Professor Huang Huang explained Jingfang 39 Huangqin Decoction-Reprinted

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Scutellaria baicalensis soup

Three liang of Scutellaria baicalensis, two liang of peony, two liang of licorice, 12 pieces of roasted jujube, break up the four flavors, boil with a bucket of water for three liters, and remove the water. Take one liter of warm clothes, one day and one night.

Huangqin Decoction is a prescription for benefiting the ancestors, and Shaoyao Decoction of later generations is based on addition and subtraction of this prescription. Compared with Huanglian Ejiao Decoction, there is no Huanglian, Ejiao, and Jizihuang in this prescription, so we can know that the upset and bleeding must not be serious. If licorice and jujube are used, the person will lose weight repeatedly, lose weight and have poor appetite. The combination of licorice and peony has the meaning of Shaoyao Gancao Decoction, which will cause abdominal pain and convulsions. In addition to bacillary dysentery, the prescription can also be used for ulcerative colitis. The disease is also manifested as abdominal pain, pus and blood with sharp mucus. However, there are not many opportunities to use it simply, and most of it is used in combination with Zhizi Houpu Decoction, Sini Powder, and Pinellia Magnolia Decoction.

Huangqin Decoction mainly treats abdominal pain and bleeding. Threatened abortion is also manifested as abdominal pain and vaginal bleeding, so you can also consider using this prescription. Scutellaria baicalensis has an anti-fetal effect. Mr. Liu Fengwu, a famous gynecologist, often uses scutellaria baicalensis to treat threatened abortion. Atractylodes macrocephala is also used to relieve miscarriage, but Scutellaria baicalensis is mainly associated with heat syndrome, while Atractylodes macrocephala is mainly associated with water syndrome. Polyhydramnios, frequent edema, thirst, difficulty urinating, etc. have more opportunities to use Atractylodes rhizome. In addition, premenstrual symptoms such as abdominal pain, heavy menstruation, red color, and thick texture can also be treated with this prescription. Rheumatoid arthritis can also be used to treat rheumatoid arthritis with fever, swelling and pain, but it is usually used in combination with Bupleurum, Licorice, Cortex Phellodendri, and Forsythia. In the treatment of immune diseases, this prescription plays the role of traditional Chinese medicine immunosuppressant. )

Intestinal Cleansing Heat Triple

—— Gegen Qinlian Decoction, Huangqin Decoction, Pulsatilla Decoction

□ Chen Ming Beijing University of Traditional Chinese Medicine

In “Treatise on Febrile Diseases”, there are three prescriptions for clearing large intestine heat and treating diarrhea and dysentery. They are Gegen Huangqin Huanglian Decoction (referred to as Gegen Qinlian Decoction), Huangqin Decoction, and Pulsatilla Decoction. These three prescriptions are very likely to be used clinically. High, this is because large intestine fever is more common.

Heat in the large intestine can cause irregular stool

The large intestine is called in traditional Chinese medicine as “the official of preaching, where changes come out”, which means that the large intestine is in charge of conducting dross. The large intestine reabsorbs the water in the water and grain dross absorbed by the small intestine, turning it into feces and excreting it from the body. If there is heat in the large intestine, there will be abnormal stools, manifested in two types of phenomena: one is that after the heat is injected into the large intestine, it will quickly damage the Yin and Jin of the large intestine, and the heat will turn into dryness, which is manifested as constipation in the stool; the other is that the heat in the large intestine , due to the rapid heat, the peristalsis of the large intestine is accelerated, and the body fluid in the large intestine is forced to go out, which is manifested as stool and diarrhea, which is more common in various enteritis. Traditional Chinese medicine treatment of the former requires clearing the organs and reducing heat, that is, using laxatives to clear the stool, and using Chengqi Decoction (including Da Chengqi Decoction, Xiao Chengqi Decoction, and Tiaowei Chengqi Decoction) in “Treatise on Febrile Diseases”; while the latter’s TCM treatment To use the method of clearing the intestines and stopping diarrhea, Gegen Qinlian Decoction, Huangqin Decoction or Pulsatilla Decoction can be used respectively.

