Damp-temperature is an acute external fever caused by the sensation of damp-heat disease. The disease occurs in all seasons, but mostly in summer and autumn when rain and humidity are prevalent. At the beginning of the disease, the symptoms of damp-heat obstruction are mainly characterized by body heat, heaviness and tiredness, chest stuffiness and abdominal stuffiness, yellow and greasy coating, and slow pulse. According to the prevalent season and clinical manifestations, the disease is similar to some viral infections such as typhoid fever, paratyphoid fever, salmonella infection and gastrointestinal flu in Western medicine, so the above diseases can be treated with reference to damp-warm disease.
A. Diagnostic points of dampness and warmth
The disease can be seen year-round and occurs more often in the summer and autumn rainy wet season.
The onset of the disease is slow, with initial manifestations of body heat, head heaviness, body pain and limb fatigue, chest tightness and abdominal constipation, greasy coating and slow pulse.
The disease is slow to spread, with the spleen and stomach as the focus of the disease, often staying in the qi part of the disease, and the disease is lingering and has a long duration.
In the late stage of the disease, there are two different regressions: dryness and yin and dampness and yang.
This disease should be distinguished from summer dampness. Although the onset of the two seasons are similar, the symptoms are similar, but the summer dampness is more urgent, the initial heat symptoms are prominent, and wet symptoms are secondary, while the wet temperature disease is slower, the initial wetness is heavier than the heat symptoms are prominent, they are different.
Second, the identification of dampness and warmth analysis
The occurrence of damp-warm disease caused by the feeling of damp-heat disease. Because of the summer and autumn rain and humidity, easy to form damp-heat disease caused by the evil; or people addicted to cold, damage to the spleen and stomach, water and dampness within the stop, and then feel external evil, internal and external lead, and damp-heat. This disease and the internal organs, parts, the spleen and stomach as the center of gravity, can be outside the depression of the muscle surface, internal fumigation of the liver and gallbladder, up the heart package, trapped in the stomach and intestines, down the small intestine injection, contained in the bladder.
Damp-heat disease is heavy and sticky, invading the body with slow onset and slow transmission. Clinically, at the beginning, it is mostly seen that dampness is heavier than heat, dampness contains heat, and the evil is suppressed in the qi part; then dampness and heat are combined, and dampness and heat is vaporized in the qi part, and because of the diffusion of dampness and heat, it can spread to many internal organs and parts; dampness and heat is attached to the qi part for a long time, and can gradually turn into fire, and then there are symptoms of heat over dampness. If damp-heat steam is not resolved for a long time, can also be dry and hurt Yin, deep into the Ying and blood, appearing to move wind, blood and other critical symptoms; can also be due to damp-heat evil trapped for a long time, favoring wet win, damage Yang, and the return of wet win Yang Wei.
Dampness and warmth are treated with the general principle of clearing heat and dispelling dampness. Clinical must be based on the prevalence of dampness, heat and the lesions of the viscera and parts, identification and selection of drugs. As for damp-heat into dryness and injury to yin, deep into the Ying and blood, then refer to the summer temperature disease Ying and blood division of the evidence for evidence-based treatment.
Third, the identification and treatment of dampness and warmth
I. Evil suppressing the Wei Qi type
Evidence]: Vicious chills, little sweating, body heat, with more heat symptoms in the afternoon; head heavy as a wrap, body heavy and limbs tired, chest stuffy and stuffy. The tongue is red at the tip, with a white, greasy coating and a slow, moist pulse.
Treatment】 Aromatic, pungent and dispersing, promoting dampness and heat.
【Drugs】
1, the main formula patchouli Park Xia Ling Tang (Shi Fu Nan “Medical Origin”)
Prescription: Huo Xiang 9 grams, Fa Han Xia 8 grams, red Poria 15 grams, almond 10 grams, raw Coix Seed 18 grams, Cardamom 8 grams, pig ling 12 grams, Zelig 8 grams, light black bean 9 grams, Hou Pu 6 grams. Decoction with water, 2 doses daily, one in the morning and one in the afternoon.
If the wet gradually into heat, no bad chills, but thirst, yellow urine, can go to patchouli, red poria, poria, zedoary, tempeh, add talc 18 grams, white Tongcao 6 grams, 10 grams of bamboo leaves (that is, become three Ren Tang). If the body is heavy and tired, and see joint and muscle pain, you can add 10 grams of gentiana and 9 grams of atractylodes.
