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Changes Recipe

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Updated: Friday, Oct 16,2009, 11:51:19 AM
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Changes Recipe
In the clinical application of a recipe together, you need to change its flexibility under the direction of the principle of consistency and compliance with disease state, constitution, age, sex of the patient and current season, climate and habits of patients. Recipe Only when the principle of uniform flexibility can be achieved coincide with the syndromes and the expected therapeutic targets. In other words, you must respect the principle, rather than adhering to the original recipe set mechanically. Changing the recipe includes the following three ways:
   
Drug Changes
It can be divided into two parts. One is a modification of adjuvant drugs, which is defined as the removal of some inappropriate medications in the original recipe, or some of the necessary drugs, which are not in the original recipe to meet the needs in the treatment of accompanying symptoms are present. But this should be done under the condition that the syndrome of the current head is identical with the original recipes, but the accompanying symptoms are different. Because adjuvant drugs plays a minor role in the recipe, then changes can lead to a radical change in the original activity.
   
This is also known as a "change in the light" problem. " For example, if Junz mainly Tang Qi-syndrome of the spleen and stomach marked with a pale complexion, weak voice, shortness of breath, lack of strength, lack of appetite, loose stools, tongue pale with white fur, thin and weak pulse. It consists of Renshen (Radix ginseng), Atractylodes (Rhizoma Atractylodis Macrocephalae), Fuling (Poria) and Zhigancao (Radix Glycyrrhizae Praeparatae) and functions to replenish qi and invigorate the spleen. If these symptoms are accompanied by a sense of the oppressed and epigastric bloating and impede the flow of qi, which is the result of dysfunction of the spleen-qi, Chenpi (Pericarpiun cirrus Reticulatae) can be added to recipe above to promote circulation of qi and relieve stomach. This leads to another recipe called Yigong San.
   
Others relate to the modification of the monarch and the Minister of drugs or changing drug monarch, and their compatibility, by adding or subtracting other medications for the original prescription, so radical changes occur in terms of power. For example, when Guizhi (branches cinnamomi) in mahuang replaced Shigao Tang (Gypsum fibrosum), it is called mahuang Xingren Gancao Shigao Tang. The first takes mahuang (Herba Ephedrae) as monarch drug, which in combination with Guizhi (branches cinnamomi) for the treatment of external excess syndrome caused by wind, cold calling by sweating and cold deportation. Although the latter to take mahuang (Herba Ephedrae) and Shigao (fibrosum gypsum) together, as monarch drug to dissipate heat from the lungs to relieve asthma. Thus, it is effective for the treatment of cough asthma due to lung heat. It is clear that even if the two are different only one component, due to changes in relations between the monarch drug, and its compatibility, the recipe changes accordingly. In this case The recipe for the removal of the acute syndrome and externally by drug type has changed, therefore, one for removal of the exterior syndrome with drugs of acute and cool.
                                                                      
Dosage changes
It refers to increase or decrease the dose prescribed in the recipe without any changes in its components to change its power or even its compatibility as well as his actions and instructions. For example, Sini and Tan Tan Blue Tangmai they consist of Fuzi (Radix Aconiti side), Ganjiang (Rhizoma Zingiberis) and Zhigancao (Radix Glycyrrhizae Praeparatae) acting, respectively, as the monarch, minister, and adjuvant drugs. Since the former contains less than the first two components as the second, and functions to recover depleted Yang and save the patient from collapse, it is used to treat the syndrome as a result of excessive yin yang or inadequately marked by members cold, aversion to cold, lying in the crease, dyspeptic diarrhea, weak pulse and dead spinning. In the latter, however, that each of the first two components. This feature warm interior, to restore depleted Yang and improve circulation. Primarily used to treat the syndrome due to excessive reflection Yin Yang marked by cold limbs, no aversion to cold, red-faced, dyspeptic diarrhea and very little or even depletion of the pulse. Take Chengqi Xiao Tang and Tan Houpo Sanwu As another example, both composed of Dahuang (Radixet Rhizoma Rey), Zhishi (Fructus Aurantii immaturus) and Houpo (Cortex MagnoLIAEOfficinalis).
   
In the first recipe Dahuang (Radixet Rhizoma Rey) is at high doses and used as monarch drug and Zhishi (Fructus Aurantii immaturus) as Minister of the drug. Houpo (Cortex magnoliae Officinalis) half dose Dahuang (Radixet Rhizoma Rey) and acts as an adjuvant drug. This recipe, with the function of purifying invited heat and relieve constipation, said formild syndrome cases with excess Yangming Fu organs. In the latter, however, Houpo (Cortex magnoliae Officinalis) is the monarch of medicine with high doses, Zhishi (Fructus Aurantii immaturus) as Minister, with a dose higher than the old recipe and Dahuang (ET Radix Rhizoma Ray ) as an auxiliary dosage in half Houpo (Cortex magnoliae officinalis). The last function is a recipe for encouraging the flow of qi and relieves constipation and is mainly used to treat constipation due to stagnation of Qi.
   
As seen above, and Tongrnai Blue Tang Blue Tang, although different doses of drugs have the same compatibility. They differ only because of their actions and pathological conditions. However, in Table 2, due to changes in the number of ingredients, change the relations of the two ordinances inconsistent, leading to a change in their actions and directives.
Change Forms
Form PF recipe closely related to the use of the same ingredients and strengths, the various forms of limitation are different actions and testimony.
   
In general, broth anddrastic rapid effect and a pill or a bolus of slow action and lasting effect. They can be selected as the clinical need. For example, Wang Lizhong Tang Renshen and consists of the same ingredients with the same doses. The first fine particles composed of honey bolus, used to treat cold syndrome of deficiency of spleen and stomach characterized by abdominal pain, epigastric and abdominal pain, anorexia and loose stools soft and chronic. This is boiled with water should be taken orally, used to cover deficits in the cold syndrome of the upper and middle energy is characterized by feeling depressed and stuffy in the chest, the upward flow side qi of hypochondria, suitable for businesses acute or severe.
   
In summary, modification, or ingredients or dosage or form will affect the different degrees of obligation. In particular, the change of the basic components and dosage often varies according to the compatibility of the monarch and the minister of drugs in the original recipe, so that radical changes occur in the action plan and guidance. These three changes have created a recipe can be used separately or simultaneously. Clinically, it depends on the specific conditions of patients. What should be noted, is to change the recipe with the talent of compatibility relations between the kings, ministers, accompanying and guiding drug. Only in this case can be created on the principle of adaptive changes also again and again.


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