Zhongjing with peony clinical experience learning (on)

Time: 2015-11-03

Source: China's traditional Chinese medicine

The author: wang it

"About the name"

Zhang zhongjing era, no red and white peony. Truly the peony with red white points of the northern and southern dynasties is tao hongjing... "huang notes. Dow from the points of design and color, red for radix paeoniae rubra, radix paeoniae alba white person said. Song sung "compendium figure, will be divided into wood gold peony, peony peony. The former white, that is, the later the radix paeoniae alba, latter bonus, that is, radix paeoniae rubra. After the founding of the people after the said Chinese medicinal materials handbook, root of herbaceous peony is the root of herbaceous peony dry, ranunculaceae plants are cultivated radix paeoniae alba, wild radix paeoniae rubra. "Chinese medicine" cloud radix paeoniae alba, radix paeoniae alba from hangzhou to hangzhou in bozhou called act completely Que, radix paeoniae rubra and sichuan red paeony root, in sichuan province.

In effect, "compendium" pursuing think radix paeoniae rubra and radix paeoniae alba attending the same, but there are differences, radix paeoniae alba has gathered, Yin Yin yi camp blood work; Radix paeoniae rubra has the effect of immorality blood, promoting blood circulation to remove blood stasis. To form a has said: "annotation treatise on febrile diseases", which "peony, white and red drainage", root of herbaceous peony blood nourishing blood and liver, radix paeoniae rubra cool invigorate the circulation of blood. It's said had a great influence on later generations. Li shizhen also affected by the "root of herbaceous peony can benefit spleen, can in the soil have diarrhoea wood", "red paeony root evil, can do the hysteresis of blood". Generally think that future generations, radix paeoniae alba can keep blood liver, longer than the folding of the Yin, acid GanHua Yin, have convergent effect; Invigorate the circulation of blood and radix paeoniae rubra cool longer than scattered stasis. Therefore, learning zhongjing when in combination with the practical situation of clinical choose the formulas radix paeoniae alba and radix paeoniae rubra. Modern but also the scholar thinks, from the origins, both difference is not big.

"The effect of peony"

Muscle and camp

"The practical medicinal dictionary of radix paeoniae alba cloud" acid folding of the body fluid and blood yi camp, convergence Yin qi pathogenic heat ". On behalf of the party is guizhi soup, soup of cassia twig and puerarin. Compatibility of radix paeoniae alba and cassia twig, has two meanings: one is to reconcile camp guard, and one is cassia twig, fearing to camp blood. The author in the clinical treatment of miscellaneous diseases seriously khan (night sweats from sweat or summer don't sweat out), repeatedly not cure effect of camp who don't, wu, often with radix paeoniae alba and cassia twig phase with ginger, jujube, again heavy and radix astragali 30 ~ 60 grams, the effect is very good. Who doesn't sweat much because gas is weak, camp, reuse of astragalus membranaceus gas-solid table, cassia Que harmonic camp guard, and then to make considered additions calcined dragon negundo, fructus schisandrae, product won the effect of convergence; Without sweat due to insufficient WeiYang, without encouraging Yin fluid, reuse of astragalus membranaceus encouraged gas, inspire cou justified, cassia Que and its muscle Cou, with sweat. A method two effect, is the key to pathogenesis, no matter how the sweat, no sweat, namely the preferable effect.

pain

Peony licorice acid GanHua tang Yin, the original "feet" twin acute treatment, the disease after sweating, and Yin, Yin fluid can moisten the twin acute channels caused by foot, peony liquorice decoction of god. In addition, for party a lot of pain, such as cassia twig and peony decoction applied to sun stroke syndrome associated with abdominal pain, treatment of "full abdominal pain" peony, tracey soup guizhi tonga is heavy in the dosage of radix paeoniae alba, add caramel, treatment "belly pain". Cassia twig increased when, cassia twig decoction to sun stroke the table card, Yang Ming real big real pain relieving more yellow, cleaning intestines and stomach; Pain, peony. The cold-induced febride said peony "main pathogens abdominal pain. "Ben hui" also said: "the peony and licorice check deficiency of abdominal pain, with men, to stop the bleeding, abdominal pain, with this, park check stagnant abdominal pain, with amomum villosum check tire pregnancy abdominal pain, abdominal pain with Qin, check the heat flow field, with ginger, attached, cinnamon Yin cold abdominal pain." The analgesic effect of paeonia lactiflora summarized thoroughly. Peony according to different compatibility, can treat various properties of the pain.

