What Are the Medical Uses of Rheum Officinale?

Rhubarb, known as "General." It is fierce in nature, good at letting down and promoting newness. It can both attack and defend; it can reconcile the five internal organs, and can communicate with the vitality;

Rhubarb is a tonic

This entry lacks an overview map . Supplementing related content makes the entry more complete and can be upgraded quickly. Come on!

Rhubarb, known as "General." It is fierce in nature, good at letting down and promoting newness. It can both attack and defend; it can reconcile the five internal organs, and can communicate with the vitality;

Chinese name

Rhubarb is a tonic

Expertise

Purgative fever, stasis, stasis

Offense

Dosage

Application

Blood certificate, phlegm drink, detoxification, purging fire

Rhubarb has bitter cold, purgative fever, stagnation, stasis, and blood stasis. All the li, shi, hot and yang cards are rhubarb indications.

Rhubarb attack and supplement depends on the size of the dose. Small doses are mainly supplemented, and large doses are mainly attacked.

It is widely used. The scope of rhubarb treatment in Zhang Zhongjing's Treatise on Febrile and Miscellaneous Diseases involves blood syndromes, phlegm drinking, detoxification, purging fire, clearing heat, stagnation, attack, and ventilating air ventilators. Zhang Congzheng advocates "sweating, vomiting, and going down," and believes that "Chen Yun goes and his stomach is clean, he does everything and runs to Weichang, and there is true replenishment when he does not make up." Treating women's blood dryness with single flavor rhubarb, treating dizziness with Zhihuang Decoction, treating children with chest fullness, asthma fullness, and Bazheng Sanxue to relieve heat and diuresis. In the Ming Dynasty, Wu Youxing put forward the idea of "not getting tired early in the disease", which pushed the clinical application of rhubarb to a new stage. "Cheng Qi was designed for evil, not for feces", " The effects of Sanchengqi Decoction are in rhubarb, and Yu Zhijiu's products. "

Rhubarb can prevent and treat acute infectious diseases. Wu can also write "On the Epidemic of Wen", the first two methods of epidemic control-"Dayuan" and "Evil Evil". The key to Wu's use of attacking evil is to smash it out. He advocates "emergency attack", "counter attack by evidence", "everything is not counted", and for the evidence that can be given, "", "Next", until the evil ends. The rhubarb is mainly used to eliminate evil and clear heat, but Wu's method is not to blindly cast. Too bad. " It is not difficult to use rhubarb, but in the face of complex conditions, the clinical evidence is resolute, and experience is needed. If the plague is plagued by yellow-breasted tongue, it will not refuse to press, and the complexion will also have black stagnation.

Rhubarb is also an important hemostatic agent. Some people treated the blood of Dasao, 77-year-old Rhubarb was reused to 60 grams, the bottom of the kettle was taken, a dose was taken, and the blood stopped at midnight. Huang Huang of Nanjing University of Traditional Chinese Medicine concluded that rhubarb medicine is "painful and secretive, annoying and hot, slippery and solid", and most of them are physically strong and dry and yellow. Rhubarb has outstanding effects. Every time it is used, it has a bitter cold taste, settling and severe, and it is easy to hurt if it is used carelessly. Patients with chronic lung disease should be used with caution; Yin and Deficiency Cold syndromes are forbidden; they should be especially cautious for internal cold syndromes and external cold syndromes.

Rhubarb is often used for abdominal pain refusal. Abdominal pain is a common clinical symptom, and those who refuse to press are mostly acute abdominal pain, which are more common in diseases such as acute pancreatitis, cholecystitis, cholelithiasis, acute appendicitis, intestinal obstruction, and acute peritonitis.

Rhubarb has been used for scabies and scabies for a long time. Zhang Xichun's "Medicine and Chinese Medicine Records" records: "A young woman has a strange disease and her back is swollen and painful. If there is a trace of her body, she can't bear the heat, and she has to lie naked. Middle. Later, there were those who went to Beijing for examinations from the south by boat. They were all medical doctors, and they were feverish. They used rhubarb ten kilograms, decoction ten kilograms, drunk them, and drunk them for a few hours, but they got healed. In addition to taking rhubarb orally, rhubarb powder can also be applied externally.

Rhubarb has bitter cold, purgative fever, stagnation, stasis, and blood stasis. Therefore, all the li, real, hot and yang cards are rhubarb indications. Specific clinical manifestations are: systemic symptoms with high fever, dry throat, dry mouth, thirst for cold drinks, do not want to eat, blushing and red eyes; irritability, slang or coma visible in the state of mind; full chest, wheezing, sputum, abdominal distension or ( And) abdomen pain refused to press; short urine, redness, burning, constipation, uncomfortable or self-interesting water; red, swollen tongue, yellow fur, thick, dry and even thorns; large pulses, slippery or heavy.

Chinese medicine rhubarb attaches great importance to tongue coating. The syndromes of Chengqi in "Treatise on Febrile Diseases" include "dry mouth", "dry mouth and dry throat", the soup of large depression chests has "dryness and thirst on tongue", and "Golden Chronicles" has "those who have not lost their tongue, next" According to the "Zhuang Huang Qu Qu", it can be seen that Zhang Zhongjing's tongue like rhubarb is dry and yellow. In the Ming Dynasty, everyone with the disease, Wu Youxing, used large amounts of rhubarb frequently, and often tried again and again to eliminate evil. The diagnosis of the tongue is very important, and the tongue coating of rhubarb is mostly yellow coating, or yellow greasy coating, or charred coating. Ye Tianshi proposed that "or yellow moss or such as agarwood or gray-yellow or broken lines" can be used rhubarb. Wu Yan proposed that the pulse number is strong, and it is also an indication of the use of rhubarb.

