Shaoyang Meridian includes Sanjiao Meridian of Hand Shaoyang and Gallbladder Meridian of Foot Shaoyang. Hand-shaoyang triple energizer is the main channel for water, fire and gas machine to run. The foot is full of yang and gallbladder attached to the liver, and bile is hidden in it, which is the main drain. The gallbladder is clear of liver qi, and the spleen and stomach are free from thieves and evil spirits. At the same time, the shaoyang meridians of the hands and feet are interrelated, so the gallbladder meridians function normally, then the cardinal runs, the triple energizer is comfortable, and the fire and water rise and fall freely. The syndrome of shaoyang meridian is between the exterior and interior of the sun and Yangming, belonging to half exterior and half interior syndrome.
(1) Etiology and pathogenesis of shaoyang meridian diseases and syndromes
Gallbladder is the fu-organ of shaoyang, shaoyang dominates wind and fire, and pathogenic factors invade shaoyang meridian. The evil of wind and cold has gradually turned into dryness and heat, which is the fundamental manifestation of shaoyang meridian disease.
Clinically, the main pathogenesis is that pathogenic factors attack shaoyang, stagnation turns into dryness and heat, qi movement is not smooth, the cardinal is unlucky, and the triple energizer is blocked, which leads to the stagnation of pathogenic factors.
There are three main reasons: ① sun disease was inexplicably introduced into Shaoyang; (2) Jue Yin disease turns from Yin to Yang, and pathogenic factors lead to less Yang; ③ The qi and blood are weak, the mechanism is loose, the exterior of Wei is not solid, and the exterior evil takes advantage of the deficiency and enters the shaoyang.
Pathogens invade shaoyang meridian, and wind-cold pathogens have gradually turned into dryness and heat. Forced by shaoyang evil heat, hot steaming gallbladder and bitter taste; Heat injury, body fluid injury and dry throat; Pathogenic heat disturbs the eyes, which leads to dizziness; Evil is fighting for half a table and half a mile, and then it is hot and cold; Pathogenic heat is trapped in shaoyang meridian, and the chest and hypochondrium are full of bitterness; Pathogen is depressed in the chest, gallbladder is involved in the liver, and liver-qi discomfort is silent; The spleen is affected, the transportation is abnormal, and I don't want to eat it; Inflammation caused by gallbladder fire and anxiety caused by mental stress; Gallbladder heat attacks the stomach, and stomach qi goes up, leading to vomiting. If the pathogen gathers in the chest diaphragm and the heat is depressed in the chest without causing stomach fu-organs, then you will be upset and not vomit; If the wood fire is excessive and the evil heat hurts the body fluid, it will be thirsty; Abdominal pain if the wood is depressed and the soil is injured; If the heat is confined to the shaoyang meridian, the hypochondriac ribs are swollen and hard; If Shaoyang Sanjiao neglects the branch and the water stops, the heart will be nervous and urination will be unfavorable; If the internal harmony is not understood, it is not thirst, but the body is slightly hot; Cough when lung qi is affected.
(2) Treatment of shaoyang meridian syndrome
The core of shaoyang syndrome treatment lies in the word "harmony"
1, prescription therapy
Treatise on Febrile Diseases: "Cold and heat come one after another, chest and hypochondrium are full, hey hey don't want to eat, upset and vomit, which belongs to deficiency syndrome, so Xiaochaihu decoction is suitable. Cold and heat come and go outside, hardness of heart, depression and vomiting. It is a real fire syndrome, and it is appropriate to use Dachaihu Decoction. " It is suggested that Daxiaochaihu decoction is the best treatment for shaoyang meridian diseases. Many physicians headed by Zhang Zhongjing in later generations have proved the value of these two methods through long-term practice, especially the important position of Xiaochaihu decoction in treating diseases of Shaoyang Meridian.
(1) Xiaochaihu decoction Treatise on Febrile Diseases
Ingredients: Radix Bupleuri, Scutellariae Radix, Ginseng Radix, Glycyrrhrizae Radix, Rhizoma Pinelliae, Rhizoma Zingiberis Recens and Fructus Jujubae.
Efficacy: reconciliation with shaoyang.
Indications: syndrome of shaoyang meridian. Cold and fever, bitter taste, dizziness, deafness, dry throat, chest tightness, hypochondriac pain, anorexia, upset and vomiting, thin and white fur, weak and thready pulse. Women have stroke, malaria and jaundice.
(2) Dachaihu Decoction "Synopsis of the Golden Chamber"
Comprises Bupleurum, Scutellaria baicalensis, Paeonia lactiflora, Pinellia ternata, ginger, immature bitter orange, jujube and rhubarb.
Efficacy: regulating shaoyang and purging heat.
Indications: shaoyang Yangming combined disease. Cold and fever come one after another, with slight annoyance, swelling and hardness in the heart, fullness in the chest and hypochondrium, vomiting, loose stool or loose stools, yellow tongue coating, firm and weak pulse on the left, and strong string count.
Xiaochaihu decoction syndrome, weak and thin pulse, slightly chordal number. Deficiency is small, the qi of the middle yang is weak, and the triple energizer sinks. Those who count strings are suffering from wood fire, and the qi of gallbladder meridian goes up and down.
Dachaihutang syndrome, the pulse condition is firm in the right and weak in the left. Excess of the right side leads to stagnation of stomach heat and fu organs, while deficiency of the left side leads to stagnation of wood qi and injury of body fluid.
Among these two syndromes, Dachaihu decoction has fewer syndromes, while Xiaochaihu decoction has more syndromes. Rong health disease is due to the lack of people in the middle. In the family of deficiency in the middle, gallbladder meridian is easy to go up against fire, fire goes up against fire, and middle qi is more deficient, so Xiaochaihu decoction has many syndromes. The hyperactivity of stomach yang is the syndrome of Dachaihu decoction, and the hyperactivity of stomach yang is the syndrome of deficiency of middle qi. The middle qi is not empty, Roewe is ill, and he can sweat himself out, so he doesn't enter the Shaoyang meridian, so the syndrome of Dachaihutang is less.
2. Acupuncture treatment
The core of the treatment of shaoyang syndrome lies in the word "reconciliation", and acupuncture treatment should focus on "relieving exterior and clearing interior, and reconciling shaoyang" The main acupoints are Zulinqi, Waiguan, Dazhui, Fengchi, Qimen and Taichong. Don't stimulate acupuncture too much, remember to pay attention to the meaning of "reconciliation"
1. Yuan Zhong et al. Edited "Ci Hai of Traditional Chinese Medicine": China Medical Science and Technology Press, 1995.
2. Luo Yanling Professor Li Zhenhua's Experience in Treating Shaoyang: World Journal of Integrated Traditional Chinese and Western Medicine, 2007.
3. Peng Ziyi Circular motion of ancient Chinese medicine. China Traditional Chinese Medicine Press, 2007.
4. Ouyang Bass. Shaoyang syndrome and acupuncture treatment based on syndrome differentiation: Journal of Clinical Acupuncture, 1996.