Wen bile soup, the earliest recorded in the Northern Zhou Dynasty Yao Seng Heng "Ji Xian Fang", this article is the Song Dynasty "Three Causes of Extreme One Disease Evidence Prescription" contained in the warm bile soup, the author Chen Yan (AD 1121-1190), the Southern Song Dynasty famous doctor. Qingtian (now belonging to Hexi, Jingning County, Zhejiang) people, the word is not chosen, and the number is Hexi Dao. This recipe is derived from the warm gallbladder soup of Sun Simiao's "Preparation for Emergencies" in the Tang Dynasty, compared with more poria and jujube, and the amount of ginger is reduced. Luo Dongyi of the Qing Dynasty said: "Harmony is warm, warm, and cool", but for thousands of years, the efficacy of this prescription for the treatment of insomnia is recognized. Modern Chinese medicine practitioners use this prescription to treat insomnia, indicating its indications.
[Composition] 6g of banxia, fried citrus aurantium noodles, and bamboo ru, 9g of tangerine peel, 3g of boiled licorice, and 5g of poria cocos.
[Usage] file and scatter, four dollars per serving, one and a half pieces of water, five slices of ginger, one jujube, fry for seven minutes, go to the trickle, and take it before eating (modern usage: five slices of ginger, one jujube, decoction in water).
【Function】 Regulates qi and dissolves phlegm, clears gallbladder and stomach.
【Indications】 Bile and stomach disharmony, phlegm and heat internal disturbance. Symptoms such as irritability, sleeplessness, vomiting, hiccups, palpitations, and epilepsy. Clinically, it is mainly used for the treatment of insomnia, intractable hiccups after stroke, menopausal syndrome, hyperuricemia, chronic cholecystitis, vomiting caused by tumor chemotherapy, schizophrenia and other diseases.
Clinical reports have also been reported in the treatment of arrhythmia, chest paralysis, fatty liver, gastric ulcer, nodular non-purulent panniculitis, chronic pharyngitis, metabolic syndrome and other diseases with biliary depression and phlegm disturbance.
【Solution】 All the symptoms treated by this prescription are all phlegm and fever. The gall belongs to the wood, which is a pure house, likes mild and the main germination, and if it is out of order, the wood is depressed, and the stomach is not in harmony, and then the heat and phlegm are generated. Phlegm and heat are resisted, and the stomach qi is reversed, and vomiting is dry. phlegm and heat are disturbed, and the mind is restless, and the heart is restless, and the mood is restless; If you are blinded, you will develop epilepsy. It is advisable to treat gallbladder and stomach, cleanse phlegm and clear heat. Fangzhong takes Banxia as the king, reduces inversion and stomach, dampness and phlegm. Take Zhuru as a minister, clear away heat and phlegm, stop vomiting and get rid of annoyance; Citrus aurantium implements qi to eliminate phlegm, so that phlegm goes down with qi. Accompanied by tangerine peel to regulate qi and dampness, Poria cocos to strengthen the spleen and infiltrate dampness, and to remove dampness and phlegm. Ginger, jujube, licorice and spleen and stomach are used to harmonize the medicines. Comprehensively relieving the whole formula, it has the effect of regulating qi and dissolving phlegm, clearing gallbladder and stomach. For palpitations and epilepsy caused by phlegm and heat internal disturbance, taking it can clear the heat and phlegm and calm the epilepsy. For the weakness and vomiting of the bile fever and stomach reversal, taking it will clear the stomach and clear the stomach, and the annoyance will stop vomiting. If the phlegm fever is severe, Coptis chinensis can be added, and epilepsy can be added to the gall star.
What is "cold"? What is "warm bold"? Cold does not mean the cold of cold, and warm is not the warm of warmth. The word "chilling" is still widely used today to convey a deep sense of fear and horror. Song Yang Wanli's poem: "Huangchao Rock and White Sand Beach are just famous for being cold." It is a vivid description of this concept. "Neijing" cloud: "The brave one, the house of the essence." "The brave one, the righteous official, make a decision." If the bile is disturbed, the bile loses its purity, and it is unable to make decisions, which in turn affects mental activities, causing palpitations, timidity, restlessness, insomnia, dreaminess and other symptoms. Because the symptoms such as fear, fear, palpitation, and timidity are all manifestations of deficiency, cold, and negativeness, it is called cold. However, this is not the cold of the gallbladder and the gall, but the disturbance of the gall.
So, what is "warm bile soup"? Warm bile soup is not designed to warm the cold, but to clear the gallbladder and eliminate annoyance. The "clearing" of this bladder is not the "clearing" of heat. What, then, is interfering with the normal functioning of the bile and affecting its decision-making function? From the medicine, we can deduce that it is the evil of phlegm turbidity. Why do you add the word "daughter" in front of the warm bile soup? This is because there is another story. There is not only one type of warm bile soup. In the Song Dynasty Chen Wuxue's "Three Causes and One Disease Evidence Formula", there is also a recipe called Three Causes Fang Wen Bile Soup. This recipe is based on the Qianjin warm bile soup, reduce the amount of ginger (the original recipe uses four taels of ginger), and add one or two halves of Poria cocos and one jujube to refine.
So, is the medicinal property of warm bile soup warm or cold? Does it clear the gallbladder or dissolve phlegm? According to the analysis of the composition of Qianjin warm bile soup, Banxia, ginger and tangerine peel belong to the warm medicine, while Citrus aurantium and Zhuru belong to the slight cold medicine. Therefore, on the whole, the medicinal properties of warm bile decoction should be warm, and its effect is mainly to warm the bile and dispel cold and drink. In the Sanyin Fang Warm Bile Soup, the amount of ginger is reduced, thus reducing the warmth of the whole formula. Despite this, the formula still falls into the warm category. Therefore, modern pharmacological textbooks classify Sanyin Fang Wen Bile Tang as a dampness and phlegm dissolving agent, which is listed alongside Erchen Tang rather than a heat-clearing and phlegm dissolving agent. Only the Huanglian warm bile decoction that evolved in later generations has the effect of clearing heat and dissolving phlegm.
In addition, it is worth mentioning that later medical books such as "Yizong Jinjian" claimed that Wen Bile Tang was cut on the basis of Erchen Tang. However, in fact, Erchen Tang originated from the Song Dynasty's Taiping Huimin and Pharmacy Formula, while Wen Bile Tang first appeared in the Tang Dynasty's "Preparation for Emergencies". There is a clear historical difference between the two. To sum up, after a serious illness, the spleen and stomach function is weak, the transportation is weak, and phlegm and dampness are generated in the dampness, which disturbs the pure house and leads to fatigue and sleeplessness. Therefore, warm bile decoction is treated by regulating qi and dissolving phlegm. The addition of Poria cocos and jujube to further strengthen the movement of the central focus, make the legislation more complete, and make it more widely spread.