Experimental research, herbaceous peony contain peony glucoside have spasmolysis effect, mainly through the direct effect of smooth muscle, and reached on the central nervous system has sedative and analgesic and anticonvulsive action. So the author in clinical for some insomnia, irritability, anxiety, and reuse of radix paeoniae alba, because it has a calming and anticonvulsive action. Peony and herbaceous peony glucoside have anti-inflammation and antiulcer effect, have a preventive effect on stress ulcer in rats, such as canker caused pain, tracey soup reuse of herbaceous peony, itself can remove smooth muscle spasm. Herbaceous peony extract, make the stomach acid mild rise, atrophic gastritis to phase 3, gastric acid deficiency can be reused peony, acidification Yin. Because of lack of gastric acid can also cause abdominal distention, dyspepsia, etc., can add peony, plum, hawthorn, can increase its acidity, insufficient for hydrochloric acid in gastric juice of atrophic gastritis caused by abdominal distension full very appropriate. On the contrary, if is bile reflux gastritis, reflux esophagitis, gastric and duodenal ulcer, high acidity peony should use less. If you want to use, take the pain, but to prevent the increase the side effects of stomach acid.

Liver and spleen

On behalf of the party four inverse. Treatment YangYu not reach "shaoyin disease, four inverse", four inverse, limbs jue inverse. Limbs jue inverse has a variety of situations, in neijing cold jue, thermal jue, "sun be the spirit from the cold jue, Yin qi failure in for heat jue", refers to the kidney Yin and kidney Yang deficiency. The kidney Yang deficiency, the limbs of appetite for cold jue. Kidney Yin deficiency, the limbs of appetite for hot jue. Zhang zhongjing heat cold faint, faint, "jue, gas phase and" Yin and Yang, the upper energizer and medium, with large bearing gas soup, tapping the coke, traffic up and down. "Hot ChengJue also deep in high fever", patients with high fever at the same time there is Yang Ming, relieving the empirical performance of shock, limbs jue inverse, with large bearing gas Shang Yangming relieving real one xie, Yin and Yang qi traffic up and down, shock, cold limbs jue is better. Inverse of the faint due to poor person four limbs of appetite, with discussion on qi activity of the product. Addition and subtraction of si-ni-san "belly pain to Onions plus peony two two", take the liver and spleen function. Zhongjing "xiaoyao powder of pharmacopoeia, after Zhang Jiebin of liver decoction, radix bupleuri liver soup is based in four inverse scattering cutting and become, all take the liver and spleen. "Compendium of justice" cloud "blood benefits the liver and spleen Yin, temper the scattered and, cross, root of herbaceous peony diseases with appearance also". So the root of herbaceous peony has flat liver, nourishing blood and liver, spleen.

Experiments prove that the root of herbaceous peony extract for galactosamine and aflatoxin B1 liver injury in rats with elevated ALT, caused by has obvious inhibitory effect, radix paeoniae rubra also have the effect that protect liver. Experimental animal liver damage, radix paeoniae alba has the effect that protect liver, tell the doctor of traditional Chinese medicine liver, actual namely protect liver function. Because the liver is just dirty, use a feminine liver medicine is in line with the characteristics of liver.