Rhubarb attack and supplement depends on the size of the dose. Small doses are mainly supplemented, and large doses are mainly attacked. Small doses of rhubarb (less than 3 grams) have stomach-invigorating and digestive effects; medium doses (1-2 grams of rhubarb powder or 6-12 grams of decoction) have diarrhea-reducing and stasis-releasing effects; large doses (15-30 grams) The power of diarrhea is quite strong. Studies have shown that rhubarb contains two opposite components-glycosides of anthraquinone derivatives and tannic acid and related substances. The former can stimulate bowel movements and cause diarrhea, while the latter can astringent and stop diarrhea. Rhubarb has laxative properties in the case of raw, large, and short-fried dishes. However, in the case of systemic preparations, small amounts, and long-fried ones, the laxative properties are weakened, and at the same time, anti-diarrheal properties appear. In recent years, there have been many reports of using large doses of rhubarb (usually 30 grams, as much as 100 to 200 grams, and even 500 grams of re-use cases, all decoctions) in the treatment of acute cholecystitis, hemorrhagic necrotic enteritis, epidemic Hemorrhagic fever, acute pancreatitis, and acute jaundice hepatitis have achieved significant curative effects without significant toxic reactions.

According to ancestral and personal experience, Li Chunhe Lao TCM believes that: for the treatment of madness of young Li Sheng, the dosage of each dose is more than 150 grams, and the maximum amount is 240 grams; for young women, infertility, dysmenorrhea, irregular menstruation, and servile injury The dosage of each dose is 90 to 150 grams; the dosage of scabies, bloated and plagued poison is 50 to 100 grams; the dosage of pediatric convulsion, fetal poison, and boil blood is 5 to 15 grams. In the past few decades, this kind of ultra-conventional use has not seen a case of exacerbation or disability caused by the re-use of rhubarb, but it has repeatedly received good results. All young and middle-aged patients are true and hot, and they are rhubarb indications, so they can be used boldly. For young and frail patients, if there is no chronic disease such as heart, liver and kidney, it can be reduced as appropriate.

Rhubarb has outstanding effects. Every time it is used, it has a bitter cold taste, settling and severe, and it is easy to hurt if it is used carelessly. To sum up, rhubarb is banned in the following 5 cases: 1. Sun disease is banned: the disease is on the table, the situation is in the right direction, when sweating and dispel evil, misuse rhubarb, lead to evil inversion, will be mutated. The exceptions are those that show evidence and realism. 2. Shaoyang disease is banned: evil is in Shaoyang, Fadang reconciliation. But Shaoyang disease and empirical evidence, rhubarb can be used. 3. Vomiting is disabled: Although vomiting is ill, it is sometimes a manifestation of righteousness and dispelling evil spirits. It should also be used to guide the situation and apply emetics to make the "sickness above, so the more", never use rhubarb. But those who have vomiting due to stomach fire can use rhubarb. 4. Deficiency of cold syndrome: Deficiency of cold syndrome, visceral qi depletion, cold and cold inside, and resistance to logging, so rhubarb cannot be used. However, those who are in the middle of the fictitious, and those who are cold in the real, will be used as supplements in the cold, and those in the cold will be warm, and those who are strong will be attacked. 5. Jin injury blood deficiency syndrome is disabled: the deficiency can make up for it, the real person has diarrhea, and all diseases are the same. Therefore, Tianjin blood deficiency, Dafa as a tonic, misuse of rhubarb, make the deficiency more virtual, medical treatment also. Ruojin can not moisturize with blood and dryness, intestinal dysentery, and bowel movements. Although it is necessary to "water increase the boat" to cure the root cause, it is also possible to treat qi with a little qi to cure the symptoms.

Excerpts from ancient and modern medical records

The case of Zhu Haichou lying in a plastic case (Wu Youxing Medical Case)

Zhu Haichou, 45 years old, has been certified for the epidemic, his limbs are not lifted, his body is lying down, his eyes are open, his mouth is closed, and his tongue is thorny. What medicine? Yunjin Chengqi Decoction three doses, each dose of rhubarb two ineffective, let alone other strategies, but only for the future. But I could not bear to sit back and pray. I have a pulse in the diagnosis, and the evidence is available, and the medicine is shallow and the disease is deep. First invest one or two or five dollars of rhubarb, sometimes with little movement; Three doses of tongue coating are less, and my mind is slightly refreshed. The Chaihu Qingzao soup was served on the fourth day, and the thorns were reborn on the fifth day. On the 7th, Qi Yangrong Soup was reintroduced and the heat was reduced. On the eighth day, he still used a large air bearing, and his limbs could move less. Counting half a month, serving rhubarb in total-more than twelve. After a few more days, I began to enter the gruel porridge, and the condition was restored in two months. Everywhere thousands of people are encountered, but only three or four people will be put on file for consideration ("Wenzhou Epidemic Theory · Attacking by Evidence").

