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Fang nameNotopterygium Overcoming Dampness Decoction
aliasQi-Unblocking Saposhnikovia Powder
sourceNeiwaishang Bianhuo Lun
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[Preparation method and dosage]

Notopterygium (Rhizoma et Radix Notopterygii) 3gm (1 qián)
Pubescent Angelica (Radix Angelicae Pubescentis) 3gm (1 qián)
Chinese Love (Rhizoma Ligustici) 1.5gm (5 fēn)
Saposhnikovia Root (Radix Saposhnikoviae) 1.5gm (5 fēn)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 1.5gm (5 fēn)
Chastetree Fruit (Fructus Viticis) 0.9gm (3 fēn)
Liquorice Root (Radix Glycyrrhizae) roasted 1.5gm (5 fēn)

the above ingredients finely chewed, merged into a potion. Add 300 ml of water, fry to 150 ml, drain, and administer while warm before meals.

[Efficacy]

expelling wind and eliminating dampness.

[Indications]

external contraction rheumatism exterior syndrome/pattern. Headache heaviness of head, aching pain in the lower back, or pain all over the body, difficulty turning sideways, white coating, and floating pulse. The original book treats "the great yang meridian of the hand is depressed and cannot flow, and the shoulder and back pain cannot be recalled; the great yang meridian of the foot is blocked, the spine is painful and the neck is strong, the waist seems to be folded, and the neck is pulled out." Wu Kun Yifangkao ‧Shimen" says: "For external injuries due to dampness and pain all over the body, this prescription is responsible for it."

[Prescription]

The syndrome treated by this prescription is mostly caused by sweating due to wind, or living in a humid place for a long time, and the evil of wind-dampness is caused by the skin surface. Wind and evil are fighting each other, and the great yang meridian is depressed, so you may experience headache, heavy body, or pain in the waist and spine, making it difficult to turn sideways. If the evil is located on the surface, it should be solved from the surface, so that the wind-dampness evil will go away with sweat, so the method of dispelling wind-dampness is used to treat it. In the prescription, Notopterygium and Pubescent Angelica are regarded as kings. Notopterygium is included in the great yang sutra, which can remove the upper wind-dampness. Pubescent Angelica is good at dispelling wind-dampness in the lower part. The two are combined to disperse wind-dampness all over the body, soothe the joints and relieve paralysis. Take Saposhnikovia Root and Chinese Lovage as ministers to remove wind-dampness from the great yang meridian and stop headaches. Served with Sichuan Lovage Rhizome to promote blood circulation and dispelling wind to relieve pain; Chastetree Fruit to dispelling wind to relieve pain. Use Liquorice Root to blend the medicines. A comprehensive approach to expelling wind and eliminating dampness. After taking it, make the patient sweat slightly to make the wind-dampness go away, and the pain will stop.

[Key points of syndrome differentiation]

  1. The headache is severe and severe.
  2. Heavy body pain.
  3. without sweating.
  4. Floating pulse.

[Addition and subtraction]

  1. wind-cold external sense: add Schizonepeta, Fresh Ginger Rhizome.
  2. wind-dampness paralysis: add Stephania Tetrandra, Gentian, Aconite Lateral Root, Aconite Main Root .
  3. migraine: Add Bupleurum, Skullcap Root.
  4. Headache: Add Pueraria and Red Peony Root.
  5. Joint swelling and pain, local burning: add Atractylodes Rhizome, Phelloendron Bark, Coix Seed. Add Twotooth Achyranthes Root to the lower limbs.
  6. qi stagnation Back pain: Add Dried Tangerine Peel, Aucklandia Root.
  7. blood deficiency back pain: add Chinese Angelica, Peony Root.

[Documentation]

There are recent clinical reports of adding flavored Notopterygium Overcoming Dampness Decoction to the treatment of Henoch-Schonlein purpura, and the efficacy is quite satisfactory. For example, there were 8 males and 6 females, most of whom were children and young adults with allergic purpura, and the course of the disease lasted from 3 days to 1 and a half months. The symptoms and signs are consistent with the diagnostic criteria of Henoch-Schonlein purpura. Among the 14 cases, 5 cases were of simple type, 3 cases were of articular type, 4 cases were of abdominal type, and 2 cases were complicated by nephritis. Treatment method: Simply take Chinese materia medica, the basic composition is Notopterygium Overcoming Dampness Decoction plus Astragalus Root and Schizonepeta. Take 1 dose per day, decocted with water, in the morning and evening. Use the basic formula for simple type, add Asarum and Cinnamon Twig to the basic formula for joint type, and add Pineilia and Peony Root to the basic formula for abdominal type. For those complicated with nephritis, treat it according to the syndrome/pattern type of Henoch-Schonlein purpura, without adding additional flavors; regardless of the type, use the basic formula. Cicada Slough can be added if you have any heat symptoms. As a result, all 14 cases were cured. That is, all the purpura disappears, the accompanying expelling pathogens from exterior abdominal pain, vomiting, melena or joint swelling and pain, or rubella also disappear, the nephritis and edema disappears, the blood pressure returns to normal, and the proteinuria, hematuria, and tubular urine are all reduced. Negative. Purpura disappeared significantly after taking 3 doses of medicine in all cases. 3 cases recovered after taking 3 doses, and most recovered after 6 to 9 doses, with a maximum of 12 doses. [New Chinese medicine, 1988, (5):45]

[Modern application]

Muscle strain, common cold, headache, neck and back neuralgia, cervical and lumbar vertebra hyperplasia, wind-dampness arthritis, sciatica, frozen shoulder.

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