Discussion on Huanglian Ejiao Decoction(黄连阿胶汤)Based on Complex Syndrome Differentiation and Treatment Thinking
Complex syndrome differentiation and treatment thinking is the"changing method"thinking of traditional Chinese medicine clinical syndrome differentiation method and it is a kind of flexible syndrome differentiation method.Huanglian Ejiao Decoction(黄连阿胶汤)is originally from ZHANG Zhongjing Shaoyin heat transformation prescription.However,from the perspective of complex syndrome differentiation and treatment thinking,the pathogenesis of this prescription is the loss of normal ascending and descending,the mechanism is unfavorable,and the opening and closing are abnormal,the imbalance of yin and yang,and the disharmony of spleen and stomach in middle-jiao.Therefore,Huanglian Ejiao Decoction,while harmonizing yin and yang and communicating the heart and kidney,pays attention to regulating the middle-jiao and pivot qi,making qi circulate,and then making yin ascend and yang descend and harmonizing water and fire.Jizihuang in the prescription is an important medicine for mediating middle-jiao and communicating the heart and kidney,which can not only pivot the central qi to drive the four-dimensional operation,but also restore qi circulation,which is similar to the dragon and tiger loop,so as to coordinate the ascending and descending of yin and yang,which fully reflects the flexility of the thinking of"changing method"and provides a new idea for the flexible application of Huanglian Ejiao Decoction to solve difficult and complicated diseases in clinic.
complex syndrome differentiation and treatmetn thinkingHuanglian Ejiao Decoctionyin and yangShaoyin pivotmiddle-jiao