way, indications, contraindication, etc, can follow one's inclinations, reasonable and applied. The author and the teacher study remaining, summarizes its application rhubarb treatment difficult-disease and the critical experience as follows.

        Chinese rhubarb clinical function

        The setting spilled hot, brain switched on

        More for acute stroke, regardless of hemorrhagic or ischemic, also no matter in the meridian of viscera, true is empty, so long as has the constipation, HuangHou tongue coating, tone is heavy, is the application of rhubarb indications, dry dung may become soft and the service. For more curious diet is not festival, a food GaoLiang thick flavour and alcohol and tobacco, by hooks of spleen and stomach, lost company carry of qi stagnant, poison hot endogenous; If the body YangCheng, phlegm and blood stasis poison hot mutual knot, about the clear qiao, bi resistance of pulse and brain. Sheng phlegm obstruction, fresh air does not rise, setting spirit not drop, constipation, inverse gas up, make yuan on god, therefore god faint or clinical visible offers stunning. Born in rhubarb with rhubarb or give priority to, Fried BiSi soup, or thick Fried retention enema, the next move bowels, clear bowel venting hot, be helpful for straight fold phlegm and blood stasis poison fire downside, eliminate the evil hot and shouts polluted content, reduce toxin absorption, adjust gastric bowel movement, improve blood circulation, protect brain organization, to promote recovery consciousness, improve the clinical symptoms.

        Medical record for example

        Wang mou, male, 67 years old, on 21 February 1987. Cause the left hemiplegia, language Jian astringent 2 days and be in hospital. 2 days ago because of excessive drinking and fall, namely sleep left half body coma, hence the left hemiplegia, blood pressure 250/130 mmHg, mind be darkened, pupil, large, neck without resistance, drawn by pathological reflex. Fundus examination: double optic nipple is ground-glass shape, blurry edge, arteriovenous are thinner, proportion about 1:1, a copper filamentous artery. Head CT hint: the right of basal ganglia parts have the lack of blood samples infarct. And give the vein of salvia miltiorrhiza bit injection, d brain leads injection; Oral step-down, reducing blood fat, enlarge vascular medicine. Carved diagnosis: with the disease, constipation, already 4, not line, dark red tongue quality have bruises, moss HuangHou, pulse string is hard. Card to belong to GanFeng perturbation on qi stagnant, embodiment, context stasis resistance. Cure is smooth XiFeng liver, the setting resolving phlegm, brain switched on. Prescription: born rhubarb 12 grams (after), MangXiao 10 grams, which is 10 grams, root of herbaceous peony 20 grams, chrysanthemum 12 grams, hook cane 15 grams, 30 grams of raw land, radix scutellariae 15 grams, HuaiNiuXi 30 grams, danshen 20 grams, lignad 9 g, gardenia 12 grams, rhizoma acori tatarinowii 9 g, born ShiJueMing 40 grams, raw oysters 30 grams. 3 agent, water frying clothing.

        Two clinical: top after service, has the stool, blood pressure drop to 140/100 mmHg, left bust is twitching, dry mouth to drink, dark red tongue, moss grey black. This is YangCheng Yin deficiency, the wind in the fire ablaze. To rhizoma acori tatarinowii above, plus the xuan and 15 grams, continue into 7 agent.

        Three diagnosis: after taking the drug, defecate day 2 times, mind turn clear, twitching disappear, the valley has increased. Still dry mouth, moss grey black, tongue have crack, rhubarb 9 g instead. More in 7 agent.

        The four diagnostic: medicine condition after improved obviously, families can help bed activities, the increased, red tongue have crack, moss to yellow, pulse string slippery. To go above lignad, gardenia, born rhubarb to switch to 6 grams, and there are 20 grams, JiXieTeng 30 grams. Total take 30 agent, already can self activities, go home aftercare.

