Why is it most important for the elderly to take poultices?

“The cold winter month cream time tonic, spring solstice body strong can fight tiger, autumn dry season must be no bitter, summer can also be passed without wind”. After the winter solstice, people’s skin couples will become more dense, less sweating, the body is in a “winter storage” state, at this time, with a cream recipe, from a week before the winter solstice to the next spring, to refuel and recharge the body is enough to reverse the subhealthy state back to a healthy state, especially the elderly. How to take medicine when suffering from more than two kinds of diseases? In the clinic, we often see many elderly patients registering many numbers at the same time, queuing up here and there to see them, and sometimes taking medicines prescribed by another doctor to ask if they can be taken at the same time and how to take them, and taking a large amount of medicines. However, the medicine used in the prescription does not stick to a single symptom, but mostly uses a generous compound of 30-40 drugs. The doctor will take into account the different diseases and stages of the elderly to identify the main contradictions that need urgent treatment from the complex diseases, and at the same time take into account the physical condition of the elderly, and then combine with the climate and local characteristics to focus on individualized treatment, taking care of all the diseases and avoiding losing one thing in the other, thus helping the body to restore the balance of yin and yang from the overall homeostasis. For example, for patients with hypertension with cardiac arrhythmia, we will add bitter ginseng, Pueraria Mirifica and Radix Paeoniae alba along with drugs with antihypertensive effects such as tianma, hooked vine and Chuanniu Knee. In addition, diseases such as prostatic hyperplasia, senile deafness, senile cataracts, and osteoarthritis are mostly lifelong diseases, and even if the clinical symptoms are temporarily relieved, they may recur or even worsen progressively. The “Yellow Emperor’s Classic of Internal Medicine” says: “those who hide in the essence, spring does not disease warm”, in the winter season to supplement the cream, can make the “essence” stored in the body, play a role in regulating immunity, strengthen the body’s immune function. The elderly will inevitably experience changes in their social roles after retirement, the departure of loved ones, and the loneliness of the empty nest at this particular stage of their lives. As a result, there is no place to express their emotions, and the mental disparity makes spiritual and emotional problems very common among the elderly. It can be recalled that a study was conducted on elderly people over 60 years old in the mountainous, effective and urban areas of Beijing and found that 67.6% of them had psychological factors before they became ill. It is also the traditional treatment of Chinese medicine to regulate the mood and spirit. The “Suwen? Shanggu Tianzhen Lun” has already discussed the spiritual health: “The ancient sage’s teachings are also called the false evil and thief wind, avoid the time, calm and empty, the true qi from the, the spirit of the inner guard, the disease is safe from.” Therefore, the treatment of geriatric diseases is inseparable from the treatment of emotion and spirit, and psychological guidance is an important means and method indispensable for the treatment of geriatric diseases and health care. In addition to nourishing the kidneys and strengthening the spleen, supporting the righteousness and eliminating the evil, for those with combined anxiety and depression, they often add Chai Hu, Neem, Aromatic Herb, Buddha’s Hand, Yu Jin, Acacia, White Peony, etc. Meanwhile, as the elderly tend to have hearing loss, slow reaction and slow speech, when treating them, the cream doctor will also use empathy, suggestion and enlightenment methods to psychologically relieve them. Aging is an irresistible natural law of human beings, and many of the clinical conditions presented by the elderly are not due to “illness” but to “old age”. Sickness should be treated and old age should be nourished. Then how to nurture? According to Chinese medicine, “the kidney is the essence of the innate nature”. The aging of people is mainly caused by the deficiency of kidney energy, kidney deficiency will appear before the old age, such as dizziness and forgetfulness, loose teeth, dizziness and tinnitus, waist and knee weakness, gray hair and hair loss, etc.. Therefore, the treatment of chronic diseases in the elderly must pay attention to the kidney, in order to anti-aging, prolong life. In the Ming Dynasty, the “Turtle Spirit Collection” made in the Jiajing Palace, as well as the “Qing Palace Longevity Peach Pill” and “Qing Palace Longevity Dan” used by the Cixi and Guangxu Emperors were mainly composed of kidney tonics. In addition, deficiency of the spleen and stomach is also the most common cause of aging and geriatric diseases. In clinical cases of poor spleen and stomach function in the elderly, most of them are weak, and external evil takes advantage of the deficiency to cause disease due to failure, which not only has poor digestion and absorption of food, but also poor absorption of drugs. Therefore, the cream formula is often supplemented with such products as Xiang Sha Liu Jun Zi Tang, raw hawthorn, fried malt and chicken naijin to strengthen the spleen and open the stomach, so as to nourish the spleen to help the biochemical source of qi and blood, and to open the stomach to facilitate the digestion and absorption of nourishing products. The “Yellow Emperor’s Classic of Internal Medicine” says, “When you are 40 years old, your yin energy will be half gone and your life will be in decline.” When you get older, not only the organs, organs and functions of the body decline, but also the Qi and blood, yin and yang, and fluids will be relatively insufficient, thus making the elderly produce deficiency evidence. At the same time, due to physiological deficiencies, pathological metabolites continue to accumulate, will also produce phlegm, water-damp, blood stasis, qi stagnation and other real evidence. How to regulate the deficiency and the real? Look for poultices. The cream formula is generally used as a clear tonic and a flat tonic. Therefore, it can nourish the deficiency without nourishing and nourishing the deficiency without fuelling the fire. It can take into account “for those who are deficient in form, warm up the qi, for those who are deficient in essence, tonic the taste”, and also according to the patient’s symptoms, it can appropriately add products to dispel the evil, or dispel phlegm and remove turbidity, or regulate qi and relieve depression, or invigorate blood circulation and remove blood stasis. Therefore, it is especially suitable for the condition of elderly patients. For example, when nourishing the liver and kidneys with a cream formula, because the nourishing and greasy products such as Shu Di and Shou Wu can easily block the qi, so it is often added with products that strengthen the spleen and regulate qi, such as Chen Pi, Sha Ren, Xiang Shen, Jiao San Xian, etc. For those who have dampness obstruction, it is also often added with Huo Xiang, Pei Lan, Chen Pi, Han Xia, Cang Zhu, Hou Pu, etc.