When we are faced with the problem of cold or heat, sometimes the use of hot medicine or cold medicine alone can not achieve the desired effect, or the manifestation of the disease syndrome is not simply cold syndrome or heat syndrome, but it is necessary to adopt the best method of cold and heat interoperability. The so-called cold and heat interuse refers to the use of cold drugs and heat drugs in the formula of Chinese herbal medicine to achieve the purpose of regulating the balance of cold and heat in the body. This method of medication has a wide range of applications in traditional Chinese medicine, and it is also one of the most variable and flexible means. In the process of interuse of cold and heat, doctors need to appropriately mix different cold drugs and hot drugs according to the specific condition and physical characteristics of the patient to achieve the best effect. This method of medication not only requires doctors to have profound theoretical knowledge and practical experience in traditional Chinese medicine, but also requires doctors to have flexible thinking and innovation ability. The combination of cold and heat can not only be used for various diseases, but also for conditioning the body and preventing diseases. By regulating homeostasis through the rational interaction of cold and heat, the body's immunity and resistance can be enhanced, and the invasion of diseases can be prevented. Therefore, it is very important for TCM practitioners to master the method of using cold and heat together. When it comes to the interuse of cold and heat, we must first know the mixed evidence of cold and heat. This kind of cold and heat is illustrated by a few examples of the diseases I often encounter in clinical practice
1. Intestinal heat, abdominal cold: The patient's abdomen is cold, but the intestines are hot. As a result, his abdomen often feels cold, and the internal cold and internal heat hold each other down, causing his abdomen to be full, poor, and even lumpy. The lump made him feel so painful that he refused to touch it. His mouth is dry, his stools are often dry, his tongue is dry red, and his tongue coating is dry yellow. When he followed the pulse, he found that the guan was strong, but two feet were not enough. When he takes cold medicine, his abdominal pain gets worse. And when he takes hot medicine, his mouth sores become drier and his abdomen hurts.
In order to ** this disease, we can use the following methods: First, use dried ginger, cinnamon, aconite, water chestnut, sand kernel, calamus and other warm and cold-removing herbs to warm his abdomen and remove the cold in the body. Then, Chinese herbs such as skullcap, gentian, and rhubarb are used to relieve the heat in his stomach. However, these herbs may make his stomach and intestines drier, so we need to use Chinese herbs such as white peony, shengdi, scutellaria, and pollen to moisten his stomach. In addition, since he has been attacked by cold and heat evil qi for a long time, resulting in damage to the righteous qi, we need to use qi-replenishing herbs such as Codonopsis radix and Astragalus to replenish the righteous qi. Finally, we also need to add some traditional Chinese medicine that promotes internal and external medicine, invigorates blood circulation and dispels blood stasis according to the specific situation**.
Through the above methods, we can effectively ** the patient's condition. Of course, the specific formulation also needs to be adjusted and optimized according to the specific situation of the patient.
2. Bladder fever and kidney deficiency and cold: his urine is burning, frequent urination and urgency, lower abdomen and low back pain, and lower abdomen is heavy. This symptom indicates that the patient has a urinary system problem and may have a urinary tract infection or other medical condition. Due to the symptoms of burning urine and frequent and urgent urination, it can be inferred that the patient may have inflammation or infection in the urinary tract. Symptoms of lower back pain in the lower abdomen and a heavy drop in the lower abdomen indicate that the patient may have a problem with the kidneys or bladder.
Diagnosing its pulse is two feet weak, and the strings are strong. This describes the patient's pulse, where a two-foot weakness suggests that the patient may have a deficiency of kidney qi or a weak kidney, while a strong guan cun string indicates that the patient may have a problem with the liver and gallbladder. In addition, the tender red tongue or red tip of the tongue, the soft edge of the tongue in the middle of the tongue, and the thin yellow tongue coating also indicate the presence of heat syndrome and dampness in the patient's body.
When using cumin, sand kernels, eucommia, Huoxiang, dried pine, black medicine and other warm kidney qi. These drugs have the effect of warming the yang and tonifying the kidney, clearing the channels and relieving pain, and can be used for kidney problems in ** patients. At the same time, these drugs can also regulate the patient's immune system, enhance resistance, and help relieve the symptoms of urinary tract infections and other diseases.
Compound psyllium, talc, cork, mast, zhimu, stone reed, etc. not only clear the heat of the bladder, but also clear the three scorched heat. These drugs have the effect of clearing heat and dampness, clearing drenching and diuretic, and can be used for bladder and trifocal problems in ** patients. At the same time, these drugs are also anti-inflammatory, bactericidal, antiviral, and help relieve the symptoms of urinary tract infections and other diseases.