The case should be read as "checking tongue for medicine". Due to the epidemic, the patient's limbs were not lifted, his body was lying down, his eyes were open, his tongue was stabbed. Although the former doctor used the air bearing, the medicine was shallow and the disease was deep. The first dose of Wu Youxing used rhubarb for one or two or five dollars, and the patient "sometimes his eyes moved less," which was better than the previous "eyes closed and his mouth closed"; after the second dose, "the tongue was stingless and his mouth gradually opened," Not only is the symptom significantly improved compared with the previous "eye-opening" syndrome, but the tongue thorns are reduced; the three doses of tongue fur are reduced, and the thinking is slightly refreshed. As for the "four-day service Chaihu Qingzao Decoction", it is an expedient measure for Wu Youxing to be "relaxed" (with less tongue coating and slightly refreshed thoughts). The patient then had thorns again, and Wu's continued to use Qi. By the eighth day, "the limbs could move less." Compared with the previous "extremities are not lifted, the body is lying like a plastic body", the patient's condition showed a fundamental improvement. In this case, rhubarb reached 45 grams per dose. The patient took a total of twelve rhubarb for half a month, which can be described as a heavy dose, and healed after two months of conditioning.

Reuse rhubarb for diabetic nephropathy and renal decompensation (digest of medical records)

Zhang, female, 53 years old. 21 years of type 2 diabetes and 6 years of diabetic nephropathy. He was diagnosed on July 28, 2008. Symptoms: very weak, dry mouth, do not want to eat, less urine, dry stools, waist sinking, lower limbs are not swollen, red tongue, yellow fur thick and dry, thin pulse strings (laboratory examination omitted).

Western medicine diagnosis: type 2 diabetes, diabetic nephropathy, decompensation of chronic renal insufficiency. TCM diagnosis: thirst, fatigue.

Governing Law: Dredge the kidneys and eliminate turbid poison. Prescription: Rhubarb Aconite Decoction. 30 grams of medicinal raw rhubarb, 9 grams of aconite, 30 grams of coriander seed, 30 grams of zelan, 30 grams of diarrhea, 30 grams of talc, 30 grams of salvia, 30 grams of hellebore, 15 grams of lotus leaves.

On October 8, 2008, the second consultation: The tongue and veins of the various syndromes were almost the same as before. Laboratory tests showed that renal function had improved, and Shouyuan prescription was used for treatment. The third consultation on July 22, 2009: The patient took the upper part of the medication, and the decoctions were added and subtracted for more than 9 months. The patient complained that the food was acceptable, the second leg was not smooth, and the dry mouth was not obvious. Still weak and backache. Red tongue, yellow and white fur, thick and greasy. Auxiliary examinations suggest further improvement in renal function. Followed up for a long time, the condition is stable.

The patient is diabetic nephropathy and has entered a stage of decompensation of renal insufficiency. The basic pathogenesis is chronic kidney dysfunction, chronic renal stasis, unfavorable opening and closing, dampness and turbidity, and accumulation of poison for a long time. Deficiency of kidney qi sees fatigue, wetness and turbidity overflow, so see the symptoms of Qingyang does not rise, turbid yin does not fall, such as apprehension, constipation, etc. Dahuang Fuzi Decoction is a prescription of "Golden Sweep Essentials". Realized abdominal pain. Because it is related to the deficiency of yang and the pathogenesis of stagnation of real evil, it is the main party for the treatment of diabetic nephropathy. In this case, the rhubarb is not intended to heat the junction, but to excrete the turbid poison, so that there is a way out for the evil, so as to reduce the damage of turbid poison to the kidney collaterals. Pharmacological research shows that rhubarb can effectively reduce azotemia and can be used for the treatment of chronic renal failure.

Rhubarb is a tonic. Rhubarb used to be a laxative in my impression and should not be abused. There is always an inexpressible fear of it. But after I met Teacher L, I started to really understand Rhubarb.

The first time I realized its power was when my mother got urticaria, when I used rhubarb to boil water and looked at Huanghuang's juice, I felt it was a pain to drink it. But my mother said that she did not think it was unpleasant to drink, it was astringent, and the taste was very light. And with the dredging of meridians and diet, two days later, urticaria disappeared without a trace. The second time was that her father had shingles, a glass of thick yellow water went down, and it didn't hurt after two hours. Since then, there has been a keen interest in rhubarb. I remembered Master had a thick book on rhubarb. Later, I went to Wuhan and went straight to Master s bookcase. It really looked like he was lying on the table. Then Master gave us a good talk about rhubarb.

Rhubarb is a general that cleans up, and can be completely discharged, so many people think that it will hurt people. In fact, it lowers the action site on the large intestine, so it does not hinder the small intestine from absorbing nutrients. As long as the amount is appropriate, it will not cause harm.

Rhubarb has many uses, not just staying on the diarrhea. It is one of the "Big Four King Kong" in Yaoyuan. Rhubarb is divided into raw rhubarb, wine rhubarb, and cooked rhubarb. The effect of raw rhubarb is strong, while the effect of cooked rhubarb is slowed, detoxification and anti-oxidation are enhanced. Rhubarb, attack and supplement and cure, with diarrhea as supplement, two-way regulation. Tapping can relieve diarrhea, open the spleen and stomach lifting center, and make up for its deficiencies. It can improve visceral function. It has diarrhea and tonic, which is good for body balance. It also has a broad-spectrum antibacterial effect, protects liver and gallbladder, lowers fat, and resists tumors.