Gegen Qinlian Decoction mainly treats febrile diarrhea

Gegen Qinlian Decoction is a good prescription for treating heat-induced diarrhea, including various acute and chronic enteritis. As long as there is heat in the large intestine, use it for immediate effect. Enteritis can be cold or hot. If the stool is loose and loose, the smell is fishy but not smelly, or even what you eat, it is commonly known as “rectal intestine”. , Lizhong Decoction, Sini Decoction and other treatments. If the stool is mushy, sticky and sticky, sticking to the bedpan and cannot be flushed down, or if the stool is clear water but smells abnormal, it is due to heat in the large intestine, and it is best to treat it with Gegen Qinlian Decoction it is good.

Gegen Qinlian Decoction is very effective in treating febrile diarrhea. There was a male patient in his 30s who was suffering from aplastic anemia. He suddenly had diarrhea due to an unbalanced diet, which reached 9 times a day, nausea and vomiting, abdominal pain, and the anus was very hot. Sticky, thick and greasy tongue coating. This is the manifestation of acute gastroenteritis. It is mostly caused by improper diet or unclean diet. It is more common in summer. Traditional Chinese medicine believes that it is mostly caused by heat evil entering the large intestine. This case is like this, with Gegen Qinlian Decoction, one dose of diarrhea will stop.

Gegen Qinlian Decoction

Gegen Qinlian Decoction is composed of four herbs: Pueraria lobata, Scutellaria baicalensis, Coptis chinensis, and licorice.

The magical effect of kudzu root

Pueraria lobata has the effect of promoting yang and relieving diarrhea, and is a common medicine for the intestinal tract and digestive system; Pueraria lobata enters both the Taiyang meridian and the Yangming meridian, so it can treat diseases in the front and back of the body, such as headache, it can also treat frontal pain , It can also treat pain in the back of the head.

Pueraria gravis can treat myasthenia gravis through the function of raising yang qi. If it is mild, such as sagging eyelids, it can be combined with astragalus, yam, and atractylodes rhizome to strengthen the spleen and stomach.

Pueraria lobata has a two-way regulating effect, which can not only generate Yang Qi, but also relax the meridian and relieve spasm. You can use kudzu root for sagging eyelids and eyes that can’t be opened. You can also use kudzu root for eye muscles that can’t be closed. Some children sleep at night with half-closed eyes, or “open one eye and close the other eye”. It is used together with antispasmodic drugs such as rattan and Gentiana chinensis.

Pueraria japonica can relieve hangover. If you are overwhelmed with alcohol, or have a headache after drinking, you can use 10 grams of Pueraria japonica (you can use 15 grams of Pueraria japonica root) to drink in boiled water.

Coptis chinensis is the first-class “anti-inflammatory” traditional Chinese medicine

Coptidis is a heat-clearing and damp-drying medicine. It is good at clearing dampness and heat in the stomach and can protect the conduction function of the large intestine. Traditional Chinese medicine is called “thick intestine”. substances without damaging the stomach.

Other diseases treated by Gegen Qinlian Decoction

Alcohol diarrhea (irritable bowel syndrome): Gegen Qinlian Decoction can also treat diarrhea caused by drinking alcohol or overeating chili peppers. This type of diarrhea is very common in clinical practice. Nowadays, people are good at drinking and love to eat spicy food. These things are highly irritating. After the intestinal mucosal cells are stimulated, the secretion increases, and the intestinal peristalsis is accelerated, so they will have diarrhea. From the perspective of traditional Chinese medicine In general, it belongs to damp heat in the large intestine.

A patient, male, in his 50s, had diarrhea for several decades. He would defecate immediately after drinking alcohol. The diarrhea was mushy and clear water. He was diagnosed as “chronic colitis” with a white and greasy tongue coating. I gave him Gegen Qinlian Decoction, combined with Pingwei Powder, and told him to abstain from alcohol and spicy food. After 14 doses, the follow-up consultation showed that diarrhea basically did not occur. The patient relapsed again due to drinking, and was controlled by this prescription.

People who often drink and have diarrhea can take Gegen Qinlian Decoction and purslane by themselves: 15 grams of Pueraria lobata, 10 grams of Scutellaria baicalensis, 10 grams of Coptis chinensis, 6 grams of roasted licorice, and 30 grams of purslane.

