For patients with deficiency of lung energy or chronic cough and asthma, it is necessary to carry out necessary treatment and conditioning to prevent cold from injuring the lung and prevent recurrence of cough and asthma, and poultices, which have both toning and therapeutic effects, can be used to treat cough and asthma, improve the body’s constitution and enhance the body’s It can improve the body’s health, enhance the body’s resistance to disease, and reduce or prevent attacks.
I. What is a poultice?
Paste is a semi-fluid dosage made by repeatedly decocting Chinese herbal medicine, removing the slag and extracting the juice, then evaporating and concentrating it, adding honey and other steps. It is a kind of Chinese medicine dosage form, commonly called as cream, tonic cream, etc. It is a common Chinese medicine dosage form in health care.
What are the characteristics of poultices?
The most important feature of the formula is that it is prescribed according to the person, tailored to the symptoms and highly targeted, which is not comparable to ordinary tonic products. Its main function is to support and nourish the deficiency, prevent diseases and prolong life.
(1) Discriminatory treatment, overall conditioning, highly targeted
The formula is formulated according to different physical characteristics and different symptoms and signs of patients, fully embodying the principle of individualized treatment by discriminating treatment and tailoring to the individual and the time of the day, through detailed diagnosis of the patient’s condition and physique, and the combination of the four diagnoses of looking, smelling, asking and cutting, the physician starts from the whole, all-round discriminating treatment, and legislates and prescribes, and the ruler and minister are reasonably combined, focusing on the comprehensive treatment of the patient’s qi, blood, yin and yang, so that the patient’s yin and yang reach a new dynamic balance. It focuses on the comprehensive treatment of the patient’s qi, blood, yin and yang, so that the patient’s yin and yang can reach a new dynamic balance, thus avoiding and reducing the occurrence and development of diseases. Therefore, unlike general tonics, cream formulas focus more on overall treatment, and are mostly large compound formulas with relatively more flavors and a wide range of considerations, which are suitable for treating more complex diseases. It is suitable for the treatment of more complex diseases. Clinical customization of cream prescriptions, one for each person, is highly targeted.
(2) Support for deficiencies, attacking with tonic, and both tonic and attacking
Since the Ming and Qing dynasties, the application of poultices gradually favors tonicity, and tonic medicine is the main component of poultices, which is the ruling medicine in poultice prescriptions. Poultices can target the deficiency of internal organs and the deficiency of yin and yang qi and blood for tonicity and balance, and finally achieve the purpose of making the body yin and yang secret, qi and blood harmonized, and internal organs healthy. However, it emphasizes overall treatment and is different from other tonic medicines and formulas, but it is not only for deficiency but also for disease. In the past and present, the famous doctors who have made good use of the cream prescriptions, often adjust the tonic and eliminate the evil at the same time to adjust the role of yin and yang, organs, Qi and blood.
(3) Convenient to take and pleasant to taste
For patients with chronic diseases who need to take Chinese medicine for a long time, they do not need to spend a lot of time and energy on decocting Chinese medicine, they only need to take out an appropriate amount on time and take it with warm boiled water, which is easy to drink and absorb. In recent years, the small vacuum-packed prescriptions have greatly facilitated the travelers. The addition of corrective and astringent sugars to custom-made poultices makes them sweet and tasty, which is suitable for patients who do not like the bitter taste of Chinese medicine.
III. What are the ingredients of a poultice prescription
Paste formula is composed of Chinese herbal medicine, fine ingredients, gum, sugar and other parts, among which gum, sugar and yellow wine are also called auxiliary ingredients.
What are the principles of prescribing poultices?
