Jin Xianchun's Experience of Treating Spleen and Stomach Diseases
Professor Jin Xianchun believes that the pathogenesis of spleen and stomach diseases is characterized by disordered ascending and descending qi,disharmony between the liver and spleen,cold and heat in complexity,and deficiency of healthy qi.Treatment should focus on regulating the pivot,emphasizing the need to promote movement in the pivot and to smooth the liver and gallbladder,as well as regulating the spleen and stomach.His approach uses light and agile medications,adhering to the principle that"the effectiveness of the medicine is what matters,not its weight,"with single doses mostly ranging from 3 to 15 grams.For spleen and stomach qi stagnation,Professor Jin often employs drugs such as Pipaye(Folium Eriobotryae),Zhiqiao(Fructus Aurantii),Houpo(Cortex Magnoliae Offici-nalis),Huoxiang(Herba PogoStemonis),Zisugeng(Caulis Perillae),vinegar-processed Xiangfu(Rhizoma Cyperi),Chenpi(Pericarpi-um Citri Reticulatae),etc.to regulate qi and suppress upward perversion of qi.For middle energizer qi deficiency combined with damp stagnation,Shengma(Rhizoma Cimicifugae),Chaihu(Radix Bupleuri),Jiegeng(Radix Platycodonis),Qianghuo(Radix et Rhizoma Notopterygii),Duhuo(Radix Angelicae Pubescentis),Fangfeng(Radix Saposhnikoviae),etc.are used to elevate and invigorate yang qi of the middle energizer.The synergistic effects of Chinese drug pairs can enhance efficacy and reduce toxicity.Professor Jin commonly combines Yizhi(Fructus Alpiniae Oxyphyllae)with Lianqiao(Fructus Forsythiae)to achieve a balance of supplementation and drain-age,as well as cooling and warming,addressing qi stagnation due to cold-heat accumulation,abdominal pain,and distension due to cold-heat accumulation.He pairs Huoxiang(Herba PogoStemonis)with Zisugeng(Caulis Perillae)for harmonizing the middle energizer;Gaoliangjiang(Rhizoma Alpiniae Officinarum)with Xiangfu(Rhizoma Cyperi)for treating obvious cold pain in the spleen and stomach with liver qi stagnation;Pugongying(Herba Taraxaci)with Pipaye(Folium Eriobotryae)to dredge the yang brightness large intestine meridian and facilitate the descending of stomach qi;and Xuanfuhua(Flos Inulae)with Daizheshi(Haematitum)for simultaneous treatment of liver and stomach,addressing stubborn hiccups and belching.Commonly used formulas in clinical practice include Pinellia Heart-Draining Decoction,Center-Supplementing and Qi-Boosting Decoction,Minor Center-Fortifying Decoction,Salvia Beverage,etc.
spleen and stomach diseasesPinellia Heart-Draining DecoctionCenter-Supplementing and Qi-Boosting DecoctionMinor Center-Fortifying DecoctionSalvia BeverageJin Xianchun
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