Only considering that its power is insufficient, it will be filled with magnolia and accumulation. These drugs have the effect of reducing flatulence, digestion and accumulation, and can be used for abdominal distension and loss of appetite in ** patients. At the same time, these drugs can also regulate the gastrointestinal function of the patient, promote digestion and absorption of nutrients.
And because of the evil heat for a long time, the yin is injured, and the lily, dendrobium, and white peony are used to help the yin. These drugs have the effect of nourishing yin and moisturizing dryness, quenching thirst, and can be used for the symptoms of yin deficiency caused by the long-term sleepiness of the evil heat. At the same time, these drugs can also regulate the patient's immune system, enhance resistance, and help relieve the symptoms of urinary tract infections and other diseases.
The addition of chai hu and tulip helps to clear the Xuan and open the depression. These drugs have the effect of soothing the liver and relieving depression, regulating qi and activating blood, and can be used for liver depression symptoms in ** patients. At the same time, these drugs are also anti-inflammatory, bactericidal, antiviral, and help relieve the symptoms of urinary tract infections and other diseases.
Prince's ginseng and hay are added to benefit qi to defeat evil. These drugs have the effect of nourishing qi and nourishing yin, strengthening the spleen and lungs, and can be used for qi deficiency symptoms of ** patients. At the same time, these drugs can also regulate the patient's immune system, enhance resistance, and help relieve the symptoms of urinary tract infections and other diseases.
Therefore, knowing that this disease must be used in combination with cold and heat, then the prescription medicine can be suitable for the symptoms of this disease. After the above analysis, it can be seen that the patient's symptoms need to be treated with both cold and heat, and the method of attacking and supplementing**. Therefore, in the selection of prescription drugs, it is necessary to choose drugs that can not only clear heat and detoxify, but also nourish yin and moisturize dryness, and at the same time, it is also necessary to consider the specific condition and physical condition of the patient for addition, subtraction, and reduction.
3. Lung and stomach heat, liver and kidney deficiency and cold: the body surface is hot, the skin is sweaty, less abdominal pain and the waist is introduced, and even the low back pain can not be pitched to the side, because the lungs and stomach are hot and dry, so the dry cough is short of breath, the cough is less viscous, the mouth is dry, the stool is dry, the tongue is dry red or red, the six parts of the pulse are floating, sinking the weakness and weakness, the person or sore throat, or sweating, or black stool (stomach bleeding) treatment method, then take the "Treatise on Typhoid Fever" prescription "Wumei pill" method to participate in the combination of use, that is, "cold and heat scatter and collect each other", the combination of sour, bitter, sweet and spicy tastes is the formula, we can consider using Sichuan Wu, Grass Wuwen kidney cold, dry ginger, Evodia, calamus, fine pungent and horseshoe incense warm and cold disperse the surface, so that the human body gasification Xuantong without stagnation, compound with a large dose of cork or ten merits and other diarrheal heat, with white peony, black plum, scutellaria, pollen and hay bitter and sweet yin moist dry, if sweat plus papaya, sore throat plus bellflower, black plus purple elm, three.
Seventh, crane grass, etc., it is not difficult to cure this disease.
Fourth, the heart stasis, spleen and stomach cold: his heart palpitations, cyanosis of the lips, stomach and flank full of stuffiness and pain, dry stool, dry red tongue, ecchymosis, diagnosis of his pulse, off, inch floating, two feet less. The disease is sometimes accompanied by phlegm and wheezing, and sometimes with numbness and pain in the limbs. The treatment is to cinnamon branches, dry ginger, horseshoe incense, clematis warm and closed knots, and through the heart of yang, ten merits, rhubarb diarrhea hot knots, white peony, raw land moistening, codonopsis, astragalus membranaceus, because of stasis, then angelica, salvia, frankincense, myrrh, centipede, turtle insects, peach, safflower is indispensable, the table does not declare the general then windproof, Qin Gang, self-defense, epimedium weed, lone and so on, phlegm and asthma plus ephedra, almonds, raw gypsum, pulsatilla, mulberry white bark, Fritillary mother and other open the lungs to clear heat and dissolve phlegm (pulsatilla Shaozuo epimedium is the best at treating lung heat and phlegm cough), so that hay can be used to reconcile medicinal properties. If you gasp too much, add magnolia bark and leaves;The limbs are numb, you can add black snakes, loofahs, mulberry branches, and I am afraid that the cathartic power in the recipe is too strong, it is advisable to add appropriate grass blood exhaustion to slow down the cathartic power of white peony and rhubarb, and it can enhance the power of scattering knots and dispersing stasis in the formula.