In the past, it was only eaten during the New Year and the New Year. It was also called the teething festival. Now everyone usually eats well, and there are so many gutter oils packed in the belly. Sometimes the entertainment cannot be pushed away. Some things can't be avoided. Why? do? Detoxify! The thick-flavored things depend on it to detoxify, especially patients with liver and kidney disease. Rhubarb is an important method for intestinal dialysis. Detoxification and antioxidative effects are stronger than VE.

Experience Rhubarb

When I got home, I started to experience it myself. I bought a kilo of rhubarb and a kilo of dried ginger. Use the amount of health care to see what role it plays in my body.

Start with 20 grams of dried ginger and 5 grams of rhubarb, beat them into powder, rinse with boiling water, add brown sugar, and drink frequently. I do nt want to drink it for a day. It s all the same in my mouth and it s uncomfortable. Later, I put it together and drank a drink in the morning and went to work. After drinking it, I found that the color of the stool changed and became golden. It seems to have the effect of promoting bile secretion.

Why is the stool yellow? Many people's stools are green, brown, or even black. Many people don't know what color is normal! Golden yellow is the standard, because when we eat fat, the body secretes bile to participate in digestion, and the food goes down the digestive organs. It needs to stay in the small intestine and rectum for a long time. Bile in food is continuously fermented and decomposed by intestinal bacteria in the intestine. After the nutrients are absorbed, only the substances that cannot be absorbed are left, and the remaining substances after the bile is decomposed, the bile is decomposed to form biliary red Part of it is absorbed by the large intestine to resynthesize bile, and part is excreted in feces. Bilirubin is mixed with feces to make the stool yellow. If the stool is not yellow, then bilirubin will come out through other ways, so many people's skin will turn yellow.

After promoting bile secretion, the body's ability to break down fat will be enhanced. Some people love oil on their heads and faces. They feel oily when they touch it. After drinking for a month, they find that their faces are much cleaner and the luster is not oil! Although the stool turned yellow, it did not form, and it seemed to have a diarrhea. Master said, don't be afraid, try again! Well, continue drinking, I reduced the amount of rhubarb to 3 grams, and after a few days, I did not pull it, but it is still taking shape. Mom said that I had the same symptoms. Since then, this has become my mother's health drink. Sometimes she coughs, she drinks it, and she drinks it quickly and well. When I went out for a trip, she went dark when she went home. She also drank rhubarb and dried ginger water. After a few days, she went to see her again.

Later I watched TV one day and I realized that the health care method of Emperor Qianlong had to eat a little rhubarb every day. Why can rhubarb supplement it? "The abdomen is supplemented by tongs." In the process of conditioning, we always put the health of the intestines first. The intestines are like the sewers of the human body. They are waste and residue drainage pipes. Only by cleaning the intestines can we make our bodies truly healthy Smooth. Therefore, we must "clean up" the human detoxification duct-the intestine. Only when the intestine is unobstructed will the toxins not stay in the body for too long. Then the impact on the human body will naturally be greatly reduced. In addition, rhubarb not only cleans, but also clears heat and detoxifies, and has antibacterial and anti-inflammatory effects. So with the anti-oxidant effect of dried ginger, drinking it for a while, it is no longer a problem!

I drank rhubarb dried ginger water for a few months. Spring difficulties seemed to miss me, and I was always energetic. I introduced many friends to drink, and they all showed good results. The spirit is good, yeah, who doesn't want to walk on the street every day?

Finally, I would like to remind everyone that you should use the amount that suits you. Don't use it blindly. Everything is different from person to place and from time to time!

Tan Huang (discussed with Academician Shen Ziyin)

1. About rhubarb aliases

Academician Shen Ziyin published the article "Inheritance and Innovation of Research on Palace Rhubarb" in "Beijing Evening News" on December 26, 2002, first mentioning "Rhubarb in ancient times was also known as Huang Liang, saying its curative effect is good and its nature is good; It is said that it can determine the scourge, is the general who rescued the people in water and fire, and describes rhubarb, ginseng, aconite, and birthplace as the four King Kong in Buddhism. " Rhubarb does have many aliases, among which "Huang Liang" and "General" are the best known. Why the alias "Huang Liang"? Zhang Xichun said: "Shen Nong's Materia Medica" says that it can "advance Chen Zhixin" because of Huang Liang's name. If you can add one more, it is because rhubarb has the power to promote newness and dispel evil and righteousness, but it is not as cruel as Croton and Gansu. If "Huang Liang" means "good curative effect", then ginseng, dried ginger, aconite, gypsum, etc. are used as a proof, which Chinese medicine is not "good curative effect"? Why is it unique to Rhubarb First Medicine? Rhubarb has the name of "General", and because of its "swift see, go straight to the bottom of the coke, penetrate deep into the blood, indomitable, clean up the dirt, have the power of sweeping acupoints in the court" ("Materia Medica Justice"); Also, it can cure chest and abdomen fullness, abdominal pain, constipation, and unfavorable urination, and treat yellow stasis, abscesses ("Drug sign"); The power to win the door, so the general name "(" Drug Substitute ")," to promote Chen Zhixin, go to Chen Suan and settle the five internal organs, said that if the disaster is settled so that there is no difference in peace, so the name of the general " "), It is nothing more than its medicinal properties and effects. It promotes the new, breaks through the knots, and is just safe from evil spirits. How could it be called" save the people by water and fire "? As for the ancients to describe rhubarb, ginseng, aconite, and birthplace as the "Four King Kongs" in Buddhism, it is unavoidable to have a sense of literacy, who do not know who wrote it? I do nt read much. I only know that Zhang Jiebin of the Ming Dynasty once called rhubarb, ginseng, aconite, and cooked land as the "four-dimensional medicine", and took rhubarb and aconite as good medicine in the medicine, and said that they are attacking evil. Ginseng and cooked land are good medicine in the medicine. Its righting power ("Book of Jingyue. Materia Medica"). When did Liang Jiang and Liang Xiang relate to the "Big Four" in Buddhism? Please Academician Shen to teach me.

