The method of sweating and detumescence is called "opening the gate of hell" in Neijing. Zhang Zhongjing said: "Swelling above the waist is the cure for sweating." Therefore, this treatment is mainly used for upper body swelling, or upper body swelling first and then whole body swelling, resulting in aversion to cold, bad wind, fever and other symptoms. Clinically, appropriate sweating methods should be selected according to the specific conditions of different patients.
1. Chilling and sweating, wind evil hurts fur, water evil blocks skin, and stagnates heat. Symptoms include edema of limbs, aversion to cold, fever, joint pain, spontaneous sweating, thirst, Huang Chi in urine and rapid pulse. Treatment with Yuemai Fujiashu Decoction, pungent and cool, expelling wind, clearing away pathogenic factors, strengthening soil and promoting diuresis. Ephedra sinica 10g, gypsum 20g, ginger 10g, licorice 10g, 4 Chinese dates and Atractylodes macrocephala 12g. First, decoct Herba Ephedrae in water, remove foam, and then decoct the rest drugs. If cough occurs at the same time, add Pinellia ternata 10g to reduce adverse reactions and relieve cough.
2. Warming the heart, sweating, geomantic omen, muscle abscess and lung failure. Symptoms include edema of limbs, aversion to cold, anhidrosis, and floating pulse. Treat with Su Xiang Drink to relieve sweating and swelling. Cyperus rotundus10g, perilla10g, dried tangerine peel 8g, licorice 6g, onion 6g and ginger 6g. Boil the water several times, remove the residue and take it at any time. If the symptoms are edema of limbs, fever, aversion to cold, general pain, profuse sweating, floating pulse and irritability, Daqinglong decoction can be used to relieve pain, warm sweat, reduce swelling and remove annoyance. Ephedra10g, cassia twig 6g, roasted licorice 6g, almond10g, ginger10g, jujube 4g and gypsum 20g. First, decoct Herba Ephedrae with water, remove foam, and then decoct other medicinal materials together.
3. Help yang to sweat outside, water evil stops inside, and zhengyang is insufficient. Symptoms include edema of limbs, joint pain, sweating, bad wind and heavy pulse. Treating with ephedra and aconite decoction can help yang to sweat and reduce swelling. Ephedra sinica10g, aconite root10g, and licorice root 6g. First decoct Herba Ephedrae with water, remove foam, and then decoct the rest of the medicinal materials.
Diuretic detumescence method
The method of diuresis and detumescence is called "clearing the palace" in Neijing. Zhang Zhongjing said: "If it is swollen below the waist, it is necessary to urinate." Therefore, this treatment is mainly used for edema concentrated in the lower part of the body, or edema first appears in the lower part of the body, and then the whole body swells. Appropriate diuretic methods should be adopted according to the specific conditions of different patients in clinic.
1. transforming qi and diuresis "Bladder, the official of the state, body fluid is stored, and it can be vaporized." Water binds the bladder, which is not conducive to gasification. Symptoms include edema of limbs, dysuria, aversion to cold and fever, sweating and thirst, and floating pulse. Treating with Wuling powder, regulating qi and benefiting water. Ramulus Cinnamomi 10g, Rhizoma Atractylodis Macrocephalae 12g, Poria cocos 12g, Rhizoma Alismatis 20g, Polyporus 12g, and * * * are ground into powder, and taken with boiling water or decocted in water.
2. Wenyang Diuretic "Kidney, the stomach is also closed, it is not appropriate to close the door, so it gathers water and follows its class." Excessive pathogenic water leads to stagnation of kidney yang, but it can't be closed, and stagnant water leads to swelling. Symptoms include edema of limbs, cold limbs, unfavorable urination, small abdominal distension and heavy pulse. Treatment with Zhenwu decoction, warming yang, diuresis and detumescence. Take aconite10g, Poria10g, fried atractylodes10g, ginger10g, and Radix Paeoniae Alba10g, and add water for decoction.
