Talk about diuretic and detumescence drugs, how to apply them?

Wet has the same name as water. In human body, kidney controls water, spleen controls water and lung regulates water. Spleen deficiency and dampness, kidney deficiency and watery, lung failure and fluid failure. Therefore, water and dampness are closely related to the above three diseases, and the treatment of dampness should be closely related to all viscera. The predecessors said that "treating dampness is not good for water, but bad for it", referring to the effect of a certain kind of dampness-removing drugs on water and edema elimination. It is often called diuretics and detumescence drugs for symptoms such as water swelling and dysuria caused by dampness. Let's see what practical dampness-removing drugs you know.

Poria cocos-diuresis and detumescence, eliminating dampness and strengthening the spleen, calming the heart and calming the nerves.

Poria cocos tastes sweet, light and flat; Meridian of heart, lung, spleen and kidney. This product is good at eliminating dampness, promoting diuresis, promoting diuresis, invigorating spleen, promoting diuresis, calming the heart and tranquilizing the mind, promoting diuresis and benefiting qi. Stop drinking with wet water, which is suitable for those with cold and heat or spleen deficiency, especially for those with spleen edema or excessive dampness.

Clinically, it is mainly used for edema, dysuria, excessive phlegm, diarrhea due to spleen deficiency, palpitation and insomnia, etc. It is also suitable for heart failure, hypertensive heart disease, chronic pulmonary heart disease and insomnia, as well as nephrotic syndrome, chronic renal failure, acute glomerulonephritis and chronic diarrhea.

Use it with caution for those with yin deficiency but not damp-heat, those with deficiency cold and fine slippery, and those with qi deficiency and subsidence.

Clinically, drugs are often used like this:

Poria cocos with Alisma orientalis, Polyporus, Atractylodis Rhizoma, Ramulus Cinnamomi, etc. For example, Wuling Powder in Treatise on Febrile Diseases is good at treating edema and dysuria caused by internal stagnation of damp evil;

Poria combined with aconite and ginger, such as Zhenwu decoction, is used to treat edema due to yang deficiency of spleen and kidney;

Poria cocos with talc, donkey-hide gelatin and Alisma orientalis. , such as Zhu Ling soup, is used to control water and heat, and urination due to yin deficiency is not conducive to edema;

Poria cocos with Radix Astragali, Radix Angelicae Sinensis, Radix Polygalae, etc. For example, Guipi decoction can treat palpitation, insomnia and amnesia due to deficiency of both heart and spleen and deficiency of qi and blood;

Poria cocos with yam, atractylodes macrocephala, coix seed, etc. For example, Shen Ling Baizhu Powder is good at treating diarrhea caused by spleen deficiency and dampness.

Coix seed-diuretic, dampness-eliminating, spleen-invigorating, diarrhea-relieving, joint pain, pus-expelling, detoxification and stagnation-eliminating.

Coix seed is sweet, light and cool; Spleen, stomach and lung meridians; This product is a dried and mature seed kernel of Coix lachryma-jobi, a Gramineae plant, which is also common in daily diet. We all know that it has good dehumidification effect, but how to use it? Coix seed is used to clear damp heat, remove arthralgia and expel pus, and fried to strengthen spleen and stop diarrhea; The main symptoms of treatment are dysuria, edema and beriberi swelling and pain; Spleen deficiency diarrhea; Wet fever is caused by qi; Lung abscess, intestinal abscess; Damp arthralgia and tendon contracture; Warts, cancer, etc.

Pregnant women should use this product with caution. In the application of daily diet, we should pay attention not to add alkali to cook together, which is easy to destroy the vitamins it contains.

How to apply it in compatibility? The following are some examples of Chinese patent medicines:

Simiao pill-clearing heat and promoting diuresis. The prescription consists of Rhizoma Atractylodis, Cortex Phellodendri, Achyranthis Radix and Coicis Semen. It can be used for the treatment of joint pain caused by downward flow of damp heat, which is characterized by redness and swelling of feet and knees, and pain of bones and muscles.

Shen Ling Atractylodes macrocephala powder-invigorating spleen and stomach, benefiting lung qi. The prescription consists of Ginseng Radix, Poria, Atractylodis Rhizoma (parched), Coicis Semen (parched), Rhizoma Dioscoreae, Semen Lablab Album (parched), Semen Nelumbinis, Radix Platycodi, Fructus Amomi and Glycyrrhrizae Radix. It can be used for treating spleen and stomach weakness, anorexia, loose stool, shortness of breath, cough, and weakness of limbs.

