Wulingsan is a classic prescription for treating sun impregnation cards, which can improve water and dampness, and help Yang Huaqi.
Sickness, dizziness, thirst, annoyance, spitting, and unfavorable urination. Pulse floating is the key to the identification of this prescription; coexistence of dehydration and water storage is the key to this prescription’s pathogenesis.
The author used this prescription to treat hypertension, arrhythmia, chronic congestive heart failure, chronic enteritis, unfortunate liver, chronic nephritis, and inner ear vertigo, which have achieved certain effects. Here are two examples of this prescription.
Case 1: Premature ventricular contraction Cao, male, 72 years old.
Date of first diagnosis: July 6, 2009.
Main complaint: 5 years in panic, fatigue for half a year.
The patient began to experience palpitation and discomfort since 5 years ago. The patient was relieved after exercise, with chest tightness and no chest pain.
He went to a hospital for examination and was diagnosed with arrhythmia: frequent ventricular premature beats, dual rhythms, oral beta Betaloc were given, and the heart rate was often lower than 60 beats / min after taking the medication, and the ECG showed a change in heart attack; half a yearPhysical decline began before, and the current symptoms are fatigue, dizziness in the afternoon, such as wrapped, worsening rainy weather; back pain, heavy lower limbs; cough, cough, white sputum in the morning, several mouths, not thirsty drinking; elbow if you work a littleA lot of yellow sweat comes out and soaks into the clothes; sleeps more and dreams, wakes up early; frequent urination, urgency, weak urine, nocturia 3 times; pale red tongue, thin yellow greasy fur, and weak pulses.
Has a history of chronic bronchitis for many years.
Western medicine diagnosis: arrhythmia, frequent ventricular premature beats; TCM diagnosis: palpitations.
Dialectics: Insufficient qi, drinking water Lingxin.
Governing Law: Tonic the Qi and warm water.
Mice Wuling powder, Fuling Almond Licorice Decoction, Licorice Dried Ginger Fuling Baizhu Decoction, Guizhi Fuling Pill, Sijunzi Decoction.
Prescription: Codonopsis 20g, Fried Atractylodes 30g, Poria 30g, Poria 15g, Alisma 20g, Guizhi 10g, Light Almond 10g, Dried Ginger 4g, Peach Kernel 10g, Red Paeonia 10g, Peony Peel 10g, Lycium Barbarum 15g, Licorice 10g
The second diagnosis: After taking the 3 doses above, the patient consciously improved physical strength, refreshed, dizziness disappeared, cough and cough decreased, chest tightness disappeared, palpitation was reduced, back pain was relieved, and underarm yellow sweat dysentery was wasted for years.Obvious improvement was also seen; the complexion was yellow and dark, the body was fat, and the muscles were loose; the tongue was reddish, the moss was thin and white, the veins were floating and strong.
Check: Heart rate 72 beats / minute, irregular rhythm, premature beat 4 beats / minute.
Add 10g of Fangji, 20g of raw astragalus, 15g of modified peach kernel, 15g of red peony medicine, and 3g of Sanqi powder each time, 2 times a day.
Third consultation: The patient told him to insist on taking the medicine for more than 1 month, his physical strength returned to normal, dizziness and chest tightness disappeared, yellow sweat basically recovered, coughing and coughing stopped, urine volume increased, urination decreased, nocturia decreased to 1 or 2 times,The soreness disappeared, and the legs and feet were more flexible than before. Usually, the pulse was checked by myself, and occasionally I could beat early or twice a minute, but I didn’t feel panic.
Half a month ago, my family was ill and tired, and I was conscious of my panic. Today, I found that there must be a pause after each normal pulse, and I took one dose of the second prescription. The next day I learned that my heart palpitations disappeared, and my premature beat was 1-2 times / min, Instructed patients to continue to take medicine to consolidate, pay attention to rest.
About the same so far.
Note: The patient in this case saw his palpitations at the initial diagnosis, dizziness worsened in rainy days, lower extremity swelling, thirsty drink, pulse sinking, and the pathogenesis was water-drinking Lingxin, which is a typical Wuling San syndrome.”” Poria “indications for treating palate and meat palate tendons are also important, while incontinence is not good for urination, dizziness, and irritability.” Huang Huang also believes that Poria is for treating palate, thirsty and unfavorable for urination.
Almond and licorice decoction can be declared as lung-drinking drink. Chest tightness and shortness of breath are the key to this prescription. The patient has chest tightness, palpitation, cough and cough, and the pathogenesis is water-drinking lungs. This is a typical Poria almond and licorice decoction.
