Herbal essence: invigorating qi and strengthening spleen: Atractylodes macrocephala

Atractylodes macrocephala is bitter, sweet and warm. Spleen and stomach meridian.

Efficacy can benefit qi and spleen, eliminate dampness and promote diuresis, stop sweating and prevent miscarriage. It is one of the "four gentlemen" in traditional Chinese medicine, and is praised by doctors as an important drug for strengthening the spleen and treating phlegm and edema.

It is often used to treat spleen deficiency, anorexia, abdominal distension and diarrhea, excessive phlegm, dizziness and edema, spontaneous sweating and fetal movement.

Summary of famous works:

Classic: "(This classic does not contain Atractylodes macrocephala, Atractylodes macrocephala) cures cold and dampness, paralyzes muscles, relieves spasm and jaundice, stops sweating and removes heat, and helps digestion."

"Bielu": "Effectively resolve phlegm and promote diuresis, except skin swelling caused by geomantic omen, warm the stomach and promote digestion."

"Pearl Capsule": "Dry dampness and replenish qi, replenish zhongyang, eliminate phlegm and promote diuresis, promote fluid production to quench thirst, stop diarrhea and reduce swelling."

Compendium of Materia Medica: "Spleen hates dampness, and excess of dampness will lead to qi failure. How was body fluid born? So: Bladder is the house of body fluid, and gasification will lead to stagnation. If you use Atractylodes macrocephala to remove its dampness, you will be angry and produce fluid. "

Ben Feng Jingyuan: "Atractylodes macrocephala has the functions of eliminating dampness and promoting dryness, resolving phlegm and promoting diuresis, treating arthralgia due to wind-cold-dampness, muscle spasm and jaundice, relaxing the waist and cord blood, and rushing the pulse, so that it is anxious for illness; After cooking, it has the effects of invigorating qi, quenching thirst and promoting fluid production, stopping sweating and clearing heat, entering diet and preventing miscarriage. "

"Changsha Medicinal Solution": "Atractylodes macrocephala can replenish middle energizer, quench thirst, promote fluid production, benefit spleen essence, nourish stomach qi, reduce turbid yin into diet, stop vomiting, clear yang and eliminate Shui Gu, and can cure diarrhea."

Compendium of Materia Medica: "Nourishing blood and benefiting qi. Without sweat, you can send it, with sweat, you can stop it. Drying dampness can promote diuresis, promote fluid production, stop diarrhea, eliminate phlegm and edema, and promote diuresis due to jaundice. Tonifying the spleen can help people enter the diet, eliminate fatigue, stop muscle fever and eliminate addiction. Then you can spit, relieve pain and protect the fetus. "

Enthusiasm of Western Medicine: "Good spleen and stomach, effective expectorant and diuretic, and antidiarrheal. Treat abdominal distension due to spleen deficiency, thirst due to spleen deficiency, weakness of limbs due to spleen deficiency and even pain. "

Second, compatibility and application.

1. Used for anorexia, loose stool, abdominal distension, lassitude and fatigue caused by spleen-qi weakness and dyskinesia. Atractylodes macrocephala is an important drug for invigorating qi and spleen. For patients with weak spleen and weak body, it is often combined with ginseng, poria cocos and licorice, that is, Sijunzi decoction, a prescription for tonifying deficiency. Based on Sijunzi decoction, there are many prescriptions for tonifying deficiency, which is one of the most commonly used prescriptions in clinical medicine and should be mastered emphatically.

Sijunzi decoction seems to have a simple prescription, but in fact it contains the truth that "strengthening the body resistance is the key to all diseases" It has been recorded many times in the medical records of Otsuka, a classic Japanese prescription, that Sijunzi Decoction was flavored for patients to take for a long time and cured many patients who were weak and seriously ill.

It is usually combined with Dangshen, Ganjiang and Radix Glycyrrhizae Preparata to treat spleen and stomach deficiency, epigastric cold pain and diarrhea. , that is, Lizhong decoction. In Peng Ziyi's "axle wheel theory", Lizhongtang is the basic side of the method of "transporting wheels by axle" and the first side of acquired protection.

