Treating two cases of frequent urination with Gualou Xiebai Guizhi decoction by DONG Changling
Frequent urination in traditional Chinese medicine belongs to the category of overactive bladder in modern medicine.Clinical data in recent years shows that the number of people suffering from this disease in our country is increasing year by year,and it is more common among women,which seriously affects the quality of life and mental health of patients.The clinical treatment of this disease is not satisfactory.Traditional Chinese medicine believes that this disease is mostly caused by Qi(气)deficiency of bladder and kidney,involving organs such as the heart,liver,spleen,lungs,small intestine,and triple jiao(三焦)and other viscera.The pathogenesis is due to the dysfunction of Qi in the kidneys and bladder,as well as the loss of bladder gasification function,so the fundamental method is often to tonify the kidney,strengthen digestion,and reduce urine.And clinically,For patients with no significant curative efficacy,the Gualou Xiebai Guizhi decoction(瓜蒌薤白桂枝汤)is often used to treat the disease from the perspective of heart,which often receive good effects.The theory of treating frequent urination from the heart is based on the following three points:Firstly,the kidney and bladder meridians are interconnected,and the heart and kidney meridians are interconnected,so the heart affects the kidneys and bladder through meridians.Secondly,the heart is the master of the five organs and six internal organs,and directly affects the function of the kidneys and bladder through the function of governing the mind.At the same time,Western medicine believes that overactive bladder is related to one's own psychological factors,and treating this disease through bladder autonomous training is also consistent with traditional Chinese medicine's treatment of this disease from the perspective of the heart.Thirdly,the function of the kidneys and bladder depends on the warmth of the heart,only when the heart is full of Yang(阳)can the Qi in the kidneys and bladder function normally,leading to normal urination.In the application of the Gualou Xiebai Guizhi decoction,the three medicines of Gualou(Fructus Trichosanthis),Xiebai(Bulbus Allii Macrostemonis),Guizhi(Ramulus Cinnamomi)are mainly selected as the core drug combination,aiming at activating Yang to warm heart Yang and kidney Yang,so as to make bladder gasification function normal.In this article,two clinical cases of applying Modified Gualou Xiebai Guizhi decoction to treat this disease are specifically listed and discussed with the fellow learners.
万方数据
维普