Qianlieshu pill-strengthening body resistance, tonifying kidney and diuresis. The prescription consists of Radix Rehmanniae Preparata, Coicis Semen, Alismatis Rhizoma, Poria, Cornus officinalis, Rhizoma Dioscoreae, Semen Benincasae, Cortex Moutan, Radix Aconiti Lateralis Preparata, Herba Epimedii, Rhizoma Atractylodis, Semen Persicae, Ramulus Cinnamomi, Semen Allii Tuberosi and Glycyrrhrizae Radix. It can be used for treating stranguria, chronic prostatitis, prostatic hyperplasia, frequent micturition, urgent micturition and polyuria caused by kidney deficiency.

Feng Tong An Capsule-clearing away heat and promoting diuresis, promoting blood circulation and dredging collaterals. The prescription consists of Radix Stephaniae Tetrandrae, medulla Tetrapanacis Tetrapanacis, Curcuma Rhizome, Ramulus Cinnamomi, Coicis Semen, Gypsum Fibrosum, Cortex Phellodendri, Fructus Chaenomelis, Cortex Erythrinae, Caulis Lonicerae, Talcum Powder and Fructus Forsythiae. It can be used for the treatment of arthralgia and rheumatoid arthritis caused by damp-heat obstruction of collaterals, which can be seen as joint swelling, heat pain and muscle soreness.

Alisma orientale-diuresis, diuresis, heat clearing, turbidity lowering and lipid lowering.

Alisma orientalis tastes sweet, light and cold; Return to kidney and bladder meridian; This product is effective for damp-heat syndrome of lower energizer, phlegm-retention, and fire-retention, because it is beneficial to diuresis, edema, turbid stranguria, watery diarrhea, oliguria, dizziness due to phlegm-retention, heat stagnation and pain, and hyperlipidemia.

Alisma orientalis is prohibited for those with nocturnal emission due to kidney deficiency and no damp heat; It should not be used with iron-rich foods such as laver, kelp, egg yolk, spinach and celery. It should not be combined with antihypertensive drugs, hypoglycemic drugs, potassium-preserving diuretics such as spironolactone and triamterene. If you are taking the above drugs or other drugs, please be sure to tell your doctor.

What are the common clinical compatibility applications?

Alisma orientalis and Atractylodes macrocephala: Alisma orientalis can promote diuresis and reduce turbid yin, while Atractylodes macrocephala can strengthen the spleen and promote diuresis, which can be used to treat dysuria, edema and diarrhea, leukorrhagia caused by spleen deficiency and dampness resistance. "synopsis of the golden chamber" puts forward "Rhizoma alismatis and Rhizoma atractylodis macrocephalae. There is wine under the heart, and people are dizzy; Also control water and stop diarrhea. " Give an example of Chinese patent medicine:

Xuanyunning tablet-invigorating spleen and promoting diuresis, nourishing kidney and calming liver. The prescription consists of Alisma orientalis, Atractylodis Rhizoma, Poria, Ligustrum lucidum, Pericarpium Citri Tangerinae, Ecliptae Herba, Rhizoma Pinelliae Preparata, Flos Chrysanthemi, Achyranthis Radix and Glycyrrhrizae Radix. Used for dizziness caused by phlegm-dampness blocking collaterals and deficiency of liver and kidney. Note: pregnant women are prohibited; Exogenous diseases and diabetes are prohibited.

Alisma orientalis Hemutong: It can enhance the power of diuresis and dampness, and can be used for heat stranguria, blood stranguria, stranguria, short and red urine, edema, jaundice, etc.

Alisma orientalis and Cortex Moutan: Treating liver and kidney at the same time can relieve deficiency fire, and is suitable for dizziness due to deficiency fire and hot flashes due to bone steaming.

Summary of similar drugs, one table is clear: Poria cocos VS Alisma orientalis

Plantain seed-diuretic, diuretic, antidiarrheal, eyesight improving, lung-clearing and phlegm-resolving.

Plantain seeds are sweet, light and slightly cold; Return to lung, kidney and liver meridian; This product has diuretic, heat clearing, stranguria relieving, laxative and antidiarrheal effects, and can be used to treat damp-heat in lower energizer, damp-heat edema and diarrhea due to summer-heat. Enter the liver meridian to clear the liver and improve eyesight, and treat liver heat and red eyes; Entering the lung, clearing away lung heat and resolving phlegm can relieve cough and treat phlegm-heat cough. It is widely used in damp-heat stranguria, liver heat and phlegm heat.

