Ascites

　　1, Emotional injury The liver governs Qi release and has a preference for smoothness. If emotional depression leads to liver Qi depression, Qi circulation is obstructed, leading to unsmooth blood circulation, and the collaterals of the liver are blocked by blood stasis. At the same time, liver Qi depression invades the spleen obliquely, leading to spleen dysfunction and water dampness not being transformed, resulting in Qi stagnation, blood stasis, and the intersection of Qi stagnation and blood stasis, fluid retention in the abdomen, and the formation of abdominal distension.

　　2, Un regulated diet and alcohol consumption Excessive alcohol consumption, irregular diet, injury to the spleen and stomach, failure of transportation and transformation, dampness and turbid Qi congealing in the middle Jiao, earth congestion and wood depression, liver Qi depression, Qi stagnation and blood obstruction, the interaction of Qi stagnation, blood stasis, and dampness leading to fluid retention in the abdomen, and the formation of abdominal distension.

　　2, Un treated schistosomiasis In schistosomiasis-endemic areas, those infected with schistosomiasis and unable to receive timely treatment have internal injury to the liver and spleen by schistosomiasis. Liver injury leads to Qi stagnation, spleen injury leads to dampness accumulation into fluid, and worm obstruction of collaterals leads to blood stasis. All these factors interact, eventually leading to fluid retention in the abdomen and the formation of abdominal distension.

　　3, Un treated jaundice and accumulative symptoms Jaundice is originally caused by dampness, a disease of liver and spleen injury, and when the spleen is injured, it loses its healthy function, and when the liver is injured, liver Qi is depressed. Over time, the liver, spleen, and kidney are all damaged, leading to Qi stagnation, blood stasis, fluid retention in the abdomen, and gradually forming abdominal distension. Accumulation syndrome 'accumulation' is originally caused by the injury of liver and spleen, the conglomeration of Qi depression and phlegm blood, and over time, the injury becomes more severe, and the conglomeration becomes deeper, eventually leading to Qi stagnation, blood stasis, fluid retention in the abdomen, and the occurrence of abdominal distension. Moreover, after the formation of abdominal distension, if the abdominal fluid subsides after treatment, but the accumulation syndrome is not cured, it can eventually form abdominal distension again due to the recurrence of the accumulation syndrome, so there is a saying that 'accumulation' is the root of abdominal distension disease.

　　5, Deficiency of the spleen and kidney The kidney governs Qi transformation, and the spleen governs transportation and transformation. Spleen and kidney deficiency, or over-exertion due to labor and desire, or injury from long-term illness, can lead to spleen and kidney deficiency. Spleen deficiency leads to the failure of transportation and transformation, the descent of clear Qi is blocked, the mixture of clear and turbid, and the accumulation of water dampness; kidney deficiency leads to the impotence of bladder Qi transformation, water not being excreted and retained internally. If it interacts with other factors, it can trigger or exacerbate abdominal distension.

　　During the pathological process of abdominal distension, the liver, spleen, and kidney often influence each other. Liver depression leads to spleen deficiency, earth congestion leads to wood depression, long-term liver and spleen diseases injure the kidney, and kidney injury leads to fire not generating earth or water not containing wood. At the same time, Qi, blood, and fluid often cause diseases to each other. Qi stagnation leads to blood stasis, blood stasis leads to fluid retention, and fluid obstruction leads to Qi stagnation; conversely, it is the same. Qi, blood, and fluid congeal in the abdomen, and water dampness does not transform, becoming more and more solid over time; evil Qi continuously consumes true Qi, making true Qi gradually weak, and becoming more and more weak over time, so the main pathogenesis characteristics of this disease are deficiency in the root and excess in the manifestation. In the late stage, the evil of dampness transforms into heat, which can lead to internal disturbance or蒙闭心神, stirring up liver wind, forcing blood to flow wildly, and causing changes such as injury to the collaterals and blood leakage. In summary, the pathological location of abdominal distension is the liver, spleen, and kidney, and the basic pathogenesis is the dysfunction of the liver, spleen, and kidney, with Qi stagnation, blood stasis, and fluid retention in the abdomen. The pathogenesis characteristics are deficiency in the root and excess in the manifestation.

　　1, Accompanied by pain in the hypochondrium and abdomen, decreased appetite, fatigue, reduced urine output, and tendency to bleed. The onset is usually gradual, with a long course of disease, often with a history of jaundice, hypochondriac pain, and accumulative symptoms, and causes such as irregular diet and alcohol consumption, worm infections, etc.

