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| Analysis of “removing ephedra and adding aconite for dysphagia” in Xiao Qing Long Tang of Treatise on Cold Damage Diseases |
| Hits 373 Download times 188 Received:March 31, 2025 |
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| DOI
10.11656/j.issn.1673-9043.2025.07.03 |
| Key Words
Treatise on Cold Damage Diseases;Xiao Qing Long Tang;dysphagia;ephedra;aconite |
| Author Name | Affiliation | E-mail | | WU Suguo | Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | YANG Xiangjun | Fengde Caotang Chinese Medicine Clinic, Dingxi 743300, China | | | SHA Mingrong | School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | LIU Junjian | Tianjin Integrated Traditional Chinese and Western Medicine Hospital, Tianjin 300100, China | | | YUAN Hongxia | School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | yhx1877@163.com |
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| Abstract
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| Footnote 40 of Treatise on Cold Damage Diseases states “for dysphagia，remove ephedra（Mahuang） and add one piece of prepared aconite（Fuzi）”. While CHENG Wuji and LYU Zhenming explained this modification through pharmacological properties，they failed to clarify the medical rationale. Contrarily，CHEN Xiuyuan argued that ephedra’s diuretic effect should be preserved. Through interdisciplinary analysis of Yi Jing，Shennong’s Classic of Materia Medica，Huangdi Neijing，and Treatise on Cold Damage Diseases，the study reveals that dysphagia results from yang deficiency of stomach/kidney with water-qi rebellion. Without exterior syndrome，removing ephedra prevents fluid consumption，while adding aconite with paeonia（Shaoyao） mirrors Zhenwu Tang’s mechanism for warming yang and resolving water retention. ZHANG Zhongjing’s modification highlights the pathophysiological connection between dysphagia and visceral yang deficiency，demonstrating his characteristic prescription strategy. |
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