Formulas That Induce Vomit

Formulas That Induce Vomit

Chapter 41 Formulas That Induce Vomit Chapter Outline Specific Application Knowledge of Formulas 834 ABSTRACT Formulas that are mainly composed of...

417KB Sizes 0 Downloads 91 Views

Chapter 41

Formulas That Induce Vomit Chapter Outline Specific Application Knowledge of Formulas

834

ABSTRACT Formulas that are mainly composed of herbs that induce vomit, have the effect of vomiting phlegmatic saliva, retained food and poisons and indicated for the treatment of phlegm-drool syndrome, food accumulation syndrome, and poisons in the stomach are called “Formulas That Induce Vomit.” Keywords: formulas that induce vomit; vomit induction; induce vomiting of phlegm-drool

Formulas that are mainly composed of herbs that induce vomit, have the effect of vomiting phlegmatic saliva, retained food and poisons and indicated for the treatment of phlegm-drool syndrome, food accumulation syndrome, and poisons in the stomach are called “Formulas That Induce Vomit.” The therapeutic method of these formulas is set up according to “Relieve disease in the upper body by emetic therapy (vomit induction)” in The Yellow Emperor’s Inner Classic (huang di nei jing), which belongs to one of the eight [medicinal treatment] methods: vomit induction. The effects of formulas that induce vomit are to induce phlegm-drool, retained food or poisons stagnated in the throat, chest, and diaphragm or stomach cavity out from the mouth by vomiting. Formulas that induce vomit are often used for the treatment of food retention in the stomach cavity, poisons still staying in the stomach, phlegm-drool obstruction of stroke, mania or throat bì (pharyngitis), and dry cholera with incapability of vomiting and diarrhea but in urgent need of vomiting due to pathogenic condition. For stroke, mania or throat bì with short of breath caused by exuberance and accumulation of phlegm-drool obstructing the throat, applying formulas that induce vomit can unblock the isthmus of fauces and eliminate phlegm-drool, and usually take a favorable turn for the syndromes. For distention and fullness in the chest and hypochondrium due to food retention in the stomach cavity, applying formulas that induce vomit can dispel or eliminate retained food. For eating poisons by mistake with poisons still in the stomach, formulas in this category are also applicable. Formulas that induce vomit are fierce in nature and easy to damage stomach qi, and medication should be discontinued as soon as getting effect. Their use should be cautious in the old, the weak, pregnant women, or postpartum. If patients don’t vomit after administration, finger stimulating the throat can be used, or drinking more hot water can assist vomit induction. After taking formulas that induce vomit, patients should pay attention to wind-cold in order to prevent external contraction due to body deficiency after vomiting. For unceasing vomiting after taking formulas, ginger juice, cold porridge, or cold boiled water can be selected to arrest vomiting. Meanwhile, regulation of the spleen and stomach should be emphasized. Patients can take rice water to nourish themselves, and should avoid eating greasy and not easily digested food to prevent stomach from damage.

Essentials of Chinese Materia Medica and Medical Formulas. http://dx.doi.org/10.1016/B978-0-12-812722-3.00041-5 Copyright © 2017 Elsevier Inc. All rights reserved.

833

834 PART | II  Chinese Medical Formulas

SPECIFIC APPLICATION KNOWLEDGE OF FORMULAS 1. Primary formulas and analysis (Tables 41.1 and 41.2)

TABLE 41.1 Efficacy and Application of Common Formulas That Induce Vomit Name of Formula

Source, Composition, and Usage

Efficacy and Indication

Modified Clinical Application

Emergency Drool-Thinning Powder (jiu ji xi xian san)

Initially recorded in The Revised Zhenghe Classified Materia Medica from Historical Classics for Preemergency (chong xiu zheng he jing shi zheng lei bei yong ben cao). Composed by Fructus Gleditsiae Abnormalis (zhu ya zao) 15 g and Alumen (bai fan) 30 g. Grind the ingredients into powder, and take in 1.5–4.5 g doses with warm boiled water

Induce vomit. Indicated for the treatment of wind-strike block due to exuberant phlegmdrool obstruction, with phlegm sounds (wheezy phlegm) in the throat, qi block, blurred vision with restlessness, or fainting, or wry angle of mouth, slippery-excess and forceful pulse; or throat bì (pharyngitis)

For wind-strike, add Radix et Rhizoma Veratri Nigri (li lu) to induce vomiting of windphlegm; for throat bì, add Rhizoma Coptidis (huang lian) to resolve toxins; to strengthen the effects of dissolving phlegm and dissipating masses, add Rhizoma Pinelliae (ban xia)