Decoction of the kidney can strengthen the spleen and dehumidify, consciously heavy body, especially going upstairs or far away, easy to cold waist, heavy or pain are the characteristics of this prescription.
The patient had backache and low back pain, which belonged to cold and dampness and obstruction of the waist. Therefore, the kidney was taken for decoction for warming, and a large dose of Baizhu 30g was used to “benefit the waist and umbilicus.”
The patient had a history of benign prostatic hypertrophy, frequent nocturia, varicose veins in the lower limbs, ecchymosis, and astringent pulses, which were caused by stasis and blood blockage. Therefore, Guizhi Fuling Pills were used to promote blood circulation and remove blood stasis.
In addition, considering prostate hypertrophy rather than empirical evidence of blood stasis and internal resistance, but the essence is based on kidney deficiency, so Chinese wolfberry is added to the kidney.
After treatment, the patient’s symptoms improved, and palpitations improved, suggesting that the prescriptions are correct.
At the second consultation, the patient reported that the yellow sweat had improved for many years, which may indicate that this yellow sweat was caused by internal drinking.
In the recipe, add Fangji, Astragalus Synthetic Fangqi Astragalus Decoction, Guizhi plus Astragalus Decoction to nourish Qi and water, and solid antiperspirant.
The patient’s skin is yellow and dark, and the body is obese. It is of “yellow fat” constitution, which is in accordance with the medicines of Poria and Astragalus. Poria and Astragalus can be used.
Frequent premature beats occurred at the third clinic, and the effect was rapid, suggesting that the “悸” defined by Fulingfang not only includes palpitation caused by functional arrhythmia but also organic arrhythmia., Must be applied in large doses to be effective.
Case 2: Auntie Liu, male, 27 years old.
Visited on July 7, 2008.
Main complaint: abdominal distension in February.
The patient had no obvious inducement 2 months ago, resulting in insufficient abdominal distension, diarrhea after drinking, and a physical examination revealed that the triglyceride was slightly higher, and the ultrasound showed “unfortunate liver”.
The patient was generally healthy, prolonged sweating, thirsty, drinking plenty of water, good appetite, eating fat and thick taste, abdominal distension, improved after kneading and pressing, good sleep, dry stool, one row a day, normal urination.
Check: The skin tone is grayish and dull, the body is too large, the lower limbs are not swollen, the tongue is moist, the moss is thin and white, and the pulse is heavy.
The original Wuling San prescription, prescription: 10 grams of diarrhea, 15 grams of Poria, 10 grams of Poria, 12 grams of fried atractylodes root, 10 grams of Guizhi, five doses, one daily, decoction.After taking 5 doses, the patient reported a slight decrease in abdominal distension, and then took 7 doses of this prescription intermittently. After 1 month, he said that the biggest feeling was “a lot of lightness”. The abdominal distension was significantly reduced, the thirst stopped, the stool was normal, and the weight was reduced by more than 10 kgThe patient laughed that the prescription was a “medicine for weight loss”, and the patient’s condition has been stable since then.
Note: Although the patient has high blood lipids, a strong appetite, he likes to eat fat and thick, abdominal distension, and dry stools, but the abdominal muscles are soft, and the abdominal muscles are not tight because of the tension. Therefore, the most common are excluded first.Dachai Hu Decoction for the same disease of Shaoyang Yangming.
Also see that the tibia is gray and matt, and sweats easily. Consider the “weak bone and skin” of the honorable person of “Lack of Gold”, but the patient has acceptable energy and pulse, so the atypical Huangqi Guizhi Wuwu Decoctioncertificate.
The tongue is moist, excluding abdominal distension, thirst and dryness, excessive drinking water, and heat consumption of fluids in the stool. The author began to plan the treatment. The patient lost more than 10 pounds after the drug. The effect was unexpected.Correspondence of the square card will certainly be effective.
Although the patient takes a serious reduction of the body, but only the excessive use of Wuling San syndrome is effective, and it should not be abused in general.
From the medical case, I realized that the patient’s disease was caused by water storage. His bloating was “Water Margin”, his obesity was “Water Fat”, and his lower extremities were swollen and his urine was unfavorable. Obese tongue is not necessarily necessary for this prescription.Indication.
Obviously, the law of the Ministry of Finance and Economics research is to use warm water as a powder, and after drinking the medicine, you need to “drink more warm water” to sweat.