        Cool blood detoxification, who switched on

        Poison hot for Yang evil, the change quickly, comsumption gas injury tianjin, change the fire, wind, born from sputum, so that the attribution of setting. Chinese rhubarb must use 15 ~ 20 grams, and with MangXiao with, make the dry excrement the mountainside, mainly with the discharge hot, cold to purge blood detoxification, FuDeChouXin, this call "WenBing them under early", dry shit is mind then turned down clearly.

        Medical record for example

        Aim, male, 23 years old, July 28, 1987 my first time. Two weeks ago god feel weary force, tired sleepiness, on July 20, on his way from work has fainted, unconscious, nasty send nearby clinic, the awakening of acupuncture, lasts approximately 40 minutes long. The second day appear trance consciousness, nonsense, ErBian incontinence, namely to send a psychiatric hospital to schizophrenia in charge. With a large a sedative, 2 future occurrence high fever 39 ℃, into a coma, limb tic. Diagnosis of viral encephalitis, turn courtyard treatment. Carved diagnosis: high fever god faint, skin glowing, limb tic, in the throat sputum Ming, urinary incontinence, defecate 4, not line, tongue slant red, moss HuangHou, pulse slippery number. Certificate of temperature of the evil poison, long accumulate within, tianjin talks for phlegm, phlegmy heat the toxin factor into resistance, in heart attack on, have closed the opening. Put to appropriate spilled hot alexipharmic, cool serum heart, variable phlegm switched on. Prescription: born rhubarb 10 g (after), 10 g of frutus, this method 6 grams, 6 g dried tangerine or orange peel, poria cocos 10 grams, bamboo's 10 grams, JiangCan 10 grams, whole xie 6 g, turmeric 10 grams, calamus 12 grams, vision 10 grams, liquorice 6 grams. 3 agent, water frying clothing.

        Two clinical: purgation shit sticky be bored with smelly shouts, was gradually clear, still irritable, his limbs have between the seizure. Add to LongDanCao above into 10 grams, white mulberry 12 grams, pericarpium trichosanthis 15 grams. 7 agent, water frying clothing.

        Three diagnosis: mind turn clear, twitching already stop, only low heat, NaCha, dizziness, and they, red tongue, moss thin yellow. Switch to education law of the cognition to the Yin. Prescription: MaiMenDong 15 grams, Taiwan dangshen 12 grams, fructus schisandrae 10 grams, cooked tuberous root of 20 g, lateral system 4.5 grams, white atractylodes 10 grams, sichuan ~ 15 g. Under 28 agent patient was discharged.

        Clear bowel venting hot, eliminating phlegm to the water

        Chronic cor pulmonale (hereinafter referred to as cor pulmonale), lung kidney Yin deficiency, phlegmy heat warm lungs, pulmonary lost xuan drop, and send the palpitation cough and asthma. Cardiopulmonary all empty, and carry phlegmy heat, thus inclusion, treat it is argues, strong heart diuresis, clear bowel discharge lung, reducing the qi stagnant.

        Medical record for example

        FengMou, male, 63 years old. More than half a year cause cough asthma, 1 month to can't recumbent. On 7 March 1987 in charge. Cough and asthma has more than 30 years of history, in the recent 10 years cough and asthma bosom frowsty intensifies, every time a season and is repeated attacks, has repeatedly hospitalization. Diagnosis: (1) bronchitis secondary infection; (2) emphysema; (3) lung, heart failure. Carved diagnosis: cough and asthma lean on income, the chest distress, short, much sputum yellow viscous, is not easy to produce, dry mouth constipation, tongue is bleeding bruises, moss HuangHou greasy, pulse "generation. Certificate of the bowel hot inverse, lung, transforming, head deficiency, blood stasis winding resistance. Put to appropriate clear bowel discharge lung, sputum variable smoothing asthma, remove tonifying qi. Prescription: dangshen 20 grams, north of straight ladybell 15 g, fructus schisandrae 10 grams, dwarf lilyturf 15 grams, ChuanBeiMu 10 grams, born rhubarb 10 g (after), lignad 9 g, vision 10 grams, radix scutellariae 12 grams, danshen 20 grams, dilong 10 grams. 3 agent, water frying clothing.

