The clinical difference between ginger and dried ginger-生姜与干姜的临床区别

Ginger is well known in our lives. It is not only a food, but also an important medicine. I mistakenly used dried ginger as ginger in clinical practice, and I personally experienced the difference in the efficacy of the two in drinking warm water.

The patient, a 53-year-old female with asthma and cough, went to the doctor for 1 year. The patient had a cough with no obvious cause a year ago. The condition was mild and severe with medication. In the past month, the cough has worsened, chest tightness, shortness of breath, asthma at night affecting sleep, and asthma attacks. I sometimes cough a lot of thin white foamy sputum, neutralize the mouth, fear cold, fear cold on the chest and back, have normal stool, drink less urine and drink a little bit astringent pain, fat tongue, large fur and white teeth marks. Differentiating the six meridians is the syndrome of Taiyin and Taiyin, and the syndrome is Xiaoqinglong Decoction.

At the second visit 5 days later, he was informed that the cough was relieved and the amount of sputum decreased slightly after taking the upper part. When I looked at the record of the last visit, I found that the dry ginger in Xiaoqinglong Decoction was written as ginger by mistake, so I changed it. The patients of the third consultation reported that the effect was very good this time, the sputum volume was significantly reduced, and the cough was also relieved.

“Shen Nong’s Materia Medica” does not record ginger, only the dried ginger is born in Youliang, ginger “Famous Doctors”: [Ginger] tastes pungent. Lukewarm. Indications of typhoid fever, headache and nasal congestion. Cough up breath. Stop vomiting. Sheng Qianwei and Jingzhou Yangzhou. Picked in September. It was warm again. Xin. Go to Five Zang. Go light. Get angry. Stop vomiting. In addition to wind and heat. Jiufu Xiaozhi Shaozhi. Sad.

Dried ginger “Shen Nong’s Materia Medica”: [Dried ginger] is pungent. temperature. Indications full of chest. Cough up breath. Wenzhong. Stop bleeding. Sweating. By rheumatism. Intestinal diarrhea. The survivor Youliang. Take a long time to get rid of the odor. Divine. Sheng Qian is Chuan Gu.

“Famous Doctors”: [Dried Ginger] is hot. Non-toxic. Indications of cold abdominal pain. Evil. cholera. Fullness. Wind evil all poisons. Gas between the skin. Stop saliva.

Reading books or listening to teachers often talk about dry ginger Wenzhong Huayin, ginger sweats stomach to relieve vomiting, clinical use is based on the composition of the original prescription and the teacher’s experience to learn to apply, I did not really appreciate the difference of the drug.

Although these two medicines are used to treat wet phlegm and drinking water, dry ginger is mainly used for warming thin water, such as Xiaoqinglong Decoction, Linggan Wuwei Jiangxin Decoction, Ganjiang Lingshu Decoction, etc. Xiaoqinglong Decoction treats white phlegm cough Foamy and thin sputum, these symptoms are caused by drinking, drinking evil is relatively thin, fluid and diffusive, people’s symptoms are severe, or the secretion is thin.

Ginger is mainly used to reduce the thick phlegm, such as Xiaobanxia Decoction, Banxia Houpu Decoction, etc., Banxia Houpu Decoction treats chest tightness. Phlegm in the pharynx, sticky phlegm, or foreign body sensation in the pharynx, this is the texture is relatively heavy Muddy viscous or invisible sputum.

Author: Zheng Jun

Unit: Weihai Third Hospital