The method of sweating and reducing swelling
The method of sweating and reducing swelling is called "opening the door of ghosts" in the "Nei Jing". Zhang Zhongjing said: "Swelling above the waist will be cured by sweating." Therefore, this treatment method is mainly used for swelling in the upper half of the body, or swelling in the upper half of the body first and then spreads to the whole body, and is also accompanied by aversion to cold and wind, Symptoms such as fever. Clinically, appropriate sweating methods should be selected according to the specific conditions of different patients.
1. Pungent and cool, sweating, wind evil can damage the skin, water evil can block the skin, and stagnation can turn into heat. Symptoms include edema of limbs, aversion to cold and fever, joint pain, spontaneous sweating, thirst and desire to drink, yellow and red urine, and floating, large or rapid pulse. Treatment is with Yuejiajiashu Decoction, which is pungent and cool, dispels wind, clears away heat and purges evil, and also cultivates soil and controls water. 10g of ephedra, 20g of gypsum, 10g of ginger, 10g of licorice, 4 jujubes, 12g of Atractylodes atractylodes. First decoct the ephedra in water to remove the foam, and then decoct the remaining herbs. If cough is also present, add 10g of Pinellia ternata to reduce the symptoms and relieve the cough.
2. Pungent, warm, sweating and feng shui stimulate each other, stagnate in the muscles and joints, and cause the lungs to lose their circulation and descend. Symptoms include edema of the limbs, aversion to cold, no sweating, and floating pulse. Treat with modified Xiangsu Yin to induce sweating, relieve inflammation and reduce swelling. Cyperus rotundus 10g, perilla 10g, tangerine peel 8g, licorice 6g, scallion 6g, ginger 6g. Boil the water for several times to remove residue, and take it at any time. If the symptoms include edema of the limbs, fever, aversion to cold, body pain, sweating, floating pulse and irritability, Da Qinglong Decoction can be used to reduce swelling and relieve irritation. 10g ephedra, 6g cassia twig, 6g licorice, 10g almonds, 10g ginger, 4 jujubes, 20g gypsum, first decoct the ephedra in water, remove the foam, and then add the remaining herbs and decoct together.
3. Help the yang to induce sweating, wind and cold are restrained externally, water evil is stopped internally, and the positive yang is insufficient. Symptoms include edema of the limbs, pain in the joints, sweating, aversion to wind, and heavy pulse. Treat with modified ephedra and fuzi decoction to help Yang, induce sweating and reduce swelling. 10g of ephedra, 10g of prepared aconite, and 6g of roasted licorice. First, decoct ephedra in water to remove the foam, then add the remaining herbs and decoct them.
Diuresis and swelling reduction method
Diuresis and swelling reduction method, "Nei Jing" calls it "Jie Jing Fu". Zhang Zhongjing said: "Swelling below the waist should be used to facilitate urination." Therefore, this treatment method is mainly used when edema focuses on the lower half of the body, or when edema first appears in the lower half of the body and then spreads throughout the body. Clinically, appropriate diuretic methods should be adopted according to the specific conditions of different patients.
1. Transforming qi and diuresis "The bladder is the official of the state capital. The body fluid is stored in it, and when the qi is transformed, it can be released." Water binds to the bladder and gasification is unfavorable. Symptoms include edema of the limbs, difficulty in urination, aversion to cold and fever, sweating and thirst, and floating pulse. Treat with modified Wuling Powder to transform qi and diuresis. 10g of Guizhi, 12g of Atractylodes Atractylodes, 12g of Poria, 20g of Alisma, 12g of Polyporus, grind into powder, drink with boiling water, or decoct in water.
2. Warm yang and diuresis "The kidney is the closing of the stomach, and it is difficult to close the door, so water accumulates and follows its own category." If water evil is excessive and the kidney yang is blocked, but the closing cannot be opened, the accumulation of water will occur. Water is swelling. Symptoms include edema of the limbs, cold limbs, difficulty urinating, fullness in the lower abdomen, and a heavy pulse. Treat with modified Zhenwu Decoction, which warms yang, diuresis and reduces swelling. Prepare 10g of Fu Pian, 10g of Poria, 10g of Atractylodes macrocephala, 10g of ginger, 10g of white peony root, decoct in water and take it.
