(1) Distinguish between Yang and Yin; Anyone who feels wind evil, water vapor, wet poison and damp heat is more acute. Those with symptoms of exterior syndrome, heat syndrome and excess syndrome are treated with yang water, while those with symptoms of internal deficiency and cold syndrome are treated with yin water. Yang water impairs healthy qi for a long time, or yin water attaches great importance to exogenous pathogens, and deficiency leads to excess, which can form a syndrome of mixed deficiency and excess. It is also appropriate to distinguish the excess and deficiency of specimens in detail, which is more or less, which is more important or lighter, which is urgent or slow.
(2) Location of the disease: puffiness of eyelid, swelling of limbs, aversion to cold and fever, bad cough, sore limbs, and the location of the disease is in the lungs; The whole body is swollen, the limbs are sleepy, the stomach is stuffy and there is little food, and the disease is located in the spleen; The floating limbs on the face are swollen, especially below the waist, accompanied by weakness of the waist and knees, cold limbs, and the disease is located in the kidney; Face swelling and limb floating, palpitation, heart disease; General edema, hypochondriac swelling, belching, the disease is located in the liver.
2. The basic principles of treatment are sweating, diuresis, diarrhea and water excretion. In the aspect of deficiency and excess of yin and yang, yang water is mainly used to drive away evil spirits, which can induce sweating, diuresis, relieve diarrhea, detoxify, promote blood circulation, promote qi circulation and relieve exterior syndrome. Yin water is mainly for strengthening the body resistance, and methods such as strengthening the spleen, warming the kidney and promoting diuresis, benefiting qi, nourishing yin and promoting diuresis can be adopted.
3. Emergency measures
(1) Float and edema on the face, short and red urine, palpitation and shortness of breath, inability to lie down, sweating, full lips, pulse deficiency or knot formation, which are the changes of water evil going up against the heart and lungs. Optional:
① Radix Aconiti Lateralis Preparata 15 ~ 30g, Ramulus Cinnamomi 9g, Radix Salviae Miltiorrhizae 15 ~ 30g, Herba Leonuri 30 ~ 60g and Radix Glycyrrhizae Preparata 6g. Decoct with water, daily 1 dose.
② The roots of Evergreen (15 ~ 45g) are decocted into 30 ~ 40ml, and taken three times a day.
(2) Systemic edema, urinary incontinence, lethargy, nausea and vomiting, and the smell of urine in the mouth are symptoms of accumulation of water and dampness and obstruction of triple energizer by turbid pathogen. You can give:
① Radix Aconiti Lateralis Preparata 9g, Radix et Rhizoma Rhei 9g, Rhizoma Coptidis 6g, Fructus Evodiae 3g, and 2 slices of ginger, 65,438+0 doses per day, and decocted in water.
② 9g of aconite root, 9g of rhubarb and 60g of oyster, at first sight 15g. Decoct in water to 150 ~ 200 ml for retention enema,1/d.
4. Treatment based on syndrome differentiation
(1) Feng Shui is rampant
The main symptoms: eyelid edema, followed by swelling of limbs and whole body, rapid onset, mostly aversion to cold, fever, limb pain and dysuria. Those who are prone to wind-heat are accompanied by sore throat; The number of red veins on the tongue. Those who tend to be cold, hate cold and cough; The tongue coating is thin and white, and the pulse is smooth or tight. If the edema is serious, you can also see deep veins.
Treatment: dispelling wind and clearing heat, dispersing lung and activating water.
Prescription: Yuemai plus soup. Medicinal ephedra 10g, gypsum 30g, atractylodes macrocephala 12g, licorice 6g, ginger 10g, jujube 10g. If the wind-cold is severe, remove gypsum and add perilla leaf10g, cassia twig10g, and radix Saposhnikoviae10g.
(2) soaking in wet poison
Main symptoms: eyelid edema, spreading to the whole body, unfavorable urination, skin sores, even ulceration, bad wind and fever; Red tongue, thin yellow fur, floating or slippery pulse.
