Umei Pill, from “Treatise on Typhoid Fever”, “The Essentials of the Golden Horoscope
Article 338 of the Treatise on Typhoid Fever: “Typhoid fever, the pulse is weak and syncope, to seven or eight days of cold skin, the person is agitated, no temporary peace time, this is the dirty syncope, not the post syncope. The person who has post syncope should vomit post. This is a dirty cold. If the patient is disturbed by the post and enters the diaphragm, the patient is disturbed and stops for a while; if the patient is disturbed by vomiting after getting food, the post smells the food and is often vomiting. The person who has post syncope, Wu Mei pill is the main. And also main long time profit.”
The Golden Kui – tarsus finger swelling turn tendons fox hernia roundworm disease pulse evidence treatment: “post syncope, when vomiting post, so that the patient is quiet and again when annoyed, this is dirty cold, post up into its diaphragm, so annoyed, a short time to stop again, get food and vomit, and annoyed, post smell food stink out, the person often vomit post. For those who suffer from post syncope, Wu Mei Wan is the mainstay.”
Umei pill original formula composition, preparation and serving method.
Ume plum three hundred pieces, six taels of pine, ten taels of ginger, sixteen taels of Huang Lian, Angelica Sinensis four taels, six taels of Phellodendron (cannon, peeled), four taels of pepper (sweat), six taels of cinnamon stick (peeled), six taels of ginseng, six taels of yellow cypress.
The above ten flavors, different pounding sieve, combined with the treatment, to bitter wine impregnated plum overnight, remove the core, steamed under five buckets of rice, rice cooked and pounded into a mud, and the medicine so that they are compatible, in the mortar, with honey pestle two thousand times, pills such as wutong seeds big. First take ten pills with food and drink, three times a day, slightly increased to twenty pills. Forbid cold, slippery things, smelly food, etc.
First, in terms of symptoms: the symptoms of syncope are consistent with the common symptoms of pancreatic cancer. The essence of syncope is the deficiency of liver yang, which leads to a mixture of cold and heat. The liver is the main organ of spring, and the liver is the organ where yin and yang are born, and when the cold ends, yang begins to grow, just like the cold ends in spring, yang begins to sprout. The Yang in the liver is the Qi of the lesser Yang in spring, which is beginning to sprout and not yet flourishing, so it is easily killed and weakened by the Liver Yang, resulting in dirty cold. However, the internal fire, the fire is depressed and heat, so the formation of cold and heat mixed symptoms.
According to the syllabus of the syncope of typhoid, “Syncope is a disease of thirst, gas hitting the heart, pain and heat in the heart, hunger and not wanting to eat, eating then vomiting post. The downward movement of the profit is not only.” This syllabus is a mixture of cold and heat. The three symptoms of thirst, Qi hitting the heart and pain and heat in the heart are due to the internal depression of the phase fire and upward rushing. If the liver Yang is deficient and discouraged to remove the earth, there will be hunger and lack of desire to eat, vomiting and posting when eating, and more than one profit in the lower part of the body, which is a sign of dirty cold.
The common symptoms of pancreatic cancer patients are: epigastric fullness and distension, epigastric pain, decreased appetite, emaciation, weakness, diarrhea or constipation, among which epigastric fullness and distension, abdominal pain and decreased appetite are consistent with the clinical manifestations of syncope.
Second, the pathogenesis of syncopal yin disease is a mixture of cold and heat: Wu Mei Wan is a representative formula of the Treatise on Typhoid – Syncopal Yin Disease. According to Qing Wu Qian’s “Jinjian of Medicine”, “the syncretic yin is the organ where the yin is exhausted and the yang is born”. In other words, the sympathetic yin is the end of the three yin, and the yin pole is the birth of the yang. Since the yin is exhausted and the yang is born, then the sympathetic yin is the place where the yin and yang are connected. As a result, it is easy to mix cold and heat, as stated in the Treatise on the Origin of Diseases: “Each of yin and yang tends to its extreme, and if yang is on top, it is hot, while if yin is on the bottom, it is cold. The liver is a woody organ that dominates the spring, with its political and moral qualities of Shuqi and Shuhe, and likes to promote, organize and drain; the liver is also a wind and woody organ, with its internal phase of fire. Spring is the time when Yang rises, and Yang Qi begins to sprout but is not yet in full bloom, so it is most likely that Yang Qi is not enough and Spring Qi does not rise, resulting in a depressed vitality. Therefore, Wu Mei Wan uses many pungent and hot products to support liver yang, so that the liver can rise and develop and relax.