Its use is prohibited in wind-strike desertion, or yin exhaustion and yang collapse, and floating yang syndrome with phlegm obstruction. Dosage should be light and appropriate amount of phlegm is expectorated for the degree

Melon Stalk Powder (gua di san)

Initially recorded in Treatise on Cold Damage (shang han lun). Composed by Pedicellus Melo (gua di) 1 g, Semen Phaseoli (chi xiao dou) 1 g, and Semen Sojae Praeparatum (dan dou chi) 9 g. Grind Pedicellus Melo (gua di) and Semen Phaseoli (chi xiao dou) into fine powder, mix evenly, and take in 1–3 g doses with decoction of Semen Sojae Praeparatum (dan dou chi) 9 g. If used as an emetic for emergency, after taking, tickle the throat to induce vomiting with a clean feather. After taking, if vomiting is unceasing, take Moschus (she xiang) 0.1–0.15 g or powder of Flos Caryophylli (ding xiang) 0.3–0.6 g after mixing with boiled water

Induce vomiting of phlegm and food. Indicated for the treatment of phlegmdrool and retained food obstructing in the chest and stomach cavity, with pĭ, and stiffness in the chest, feeling of vexation, restlessness, adverse qi rushing upward to the throat and being unable to breathe freely, faint and floating pulse

For severe phlegmdamp, add Alumen (bai fan) to assist the effect of inducing phlegmdamp; for phlegm-drool obstruction, appropriately add Rhizoma Acori Tatarinowii (shi chang pu), Radix Curcumae (yu jin), and Rhizoma Pinelliae (ban xia) to open the orifices (resuscitate) and dissolve phlegm; for exuberant wind-phlegm, add Radix Saposhnikoviae (fang feng) and Radix et Rhizoma Veratri Nigri (li lu) to induce vomiting of wind-phlegm

Its use is cautious in the old, the weak, pregnant women, postpartum, and patients with history of blood-spitting and prohibited in patients with retained food or poisons passed into the intestines or phlegm-drool not in the chest and diaphragm. Pedicellus Melo (gua di) is bitter, cold, and poisonous in nature, and easy to damage healthy qi; its dosage should be no too large; treatment should be discontinued as soon as getting effect. After vomiting, eat a little rice water to nourish the stomach

Ginseng Rhizome Beverage (shen lu yin)

Initially recorded in Further Discourses on the Acquisition of Knowledge through Profound Study (ge zhi yu lun). Composed by Rhizoma Ginseng (ren shen lu) 15 g. Decoct it with water for oral use

Induce vomiting of phlegm-drool. Indicated for the treatment of exuberant phlegm-drool obstructing in the chest and diaphragm due to qi deficiency, with excessive phlegm, breathlessness, fullness, and oppression in the chest and diaphragm, desire to vomit, deficient, and weak pulse

To strengthen the effect of dissolving phlegm, add Succus Bambusae (zhu li)

It is a formula that treats the branch for patients with phlegm accumulation and breathlessness, who still need to be treated with diffusing the lung and dissolving phlegm after vomiting. For exuberant phlegm-drool with extreme deficiency, apply it separately is inadvisable since it has no tonic effect

Caution for Use

Formulas That Induce Vomit Chapter | 41

835

TABLE 41.1 Efficacy and Application of Common Formulas That Induce Vomit (cont.) Name of Formula

Source, Composition, and Usage

Efficacy and Indication

Modified Clinical Application

Salt Soup VomitingStimulating Formula (yan tang tan tu fang)

Initially recorded in Essentials from the Golden Cabinet (jin gui yao lüe). Composed by Natrii Chloridum (shi yan) 30 g and Water 600 mL. Mix boiled water with salt to saturated salt soup, and take in 2–3 bowls of soup, then tickle the throat to induce vomiting with a clean feather or finger

Induce vomiting of retained food. Indicated for the treatment of retained food, filthy turbidity, and poisons stagnating in the upperthird portion of the stomach cavity, with pain in the stomach cavity and abdomen involving the chest, pĭ, and oppression; or dry cholera, distending pain in the stomach cavity and abdomen, desire to vomit but no vomiting, desire diarrhea but no diarrhea; or eating poisons by mistake with poisons still retained in the stomach

For food syncope, add Succus Rhizomatis Zingiberis (sheng jiang zhi) to eliminate phlegm and resuscitate by its pungent nature; for dry cholera, add Succus Rhizomatis Zingiberis (sheng jiang zhi) and Urina hominis to dispel phlegm and subdue fire; for dribbling urinary block, add Radix Saposhnikoviae (fang feng) to assist the lung to govern diffusion and dispersion in order to free and regulate the waterways

