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Differentiation and Treatment of Common Syndromes in Traditional Chinese Medicine

1. Wind-cold Syndrome:

Clinical manifestations: Severe aversion .to cold, slight fever, absence of sweat, headache, aching pain of extremities, stuffy nose with nasal discharge, cough with thin sputum, thin and whitish coating of tongue, floating and tight pulse.

Therapeutic method: Relieving exterior syndrome with the drugs pungent in flavor and warm in property, ventilating the lung and expelling pathogenic cold.

Recipe: Modified Antiphlogistic Powder of Schizonepeta and Ledebouriella.

Ingredients:

Herba Schizonepetae
Radix Ledebouriellae
Rhizoma Seu Radix Notopterygii
Radix Bupleuri
Radix Peucedani
Folium Perillae
Radix Platycodi
Rhizoma Zingiberis Recens

10g
10g
10g
10g
10g
10g
10g
3 pieces

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: Supplementary drugs should be added with emphasis on certain symptoms, Radix Angelicae Dahuricae 10g, and Rhizoma Ligustici Chuanxiong 10g, are used to treat severe headache; add Radix Bupleuri 12g and Herba Menthae 6g for the case with high fever; Rhizoma seu Radix Noteptery-gii 12g and Radix Angelicae Pubescentis 9g is used instead for exhibiting of more symptoms and signs of exterior dampness; If the case is complicated with exterior syndrome of excess characterized by no sweating, headache and pantalgia, severe aversion to cold, Ephedra Decoction is preferred; If the case is manifested as exterior deficiency with sweating, aversion to wind, slight fever, stuffy nose and retching, Cinnamon Twig Decoction is recommended.

2. Wind-heat Syndrome

Clinical manifestations: Higher fever, slight aversion to co1d, headache, sore throat with congestion, expectoration of yellowish sputum, thirst or with epistaxis, reddened tongue with thin and yellowish fur, floating and rapid pulse.

Therapeutic method: Relieving exterior syndrome with the drugs pungent in flavor and cool in property, promoting the dispersing function of the lung and clearing up pathogenic heat.

Recipe: Modified Powder or Lonicera and Forsythia.

Ingredients:

Flos Lonicerae
Fructus Forsythiae
Radix Isatidis
Radix Puerariae
Folium Mori
Flos Chrysanthemi
Fructus Arctii
Herba Lophatheri
Radix Platycodi
30g
15g
30g
20g
10g
10g
12g
10g
10g

Administration: Decoct the above drugs in an adequate amount of water to get 200-300ml of decoction. Divide it in-to two equal portions. Take one half in the morning and the other half in the evening.

Modification: In case of high fever, add

Gypsum Fibrosum 30g

In case of severe cough, add

Semen Armeniacae Amarum
Bulbus Fritillariae Cirrhosae
10g
10g

In case of severe throat, add

Radix Sophorae Subprostratae
Radix Scorophulariae
10g
10g

In case of epistaxis,add

Rhizoma Imperatae 30g

In case of patients with alternate spells of fever and chill, nausea and vomiting, add

Radix Scutellariae
Rhizoma Pinelliae
12g
10g

In case of the patients with weak constitution and profuse sweat, add

Radix Astragali seu Hedysari 15g

In cases of complicated with summer-damp, add

Herba Elscholtziae seu Moslae
Six to One Power
10g
20g (wrapped with cloth in decocting)

In cases of gastro-intestinal influenza pertaining to the syndrom of exterior cold and interior dampness, marked by fever, aversion to cold, vomiting, diarrhea, feeling of fullness and stuffiness in the chest and hypochondrium, thick and greasy fur of the tongue, Powder of Agastachis for Restoring Health is preferred.


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