Bronchial asthma is a common and difficult disease that is difficult to be cured. In Chinese medicine, it is classified as “croup” and “asthma”. It is believed that the occurrence of this disease is mostly due to the accumulation of phlegm in the lungs, combined with external influences, diet, emotion and fatigue, resulting in the blockage of phlegm in the airways and the rebellion of lung qi. The disease is recurrent, and most of the episodes are characterized by a mixture of cold and heat, and a combination of deficiency and reality, so it is difficult to assign it to an isolated type of evidence. In the Nei Jing, it is said that “when yin and yang are secret, the spirit is cured”, and the yin and yang of a person cannot be biased. Modern medical research has found that under normal circumstances, Th differentiates to Thl and Th2 in a certain proportion, and the two are in relative balance, maintaining the normal cellular and humoral immune functions of the body. In bronchial asthma, there is T-cell immune dysfunction and dysregulation of T-cell helper and suppressor functions. This shows that the imbalance of Thl/Th2 response is also related to the imbalance of personal Yin and Yang. As the sutra says, “Yin and Yang are the way of heaven and earth, and the framework of all things.” The main reason for this is the imbalance of yin and yang. The treatment of all diseases is no other than the imbalance of yin and yang, and the treatment is also no other than “to check where yin and yang are and adjust them for a period of peace”. Therefore, the main treatment for asthma is to harmonize the yin and yang of the body and restore its balance. The method of harmonizing yin and yang should be considered from the following three levels according to the urgency of the asthma attack. The external causes of asthma are mostly triggered by feelings of the six sexes, or by smoke, dust, pollen and odors. At the beginning of or during the onset of the disease, there are often clinical manifestations of the disease such as stuffy nose and runny nose, sneezing, itching of the eyes, ears and throat. The wind is good at moving and becomes the first of the six sexes, and the wind is the precursor of many diseases caused by external evil. In the Su Wen? The wind theory says: “Those who are injured by the wind are first affected by it”, and Ye Tianshun says: “When the wind evil is affected by it, the lungs are first offended.” If the wind evil offends the lung, the lung will lose its propagation, the airway will be contracted and the disease will be caused by it. As Ming? Huangfu in the cloud: “The lungs live in the highest above, presiding over the gas …… outside the main skin, the division of the coup open and close, the guard all over the body, such as the overlay of the sky.” The sun is also the site of the Ying and Wei, the main skin and hair, the skin and hair within a layer of white film that is the coup, the coup within the spread of microscopic silk blood vessels that is the Ying. If the person is full of Wei Qi, can be the periphery of the surrounding body, that is, the wind can not be deep, the person is always sweating closed, until the flow of its Wei Qi, the wind since the go, the original can be cured without medicine. Today, we see that people with asthma mostly have the evidence of disharmony between the Ying and the Wei, the loss of regulation of Yin and Yang, and the loss of the Xuansu, as the saying goes, where the evil comes together, the Qi will be deficient. Tang Rongchuan cloud: “In fact, the patient is not the sky, but the person’s qi and blood first have a bi-sheng, so feel the bi-sheng of the weather and the disease is made”. Therefore, to harmonize the Ying and Wei, nourish Yin and Yang as its preferred method, but also for the treatment of the undiseased method. Looking at the group of prescriptions, Gui Zhi Tang is especially good because it is far-reaching, open and wide, and regulates the yin and yang qi and blood of the human body vertically and horizontally. The formula uses Gui Zhi to promote Yang, nourish Yang and smooth the twelve meridians; Paeonia lactiflora, which nourishes Yin and softens the liver, can bitterly lower and lightly diarrhea liver fire. The combination of Gui Zhi and Paeonia lactiflora is one yin and one yang, one ascending and one descending. Jujube, ginger, licorice Gu to protect the Central Continent. The whole formula is only five flavors, but the lifting and lowering of dual regulation, the spleen and stomach, qi and blood, yin and yang take into account, cover the spleen and stomach, yin and yang qi and blood, lifting and lowering without harm, how come the disease? This is the method of treating the untreated disease! When asthma attacks, I often add ephedra, almonds, orris, white fruit, bupleurum, aster, dong hua, wu wei zi, etc. in Gui Zhi Tang to stop the cough and promote the lung and calm