1. Discriminate the evidence to administer the remedy
By analyzing the patient’s condition and physique, looking, smelling, asking and cutting, identifying the cause of the disease and the location of the disease, taking into account the relationship between the positive and the evil, the symptoms and the root, the deficiency and the reality, proposing treatment principles, determining specific treatment methods, and formulating Chinese medicine prescriptions. For example, for people with Qi deficiency, manifesting as fatigue, shortness of breath when moving, tasteless diet, weak pulse, etc., they can use the cream formula made of Ginseng, Astragalus, Poria, Atractylodes, etc.; for people with Blood deficiency, manifesting as pale face, dizziness and forgetfulness, insomnia and weak pulse, etc., they can use the cream formula made of Agaricus, Shu Di, Angelica, Bai Shao, etc.; for people with Yin deficiency, manifesting as thin body, dry mouth The body of yin deficiency, manifested as thin body, dry mouth, dry throat, thirst for water, hot flashes and night sweats, etc., can use the cream made from Chinese herbs such as maidenhair, sage, turtle board, wolfberry, etc.; Yang deficiency, manifested as cold, cold limbs, indifference to sexual desire, frequent urination, cold pain in the abdomen, etc., can use the cream made from Chinese herbs such as deer horn gum, eucommia, mealybug, walnut. It can be seen that although the cream formula is good, it should be treated differently when used, not blindly.
2, to “balance” for a period of time, yin and yang to the period of peace, qi and blood to and precious
Paste prescription is not only a medicine for nourishing and strengthening, but also the best form of treatment for chronic diseases. Therefore, when formulating a formula, the patient’s yin and yang qi and blood should be clearly identified and corrected with the drug’s bias, so that “the spirit can be cured if the yin and yang are secret”. Therefore, the formulation of the cream formula should pay attention to the identification of evidence and treatment, and take the “balance” period. Do not cater to the patient’s psychology of tonic, all cast to ginseng, deer antler and so on. Since most of the patients seeking treatment are middle-aged and elderly, their organs are declining, their qi and blood are not running smoothly, and they are often in a pathological state of mixed deficiency and reality. If one tonic is used to supplement the excess and the real, it is often counterproductive. Therefore, we should not only consider “for those who are deficient in form, warm up the qi; for those who are deficient in essence, tonic the taste”, but also correct the imbalance of qi and blood in middle-aged and elderly people by using the “balance method” as a guideline. Common geriatric diseases such as hypertension, coronary heart disease, stroke, senile dementia, prostate enlargement, etc., have different causes and symptoms, but the pathological mechanism is invariably related to blood stasis. Clinically, most of these patients show sallow face, dark lips and purple tongue, tortuous and prolonged veins under the tongue, wrong skin and nails, dizziness and headache, chest pain, mental retardation, dripping urine, etc., which are also caused by Blood stasis. In the ointment formula to regulate the blood can be effective. In short, chronic illnesses between the real and the virtual, the gas can not be too much, the evil can not be too much, suppressing and caressing both, and the usual prescription at the beginning of the same, do not stick to the supplement, so that you can attract.
Five, winter tonic before the preparation
Before we plan to take winter tonic, we should take a look at our body condition to see if it is suitable for tonic. First of all, some people with poor gastrointestinal function, poor digestion and absorption, even heavy damp heat, thick and greasy tongue, indigestion, and frequent abdominal distension, and then take tonic products, will certainly aggravate the above symptoms. For these people, open-way medicine should be given, starting with Chen Pi, Semen, Chuan Pu, Citrus Aurantium, Shen Qu, and Hawthorn in a decoction to improve the spleen and stomach’s function of transportation by regulating qi and resolving dampness. Secondly, for some people who are newly ill, the first step is to cure the disease completely. If the patient suffers from cold, cough and phlegm, the cold and cough should be cured first before taking tonic. Otherwise, as “closed door to stay invasive”, not only the tonic eaten in uncomfortable, but also make the cold and cough sticky difficult to heal.
Sixth, the characteristics of the treatment of chronic cough and asthma and other lung diseases cream formula
1, sweet, cool and light, clear the lung gold
The lung is the highest position in the lung, and is subject to the clear air of the internal organs, and its nature is to descend to cover the organs. Its “and delicate organs, not resistant to evil invasion, where the air of the six obscenities, a touch, that can cause disease. Its nature is evil cold, evil heat, evil dry, evil wet, the most fear of fire, wind …… lung master hundred veins, for the most disease” (“clinical guide to medical cases”). If the cold evil binds the lung, the lung is not declared; dry evil consumes, the lung is injured; damp evil invades the lung, the phlegm is blocked; fire and heat evil offends the lung, the fluid is burned. The treatment of lung diseases is based on conservation, and the medicine used to regulate the lung health is light, like the lightness of a feather reaching the upper jiao. If the disease is incipient, a light and clear dispersing product can be used, such as honeysuckle, forsythia, mulberry leaf, etc. If the cream formula is used to treat the lung family’s long-standing disease of depletion of qi and injury of fluid, it is often used as the base formula of Sha Shen Mai Dong Tang and Bai He Gu Jin Tang. Because the cream formula to regulate the treatment of long-standing diseases, so the cream formula in every see more moistening products. Cover the lung for dry gold, like cool and moist and evil warm and dry, and sweet taste are all tonic, so the formula is more to throw a light nature of cool and sweet moist products to moisten the lung dry, clear the upper jiao lung, drugs such as sage, asparagus, maitake, yucca, lily, Chu chrysanthemum, mulberry white peel, etc..
