Discussion About the Treatment of Fifth-Watch Diarrhea from the Spleen
The spleen earth contains everything,and all diseases can relate to the spleen.For the patients with fifth-watch diarrhea whose kidney yang deficiency is not very obvious,it can be treated from the spleen,focusing on supplementing qi,activating the spleen,raising yang,draining dampness to stop diarrhea,so Yang-Raising and Stomach-Boosting Decoction can be adopted as the basic formula.For those with kidney yang deficiency,Four Spirits Pill,Fuzi(Radix Aconiti Lateralis Preparata)and Rougui(Cortex Cinnamomi)can be combined to warm the middle energizer and disperse cold.For cold and heat in complexity,Mume Pill can be combined to balance cold and heat.For sinking of the middle qi,Center-Supplementing and Qi-Boosting Decoction can be used to elevate yang to cure drooping.For dampness-heat,Pueraria and Scutellaria and Coptis Decoction can be used to clear heat and drain dampness.For efflux diarrhea,Wumei(Fructus Mume)and Hezi(Fructus Chebulae).For abdominal pain,Yanhusuo(Rhizoma Corydalis)and Wuyao(Radix Lin-derae)can be added.For abdominal distension,Muxiang(Radix Aucklandiae)can be added.For poor appetite,Shanzha(Fructus Cra-taegi)and Maiya(Fructus Hordei Germinatus)can be added.The occurrence of fifth-watch diarrhea is also a performance of yang-qi recovery and expelling pathogens out,so it is not good to stop diarrhea as long as diarrhea occurs.If the course of disease is short,with-out deficiency,it is possible to try to lead by the trend.First of all,making good use of diarrhea is to remove stagnation,clear the intes-tines,so Modified Rhubarb and Aconite Decoction can be used before supper.For diarrhea has stopped,Modified Four Gentlemen De-coction can be used to supplement the healthy qi.
fifth-watch diarrheatreatment from the spleenYang-Raising and Stomach-Boosting DecoctionFour Spirits Pill
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