Astragalus, cinnamon, and five substances soup: a case example of clinical evidence

The Jin Kui Yao” Huang Qi Gui Zhi Wu Wu Wu Tang is used for the treatment of blood paralysis, such as “blood paralysis of both yin and yang, inch mouth Guan Shang micro, ulnar small and medium tight, external evidence of the body is not benevolent, such as wind paralysis-like, Huang Qi Gui Zhi Wu Wu Wu Wu Tang is the main.” The author’s clinical use in a variety of diseases to achieve satisfactory results. The reason for this is that it is based on the basic pathogenesis of Qi and blood deficiency and the loss of harmony between Ying and Wei, and when there is such evidence, the medicine is used, so it is as effective as the rafter. The results are listed below. I. Rheumatic symptoms Zhang, female, 42 years old, was seen in July 2010. She had a feeling of pulling in the muscles and tendons of the limbs for 10 days. Usually afraid of cold, weakness, insomnia, slightly yellowish face, sweating a lot, afraid of cold after sweating, general muscle discomfort. No pain and joint swelling, poor sleep and easy fatigue. Although it is summertime but wears thick clothes, the tongue is red with yellow moss and greasy pulse. The diagnosis is paralysis, which is due to deficiency of Qi and Blood and loss of harmony between Ying and Wei. The treatment is to benefit Qi and nourish Blood and harmonize Ying and Wei. After 6 doses, the muscle pulling sensation was eliminated, and the fear of cold was obviously relieved, and short-sleeved clothes could be worn. The above formula was supplemented with Astragalus to 15g, Xianhecao 12g, 5 slices of ginger and 6 jujubes were put in the decoction. After that, a total of 18 doses were taken with slight addition and reduction, with no discomfort on follow-up. Press: This disease is a rheumatic symptom in Western medicine, mainly a symptom characterized by pain or other discomfort in or around the joints, not an independent disease. The disease is characterized by a patient who has all physical and chemical tests normal, but still has somatic discomfort. The basic pathogenesis of the disease is the deficiency of the body, the disharmony of the Ying and Wei, and the loss of glory of Qi and Blood. In this formula, Huang Qi and Licorice benefit Qi and strengthen the middle, Angelica nourishes Blood and harmonizes Blood, Gui Zhi, Paeoniae and Ziziphi harmonize Ying and Wei, Peach kernel and Hong Hua invigorate Blood and move Blood, Lonicera japonica and Panax notoginseng clear heat and promote circulation, and prevent the large team of pungent and warm drugs from overheating and injuring Yin. Second, acne Yu, female, 22 years old, was seen in August 2010. Facial acne for six months. Acne is scattered around the forehead, cheeks, mouth and lips, partly with pus heads, acne is dark purple, facial skin is dark, the extremities are cold, prefer to wear more clothes, the usual menstrual volume is small and light, the stool is normal in color and quality, but it is difficult to defecate. The tongue is light red with a thin white coating and a sunken pulse. The diagnosis is acne. The evidence belongs to Qi and Blood deficiency. Treatment is to benefit Qi and nourish Blood. The treatment consisted of 15g each of Astragalus membranaceus, Hemp Seed, Radix Rehmanniae, Radix Paeoniae Alba, 12g each of Radix Codonopsis Pilosulae, Radix Angelicae Sinensis, Rhizoma Ginseng, 9g each of Radix et Rhizoma Cinnamomi, 24g each of Radix et Rhizoma Polygonati, 6g each of Almond, Cicada, Peppermint, and Radix et Rhizoma Bidentatae. The patient was instructed to continue taking the medicine. After two months of follow-up, 36 doses of the medicine were taken and the acne disappeared. The most direct factor is that the pores are blocked and the oil in the hair follicles cannot be discharged, and the more it accumulates, the more it forms a small pimple. It is a good idea to have a good look at the face and chest, back and shoulders of young people. The patient is suffering from a deficiency of Qi and blood, and the turbidity is upward. C. Systemic sclerosis Li, female, 60 