asthma, and often combined with ephedra soup plus or minus on the basis of the above medicine; wind-heat and asthma are often treated with Ma Heng Shi Gan Tang plus or minus in the basic formula of reconciling yin and yang, and have been clinically successful, but this is only the method of treating the disease. If the wind-cold asthma is not treated, the evil is deeply trapped, the lung gas is congested, the asthma is urgent to die, the pulse is floating and large, it is very critical, and the asthma should be treated urgently. ), with the addition of ginseng in cases of physical deficiency. If the wind-heat asthma is not treated, the shortness of breath is more intense, it is not possible to rest, the sweat is more, the lung yin is greatly injured, the throat must be dry and hoarse, save the lung soup is the mainstay (mulberry bark, almond, ground bark, asparagus, maitong, raw earth, lily of the valley, ripe earth, paragraph winter flower, smallpox powder, glutinous rice root, oyster, floating wheat). Wind-heat wheezing disease is not treated, wind-heat is trapped, the lower is more than the lower, the upper is wheezing and sweating, the pulse is rapid, it is appropriate to Ge Gen Scutellaria Tang main, the form of deficiency is appropriate to add ginseng. This is the method of treating very sickness in the lower work, but not to do so. The internal causes of asthma are mostly caused by internal injuries to the seven emotions such as worry, depression and anger, and depression of the qi flow, as stated in the “Medical Guan”: “or internal injuries to the seven emotions, depression and phlegm …… all over the phlegm, all can make people asthmatic”. The treatment of such evidence? The evidence of depression” also cloud: “the seven emotions within the depression, the beginning of the injury to the gas, followed by the descent and blood.” Therefore, over time, the qi and blood in the viscera are out of balance, and the lift is out of order. In order to make the whole body qi flow smoothly, yin and yang balance, it is only to regulate the liver and lung qi as the best. The sutra cloud: “left and right, the path of yin and yang,” “liver born on the left, lung hidden on the right, the left is the main ascending and the right is the main descending.” Therefore, the liver and lungs are the road traffic of yin and yang. The normal ascension of the liver and the normal descent of the lung are related to the movement of the whole body’s qi, so it is the hub of qi ascending and descending. Ye Tianshi cloud: “The human qi is in accordance with the nature of heaven and earth, the liver from the left and ascending, the lungs from the right and descending, lifting and descending properly, then the qi is relaxed. The liver and lungs are not only closely related in the regulation of qi, but also connected by meridians. The branches of the liver meridian branch out from the liver, cross the diaphragm, inject upward into the lungs, and intersect with the lung meridian of the hand Taiyin. The lung is the main source of qi, and the hand Taiyin lung meridian is the starting point of the twelve channels of qi and blood flow; the liver is the main reservoir of blood, and the foot Conjunctive Yin liver meridian is the end point of the twelve channels of qi and blood flow; therefore, the liver and lung meridians are closely related to the twelve channels of qi and blood flow. If the function of the liver and the lung is normal, the qi will be smoothly regulated, the three jiao will be open, the qi will flow, the fluid will flow, and the qi will flow, the blood will flow. It is pointed out in the “Straight Guide to the Formula” that “if the qi is not working, the blood is not working”. Tang Rongchuan “blood evidence” has a cloud: “internal blood stasis, airway obstruction, can not lift and wheeze”, if the liver and qi stagnation, then the transmission of fluids obstacle, gathering and phlegm, depression and stasis, and over time, phlegm and stasis gum, the lung loss of Xuansu, the disease is caused by. It is true that, as stated in the “Classes of evidence and treatment”, “all rising Qi comes from the liver.” If liver fire offends the lung, “the surplus of qi is fire”, liver qi becomes fire after a long time, qi and fire go up to the lung through the meridians, wood and fire punish gold, the left rises too much, the right descends without power, the lung loses suction and lowering, resulting in qi reversal and asthma bouts. Therefore, when the clinical evidence should be examined in detail, to harmonize the liver and lung lifting and lowering of qi as the main method with the evidence, add or subtract, which aims to restore the function of qi lifting and lowering and the balance of qi and blood in the viscera, the clinical evidence is often Chai Hu, Su Zi, Citrus aurantium, Scapularia scabra, All Gua Piper, Hou Pu, Sang Bai Pi for asthma to regulate the liver and lung qi