In the previous period, several consecutive fogs occurred in Beijing, with the highest pollution index reaching over 500, and the weather was dirty and gloomy, giving people a dull feeling, resulting in many coughs.
1. Etiology
The cause of haze cough is haze, the onset of the season is in winter foggy weather, and the nature of the disease is cold + dampness or fog, with the characteristics of summer dampness or foggy dew and filth.
2. Analysis of disease mechanism
Disease location: in the lungs.
Disease nature: cold, damp, turbid, and
Pathogenesis: cold, damp, fog and fog mist offend the clear orifices and gradually offend the lungs, resulting in depression of lung qi and failure of lung qi to be pronounced; in Yang Sheng’s body, cold and fog turn into heat, resulting in congestion of lung heat, while fog and fog do not go away and the lungs lose pronunciation and descent; in Yang Wei’s body, cold and fog turn into cold, while fog and fog do not go away, resulting in cold drinks in the lungs.
3.Treatment
Dispersing cold and dispelling dampness and eliminating turbidity is the basic method. If turbidity and heat in the lung, when dispersing evil and dispelling turbidity, clearing the lung and resolving phlegm; if cold and turbidity in the lung, when dispersing cold and warming the lung to dispel turbidity.
4.Prescription
The main manifestations of cold and turbidity in the lung are: heavy cough, cough with little phlegm, or phlegm in small gray pieces, accompanied by suffocation or discomfort in the throat, heavy body, usually without fever and vicious cold, light red tongue, thin white and slightly greasy coating, and sunken moist pulse.
Treatment: Promote the lung to disperse cold, dispel dampness and drain turbidity.
In the formula
(1) ephedra: dispersing cold and promoting the lung, to disperse the cold of the haze, “the herb justice”: “ephedra light clear on the floating, specializing in relieving lung depression, ventilate the qi, is the first important medicine for the treatment of sensation, although it is said to relieve the table, actually open the lung, although it is said to disperse cold, actually drain the evil. The “Materia Medica Jing Shu”: “Ephedra, light can go to the real, so the treatment of typhoid fever, the first for the relief of muscle. Specially for stroke and typhoid headache, warm malaria, published sweating, to go to the evil, cover the wind, cold and moisture outside the evil, guest in the Yang Division between the skin and hair, then the coup closed to refuse, Rongwei Qi and blood can not travel, so called the real, this drug light clear, so can go to its congestion, so that the evil from the table to disperse; cough rebellious upper gas, wind and cold in the hand Taiyin also. Ben Cao Zheng”: “Ephedra to light taste, but also pungent and warm nature, so good at reaching the muscle surface, go through the meridians, the great ability to disperse the wind, dispel the cold poison. A should be warm epidemic, malaria, miasma, mountains and landmasses, where the foot three yang table evidence, must be used.” .
(2) Job’s Tear: cool in nature, sweet and light in taste. In addition to the haze of dampness, Chinese medicine believes that coix seeds have the function of strengthening the spleen and permeating dampness, clearing heat and draining pus, removing paralysis, and facilitating water. I believe that coix seeds can clear heat and drain pus, can also discharge fog, can permeate dampness and promote water, but also treat dampness in the lungs, so that it comes out from the second stool.
(3) almond: down the air, lung gas, cough. Shennong Ben Cao Jing” said almond: “main cough rebellious upper gas thunder, throat paralysis, down the gas”. “Changsha medicine solution”: “the lung is the main collection of gas, descending in the chest and diaphragm and travel in the meridians, gas reversal is the chest and diaphragm closed obstruction and wheezing and coughing, hiding disease and can not descend, because of congestion, and can not travel, so swelling and pain. Almond is good at opening paralysis and asthma, swelling and dryness, and regulating the depression of qi. The materia medica for truth: “almond, both the ability to disperse wind and cold, and have the power of gas and asthma, the edge of the pungent is to disperse the evil, bitter is down, moist is through the secret, warm is to promote stagnation and phlegm. Almond odor are available, so where the lungs feel wind and cold, and see wheezing and coughing, chest full …… can not be adjusted to cure”. Almonds and ephedra, two drugs are to the lung, for wind and cold offending the lung cough and wheezing evidence, often necessary for the use of each other. However, ephedra is biased in the dispersal of wind and cold to promote the lung and asthma, almond is biased in the lowering of gas and asthma cough, a declaration of a lowering, the lung gas is normal, the cough and asthma since calm.
(4) Licorice: sweet in taste and calm in nature, with sweet warmth to benefit the qi and tonic, to prevent ephedra from dispersing too much. It is used to warm the middle and lower the qi, to relieve coughing, to relieve thirst, to open the meridians, to promote blood circulation, and to detoxify all medicines.
(5) Radix Platycodon grandiflorus: bitter, pungent, and flat in nature, it can open and promote lung qi, dispel phlegm and drain pus. I believe that orris can open and promote lung qi to disperse cold, damp and haze paralysis of lung qi, expectorant and pus-removing can also eliminate cold, damp and haze qi. It can help Ephedra to open the lung qi, so that the haze of cold and dampness from the upper XuanDong discharge.
The main manifestations of turbidity-heat congestion in the lung: heavy cough, shortness of breath, chest tightness, coughing sputum, sputum volume is not much, sputum color is yellow and sticky, tongue is red, coating is thin yellow and slightly greasy, pulse is smooth.
Treatment: Promoting heat in the lung and clearing heat, lowering Qi and expelling turbidity.
Explanation: Composed of Ephedra, Perilla, Almond, Orange Red, Mulberry White Peel, Poria, Licorice, Radix Platycodon, Scutellaria. Together to promote the lung to resolve phlegm, cough and asthma. The lung is the main organ of the Qi flow, and this formula treats the pathogenic mechanism of the lung by declaring and lowering the lung Qi. In this formula, the medicine acting on the lung meridian is combined in one side, so that the surface cold is relieved, the lung qi is promoted, the phlegm is dissolved, and the asthma is calmed, hence the name “Huagai San”. Add Radix Platycodon grandiflorus to help Ephedra expel haze and turbidity. Add Scutellaria baicalensis to clear heat in the lung.
The main manifestations of cold drink offending the lung are: cough with heavy voice, unfavorable throat, unpleasant cough with sputum, or spitting of clear sputum, or dry cough without sputum, slight cold, no fever, light red tongue, thin white fur, and tight pulse.
Treatment: Dispersing cold and warming the lung, dissolving drinks and draining turbidity. Xiao Qing Long Tang is mainly used for treating external wind-cold and internal stagnation of cold drinks. In this formula, ephedra and cinnamon branch are used as the ruler to disperse cold by sweating in order to relieve superficial evil. Dried ginger, fine spice for the minister, warming the lung to drink, and help hemp, gui to remove the surface of the evil. If pure hemp and Gui spicy warm dispersal, dry ginger warmth, fear of depletion of lung gas, so adjuvant Wu Wei Zi astringent lung cough, peony and nourish the blood, two drugs with the spicy products, a scattering a collection, both to enhance the cough and asthma, but also to limit the medicine spicy warm dry too much; half Xia dry dampness and phlegm, and stomach, also as an adjuvant. Roasted licorice is also an adjuvant, which can benefit the qi and the middle, and also harmonize the pungent, dispersing and acidic products. Gui Zhi with Paeonia lactiflora, harmonizes the Ying and Wei; Ephedra with Hsiang, disperses the cold of the exterior and interior. Although the medicine is eight flavors, the combination of strict, scattered in the collection, open in the combination, so that the wind and cold relief, turbid drinks to go, the Xuanjiang restored, the symptoms will be pacified.