Professor Hu Ke’s Clinical Experience Of Banxia Xiexin Decoction And Sini Powder

Objective:To summarize professor Hu Ke’s clinical experience in using Banxia Xiexixin Decoction and Sini SAN(hereinafter referred to as Sini Xiexixin Decoction).Through the teacher use four inverse xie heart soup clinical basis research,summarizes the mentor of liver spleen and stomach system’s physiology,pathology and clinical academic experience,clinical diagnosis and treatment of spleen and stomach disease,and other related diseases provides a new train of thought.Methods:By looking at the medical knowledge(such as database,China about this decoction heart soup and four inverse scattering of ancient and modern literature,and the heart of this decoction soup combined of four clinical application The books of paper,published by reading tutor and listen to teacher the related academic lectures Academic exchanges between teachers and students,by collating Hu Ke national name old doctor of traditional Chinese medicine inheritance studio video data Based on the medical record data and previous research papers,combined with my 2-year experience in clinical practice,I collected and sorted out 230 effective cases with complete clinical records that used Sini Xiexin Decoction in the last two years,and summarized and analyzed the tutor’s academic thoughts Summarize the characteristics of syndrome differentiation and clinical experience.Results:1.Medical record statistics: there were 230 cases of sini Xiexin Decoction,including 112 cases of male patients(49%)and 118 cases of female patients(51%);They were mainly distributed between 36 and 65 years old,accounting for 66.52% of the total population.A total of 23 kinds of TCM diseases were involved,and the TCM diseases with more than 10 frequency were diarrhea,diarrhea,abdominal pain,stomachache,abdominal distension,oral sores,belching,insomnia,constipation.2.Symptom statistics: there were 179 symptoms in the medical case containing Sini Xiexin Decoction,which occurred more than 30 times:dry mouth,bitter mouth,frequent bowel movement,frequent stool movement,loose gas and stools,loose gas and loose stool,epigastric distention,heartburn,epigastric pain,acid reflux,abdominal pain,fatigue,fatigue,abdominal distention,fear of cold,endless stools,feeling of sleep,easy to wake up,prestools,abdominal pain,thin stool,high gas frequency,difficulty in falling asleep,cold,cold bowel rumination Poor sleep soundly;In the statistics of tongue quality,red tongue and dark red tongue were the main ones,followed by light red tongue and dark tongue.Tongue shape statistics mainly show that there are teeth marks on the tongue side.In the statistics of tongue coating,yellow and white greasy coating was the main one,and white and yellow greasy coating was the second.Pulse statistics mainly refers to pulse chord and pulse chord.3.Drug statistics: The channels of drugs were spleen meridian,stomach meridian,lung meridian,gallbladder meridian,large intestine meridian,heart meridian,kidney meridian,small intestine meridian,tricoke meridian,bladder meridian and pericardium meridian.The frequency of four gases from high to low is: warm,cold,flat,hot,cold;The frequency of five tastes from high to low was: spicy,bitter,sweet,sour,salty and astringent.Drugs in drug frequency before 30 are respectively in radix bupleuri,radix scutellariae,rhizoma zingiberis,pinellia,big jujube,codonopsis,rhizoma coptidis,radix paeoniae alba,acid-insoluble ash,main licorice,incense,betel nuts,combination,Fried Fried malt,rice sprout,magnolia bark,poria cocos,chicken’s gizzard-membrane,atractylodes,radix linderae,dried tangerine or orange peel,rhizoma atractylodis,radix curcumae,rhizoma belamcandae,loquat leaf,tribulus terrestris,stem,coix seed,liquorice,spin after flowers.4.Common prescription combination statistics: tutor group since the formula is obtained by statistical analysis combination,(1)combination of ti: dried tangerine or orange peel,stem,radix aucklandiae,inula flower,(2)in the wide combination: betel nut,fragrant,sweet,(3)combination of nerves: polygala,stone calamus,ganoderma lucidum,pinellia,coix seed,(4)combination of aphtha:cattail pollen,amber,coix seed,rhizoma atractylodis.Conclusion:1.Professor Hu Ke used Banxia Xiexin Decoction and Sini SAN’s main points of syndrome differentiation are: first,liver depression,symptoms of chest and flank,less abdominal distension and pain,good too rest,etc.,mostly related to emotion;The second is gastric fever,which is characterized by epigastric burn and noise.The third is intestinal heat,the disease is not resistant to hot food,sticky stool is not smooth;The fourth is spleen cold,which is not cold and cold,including catching cold,eating,abdominal pain,loose stools,etc.The tongue is red or dark red,and the coating is yellow and white and greasy or thin and yellow and white and greasy.Pulse for pulse string or string thin,according to the lack of power.The pathogenesis of the disease is the combination of liver,gallbladder,spleen and stomach,maladjustment of qi,cold and heat,deficiency and reality.2.Pay attention to the pathogenic factors of dampness,pay attention to the combination of cold and heat drugs,pay attention to the physiological and pathological state of spleen and stomach,carefully use purgative drugs,pay attention to the rise and fall of zang-fu qi machine,and make good use of qi regulating drugs.3.Pay attention to balance the relationship between wood and soil,especially the function of spleen and stomach;Pay attention to the relationship between sanjiao and liver,bile,spleen and stomach,pay attention to the sanjiao qi machine;At the same time,pay attention to the influence of physical factors on the function of zang-fu organs and disease trend,and treat the disease as a whole.