2.Chinese patent medicine Huo Xiang Zheng Qi Wan, each time l. 2 bottles orally, 3 times a day.
3.Single prescription Jin Bu Xuan Zheng Qi San (Chen Shi Wen, etc. “Taiping Huimin and Pharmaceutical Bureau Formula”)
Prescription: 10 grams of thick park, 10 grams of patchouli, 10 grams of half summer, 10 grams of atractylodes, 6 grams of Chen Pi, 8 grams of roasted licorice, 3 slices of ginger, 4 jujubes. Decoction 2 times as 2 doses, 2 doses daily.
Second, dampness and heat blocking membrane prototype
Evidence】 Cold and heat, cold even with heat, sweating with pain, heavy hands and feet, chest and fullness, nausea and vomiting. The tongue is red at the tip, with white thick and greasy tongue coating and slow pulse.
Treatment】 Dredge and penetrate the dampness of the membrane.
【Pharmacology
1, the main formula Lei’s Xuantou membrane original method (Lei Shaoyi, “the theory of time disease”) prescription
Prescription: 6 grams of thick park, 8 grams of betel nut, 6 grams of grass fruit, 9 grams of scutellaria, 8 grams of patchouli leaf, 8 grams of phalanx, 3 slices of ginger, 5 grams of powdered licorice. Take 2 doses of this formula with water, one in the morning and one in the afternoon.
If the body is hot, dull, thirsty or like hot drinks, add 10 grams of Perilla, 9 grams of fresh lotus leaf and 9 grams of forsythia, in order to ascend the clear and transform the turbidity, so as to permeate the external drainage of evil.
2.Chinese medicine Xiao Chai Hu Punch, l-2 sachets each time; with Huo Xiang Zheng Qi Wan, 1 to 2 sticks each time orally, both drugs are taken 3 times a day.
3.Single prescription Chai Hu Da Yuan Drink (Yu Gen Chu “Common Typhoid”)
Prescription: Chai Hu 8g, Citrus Aurantium 9g, Hou Pu 8g, Qing Pi 6g, Scutellaria Baicalensis 10g, Radix Platycodon 6g, Cao Guo 6g, Betel nut 6g, Hordeum 9g, Licorice 3g. Decocted twice with water for 2 doses daily.
Dampness and heat, cross-steaming and poisonous type
Evidence: Fever, thirst, chest and epigastric distention, sore limbs and tiredness, or sore throat, or yellowing of the eyes, dullness, loose stools, yellow urine. Red tongue, yellowish greasy coating, slippery or stringy pulse.
Treatment】 Clearing heat and relieving dampness, draining turbidity and detoxifying.
Prescription
1. Main formula: Ganlu Disinfectant Dan (Wang Mengying “Warming Heat Jingwei”)
Prescription: Slippery Rock 30g, Mian Yin Chen 12g, Scutellaria Baicalensis 12g, Acorus calamus 9g, Chuan Bei Mu 8g, Moutong 8g, Huo Xiang 9g, Radix Angelicae Sinensis 8g, Lian Lian 9g, Peppermint 6g, Kou Ren 6g. Decoction with water, 2 doses daily, 1 dose in the morning and 1 dose in the afternoon.
If the urine is unfavorable, thirsty and not drinking, nausea and vomiting, add 10 grams of poria skin, 15 grams of coix seeds, 9 grams of bamboo rhizome, 9 grams of fenugreek. If the abdomen is hard and full, the stool does not pass, can add soapberry 9 grams, heliotrope 9 grams, cold water stone 20 grams. If the throat is swollen and sore, add Mab 9 grams, Gangmei root 30 grams, Banlangen 20 grams.
2.Chinese patent medicine Ganlu Disinfectant Pill, 9 grams each time with warm water, 2-3 times a day.
3.Single prescription Guang Yi Tang (Lai Tian Song et al. “Clinical Formulas Manual”)
Prescription: 30 grams of Mian Yin Chen, 18 grams of Money Grass, 10 grams of Yu Jin, 10 grams of Chai Hu, 18 grams of Fructus sanguinis, 15 grams of Salviae Miltiorrhiza, 30 grams of Panax notoginseng, 25 grams of Poria, 12 grams of Dioscorea, 25 grams of Coix Seed. Decoct 2 times with water as 2 doses, 2 doses daily. It is suitable for damp-heat containing poisonous yellowing.