3. Gan-cold diuresis, water-heat stagnation, bladder obstruction, urethra blockage. Symptoms include edema of the limbs, difficulty in urination, astringent and painful dripping, dry mouth and heavy pulse. Often self-made prescriptions are sweet, cold, diuretic and reduce swelling. 20g winter melon peel, 10g reed root, 15g Imperata root, 10g Shiwei, 15g coix seed, 10g almond, 10g rush (or Tongcao), 10g watermelon Cuiyi, decoct in water and take.
4. Bitter cold is a diuretic, and cold water hurts during the summer months. Water travels in the skin, and heat causes internal congestion. Symptoms include swollen and heavy limbs, short and yellow urine, thirst, red tongue, and rapid pulse. Treat with Yiwu Guadi Decoction, which is bitter and cold, diuretic and reduces swelling.
20 pieces of melon stems (either melon stems or loofah stems are acceptable), decoct in water and take.
Water-dispersing method for reducing swelling
Water evil is blocked and condensed inside, blocking the three burners and blocking the transformation of qi. Symptoms include swelling of the abdomen like a drum, edema of the limbs, difficulty in urination, and a heavy pulse. Treat with modified Shizao Decoction, which can reduce swelling by removing water from the lower part of the body. Divide genkwa (stir-fried), kansui and euphorbia into equal parts, grind them into fine powder and set aside. When in use, take 10 jujubes, split them, boil them in water to remove the residue, and add 2g of powdered medicine to mix. This medicine should only be taken in the morning, not in the evening. If you still have difficulty in defecation and defecation after taking the medicine, wait until the second day before taking the medicine again. This prescription has a strong taste and should not be used by those who are not ill and physically strong. For safety reasons, the powdered medicine can be pounded with jujube meat and made into pills; or the powdered medicine can be mixed into a paste with vinegar and applied to the lower abdomen, which is more secure.
Method for purging the lungs and reducing swelling
The lungs are the upper source of water and are responsible for purging water and opening water channels. If water evil blocks the lungs, the upper source will be blocked, the water channel will be blocked due to failure of the water channel. Symptoms include edema of the limbs, fullness of the chest, cough, wheezing, etc. Treat with modified Tingli Dazao Xiefei Decoction to purge the lungs and reduce swelling. 15g of Tinglizi (fried and mashed), 4 jujubes. Boil the jujubes in water first, remove the residue, add Tinglizi and cook, remove the residue, and take it with a meal.
Methods for removing blood stasis and reducing swelling
Blood stasis and qi stagnation will lead to loss of power, poor qi transformation, and long-term heat transformation. Symptoms include edema of the limbs, difficulty in urination, and thirst; dysmenorrhea in women, heavy and astringent pulse, etc. Treat with modified Pu Hui Powder or modified Xiao Tiao Meng Decoction to activate blood circulation, remove blood stasis, diuresis and reduce swelling. Puhui powder recipe: 10g Puhui, 5g talc, grind into fine powder, drink with water, 3 times a day. Xiao Tiao Jing Decoction: Angelica sinensis 10g, red peony root 10g, myrrh 6g, amber 6g, cassia twig 6g, asarum 3g, musk 1g, decoct in water and take 3 times a day.
Methods for opening knots and reducing swelling
The stagnation of yin-cold qi cannot be resolved, the qi cannot be transformed, and the water channels are blocked. Symptoms include edema of the limbs, coldness, fullness of the abdomen, chest pain, and bowel borborygmi; or body cold and bone pain, or aversion to cold, or paralysis, heavy pulse, etc. Treat with modified Gui Gan Jiang Zao Ma Xin Aconite Decoction to transport the air, open knots and reduce swelling. 10g of cinnamon twig, 10g of ginger, 6g of licorice, 1 jujube, 6g of ephedra, 6g of asarum, 10g of aconite, decoction in water, 3 times a day.
In addition to the above, there is clinically a kind of "deficiency swelling" and a kind of "wind swelling". Although they all present as swelling, their etiology and pathogenesis are quite different from those of edema, so attention should be paid to their identification.
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