Qin Bo not: grasp the primary symptom and pathogenesis Gen formula formula opportunely

Time: 2015-10-07

Source: China's traditional Chinese medicine

Author: JueJianHua Wu Dazhen

Qin Bo (1901-1901), in the modern famous medical scientist, educator, clinical. He keeps the family background, from famous doctor Ding Gan, graduated from the Shanghai school of traditional Chinese medicine. As a generation of famous doctor, Qin Bo not rich clinical experience, good at medical intractable diseases, in the warm disease, liver disease, edema disease, diarrhea, pain, ulcer, chronic diseases such as infectious hepatitis, angina aspect attainments deep.

【 grasp the primary symptom Search and disease Ming pathogenesis 】

Qin Bo not good at sums up the basic laws of diagnosis and treatment of traditional Chinese medicine, diagnosis of exquisite "for people, because of the disease, because of, adjust measures to local conditions", not "of die side of the living"; Expressing the clinical analysis of primary and secondary syndrome, good grasp primary symptom, scouring and disease, primary symptom as clues, and disease as evidence and identification, commands and comprehensive.

Such as coronary heart disease angina pectoris, he grabbed the paroxysmal transient area before the heart stopper or new chest tightness, smothering the primary symptom, belongs to the disease in mind, pathogenesis is mainly qi, general clauses pain. At the same time, according to the disease and more flustered palpitations, spontaneous sweating, night sweating, fatigue weakness, poor sleep, pain, pale face, the tip of the tongue or pale or were thorn, pulse condition, or small or big or weak or tight or later or knot or shortness of disease, and then points out its pathogenesis is insufficient blood, heart Yang asthenia. To have the guide meaning to clinical.

Gen formula qiao formula, the strong 】 【

He is good at severely, this refers to the cause, the disease, the symptoms. Despite previous emphasis on trial for treatment, but he's from huangdi neijing "of cold, hot, cold fever", "the most of the more, the nobody brought and exhaust, filled with diarrhea is to the inside", such as treatment, in order to cause, illness, symptoms, summed up the clinical prescription of "cause (+ a) + symptoms" this formula.

Such as treatment of cough caused by cold on lung, xuanhua dereliction of duty, by the above formula derivation treatment: (evacuation cold + releasing lungs) + phlegm cough, selects the apricot Sue powder. Apricot Sue spread of drugs also adhere to the above treatment, namely, Perilla, former hu + almond, platycodon grandiflorum + orange + licorice) + pinellia, dried tangerine or orange peel, poria cocos. Visible legislation prescription on the etiology, disease symptoms, three aspects should be mutual echo.

Use ChengFangShi also should add and subtract, according to these three aspects to take care of the symptoms, specimens. Such prescription drugs, can quickly relieve symptoms, can debate-and again.

Such as: some male, 60 years old, weak, with hypertension disease, often insomnia. Cold fever nearly 5, worked in a hospital with antipyretic and penicillin treatment, thermal power ups and downs, sweat is much, hot rise without a certain time, attack several times a day, heat up when the first tangible cold, heat drop sweat when the evil wind, accompany headache, evil, sputum, food stay bitter mouth, dry mouth not to drink, constipation, small Sou short red. Effective: pulse condition string tight and number, thick greasy medium yellow coating on the tongue.

Syndrome differentiation: disease caused by the wind, but the stomach hot and humid also.

Treatment: on the basis of fever, food stay bitter, symptoms such as constipation Sou red mouth, from little Yang, Yang Ming treatment.

Prescription: radix bupleuri half money, hu two before money, radix scutellariae and a half money, pinellia two money, artemisia annua half money, chrysanthemum half money, almond three money, a money, platycodon grandiflorum hovenia dulcis half money, red three three money.

Heat up, after a dose of 2 agent refund. But still sweat out capacity is much, for fear of the wind is the sleep. Consider invaded by solution, gastrointestinal symptoms in addition to, and the infirm, the sweat out, physically difficult. Change the diagnosis with cassia twig and monkshood soup rule.

Prescription: cassia twig eight, three money radix paeoniae alba, cooked with three money, raw huangqi half money, pinellia two money, tuckahoe, three money money half orange peels, main licorice six points.

Taking a dose, the sweat out less, after the second agent nor evil wind. Three clinical continue to phlegm wet, the more shortly.

The disease mainly body empty because for disease, gnarled and inside and outside Qin Bo not random strain, both the prescription of typhoid method combining disease and bulk, with wood, the former, definite, orange lifting drain evil, not pure small bupleurum decoction, this is the prescription medication changes.

And as a male, 67 years old, often catch a cold, often one month, see stuffy nose, cough, cough up phlegm, leading to sweat. Former yupinfeng powder and a half months is invalid. After Qin Bo not overcharge, switch to guizhi tonga astragalus membranaceus. After patients of self-conscious spiritual, physical enhancement, and the disease gradually solution, a cold also not subsequently.

He said, the disease before and after the second party with astragalus membranaceus and have little different, because guizhi soup to reconcile camp guard, plus astragalus membranaceus solid table, is strengthening vital qi to evil. Yupinfeng virtual people were evil, and don't understand. It is generally believed that the root of remembranous milk vetch and wind phase and phase, astragalus windproof, no worries, its solid, windproof astragalus, no worries, the hash table, combine actual is scattered, combine scattered, not equal to the centralizer solid table. If there is no table evil and take wind to evacuate, reverse to the attacks of opportunity.

【 pure drugs cause through selected special medicine cure 】

Qin Bo not skilled in use drugs. Effective drugs, he said, is the previous practice to stay after the experience of the party, and can be divided into general governance parties (and several disease) and the attending parties (cure a disease). , he thought, even if used for party, should also analysis the attending, medicine, and in recognizing the cure disease cause, main dirty, after the primary symptom, according to the specific condition and subtract, namely "will be closely combined with symptoms, etiology and therapy can transform tong hong fang mainly cure party", "only master these regular, can come in and go out, get in the ring, outside is like".