2. Is rhubarb a tonic or laxative

This is not a question that ordinary people who do nt understand medicine can answer, but the big fallacy is not. For example, in the past few years, a Chinese visiting scholar at the University of Cambridge in the UK, when Mrs. Joseph asked him whether rhubarb s role was tonic or diarrhea. At the time, his answer turned out to be: "There is a little complement". This little story was later included in a book he wrote. Academician Shen Ziyin wrote: "Zhang Zhihe, a famous doctor in the Song Dynasty, was also an expert in using rhubarb. He put forward that the theory of health should be treated as a complete supplement, and medicine should be treated as a medicine attack. Rhubarb saltpeter '". In the Song Dynasty, there was no famous doctor named Zhang Zhihe, but there was a famous doctor in the Jin Dynasty named Zhang Zihe. He did put forward the idea of "maintenance when it comes to food supplement and cure disease when using medicine." He also did say "yin deficiency is supplemented with rhubarb saltpeter." . However, Zhang Zihe's original intent was to dare to attack because of the mundane happiness, but the disease is caused by the evil force imposed on people. Therefore, "first discuss the evil, and then the spirit will recover after the evil goes." That is tantamount to helping the grain to provide food; only attacking evil is the effective way to protect vitality. So this kind of "no supplement" is "true supplement". In other words, Zhang Zihe's theory is intended to make up for the evils. However, his words were too extreme. "Yin deficiency is supplemented with rhubarb saltpeter" because the hot evil robs Shujin fluid and removes its heat with nitrate. Yin is the most effective protection, but this does not mean that rhubarb mirabilite really supplements yin. Role. When we evaluate the academic opinions of the ancients, we must analyze and criticize them, instead of copying them irresponsibly, otherwise what is called "research"? Can only be misleading.

3 Rhubarb cure

The record of "epidemic" originated from "Treatise on Febrile Diseases" and "Su Wen's Posthumous Articles on Spike Method", saying that "the five epidemic diseases are all easily related, regardless of the size, and the symptoms are similar." In the famous article "Speaking of Blast Gas", "In the 22 years since Jian'an, the epidemic has spread, every family has the pain of strong corpses, every family has a cry of wailing, or they walk along the door, or they lose their families." According to Zhong Jing's original preface, "The Yu clan is more numerous, more than two hundred, and since the Jian'an period, it has not reached ten years (less than ten years), two-thirds of its dead have died, and typhoid has tenth of them." The main content of Typhoid Fever is the treatment of epidemic diseases, namely acute fever infectious diseases.

The white tiger Chengqi two parties in the Yangming chapter of Typhoid Fever are valid prescriptions for epidemic diseases (including infectious diseases and miscellaneous diseases, of course). Baihu Tang is the representative of the Qing Dynasty, and Chengqi Tang is the representative of the law. At the Yangming stage, he had to clear the two methods to solve the problem. Liu Baozheng said "six out of ten", in fact, I am afraid that there are more than that. In other words, the treatment of epidemic diseases is contained in the Treatise on Febrile Diseases. But later generations clearly put forward the concept of "epidemic disease", which is still a kind of progress, it is the inheritance and development of Zhong Jing's study.

Now back to the topic of rhubarb:

The use of rhubarb to control the epidemic began in "Yuanshi. Yelu Chucai Biography". At that time, the Yuan Army went south, and there was an epidemic in the army. Yelu Chucai let everyone serve rhubarb more and more. What kind of disease is it? "Yuanshi" said that it was "earthquake". In the five elements, the spleen and stomach belong to the soil, and it is known that the digestive system is infected. In the following years, in the "Danxi Heart Method", there was a record of "Immortal formula for human epidemic prevention, one or two dead silkworms and two rhubarb." The record is unknown.

Wu of the Ming Dynasty also proposed in "The Epidemic of Wen" that rhubarb is used to fight evil. The evil heat is the essence of the disease, and the fecal matter is only the phenomenon of the inner heat of the evil heat, so you ca nt wait until the formation of fecal matter. It is precious to use rhubarb early and frequent rhubarb. Of course, he also divided the table, but the fever became very fast. One or two days after the beginning, one serving of the original drink was taken. In the morning, the moss was like powder, and the moss might turn yellow at noon. It is necessary to increase the yellow in the side; in the afternoon, the tongue is black and thorny, and the nose is like bituminous coal. This kind of understanding, not to be a freshman, is a summary of valuable practical experience. I use this method a lot when working in rural areas and construction sites.

