The notes I compiled are based on the textbook "Prescriptions" of the University of Traditional Chinese Medicine, and some prescriptions that I think are good. The prescriptions written are all my personal experience, and the analysis methods are mainly based on the six meridians and the viscera. I am not a medical professional, studying medicine is purely a hobby. It is normal if there are mistakes in the text.
[Source] "Treatise on Febrile Diseases"
[Category] Harmonizing Liver and Spleen Medicine (classified according to "Prescriptions")
【Composition】Roasted licorice, fried citrus aurantium, Bupleurum, peony each ten (6g each)
[Usage] Add the four flavors, pound and sieve, drink in plain water, take Fangcundagger, three times a day (modern usage: decoction in water).
【Indications】Traveling pathogenic factors to resolve depression, soothing the liver and regulating the spleen. 1. Syndrome of yang depression. The hands and feet are not warm, or abdominal pain, or diarrhea, and the pulse is stringy. 2. Disharmony syndrome of liver and spleen. Hypochondrium pain, epigastric pain, stringy pulse.
There are 113 prescriptions in "Treatise on Febrile Diseases". In clinical practice, I use Sinisan the most, and I often see its shadow in my prescriptions. Because it is used a lot, some viewpoints that are not the same as traditional cognition have been produced.
In "Treatise on Febrile Diseases", Sini Powder belongs to Article 318 of "Shaoyin Diseases": "Shaoyin disease, Sini, people who have cough, palpitations, difficulty urinating, abdominal pain, or severe diarrhea, Sini Powder is the main treatment."
"Shaoyin disease" no matter which genre is used to explain it, it will at least admit that the patient has a problem of kidney yang deficiency. The "Si Ni" in "Sini Decoction" means that the yang deficiency does not reach the fourth end, which causes cold hands and feet, so it is called "Si Ni". However, Sini San does not have the problem of kidney yang deficiency, whether it is analyzed from the text or tested by formula. Therefore, the traditional theory believes that the "four evils" are due to yang depression in the interior, which cannot reach the limbs. If it is coughing, palpitations, or difficulty in urinating, it is due to the lack of qi movement; or abdominal pain or diarrhea, which is stagnation of qi and blood. Therefore, Sini San is used to dispel the stagnation of Qi and blood. This prescription is an agent for promoting stagnation. In the prescription, Bupleurum is used to promote Yang and relieve depression, so that Yang Qi can be expressed outward.
Look at the formula of Sini San again: Bupleurum soothes the liver, unblocks the Qi in the chest and promotes the left Qi; Citrus aurantium binds the Qi in the lower abdomen and lowers the Qi in the right; Paeoniae Alba removes blood numbness, breaks hard accumulation, relieves contracture pain, softens the liver and nourishes blood; Zhigancao nourishes the middle and Qi, and it can nourish yin and soften tendons when combined with white peony root.
Bupleurum, Citrus aurantium and Paeoniae Alba are all used to treat syndromes of excess, while Paeoniae Alba and Radix Glycyrrhiza are used to treat syndromes of deficiency. In the prescription, it is obvious that the treatment of excess is greater than that of deficiency, and the applicable syndrome is obviously yang rather than yin, so Sini San cannot be a prescription for three yin diseases, it should be a prescription for Shaoyang disease. Different from Xiaochaihu Decoction, Xiaochaihu Decoction treats both the exterior and interior and the interior, while Sini Powder purely treats the exterior and interior.
So Sini Powder can only treat cold hands and feet? Certainly not, the article also mentions coughing, palpitations, difficulty urinating, abdominal pain, or diarrhea. These symptoms may be attributed to lung disease, heart disease, kidney disease, celiac disease, or intestinal disease, which can be said to be irregular. But no law is precisely its law. Through reading medical records and clinical practice, I found that Sini Powder has a wider range of treatment than imagined. Digestive system diseases, nervous system diseases, circulatory system diseases, respiratory system diseases, and endocrine system diseases all have good curative effects. Andrology, gynecology, and pediatrics all have cases of using Sini powder.
So I defined the "four inverses" of the four inverses as follows:
What are the four inverses? The yin and yang air currents are constantly circulating, moving but not static, smooth and not contradictory, so the sun and the moon change, the four seasons are connected, and everything is born. Therefore, what is suitable for ascending and falling is Ni, what is suitable for descending and rising is Ni, what is suitable for movement and static is Ni, and what is suitable for dispersing and gathering is Ni. The four rebellions are not the rebellion of the four ends, but the rebellion of yin and yang.
To understand the principle of Sini San, one must understand the properties and physiological characteristics of the liver. The liver belongs to wood, the eight trigrams are earthquakes, the eight gates are injury, the nine palaces are three, the nine stars are heavenly Chong, the heavenly stem is second, the earthly branch is mao, its mother is kidney, its son is heart, its restraint is spleen, and its system is lung. The liver governs the storage of blood, and its nature likes to relieve diarrhea. It opens to the eyes, its flowers are in the claws, it is filled in the tendons, it is the spirit, its taste is sour, and its color is blue.
Many books say that "the liver governs diarrhea", but if you look at the books in the Ming and Qing Dynasties, it is written that "the liver governs the storage of blood, and the nature likes to relieve diarrhea."
When the liver blood cannot be drained in a timely and proper amount, it is necessary to use Bupleurum to dredge the liver blood. When the liver blood is excessively dredged, it is necessary to use white peony root to strengthen the ability to store blood and recycle the blood into the liver. When the dose of Bupleurum is greater than that of Baishao, Sini Powder tends to be laxative. When the dose of Radix Paeoniae Alba is greater than that of Bupleurum Radix, Sini Powder tends to be collected.
The Bupleurum root ascends from the left, and the Citrus aurantium dominates the descending from the right. The dose of Bupleurum is greater than that of Citrus aurantium, and Sini Powder tends to rise to the left. When the dose of Zhishi is greater than that of Bupleurum, Sini Powder tends to drop to the right.
In addition, Citrus aurantium is biased towards the abdomen, and Citrus aurantium is biased toward the chest. If the disease is in the chest cavity, you can use Citrus aurantium instead of Citrus aurantium.
Later, with the improvement of medical level, with the development of Chinese medicinal materials and the exchange of medicinal materials with foreign countries (mainly the countries in the Western Regions), people discovered Cyperus Cyperus, a very useful medicine for calming the liver and regulating qi. Soothing the liver and relieving stagnation often leads to liver qi rushing up, while calming the liver and relieving stagnation is "solved on the spot" without the side effect of liver qi rushing up, so many doctors add Cyperus cyperi to Sini powder in clinical practice. Qi stagnation can easily cause blood stasis, so Chuanxiong, which promotes qi and blood, is added. In order to prevent the liver wood from restraining the soil, tangerine peel that regulates qi and invigorates the spleen is added. This is "Bupleurum Shugan Powder".
