A. Dispersing cold and activating blood to resolve siltation That is to use warm drugs with blood activating drugs to warm the meridians and channels to disperse cold and resolve siltation. To dispel the evil of cold and stagnation, so that the meridians can be relaxed and the blood can be activated and the silt can be removed. Take the meaning of “the cold is hot” and “the blood is warm is moving”. Cold is a yin evil, most able to attract the meridians, stagnation of Qi and blood and lead to stagnation of Qi and blood. The cold condensation here includes two aspects, one is the external cold guest complex, Yang trapped; the other is the spleen and kidney Yang deficiency, Yin cold internal growth. In the clinical application of the treatment of dispersing cold and activating blood stagnation, it should be distinguished between the method of warming the meridians and invigorating blood vessels and the method of tonic yang and fire to invigorate blood stagnation. Commonly used drugs: warming the meridians and invigorating the Yang, such as Gui Zhi, Radix et Rhizoma, Cinnamon, Cornu Cervi Pantotrichum, Hesperidin, Ginger, etc.; tonifying the Yang and strengthening the fire, such as Epimedium, Baji Tian, Eucommia, Hu Lu Ba, Xian Mao, etc.; invigorating the Blood to resolve stasis is often selected from the warm Chuanxiong, Angelica, Safflower, Boswellia, Wuling Gum, Boneset, Tian Xian Vine, Acute, Chuan Xuan Zhuan. Second, dispel dampness and invigorate blood to resolve siltation, that is, to use drugs that dry dampness or penetrate dampness with drugs that invigorate blood to resolve siltation, in order to dispel dampness and promote blood to invigorate siltation. Dampness is a yin evil, its nature is sticky, easy to block the qi flow and cause stagnation of the veins and blood. Dampness has the difference between external invasion or internal generation, and the pathological process has the difference between cold and heat; and is closely related to the spleen’s transport and transformation, and the kidney’s warmth. From the characteristics of the vascular diseases of the extremities, external dampness is mostly heat-induced, so the specific application of removing dampness and activating blood stasis should be distinguished from clearing heat and promoting dampness, and strengthening the spleen and warming the kidney to promote dampness and activate blood stasis. Commonly used drugs: clear heat and dampness, such as red Poria, Che Qian Zi, light bamboo leaf, Han Fang Ji, Ze Di, etc.; strengthen the spleen and dampness, such as Poria, Coix Seed, Atractylodes, Atractylodes, Chrysanthemum, etc.; warm the kidneys to resolve dampness, such as Puzzle, Cinnamon, Cinnamomum, Wu Yao, Wei Ling Xian, Papaya, etc.; activate blood to resolve dampness and permeate water and dampness, such as cold nature of motherwort, Verbena, Tiger Stick, Half Branch Lotus, Pierced Mountain Dragon, Mouton, Lok Tak Ta, etc., the nature of the warm side of the The nature of the cold nature of the motherwort, verbena, tiger lily, half a branch of the lily, through the mountain dragon, Mu Tong, fallen to play, etc., the nature of the warm side of the Zeilan, Tian Xian vine, etc., the nature of the flat Liu sent Nu, Wang Bu Liu Xing, etc. Third, the use of qi to activate the blood to resolve siltation, that is, the use of drugs to regulate the qi, the qi is moving, the blood is moving, so that the blood live siltation. Qi is a problem, no more than Qi stagnation, Qi deficiency, Qi rebellion three aspects. The vascular disease of the limbs is also characterized by qi stagnation and qi deficiency. Qi is the handsome blood, is the driving force of the blood running, so the Qi is not smooth, stagnation does not work, the blood will be astringent, and lead to blood siltation, Qi deficiency can not promote the blood running, the blood is slow and siltation. On the contrary, blood is the mother of qi, qi depends on blood to carry, blood stagnation causes qi stagnation, in the pathology of mutual causation, mutual influence, qi and blood are closely related, which determines