On Angelica Fritillaria Radix Sophorae Flavescent

• Post By: 汉青
• Date: 2018-06-12
• Category: Clinical Reflections

Yesterday, my brother Zhao Shi told me that the use of Chaihu Guizhi Ginger Soup and Danggui Beimu Kushen Pills in the treatment of various sterile frequent urinary emergencies was effective, so I quickly checked.

The Chinese angelica bei mu kushen pills are from the “Golden Essentials”, and the original description is:
The main pregnancy is difficult to urinate and the diet is as usual.
Composition: angelica 4 taels, shellfish 4 taels, and sophora flavescens 4 taels
The upper shamikran is fine powder, and the refined honey is pills, such as adzuki beans.Take 3 pills each, and drink rice.Gradually increase to 10 pills.

Doctors of all ages did not seem to attach great importance to this party, nor did they use it much. Many commentators could not understand the principle of this party at all, and the note was inexplicable. Even more, they thought that it was wrong and that it should be difficult to stool, not to urinate.
I have consulted some modern literature, and it is indeed useful for treating constipation, and the effect is good, but there are also many doctors who use him to treat various urinary difficulties, such as urinary tract synthesis, urinary tract infection, female urinary retention, etc., and also to treat male and male urgency, such as prostatitis, especially chronic prostatitis, prostatic hyperplasia and other diseases.
Combining the above experience, I found it difficult to explore the composition principle of this formula. With the current knowledge, it is difficult to see why Zhongjing will combine these three medicines together. It is indeed difficult to imagine.
However, this does not hinder our clinical application. I studied it for a while. Combined with the recent case of Shitong brother, it should be possible to use this method if the following conditions are met:
1. No obvious deficiency cold syndrome, no obvious cold image
2. Frequent urination, urgency, even painful urination, bloody urination
3. Disease differentiation and treatment, with urinary urgency, and western medicine diagnosis of prostate disease, cardiovascular disease, tumor and other diseases
4. Chronic constipation

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昨日赵世同兄告诉我，用柴胡桂枝干姜汤合当归贝母苦参丸治疗各种无菌性尿频尿急疗效显著，我赶紧查了一下。

当归贝母苦参丸  出自  《金匮要略》，原文描述是：

主妊娠小便难，饮食如故。

组成为：当归4两，贝母4两，苦参4两。

上三味研为细末，炼蜜为丸，如小豆大。每服3丸，米饮下。渐加至10丸。

历代医家对此方好像不是很重视，使用的也不多，许多注家完全不能理解此方的原理，注的是莫名其妙，更有甚者认为原为是错误的，认为应该是大便难，而不是小便难。

我查阅了一些现代文献，确实有用来治疗便秘的，效果不错，但也有许多医家拿他来治疗各种小便难，例如尿道综合中，尿路感染，女性尿潴留等等，也有拿来治疗男性男频尿急的，比如前列腺炎，尤其是慢性前列腺炎，前列腺增生等疾病。

综合以上的各家经验，我发现还是很难去探讨这个方子的组成原理的，用现在的知识很难看出来仲景为什么会将这三味药组合到一起，确实难以想象。

但是，这并不妨碍我们的临床运用，我研究了了一下，结合世同兄近期的验案，符合下列情况的应该可以使用此方：

1、无明显的虚寒证，无明显的寒像

2、有尿频、尿急、甚至尿痛、尿血

3、辨病治疗，具有尿频尿急， 并且西医诊断具有前列腺疾病、心血管病、肿瘤等等疾病的情况

4、长期慢性便秘