Gingival swelling and pain: The large intestine and stomach belong to the Yangming meridian, so heat in the large intestine is part of the Yangming meridian. Heat in the large intestine can affect the stomach, and heat can reach any place in the Yangming meridian, such as the gums and upper teeth. Yangming Large Intestine Meridian, the lower teeth belong to the Stomach Meridian of Foot Yangming, stomach heat is often a cause of gingival swelling and pain, if you prefer stomach heat, use Baihu Decoction or Qingwei Powder, if you prefer intestinal heat, use Gegen Qinlian Decoction .

Nasal disease: The Yangming Large Intestine Meridian of the hand is “upwardly holding the nostrils”, so heat in the Yangming Large Intestine Meridian can cause nasal diseases, rhinitis, sinusitis, etc. People with large intestine fever can be treated with Gegen Qinlian Decoction. Some sinusitis often runny nose, caused by heat, using Gegen Qinlian Decoction is very effective. This is also the reason why some people use Gegen Qinlian Decoction to treat rosacea.

Hyperprolactinemia: Gynecological hyperprolactinemia is an endocrine disorder. In this disease, breast milk may be self-flowing, even if you are not married or have a child, you will secrete milk, and it is accompanied by amenorrhea in severe cases. Because the nipple belongs to the passage of the Yangming meridian, if there is heat in the Yangming, the body fluid will be forced to leak out, sweating on the outside, stool and diarrhea on the bottom, and self-flowing milk and elevated prolactin in the breast. Therefore, such prescriptions as Baihu Decoction and Gegen Qinlian Decoction in “Treatise on Febrile Diseases” can treat these diseases. I have used Gegen Qinlian Decoction or Baihu Decoction, or the combination of the two prescriptions, to treat hyperprolactinemia. To determine the curative effect, some medicines for invigorating the kidney, clearing the menstrual flow and promoting blood circulation can be added if accompanied by amenorrhea.

Huangqin Decoction for treating febrile abdominal pain and diarrhea

Huangqin Decoction is composed of Scutellaria baicalensis, peony, licorice and jujube. Huangqin Decoction is also used to treat heat in the large intestine. The indications of this prescription are the same as Gegen Qinlian Decoction for sticky stools and burning anus. The difference is that Huangqin Decoction is more obvious in treating heat and abdominal pain. Liver and gallbladder come, and qi stagnation is more obvious. Therefore, internal use of peony and licorice is an effective prescription for relieving smooth muscle and nerve spasms. Huangqin Decoction uses Scutellaria baicalensis to clear gallbladder heat and large intestine heat, while using Shaoyao Gancao Decoction to relieve large intestine spasm. Therefore, it is better to use Huangqin Decoction for febrile diarrhea with obvious abdominal pain before defecation. If the diarrhea is severe, Gegen Qinlian Decoction plus Shaoyao can also be used as a modification.

Scutellaria baicalensis is a “natural anti-inflammatory drug”

Scutellaria baicalensis is regarded as a “natural anti-inflammatory drug”, mainly because of its heat-clearing effect. Of course, it can only be used when inflammation is heat. Scutellaria baicalensis is used in Huangqin Decoction to clear gallbladder heat, cut off the source of heat dysentery, and clear lung heat and intestinal heat.

The other main function of Scutellaria baicalensis is to clear away lung-heat, acting on the respiratory system, and it is used for phlegm-heat cough, asthma and all diseases caused by lung-heat.

Scutellaria baicalensis is also a commonly used drug in gynecology, which can treat menstrual disorders, dysmenorrhea, and leukorrhea. In the Ming Dynasty, there was a doctor named Wu Zhiwang who compiled a book called “Jiyin Compendium”, in which there were many prescriptions using Scutellaria baicalensis, including “Yiwei Scutellaria baicalensis Decoction”, which was used to treat dysmenorrhea in women. Li Dongyuan in the Jin and Yuan dynasties believed that the combination of Scutellaria baicalensis and Atractylodes macrocephala had the effect of anti-abortion. Many doctors liked to use it in anti-abortion prescriptions, but the premise was that it was more suitable for fetal restlessness caused by heat.