balance of yin and yang, the sutra cloud: lung bitter qi upward rebellion, upward rebellion is the upper jiao depressed heat, qi depressed saliva, fire depressed heat, so the treatment section No, if the positive qi is not injured, depression and fire is very when the diarrhea white san plus reduction treatment, cover the diarrhea white is the order to drive the reversal of qi, not robbing the gold and diarrhea, the law to make the gold clear, the qi su. The “Medical Lin Jiamo” day: “blood is dependent on the movement of qi,” qi stagnation for a long time and blood stagnation evidence, so often in the qi medicine discretion to add Panax ginseng, Dan Shen, peach kernel, angelica, dragon and other blood activating drugs, cover qi and blood is smooth Yin and Yang harmonization. Ling Shu? This transfusion chapter said: “lung and large intestine. The large intestine, the conductor of the official”. Liver and lung qi dysregulation often leads to stool blockage, elected with rhubarb, hemp seed kernel, guajou kernel and other laxative medicine, cover the lung and large intestine, the internal organs of the qi is harmonized. This is the main point to regulate the qi and yin and yang, the rest of the evidence with the addition and reduction of treatment. This is the method of treating the disease! Third, warming the spleen and tonifying the kidneys to harmonize the yin and yang of the person Danxi cloud “asthma is mainly due to phlegm”, but phlegm is not the root of the disease, but the symptom of the disease, so there must be someone who causes it. Phlegm is the pathological product of the dysfunction of the lungs, spleen and kidneys, and it is also the symptom; the dysfunction of yin and yang is also its origin; the dysfunction of yin and yang is also caused by the deficiency of the spleen and kidneys. The lung is out of tune, the water stops and produces phlegm into drinks, the spleen is out of tune with the function of transport and transformation, the accumulation of dampness and produces phlegm, the kidney is the source of water, the kidney yang deficiency is water flooded with phlegm, the kidney yin deficiency is burned into phlegm, the spleen and lungs lose the warmth of the kidney yang can also produce phlegm. That is why the ancients have the cloud “kidney for phlegm, the spleen for the source of phlegm, the lungs for the storage of phlegm”. Today, the spleen is the mother of the lung gold, the source of the latter, the source of Qi and blood biochemistry. The kidneys are the basis of the five viscera and six internal organs, and long-term illnesses must injure the kidneys; the lungs are responsible for the exhalation of qi, and the kidneys are responsible for the intake of qi, and the respiratory function of the lungs needs the assistance of the intake function of the kidneys. Therefore, the symptoms of asthma are in the lungs and the origin is in the spleen and kidneys. The book “Jing Yue Quan Shu? On the origin of phlegm” also has a cloud: “Phlegm is water, its origin is in the kidney …… in the kidney to the water does not return to the original, water flooded with phlegm also, so the treatment of phlegm, must be warm spleen and kidney to treat the origin of phlegm .” The clinical evidence seen especially in the spleen and kidney yang deficiency symptoms, lung and kidney yin deficiency is rare, even if there are often combined with the spleen and kidney yang deficiency symptoms. Therefore, warming the spleen and kidney is the main method to restore the balance of yin and yang of the body in the treatment of chronic asthma. When treating chronic asthma, we often use warming and tonifying medicines for the spleen and kidney, such as Xianmao, Xianling spleen, cinnamon, ginger and Cornus officinalis, as the basic medicine for chronic asthma, and add or subtract with the evidence. If the deficiency yang is attacked from above, the Qi is ascending but not descending, the lung loses the right to purge and descend, and the upper reverses into asthma, the lower element should be warmed and tonified, and the Qi should be absorbed to calm asthma by adding and subtracting Su Zi Descending Qi Tang (Zizi Zi, Radix Panax notoginseng, Chuan Dong Gui, roasted licorice, cinnamon, Qian Hu, Hou Pu). If the disease is not treated for a long time, the gas rises more and more, and the asthma is even more, if not continued, the limbs are cold, the pulse is astringent and weak, cold sweat on the forehead, to critical, we should quickly give ginseng and mealybug (mealybug, bitter almond, roasted licorice, ginseng, Yun Ling, Chuan Bai Pi, Sang Bai Pi, Zhi Mu) plus or minus treatment, wait for the sweat to stop the syncope back, and then ginseng and rheumatism soup (ginseng, poria, licorice, almond, suzi) plus or minus treatment, in order to collect the whole work. If the kidney deficiency asthma, breathing shortness of breath, the gas out of more into less, not