　　2, Gastrointestinal symptoms often include bloating, abdominal pain, loss of appetite, nausea, vomiting, diarrhea, or constipation and other symptoms.

　　3, Mental problems will have a certain impact, such as bad mood, irritability, insomnia, dreams, dizziness, and other complications.

　　At the beginning, the epigastrium and abdomen are bloated, the abdomen gradually swells, soft to the touch, more so after eating, and a drum sound and mobile dullness can be heard when tapped. Then the abdomen is full and bulging, higher than the chest, and the abdomen is full on both sides when lying on the back. It feels like a bag wrapped in water. In severe cases, the abdomen is bulging and firm, the umbilicus is prominent and the skin is shiny, the limbs are emaciated, or the limbs are edematous. The skin color is sallow, the green veins on the abdomen are exposed, red lines can be seen on the neck and chest, and liver palms can appear on the hands. In the critical stage, vomiting blood, hematochezia, confusion, convulsions, and other symptoms may also be seen.

　　In the early stage of the disease, although the abdomen is bloated and the vital energy is gradually weak, it can still live a long life with reasonable treatment; if the disease progresses to the late stage, the abdomen is as large as a jar, the green veins are exposed, the umbilicus is prominent, the stool is like duck dung, the limbs are emaciated, and the prognosis is poor; if there are symptoms such as vomiting blood, hematochezia, confusion, convulsions, it is a critical condition, and the prognosis is poor.

　　Prevention and adjustment

　　Strengthen the early prevention and treatment of viral hepatitis, avoid contact with schistosomes, contaminated water, and liver-toxic substances, and treat jaundice and accumulation syndrome patients in a timely manner. 'Source of Miscellaneous Diseases - Source of Swelling' also has good experience in adjusting and controlling: 'First, let the salt taste go away, wear thick clothes, break away from delusion, and prohibit anger.' That is, pay attention to keeping warm, avoiding repeated attacks of evil; pay attention to the combination of work and rest, and rest more in bed when the condition is severe; those with more ascites can take a semi-recumbent position, avoiding fatigue; pay attention to nutrition, avoid excessive drinking, and avoid alcohol and coarse food after the disease; avoid salt during the ascites period; it is advisable to stay calm and avoid anger and hurt the liver.

　　Abdominal ultrasound, X-ray esophageal barium meal, CT examination, ascites examination, as well as serum protein, prothrombin time, and other examinations are helpful for diagnosis.

　　CT examination:The examination is convenient, quick, and safe, can be completed successfully without the patient moving, easy for the patient to accept, and convenient for follow-up visits, especially for emergency patients, can make a diagnosis quickly, and play an important role in saving time for patient rescue. In addition, CT can be re-examined in a short period of time for emergencies, which is conducive to observing the evolution of the lesion.

　　First, the therapeutic effects of bloating

　　1, Tomato Sauce Green Fish Slices

　　Ingredients: 500g green fish, 50g green beans, 50g tomato sauce, fresh soup, salt, yellow wine, monosodium glutamate, sugar, scallion slices, egg whites, cornstarch, sesame oil, and lard as needed.

　　How to make Tomato Sauce Green Fish Slices:

　　(1) Cut the green fish into thin slices, mix with yellow wine, salt, and monosodium glutamate. Add egg white and mix well, then coat with cornstarch. Boil the green beans in boiling water until tender, remove and set aside. Heat lard in a pan until 150°C, add the fish slices one by one, and blanch until cooked. Drain in a colander.

　　(2) Leave some oil in the pot, add scallion slices and stir-fry until fragrant, then add tomato sauce, sauté over low heat. Add fresh soup, yellow wine, salt, monosodium glutamate, and sugar. Add green fish slices and green beans, and cook over high heat until the sauce is reduced. Thicken with cornstarch, drizzle with sesame oil, and serve.

　　2, Steamed Green Beans

　　Production process

　　(1) Remove the strings and tips from the green beans, wash and drain; wash the scallions, ginger, and garlic, and chop them into small pieces.

　　(2) Heat the oil in the pot, add ginger, garlic, stir-fry, add cooking wine, stir-fry mung beans for a few times, add fresh soup, salt, sugar, chicken essence, and boil, then turn to medium heat, cover and simmer until the soup is thick, add monosodium glutamate, thicken with 10 grams of wet starch (5 grams of starch mixed with water), pour in sesame oil, pour out and serve in a plate.

