Why talk about the vain labor disease in "The Essentials of Gold" alone? Because we are characterized by the unity and harmony of form, qi and God. "Typhoid Fever" is mainly about gasification, so does Zhang Zhongjing not talk about form and god? Form and God in fact, he also talks, for example, "God is mentioned in "Jin Kuang Essentials • Lily Fox Confused Yin and Yang Poison Disease Evidence and Treatment Third", and other chapters also talk about form, the most classic of which is the disease of false labor. The content of the "Outline of Jin Kuang" on false labor can be divided into three parts: the first part is about taiyin and weak labor, and the representative side is guizhi plus keel oyster soup and Xiaojian Zhong soup; The second part talks about less yin and weak labor, and the representative parties are kidney qi pills, potato dioscillary pills and sour jujube kernel soup; The third part talks about Yin Void Labor, and the representative party is Rhubarb Pill.
First, too yin and hard work
In the "Essentials of Jin Kuang", it is said that "sperm loss family has little belly chords", "men lose sperm, women dream sex", dream sperm loss and other false labor evidence, with laurel branches and keel oyster soup to treat. If there is a deficiency, buoyancy, and sweating again, go to Gui Jia Baiwei and aconite, called Erjialong Oyster Soup. Because there is also less negative evidence, I went to Gui Zhi to add aconite, and I sweated and added Bai Wei.
The guizhi soup recipe for the treatment of fatigue and disease, and another is Tianxiongsan. The "Outline of Jin Kuang" does not talk about its indications for use, and Fang later notes that "men are flat, weak and subtle, and good night sweats", which is the same mechanism as the treatment of deficiency and hot sweat with Erjialong oyster soup. Tianxiong Shan is and Erjialong Oyster Soup is used for classification identification, because acquired damage and congenital damage, once the disease spreads less Yin, when there is a situation of oligoyin disease, you need to add aconite or Tianxiong, you can use Tianxiong San, you can also use Erjialong Oyster Soup.
The deficiency disease treated by Xiao Jianzhong Tang is often accompanied by dizziness, sore limbs, and hot hands and feet. Its addition and subtraction include Astragalus Jianzhong Soup, Angelica Jianzhong Soup, and Guiqi Jianzhong Soup, and you can also add ginseng; If accompanied by obvious oligonegative evidence, aconite can also be added; Women use angelica Jianzhong soup after giving birth, and add dihuang and A Zheng with a lot of bleeding, if there is no angelica, Chuanxiong can be used.
Second, less yin and vain work
"Outline of Jin Kuang" says: "Weak labor and low back pain, less abdominal anxiety, unfavorable urine, eight flavor kidney qi pill master", in which the low back pain can be set in Yangguan acupoint, which is the unique evidence of using aconite. When we talked about the less yin disease, we talked about the difference between less yin and cold evidence that there is no gasification and damage to the shape. Among them, the gasification is not able to drink the Zhenwu soup certificate, and the one who does not drink is the four-reverse soup certificate. If the shape is damaged and the kidney essence is injured, use eight flavor kidney qi pills; If it is a tumor, stone or other tangible evil, use Quercus wheat pills. The difference between Yami Kidney Qi Pill and Quercus Qu Wheat Pill: the former is insufficient in shape, and the latter is with excess shape. Yu is the guest surplus, the deficiency is the main deficiency, and the surplus occurs on the basis of deficiency, so aconite and yam should be used for quercus wheat pills.
"Empty labor is insufficient, the atmosphere is full of diseases, the master of potato dioscopy pills", potato dioscillary pills with potato dioscillation as the king, is a prescription to replenish less yin. The combination of this prescription is very complicated, including Bazhen soup, yam, Maidong, Ejiao to replenish deficiency, as well as laurel branches, dried ginger, jujubes, chaihu, bellflower, almonds, parsnip, white spades, koji and bean rolls, which are mostly used to treat external evils. It should be emphasized here that the prescription of complex matter in "Typhoid Miscellaneous Diseases" is mostly generous, and many people suspect that it is not Zhang Zhongjing's party when they see it generously, which is wrong. A characteristic of potato dioscillary pills is the top, middle and lower three jiao Tongzhi, because Wei out of the three jiao, the upper jiao has guizhi, chaihu, and bellflower; There are four gentlemen's soup in the middle focus; There are yam and rehmannia under the scorch.