Traditional Chinese Medicine “Three Yellows”

Scutellaria baicalensis, Coptis chinensis and Phellodendron phellodendri are collectively called “three yellows”, which can clear two kinds of heat, one is fiery heat and the other is damp heat, but the effects of the three are different. When treating fiery heat, Scutellaria baicalensis is more effective at clearing lung-heat and gallbladder heat, Coptis chinensis is more effective at clearing heart-heat and stomach heat, Cortex Phellodendri is good at clearing deficiency-heat in the kidney; when treating damp-heat, Scutellaria baicalensis is more effective at clearing damp-heat in upper burnt, and Coptis chinensis is better at clearing damp-heat in middle burner , while Cortex Phellodendri tends to clear the lower Jiao damp heat.

Pulsatilla Decoction for febrile dysentery

“Treatise on Febrile Diseases” said: “Pulsatilla decoction is the main one for those with severe heat.” Heat, which is heat, mainly refers to dysentery caused by damp heat in the large intestine. In “Treatise on Febrile Diseases”, diarrhea, dysentery Collectively referred to as “Xiali”, modern clinical distinctions can be divided into two types: diarrhea and dysentery, both of which have different manifestations. During diarrhea, the stool is like a note, without pus and blood; while dysentery is manifested as uncomfortable diarrhea, mixed with pus and blood, and abdominal pain. , refers to tenesmus. This kind of manifestation is that you are eager to defecate when you have abdominal pain, but you can’t pull it out when you go to the toilet to defecate, and you have a sinking and burning sensation in the anus.

Pulsatilla soup is composed of four flavors: Pulsatilla, Coptidis, Cortex Phellodendron, and Qin Pi. It is clinically used to treat damp-heat dysentery in the large intestine. These 4 herbs are all medicines for clearing damp-heat. When combined together, they are powerful in treating damp-heat in the large intestine, especially Pulsatilla chinensis, which has a very obvious effect of killing intestinal bacteria. It is clearing damp-heat in the large intestine and stopping dysentery. flagship drug. Qinpi clears dampness and heat and has the function of reducing astringency to stop dysentery, which is the characteristic of this prescription. Pulsatilla decoction is often used as the first choice for treating bacillary dysentery and amoebic dysentery.

Wide application of pulsatilla soup

Pulsatilla Decoction is always best at clearing dampness and heat in the large intestine. Sometimes dampness and heat in the large intestine does not manifest as diarrhea or dysentery, but sticky stools, anal burning sensation or anal itching after defecation, and Pulsatilla Decoction can also be used. A middle-aged woman suffered from anal pruritus, itching at night and making it difficult to fall asleep. It has been more than two months. She has been treated for enteritis and hemorrhoids. When defecation is sticky and uncomfortable, the anus is hot. She took 7 doses of Pulsatilla Decoction and continued to take it. 7 doses of consolidation.

In addition, the four medicines of Pulsatilla Decoction are in the middle and lower energies, and can be widely used for damp-heat diseases in the lower energies. Among them, it is very good for treating urinary tract infections. child and so on.

?Scutellaria baicalensis syndrome

If the sun and Shaoyang are combined, if it is beneficial from the bottom, use Huangqin Decoction; if you are vomiting, use Huangqin plus Banxia Shengjiang Decoction.

Combination of two yang diseases, yang is strong and yin is deficient, and yang qi sinks into yin, so it benefits from the bottom. The combined disease of the sun and Yangming means that the evil first enters the place of Yangming, diverges with the sweetness and sweetness of Gegen Decoction, so as to follow the Yang, and “the lower one lifts it up”. The combined disease of the sun and Shaoyang means that the evil has entered the interior of Shaoyang, and the sourness and bitterness of Huangqin Decoction gushes out, thinking that it is also Yin, and it is a method of “common cause and common use”.

Scutellaria baicalensis soup:

Scutellaria baicalensis (3 liang), licorice (3 liang, broiled), peony (3 liang), jujube (12 pieces), 1 bucket of water, boil 2 liters, remove the water, serve warm for 1 liter, take it once a day and once at night. For those who vomit, add pinellia (half a liter) and ginger (three or two).