5. Wind and cold and sleepy surface, lung and stomach fever, and kidney yang deficiency: his people often catch colds and cannot be healed for many years, the body is cold and feverish, cough and sneezing, the tongue is red, moss yellow treatment, diagnosis of its pulse, the guan inch is smooth and solid, two feet are insufficient, backache and back pain, and the four ends (the tips of the hands and feet are the four ends) chills. It can be knotweed, ten merits to relieve the lungs and stomach of the knotted heat, aconite to warm and strengthen the kidney yang, plus the medicine of Xuanbiao to penetrate the cold and disperse the cold, such as nepeta, parsnip can be Xuanxuan, through the bone grass, Qingfeng vine, vine, black bones, chicken blood vine, Mulberry branches and so on can be penetrated, because the waist is sore, the bones are broken, the dog's spine can replenish the kidneys and strengthen the muscles and bones, the wine is a strong aider that diverges in the warmth, and the above medicines are combined to soak in wine, which can resist the stubbornness of the years and months, but it should be noted that the attached piece of soaking wine must be fried with sand or salt and fried yellow and stir-fried, and the wine brewed should be drunk in small doses, so that the disease is not difficult to cure.
In short, the symptoms of cold and heat are varied, no matter how mixed the symptoms are, as long as the patient has a disease that is different from pure cold or pure heat, but both diseases, or with a prescription for heat or a prescription for cold after taking the medicine, there may be a combination of cold and heat syndrome, if so, we should treat the heat with cold medicine, warm the cold with the cold, and use the two phases together, which is more the essence of the medical essence of syndrome differentiation and treatment.
As far as the interuse of cold and heat medicine is concerned, it is not only for cold and heat disorders, but also widely used in a wide range of formulas.
For example, if there is a disease regardless of external injury, regardless of cold healing heat, regardless of heat poison and stasis, causing red and hot pain in the human limbs, we can rely on the ancient recipe Taozhi Tang, Baihu and Guizhi Tang and other prescriptions, with hot medicine to close the knot, cold medicine to relieve its heat poison, because of the heat is circulating, cold more suffocation, so less Zuo Guizhi, Chuanwu, Caowu, dry ginger, pepper and other medicines to disperse the closed knots, large doses of cold medicine such as rhubarb, cork, scutellaria, Raw gypsum and so on to solve its heat poison, then the heat poison can be solved, if the cold medicine is not accompanied by hot medicine, applied to the disease, the medicine is not enough to circulate the power, not easy to walk the limbs, more easy to damage the spleen and yang and cold, only a small amount of medicine into a large dose of cold medicine, then the hot medicine does not help the power of heat poison, and play its special advantage of Xuantong dredging, which is the wisdom of the formula.
Another example: those who have a sick spleen and stomach deficiency and cold, and have been sick for a long time and have both yin deficiency and floating fever, their clinical manifestations are full of stuffiness in the abdomen, continuous pain, like to warm and pressed, poor appetite and vomiting, or loose stools, fatigue and fatigue, but their pulse is thin, the tongue is tender and red, and the mouth is dry and so on. The medicine should be used to treat its deficiency and cold, such as fragrant sand Liujun soup, and less white peony, dendrobium, wheat winter, sand cucumber and other moistening and soft yin, and it is necessary to use less gentian grass and skullcap to control the deficiency heat caused by its cold and long-term depression. Again, this is a combination of heat and cold.
Another example, if there is a sick spleen and stomach fever, the six veins are smooth and numerous, the stool is dry, the belly and abdomen are distended and painful, the mouth is dry and upset, the tongue is dry and red, and the tongue coating is yellow and dry. **When the bitter cold medicine such as rhubarb, gypsum, white peony, skullcap, mast, gentian grass and other bitter cold medicines are used to clear the hot poison, but less wood incense sand kernels must be added to disperse the closure, then the heat poison can be laxative, and it will not cause the cold in the abdomen to be overdosed with cold medicine, or the dredging of cold medicine to stagnate qi and blood. Only when we combine cold medicine and hot medicine and synergize can we be more in line with clinical practice.
In the recipe handed down by the predecessors. The mutual use of cold and heat can be seen everywhere, such as Zhongjing Shengfang has Banxia Xingxin Soup, Aconite Xingxin Soup, Mast, Dried Ginger Soy Soup, Wumei Pills, Coptis Soup, Rhubarb Aconite Soup, etc., the list goes on, all take cold medicine and hot medicine and use it, depending on the amount of cold and heat of the disease, or more cold, or more heat, or two are equal to the agent, be sure to make the cold and heat in the prescription relatively resistant to the cold and heat of the disease, then it is not difficult to make the prescription.
Drawing on the experience of our predecessors, we have now known a variety of Chinese herbal medicine recipes, isn't it a fairy prescription!Nowadays, I don't know the true meaning of the formula, and I am busy exploring the miracle medicine, how can I get it!If the formula loses the interuse of cold and heat, we will be helpless for the adverse reaction of the drug, that is, the drug has an inappropriate bias for the disease, so that the subjective initiative of the person in the formula will be lost, which will inevitably return to the original direct feeling of the drug recognition stage.
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