The Study Of Formula Syndrome Huangqi-Guizhi Wuwu Decoction Mainly Used In Professor Huang Huang’s Medical Case Records

ObjectiveThe object of study HuangQi GuiZhi Wuwu Decoction, from one chapter of the "Synopsis of Golden Chamber· treatment based on pulse and syndrome differentiation of blood arthralgia and consumptive disease" which is the special prescription of blood arthralgia.It was documented in successive dynasties, and widely used in modern times, but it was more scattered in the record, and the lack of literature which from the point of view formula symptoms and signs. In addition, Professor Huang Huang had made outstanding contributions in application of formula symptoms and signs, so the study will focus on Professor Huang Huang’s medical case as a carrier to organize, and to further reveal the formula symptoms and signs of HuangQi GuiZhi Wuwu Decoction.MethodsAssemble and sort literature on Huangqi Guizhi Wuwu Decoction so as to reveal its traditional etiology, pathogenesis, treatment and the law of plusminus of Chinese herbs. I will focus on analysis of Professor Huang Huang using Huangqi Guizhi Wuwu Decoction medical case, input the medical records according to the modern medical diagnosis, body physique, symptoms, tongue and pulse, laboratory examination and the patient’s age, gender, height, weight and other basic situation into computer and establish the database. The important content of the research would be normalized, such as symptoms, tongue and pulse.By using the method of frequency statistics, the data was collected and compiled into table and according to Professor Huang Huang clinical experience, carries on the analysis from multi angle, and to conclude the use of Huangqi Guizhi Wuwu Decoction prescription refers to the syndrome, the disease spectrum and the physique condition.These results will be compared with Zhang Zhongjing’s classic formula syndrome, it can be found that there are some differences between the two, but not the essential distinction. At the same time, this study reinforces the insufficiency of the tongue an pulse indication in the treatise on febrile diseases.Results1. Through the statistics and analysis of literature, application of different times of Huangqi Guizhi Wuwu Decoction were analyzed and summarized;2.By studying Huangqi-Guizhi Wuwu Decoction mainly used in Professor Huang Huang’s Medical Case Records, summarized the more perfect and normative Huangqi Guizhi Wuwu Decoction formula syndrome;3. Some related problem of using Huangqi Guizhi Wuwu Decoction in clinic, such as the use of Gui, Shao, Jiang, dose, the differential subtraction method and fomula syndrome differentiation are discussed.Conclusion1.The pathogenesis of Huangqi Guizhi Wuwu Decoction:Qi deficiency, wind-cold, qi and blood barrier, disharmony of Ying and Wei.2. Pharmacological effect of Huangqi Guizhi Wuwu Decoction:(1) immune regulation; (2) on the improvement of microcirculation; (3) to promote nerve repair; (4) on anti myocardial ischemia; (5) relieve the pain of arthritis.3. The disease spectrum of Huangqi Guizhi Wuwu Decoction:Professor Huang Huang used in the treatment of neurological, orthopedic disorders circulation system disease and endocrine and metabolic diseases mainly, and literature research added its application in gynecology and obstetrics. Specifically, numbness of the limbs, brain vascular diseases, cervical spondylosis, lumbocrural pain, sweating, diabetes and diabetic peripheral neuropathy, wind in the postpartum, postpartum lumbago and leg pain, dysmenorrhea, menstrual late disease.4. The typical formula syndrome of Huangqi Guizhi WUwu Decoction:(1) limb numbness, pain, sweating, fatigue, easy to edema of lower limbs; (2) low back pain, easy to dizziness, palpitation; (3) tongue partial light and dark or dark red; pulse is virtual, such as weak pulse, slow pulse, deep pulse, pulse string.5.The constitution of Huangqi Guizhi WUwu Decoction:(1)common in the elderly; (2)pale dark yellow or red.; tongue partial light and dark or dark red; (3)fat, muscle relaxation, lack of skin elasticity, easy to sweat even hundreds of sweating; (4)a good appetite, easily flustered handshaken when hungry; (5)easy to numb limbs and body pain, fatigue and shortness of breath, often dizziness, especially obvious when do exercise, even chest pain; (6) abdominal soft, abdominal fullness, rare tenderness; (7) prone to lower limb edema, numbness, or even cold.6. The dosage form of Huangqi Guizhi WUwu Decoction is usually decoction, and the commonly dose of it is astragalus 30g, cassia twig or cinnamon 15g, red or white peony root 15g, dried ginger 10g, red jujube 20g.7. The addition and subtraction method of Addition and subtraction method: With the most commonly used drugs are gegen, rhizome of chuanxiong, Achyranthes bidentate; The most common compound prescription are SiWei Jianbu Decoction,Guizhi Fuling Pill.