This small bupleurum addition and subtraction formula is also. The heat is not in the half surface, but in the half mile, so Scutellaria baicalensis is the main one. Although it is not stomach deficiency, it is not stomach deficiency, so ginseng is not needed to invigorate the middle. Yangming and Shaoyang combined with disease must benefit from the bottom, and the pulse will flow smoothly if it is not negative. The loser loses. Mutual suppression of thieves is called negative. If Shaoyang is negative to Yang, it is Shun. If the two yangs are combined, the pulses of the two yangs must be seen, the Yangming pulse is large, and the Shaoyang pulse is stringy, which is the Shunmai. If it is big but not stringy, the negative is on Shaoyang; if stringy but not big, the negative is on Yangming. It’s a time for mutual restraint against thieves, and nothing goes well. However, wood restrains soil, and it is Shaoyang who acts as a thief and evil. If Shaoyang is negative but Yangming is not negative, it is also negative for the Shunmai of the middle.

[Composition and usage] Scutellaria baicalensis 10-20g, roasted licorice 6-12g, peony 6-12g, jujube 12 pieces. Decoct in water and serve warmly three times. [Fang Zheng]1. Abdominal pain and diarrhea, or uncomfortable stool, anal burning, and body heat, bitter mouth. 2. Red tongue with yellow fur, stringy pulse.

[Modern application] Mainly used for acute enteritis

, colitis, bacillary dysentery, amoebic dysentery, uterine adnexitis, hematemesis, epistaxis and other symptoms of this prescription.

Huangqin Decoction is a small prescription, but its significance in prescription science is not small. The famous prescription “Shaoyao Decoction” for the treatment of dysentery in later generations evolved from this prescription, so Wang Ang called Huangqin Decoction “the ancestral prescription for treating benefit for all generations” (“Yi Fang Ji Jie”). Indeed, this prescription is a common prescription for dysentery. For example, Araki Xingji treated a 28-year-old woman who suddenly had fever, aversion to cold, headache, abdominal pain, thirst and desire to drink. The lower abdominal distension is slightly heavier, and the frequency of lower abdominal pain increases frequently. Combined with Guizhi plus Shaoyao Decoction, it is ineffective, and the lower benefit is worse, tenesmus, and Huangqin Decoction, it will be cured immediately (“Ancient Prescription Medicine Bag”). Ni Shaohengzhi Wang, male, 30 years old. The patient had an aversion to cold at the beginning of the disease, but later on, the strong fever persisted, the sun was red and the tongue was red, irritability, and the stool was red and diarrhea, with a purple-dark tinge, acute pain in the abdomen, unable to desire, and the pulse condition was full and strong. To expel heat and detoxify, first administer Huangqin decoction: 12g each of Scutellaria baicalensis and white peony, 3g licorice, and 3 pieces of red dates. After taking 2 doses of the medicine, the fever was relieved and the pain was relieved. On the 13th, he switched to Hongli Zaohua Decoction and took 3 doses to obtain the relief (Jiangxi Medical Journal, 1965; (9) 5: 10～1 2).

“If you vomit, Scutellaria baicalensis plus pinellia ginger decoction is the main medicine.” Pinellia and ginger are also used to relieve vomiting. Liu Duzhouzhi Wang, male, 28 years old. In early summer, the wind is refreshing, and the headache and body heat, the medical sweating medicine, the fever subsides and the body cools down, and the headache does not occur, thinking that the disease has been cured. For another three days, the mouth was very bitter, and there was a feeling of vomiting, and the stool was sticky and dirty, four or five times a day, with pain in the abdomen and a feeling of falling. The pulse is stringy and rapid, and the tongue coating is mixed with yellow and white. It is identified as the syndrome of Shaoyang gallbladder heat pouring into the intestines and disharmony of stomach qi. Scutellaria baicalensis 10g, white peony root 10g, pinellia 10g, ginger 10g, jujube 7 pieces, licorice 6g. Take 3 doses and recover from illness (“New Typhoid Fever

On Class Prescriptions, 1984, 123).

Our prescription has a lot of experience in treating dysentery, but the problem is that there are also many prescriptions for treating dysentery, such as Pulsatilla Decoction, Gegen Qinlian Decoction, etc. So how to grasp the main points of using this prescription? We might as well analyze it from the composition of Huangqin Decoction a bit. The article in “Treatise on Febrile Diseases” states that the “self-inflicted benefit” that our formula advocates is “the combined disease of the sun and Shaoyang”. The common prescription for Taiyang disease is Guizhi Tang, and the common prescription for Shaoyang disease is Xiaochaihu Tang. This recipe can be regarded as Guizhi Decoction without Guizhi Ginger and Scutellaria Baicalensis. Osmanthus

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