Shi Mou, male, more than 40 years old, suffered from influenza during the spring ploughing session, paroxysmal cold and fever, body pain such as a stick, no sweat, red tongue, white greasy tongue, slippery pulses, had taken Chinese patent medicine and The decoction Jingfang Baidu San did not sweat. The disease is cold and damp, and the evil source recruits the original, Yu Dayuan drink (Magnolia officinalis, betel nut, betel nut, Zhimu, Scutellaria baicalensis, licorice) a dose, taking the medicine once that night, a shiver suddenly the next morning, tongue coating From white greasy to coke-dried, as thick as powder, add this 15g rhubarb, 15g each of Gegen and Bupleurum, 12g live, take thunder in the abdomen once you take it, and you will get 2 stools after taking it. Sweating, stinking, smelly, cold and warm body pain are all relieved, the expression is peaceful and peaceful.

However, it needs to be pointed out that Wu can control the epidemic, not as Mr. Shen said, "there must be evil, and all the culprits must be eliminated," and not only knowing to use the rhubarb to attack, but it depends on the specific situation. If you want to divide, you ca nt attack if you ca nt. For example, he said at the beginning that "evil is not in the place, and the next one is hurting his stomach", "the stool will not work for a few days after healing, there is no other evidence, this is the lack of Sanyin, sincere intestines are dry and dry, this is not attackable". Emphasizing evil, but also must be based on evidence, this is "in line with scientific reason".

In modern times, Xiao Junyi (known as Rhubarb xiaoxi) in Jiangxi used rhubarb to treat intestinal typhoid fever. The rhizoma rhizome and gedansange of Nie Yuntai in Shanghai also used rhubarb as the main medicine. Xiao's treatment of intestinal typhoid fever is mainly to attack, should be immediately or immediately, mainly rhubarb, scutellaria baicalensis, Coptis chinensis, and served until the degree of fever recedes. If the fever subsides and the yellow moss has not turned, you must continue to take it to prevent "Reburning." In the 1950s, Shaanxi Miborang was used to treat leptospirosis, and the temperature of the yellow body (jaundice type) was heavier than wet. The high fever persisted and the jaundice was not regressed. It is advisable to use Qingwen Baidu drink to add Yin Chen and Rhubarb. To obtain significant effects. Nanjing Zhou Zhongying, Jiangxi Wanlanqing, etc. are the most difficult "oliguria phase" in the treatment of epidemic hemorrhagic fever, and rhubarb is combined with mirabilite, scutellaria, raw land, Ophiopogon japonicum, Potentilla oleracea, Porphyra chinensis, Achyranthes bidenta, and general 3 days can enter the polyuria phase or even jump into the urine phase and enter the recovery phase. These are also the new achievements made by rhubarb for use in the epidemic.

4 Rhubarb is used for acute infectious diseases;

Rhubarb can be used for a variety of acute infectious diseases, such as pneumonia, cholecystitis, cholelithiasis, acute pancreatitis, acute appendicitis, sepsis, urinary tract infections, and bacterial dysentery. Of it.

Today people treat pneumonia and advocate using rhubarb as early as possible. For example, Jiangsu Provincial Hospital of Traditional Chinese Medicine uses Ma Xing Shi Gan Tang plus rhubarb, rhubarb, honeysuckle, comfrey, dandelion, etc., and Beijing Xiyuan Hospital uses Qingfei fluid (Rhubarb, Scutellaria, Chiba ), Friendship Hospital uses pneumonia purgative prescription (Rhubarb, Xuanming powder, licorice, Xuanshen), according to major case reports, the effect is very good, especially for viral pneumonia and bacterial pneumonia produced by drug-resistant strains, often with antibiotics Less effective treatment. These experiences are groundbreaking.

After I learned these experiences, I had a superficial understanding. Pneumonia generally belongs to the "wind and temperature" range of traditional Chinese medicine. The initial disease is in the lung health, "behind the health, dialect qi, after the camp, dialect blood", some of which can be effective in accordance with such rules of treatment, but more Of patients, the beginning of the Wei sub-card is not obvious or very short-lived, from the beginning there are asthma, wheezing, high fever, thirst, irritability and other heat syndrome, this is obviously not "in Weihan" can solve the problem This is a manifestation of warmth, warmth, evilness, and phlegm fever, so it is different from ordinary wind temperature and lung heat. At the beginning, it is necessary to use bitter cold to straighten it, supplement it with clearing heat and reducing phlegm, and even purging fever. The use of rhubarb is in line with the principle of dialectical treatment, and it is "have evidence, use medicine", rather than treating rhubarb as an antibiotic, a blind alternative that is found when antibiotics are not effective. Are these understandings valid? I hope my colleagues correct me.

Here is a case of my severe pneumonia treatment:

Weiyi Lin, female, 8 years old, lives in Eindhoven University Hospital in the Netherlands and is in critical condition due to pneumonia. A large number of various tubes were inserted, and the illness was not serious, and their parents asked the Dutch doctor for permission to try Chinese medicine. Examination: high fever, dizziness, convulsions, sputum sound like a saw, can be heard through a glass window, flushed face, slightly sweaty, red tongue, yellow greasy fur, slippery pulses, this phlegm heat can weigh the lungs Card, intends to Tongtong clearing heat and expectorant. Medicinal raw rhubarb 10g, Coptis chinensis 6g, Scutellaria baicalensis 6g, Jiaozizi 6g, Quanzhuanglou 10g, monkey date powder 0.3g (double punch), hook vine 10g, chuanbei 3g, gypsum 30g (first fried), antelope horn 10g of silk, 3g of Qianhu, 3g of stone calamus, 3g of bellflower, 10g of houttuynia cordata, 1 serving per day, divided into 3 nasal feedings. After taking 1 dose, you can have 3 or 4 laxatives, and then add 30g of reed root, double Houttuynia cordata, heat retreat and asthma, and stop convulsions. The child will enter the general ward on the 3rd day.

