译作《汉方之精要》四逆散 小建中汤（The translation of Chinese Essentials four inverse scattered Xiaojianzhong Decoction）

译作《汉方之精要》四逆散 小建中汤（The translation of Chinese Essentials four inverse scattered Xiaojianzhong Decoction） 译作《汉方之精要》四逆散 小建中汤(The translation of Chinese Essentials four inverse scattered Xiaojianzhong Decoction) Four inverse powder Recently busy affairs and translation repeatedly shelved graduated nearly more than they set to work with a smooth. Four inverse powder Composition and meaning What is the four inverse scattered prescription This is a prescription for the treatise on febrile diseases. "Kangping" is called "Hui". Shaoyin disease, four inverse, diarrhea, cough or heavy, person or urination, or palpitations, or belly pain, four inverse scattered the. However, the prescription drug is caishao Zhi grass, how to say, do not say is a little Yin recipe. This is Mr. Otsuka solutions: Although this prescription in Shaoyin, but not generally less Yin Syndrome, heat for this, not disperse qi. Cold heat of the limbs. This is a big change of Bupleurum party. To do so, the big Bupleurum remove the licorice, date, ginger, and replaced with licorice. Because there is no ginger summer, so there is no vomiting. No skullcap, no heat. And some limbs turn cold. Four reverse dispersion of abdominal syndrome See treatise on the instructions card like Shaoyin, but how to identify with the four inverse soup of Zhenwu Decoction like this is not enough to know the light. Four inverse scattered card door is determined by Otsuka abdominal examination. The abdominal syndrome is also related to the meaning of the medicine. First, see the syndrome of the chest and the chest. Second, see the peony syndrome abdominal muscle spasm. So, because it is very like Chai Guitang's abdominal card, do not identify no.. Four inverse scattered partial to the whole abdominal rectus muscle tension, is also quite hard, because because of the presence of citrus. (old people press: typical to square test card, although reduced the square's range of adaptation, but also can be regarded as the method of getting started application Four counter dispersion, this is the typhoid fever side, but I have the opportunity to use the heat with few. For many diseases. Mild neurosis Focusing on anxiety disorders, mild neurosis and neurotic heart disease are often appropriate and sometimes accompanied by gastrointestinal malabsorption. A company employee who is >35 years old, male. The onset of lower limb weakness began several years ago. Say oneself is fatigued, work efficiency is low. Smaller and moderately distributed muscles. Each hospital ran, and said nothing important, so there is no special positive signs. Abdominal examination to see the above abdominal syndrome, and cast four inverse powder, a month later, the body light, lower the lower acid, fatigue improved. After that, sometimes things do not pay attention to the heart, when there is a little pain, it will be given Guizhi Guizhi soup will be better. At the end of the season after sometimes feel a little uncomfortable, eat four inverse scattered. Even if it wasn't good, it wouldn't be as bad as it used to be. Take the medicine for one year. < symptoms two, >30 years old, company staff, male. Similar to the former, lower extremity weakness obviously, often feel bad. Neck pain, headache, eye strain. The hospital is talking about autonomic dysfunction. Physical good, abdominal force moderate, mild right chest and hypochondrium fullness and abdominal muscle spasm of upper abdomen, all hard and tense. The use of four inverse dispersion, ten days after onset, leg weakness decreased, appetite turn better, said he now know the appetite is good meaning. After that, although sometimes a little headache and lower limb acid heavy feeling, but good will soon. It lasted for a year. Nasal diseases The nose is not easy to congestion, or have to flow (after pharyngeal secretions, nasal rhinorrhea) loss of smell, if is gastrointestinal good, consider Gegen decoction. Sometimes, with Puerarin soup, the stomach will become less comfortable. At this time, if there is no water in the stomach, people who are prone to headache, then use Banxia Baizhu Tianma decoction. Sometimes appeared four inverse scattered abdominal card situation, (according to the old man: can we say that a is to see the water partial Yin Syndrome of phlegm, dampness, one is of partial water see Yang syndrome is not obvious), at this time, the use of four inverse scattered and Xinyi chuanxiong. Party in the peony Zhishi Painong powder, sometimes very interesting on the nose has specific effect. 