D. Dampness and heat trapped in the middle Jiao type
Evidence】 Fever, sweating without relief, thirst without desire to drink more, abdominal abdominal froth and vomiting, boredom in the heart, loose and yellow stools, short and red urine. The tongue is red, the coating is yellow and slippery, and the pulse is slippery.
Treatment】 Bitter, pungent, clearing heat and resolving dampness.
【Pharmacology
1. Main formula Wang’s Lian-Pu Drink (Wang Mengying “Treatise on Cholera”) plus flavor
Prescription: Chuan Huang Lian 8g, Hou Pu 9g, Shi Calamus 9g, Fa Han Xia 9g, Tempeh 9g, Gardenia 12g, Slippery Rock 20g, Bamboo Leaf 12g, Huo Xiang Stem 9g. Take with water decoction, 2 doses daily.
If the fluid is injured and thirsty, urine is short and red, add 15 grams of rhizome and 15 grams of smallpox powder. If dampness-heat is stagnant and the external vesicles are white, add 30 grams of Coix Seed. For loose stools and diarrhea, add 15 grams of fire charcoal mother and 15 grams of horsetail.
2.Chinese medicine, 4 pills each time, warm water, 2 to 3 times a day.
3.Single prescription for Scutellaria baicalensis Slippery Stone Soup (Wu Jutong’s “Discernment of Warm Diseases”)
Prescription: Scutellaria baicalensis 12g, Slippery Rock 20g, Poria bark 12g, Big Belly bark 8g, Cardamom kernel 8g, Tongcao 6g, Pigling 9g. Decoction of water for 2 times as 2 times serving, 2 doses daily.
V. Dampness and heat with phlegm, obscuring the pericardium type
Evidence】 The body heat does not subside, light in the morning and heavy in the evening, and the consciousness is dull, seemingly clear and obscure, or sometimes clear and sometimes obscure, or delirium. The tongue is red, the coating is yellow and greasy, and the pulse is moist and smooth and counted.
Treatment】 Clearing heat, resolving dampness, expelling phlegm and opening the orifice.
Prescription】
1, the main formula calamus Yujin Tang (Meng Shujiang “warm disease”)
Prescription: calamus 9 grams, wide yujin 9 grams, fried gardenia 9 grams, forsythia 9 grams, mouton 6 grams, fresh bamboo leaves 9 grams, powder peony bark 9 grams, light bamboo lei 12 grams, lantern grass 6 grams, yushu dan 1, 5 grams (punch). Take 2 doses daily with water decoction.
If heat is heavy, see thirst, constipation, yellow and red urine, add 2-3 grams of Zhi Bao Dan. If phlegm is heavy, see phlegm and saliva, or phlegm in the throat, chest tightness and shortness of breath, add Suhe Xiang Wan 3 grams. If you also see twitching of hands and feet, or strong pain in the neck, closed teeth, or double vision, add 20 grams of Dilong, 10 grams of Silkworm and 8 grams of Scorpion.
2.Chinese patent medicine, add 6-8ml to 40ml of 50% glucose solution for intravenous injection, followed by 20ml to 250-500ml of 5% or 10% glucose solution for intravenous drip.
3.Single prescription Liang Di San plus reduction (Peng Shengquan “Lingnan Wenzhi Research and I Clinical”)
Prescription: Gardenia 15g, Peppermint 9g, Scutellaria 15g, Forsythia 12g, Acorus calamus 12g, Yujin 10g, Pelargonium 10g, Licorice 3g. Take 2 doses of Suhe Xiang Pills with water decoction daily. It is used for the treatment of damp-heat fumigation with obscuration of the pericardium, with remarkable effect.
Sixth, heat is heavier than dampness, evil from heat type
Evidence】 High fever, sweating, red face and thick breath, thirst, thirst for drinks, heaviness and abdominal constipation, dullness, loose stools, yellow urine. The tongue is red, the coating is yellow and slightly greasy, and the pulse is slippery.
Treatment】 Pungent cold to clear stomach heat, bitter and dry to resolve spleen dampness.
【Pharmaceuticals
1. Main formula: Bai Hu plus Cang Zhu Tang (Zhu Huan, “The Book of Living People”) with flavour
Prescription: 30 grams of raw gypsum (first decoction), 15 grams of Zhi Mu, 18 grams of round-grained rice, 12 grams of Atractylodes macrocephala, 12 grams of Perilla, 18 grams of rhizome, 12 grams of gardenia, 6 grams of licorice. Take 2 doses daily with water decoction.