Caution for Use After taking, if patients have no vomiting, tickle the throat to induce vomiting with fingers or a clean tail feather. Be sure to make vomiting is usually best

TABLE 41.2 Efficacy Analysis for Common Formulas That Induce Vomit Name of Formula

Efficacy Analysis

Emergency DroolThinning Powder (jiu ji xi xian san)

Alumen (bai fan)

Melon Stalk Powder (gua di san)

Fructus Gleditsiae Abnormalis (zhu ya zao) Pedicellus Melo (gua di) Semen Phaseoli (chi xiao dou)

Sour and cold in nature, with emetic and purgative effects, dissolve and thin obstinate phlegm, open the blockage and induce vomiting, as the chief medicinal Acrid, warm and salty in nature, open the orifices, dissolve phlegm, soften hardness, clear up turbid phlegm Extremely bitter and cold in nature, specialize in inducing vomiting of phlegm-drool and retained food, as the chief medicinal

Induce vomit

Induce vomiting of phlegm and food

Semen Sojae Praeparatum (dan dou chi)

Sour and neutral in nature, dispel dampness and relieve vexation and fullness, as the deputy medicinal Light and diffusing in nature, diffuse and resolve pathogenic qi from the chest to benefit the effect of inducing vomit

Ginseng Rhizome Beverage (shen lu yin)

Rhizoma Ginseng (ren shen lu)

Sweet, bitter, warm and moderate in nature, induce vomiting of exuberant and accumulated phlegm-drool with deficiency of the root and excess of the branch

Induce vomiting of phlegmdrool

Salt Soup VomitingStimulating Formula (yan tang tan tu fang)

Natrii Chloridum (shi yan)

Salty in nature, with emetic and purgative effects, induce vomit, extremely salty flavor can induce vomiting of retained food and poisons to benefit qi movement and relieve distending pain

Induce vomiting of retained food

836 PART | II  Chinese Medical Formulas

2. Attached formulas (Table 41.3) TABLE 41.3 Introduction to Attached Formulas That Induce Vomit Name of Formula Three Sages Powder (san sheng san)

Source, Composition, and Usage

Efficacy

Indication

Initially recorded in Confucians’ Duties to Their Parents (ru men shi qin). Composed by Radix Saposhnikoviae (fang feng) 90 g, Radix et Rhizoma Veratri Nigri (li lu) 90 g, and Pedicellus Melo (gua di) 90 g. Grind the ingredients into crude powder, and decoct 15 g of powder each time with water for oral use until vomiting. It is not necessary to take the entire decoction

Induce vomiting of wind-phlegm (anemogenous phlegm)

Indicated for the treatment of windstrike block, with loss of voice, oppression and confusion, wry eye and mouth, or unconsciousness, trismus, floating, and slippery and excess pulse

3. Formula differentiation (Table 41.4) TABLE 41.4 Differentiation Between Similar Efficacy Formulas That Induce Vomit Name of Formula

Similarity

Differences

Salt Soup VomitingStimulating Formula (yan tang tan tu fang)

Both have the effect of inducing vomiting of retained food, and can be used for the treatment of food retention and poisons stagnating in the stomach cavity

Its medicinal nature is mild and dispensing is convenient and fast. It is more suitable for the treatment of dry cholera with incapability of vomiting and diarrhea, abdominal pain, or retained food, food syncope (crapulent syncope) and qi syncope (syncope resulting from disturbance of qi movement)

Melon Stalk Powder (gua di san)

Emergency Drool-Thinning Powder (jiu ji xi xian san)

Ginseng Rhizome Beverage (shen lu yin)

It has stronger effect of inducing vomit than that of Salt Soup Vomiting-Stimulating Formula (yan tang tan tu fang), and is more suitable for the treatment of phlegm and food accumulation and obstruction with pĭ and oppression in the chest and diaphragm Both have the effect of inducing vomiting of phlegm-drool, and can be used for the treatment of exuberance and accumulation of phlegm-drool

Its effect of inducing vomit is weaker and opening the orifices (resuscitating) is stronger than that of Ginseng Rhizome Beverage (shen lu yin). It also has the effect of thinning drool, and is more suitable for the treatment of wind-strike block and throat bì (pharyngitis) with exuberance and accumulation of phlegm-drool, and qi block or qi obstruction Its medicinal nature is moderate. It not only can induce vomiting of phlegm-drool but also can reinforce healthy qi, and gives consideration to both healthy qi and pathogenic qi, and is more suitable for the treatment of exuberance and accumulation of phlegm-drool in the weak patients