1 Guizhi decoction for allergic rhinitis
Guizhi decoction nourishes yin and yang and regulates ying and Wei. It was originally used to treat solar stroke syndrome. Clinical application is not limited to the syndrome of solar apoplexy, as long as the pathogenesis is disharmony between camp and health, it can be applied.
The clinical manifestations of allergic rhinitis caused by disharmony between camp and health are sudden and recurrent nasal itching, sneezing, runny nose and stuffy nose, which often occur when it is cold or windy, or when you get up in the morning. Local examination shows that the nasal mucosa is pale and edema, there are a lot of watery secretions in the nasal passages, the tongue coating is thin and white, and the pulse is floating. Guizhi decoction can regulate camp and guard, dispel evil and enlighten.
Guizhi in the prescription is pungent and warm, which can relieve Wei Fen's evil. Paeonia lactiflora is sour, bitter and slightly cold, nourishing body fluid and benefiting qi, and astringing nose; Ginger is pungent and warm, cassia twig is cold and relaxing muscles; Jujube is sweet and flat, and peony is used to nourish Tianjin and raise camp; Roasted licorice is sweet, and it is combined with cassia twig and ginger to help defend qi, and it is combined with peony acid to nourish yin.
The compatibility of various drugs has played a role in harmonizing ying and Wei. Clinically, in order to strengthen the desensitization function, cicada slough and Xu Changqing can be added, and Astragalus membranaceus can be added to protect qi and strengthen exterior.
Ephedra almond licorice paste decoction can treat acute laryngitis, epiglottitis and sinusitis caused by pathogenic heat of lung meridian.
Ephedra almond licorice plaster soup is used to treat asthma and cough caused by lung heat. It can be used for removing summer heat, clearing away lung heat and relieving asthma. The sum of Herba Ephedrae, Semen Armeniacae Amarum and Glycyrrhrizae Radix is twice as cold as gypsum, except internal and external excess heat. Acute laryngitis and acute epiglottitis are characterized by heat stagnation in the lung meridian, which cannot be discharged and accumulates in the throat. In addition to fever and thirst, the former is accompanied by hoarseness or even aphonia. The examination showed that the laryngeal mucosa was congested and swollen, and the glottis was not open and closed normally. The latter is characterized by sore throat and severe swallowing pain. Examination showed hyperemia and swelling of epiglottic tongue.
Pathogenic heat invades the lung, lung qi is unknown, depression leads to dereliction of duty, which leads to unfavorable glottis opening and closing, and sore throat comes immediately. Clear lung heat with Maxingshi dry soup, and those with phlegm are Bombyx Batryticatus, Pinellia ternata and Tianzhu Huang; For those with severe congestion, add Sophora Tonkinensis root to beat; For those with severe pain, add Mabo and golden key. The syndrome differentiation of intractable sinusitis is lung heat moving to brain, and its clinical manifestations are excessive runny nose, yellow and thick color (white and thin color belongs to deficiency and cold), mild headache (intense pain belongs to gallbladder heat moving to brain), and mild nasal congestion (even if the yang is not rising). After examination, it was found that the double nails were congested and swollen, and there were yellow pus-like secretions in the nasal passages. The patients with tenderness in the anterior sinus area could use ephedra almond licorice paste decoction, which could be used in the prescription.
In clinical application, it can be used regardless of whether there is exogenous pathogen, because ephedra in the prescription still has the effect of relieving exterior syndrome, while gypsum still has the power of pungent and penetrating. Ephedra in the prescription can not only relieve exterior symptoms, but also introduce drugs into the lungs and reach the disease directly. Gypsum, on the other hand, has the function of "suppressing fire" when clearing away lung heat. This recipe removes gypsum, which is called San 'ao Decoction in Heji Ju Fang, and can be used to treat sudden deafness caused by wind evil invading the lung. This deafness is mostly secondary to wind-cold, which is caused by wind evil invading the lung, lung qi not being announced, disturbing the ear orifice along the meridian, and the ear orifice being covered by evil.
It is characterized by suffocating in the ear, such as cotton wool, or fever and bad wind, thin and white tongue coating, floating pulse and conductive deafness by tuning fork test. The so-called "deafness treating lung" method of San 'ao Decoction is particularly effective, and the effect is better with eustachian tube blowing.
Baihu decoction is used to treat acute pharyngitis, herpetic stomatitis and epistaxis.
Baihu decoction is composed of gypsum, Anemarrhena asphodeloides, Glycyrrhiza uralensis Fisch and japonica rice, which has the function of clearing away heat and promoting fluid production. It was originally used to treat Yangming syndrome of hyperactivity of qi and heat.
The plaster in the prescription is cold in nature and is used to clear the lung and diarrhea; Anemarrhena asphodeloides has a strong flavor, clearing lung and promoting fluid production; Licorice and japonica rice nourish the stomach.
