? Why does ephedra break the disease and accumulate?

The first statement in Shennong's Classic of Materia Medica is that Herba Ephedrae "breaks the disease and accumulates hard mass", but later many herbs rarely mention this effect, only this sentence was deleted in the fifth edition of the textbook "Chinese Medicine" of the College of Traditional Chinese Medicine. Because of its special efficacy, Gai is rarely mentioned, and its clinical application has the disadvantages of pungent warmth and gas consumption, and excessive sweating hurts yin. It was not until the Ming Dynasty that Chen Shigong's Collection of Surgical Syndrome and Treatment and Quanzhuan became Yanghe Decoction and advocated its use that clinicians gradually paid attention to it. This prescription warms yang to dispel cold, nourishes blood to disperse stagnation, and treats various syndromes such as yin gangrene, watery discharge, bone gangrene and crane knee wind. Later generations learned its method instead of muddying its prescription, and adopted our own idea of combining ephedra with Radix Rehmanniae Preparata to treat abdominal mass accumulation and other syndromes, and the effect was quite obvious. On the one hand, Herba Ephedrae in the prescription can exert its mechanism, promote Yang Qi, disperse muscle and exterior blood, dispel cold and stagnate, on the other hand, it can help digestion, remove blood stasis and remove gangrene. It's really a good medicine for abdominal pain.

"The History of Lingbaishu is Holy" says: "Accumulation is cold at first, and accumulation is fainting." "When the collateral injury of the gastrointestinal tract causes blood to overflow outside the intestine, the cold juice outside the intestine splashes on the blood phase, so it will fuse and condense, but it will accumulate. This statement is born of accumulation, but it already contains the reasons for the accumulation of accidents. The accumulation of abdominal mass is mostly due to exogenous pathogenic factors, which circulate into blood collaterals, stagnate body fluid and inhibit blood, resulting in "body fluid seeping but not going away"; Blood stasis, staying but not dispersing, body fluid and blood fusion and condensation, leading to "all accumulation." "However, the lung should be the main organ of this disease. On Lingshu Meridian: "Eating qi enters the stomach, turbid qi returns to the heart, and lewdness is superior to pulse. Pulse and qi lead to lung, meridian and qi return to lung, lung is full of pulse, essence is lost in fur, hair pulse is combined with essence, and qi travels at home. The spirit of the government is clear, stay in the four dirty and heavy. Su Wen Zhi Zhen Da Lun said: "All qi stagnation belongs to the lungs." Once the pathogenic wind-cold invades the muscle surface and the lung qi stagnates, it will be declared that the health function is dereliction of duty, and the blood of hundreds of veins, which should include meridians, can't run. Blood stasis in meridians, coupled with cold pathogen coagulation and exudation, is often bound by cold coagulation and blood stasis, confined to the surface of fur blood collaterals or stagnated in blood collaterals of four viscera, leading to long-term accumulation of symptoms.

Lingshu's illness began, saying, "The strong have no accumulation, but the weak have it." "Five Changes of Lingshu" said: "The skin is thin and dull, and the meat is not firm and dull, so the stomach and intestines are evil, and the evil spirits remain and accumulate. Between the spleen and stomach, cold and heat are different, and the evil spirits are a little bit, and they are accumulated and gathered together. " Pathogenic accumulation leads to qi failure, and accumulation leads to abdominal pain. Most of them are yang deficiency from the beginning, and yang deficiency is more likely to feel cold evil. "Lingshu Benzang" says: "If the kidney is combined with the bladder of Sanjiao, it should also be treated with hairs." The cold pathogen invades the bladder with the sun, and the triple energizer passes by, releasing the kidney, blocking the warm path of kidney yang, and wasting the true yang in the kidney. This is also the mechanism of too little affection in Treatise on Febrile Diseases. Su Wen Zhi Zhen Da Lun says: "All cold goes to the kidney". Cold blocking kidney yang, Yang Can can't warm the blood vessels, leading to anxious collaterals. At the same time, lung qi and tide move collaterals, and qi and blood are dereliction of duty, so the disease is difficult to accumulate.

According to its formation mechanism, the function of ephedra in "breaking diseases and consolidating accumulation" is reflected in the following four aspects: first, dispersing lung qi; Two blood vessels; Kidney yang in three towns; Scattered and cold. Ephedra is pungent and warm, and it needs medicine to enter the lungs. It can promote lung qi, relieve depression, and make lung qi stretch, so that the blood of hundreds of veins moves with the tide, instead of stagnating into blood stasis. According to Confucian classics, fur is a combination of lungs. At the same time, it is used to promote the function of dispersing the lung and reaching the exterior, and dispel the cold evil on the muscle surface, just as "regulating blood vessels, opening pores and dredging the skin" is said in "Rihuazi Materia Medica". "Bencao Jingyuan" said: "Anyone who grows ephedra can reach Yang qi from Yin, Yin, water and Yang in winter without snow. Ephedra can enter the kidney, dispel cold and block the kidney, dispel cold and invade people. At the same time, it can tonify kidney-yang, reach triple energizer, and dredge meridians. Its deficiency is like collaterals, collaterals, blood circulation, stagnation, cold and coagulation, and blood circulation. This can communicate the yang of lung and kidney and sympathize with the yang of heaven and earth, so that the coagulation and blood stasis of the triple energizer in the exterior and interior can be dispersed and the blood collaterals can be smooth. The use of ephedra, as Xu Ling's Hundred Kinds of Records of Shennong's Herbal Classics said, "can not only expose the pores of the skin, but also penetrate the accumulation of phlegm and blood stasis, and whatever medicine can't, it can be done." "With its swiftness, warmth and Yang Qi, and the circulation of qi to dissipate blood stasis, the disease can go away."

Ephedra is used to "break the disease and accumulate hardness", and the dose is large. Clinically, it can be used with Rehmannia glutinosa to prevent excessive sweating, gas consumption and yin injury, just as the predecessors said, "Mahuang Rehmannia glutinosa will dredge the collaterals and not publish it." Mr. Yu Guojun thinks that Ephedra will not sweat even if it is boiled for more than 40 minutes. Even if you use100g, you don't have to worry about sweating and dying of yang. After long-term large-dose frying, the effect of sweating and relieving exterior syndrome will disappear, but the effect of dredging collaterals and promoting blood circulation will not be damaged. Moreover, Zhongjing's Treatise on Febrile Diseases also uses ephedra to 90 grams, which is very effective. In addition, ephedra "breaks the disease and accumulates hard" and takes medicine for a long time, but as long as it is properly compatible, it does not hinder it. Tian's treatment of hysteromyoma and hyperplasia of mammary glands belongs to the syndrome of "epigastric swelling" in traditional Chinese medicine, that is, he likes to use ephedra combined with Radix Rehmanniae Preparata, and the effect is good after long-term administration.