Fuzi Xiexin Decoction comes from Treatise on Febrile Diseases and Treatment Based on Syndrome Differentiation of Taiyang. This recipe in Zhongjing's "Five Xiexin Decoction" is different from Dahuang Huanglian Xiexin Decoction, Banxia Xiexin Decoction, Ginger Xiexin Decoction and Glycyrrhiza Xiexin Decoction, and it is difficult to master. However, if we really grasp it, it will have great practical significance in clinic.
Extremely cold and hot, accurate compatibility.
Starting from the needs of diseases, the combination of cold medicine and hot medicine is the unique feature of Zhongjing's prescription, which has always been reflected in the treatment of six meridians. Fuzi Xiexin Decoction consists of Fuzi and Dahuang Huanglian Qin Huang. Fuzi tastes bitter and hot, and Dahuang Huanglian tastes bitter and cold. It can be said that it is the most concise prescription in Zhongjing's combination of cold and heat, and it has the characteristics of strong pertinence and small side effects.
Generally speaking, diseases are caused by imbalance of yin and yang, and balancing yin and yang is the general principle for treating diseases. The combination of cold and heat and warming and clearing is to balance yin and yang, thus reaching the normal threshold of yin and yang. This recipe is called "purging the heart". In fact, it uses bitter and cold rhubarb, Gentiana macrophylla and Lianqing to purge the heat under the heart, that is, to reduce the excessive yang in the stomach, and at the same time, it uses pungent and hot aconite to warm up and strengthen the yang that is insufficient in the exterior and interior, thus achieving the balance of yin and yang. Besides, the prescriptions of Sanhuang and Fuzi are the same. Three yellows lead to aconite, which is bitter and cold, so it won't depress yin and evil, and three yellows lead to aconite, which is fierce and violent, so it won't rob the body fluid. Such extreme cold and heat are concentrated on one side, which restores the effect of yang exorcism.
What is more unique is the decocting method here. Radix et Rhizoma Rhei, Rhizoma Coptidis, and Radix Scutellariae are soaked in boiling soup, and then ground for a while, which means that Sanhuang decoction does not need to be decocted or soaked in boiling water for a short time, just to take its light and clear gas to clear stomach heat and relieve bloating; Boil aconite root in water to get juice, and get its mellow flavor. It can be said that cold and heat are different from qi, which is the wonderful use of sages.
Some people think that this prescription, together with Huanglian Decoction, Ganjiang Huanglian Qin Huang Ginseng Decoction, Wu Mei Pill and Mahuang Cimicifuga Decoction, are all medicines for clearing heat and warming fire, which makes sense. However, this prescription of aconite is compatible with cold drugs, and the other four directions of dried ginger are mainly compatible with cold drugs, and aconite is specially designed for overall yang deficiency. Dried ginger stays in the middle, aiming at local yang deficiency and cold in the middle. Obviously, the whole includes parts, so the main indication of Fuzi Xiexin decoction for lower cold syndrome can be manifested as deficiency of cold in middle energizer, but it is far from limited to this, which has been fully confirmed in clinic.
Jane doe is 37 years old. I came to the clinic on February 25th at 20 15. The patient's upper abdominal pain was 10 years old. Since last year, the pain has intensified, and dozens of doses have been taken, all of which have no effect. Now I feel pain under my heart, sometimes burning and suffocating, and eating and defecating are ok; The tongue is dark red with yellow fur, and the pulse is thin and slow. My hands and wrists feel cold when I feel my pulse. It is said that she is usually tepid at the end of the four seasons, and sometimes she gets cold. 1 week ago, gastroscopy confirmed superficial gastritis and duodenal ulcer.
Looking through the past medical records, most of the traditional Chinese medicines taken are Sini powder combined with Jinling powder, Chenxia Liujunzi decoction, Banxia Xiexin decoction and other prescriptions for promoting qi circulation and relieving pain. Banxia Xiexin Decoction, which combines cold and heat, is more suitable for this syndrome, but it has not been effective. The reason may be related to the pungent taste of ginger. But more importantly, the fear of cold at the end of the four seasons is all yang deficiency, not moderate coke deficiency, and it is useless to use dried ginger.
Fuzi Xiexin decoction combined with Shixiao powder was added with 1 dose every day, and gradually improved after taking it. After 20 doses, the symptoms disappeared. After that, use Xiangsha Yangwei Pill to recuperate the aftermath, and pay attention to diet to ensure adequate sleep. So far, my stomach trouble has not recurred.
In this case, the pathogenesis is stomach heat and yang deficiency of the whole body, and Fuzi Xiexin Decoction is the main one. As long as it is used properly, it can get good results. Clinically, sometimes the original decoction method is not strictly followed, or aconite is decocted first, or Sanhuang decoction is shorter, and the effect is equally good. After taking the medicine, the frequency of defecation may increase in most patients. This is a heat release, and evil has a way out. As long as it is explained to the patient in advance, it will not cause panic. Even if there is a slight abdominal pain, the patient can bear it.
This paper holds that this recipe is a mild and clear example. The compatibility of drugs is strict, which can be widely used for gastrointestinal diseases and some diseases outside the gastrointestinal tract. As long as we grasp the pathogenesis of stomach heat and yang deficiency and can add and subtract flexibly, we can achieve satisfactory curative effect.
Fuzi Xiexin decoction
Fuzi Xiexin decoction, the name of traditional Chinese medicine prescription. From Treatise on Febrile Diseases. It has the effect of "Treatise on Febrile Diseases Lecture Notes": purging heat and dissipating stagnation, supporting yang and consolidating exterior. Indications: Yang deficiency and heat depression, fullness in the heart, aversion to cold and sweating, and heavy pulse (① Treatise on Febrile Diseases: typhoid fever, fullness in the heart, aversion to cold and sweating; (2) Concise medical treatment: distention of the heart, aversion to cold and sweating, yang syndrome, heavy pulse, cold feet and heavy body; (3) Zhang Yitong: ...