the importance and universality of the qi method in vascular diseases. Since the liver is the master of draining and regulating qi, and also the master of blood collection, it is even more important to soothe the liver and move qi in the treatment of vascular diseases of the extremities. To sum up, the specific clinical application must also distinguish the application of the two methods of promoting qi and invigorating blood to resolve stagnation. Commonly used drugs: to remove Qi from the liver, such as Chai Hu, Neem, Yu Jin, etc., which are cool in nature, and Buddha’s hand, Qing Pi, Citrus aurantium, etc., which are warm in nature; as well as Xiang Shen, Citrus aurantium, etc., which are calm in nature. Beneficial Qi such as astragalus, codonopsis, prunus, atractylodes, yam, roasted licorice, etc. Fourth, clearing heat and activating blood siltation, that is, using cold drugs with drugs to activate blood siltation, to clear the heat, so that the blood can be activated and siltation can be activated. This is the meaning of “heat is cold”. “The veins are the house of blood”, so the heat invades the veins and blood; and the heat is even poisonous, the heat burns the fluid and hurts the yin, and the deficiency heat grows inside. ”The blood is subjected to heat, then decocted into lumps, blocking the vein and becoming blood silt, thus it can be seen that when specifically applying the method of clearing heat and activating blood siltation, the first step should be to distinguish the real from the virtual, and in the gas from the blood. Thus, the three methods of clearing heat and cooling blood, clearing heat and detoxifying and nourishing yin and clearing heat to activate blood stasis should be deduced. Commonly used drugs: clearing heat and cooling the blood such as water hyacinth, red peony, peony skin, comfrey, raw earth, genus ginseng, big blue leaf, etc.; clearing heat and detoxifying the blood such as honeysuckle, forsythia, asteranthus, dandelion, millipedium, hyoscyamus, etc.; nourishing yin and clearing heat such as raw earth, genus ginseng, smallpox powder, white peony, maitong, sage, ground bark, Zhi Mu, Huang Bai, etc. Activate blood stasis, such as clearing heat and cooling the blood of peony bark, wisteria, salvia, red peony, yujin, lingxiao flower, ghost arrow feather, etc., and clearing heat and detoxification of red vine, tiger scepter, septoria, golden buckwheat, fallen to fight. Fifth, the blood nourishing Yin and blood siltation method, that is, the blood nourishing Yin drugs with blood siltation drugs to increase the blood to fill the veins, blood live siltation. Blood is popular in the arteries, and if the blood is abundant, the arteries will be full; if the blood is deficient and the yin and fluid are insufficient, the arteries will be atrophied and closed, and then become silt. Therefore, blood should be nourished and nourished with yin, to increase fluid to fill the veins and to activate blood and silt. Commonly used drugs: blood nourishing and nourishing Yin medicine such as raw rehmannia, Agaricus, Radix et Rhizoma, Fructus Lycii, Longan, etc., invigorate blood and nourish blood such as chicken blood vine, angelica, etc. Sixth, pacifying the liver and invigorating the blood to resolve siltation, i.e. using drugs to pacify the liver and invigorate the yang with drugs to invigorate the blood to resolve siltation, so as to make the yang invigorate the blood and make the liao pass through the blood, and get the purpose of siltation. Liver Yang rises too much, blood goes up with Qi, and congestion in the vasculature can lead to blood stasis. Therefore, the liver should be pacified and the yang should be submerged to release the congestion to resolve blood stasis. Commonly used drugs: hooked vine, ochre, raw dragon bone, raw oyster, turtle nail, Tribulus terrestris, asparagus, stone cassia, etc. To activate blood stasis, such as cooling and moistening Salvia miltiorrhiza, Peony skin, Radix et Rhizoma Ginseng, Radix et Rhizoma Paeoniae, Radix et Rhizoma Oxyphyllum, Ulvae Gold, and Radix et Rhizoma Lonicera.