One of the clinical dosage strategy amount due to illness

China's traditional Chinese medicine to

        Shi quantity due to illness, which we call the concentration-response relationship associated with disease, referred to as the "quantity".

        Here disease, is refers to the type of disease, and even more. "Due to illness" strategy can be summarized as: to long-term chronic disease, the upper energizer disease, light light of disease (pretty good and evil or disease evil light shallow), small dose of medication can receive four two dial one thousand jins effect, treatment of such diseases dose should be small. For critically ill, chronic disease, pathogenic factors, severe illness (general evil real sheng or vital qi deficiency), the dose should be big. So-called heavy doses of growing, small amount is a drop in the ocean, will not help.

        In addition, due to illness shi volume concrete contains "amount with disease" and "quantity" because of the potential of two aspects.

        With disease amount quantity

        With disease amount refers to the amount, according to the types of diseases, including adjustment of single dose and the dose of drugs.

        "Disease" decided to medication

        There is a dose threshold of the disease. Dosage of the same medicine, attending different disease, as well as differences. Because of the medicine has multiple effect, its within the scope of the different doses, perform different functions. Warm disease such as qing dynasty wu JuTong everyone has "pinellia one or two drop inverse anti-nausea, two two sedative hypnotic" say, and in the "wu JuTong basis" to get a number of the embodiment. As in volume 1 of the lee basis: "six vein fame, string thin and tight, and drink together, within and outside Luo pain, and heavy, eating less, eat easy oh, internal injuries is cold, exogenous dryness qi however, gold to aid the sanjiao (triple energizer) is Yang and Yang Ming Yang to."

        Prescriptions in the book with ginger pinellia six money until one or two set it down inverse anti-nausea effect, after the treatment process, insomnia, night and day to "pivot" carries the pinellia husked sorghum soup, pinellia tuber of ginger with two to take its sedative hypnotic effect, and achieve the goal of treatment of wakefulness.

        And as hebei name old doctor of traditional Chinese medicine, internal medicine miscellaneous disease experts to make free with asarum LiuPeiRan treatment difficulty miscellaneous disease, he thinks that "different doses can change the properties of drug and formula name, and can convert certain relationship with the change." So its in the process of using asarum, according to the different diseases of patients given dosage ranging from 15 to 150 grams. Such as cold treat jue Yin abdominal pain, asarum temperature by the published 15 grams; Treatment of conduction deafness, asarum with 30 grams XuanTong obsessed with the ear; Treatment of phlebitis with 60 ~ 120 g WenTong blood vessels.

        "Disease" decided to volume

        Monotherapy with multiple in the clinical efficacy, and the embodiment of the efficacy in many cases also depends on patient's illness. Now my heart in clinical application of different doses of this decoction decoction treatment of both diseases of medical record as an example to illustrate:

        Case 1: this decoction heart soup treating acne in 1 case.

        Patients, female, 23 years old. "Facial acne with 5 years, constipation 3 years" to see a doctor, doctor when disease see fatigue, mental fatigue, sleep bad, no appetite, stool a line of 4 ~ 5. Pale red tongue, moss greasy, pulse string thin weak. Syndrome differentiation of traditional Chinese medicine for stomach hysteresis pixu (spleen deficient), an tonga subtraction this decoction to regulate spleen and stomach.

        Characteristics: clear pinellia 15 grams, rhizoma coptidis 6 grams, radix scutellariae, 9 grams, 15 grams, codonopsis pilosula hopu 30 grams, 30 grams, immature bitter orange wine rhubarb 15 grams, 15 grams, main licorice ginger five movies. Water decoction. Patients after 14 agent, v. facial acne to reduce 80%, constipation improved markedly, 1 times per day, stool spirit better, sleep better.

        Case 2: this decoction to treat diabetes in 1 case.

        Patients, female, 57 years old. 6 years diagnosed type 2 diabetes, blood glucose control is not ideal. At the stomach bilges, no appetite, dry stool, 1 ~ 2 days. Tongue quiver, moss thin white, tongue and blood stasis, pulse heavy string. Fasting glucose tendency for 12.14 / L, tendency of 16 L, blood sugar 2 hours after meal glycosylated hemoglobin 8.9%. Hysteresis, syndrome differentiation of traditional Chinese medicine for stomach pixu (spleen deficient) with this decoction heart tonga subtraction.

        Prescription: qing pinellia 15 grams, rhizoma coptidis 45 grams, 30 grams of radix scutellariae, rhizoma zingiberis 12 grams, dangshen 30 grams, 30 grams of rhizoma anemarrhenae, immature bitter orange 15 grams, 30 grams of Fried atractylodes, wine rhubarb 6 grams, 30 grams of semen ziziphi spinosae (zs), main licorice 15 g. Water decoction. Above plus or minus 45 patients of agent, the bloating disappeared basically, stool 1 times a day. Fasting sugar tendency for 7.8 / L again, postprandial 2 hours blood glucose tendency for 9.8 / L, 7.2% a1c.

        Though the above two cases in this decoction heart soup mixed taste, but medical record 1 incurable disease for acne, rhizoma coptidis, radix scutellariae, small dose of acquisition can be closed work; Medical record 2 incurable disease to diabetes, harmonic taste at the same time, the clear stomach heat, fall blood sugar, rhizoma coptidis, radix scutellariae, if using small doses on hypoglycemic.

        Chinese medicines and chemical drugs, in there is certain regularity between dose and effect. A lot of traditional Chinese medicine (TCM) only when dose can perform certain functions.

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