Treatment: dispersing lung and detoxifying, promoting diuresis and reducing swelling.
Prescription: ephedra, forsythia and red bean soup combined with Wuwei disinfection drink. Medicinal Herba Ephedrae 6g, Fructus Forsythiae 12g, Semen Phaseoli 30g, Cortex Mori 12g, Semen Armeniacae Amarum 10g, Flos Lonicerae 20g, Flos Chrysanthemi Indici 20g, Herba Taraxaci 20g, Herba Violae 15g and Herba Violae 15g.
(3) Wet poison impregnation
Main symptoms: general edema, no finger pressing, less urine, drowsiness, chest tightness, anorexia and disgust; White and greasy fur, slow pulse, slow onset and long course of disease.
Treatment: strengthen the spleen and eliminate dampness, and promote yang and diuresis.
Prescription: Wupi drink and Ling Wei soup. Medicinal Mori Cortex 12g, Pericarpium Citri Reticulatae 10g, Pericarpium Arecae 10g, Poria 20g, Rhizoma Zingiberis Recens 10g, Atractylodis Macrocephalae 10g, Poria 10g, Rhizoma Atractylodis 6g, Cortex Magnolia Officinalis 6g, Polyporus/0g.
(4) Damp heat and blood stasis
Main symptoms: systemic edema, tense and bright skin, chest tightness and fullness, irritability and thirst, short and red urine, or dry stool; Red tongue, yellow greasy fur, heavy pulse or damp.
Treatment: divided into damp heat.
Prescription: Shu Chi's introduction. Medicinal Notopterygii Rhizoma 6g, Gentiana macrophylla 6g, Pericarpium Arecae 12g, Poria 30g, Cortex Zingiberis Recens 6g, Alismatis Rhizoma 15g, Akebia Akebia 6g, Zanthoxylum bungeanum 6g, Semen Phaseoli 30g, Areca catechu 10g and Phytolacca acinosa 10g.
(5) Deficiency of spleen yang
Main symptoms: body swelling, especially below the waist, depression is not easy to recover, abdominal distension and tightness, decreased loose stool, sallow complexion, listlessness, cold limbs, short and red urine; The tongue is pale, the coating is white and greasy or slippery, and the pulse is slow or weak.
Treatment: Warming spleen and yang, promoting diuresis and eliminating dampness.
Prescription: Shipi drink is added and subtracted. 20g of Poria, 0/0g of Atractylodes macrocephala/kloc-0, 3g of papaya/kloc-0, 3g of licorice, 6g of radix aucklandiae, 0/2g of pericarpium arecae/kloc-0, 0g of Amomum tsaoko/kloc-0, 0g of aconite/kloc-0, 6g of dried ginger and areca catechu/kloc.
(6) Decrease of kidney qi
Main symptoms: facial edema, swelling below the waist, depression, backache, decreased urine output, cold limbs, chills and fatigue, and pale face; The tongue is pale, fat and white with fur, and the pulse is thin or stagnant.
Treatment: Warming kidney to help yang, transforming qi and benefiting water.
Prescription: Jisheng Shenqi Pill combined with Zhenwu Decoction. Medicinal Radix Rehmanniae Preparata 12g, Rhizoma Dioscoreae 15g, Fructus Corni 12g, Cortex Moutan 5g, Poria 15g, Rhizoma Alismatis 15g, Radix Aconiti Lateralis Preparata 15g, Cortex Cinnamomi 5g and Radix Cyathulae/kloc-0.
5. Acupuncture points such as Pishu, Shenshu, Yinlingquan, Sanyinjiao, Zusanli, Mingmen, Fenglong and Shuishui. Weak stimulation and moxibustion are suitable.
In order to prevent this disease, patients should exercise regularly to strengthen their physique. Live a regular life, pay attention to personal hygiene, improve your own disease resistance and prevent the invasion of foreign germs. Regular diet, moderate work and rest, moderate sexual intercourse, careful use of drugs that damage the kidneys, and early treatment of diseases.