years old, was seen in November 2010. She has been suffering from systemic sclerosis for 13 years. Now the skin of the whole body is hardened, like leather when touched, with fear of cold, numbness of the tongue and Raynaud’s sign on both hands. The tongue is small and purple, the veins at the base of the tongue are tortuous and bruised, the moss is thin and white and the pulse is sunken. The diagnosis was dermatopathy, with evidence of Qi deficiency and stasis. The medicine used Astragalus membranaceus, Gong Ying, Bai Shao 30g each, Tao Ren, Safflower, Gui Zhi, Qing Han Xia, Sheng Gan Cao 10g each, Radix Angelicae Sinensis, Chuan Xiong, Red Shao, White Mustard 15g each, Shu Di 24g, Fructus Sinensis, Ginger and Radix et Rhizoma 3g each. 12 doses, the fear of coldness was reduced. After taking another 12 doses, the numbness of the tongue disappeared. He was instructed to take one dose orally every other day for further use. Note: Systemic sclerosis is a connective tissue disease characterized by limited or diffuse skin thickening and fibrosis, and involves the heart, lungs, kidneys, digestive tract and other internal organs. In Chinese medicine, it is called skin paralysis. The patient’s body is weak in yang energy and deficient in blood and fluids, and is exposed to wind and cold evils that infiltrate the skin, clotting the couples and blocking the circulation, resulting in loss of fluids, depletion of blood and fluids, loss of nourishment of the muscle couples and stasis of the veins. The formula is Huang Qi Gui Zhi Wu Wu Wu Tang combined with Yang Yang Hui Wu Tang, which can benefit Qi and warm Yang, harmonize Ying and Wei, invigorate blood and eliminate blood stasis. The two are cold products, which can restrain the pure heat of the large team of heat medicine, and Gong Ying detoxifies the swelling and disperses the knots, while Bai Shao is sour and beneficial to Yin. Xiao, a 30-year-old female, was seen in November 2009. She has been suffering from generalized muscle and joint pain and fear of wind and cold for 2 years after childbirth, with gradual onset of fatigue, mental weakness, lumbar soreness and heaviness, sweating when moving, and fear of cold even more after sweating. Her tongue is pale with thin white coating and her pulse is sunken and thin. The diagnosis is postpartum body pain with deficiency of qi and blood and loss of harmony between Ying and Wei. The treatment is to benefit Qi and nourish Blood, and harmonize Ying and Wei. The herbs include Astragalus membranaceus 24g, Radix et Rhizoma Glycyrrhiza Glabra, Radix Angelicae Sinensis 12g each, Radix Paeoniae Alba 20g, Radix et Rhizoma Lonicerae 20g each, Radix et Rhizoma Cinnamomi 10g each. 5 slices of ginger and 6 jujubes are added to the decoction. After 12 doses, he complained that he had never felt so relaxed in the past two years, and his fear of cold and sweating were relieved, and he was advised to continue taking the medicine. 36 doses of the medicine were taken after 1 year of follow-up, and all the symptoms were removed. Postpartum rheumatism is a disease that occurs within 100 days after childbirth (including miscarriage and miscarriage) with discomfort in limbs, muscles and joints, pain and soreness, heavy numbness, or mildly restricted function. It is aggravated by cold and damp, exertion and weather changes. In Chinese medicine, it is called postpartum body pain. The patient’s body is deficient in qi and blood, and when the blood is depleted during childbirth, the positive qi becomes more and more deficient. The lack of harmony between Ying and Wei results in various symptoms. Therefore, Huang Qi and Gui Zhi Wu Wu Wu Tang is used to add Angelica Sinensis and Chicken Blood Vine to benefit Qi, warm Yang and nourish Blood, Du Zhong to dispel wind-dampness and strengthen tendons and bones, and Lonicera japonica, which is cool in nature, can restrain hot medicines, and the vine stem can pass through the channels and relieve pain. The yellow wine taken before going to bed at night, one helps to warm the menstruation, the second can pass paralysis, can be called a good medicine.