　　25. Leek pork liver soup

　　Ingredients: leeks 60 grams, pork liver 50 grams.

　　Preparation method:

　　(1) Wash the leeks, chop them; wash the pork liver, slice it;

　　(2) Add an appropriate amount of water to the pot, boil it with high heat, add leeks and pork liver, and cook until the pork liver is cooked, then season and eat.

　　20. Black rice porridge

　　Production process

　　(1) Soak soybeans in warm water for 1 hour, change the water and wash them clean; soften the silver ear and remove the old base; remove the kernel from the red dates.

　　(2) First, wash the black rice and glutinous rice clean in clear water, add an appropriate amount of water, cook for about 1 hour, then add soybeans, red dates, and clean sesame seeds, and continue to cook for about 30 minutes.

　　16. What is good for the body for patients with abdominal distension

　　15. 1. It is advisable to eat light, nutritious, and easy-to-digest foods.

　　14. 2. General patients should eat low-salt diet.

　　13. What is bad for the body for patients with abdominal distension

　　12. 1. Avoid smoking and drinking.

　　11. 2. Avoid sweet, fatty, thick, and greasy foods.

　　10. 3. Prohibit cold and raw foods, unclean foods, spicy foods, and coarse and hard foods.

　　9. When there is severe edema in the lower limbs and a small amount of urine, salt should be avoided.

　　6. The key points of differentiation

　　5. The distinction between urgency and non-urgency. Although the course of abdominal distension is long, there are differences between urgency and non-urgency in the process of slow changes. If the abdominal distension progresses continuously for half a month to a month, it is mostly yang and excess; if it persists for several months, it is mostly yin and deficiency.

　　4. The main sequence of distinguishing deficiency and excess. Although abdominal distension belongs to deficiency with excess, with both deficiency and excess, they have different emphases at different stages. Generally speaking, at the early stage of abdominal distension, with new external pathogens, abdominal fullness and pain, abundant ascites, and significant exposure of abdominal blue veins, the main problem is usually excess; while in the long-term abdominal distension, after the external pathogens have been eliminated and the ascites has decreased, the disease tends to be mild, and liver, spleen, and kidney deficiency is seen, the main problem is usually deficiency.

　　3. The main sequence of distinguishing qi stagnation, blood stasis, and water retention is mainly based on abdominal distension, pressing the abdomen, sinking upon pressing, and rising at will, like pressing a gas bag, beating like a drum, and other symptoms. Those with mainly qi stagnation are called 'qi drum'; those with mainly blood stasis are called 'blood drum'; those with mainly water retention are called 'water drum'.

　　Second, treatment principles

　　The pathogenesis characteristics of this disease are deficiency in the interior and excess in the exterior, with both deficiency and excess. Therefore, the treatment should be based on the pathogenesis, with the principle of both attack and supplementation. If the excess is the main problem, emphasis should be placed on removing the pathogenic factors and treating the superficial symptoms. According to the specific condition, reasonable use of agents for promoting qi, resolving blood stasis, and invigorating the spleen and promoting diuresis should be adopted. If there is severe ascites, temporary attack and expulsion may be considered, while supplemented with tonifying deficiency. If the deficiency is the main problem, emphasis should be placed on reinforcing the body and tonifying deficiency, and according to the different symptoms, different methods such as invigorating the spleen and warming the kidney, nourishing the liver and kidney, etc., should be applied, while removing the pathogenic factors at the same time.

　　Distinguish the syndrome and treat accordingly

　　1. Qi stagnation and dampness obstruction

　　Symptoms: Abdominal distension, not firm to palpation, distension or pain in the hypochondria, decreased appetite, abdominal distension after eating, belching slightly reduces, decreased urine output, white greasy coating, wiry and fine pulse.

　　Treatment method: Relax the liver and regulate qi, strengthen the spleen and promote diuresis.

　　Formula: Bupleurum chinense for relaxing the liver and dispersing qi combined with Weiling tang.