For diarrhea due to spleen deficiency and deficiency of both spleen and lung, Ginseng, Poria and Pericarpium Citri Tangerinae are often combined, namely Shen Ling Baizhu Powder and Qiwei Baizhu Powder. It is a representative of "cultivating the soil to produce gold" and is worth learning.

If the spleen deficiency syndrome is treated by qi stagnation, loss of appetite and abdominal distension, the method of attacking and reinforcing can be used, and Atractylodes macrocephala can be used to strengthen the spleen and cooperate with Fructus Aurantii Immaturus to eliminate the swelling, that is, Fructus Aurantii Pill.

2. Used for spleen deficiency, stagnant water and dampness, and edema due to phlegm and dampness. Atractylodes macrocephala is an important drug for treating phlegm-dampness edema, which can benefit qi and spleen, and also can dry dampness and promote diuresis. Cinnamomum cassia twig, Poria cocos and Glycyrrhiza uralensis Fisch are commonly used to treat various water vapor diseases, namely Gui Ling Shugan Decoction.

In addition, there are many classic prescriptions, such as Wuling powder, Zhenwu decoction, Fuzi decoction, Alisma decoction, etc., all of which use the method of "strengthening the soil and promoting diuresis" to treat all kinds of phlegm and edema, so we must master them.

3. It is used for the syndrome of spleen deficiency and weak qi, exterior deficiency and spontaneous sweating. Atractylodes macrocephala can invigorate qi and spleen, and has the effect of consolidating exterior and stopping sweating. It is often combined with Radix Astragali and Radix Saposhnikoviae, that is Yupingfeng Powder, to treat spontaneous sweating due to exterior deficiency and qi failure. Xiao Quan Xin Jian (Xiao Quan Xin Jian) used Astragalus membranaceus and floating wheat to treat asthenia.

4. It is used for the syndrome of spleen deficiency and weak qi in pregnancy and uneasy fetal qi. Atractylodes macrocephala can invigorate qi and spleen, and has the function of preventing miscarriage. Treatment of fetal movement, if there is internal heat, Scutellaria baicalensis Georgi is often used to clear away heat and prevent miscarriage; For qi stagnation and fullness in chest and hypochondrium, it is often combined with qi-regulating drugs such as Su Geng, Amomum villosum and Chenpi. For people with qi deficiency and weakness, it is often combined with tonics such as Dangshen, Poria and Radix Glycyrrhizae Preparata. If the patient is dizzy and flustered due to blood deficiency, it is often combined with blood-enriching drugs such as Radix Rehmanniae Preparata, Radix Angelicae Sinensis and Radix Paeoniae Alba. If the fetus is unstable, waist soreness and abdominal pain, it is often combined with liver and kidney tonifying herbs such as Eucommia ulmoides, Dipsacus and Ejiao to strengthen the fetus.

Three. dosage

Atractylodes macrocephala is often used as decoction or pill powder. The dosage of decoction is more than ten grams. If it is the main drug in the prescription, it can also use a dose of tens of grams or even more.

The efficacy of raw Atractylodes macrocephala is also related to dosage. More than ten grams, it has the effect of strengthening the spleen and stopping diarrhea. If used in large doses, it can promote defecation.

It is generally believed that it is suitable for eliminating dampness, promoting diuresis, invigorating qi, invigorating spleen and relieving diarrhea.

Fourth, the application of attention.

Atractylodes macrocephala is easy to damage yin, so it is only suitable for the disease of heavy dampness in middle energizer, not suitable for those with yin deficiency and internal heat or insufficient body fluid and polydipsia.

Huang Yuanyu said: "Atractylodes macrocephala is quite stagnant, so it should supplement products that are beneficial to people. If the lung and stomach are not open, add ginger and Pinellia to drive away turbidity, and the liver and spleen are not up to standard. Adding Amomum villosum and Cinnamomum cassia twig to dispel depression and make them supplement in rotation will be beautiful, good and harmless. "

Wang Angyan: "Atractylodes macrocephala is forbidden for those with dry blood and no dampness. It can cause pus and pain, and ulcers should be avoided. "

-Notes on actual combat of traditional Chinese medicine: 2 1. 1. 10 revised this afternoon.

# Practical Notes on Traditional Chinese Medicine #