3. Han Gan stopped diuresis and stopped bladder and urethra obstruction. Symptoms include edema of limbs, dysuria, or dripping pain, dry mouth and heavy pulse. Often with a self-made prescription, sweet and cold diuretic swelling. 20g of wax gourd peel, 0/0g of reed rhizome/kloc-,0/0g of lalang grass rhizome/kloc-,0/0g of pyrrosia/kloc-,0/0g of coix seed/kloc-,0/0g of almond/kloc-,and 0/0g of rush (or medulla tetrapanacis)/kloc-.
4. Bitter cold and diuresis. Xia Yue will hurt cold water, which flows through the skin, and heat will inhibit it. Symptoms include swelling of limbs, short urine, yellow color, thirst, red tongue and rapid pulse. Guadi decoction is used to treat bitter cold, diuresis and detumescence. 20 melon stalks (melon stalks or loofah stalks can be used) are decocted in water.
Drainage and detumescence
Water evil overflows and condenses in it, and the triple energizer is blocked and gasification is blocked. Symptoms include abdominal swelling, swelling of limbs, dysuria and heavy pulse. The treatment method is to add and subtract Ten Jujube Decoction to induce diuresis and reduce swelling. Divide Daphne genkwa (parched), Radix Kansui, Radix Euphorbiae into equal parts, and grind into fine powder for later use. When in use, take 10 jujubes, split them, decoct them in water to remove residues, and add 2g of medicinal powder for oral administration. This medicine can only be taken in the morning, not at night. If the urine and urine are still blocked after taking the medicine, wait until the next day. This recipe has a strong taste, so it is not suitable for a strong person who is not ill. For safety reasons, the powder can be mashed with jujube and used as pills; Or it is safer to mix the powder with vinegar and apply it to the abdomen.
Purging lung and reducing swelling
Lung is the source of water god, which leads to the decline of river water and the passage of waterways. Water evil blocks the lungs and the upper source is blocked, so the river is derelict and the waterway is impassable. Symptoms include limb edema, chest tightness, cough and wheezing. Treatment with Li Ting jujube Xie Fei soup, Xie Fei swelling. Lepidium seed (stir-fried, mashed) 15g, 4 jujubes. First, add water to jujube, remove dregs, add prickly heat seeds, decoct, remove dregs and take orally.
Removing blood stasis and detumescence
Blood stasis, qi stagnation, loss of work, unfavorable gasification, and long-term internal heat. Symptoms include edema of limbs, dysuria and thirst; Women's menstruation is unfavorable and their pulse is heavy and astringent. Treating with Puhui powder or small decoction, promoting blood circulation, removing blood stasis, diuresis and detumescence. Puhui powder: Puhui 10g, talc 5g, * * * ground into fine powder, washed with water, 1, three times a day. Xiaotangjing recipe: Angelica sinensis 10g, Paeonia Rubra 10g, Myrrha 6g, Amber 6g, Ramulus Cinnamomi 6g, Asari 3g, Musk 1g, decocted in water three times a day.
Opening knot and detumescence method
Yin and cold qi stagnates, gasification is not feasible, and waterways are impassable. Symptoms include edema of limbs, cold syncope, abdominal fullness, heart obstruction and bowel sounds; Or body cold and bone pain, or aversion to cold, or numbness, heavy pulse and so on. Ma Xin Fuzi Decoction, which is used for treating liver dryness, transports the atmosphere, opens the knot and reduces swelling. Ramulus Cinnamomi 10g, Rhizoma Zingiberis Recens 10g, Radix Glycyrrhizae Preparata 6g, Fructus Jujubae 1, Herba Ephedrae 6g, Asari 6g, and Radix Aconiti Lateralis Preparata 10g, decocted in water three times a day.
In addition to the above, there is also a kind of "virtual swelling" and a kind of "wind swelling" in clinic. Although they all show swelling, their etiology and pathogenesis are quite different from edema, so we should pay attention to distinguish them.
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