5. Hemostasis

Rhubarb is used to stop bleeding, as early as it was seen in Zhongjing's Essentials of Jinkui Xiexin Decoction. This formula is actually Rhubarb Coptis huanglian Huangpi Xiexin Decoction, which is used to treat hot evil and internal burning, and to vomit blood and bleed blood. Not only can it be used for vomiting, hemoptysis, hemoptysis, hematuria, women's collapse, as long as it is real heat bleeding, rhubarb has special merits, and rhubarb stops bleeding without leaving stasis, so Tang Rongchuan's "Blood Syndrome" called it "holy medicine".

I have used rhubarb for many years to treat bronchiectasis or tuberculosis, hemoptysis, nosebleeds, gastric ulcers, vomiting blood in the stool, hemorrhoids, and so on.

Patient Chen Lin, male, 18 years old. Because of the advanced stage of pulmonary tuberculosis and pulmonary hemorrhage, she was admitted to a hospital. Hemoptysis is performed once a day in the morning, middle, and night, and each time is about 50-100ml. It has been for 5 days, and the total blood loss is about 1,800ml. I have used vitamin K, vitamin C, celestial injection, Yunnan Baiyao, and pituitary And nourishing yin, clearing heat and stopping bleeding, Chinese medicine failed to stop the blood. I diagnosed the pulse, strong strings, red tongue, thin yellow and dry skin, red face, hot air in the nose and mouth, dry cough, pain, and black and hard stool. The card belongs to the wooden fire punishment. It is flavored with Rhubarb Coptis Coptis and Huangpi Xiexin Decoction.

It can be seen from this case: rhubarb is used to stop bleeding, and its effectiveness is obvious, but it must be "discussed first, then treated with medicine". Rhubarb can be used for any type of bleeding. For example, the yang deficiency is the bleeding of "the yang deficiency must go" (Yang Renzhai), and the bleeding caused by spleen disorder is not the indication of rhubarb.

6. Is rhubarb a medicine for blood or blood?

In addition to the general shape, color, qi, and taste, the criteria for judging whether a medicine is divided into qi or blood is mainly based on the efficacy of the medicine, and the efficacy of the medicine mainly comes from the experience of the physician. Li Shizhen put forward and emphasized that rhubarb is a blood-reducing medicine that blindly enters the blood, and "everyone who is ill in the five meridians should use it" (the "five classics" by Li means foot-to-yin, hand-foot-yang, hand-foot-jue yin). He also said that "if you use it in Qi, it means that there is no such thing as cutting." Mr. Shen said positively to Li. After careful consideration, rhubarb's blood content is reasonable, such as Zhongjing Mingfang Dahuangworm Pill and Xiayuxue Decoction, but Sanchengqi Decoction, Daxian Chest Soup and Pills, Magnolia Sanwu Decoction, and Rhubarb Licorice Decoction of Tang and later generations such as Shishi Rolling Phlegm Pills are all about Qi. According to various literatures, "Shen Nong's Materia Medica" refers to rhubarb as "low blood stasis, blood clots, cold and heat, and spleen accumulation", and rhubarb as "maintaining food and drink, purifying the stomach and intestines, promoting oldness, bringing benefits to the valley, and accelerating Sinochem "Wet, safe and five internal organs" clearly shows that rhubarb has both blood and gas content, which Li Shizhen said may not be appropriate. Why is "useless in gas separation" "excessive?" It is only emphasized that rhubarb is a blood medicine, so it is not available in Qifen also. If it is really what he said, where will the large, small, and stomach-adjusting Sanchengqi soup be placed? How can it be "no smashing" after capturing the hot evil and dry feces? Stomach fire up, food has been vomiting, Zhong Jing used rhubarb licorice soup, do you say Qi or blood? The botanical pill uses rhubarb and yellow diarrhea, purging the fire, sputum falling sputum, and agarwood qi, and it has nothing to do with blood.

When reading ancient books, do nt be slaves of the ancients. Mencius said, It is better to have no book than to have a book. This is the truth.

7. Ye Tianshi does not treat rheumatism with rhubarb.

Ye Tianshi was the leader of the warming school in the Qing Dynasty. He had no writings about his life. The "Exogenous Warming" and "Three Hours of Qi Exogenous Sensation" were recorded and passed down by his disciples, reflecting Ye's warming theory and experience.