        Two clinical: move bowels already tong, still short chest distress, voice hoarse, above to vision and bamboo's 10 grams. 3 agent, water frying clothing.

        Three diagnosis: chest distress, short, voice hoarse are improving, "so dai-pulse disappear. Still low heat, upset dry mouth, the valley has increased, moss yellow greasy, pulse string slippery. Above the codonopsis pilosula, fructus schisandrae resolving to add 15 g. 6 agent, water frying clothing.

        The four diagnostic: hot retreated, cough and asthma bosom frowsty improved obviously. Add method and take 15 agent again, and the disease basic disappearance, leave hospital outpatient service modulation.

        Different processing rhubarb function method is different

        The above is born rhubarb in the clinical application, but different processing methods of rhubarb notes to different purpose. Born to attack the lag in rhubarb, purging fire detoxification effect is good, clinical more for poison hot constipation, fire poison injury collaterals (vomiting blood, blood actions), and his eyes were red is swollen, your breath born ulcer and toxic heat YongJu etc, also for external use only (grinding juice research powder) attune apply ulcers swollen drugs; Ripe rhubarb xie dint Hudson, heat the wet force is powerful, more for hot and humid resistance of jaundice, hot shower card and caused the new full syndrome; Wine rhubarb longer than promoting blood circulation and line, apply to tumors, injuries, blood stasis abdominal pain, intestinal carbuncle, etc.; Chinese rhubarb carbon tends to convergence stop bleeding, the function of diarrhoea; CuDa HuangKe spilled blood points real hot, and regulate the menstrual function medicine for the treatment of blood compatibility of heat in the warm blood points amenorrhea, dysmenorrhea and postnatal abdominal pain wait for disease.

        Fried cooking method and the dosage

        XuLing tire in the medical origin of "points out:" law of tisanes, most appropriate deep speak, medicine effect don't care about this effect, all." The XuShi discussed fully explain the importance of tisanes method. The rhubarb decoction method, JiangLiangDuo several cases of YiSheng ZhangZhongJing the law, such as a large chest soup first into rhubarb Fried, to treat each other "big blood hot chest" syndrome; Large cap after the gas soup rhubarb, used as a real hot under attack, swing gastrointestinal dry "; The lateral rhubarb with his medicine soup rhubarb with Fried, used in the treatment of cold inside knot, sun be the spirit of evil is insufficient of deficiency syndrome. Rhubarb easily absorbed in the native, play a quick effect; The pills were pleasant and slowly absorbed, but lasting effect.

        Chinese rhubarb big doses to attack is given priority to, small doses to "fill" give priority to; From the solid dosage of the virtual should be big, from virtual reality to the dosage should be small. Such as rhubarb small dose (0.6 ~ 1.5 g) benefiting stomach helps digestion function; Moderate dose (1 ~ 2 g rhubarb powder or 6 ~ 12 g blunt Fried take) have HuanXie, discuss the effect of stasis; Large doses (15 to 30 grams) under the attack of by stronger. ZhangXiChun in the medical home part in west record "in the cloud:" the power of the rhubarb though fierce, but the disease when the sick, the constant has multi-purpose might as well... cover to overcome disease medication, not so cannot shall overcome disease, have to boldly multi-purpose also."

        "At BaiWei" by rhubarb said

        For XiaFa of extreme rhubarb medicine, but the "BaiWei experience", so "smell rhubarb, BaDou is fear, see astragalus, ginseng is xi". JiangLiangDuo points out: "as a clinical doctors may be, but not completely sticks to the remnant, ten years clinical, often with severe, continue to treat difficulty rhubarb with big HuangYueYue person, very many cases, not only did not see the BaiWei take long, but see patients eat more, appetite big leave." And summarizing the experience has 3: it is Yang heat syndromes, and long service just as well; Two is a chronic disease in virtual reality clip, to take a long time, should start small dose (usually 5 grams left and right sides), or diminishing the quantity certificate according to love, or slow the pill figure reactive power; 3 it is cure for this, flexible compatibility, regulate taste, for what the attack, then to ZhiDang stability.