Important Formula for Tong Xie Yao Fang, also known as "Important Formula for Painful Diarrhea", comes from the book Danxi Xinfa by Zhu Danxi, a medical scientist in the Ming Dynasty. This book is Zhu Danxi's medical work, which records many Chinese medicine prescriptions and treatment methods. Important Formula for Painful Diarrhea is one of the important prescriptions, which is specially used to treat painful diarrhea caused by spleen deficiency and liver hyperactivity.
Prescriptions for pain and diarrhea
The composition of the prescription for treating diarrhea is very simple, with only four herbs:
Main drug : Atractylodes macrocephala
Atractylodes macrocephala is the main ingredient in the prescription, and its main functions are to replenish qi and strengthen the spleen, and to dry out dampness and promote diuresis. Atractylodes macrocephala can strengthen the spleen function, thereby improving diarrhea caused by spleen deficiency.
Minister drug : White peony root
White peony root is the ministerial drug in the prescription. It is cold in nature and can soften the liver qi and relieve acute pain. The combination of white peony root and white atractylodes is very suitable for the condition of liver excess and spleen deficiency.
Adjuvant : Chenpi
Chenpi is bitter and mild in nature, and can dry out dampness, regulate Qi and digest phlegm. It is suitable for symptoms of Qi stagnation, dampness obstruction or phlegm obstruction.
Drug : Windproof
Fangfeng is the guiding herb in the prescription. Its pungent taste can dissipate the liver's stagnation and soothe the spleen. Its ascending nature helps stop diarrhea. The magic of Fangfeng is that it can balance the liver and spleen and effectively dissipate the liver's stagnation.
Pathogenesis of the prescription for pain and diarrhea
The pathogenesis of the prescription for diarrhea is mainly related to " disharmony between the liver and spleen ". Traditional Chinese medicine believes that diarrhea is often caused by spleen weakness, while abdominal pain is often related to the liver. When the liver function is too strong and the spleen function is weak, the liver will "take advantage" of the spleen, causing the spleen to not function normally, resulting in symptoms of abdominal pain and diarrhea.
In this case, the frequency of bowel movements increases during diarrhea, the stool becomes watery, and each diarrhea is accompanied by abdominal pain. The pain is relieved after diarrhea, but it will not disappear completely , and this condition will recur.
The ancients called this phenomenon " earth deficiency and wood overpowering ", which means spleen earth is weak and liver wood is too strong, leading to liver-spleen disharmony. The spleen is responsible for digesting and absorbing food, while the liver is responsible for regulating qi and emotions.
When the liver is too active, it affects the function of the spleen, leading to symptoms such as indigestion, bloating, abdominal pain and diarrhea. In this case, the patient often feels irritable and easily gets angry, and these emotional changes will further affect the function of the liver, forming a vicious cycle.
The design of the Tong xie Yao fang is aimed at this pathogenesis of "liver excess and spleen deficiency". It harmonizes the liver and spleen and relieves the symptoms of abdominal pain and diarrhea by tonifying the spleen and softening the liver, removing dampness and stopping diarrhea. The white atractylodes in the formula tonifies qi and strengthens the spleen, white peony softens liver qi, Chenpi removes dampness and regulates qi, and Fangfengsan relieves liver depression. The four herbs work together to achieve the effects of tonifying the spleen and suppressing the liver, removing dampness and stopping diarrhea. In summary, Tongxie Yaofang is specifically used to treat the symptoms of pain and diarrhea caused by spleen deficiency and liver hyperactivity, which are mainly manifested as:
Bowel pain
Diarrhea
Diarrhea and abdominal pain
Post-diarrhea pain relief
Thin white tongue coating
Pulse left stringy right slow
The efficacy of the prescription for treating diarrhea
The main effect of Tong xie Yao fang is to "tonify the spleen and soften the liver, remove dampness and stop diarrhea". This prescription is specifically used to treat abdominal pain and diarrhea caused by spleen deficiency and liver depression. When the spleen function is weak and the liver function is too strong, the liver will "take over" the spleen, causing the spleen to not function properly, resulting in abdominal pain and diarrhea. Tongxie Yaofang achieves the effect of stopping diarrhea and relieving abdominal pain by tonifying the spleen function and softening the liver's qi.
The white atractylodes in the formula is the main herb for replenishing qi and strengthening the spleen, which can strengthen spleen function and improve indigestion and diarrhea. White peony root has the effect of softening liver qi and can relieve the acute pain caused by liver depression. Chenpi and Fangfeng are responsible for drying dampness and regulating qi and dispersing liver depression, respectively, helping to regulate qi and promote digestion. These four herbs work together to effectively relieve abdominal pain and diarrhea caused by spleen deficiency and liver hyperactivity.
Modern research has also confirmed the efficacy of Tongxie Yaofang, especially in the treatment of diseases such as irritable bowel syndrome. By harmonizing the liver and spleen, Tongxie Yaofang can not only relieve abdominal pain and diarrhea, but also improve the patient's mood and digestive function, thereby improving the quality of life.
Modern application of prescriptions for treating diarrhea
In modern clinical practice, the Tong xia Yao fang is often used to treat acute and chronic enteritis, chronic colitis, irritable bowel syndrome, etc. As long as the syndrome is diagnosed as spleen deficiency and liver hyperactivity, it can be used regardless of whether the disease is new or long-term. In clinical practice, this prescription is often combined with "Si Shen Wan" or "Fu Zi Li Zhong Tang" to improve the phenomenon of diarrhea caused by severe cold in the body.
Modern pharmacological studies have shown that Tongxie Yaofang has a good therapeutic effect on irritable bowel syndrome. For example, Han used this prescription with added ingredients to treat 96 patients with irritable bowel syndrome, and the results showed that the total effective rate reached 90.62%.
Notes
When using the Tong Xie Yao Fang, you need to pay attention to the following points:
Differential diagnosis : It should be differentiated from abdominal pain caused by food poisoning. If the abdominal pain is caused by food poisoning, this prescription should not be used.
Contraindications : This prescription is not suitable for patients with abdominal pain and diarrhea caused by Yangming damp-heat or heat toxicity. The white atractylodes in this prescription has a bitter and dry nature, while the dried orange peel and the windproof are pungent and warm and dry in nature, which are not suitable for patients with heat-related abdominal pain.
Medication safety : Before clinical application of this prescription, the patient's symptom type must be carefully identified to ensure the safety of medication.
Conclusion
Tong xie Yao fang is a classic Chinese medicine prescription for treating diarrhea and pain. It has the effects of tonifying the spleen and softening the liver, removing moisture and stopping diarrhea. It can effectively relieve the abdominal pain and diarrhea caused by spleen deficiency and liver hyperactivity through the clever combination of monarch, minister, assistant and envoy. In modern clinical practice, Tongxie Yaofang still has a wide range of application value, especially in the treatment of acute and chronic enteritis, chronic colitis and irritable bowel syndrome, showing good efficacy. However, when using this prescription, it is necessary to pay attention to differential diagnosis and contraindications to ensure the safety and effectiveness of the medication.