enough to absorb, not pharyngeal, labor is dramatic, sweating in and out of leakage, face red, feet cold, this deficiency Yang upward also, when the yin seeking Yang to kidney qi pill (dry ground Huang, yam, shamrock, Zexia, Poria, peony skin, cinnamon, gunpowder) plus or minus treatment. In summary, the only way to add and subtract is to warm the spleen and kidneys throughout, because the spleen and kidneys are warm and the phlegm is transformed, and the nature of the lift is restored, and the yin and yang of the person is then harmonized. However, this is only the method of the lower work to treat the very disease! Typical case Patient Chen, male, 27 years old, was first diagnosed on July 16, 2006. He has a history of asthma for more than 20 years, and his condition has worsened in the past two years, with no obvious seasonality of attacks. Recently, the patient’s chest tightness and wheezing are mostly caused by wind and cold or depression, 1-3 times a week, and can be relieved after rest or inhalation of sulforaphane, but sometimes he has itchy nose, runny nose, sneezing, fear of cold, weakness and sweating, poor appetite, fatigue and lazy speech, light red tongue, white slippery coating, sunken and smooth pulse. He is diagnosed with croup (imbalance of Ying and Wei, loss of Qi elevation, and deficiency of Yang in the spleen and kidney). Treatment: Regulating Ying and Wei, warming the spleen, tonifying the kidney and regulating the Qi of the liver and lung. Proposed formula: Gui Zhi 10g, Bai Shao 10g, 3 slices of ginger, 6 jujubes, 6g of roasted licorice, 12g of Fang Feng; Astragalus membranaceus 40g, Xian Ling Spleen 15g, Radix Aconiti 10g, Cinnamon 6g, Atractylodes macrocephala 15g, Poria 15g; Qian Hu 10g, Su Zi 10g, Radix Platycodon 6g, Almond 10, Green Peel 10g, Yu Jin 10g. 10g of Di Long, 12g of Dan Shen; 6g of Wu Wei Zi, 10g of Roasted Ephedra. decoction with water, 1 dose daily. After taking 10 doses, no asthma attack occurred with chest tightness and wheezing, and then the original formula was added and subtracted with the evidence and the asthma did not occur for 4 months, and Shulidian was discontinued. The sutra says: “Yin and Yang is the way of heaven and earth, the outline of all things.” All diseases are not only disorders of yin and yang, so is the pathogenesis of asthma. The kidney is the root of the five viscera and six bowels, the innate essence and blood in the endowment of the parents, but it needs to rely on the nourishment of the latter water and grain, the vital energy can only be strong. Therefore, Dong Yuan said that “the spleen and stomach are the root of blood and yin and yang”, if the congenital deficiency is not nourished by the latter, the disorder of blood and yin and yang is caused by the disease. The patient has three disorders of yin and yang: First, the yin and yang of Ying and Wei are disordered, and the symptoms seen are “body deficiency, sweating, easy to catch a cold, itchy nose, runny nose, sneezing. Therefore, the formula uses Gui Zhi Tang and Yu Ping Feng San plus or minus the muscle and Ying Wei to regulate Yin and Yang. If Ying Wei is harmonized, the couples are dense, Yin and Yang are harmonized, then the evil of wind and cold will not enter the body, and asthma will not occur naturally. The second is the loss of qi lift and lowering, the symptoms seen are “often depressed in emotion and asthma” which is caused by the loss of qi lift and lowering in the liver and lungs. Therefore, in this formula, the former Hu, Radix Platycodon, and Almond are used to restore the xuansu nature of the lung; the green peel, Yujin, and Bai Shao are used to restore the draining nature of the liver. In Tang Rongchuan’s “Theory of Blood Evidence”, there is a cloud: “there is blood stasis inside, the airway is obstructed and cannot be lifted and lowered, so it is often added to regulate the lifting and lowering of the qi, using the blood-activating, stasis-transforming and asthma-alleviating drugs of Dilong and Dan Shen. If the qi and blood are clear, the yin and yang are balanced and the lift is normal. This is the method of Chinese medicine to treat the disease! The third is the deficiency of spleen and kidney yang. The symptom is “asthma for more than 20 years, fear of cold, poor appetite, fatigue and lazy speech, light red tongue, white slippery moss, sunken and slippery pulse”. Spleen without the warmth of kidney yang can also produce phlegm. Therefore, phlegm is the pathological product of the imbalance of Yin and Yang. Only today’s plan, warming the spleen and kidney Yang, only the best strategy. Therefore, the formula is supplemented with: Huang Qi, Xian Ling Spleen, Radix Aconiti and Cinnamon. The meaning of this is: to nourish the innate, warming the kidneys to warm the spleen, nasal gas to calm asthma. The medicine is precise and effective, but this is only the method of the lower work to treat very sick!