The scope of syncope is very wide, and in terms of treatment, we should treat it flexibly according to the medical history, pulse and syndrome, based on the pathogenesis. Wumei pill proves the original pathogenesis of external cold and internal depression and depression, yin wind and fire, so the treatment uses fine pungent and cinnamon branches to disperse cold and evil. If it is not a typhoid fever onset, it should be removed from cinnamon branches and fine punctures; If the spleen and kidney yang deficiency is not severe, the amount of pepper, ginger and attached should also be reduced as appropriate.
01 Extrinsic syncope and yin disease in line with the Wumei pill syndrome
(1) For those with the onset of typhoid fever, the original prescription of Wumei pill is effective.
(2) For patients with stroke onset, the symptoms of yin deficiency and wind movement are obvious, and cinnamon branches and fine spices should be removed, and the products such as nepeta, parsnip, zombie silkworm, and cicada molt should be replaced with products that are flat and dispersed, and the dosage of pepper, ginger and attachment can be reduced.
(3) Those who feel the onset of wind and heat must go to cinnamon branches, fine spices, honeysuckle, forsythia, mulberry leaves, chrysanthemums and other spicy and cool products to disperse wind and heat, and reduce the dosage of pepper and ginger.
(4) Those who feel the onset of warm and evil poison, yin deficiency and wind and fire are heavier, not only should go to cinnamon branches, fine pungent and pungent medicine, but also should go to pepper, ginger, attached and other pungent and hot medicines, and add yin and breath wind clearing medicine such as liquid increase soup, etc., which can be appropriately combined into the evacuation wind and fire medicine such as lifting and dispersing. Lianmei Tang in "Differentiation of Warm Diseases" is a representative prescription for the treatment of external warm heat and syncope yin disease.
(5) For those who feel the onset of dampness and temperature, they should go to cinnamon branches and fine punctures, and incorporate them into the treatment of dampness and temperature as appropriate. If the dampness and heat are resisted, it is like pepper and plum soup.
02 Those who have internal injuries and syncope are in line with the Wumei pill syndrome
(1) Those who have emotional onset and liver qi stagnation should also go to cinnamon branches, fine puncture, and choose products such as Bupleurum chinensis, peppermint, and tulip to relieve liver depression.
(2) For those who have blood stasis, they can be combined into Guizhi Poria Cocos Pills, Xia Yuxue Soup, or Sanleng, Curcuma and other products to dissolve blood stasis. For those who are also obstructed by veins and veins, add a swirling flower to clear the channel.
(3) People with a history of abuse of moxibustion and supplements and excessive thinking should have symptoms of liver and blood deficiency, blood deficiency and depression, such as thin pulse, pale tongue, pale complexion, foot cramps, numbness of limbs, poor sleep and dreams, and low menstrual flow.
(4) Those who are distracted by sexual intercourse and staying up late are mostly suffering from liver and kidney yin deficiency and rising deficiency fire, such as thin and slippery pulses, red tongue and less moss, red cheeks, five heart irritations, night sweats, and faint flowers, etc., should also go to warm and dry products, and appropriately add wolfberry, chrysanthemum, rehmannia radix, radix radix and other products that nourish the liver and kidneys and clear the void fire, or take wolfberry chrysanthemum rehmannia pills, Mingmu rehmannia pills, etc.
(5) Those who are also addicted to fat, sweet, heat and phlegm should go to warm and dry products, and combine them into small trap chest soup, Baohe pills, etc. to solve the middle anxiety and depression.
According to the language: Those who suffer from syncope and yin disease often have the body of syncope and yin deficiency. The liver is the general's officer, and he is happy and depressed. If it is reverted to the wind and cold and depression, it is easy to form the evidence that the liver meridian is depressed by wind and fire, and the wind and fire are raging. Therefore, those who have wind and cold and depression must use cinnamon branches and fine spices to disperse the evil of wind and cold, which is intended to cause fire and depression. After the liver meridian wind, fire and depression improve, it is necessary to remove the cinnamon branch and fine pungent without use, because the deficiency of yin in the body is its essence.
Many commentators of "Treatise on Typhoid Fever" believe that Wumei Pill is the main prescription for syncope and yin disease, that is to say, Wumei Pill is an important medicine for the treatment of syncope and yin disease. Why? Let's start with "syncope disease".
As we all know, the "Six Classics" include: "Sun, Yangming, Shaoyang, Taiyin, Shaoyin, and Yin", in fact, it refers to the six stages of disease, and "meridians" are not only the meaning of "meridians", but refer to periods. How did these six pathological stages come about? One is directly related to our physique, and the other is the causative factor, which forms six stages under the conflict between good and evil.
For example, if several people go out to play at the same time, and the wind blows and catches a cold, then the environment they are in is the same, but the manifestations of the cold can be different, some people will have a high fever, some people will have a sore throat, etc. What is syncope disease? There is a saying: "The two yin are exhausted" is called the stage of syncope and yang, which is the stage from yin to yang, so there will be some characteristics of syncope and yin disease, that is, it is often the later stage of the disease, and there is a situation of cold and heat mixture, virtual and real mix, and cold and heat reciprocation. If the patient's physique is relatively good, at this time, the yang energy may slowly recover and heat up, and if the physique is a little worse, there will be a cold, and it may slowly lose its vitality.
Let's take a look at the outline of syncope and yin disease: "Syncope and yin are diseases, quenching thirst, hitting the heart in anger, feeling hot in the heart, hungry but not wanting to eat, eating is spitting rounds, and the benefits are more than enough." ”
At this stage, there will be problems with thirst. "Elimination" means to consume, to dissipate, may have a dry mouth, want to drink water. Why does thirst quench occur? As we said just now, there is heat above, and this heat will consume the fluid, and there is cold below, which actually means that the fire below is not enough to evaporate the water and go up, so the patient can only drink a lot of water to save himself.
What does "Angry Heart" say? Cold water or heat in the lower part of the body will rush up and hit the heart. However, according to our clinical experience, this "heart" is not necessarily the heart, but can collide with various areas of the body, for example, coughing may occur when it hits the lungs, vomiting and acid reflux may occur when it hits the stomach, and the head may be dizzy and swollen when it hits the head.
Why are we hungry when we are hungry? Because the middle and upper coke are disturbed by the heat, it is easy to get hungry when there is evil heat, but when you really want to eat, you don't eat much, why? Because in fact, the lower coke is cold, that is to say, the metabolism of the lower coke is very slow, and the transport is insufficient, and you may vomit it if you eat too much.
If the doctor doesn't understand this truth very well, thinking that this is a damp and turbid heat blockage in the middle and intestines, and misusing the lower method, it will damage the yang energy of the middle and lower coke, resulting in diarrhea.
At this point, let's summarize the characteristics of the symptoms of "upper heat and lower cold": first, we generally think that the upper diaphragm is "upper coke", and the lower navel is "lower coke". There are many manifestations of heat, such as thirst, mouth ulcers, acne, bleeding gums, swollen and painful gums, nosebleeds, throat erosion, redness and swelling, bleeding and thick blood, yellow phlegm, yellow eye droppings, yellow nasal discharge, yellow sweat, irritability, restlessness, inability to concentrate or even anger, tinnitus, heat disturbance headache, burning sensation, red eyes, etc.
What kind of symptoms may I have? For example, cold knees, cold feet, cold uterus, cold waist, thin secretions, smelly stools, and so on. The mid-focus manifestation often shows the manifestation of hepatogastric disharmony.