　　In the formula, Bupleurum chinense, Citrus aurantium, Peony root, Ligusticum chuanxiong, and Cyperus rotundus relax the liver and regulate qi to relieve depression; Astragalus membranaceus, Poria cocos, Poria cocos, and Alisma orientale strengthen the spleen and promote diuresis; Cinnamomum cassia warms the body and promotes the qi of the bladder to enhance diuresis; Atractylodes macrocephala, Magnolia officinalis, and Citrus reticulata var. tangerina strengthen the spleen and regulate qi to eliminate dampness. If the coating is greasy and slightly yellow, with dry mouth and bitter taste, wiry and rapid pulse, it indicates qi depression transforming into fire, and Danpi (Cortex Moutan) and Gardenia jasminoides can be added appropriately; if there is persistent stabbing pain in the hypochondrium, blue tongue, purple tongue, wiry and涩pulse, it indicates qi stasis and blood stasis, and Corydalis yanhusuo, Salvia miltiorrhiza, and Curcuma zedoaria can be added; if there is dizziness, insomnia, red tongue, wiry and fine pulse, add prepared Polygonum multiflorum, Lycium barbarum, and Schisandra chinensis.

　　2. Cold and dampness affecting the spleen

　　Symptoms: Abdominal distension and fullness, as if wrapped in water when pressed, chest and epigastric distension and stuffiness, relief with heat, generalized heaviness, aversion to cold, limb swelling, facial edema or slight lower limb swelling, loose stools, short urine, white greasy coating, slippery, wiry and slow pulse.

　　Treatment method: Warm the middle jiao and strengthen the spleen, promote qi and diuresis.

　　Formula: Shishen drink.

　　In the formula, Aconitum carmichaelii, dry ginger, and Astragalus membranaceus warm the middle jiao and strengthen the spleen; Momordica charantia, Acorus tatarinowii, and Poria cocos promote qi and diuresis; Magnolia officinalis, Aucklandia lappa, and Citrus reticulata var. tangerina regulate qi and strengthen the spleen to dry dampness; Glycyrrhiza uralensis, ginger, and jujube harmonize the stomach qi. For severe edema, add Cinnamomum cassia, Poria cocos, and Alisma orientale; for chest and hypochondriac distension and pain, add Citrus reticulata var. tangerina, Cyperus rotundus, Corydalis yanhusuo, and Salvia miltiorrhiza; for abdominal distension and fullness, add Curcuma aromatica, Citrus reticulata var. tangerina, and Amomum villosum; for qi deficiency and shortness of breath, add Astragalus membranaceus and Codonopsis pilosula.

　　Use 0.1g musk, 0.1g white pepper, mix well, water is adjusted to paste, apply to the navel, cover with gauze, fix with adhesive tape, change once every 2 days. It has the effect of warming the middle jiao, dispersing cold, regulating qi, and reducing distension. It is suitable for the syndrome of cold and dampness affecting the spleen.

　　3. Damp-heat accumulation

　　Symptoms: Abdominal distension and hardness, tightness in the chest and abdomen, external hardness and internal distension, resistance to palpation, irritability, bitter taste in the mouth, thirst without desire for drinking, red and涩urine, constipation or loose stools, or yellowing of the face, skin, and limbs, red tip of the tongue, yellow greasy or grayish black and slippery coating, wiry and rapid pulse.

　　Treatment method: Clear heat and eliminate dampness, purge and expel water.

　　Formula: Chinese full score elimination pill combined with Yin Chen Hao decoction and Zou Che pill.

　　The Chinese full score elimination pill uses Scutellaria baicalensis, Coptis chinensis, and Anemarrhena ashtanga to clear heat and eliminate dampness; Poria, Poria cocos, and Alisma orientale have a diuretic effect; Magnolia officinalis, Citrus aurantium, Pinellia ternata, Citrus reticulata var. tangerina, and Amomum villosum regulate qi and dry dampness; Curcuma longa promotes blood circulation and removes blood stasis; Dry ginger is used with Scutellaria baicalensis, Coptis chinensis, and Pinellia ternata to produce acrid and bitter flavors, relieve fullness in the middle jiao, and eliminate damp-heat; A small amount of Ginseng, Astragalus membranaceus, and Glycyrrhiza uralensis are used to strengthen the spleen and benefit the qi, invigorate the body, and protect the spleen, so that water is eliminated and heat is cleared without harming the body, deeply understanding the essence of treating abdominal distension. For those with severe damp-heat, remove Ginseng, dry ginger, and Glycyrrhiza uralensis, and add Gardenia jasminoides and Polygonum cuspidatum. In the Yin Chen Hao decoction, Yin Chen clears heat and promotes diuresis, Gardenia jasminoides clears the damp-heat of the triple energizer, and Rhubarb purges and lowers the stasis heat in the intestines. The Zhou Che pill is used for purgation and diuresis, with Euphorbia stephania, Euphorbia fischeriana, and Datura stramonium attacking and expelling abdominal fluid; Rhubarb and black soybean clean and purge, causing water to be eliminated through the two bowels; Citrus reticulata var. tangerina, Citrus reticulata var. tangerina, Acorus tatarinowii, and Aucklandia lappa regulate qi and promote diuresis; the light powder in the formula moves but does not stay, promoting diuresis and bowel movements. The Zou Che pill is usually taken in doses of 3-6g, and the dosage should be adjusted according to the condition and reaction to medication.

