8, What are the traditional Chinese medicine treatment methods for poor appetite and indigestion? Briefly described as follows:
7, Treatment of实证 is to eliminate evil. Once the evil is eliminated, the qi of the spleen and stomach will recover and the patient will be able to eat and drink. The treatment of虚证 is to invigorate the body, and it is necessary to differentiate between Yin and Yang, qi and blood, and to determine whether it is due to the intrinsic deficiency of the spleen and stomach or due to diseases of other organs affecting them.
6, Liver stagnation and qi stasis
5, Syndrome: There are often mood inducements such as depression and resentment, followed by fullness in the epigastrium, loss of appetite, even fullness in the chest and hypochondrium, or chest and hypochondrial pain. Symptoms may alleviate after belching, bitter taste in the mouth, dry throat, and astringent and slippery pulse.
4, Treatment principle: The treatment of this syndrome should differentiate between chronic and acute conditions and辨别虚实. Generally, for the early onset, it is due to liver stagnation and insufficient qi, and the main treatment should be to soothe the liver and regulate qi. If the liver stagnation is chronic and the spleen and stomach are damaged, it is advisable to soothe the liver, regulate qi, harmonize the stomach, and strengthen the spleen.
3, Prescription: Modified Chaihu Shugan San, for those with spleen deficiency, use Xiaoyao San.
2, Dampness-affected spleen and stomach
1, Syndrome: Poor transformation of the spleen, failure of the stomach to descend, manifested as poor appetite, sticky mouth, stuffy epigastrium, heavy and tired body, loose stools. White greasy tongue coating, soft pulse.
2. Treatment Principle: Transform dampness and strengthen the spleen.
2. Treatment Principle: Eliminate dampness and strengthen the spleen.
3. Formula: Pingwei Powder or Jianpi Pill.
1. Syndrome: Irregular diet, food retention in the middle jiao, which can cause loss of appetite, even vomiting, accompanied by belching, acid regurgitation, belching with food odor, epigastric pain and distension, thick and greasy coating, slippery pulse.
2. Treatment Principle: For those with symptoms above the diaphragm, the main treatment is to eliminate food and harmonize the stomach; for those below the diaphragm, the main treatment is to promote the movement of the bowels and intestines. If the spleen and stomach are injured due to overeating, severe vomiting and diarrhea, excessive attack, or prolonged illness, and it is difficult to preserve the deficiency syndrome, treat it according to the deficiency syndrome.
3. Formula: Modified Zhishi Douchi Pill. Prepared medicine options include Jianwei Xiaoshi Tablet, Dashanzha Pill, or Baohe Pill.
4. External Pathogenic Factors Affecting the Stomach
1. Syndrome: Sudden loss of appetite and aversion to oil, accompanied by symptoms of common cold such as aversion to cold, fever, headache, or fatigue and body discomfort, or rib pain and distension, or jaundice and other manifestations of damp-heat in the liver and gallbladder, with bitter taste and yellow coating, constipation.
2. Treatment Principle: Expelling external pathogenic factors, awakening the stomach and promoting the spleen's function.
3. Formula: Modified Huoxiang Zhengqi Powder for those with concurrent cold, modified Dazhuhuang Decoction for those with concurrent damp-heat in the liver and gallbladder.
5. Deficiency of Spleen and Stomach Qi
1. Syndrome: Stagnation and loose stools, shortness of breath and fatigue, muscle relaxation, weak pulse.
2. Treatment Principle: Invigorating the spleen and strengthening the stomach, ascending the clear and descending the turbid.
3. Formula: Modified Liujunzi Decoction, available prepared medicine such as Xiangsha Yangwei Pill and Ren Shen Jianpi Pill.
6. Deficiency of Spleen and Kidney Yang
1. Syndrome: Stagnation and aversion to cold, loose stools, even complete indigestion, cold limbs and waistache. Pale tongue, weak pulse.
2. Treatment Principle: Warming the kidney-yang, reinforcing the spleen and benefiting the qi.
3. Formula: Modified Jin Gui Shen Qi Wan and Li Zhong Wan.
7. Deficiency of Stomach Yin
1. Syndrome: Stagnation and noise in the stomach, dry mouth and constipation.
2. Treatment Principle: Nourishing Yin and strengthening the stomach, invigorating the spleen and promoting its function.
3. Formula: Modified Yiguan Decoction.
Stagnation of the stomach is a common clinical symptom, and treatment should differentiate between deficiency and excess, cold and heat. Generally speaking, for excess syndrome, the course is short, the condition is mild, and it is easy to be cured; for deficiency syndrome and both deficiency and excess, the course is long, easy to recur, and difficult to treat.
At the same time, patients should be guided to 'nourish the stomach' consciously when taking medication for treatment. The saying 'three parts of treating and seven parts of nourishing the stomach' is based on this principle. Eat less and more frequently, chew slowly, choose appropriate food types and process them reasonably, quit smoking and limit alcohol, pay attention to the temperature, speed, softness and hardness of eating, and massage the abdomen and Zu San Li after eating. Patients with cold symptoms can apply ginger moxibustion to acupoints such as Shenque, Zhongwan, and Zu San Li.