Literature Reserach and Clinical Application Analysis of Xiaoxianxiong Decoction(小陷胸汤)
Xiaoxianxiong Decoction comes from the Treatise on Febrile Diseases,and is one of the classic formulas.By using the methods of traceability and bibliometrics,the historical origin,composition,dosage,efficacy,concoctions,and primary treatment of Xiaoxianxiong Decoction were examined and analyzed,and its ancient and modem clinical uses were summarized.A total of 189 related ancient documents were searched,involving 85 ancient books and 515 modern documents.The research results showed that Xiaoxianxiong Decoction is composed of"one pieces of Huanglian(Coptidis Rhizoma),half a liter of Banxia(Pinelliae Rhizoma)(washed),and one large piece of Gualou(Trichosanthes)",The commonly used modern dosage is 15-40 g of Gualou(Trichosanthis Fructus),5 g of Huanglian(Coptidis Rhizoma),and 12 g of Banxia(Pinelliae Rhizoma).Xiaoxi-anxiong Decoction was originally used for treating tuberculosis and thorax disease,and it is a formula for clearing away heat and removing phlegm,relaxing the thorax,dispersing the tuberculosis,and its modern application is not restricted to the disease area of the heart.Modern clinical application is not confined to the location of the heart,but extended and expanded on the basis of ancient records,widely used in the treatment of pleurisy,acute bronchitis,emphysema,angina pectoris,acute and chronic gastritis,esophagitis,cholecystitis and other multi-systemic diseases.The main points to note when using this formula are as follows:(1)dosage,the dosage of Huanglian(Coptidis Rhizoma)should not be too large,to prevent bitter and cold diarrhea products sad Yang;(2)Banxia(Pinelliae Rhizoma)concoction,it is recommended to use alum for detoxification and preservation;(3)The fruit of Gualou(Trichosanthis Fructus)is used into the drug and first decocted,the whole fruit into the drug refers to the Gualou(Trichosanthis Fructus)with skin and kernels,which can enhance the role of the knot;(4)The key points of diagnosis and treatment are red tongue with yellow and greasy coating,smooth pulse,and.The formula can be applied when the pathological mechanism was confirmed as phlegm-heat interconnection.
Xiaoxianxiong DecoctionTreatise on Febrile Diseasesliterature reserachclinical application