Wen bile soup, this prescription is contained in the classic of traditional Chinese medicine "Preparation for Emergencies", and is widely used for the symptoms of weakness and sleeplessness after a serious illness. It is composed of six herbs, including bamboo root, citrus aurantium, banxia, ginger, tangerine peel and licorice, all of which are mild medicines, which have the effects of dissolving phlegm and clearing heat, liver and gallbladder bladder, removing deficiency and annoyance, and fixing palpitations. It seems to be a warm prescription, why not just name it "clear gall soup"? This brings us to the understanding of liver and gallbladder in Chinese medicine. The liver is a rigid organ, happy and depressed; Courage likes tranquility, and evil is troublesome. The two are physiologically closely linked and influence each other. The qi of the liver and gallbladder has the characteristics of life and rising, just like the warm sun in spring, gentle and full of vitality. Once phlegm and heat invade the liver and gallbladder, this mild qi will be affected, leading to the occurrence of diseases. In order to restore the physiological characteristics of the liver and gallbladder, it is necessary to first clear the phlegm and heat so that the bile qi can return to its mild state. Therefore, the name "warm bile decoction" was chosen based on a deep understanding of the physiological characteristics of hepatobiliary and the expectation of phlegm and heat clearance.
List of high-quality authors First, **The main pathogenesis is phlegm stagnation, which leads to impaired liver and gallbladder excretion function, and in the long run, it will form heat evil and fire. These three are intertwined with each other, forming the so-called "warm bile soup" evidence. Warm bile decoction is widely used in clinical practice and can be used for a variety of diseases. However, according to clinical observations, the main symptoms include dizziness or pain, insomnia, upset, nausea, vomiting, chest fullness or pain, and timidity. The pathogenesis of these symptoms lies in the stagnation of phlegm, the loss of liver and gallbladder discharge, and the long-term transformation of heat and fire, resulting in the intermingling of phlegm, qi and fire. In addition, phlegm is the root of many diseases, while fire evil is intensely wreaking. When the cardinal of the Shaoyang meridian is unfavorable, the rise and fall of the qi will be out of balance, which will lead to various complications. These complications may include symptoms such as damp heat, stagnation of food, impotence, or wind-yang induction. In the process, syndrome differentiation and treatment should be carried out according to the specific condition, and the warm bile decoction should be flexibly used to achieve the best effect. 2. Characteristics of clinical application
Where warm bile decoction is used, it is necessary to grasp the basic law of its addition and subtraction, which is the key to the clinical application of this prescription for a variety of disease syndromes.
1) Chai Qin warm gallbladder soup:** Less Yang Qi is depressed and turns into fire, and the unfavorable meridian qi is more serious, such as chest and flank bitterness or pain, bitter mouth, red eyes, migraine pain or qi channeling pain, etc., add Bupleurum, Skullcap, Buda Shaoyang Qi Depression, and the less Yang and the less Yang can benefit the Cardinal Shaoyang. If the flank is hard, add raw oysters and neem; For those with chest and flank pain leading to back, add a piece of turmeric and saffron.
2) Coptis warm bile soup:** Phlegm and heat disturb the heart and the heat is heavier, mainly upset or insomnia. If the fiery ones are heavy, add skullcap to clear the fiery evil of the gallbladder.
3) Gui peony warm bile soup:* * Lack of yang, phlegm and heat, and deficiency of yin and blood. The liver is the organ that hides the blood, and the body is yin and yang. Qi depression turns into fire, the liver and blood are most likely to be consumed, and blood deficiency is not honorable, such as numbness of the scalp or limbs, limb spasms or limb tremors, or pain all over the body, the tongue is red and less moss or cracked, plus angelica and white peony to nourish the liver and blood; If the dizziness or headache is worse during menstruation, add white myrtle and codonopsis on top; Those with head swelling and pain add prunella vulgaris, add Chuanxiong and Tribulus terrestris for headache at the top, and add cinnamon branches for pain in the back of the head; For those with severe yin deficiency and a bare tongue, they can add raw land and black plum.
4) Warm gallbladder soup with dragon oyster:** Fear and restlessness caused by timidity, adding keel and oysters can be calm, and at the same time increase the dose of Poria cocos to strengthen its calming effect. In severe cases, you can add night flowers, night vines and dragon teeth.
5) Peach warm bile soup:* * Less yang phlegm and heat and blood stasis and pulse obstruction, dazed or forgetful, tongue ecchymosis, add peach kernels, safflower to promote blood stasis and clear blood veins, severe cases can be added Chuanxiong, red peony.
6) Dan Gardenia warm bile soup:** phlegm and heat connotation, less yang phase fire is vigorous, there is upset or heat and sweating, etc., plus danpi and mountain gardenia to vent less yang phase fire. If the five hearts are upset, add Zhimu and Cork; Low-grade fever or night sweats in the afternoon plus Artemisia annua and Digupi.
7) Yu Pu warm bile soup:** Phlegm and heat are contained in the chest and diaphragm, paralyzing the qi machine and seeing chest tightness and chest pain, etc., add tulip and calamus to open up phlegm and qi. If the good is too breathed or the heart is regretful, add Buddha's hand and incense; If there is a dazed or unfavorable language due to phlegm dampness, you can also add this two flavors to open the phlegm, and in severe cases, add Yuanzhi, mother-of-pearl, gall star, Tianzhu yellow, etc.
8) Cangbai warm gallbladder soup:** phlegm and heat are damp and hot, and the waist and knee pain, the urine is yellow and short, and the women bring down more, add Atractylodes and cork to clear the scorching dampness and heat. bring down the yellow filth and add soil poria cocos and Tsubaki root bark; Those who are damp and anorexic and greasy, add Yin Chen and talc.
9) Dai clam warm bile soup:** Less yang phlegm and heat, depressed and disturbing the heart and lungs, irritable and dreamy, or coughing and phlegm, add Qingdai, sea clam shell to clear the liver and cool the blood, cleanse the phlegm and dissolve the knots. phlegm plus melon seeds, loquat leaves; Spit unpleasant plus sea pumice.
10) Antelope hook warm bile soup:** Less yang phlegm and heat and hyperactive wind on the liver yang, dizziness, tinnitus or faintness, soreness in the waist and knees, or numbness and tremor in the limbs, plus antelope horns and hook vines to calm the liver wind.
11) Silkworm scorpion warm bile soup:** If the phlegm and heat and wind enter the meridians and see the numbness of the limbs, the pain of the neck or the urgency and spasm of the limbs, add the whole scorpion and zombie silkworm insects to activate the meridians.
12) Nitrate yellow warm bile soup:** Those who have less yang phlegm and fever and have stomach stagnation, the symptoms are abdominal distension, dry stool or unpleasant, increase yellow, miscanthus nitrate or weathered nitrate to relieve heat in the intestines, and temper stomach qi.
If you can keep in mind the laws and characteristics of the various syndromes mentioned above, and examine the changes in the pathogenesis during the clinical examination, the emphasis of the disease syndrome and the addition and subtraction of the changes are not eclectic, then the prescription is used to administer medicine, and it can be effective.