“Blood deficiency” and “anemia” are not only somewhat similar in terms of meaning, but also in clinical manifestations and treatment methods Therefore, some people often treat blood deficiency and anemia as the same disease syndrome, which often leads to adverse medical consequences.
If some people think that Siwu Decoction is to nourish blood, they should first consider using Siwu Decoction for treatment when they encounter anemia; , Pale skin, lip nails, dizziness, fatigue, palpitations, pale tongue, thin pulse and other symptoms of chronic anemia. In this way, it is natural to use Siwu Decoction, which nourishes blood and nourishes blood, to treat anemia.
Actually, blood deficiency and anemia are two completely different concepts in Chinese and Western medicine, and must not be confused. In traditional Chinese medicine, blood deficiency refers to a pathological phenomenon in which the deficiency of yin and blood in the body cannot nourish the viscera, muscles and meridians. Specifically, there are differences in heart-blood deficiency, liver-blood deficiency, and heart-spleen-blood deficiency. Symptoms of heart blood deficiency are mostly palpitations, palpitations, forgetfulness, insomnia, and thin pulse; symptoms of liver blood deficiency are mostly dizziness, vertigo, astringent eyes, numbness in hands and feet, limb spasms, dry skin, irregular menstruation, amenorrhea or menstruation The obvious symptoms of heart and spleen blood deficiency are palpitations, mental fatigue, lack of appetite, fatigue, and irregular menstruation, metrorrhagia and bleeding.
Traditional Chinese medicine for the treatment of the above-mentioned diseases, in addition to phlegm, fire, water and qi, mainly adopts blood to nourish the heart, nourish the blood and soften the liver, strengthen the spleen and generate blood. and other methods. The blood deficiency mentioned here, except for those with partial anemia due to deficiency of both the heart and spleen, pure heart blood deficiency or liver blood deficiency rarely has anemia.
Anemia in modern medicine refers to a pathological state in which the ratio of red blood cells, hemoglobin or red blood cells per unit volume of blood is lower than the normal value. In TCM syndrome differentiation, in addition to the symptoms of blood deficiency, anemia patients mainly include fatigue and fatigue, shortness of breath, pale complexion, chills, cold limbs, edema, pale tongue, and pulse deficiency. It can also be said that blood deficiency is due to the depletion of yin and blood, and anemia is due to the deficiency of qi and yang.
From the point of view of the function of nourishing blood and nourishing blood of Siwu Decoction, its main indications are for the deficiency of Chong-ren, menstrual irregularity caused by deficiency of liver-kidney yin-blood. It is actually used to treat blood deficiency and is not suitable for the treatment of anemia. Although the performance of Siwu Decoction is static and dynamic, it is ultimately a product that overcomes yin and greasy stagnation. It is not only useless to treat anemia patients, but it will cause symptoms such as lack of appetite, loose stools, mental fatigue and fatigue. As a result, there is no yang to grow, no yin to grow, and the more blood is replenished, the poorer the blood becomes.
For example, Yangxuexin Decoction (“Shou Shi Bao Yuan”), which is used to treat insufficiency of heart and blood, forgetfulness and insomnia (Rehmannia glutinosa, Angelica sinensis, Shaoyao, Chuanxiong, Scutellaria baicalensis, Coptis chinensis, Gardenia, Suanjujube) Ren, Yuanzhi, Ophiopogon japonicus, licorice);
Siwu Anshen Decoction (“The Rhinoceros Candle of Miscellaneous Diseases”) for the treatment of insufficiency of blood flow and palpitations , Rehmannia glutinosa, ginseng, Atractylodes, Fushen, Suanzaoren, Fried Coptidis, Fried Baiziren, Ophiopogon japonicus, Bamboo Ru, Jujube, Black Plum, Cinnabar);
Treatment Blood deficiency, five upsets and heat, clear in the day, and fever in the night (“Zhengzhizhun” Shengdihuang, Fried Baishao, Chuanxiong, Angelica, Fried Huanglian, Hu Huanglian);
Modified Siwu Decoction with blood deficiency and liver stagnation and irregular menstruation (“Fu Qingzhu Nuke” Shudihuang, Baishao, Angelica, Chuanxiong, Atractylodes, Cortex Moutan, Corydalis Radix, Bupleurum, Licorice);
Xiongguijiao Ai Decoction (“Dry Rehmannia”, Shaoyao, Angelica, Chuanxiong, Ejiao, Mugwort, Licorice, etc.
If it is believed that blood deficiency is the same as anemia, using such prescriptions for the treatment of anemia will only be harmful rather than beneficial, and will not receive good therapeutic effects. Chinese medicine believes that the cause of anemia is “without yang, there is no yin and no life”. Visible blood is born from invisible air. Therefore, the treatment of chronic anemia needs to use the method of “boosting yang and yin, nourishing qi and generating blood”. Even if there is acute blood loss, it must follow the principle of “tangible blood cannot grow quickly, and invisible qi should be urgently consolidated”. The method of removing, nourishing qi and generating blood”.
If anemia manifests as deficiency of both qi and blood, Shengyu Decoction or Bazhen Decoction should be used; if yin and yang deficiency is obvious, Ginseng Yangrong Decoction or Shiquanda should be used Replenishing decoction; Guipi decoction should be used for those with palpitations, insomnia, lack of food, and loose stools; severe anemia often leads to deficiency of kidney-yang, and methods of replenishing yang and yin, filling essence and improving marrow, and transforming essence and blood must be used. To achieve a certain effect, commonly used prescriptions such as Dioscorea Pills, Yougui Pills and the like.
In short, blood deficiency is simply deficiency of yin and blood; anemia is deficiency of both yin and yang of qi and blood. Anemia can contain blood deficiency, but blood deficiency is not necessarily anemia, and the two should not be confused.
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