An Analysis of Rhubarb and Aconite Decoction Syndrome
The symptoms of Rhubarb and Aconite Decoction syndrome are partial pain under the uterus,fever,tight pulse.The pathogen-esis is yang deficiency generating cold,and upward counterflow of cold qi.In the formula,Fuzi(Radix Aconiti Lateralis Preparata)can warm the meridian to eliminate cold;Xixin(Radix et Rhizoma Asari)can disperse cold and relieve pain;Dahuang(Radix et Rhizoma Rhei)can resolve accumulation and undergoes reverse accumulation,and it can also restrict the warm dryness of Fuzi and Xixin.All the drugs match,playing the role of dispersing cold,relieving knots,and relieving pain.The disease site is either in the spleen and stomach,or in the liver and kidney.The clinical manifestations are either partial pain or abdominal pain,or constipation,or fever,or combination of all the symptoms.The clinical application of Rhubarb and Aconite Decoction does not need to be limited to partial or full pain,nor should the disease be located under the hypochondrium.The same pathogenesis can be treated according to the syndrome.Connecting the whole related items in Synopsis of the Golden Chamber,first,there is abdominal fullness,complicated with external contraction,lead-ing to Officinal Magnolia Bark Seven-Ingredient Decoction syndrome.If it is not relieved,there will excessive pathogens and deficient healthy qi,then complicated with deficiency and excess syndrome of abdominal fullness.If it is still not relieved,the pathogen will fight against the healthy qi,leading to cold hernia.Therefore,the chapter points out that the syndromes are in fact various transformations of the same type of disease syndrome after loss of treatment or mistreatment,which reflects the overall constant dynamic thinking of Zhang Zhongjing.
Rhubarb and Aconite Decoctionpartial pain unden thoracic ribfeverSynopsis of the Golden ChamberZhang Zhongjing