　　4, Liver and spleen blood stasis

　　Symptoms: Abdomen swelling and firm, not陷ing under pressure but hard, blue veins bulging, side abdominal pain, aversion to pressure, dark complexion, red spots and streaks visible on the neck, chest, arms, etc., purple lips, black stools, rough skin, dry mouth without desire to drink water, purple and dark tongue with petechiae on the edges, thready and涩 pulse.

　　Treatment Method: Activate blood and resolve stasis, promote Qi and diuretic.

　　Prescription: Tiaoying Drink.

　　The formula contains Chuanxiong, Chishao, Dahuang, Semen Sparganii, Yanhusuo, and Angelica Sinensis to activate blood and resolve stasis and promote Qi; Huoxingcao, Atractylodes, Xianma, and others to promote Qi and diuretic; Guizhi and Xixin to warm the meridians and open the Yang; Gancao to harmonize the herbs. For black stools, add Panax Notoginseng and Sida; for severe masses, add Bixie and Hirudo; for those with mutual binding of phlegm and stasis, add Baijiezi and Pinellia; for excessive water retention and severe distension, use Shidiao Decoction to attack and expel fluid.

　　5, Spleen and kidney Yang deficiency

　　Symptoms: Abdomen swelling and firm, resembling a toad belly, less distension in the morning and more in the evening, pale yellow complexion, chest and epigastrium full and stuffy, less appetite, loose stools, aversion to cold, cold limbs, less urine, leg swelling, pale and bloated tongue with notched edges, thick and greasy coating, deep and weak pulse.

　　Treatment Method: Warm and tonify the spleen and kidney, transform Qi and drain water.

　　Prescription: Fuzi Lizi Pill combined with Wuling San and Jisheng Shenqi Pill.

　　For those with spleen Yang deficiency, use Fuzi Lizi Pill combined with Wuling San; for those with kidney Yang deficiency, use Jisheng Shenqi Pill, or alternate use with Fuzi Lizi Pill. The Fuzi Lizi Pill uses Fuzi and Zaojiao to warm the middle-jiao and dispel cold; Dangshen, Baizhu, and Gancao to tonify Qi and invigorate the spleen, and to remove dampness. Wuling San contains Poria, Alisma, and Alisma to relieve dampness and drain fluid; Baizhu is bitter and warm to invigorate the spleen and dry dampness; Guizhi is acrid and warm to open the Yang and transform Qi. The Jisheng Shenqi Pill contains Fuzi and Rougui to warm the kidney Yang and transform Qi and water; Shudihuang, Cornus,山药, and Radix Achyranthis to nourish the kidney and replenish essence; Poria, Alisma, and Xianxianzi to promote diuresis and reduce swelling; Moutan Bark to activate blood and resolve stasis.

　　For those with less appetite and abdominal distension, especially after eating, add Astragalus,山药, Coix Seed, and White Bean; for those with aversion to cold, fatigue, bluish-gray complexion, weak and forceless pulse, add Herba Epimedii, Morinda Officinalis, Herba Epimedii Herba, and others; for those with exposed abdominal tendons, slightly add Chishao, Zelania, Semen Sparganii, and others.

　　Liu Li Chi Xiao Dou Soup: 500g of crucian carp (without scales and internal organs), 30g of red bean, commonly used for abdominal distension with deficiency syndrome.

　　6, Liver and kidney Yin deficiency

　　Symptoms: Abdomen swelling and firm, sometimes with exposed blue veins in the abdomen, body appears emaciated, pale complexion, dry mouth and throat, irritability, insomnia, occasional nosebleeds, short urine, red and dry tongue with less coating, wiry and thready pulse.

　　Treatment Method: Nourish the liver and kidney, cool blood and resolve stasis.

