Treatise on febrile disease and the # 2: major bupleurum decoction 
 
 
Chen Ming Beijing university of Chinese medicine 
 
 
China's traditional Chinese medicine to 

        Speaking of major bupleurum decoction, going into it, and I can say it is big the special curative effect of radix bupleuri decoction, prompted me to the way of learning Chinese medicine. Since the 1970 s, one of my relatives have cholecystitis, often attack, attack every time have a terrible pain, the pain and even can reach the level of coma, limbs cold (later know this is called "painful shock"), accompanied by severe vomiting, able to spit out both bile. Every time, and the whole family were alarmed, and what to do. Every time go to the hospital, is playing DiaoPing control, but before long, will attack again. Not to eat greasy and cold food, eat disease recurrence. Hospital a doctor later to introduce an old Chinese medicine college of traditional Chinese medicine, prescribing a few herbs, at that time, remember one or two cents a dose, took more than a dozen agents, cholecystitis pain did not attack again. I feel the role of traditional Chinese medicine is very great, is determined to study traditional Chinese medicine, the university, learned formulas of Chinese medicine and treatise on febrile disease, just know that teacher drove a big radix bupleuri decoction, until now, I still always treasure this prescription. Later, I also completed the master graduate student of the teacher, he is the professor Shi Guanqing henan college of traditional Chinese medicine. I learn Chinese medicine is the most fortunately, has met the academic advisor for master's tutor Mr Shi Guanqing and Mr Liu ferry boat two master's teachings. 
 
        Attending disease 
 
        About major bupleurum decoction condition, zhang zhongjing says, "oh, the impulsive, and micro vexed, for unanswered, also with great radix bupleuri decoction of the". "Ou", is to use the small bupleurum decoction, still vomiting, from the perspective of clinical, although this is the symptom of stomach, but its basic often in liver and gallbladder, how is liver disease is caused, such as cholecystitis, gall-stone, chronic hepatitis, etc. Under the "urgent" from heart, the heart is the stomach, the meaning of the snap is detained, spasm, pain, is has a bloated, bulging, very pain. Often vomiting, abdominal pain, so patients depression, irritable. The disorder in today seems to be very similar with cholecystitis, gall-stone, so major bupleurum decoction for the treatment of this aspect, curative effect affirmation. 
 
        Drug composition and efficacy 
 
        Big of radix bupleuri decoction drugs: radix bupleuri, radix scutellariae, pinellia, ginger, jujube, acid-insoluble ash, radix paeoniae alba. 
 
        Major bupleurum soup with small bupleurum soup just wrong two herbs, five herbs both have before, just big in radix bupleuri increased the amount of ginger, so small bupleurum soup from ginseng, main licorice, reuse of ginger, acid-insoluble ash, radix paeoniae alba. 
 
        Why do you want to get rid of ginseng, main licorice? Because the two medicine belongs to the GanWen agent, too warm, filling, made up of small bupleurum decoction syndrome YangShuJi less adverse to the gas fire YuHua major bupleurum decoction syndrome, shaoyang heat is aggravating, is not suitable for removing medicine. 
 
        Why reuse ginger (small bupleurum decoction of ginger is two, three major bupleurum decoction of ginger is five two), because of vomiting is aggravating, that ou, with a small bupleurum decoction has not solve the ou, so reuse the ginger anti-nausea and stomach. 
 
        Why add root of herbaceous peony, because there are obvious pain, good pain effects of radix paeoniae alba, relaxing smooth muscle spasm of internal organs and abdomen. 
 
        Why add acid-insoluble ash again? To break gas fights, depressive fire, and can pass the shit, prompting wind-cold away from below. 
 
        Whether to increase the yellow 
 
        Compared with small bupleurum decoction, the conditions of the big radix bupleuri decoction treated for depressive fire heavier, and lesions in the spotlight on shaoyang gallbladder heat makes the stomach, serious little Yang in the gallbladder heat can also spread to the large intestine, affect the conduction of e. peristaltic function, constipation, this time with a small bupleurum decoction is critically ill medicine light, therefore, zhang zhongjing to switch to major bupleurum decoction. If affected e. appear constipation, can join in the rhubarb. Stomach and large intestine belong to Yang Ming, shaoyang heat evil invasion of gastric bowel is less Yang, Yang Ming with the disease, so the later think big radix bupleuri decoction is less Yang, Yang Ming double solution and party. 
 
        Cuhk bupleurum soup but in "treatise on febrile diseases", which is without rhubarb, radix bupleuri decoction in the synopsis cuhk is rhubarb, later that many physicians believed that there should be a rhubarb the bupleurum soup, such as Wang Shuhe of jin dynasty, song dynasty Xu Shuwei typhoid fever "big shots", these studies have more yellow. When used in the concrete, is more yellow, when according to specific situation is concerned, I think have constipation, or depressive heavy fire, it is advisable to add. 
 
        In addition, big bupleurum soup is also small bupleurum decoction and four inverse scattering of the party, not only treat liver diseases, also can cure the stasis of insides. 
 
        We can also from another Angle to analyze this prescription, bupleurum soup with small following the bottom, but if the radix bupleuri, acid-insoluble ash, peony get together, you will find the original one in four inverse scattering. We said before, in front of the small bupleurum decoction and less YangShuJi adverse, cure gallbladder heat; And four inverse scattering and jue Yin cardinal is bad, can be comfortable liver-qi. So, the two Fang Zige together with is a what concept? Is whether Yang meridians, the six fu-organs stasis or Yin meridians, stasis, or intestines and stasis, major bupleurum decoction can be used. In other words, we can say that small bupleurum decoction are to treat three Yang meridians, qi activity of stasis; Four is inverse scattering for three Yin meridians, five viscera qi activity stasis; So, major bupleurum decoction has a wider range, is philosophical, intestines and qi activity of stasis. That is no matter where there is a person who stasis, as long as the stasis, heavier, can choose major bupleurum decoction, because its role than small bupleurum decoction, four XieYu inverse scattering are strong. Now, for example, depression, illness JiaoChongZhe, can choose major bupleurum decoction. Terms of based on liver disease, the small bupleurum decoction treating shaoyang gallbladder disease, main therapy si-ni-san jue Yin disease of the liver, and big in radix bupleuri decoction for both sides, so you can treat hepatobiliary disease.
 
 
 
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