2,3 years of olfactory disturbances can be restored. "In cases of >45 years old staff, male, perennial empyema, nose nose into the throat, shortness of breath, head, secretions smell. The use of Pueraria Tonga Chuanxiong Flos Magnoliae, four days after the nose, the nose is smooth, but a few days after heartburn, Anorexia. Again, mild resistance was noted and all abdominal tension was elevated. To add four inverse scattered Yi xiong. (old man: can it be explained that there is slight damp and dampness in the stomach after the injury of Yang?) Then, after taking the medicine in February, all the medicine was good and the medicine was repeated. Then he continued to take the medicine for two or three months. (according to the old man: the author did not write "closing", really visible its academic attitude.) Xiaojianzhong Decoction The significance of Guizhi Decoction in reducing prescriptions Addition and subtraction peony, often Guizhi soup of various add and subtract. Cassia twig soup to peony card, that is, the sun after the disease, the pulse to promote the fullness of the chest, which is a bad disease, after the next, the symptoms change, there is air to the state of the rush. Relative, plus peony, this prescription is mistaken for solar disease, abdominal pain, diarrhea. In short, it goes to the lunar calendar. Strictly speaking, the combination of cassia twig and peony is abdominal pain, diarrhea and fullness. Said in front of the diarrhea is called tenesmus, but poor defecation. Belly full is also virtual, feel abdominal distension, but objectively speaking, serious problems are not. Even if it is inflated, the strength is not enough, relatively soft. But even so, you can feel that the two rectus abdominis is very solid, and the abdominal pattern is very prominent. This makes the body cold and cool, but also with peony reasons. Guizhi Shaoyao decoction, as mentioned before, except when using diarrhea constipation, it can also be used. Cold limbs, while mild constipation can be used. Sometimes with rhubarb. The cassia twig explains in Decoction syndrome of cold, as if in turn is cold, plus cerealose xiaojianzhong. The above relationships are shown in the figure. (after: Shao -) - and (in the cold: Guizhi Tang Shao, (+): or (virtual + Caramel): rhubarb (+) according to the old man: the original is a map, I understand the peony, with partial solid product of wet, the use of peony, such as no anti wet dry, not peony) Usage method Get down to business。 Xiaojianzhong is false prescription treatment, but the actual situation is not something fixed. Usually, the people will be transformed into deficiency syndrome. I know that there is a case of Xiaojianzhong decoction. This man is a doctor, too. His case was published by his teacher. I have a brief summary here. "He is usually suitable for Sanhuang Xiexin Decoction of the constitution. As a result of the busy mess and overworked, abdominal pain is very strong, as usual, eating the heart soup is useless. I looked at his pulse, it was hollow. So I suggest ginseng soup. But he also really is a veteran, feel not ginseng decoction, taking Xiaojianzhong decoction. It soon worked out. I feel very educated, too." I also use daily Xiaojianzhong decoction. I don't say much about the usual treatment. Say something that I remember very well. Because of the usual headache, a schoolboy who did not go to school was cured on the basis of his abdominal examination for 3 months. In this case, I was in Chinese clinical published. No later, he is now a college graduate and has worked independently. Xiaojianzhong decoction combined prescription I often use a combination of Xiaojianzhong Decoction of ginseng, or Mr. Otsuka said the size of a combination of Jianzhong decoction. The former is mainly aimed at all kinds of deficiency and spleen deficiency. When, in both virtual stomach water in general, Xiaojianzhong abdominal card, and confirmed the succussion below the heart, use at the same time the rectus is not very nervous. [symptoms] Recently, a woman has had abdominal pain for three months. Drink a lot of medicine or cure is bad, come to my place to see a doctor. People are more thin, weak, complexion is bad, all abdominal weakness, slightly distended, water sound moderate subxyphoid. The ginseng soup was given for two weeks, and the abdominal pain was not cured. Give Xiaojianzhong, two weeks later, still not ok. Then give the party Xiaojianzhong Decoction of ginseng, a week to the two week closing.