Through the blood bi

"Peony" cold-induced febride: in addition to blood bi, the broken product." Is tong bi, invigorate the circulation of the work, this may mean radix paeoniae rubra. "Golden turtle shell decoct pill for the treatment of malaria mother, rhubarb sting worm pill treatment of liver cirrhosis, cassia twig peony decoction through the day, take the role of herbaceous peony invigorate the circulation of t2dm with blood. The doctors don't record "said tao hongjing... peony smooth veins, slow, bad blood, blood line by a thief. "Bad blood" which refers to blood stasis. The thief is not blood blood, or from the blood, is blood stasis.

Paeoniflorin was determined by experiment research proves that the peony or have to dilate blood vessels and increase blood flow to the organs, radix paeoniae rubra has antithrombotic and antiplatelet aggregation effect, can increase coronary blood flow, reduce blood pressure, increase cardiac output. This heart vascular disease, clinical use is more, it is in itself the antithrombotic and antiplatelet agglomeration effect.

Stop heat flow field

Treatise on febrile disease treated with radix scutellariae soup sun Yang or less of the "down" vomiting. The sun card table and Yang half exterior and half less, appear diarrhea. Radix scutellariae is the treatment of dysentery ZuFang soup. Into himself in the comments on "bitterness, with strong acid to collect, radix scutellariae peony of acid, to convergence of intestines and stomach gas." The effect of peony and spasmolysis acetanilide, radix scutellariae can clear bowel in hot and humid, it is the host for the treatment of dysentery. Later the life-style confidential of radix scutellariae peony soup, zhang jie gu shao yao soup by his own and extension. Modern clinical abdominal pain diarrhea, tenesmus dysentery, ulcerative colitis and crohn's disease, irritable bowel syndrome and so on, have a clear bowel, spasmolysis, analgesic effect.

Purge drain evil

Peony itself without anti-diarrhea effect, intestines and stomach have convergence. Peony purge drain evil representatives of the parties is maren pills, treatment of spleen about certificate. On lunar article "say:" lunar for disease, weak pulse, the person following facilities, set up when the line rhubarb soup of herbaceous peony, appropriate reduction, to weak stomach gas, movability also." Lunar disease generally characterized by weak spleen Yang deficiency, the abdominal pain diarrhea, the person following convenient, if you want to use rhubarb soup of herbaceous peony, dose should be reduced, to the person weak stomach gas, easy to move so also. So you should not with rhubarb and peony, stomach weak gas prove that, in turn, peony have aperient effect. Paeonia Yin cold medicine, defecate general of the people use may increase the number. Pulse is weak, convenient for lunar disease, if with abdominal pain, or "big real pain" peony and rhubarb, and suggests the action of both discharge and purge all spleen Yang deficiency with the weak. Tracey soup with peony mainly in pain, but the small building in the soup is a base of guizhi soup, add caramel, mainly caused by coke cold abdominal pain, canker of taste xu han, the clinical use peony pain, but if defecate pond thin, peony dosage shoulds not be too much. Reports of peony liquorice decoction to treat 60 cases of habitual constipation, the effect is very good, general raw radix paeoniae alba with 24 ~ 40 grams, licorice with 10 ~ 15 g. The author's clinical experience, single peony, aperient effect is bad, and acid-insoluble ash together with, or wu born in atractylodes, dosage is bigger, the habitual constipation and senile constipation is effective.

Ann foetus stop leakage

Such as glue YiShang, is tonga donkey-hide gelatin, folium artemisiae argyi. "Woman, leakage or half produce drip", siwu soup have peony, so angelica extract powder treatment "the woman pregnant stretch marks, stomach cramps, is pregnant, quickening, leakage cause abdominal pain. Can use the Chinese angelica peony, peony can be pain, at the same time can convergence under seepage action.

Modern research can peony fetus stop leakage, may be due to the peony of striated muscle or smooth muscle spasm spasmolysis effect obviously. Quickening, the uterus convulsion, peony can relax uterine smooth muscle, helps to fetus. "The practical medicinal dictionary: peony treatment" before the woman all disease, fetal postpartum the disease ", peony is department of gynaecology to medicine.