Ye Tianshi not only used rhubarb very cautiously to treat warming diseases, but also other bitter cold medicine, but also repeatedly warned that it should not be taken lightly. Although he pointed out that "San Jiao will not be resolved from the outside, it will cause a knot, and the knot will also be used in Yangming's stomach and intestines." However, febrile disease is different from typhoid fever, especially "Wu Wu wet evil "People are very wide," "wet and evil internal beat", so it should not be fierce and light. "Evil has entered, there must be no evidence, or one or two of ten", and the present "is also to be tested on the tongue, or yellow, or as agarwood, or as grayish yellow, or old yellow tongue, or There are broken lines in it, such as Xiao Chengqi soup, using betel nut, green peel, Zhishi, Yuanming powder, raw Shouwu, etc., say "ru", not "and", "should" or "master" "", And the medicine used does not mention rhubarb, the main drug of Xiaochengqi Decoction. It can be seen that he is using rhubarb. The reason why he repeatedly talks about the tongue is also showing which conditions are available and which are not. Yes. Let s look at his Clinical Manual of Clinical Practice. There is no case of rhubarb in all medical records of temperature, heat, humidity, dryness, and epidemic disease. Mr. Shen Ziyin said, The famous doctor of the Qing Dynasty, Ye Tianshi, was in China For the first time in the history of medicine, one of the important signs of rhubarb application was' the most important thing is the tongue test ',' Rhubarb can be used if yellow moss or such as agarwood or gray-yellow or with broken lines in it, 'he believes' Regardless of whether the person with damp fever is evil or not, but if it is proof, then rhubarb can be used. "" Ye Tianshi did not say such a thing, Mr. Shen is known to see on what Ye Tianshi's book?

It is precisely because of Ye s use of light drugs for treating warm diseases, that is, when using bitter cold drugs such as rhubarb, he was sharply criticized by Mr. Jiang Chunhua. "We have seen many medical records of the Qing Dynasty to treat warm diseases (including Humidity) is full of dangerous evidence, and it is shocking. The reason why its effect is not good is because of this old teaching, it is as light as children's play. "It is said that Academician Shen once worked with Mr. Jiang, I wonder if he heard these words. ? If you know, then the words "all available rhubarb" and "you can use rhubarb" will not be added to Ye Tianshi's head.

8. Rhubarb dosage

The use of rhubarb has a lot of stress: if it is soaked in boiling water or fried for only one or two minutes, it will be sharp, and fried with other medicines will be dull. Patients with coma with cerebral hemorrhage, vomiting when they enter the water, bloating, not having stools, red tongue, yellow and dry moss, use the previous method, divided into 2 cups, take 1 cup (about 100ml) first, if the belching is passed, the other cup is not used, If it does nt work, take the second cup. The thin stool will be discharged within two or three hours. Although this kind of patient is evil, after all, it is true and false, and rhubarb should be used with caution. The lungs and stomach are really hot, hemoptysis and hematemesis, and the effect of swallowing rhubarb powder is better than that of decoction. Rhubarb fried with wine is conducive. The disease of the head and the face is also often fried with wine. "Medicine Method" said that "the rhubarb's sexual sedimentation, the wine fried can rise, such as the bird's nest high, shot away." Rhubarb is fried with vinegar to relieve blood stasis, and there is no abdominal pain after serving. It can be swallowed in a small dose (less than 2g) of vinegar-made rhubarb capsules, which has laxative, stomach-lowering, and light-weight effects. Qi deficiency people, the elderly, and women can be equipped with a certain proportion of raw sun ginseng or red ginseng beard. When I was working in Malaysia in 1992, I planned this side, and many overseas Chinese friends responded well after serving.

As for the use of rhubarb for charcoal, there is no deep meaning. The ancient prescription is used for ten ash powder, and the role of rhubarb charcoal is nothing more than convergence and hemostasis. And those who vomit blood, bleed blood, and hemoptysis are not controlled by qi and fire. The use of rhubarb charcoal is invalid, and the bitter cold of rhubarb must be settled to fold straight. Yangmingli is crusted and dry, and rhubarb charcoal is not used. It is matched with glutinous solids, magnolia, mirabilite, and clearing away; as for the accumulation of symptoms, blood stasis, jaundice, mania, sores, and bruises, it should be used raw, or made of wine and vinegar, and charcoal smells Lost, how can it be effective if you want to use it to mess up anyway? Zeng Zhi had hemoptysis in a single person, and used raw rhubarb to get the effect. After switching to rhubarb, the fire became fiery, and the blood couldn't stop, so he had to use raw rhubarb again.

The amount of rhubarb varies from person to person and from card to card, and some people may use 15 to 20 g without any movement, and some use 3 to 5 g, which means diarrhea. For example, the old lady Liu Renyu from the Academy of Agricultural Sciences of China suffered from acute appendicitis. I used rhubarb peony skin soup to add and subtract 10g of rhubarb, which means that the diarrhea was not endless. Another old man with Zhang appendicitis, 30g, was full. For powdered blood, 3 times a day, 3g each time is appropriate; for common infectious diseases, the commonly used amount of each decoction is 6 to 15g, and the amount of acute abdomen and epidemic disease can reach 15 to 30g, or even more. Generally speaking, rhubarb must be used to stop the disease, that is, the "Nei Jing" so-called "heavy poison to cure the disease, ten to six", "decreasing half of it", such as acute abdomen and constipation, you can reuse rhubarb, Glauber's salt, and those who have had a bowel movement after use have to reduce the amount of rhubarb. Patients with cholecystitis and cholelithiasis should use rhubarb. Generally, they also adopt the tactics of "stop, stop, stop" and emphasize one-sidedly, "doing evil work" is actually very unscientific. Regardless of the righteousness, they will act rashly and will definitely have problems.