For those who also have bad cold, add 9g of Elsholtzholtzholtzini (later) and 9g of Patchouli. If the urine is short and red, add 30 grams of slippery stone and 30 grams of coix seed. For loose stools, foul-smelling diarrhea and burning anus, add Huang Lian 8 grams, Scutellaria baicalensis 12 grams, and Fructus pyriformis 25 grams.
2.Chinese patent medicine
Xinhuang tablet, 3 tablets each time, 3 times a day; with Huo Xiang Zheng Qi Pill, 1 bottle each time, 3 times a day.
3.Single prescription of Yinhua Baihu Tang (Lai Tian Song and other “New Formula of Clinical Wonderful Effect”)
Prescription: 25 grams of honeysuckle, 20 grams of forsythia, 25 grams of forsythia, 25 grams of papaya, 15 grams of Zhi Mu, 18 grams of round-grained rice, 30 grams of gypsum, 6 grams of licorice. Take a decoction with water, 2 doses daily.
VII. Evil from dampness, dampness overcoming Yang micro
Evidence: Dampness and warmth for a long period of time, with fading body heat, coldness and fatigue, palpitation, dizziness, swelling of the face and limbs, and short urination. Pale tongue with white fur, sunken and slippery pulse.
Treatment】 Warming Yang, inducing diuresis, strengthening the spleen and dispelling dampness.
【Pharmaceuticals
1, the main formula Zhen Wu Tang (Zhang Zhongjing “treatise on typhoid”) plus flavor
Prescription: Poria 25 grams, 12 grams of peony, 3 slices of ginger, 9 grams of Atractylodes Macrocephala, 10 grams of Radix et Rhizoma Polygonati, 8 grams of cinnamon stick, 20 grams of coix seeds, 9 grams of perilla stems, 6 jujubes. Decoct 800 ml of clear water to 350 ml, divided into 2 doses of warm water, 1 dose daily.
If palpitations and shortness of breath, add 20 g of Radix et Rhizoma Ginseng and 15 g of Radix Astragali. For those with loose stool and abdominal distension, add 10 grams of Atractylodes Macrocephala and 8 grams of Houpao.
2.Chinese medicine Rizhong pill, 3 grams each time, 3 times a day with warm water.
3.Single prescription for Wen Yang Tang (Lai Tian Song et al. “I Clinical Formulas Manual”)
Prescription: 12 grams of Radix Astragali, 25 grams of roasted Astragali, 20 grams of Radix Codonopsis, 20 grams of Danshen, 20 grams of Zedoary, 18 grams of Poria, 10 grams of Atractylodes Macrocephala, 10 grams of Madonnas, 6 grams of Schisandra, 9 grams of Epimedium, 6 grams of roasted licorice. Decoct 2 times with water as 2 doses, 1 dose daily.
Fourth, other treatments for dampness and warmth
1.Fire cupping
For dampness and warmth, cupping can be done at the Shen Que point, and the cupping can be started after 15 minutes.
2, rubbing method
Dampness and warmth of the disease, chest congestion and vomiting, soaked in wine onion (15 grams) and lantern grass (10 grams), stewed hot, take the onion and lantern grass in the abdomen rubbing; cold stewed hot and rubbed, generally 10-20 minutes, the symptoms can be removed.
3.Wu Jie pointer therapy (circumferential multi meridian conditioning plus local selected point stimulation treatment)
4.Bath rubbing method
For persistent fever in damp-warm disease, boil a pot of water, add 25 grams each of Chai Hu, Thornbush, Perilla, and Peppermint, and boil for 5 minutes, then when the water is moderately warm, take a full-body rubbing bath, and the fever will subside with slight sweating.
5, diet therapy
1, fresh rhizome coix seed porridge: 60-100 grams of fresh rhizome, 30 grams of coix seeds, 25 grams of winter melon seeds, 15 grams of black beans, 45 grams of round-grained rice. Washed and cooked together as a thin porridge, add the right amount of salt to taste, eat l to 2 times a day, used for the auxiliary treatment of wet temperature at the beginning.
2, patchouli lotus root tea: patchouli 10 grams, 10 grams of mint leaves, 10 grams of fresh lotus leaves, 8 grams of pelargonium leaves, 12 grams of fresh rutabaga (washed and chopped). Add boiling water to incite brewing for 20 minutes and drink in portions. Suitable for late stage of damp-warm disease with residual evil not yet purified, when body heat has subsided, slight stuffiness in the epigastrium, hunger and inappetence, and thin and greasy coating.