The clinical manifestations of acute pharyngitis and herpetic stomatitis are sore throat and mouth, burning sensation and bad breath, accompanied by fever, dry mouth and thirst, yellow stool, red tongue with yellow coating and rapid pulse. Examination shows that the pharyngeal mucosa is congested and red, or there are a large number of oral herpes with obvious local congestion, suggesting that the lung and stomach are full of heat. Excessive lung and stomach heat will inevitably burn body fluids, so the treatment should be to clear away heat and nourish body fluids.
It is for this purpose that gypsum is compatible with Anemarrhena asphodeloides. As for patients with epistaxis, they are characterized by massive bleeding and bright red blood, accompanied by irritability, thirst and excessive drinking. Every time you sneeze, cough violently, cry, wash your face with hot water, chew hard objects or exercise vigorously, you may bleed again, with constipation, scanty phlegm, Huang Chi, red tongue and yellow fur. Local examination showed that the nasal mucosa was dry and the Leeds area was rough.
Although the lung opens in the nose, the pulse of Yangming pinches the nose, and Yangming is the meridian of excessive qi and blood. Therefore, if the amount of bleeding is large and the blood color is bright red, it is necessary to consider the heat of Yangming. Lishi area is rich in blood vessels, which will scab when it is rough and erosive. Once it is cracked, it will definitely bleed.
Moisturizing at this time can avoid bleeding. Select Baihu decoction, and optionally Radix Rehmanniae, Cortex Moutan and Radix Paeoniae Rubra to clear away heat and cool blood; Cogongrass rhizome and cacumen Platycladi can also be added to cool blood and stop bleeding; Constipation, should add yellow, Trichosanthes kirilowii, Qingchang Qingre.
Tiaowei Chengqi Decoction is used to treat all patients who need to have an emergency in otorhinolaryngology.
Tiaowei Chengqi Decoction was originally used to treat Yangming fu-organs, which can treat the bitter cold of rhubarb, the salty cold of mirabilite, the hot fire and the sweetness of licorice.
This prescription can also be used for acute otorhinolaryngology diseases such as fever and thirst, constipation, Huang Chi in urine, red tongue with yellow fur and heavy pulse, especially for acute suppurative diseases such as suppurative tonsillitis, abscess around tonsils, acute sinusitis and acute suppurative otitis media. , can solve the exterior pathogenic heat from the bottom.
Zhongjing's original prescription used wine to flush rhubarb, but the diarrhea effect of wine to flush rhubarb was weak. The author changed it to raw rhubarb to increase its laxative effect, and the effect was remarkable.
5 orange stalk soup cures all diseases of the throat.
Jugeng decoction is the most famous commonly used prescription in laryngology, which is composed of platycodon grandiflorum and licorice.
Platycodon grandiflorum is pungent, enters the lung meridian, decokes, and is good at "opening the knot of lung qi and proclaiming the depression of heart qi", which is a boat with many drugs; Licorice is sweet, and when it enters the twelve meridians, it can not only tonify deficiency and benefit qi, but also "dredge meridians and benefit blood gas" to vent latent fire in the lungs.
This prescription is the basic prescription for the treatment of throat diseases, and many prescriptions are derived from the taste of syndromes. In addition to Zhang Luyu and Radix Sophorae Tonkinensis and Radix Scrophulariae, Gu Shicheng and Radix Asparagi and Radix Ophiopogonis, it is still called orange stem soup, mulberry bark and Lycium barbarum bark are strictly used as Allium macrostemon powder, Liu Hejian and Chebula Qingyin decoction, and Li Dongyuan add this recipe as Buzhong Yiqi decoction to treat sore jaw and swelling.
The throat diseases treated by Jugeng Decoction are mainly sore throat, dry throat or cough. The dosage of platycodon grandiflorum in the prescription should not be large, and 6g is generally appropriate, because platycodon grandiflorum can stimulate the throat and cause nausea and vomiting, which should be paid attention to in clinic.
Wuling powder is used to treat tinnitus, sinusitis and Meniere's syndrome caused by water retention.
Wuling powder, originally designed for drinking water from bladder, is mainly used to treat the syndrome of solar water storage, affecting bladder gasification function and stopping drinking water.
Polyporus umbellatus, Poria cocos and Alisma orientalis are guided by diuresis; Atractylodes macrocephala strengthens spleen and dries dampness; Guizhi warms yang and turns qi, promotes blood circulation and removes blood stasis.
At present, Wuling powder is the first dose to expel internal and external water. General otorhinolaryngology diseases are characterized by otorhinohydrocephalus and water overflowing between muscles, which can be applied to those who need help to help the spleen to support fire and seep dampness.
Clinical application may not have both exogenous pathogens, such as acute and chronic non-suppurative otitis media and acute suppurative otitis media, and the symptoms of excess heat have disappeared and there are many purulent secretions; Sinusitis with persistent headache, multi-color and white nose, mild nasal congestion and dull sense of smell; The water is flooding and dizziness (also known as water dizziness) stays in the ears.
