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                                                                                                                                광고
        April 1, 2020  Vol. 13  Hani Times                                                                     Herbal Medicine

            The Dynamics of Shang Han Lun ⑪ Particulars-Part 1

               Commentary on Banxia Xie Xin Decoction and



                       Hypertonicity of the Abdominal Muscles






        By Jubong Kang, K.M.D.



        Commentary on Banxia Xie
        Xin Decoction                                                                                                            Headache
        Sign symptom of Banxia Xie Xin
        Decoction is ‘hard glomus below the                                   Hard
        heart’. Sometimes other symptoms                                    glomus
        come with ‘hard glomus below the                                   below the
        heart’, such as retching, diarrhea,                                  heart
                                                                                           Hypertonicity
        vexation, nausea, or anxiety. When                                                 and rumbling
        ‘hard glomus below the heart’ is                                                      sounds
        confirmed by palpation, then this                                                  appear more                           Rumbling
        formula can treat other symptoms   Rumbling                                         severely on                           sounds
                                       sounds
        of this sickness.                                                                  the right side
        These symptoms can be
        differentiated in terms of disease   △ Abdominal Diagnosis of Banxia Xie Xin Decoction. image  △ Abdominal Diagnosis of Guizhi Decoction. imageⓒBy Ju-
                                   ⓒBy Jubong Kang.                                       bong Kang.
        such as: gastritis, gastric ulcer,
        esophagitis, stomatitis, diarrhea,  the stomach. Gangiang has property  abdomen then Huanglian Huangjin  pulse is tight and floating and there  counterflow to the chest fullness;
        duodenitis, duodenal ulcer, and  of pungent and hot and it stimulates  Xie Xin Decoction(Composed of  is heat effusion and sweating is  But the functions of Shaoyao
        can be treated by Banxia Xie Xin  the organs of medium burner.  Huangglian, Huangjin) shoud  absent, it cannot be given. One  belongs to yin property which is
        Decoction, when ‘hard glomus  Banxia and shengijiang disperse  be given.          needs always to be aware of this,  less mobile. Therefore it is easier to
        below the heart’ is felt by palpation.  water and restore the intestines  And if these two symptoms above  so as not to cause error (ibid. Line  look for abdominal hypertonicity
        Ingredients of this decoction  digestive function.     are combined then will treat it.  16B, p.75 PPV)      through Shayao.
        are Banxia, Renshen, Huangjin,  Huangjin and Huanglian make the  Because Banxia Xie Xin Decoction            In other words, hypertonicity is
        Huangkian, Gancao, Ganjiang  heart and brain less active bitter  is made out of Huanglian Huangjin  Commentary  not only sigh symptom of Shaoyao
        and Dazao. Especially Banxia and  taste and cold property, thus keeping  Xie Xin Decoction and Li Zhong  The underline sentence, Guizhi  but also sign symptom of Guizhi
        Ganjiang, these herbs disperse  the stomach from overheating.  Decoction.         Decoction is basically resolving  Decoction and this sign symptom-
        stagnated water in the stomach and  Their other function is to directly           the flesh, means that Guizhi  hypertonicity is important to decide
        intense. Huangjin and Huanglian  clear heat and drain the fire of the  <2> Hypertonicity of the  Decoction has efficacy to treat  whether one of Guizhi family
        cure the inflammation of the  digestive organs. Functioning like  Abdominal Muscles (腹直筋攣急)  flesh pain, which can be treated  decoction is adequate or not for
        stomach, the duodenum or the  an anti-inflammatory agent to clear  Herbs: Shaoyao (芍藥)  by the functions of warming and  a patient.
        intestines.                 the fire in the stomach.   Ex. Formulas: Shaoyaogancao  relaxation of Guizhi Decoction.  In Practice when we diagnose a
        Here, phlegm is water and  If a patient has a ‘hard glomus below  Decoction (芍薬甘草湯), Guizhi  Warming efficiency comes from  patient who has sign symptoms
        inflammation is fire. Water and fire  the heart’ with rumbling sound, a  Decoction (桂枝湯)  Guizhi, relaxing efficiency comes  of Guizhi Decoction, abdominal
        cannot be associated harmoniously  pale and not reddish complexion,               from Shaoyao with the assistance  hypertonicity predominates on the
        in the region below the heart. Water  cold hands and feet, weak and slow  Sentence (1)  of other herbs in Guizhi Decoction.  right side of the abdomen rather
        became phlegm in the stomach and  pulse, and weak or no elasticity of  If a counterflow patient recovers  In practice, when we meet a patient  than on the left side of it.
        fire became inflammation of the  abnominal muscles, then Li Zhong  and the feet become warm, one  whose illness could be recovered by  Because in the intestines, the gas
        inner wall of the stomach.  Decoction(Composed of Renshen,  can use Shaoyaogancao Decoction  Guizhi Decoction, sign symptom of  and water is stagnated at the right
        Banxia is like mild Mahuang which  Baizhu, Ganjiang, Ganchao) has to  and then the feet will then be able  Shaoyao is generally clear; therefore  side below the umbilicus where
        expands the bronchi mildly to  be given.               to stretch (『San Han Lun』 Line  abdominal hypertonicity is used as a  the large intestine and the small
        increase the volume of the air being  If a patient has a sign symptom –  29, p. 187, PPV).  sign symptom of Guizhi Decoction.  intestine both meet.
        absorbed into the lungs, so as to  ‘hard glomus below the heart’ –                The functions of Guizhi belongs to  A more detailed interpretation
        increase oxygen combustion, which  with reddish complexion, moderate  Sentence (2)  yang property which is more mobile  on Guizhi Decoction is written in
        then supplies much more heat to  pulse, elastic abdominal muscles  Guizhi Decoction is basically for  and sign synptoms of Guizhi which  next edition. (→ Continued
        help disperse water, i.e., phlegm in  and no runbling sound in the  resolving the flesh, if the person’s  are headache, scant urination or  in next issue)


                  한의마트
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