2, pay attention to the middle earth spleen and stomach qi
The lung is the reservoir of phlegm and the spleen is the source of phlegm production. For some long-term chronic cough, sputum, fatigue, sweating, shortness of breath, loose stools, light and tender tongue with tooth marks on the side of the lung and spleen deficiency, with Six Gentlemen’s Soup with flavoring, raw sun ginseng (stewed separately), Atractylodes macrocephala, Poria, Semen, Chen Pi, Astragalus, Bayberry, fried lentils, Mullein, sand, and heavy use of Job’s tear, yam, and lotus seeds, intended to cultivate the earth to produce gold, in order to eliminate the source of phlegm.
If the spleen and stomach are strong, the organs are strong, and if the spleen and stomach are weak, the organs are weak; treating phlegm without regard to the spleen and stomach is not its treatment. Because the spleen is the source of biochemistry, the five viscera, good at treating phlegm, not treating phlegm and replenish the spleen, the spleen can be healthy, and phlegm from the transformation. Therefore, the cream formula is often used to ginseng Ling Bai Zhu San, six Jun Zi Tang plus flavor flattening spleen earth, drugs such as princeton ginseng, atractylodes, poria, half summer, Chen Pi, lentils, yam, sand, coix seeds, etc., the intention is to take the cultivation of earth to produce gold, in order to eliminate the source of phlegm. When the phlegm is clear and the lung qi is smooth, the cough and asthma can be calmed down.
If there is also a deficiency of lung fluid, dry mouth and less fluid, cough and phlegm are unpleasant or hard to get out, add Radix et Rhizoma Ginseng (stewed separately), Radix Salviae Sinensis, Dendrobium, Dendrobium, Peach kernel, Radix Rehmanniae, White fungus, Sea clam shell; if there is also a deficiency of Qi and Blood, dizziness and palpitations, sleepless nights, dry stools, add Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix et Rhizoma Dioscorea, Radix et Rhizoma Shou Wu, Radix et Rhizoma Mulberry, Fructus Jujubae, Radix et Rhizoma Cypress, Fructus Schisandrae, Roasted Fructus Fructus, Sesame, Honey.
For patients with thick and greasy tongue, poor appetite and frequent abdominal distension, Chen Pi, Radix et Rhizoma Pinelliae, Huperzine, Hovenia, Cardamom, Atractylodes, Shen Qu, Lycopodium, Hawthorn, etc., can be given in a decoction to strengthen the spleen and awaken the stomach, regulate qi and resolve dampness to help transportation and transformation. Then enter the nourishing cream formula to prevent congestion due to tonic.
3.Nourish the kidneys and fill the essence, and consolidate the essence of Qi
The lungs are the heaven of the five viscera, the main qi, the division of breathing; the kidneys are the root of life, the main essence, the division of intake. It is said that the lung is the master of qi and the kidney is the root of qi. The mutual influence between the lung and kidney is mainly manifested in two aspects: fluid metabolism and respiration. From the lungs to the kidneys or from the kidneys to the lungs can lead to the deficiency of both lungs and kidneys, such as more breathing and less inhalation, shortage of breath, and shortness of breath especially when moving. The disease is related to the root of qi and the root of kidney. In the cream formula, we often use cuscuta seeds, Epimedium, bone marrow, bacopa monniera, Shu Di Huang and other kidney tonic products. The medicine advocates warm but not dry, nourishing but not greasy, so every time the choice of Er Zhi Wan, Six Flavors Di Huang Wan and Chuan Guan Guan, Duzhong and other yin and yang tonic products, so that nourishing the kidney without dry heat bias. At the same time, we pay attention to the diarrhea in the tonic, the tonic in the pass, such as the use of Shu Di Huang must be accompanied by sand; tonic must be added to the pungent smell, transport the spleen to resolve the stagnation of the product, so that the tonic deficiency does not love the evil, tonic deficiency does not hinder the stomach.