Also: Alisma orientalis must be reused in the treatment of vertigo, which means that Zhongjing uses Alisma orientalis decoction to treat phlegm and dizziness.
Zhenwu decoction in treating allergic rhinitis and Meniere's syndrome caused by yang deficiency and water flooding.
Zhenwu decoction warms yang and promotes diuresis, which is mainly used for patients with spleen and kidney yang deficiency, water and dampness, and dysuria. In the prescription, aconite is pungent and hot, warming kidney and helping yang, and warming spleen and soil; Poria cocos and Atractylodes macrocephala strengthen spleen, promote diuresis and permeate dampness; Ginger helps aconite to warm yang and dispel cold, especially paeonic acid, which can drain the liver and drain water.
Allergic rhinitis due to deficiency of kidney yang is due to deficiency of kidney yang, loss of lung temperature, nasal injection of cold water and runny nose. Meniere's syndrome is caused by yang deficiency of spleen and kidney, which can't warm the water and damp. Cold water stays inside and makes you dizzy when it overflows your ears. Their pathogenesis is consistent with the diseases treated by Zhenwu decoction. For allergic rhinitis, cicada slough, Xu Changqing and Saposhnikovia divaricata are added in this prescription to warm spleen and kidney, remove cold water and stop sneezing and nasal congestion.
Meniere's comprehensive requisition is used to warm spleen and kidney, dispel cold water and stop dizziness, such as frequent vomiting and adding Evodia rutaecarpa, dried tangerine peel and Pinellia ternata; Magnetite and Schisandra chinensis are added for patients with severe tinnitus; Gastrodia elata and Uncaria rhynchophylla are added for patients with liver wind.
Treatment of laryngeal cough with Shegan Mahuang decoction.
It is characterized by itchy throat, followed by cough, short and dull cough, and sometimes the more you cough, the more itchy you can't stop. This is because the pathogenic animals are trapped in the lung meridian and it is difficult to drain for a long time. At this time, propaganda is the only way, but ordinary propaganda is of course beyond our power. We must prescribe a powerful prescription to combat stubbornness and clear the way.
The most suitable decoction is Shegan Mahuang Decoction: Shegan can clear away heat, detoxify, resolve phlegm and dissipate stagnation; Ephedra dispersing lung and relieving asthma; Aster, Pinellia ternata and Farfara can reduce qi and resolve phlegm; Asari and ginger dispel cold and benefit water; Ephedra, Asari and ginger exude evil spirits; Rhizoma Belamcandae, Radix Asteris, Flos Farfarae, and Rhizoma Pinelliae reduce adverse reactions, and * * * play the role of eliminating pathogenic factors and relieving cough.
Treatment of intractable nasal congestion with Jiukezao Pill
Granule jujube pill is specially used to treat chronic rhinitis with nasal congestion. Although the prescription is two flavors, it is very powerful and effective. The nasal congestion of this chronic rhinitis is caused by congestion of lung qi and poor qi and blood. Clinically, it can be seen that the patient's nasal congestion lasts for a long time, and the examination shows that the submandibular gland is swollen and the mucosa is dark red, so sputum is used to clear the lung and dredge the orifices. The main drug, tingling, enters the lungs to purge qi and governs the lungs to absorb qi. After all, prickly heat is a powerful medicine. Although it is compatible with jujube to relieve its medicinal properties, it is not suitable for long-term use, especially for people with weak constitution.
10 Guizhi Fuling Pill in Treating Vocal Cord Polyps of Blood Stasis Type
Guizhi Fuling Pill is from synopsis of golden chamber. The original prescription is used to treat women's abdominal mass accumulation syndrome. At present, its effect of promoting blood circulation and removing blood stasis is used as a dispersant for vocal cord polyps, and the effect is satisfactory. This prescription is a slow-acting agent for removing blood stasis and eliminating disease. In the prescription, peach kernel and peony bark are used to promote blood circulation and remove blood stasis; Compatible with the same amount of Paeonia lactiflora, nourishing blood and enriching blood; Adding cassia twig can not only warm blood vessels to help peach kernel, but also get peony to harmonize qi and blood; Combined with the light permeability of Poria cocos, it can promote the circulation of water and body fluid, promote the circulation of blood, and has the function of eliminating dampness and removing blood stasis. Looking at the whole prescription comprehensively, it is a medicine for removing blood stasis, promoting tissue regeneration and harmonizing qi and blood.
Vocal polyp is a tangible thing, which is caused by septicemia, congestion and stagnation in the membrane. The patient's voice was hoarse. After years of cure, the vocal polyp was purple and pedicled. The treatment should be promoting blood circulation and removing blood stasis. Guizhi Fuling Pill is slow and effective, eliminating evil and protecting righteousness.
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