As to choose tyrannies, the key is not the primary symptom is the same, but in the cause and the disease, only in this way is to add and subtract changes the basis. So he succeeded in treatment with huangqi chienchung soup cold stomach, astragalus, angelica management with cassia twig weak cold and pain caused by a bi-complex, replacing small qinglong decoction with Yang and soup stubborn phlegm retention to cough and gasp the disease caused by cold.

Such as: wang mou, male, 26 years old, five years ago to see paroxysmal palpitation chest tightness, gradually see lower limb swelling. Inspecting: below the waist to play dorsalis pedis swelling, flatulence, vomiting, palpitation, shortness of breath, cannot lay down, urinate, defecate pond thin; Oral cyanosis, hands red purple, cheeks red such as makeup; The tip of the tongue is red, moss white satiny, pulse condition count with string.

, the qi and blood stasis syndrome: is Yang deficiency of water resistance.

Treatment: zhenwu soup flavor.

Prescription: cooked with two money, two money, ginger Fried atractylodes three money, radix paeoniae alba three money, poria cocos five money, in the spring of amomum villosum five points, combination of five points.

Even with four doses, urine volume increased, lower extremity edema disappeared basically, only the foot back not retreat, abdominal distension, vomiting are better, but two buccal red that sounds irritated worry, sometimes cough, blood in phlegm, pulse count still not static string. Long illness irritated worry, floating Yang not gathered, something offend the lungs, so see haemoptysis.

Still use front to sweet, her clam 5 grams, after the two doses of cough, blood condition is stable.

This disease causes heart Yang is weak, cannot WenYun coke water wet, but from the companion see buccal red such as makeup, moisture is, xu Yang rise, not only the stomach gas hanging, and intentional kidney Yang failure at any time the danger of collapse. So the treatment using zhenwu soup taste, fu Yang warms is given priority to, with the folding of the Yin nourishing spleen, * 4 agent after received. Xu Yang float more patient, if something, when the fact. This case complicated with something made of pulmonary hemoptysis, the original party to sweet dry and clear liver cough of product, it can quickly turn the pathogenesis.

The use of medicine good classification Cure liver disease 】

Qin Bo are not good at use of drugs, prescription on angelica sinensis and radix paeoniae alba, rhizoma atractylodis, and often, pinellia and magnolia bark dried tangerine or orange peel, etc. And, he thinks this is all predecessors' experience, also has a theory according to, worthy of attention.

He put the medicine is divided into three types:

One is borrow two contrary nature or smell, the efficacy of different drug combination, such as the qi and blood, cold and heat, and diarrhea, spread and accept, ascending and descending, sheen and bitterness etc., in the opposite each other in that changes the nature of its efficacy or obtain a new effect, such as cassia twig and radix paeoniae alba, sichuan fruit and rhizoma corydalis, rhizoma coptidis and evodia rutaecarpa, cortex phellodendri and rhizoma atractylodis, radix astragali and windproof, red jujube with ginger, dried ginger and fructus schisandrae, radix platycodi and hovenia dulcis, pinellia tuber and rhizoma coptidis and such.

Second is two drugs coordinate each other and play its special features, so as to enhance its role, such as black bean sauce and scallion, astragalus root and the studies, people who participate in such as lateral root of aconite and so on.

Three is nature to be Shared with efficacy similar to the two drugs, so as to strengthen the efficacy or both related zang-fu organs, such as the parties involved in the root of remembranous milk vetch, keel and oysters, green husk and dried tangerine or orange peel, purple Perilla, and herb stems and such. Given the drug compatibility is clever, can strengthen effect, expand the scope of treatment, and well used by reason for Qin Bo not and testimonials.

Liver disease is popular in China in the 1950 s, Qin Bo did not put forward to the difference between "diseases and liver depression", "getting and liver heat", "autumn zephyrlily and liver Yang" and so on several important concepts.

, he thought, "move" refers to the liver function is too strong and condition, its unreasonableness; "Change" is refers to the liver qi can't reach the condition, with the application of the sexual depression. The former factor too, which pathogenesis is not as good as, in the treatment of drug to have access to.

Hepatitis complex clinical manifestations, from the perspective of Chinese medicine, Qin Bo not grouped into two categories:

One belongs to the liver: see right flanks faint pain syndrome, in pain, pain, or headache dizziness, hot, hot flashes or leading palms or consciously heating and temperature is not high, insomnia, sweat, and urine yellow, skin itch occasionally or exfoliation, menstruation to be not moved, etc.

2 it is to belong to the spleen and stomach (including intestines) : disease, food glaze, hate fat, evil, burping, bowel, abdominal distension constipation or loose stool, angular, listless, depressed, jaundice, etc.

From the etiology and pathogenesis, symptoms of liver with the actual situation, qi and blood, including qi deficiency and blood deficiency, and qi stagnation and blood stasis, and due to a blood feud slants cold, hot phenomenon; Symptoms are caused by liver spleen and stomach, including spleen and stomach weak, resulting from wood willy wonka earth, do not thin soil for wood and make the intestines and stomach indicates lag, more because of this - one between wood and earth, in the spleen and stomach and aggravate the symptoms of liver in discord.

Therefore, western medicine diagnosis of hepatitis, TCM diagnosis is given priority to with liver disease, but can't cure liver treatment, and cannot use a kind of treatment. Due to the close relations to the liver and spleen and stomach, and hepatitis often associated with the liver and spleen and stomach symptoms, mixed so must respectively, primary and secondary comprehensive care.