4.Lift and lift, moisten and dryness are appropriate
Light, clear and dynamic products can open up the upper jiao, so Zhang used mulberry bark, almonds and other clear and promotional drugs in the cream formula. For patients with chronic lung disease who are deficient and have little evil, Zhang often uses suzi, spirulina, loquat leaves and other purifying and descending products while promoting the lung. When the lung qi is cleared and purified, all the qi around the body obeys and moves smoothly. His choice of medicine, without heavy odor, is the so-called “slightly pungent to open it, slightly bitter to descend it. This is in line with the physiological characteristics of the lung and the treatment of light and clear delicate organs.
The lungs are dry gold, preferring cooling and moistening to warm and dry; the spleen is wet earth, preferring warm and dry to cold and moist. Therefore, the treatment of lung disease to cool and moist products for the important, but can not be overused, the cream is often used in the incense, Buddha’s hand and other clear, aromatic and dynamic drugs, not only to open up the qi, but also to avoid hindering the stomach and hurt the central state. The dampness of the spleen moves and becomes phlegm, the treatment of pulmonary phlegm often uses products that strengthen the spleen and transform dampness, such as Atractylodes, Poria, Semen, Chen Pi, Lentils, Yam, etc., to eliminate the source of phlegm, and the earth is strong and produces lung gold. It can be seen that Zhang Lao in the pulmonary diseases of the cream medicine pay attention to the dryness in the moistening, mainly moisten; moisten to nourish the lung, dry to dispel phlegm and dampness; moisten dry used together, mutual control of their disadvantages.
Seven, taking the cream prescription points to note
1.Taking time
When is the best time to take the cream for the whole winter? Generally speaking, about 50 days from the winter solstice, that is, after the winter solstice, “the first nine” to “six nine”, or serve until the end of spring. If you are going to take two poultices in one winter, you can take them earlier. When taking poultice medicine also need to be combined with dietary regimen, appropriate labor and exercise health care, so as to make the role of poultice medicine to the best.
2.Taking method and dosage
Take one tablespoon in the morning on an empty stomach or one tablespoon in the morning and one in the evening on an empty stomach every day, all with plain water, and take evenly. If the formula with ground yellow and other nourishing drugs or ingredients such as gum in larger doses, the paste is thick and sticky, difficult to melt, it can be taken after steaming with water. The cream can also be contained to bring out the medicinal effect. The dose of cream should be decided according to the condition or the patient’s body and the nature of the drug, especially with the patient’s digestive function is closely related, in general, serving cream should start with a small dose, gradually increase, such as taking a tablespoon per day, about 5-10 grams can be, if the patient’s digestive function is normal, or the condition requires, and then changed to a tablespoon each morning and evening to strengthen its therapeutic effect.
3, cream contraindications
It should be noted that, such as taking a cream containing ginseng, astragalus and other qi tonic drugs, should avoid eating raw radish. Tea has an antidote, serving cream should not generally be brewed with tea. In addition, should also avoid eating cold, greasy, spicy food, so as not to damage the spleen and stomach is not easy to digest and absorb and stimulate the respiratory tract. Pigs, sheep’s blood and iron should be avoided when taking poultices containing He Shou Wu. The cream should not be taken together with milk. In addition, in case of cold and fever, diarrhea, etc., should be temporarily stopped, to be cured of the above-mentioned acute diseases, and then resume taking ointment medicine, so as not to “stay behind closed doors”.
4.Storage method
Ointment medicine should be stored in porcelain jars or stored in enamel cauldrons, but should not use aluminum pots as containers. Should be stored in a cool place, such as the refrigerator, avoid near the kitchen fireside, to prevent mold. When taking the cream medicine every day, do not change a spoon each time to pull out, so as not to bring moisture into the jar, prompting mold deterioration. You should put a fixed spoon in the jar.