The formula of Wu Mei Pill is used to match the pathogenesis of syncopal yin disease.
1, the formula is the ruler of the medicine, sour, into the liver meridian, its acidity is the strongest, warm, and has the nature of the hair, Zhang Yinan said that the plum “get the taste of spring liver wood, angry rise, then the rebellious Qi down. The Shennong Ben Cao Jing also recorded that the plum can “remove heat, fullness, peace of mind”, which is a very good symptomatic treatment for “thirst, gas hitting the heart, pain and heat in the heart”.
2, wu mei collect yin and astringent fire, but can not produce blood, so with angelica to warm liver blood, liver body can be further strengthened; ginseng to benefit liver qi; fenugreek, dried ginger, horsetail, cinnamon branch, Sichuan pepper five hot herbs to warm the yang to benefit the liver; Huang Lian, Huang Bai diarrhea its phase of fire within the heat, forming the basis of liver tonic, cold and heat.
The formula of Wu Mei Wan seems to be chaotic, but in fact it is rigorous. It regulates cold and heat on the basis of warming the liver, and uses both cold and heat to regulate yin and yang, closely following the pathogenesis of syncopal yin disease with liver-yang deficiency, yin-cold internal victory, and mixed cold and heat, so it is a representative formula of syncopal yin disease.
Thirdly, the composition of Wu Mei Wan is in accordance with the TCM diagnosis of pancreatic cancer: from the clinical manifestations of pancreatic cancer, the main manifestations are upper abdominal fullness and discomfort, upper abdominal pain, decreased appetite, emaciation, weakness, diarrhea or constipation, which are in line with the syllabus of syncope.
We believe that pancreatic cancer is located in the liver meridian, and according to the law of Yin and Yang of syncope, it is the stage of Yin and Yang deficiency, when Yin Qi is exhausted and Yang Qi is born, therefore, Liver Yang is insufficient and Cold Dampness is prevalent inside. The liver is a rigid organ, and the internal phase fire is sent to the heart. The internal phase fire is depressed and rushes up to the heart, resulting in pain and heat in the center of the syncope, manifesting as pain in the upper abdomen, fullness and noisy discomfort in the upper abdomen.
Therefore, we believe that the TCM diagnosis of pancreatic cancer is liver yang deficiency with a mixture of cold and heat, so in clinical practice, we use the original formula of Wu Mei Wan to take Wu Mei to astringent and soften the liver, and Angelica to nourish liver blood, both of which together nourish the liver body; Radix et Rhizoma pinnatifida tones the yang of Kan to help restore liver yang, and Radix Codonopsis tones the yin of Li; liver yang is prone to depression and fire in the growth stage, so Huang Lian is added. Huang Bai clears the evil of fire and heat, and Huang Lian with Radix et Rhizoma, a clearing diarrhea and a warming guide, the evil heat can be exhausted; dry ginger and Sichuan pepper warm the middle, transforming the cold dampness in the middle jiao; Hosanna and Huang Bai together start sinking cold and clear damp heat; Gui Zhi warms heart yang and promotes the rise of yang energy. Combined with pancreatic cancer prone to liver metastasis, the drug Bai Shao is added in the treatment to nourish the liver and share with angelica to nourish liver blood and regulate liver qi; raw astragalus is added to replenish all the qi and blood; wallflower has the function of dispelling wind, softening hardness and dispersing nodules and anti-tumor, which is a good medicine for treating tumor.
Why does Wu Mei Wan not use Scutellaria baicalensis for treating liver meridian diseases?
There are many recipes containing Scutellaria in the Sutra formula, and Zhong Shi likes to use Scutellaria in treating liver meridian diseases! This is not explained by the ancients. According to traditional Chinese medicine, fire is divided into the ruling fire and the phase fire, which is the Yang fire that resides in the liver and kidneys and assists the ruling fire to act and marches throughout the body with the ruling fire, which is the driving force of the body’s vital activities. The phase fire is prone to delusional movement, tormenting the true yin, as the thief of vital energy, so the use of cypress to clear the phase fire and firm yin, two birds with one stone, this phase fire for the liver cold and depression, non-real fire, so its dosage is small; but the wood produces fire, and wu mei pill a school of fire and hot products, easy to disturb the heart bag, so a large dose of Huang Lian to clear the heart fire, Huang Lian in this formula has two functions, one is to treat the phase fire disturbing the heart, one is to prevent too much warmth; Conjunctive yin disease this liver yang deficiency, scutellaria to clear the It is not the right medicine for this condition, so it is discarded.
In patients with pancreatic cancer, not only cold-damp evidence but also damp-heat evidence is present.