It should be noted that semen plantaginis is forbidden for those who have nocturnal emission due to yang deficiency and have no damp-heat connotation; Avoid spicy food during taking medicine, eat more onions, garlic peppers or fried spicy products, and quit smoking and drinking.

See the clinical application and compatibility of Semen Plantaginis;

Semen Plantaginis combined with Herba Plantaginis or bamboo leaves to treat mild damp-heat stranguria with white turbidity;

Semen Plantaginis, Akebia Akebia, Talcum, Fructus Gardeniae, and Radix et Rhizoma Rhei can clear away heat and fire, induce diuresis and treat stranguria, and can be used to treat severe damp-heat, which is not conducive to red fever in urine, frequent micturition and dysuria, or even intravenous drip.

Plantain seeds with chrysanthemum, concha Haliotidis, gentian, etc. , can clear liver and improve eyesight, treat liver heat, redness, swelling and pain; For example, blurred vision caused by yin deficiency of liver and kidney can be combined with Radix Rehmanniae Preparata and Semen Persicae.

Semen Plantaginis combined with Atractylodis Macrocephalae, Poria, Alisma orientalis, and pericarpium Benincasae to invigorate spleen, induce diuresis and reduce swelling, and can be used for treating edema and dysuria caused by spleen failure to make water. For chronic kidney deficiency and swelling of waist and feet, it can be used with Achyranthes bidentata, Radix Rehmanniae Preparata, Cornus officinalis and Cinnamomum cassia.

Some examples of related Chinese patent medicines:

Bazheng mixture-Qingre Diuretic Tonglin. The prescription consists of Herba Dianthi, Semen Plantaginis (parched), Herba Polygoni Avicularis, Radix Clematidis, Fructus Gardeniae, Radix et Rhizoma Rhei, Talcum, Juncus Junci and Radix Glycyrrhizae. Indications: Damp-heat betting, short and red urine, astringent and painful stranguria, dry mouth and throat.

Wuzi yanzong pill-tonifying kidney and replenishing essence. The prescription consists of Fructus Lycii, Semen Cuscutae (parched), Ruby, Fructus Schisandrae Chinensis (steamed) and Semen Plantaginis (parched with salt). Can be used for treating impotence, infertility, nocturnal emission, premature ejaculation, lumbago and dysuria caused by kidney deficiency and essence deficiency.

Jisheng Shenqi Pill —— Warming kidney, transforming qi, promoting diuresis and reducing swelling. The prescription consists of Radix Rehmanniae Preparata, Cornus officinalis (processed), Cortex Moutan, Rhizoma Dioscoreae, Poria, Alismatis Rhizoma, Cortex Cinnamomi, Radix Aconiti Lateralis Preparata (processed), Achyranthis Radix and Semen Plantaginis. Indications: kidney deficiency and edema, dysuria, soreness of waist and knees, cough and asthma caused by insufficient kidney yang and excessive water dampness.

Fushenning tablets-clearing away dampness and heat, benefiting kidney and removing blood stasis. The prescription consists of Semen Plantaginis, Rhizoma Anemarrhenae (salt), Herba Polygoni Avicularis, Herba Leonuri, Radix et Rhizoma Rhei (processed), Cortex Moutan, Radix Glycyrrhizae, Fructus Gardeniae, Cortex Phellodendri (salt) and Radix Aconiti Lateralis Preparata (fried). Indications: Acute and chronic urinary tract infection, acute and chronic cystitis and acute and chronic pyelonephritis caused by downward flow of damp heat, with symptoms such as frequent micturition, dysuria, urgent micturition and low back pain.

These are the representatives of diuretic and detumescence drugs that Yue Liang said to share today. These drugs are sweet, light or slightly cold, and are often combined with qi-invigorating and spleen-strengthening drugs to treat edema caused by spleen deficiency and weak dampness and transport. Combined with herbs for warming and tonifying kidney yang, it can treat edema caused by deficiency of kidney yang and excess of water and dampness. Clinical application needs to select drugs for targeted compatibility according to different diseases and syndromes. Damp-removing drugs, diuretics and osmotic drugs are easy to damage vaginal fluid, and should be used with caution for those with yin deficiency and body fluid deficiency and nocturnal emission due to kidney deficiency. Please use medicine dialectically under the guidance of a professional doctor.