Dr.Wu invented Rong Shi Tang (Wei Ling Xian 45g, Xia Ku Cao 30g, Hai Jin Sha 15g, Shwei 20g, Bian Xu 15g, Shengjineijin powder 10g, Niu Xi 15g, Zhiqiao 10g). Weilingxian is the most important herb in this prescription, its function of breaking stasis makes it to become main herb. According to modern pharmacological research, Weilingxian has the function of relieving smooth muscle hyperkinesia, promote the activity of urinary tube, bile duct, intestine.
Dr.Wu believes although urinary system stone is caused by damp-heat stasis in lower-jiao and the case history is either long or short, the patient's physical condition is totally different, the pathological mechanism is deficiency combined with excess, so the treatment method should be elimination and reinforcement in combination. Therefore, for the patient who has prolonged un-healing illness and with the syndromes of impairment of yin and dysfunction of collaterals by damp-heat, we add Bie Jia in the main prescription in order to nourish yin and break stasis, add Gouqi, Han Lian Cao, Nu Zhen Zi to noursh yin and strengthen the kidney, cool the blood and stop bleeding. For prolonged illness with kidney-yang deficiency, water metabolizing obstruction, dysfunction of qi transformation, we should excrete lithiasis and warm the kidney and strengthen kidney yang in order to treat disease from the "root", add Lujiaoshuang, Ba Ji Tian, Tu Si Zi, Xianlingpi in the main prescription to warm-tonify kidney yang, nourish the fire of the water in the purpose of invigorating kidney qi and enhancing the dissolving eliminating function of stone. For urinary system stone with ceaseless pain, Dr.Wu thinks that stone belongs to substance with configuration, in the early period, since dysfunction of qi transformation and disorder of communication discharging, qi stagnation causes obstruction, prolonged obstruction aggravates qi stagnation making the situation worse. We should use qi-blood regulation as leading method, we recommend Bai He Wu Yao Tang as the first qi regulation prescription, this prescription takes the function of reinforcing qi and moistening lung of Baihe to increase the force of dredging and regulating water passage, Wuyao to dissolve qi in bladder in order to move qi, relieve distention and stop pain, the combination of these two herbs double the effect of qi regulation and pain stopping, it has the function of promotion of eliminating stone. If the patient has the syndrome of bloody urine, Hu Po powder should be dissolved into the water and taken, Dr. Wu always said that Hupo can "dispersing blood stagnation, unblocking Five stranguria", take reference from the ancients to use only Hupo power treating bloody urine and received speedy excellent effect in clinic. For the patient with good physical condition and the kidney stone could not be moved for long term, Dr.Wu often adds baking Chuan Shan Jia, Zaoci to break stone; if the kidney stone is difficult to be stopped, we can add Hetaoren to dissolve stone; if with urethral astringent pain, we may add Pu Gong Ying, Shengdiyu, Wanduhu, Banzhilian to strengthen the function of clearing heat, detoxifcation, excreting water and treating stranguria. Dr.Wu always combines Rong Shi Tang with hers with function of promoting blood circulation by removing stasis during the treatment of urinary system stone, it can improve the stone eliminating rate by clinic validation.
Key Words: experience of recipe, urinary system stone
Writer: Chen Qing Tong
Fujian Province Putian County Hospital (351100)
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