　　Prescription: Six-ingredient Dihuang Pill or Yiguan Decoction combined with Gexia Zhuyu Decoction.

　　The six-ingredient Dihuang Pill contains prepared Rehmannia, Cornus, and山药 to nourish the liver and kidney, and Poria, Alisma, and Moutan Bark to relieve dampness and drain fluid. The Yiguan Decoction contains raw Rehmannia, Codonopsis, Ophiopogon, and Lycium to nourish the liver and kidney, and Angelica Sinensis and Fructus Cinnamomi to nourish blood, activate the blood, and relieve liver Qi. The Gexia Zhuyu Decoction contains Murex,赤芍, Peach Kernel, Safflower, and Moutan Bark to activate blood and resolve stasis, Chuanxiong, Huoxiuwu, Yanhusuo, Xiangfu, and Zhike to promote Qi and activate blood, and Licorice to harmonize the herbs. The Dihuang Pill is primarily used for kidney Yin deficiency, combined with the Gexia Zhuyu Decoction; the Yiguan Decoction is primarily used for liver Yin deficiency, combined with the Gexia Zhuyu Decoction.

　　If there is dry mouth and mouth, add Shihu, Huafen, Lugen, Zhimu; afternoon fever, add Yinyin Huaihu, Biejia, Digupi, Baiwei, Qinghao; add Zhizi, Lugen, Liujie Tan for tooth and nose bleeding; add Yenchen, Huangbai for yellowing of the skin; if there are red cheeks and red cheeks, add Guizhu, Biejia, Momordica.

　　7, Distension and bleeding

　　Symptoms: Mild cases may have bleeding from the teeth and nose, severe cases may have a sudden change in the disease, a large amount of vomited blood or bloody stools, abdominal distension and discomfort, nausea and vomiting, fresh red vomited blood or greasy black stools, red tongue with yellow fur, wiry and rapid pulse.

　　Treatment method: Clear the stomach and purge fire, remove blood stasis and stop bleeding.

　　Prescription: Xie Xin Decoction combined with Shiyi San.

　　Dahuang, Huanglian, and Huangqin in the Xie Xin Decoction are very bitter and cold, clearing the stomach and purging fire; Shiyi San cools the blood and removes blood stasis and stops bleeding. Add Danshen San to remove blood stasis and stop bleeding; if there is excessive bleeding, with the Qi following the blood, sweating, and cold limbs, urgent use of Duxin Decoction to reinforce the body and save the loose. Should also be combined with traditional Chinese and Western medicine for rescue treatment.

　　8, Distension and delirium

　　Symptoms: Coma, high fever and irritability, angry eyes and shouting, or hand and foot convulsions, bad breath and constipation, short and red urine, red tongue with yellow fur, wiry and rapid pulse.

　　Treatment method: Clear the mind and open the orifices.

　　Prescription: An Gong Niu Huang Wan, Zi Xue Dan, Zhi Bao Dan, or Xing Nao Jing injection.

　　All the above are agents for clearing the mind and opening the orifices, which are suitable for the above symptoms of high fever, delirium, and convulsions, but each has its own focus. For those with severe heat and internal invasion of the heart package, choose An Gong Niu Huang Wan; for those with deep coma due to internal closure of phlegm heat, choose Zhi Bao Dan; for those with severe convulsions and spasms, choose Zi Xue Dan. The injection of Xing Nao Jing can be added to 40-60nd in a 5%-10% glucose solution for intravenous drip, once or twice a day, for 1-2 weeks. If the symptoms are seen as listless and dull, foul breath in the mouth, pale tongue with greasy fur, and wiry and thin pulse, treatment should be given to transform turbidity and open the orifices, and choose Su He Xiang Wan, Yu Zhu Dan, etc. If the condition further deteriorates, with symptoms such as unconsciousness, sweating, cold limbs, clenching hands in emptiness, occasional tremors, and a faint and nearly extinct pulse, this is a sign of exhaustion of Qi and Yin, and the Yuan Qi is about to fail. Acute syndrome, emergency intravenous drip of Sheng Mai Injection and urgent decoction of Shen Fu Mu Li decoction can be used according to the condition, to condense Yin and solidify the loose. And should be combined with traditional Chinese and Western medicine for active rescue.

　　Aconite and borax each 30g, ground into fine powder, mixed with a proper amount of white wine, applied to the navel, and bandaged with a cloth bandage. Change once every few days, with the effect of softening and dispersing nodules.