Under what circumstances is dioscillary pills best effective? We talked about too little two senses before, with ephedra aconite soup, ephedra aconite licorice soup, the cold can be relieved quickly, but what will happen after the cold is relieved? After 2 months, the patient caught a cold again. ephedra fine spicy aconite soup and ephedra aconite licorice soup urgently treat the symptoms and adjust their gasification; When the cold is relieved, it is necessary to take diostilary pills, which can prevent the recurrence of the cold. "Lack of work, a hundred diseases, potato diosillation pills master", we must know that many diseases may appear too few two senses, such as colds, urticaria, kidney diseases, etc., as long as it is too few two senses, urgent treatment of the symptoms, after the symptoms are relieved, you can use potato diostome pills to restore its shape. Generally speaking, less yang has evil spirits, such as patients with repeated sore throat and pharyngeal infections, to truncate from less yin, but this is only a big principle, if you study it in detail is also complicated. For example, why does the jade screen use windproof, because windproof is an immunomodulator. Everyone should remember one thing: people with less yang and evil spirits, especially those with kidney disease, should use diosty pills with caution.
We talked about the use of huanglian ejiao soup and sour jujube kernel soup for less yin fever. Potato dioscillary pills can restore the shape of less yin kidney, and what prescription is used for the shape of less yin heart? To use licorice soup. The licorice soup "cures the lack of fatigue, sweat and stuffiness, pulse palpitations, action as usual, less than 100 days, the critical die on the eleventh". Licorice soup, also known as compound pulse soup, also appears in the solar disease chapter of "Typhoid Fever".
Third, the yin and the vain
The main remedy for the treatment of Yin Deficiency is Rhubarb Pills. "Wu Lao is extremely thin, and his belly is full and he can't eat... The skin is wrong, the eyes are dark, slow down and replenish the deficiency, the main of rhubarb insect pills, rhubarb insect pills can restore shape, treat dry blood labor, but also treat tumors. Let me give you an example: there is a patient with advanced ovarian cancer, the intra-abdominal tumor is 4~5 cm, we mainly use rhubarb gluten pills to treat, which lasted for three or four years. Because the patient was also doing interventional treatment, it was difficult to evaluate the efficacy of traditional Chinese medicine, and then the patient could not hang up, so she went to another doctor. This doctor looked at it, how could such a weak patient use a prescription like Rhubarb Pills? So I prescribed ten complete tonic soup, the treatment was about 2 months, the tumor grew from 4~5 cm to more than ten centimeters, and suddenly grew to the size of a leather ball, and after the big supplement, the patient was skinny, the abdomen was as big as a bulge and green tendons were exposed, and soon died. This is a typical case of misuse of tonic medicine.
IV. Summary
The Sick Sick Essay covers three parts:
First, too yin and hard work, use guizhi and keel oyster soup or Xiaojian Zhong soup. Why should sperm loss and dream intercourse be attributed to taiyin instead of less yin? We will talk about it in detail when we talk about yin and yang in the future, and some of the content here is pointed, and Zhang Zhongjing did not break it. Taiyin is the opening of the three yin, and there are some problems that need to be treated from the Taiyin Sutra. If long-term sperm loss dream intercourse, there will be acquired involvement of congenital, resulting in oligoyin kidney deficiency, it is necessary to use Tianxiongshan or Erjialong oyster soup to treat.
Second, less yin and deficiency labor are divided into heat and cold. "Typhoid Fever" in the less yin disease chapter talks about the heat of less yin heart, when there is yin deficiency and insomnia, use huanglian ejiao soup. In "Outline of Jin Kuang", it is said that sour jujube kernel soup is used for insomnia with kidney yin deficiency, and eight flavor kidney qi pills are used for injuries and low back pain that appear deficiency. Those who are less yin and cold are anxious with four reverse soup warmth, and after alleviation, use eight flavor kidney qi pills to supplement it. Yami Kidney Qi Pills and Quercus Quwheat Pills can both be complex, one is insufficient in shape, and the other is more than enough in form - the Lord is insufficient and the guest is surplus. Then talked about potato dioscillary pills, "Empty labor is insufficient, the atmosphere is full of diseases, potato dioscillary pills are the master", ephedra aconite licorice soup certificate after relief with potato dioscillation to reshape the subtype. Not only less yin kidney can be reshaped, less yin heart can also be complex, can be used licorice soup.
Finally, he talked about the yin and vain labor, and used rhubarb insect pills. Vain labor is not only a way to make up for it, but also a way to attack. How to attack? Slow down and make up for weaknesses.
The writing method of the virtual labor disease chapter is from taiyin to less yin to yin, and we can understand the relationship between innate and acquired, and we can clearly understand the mechanism of transmission from taiyin to less yin. Finally, we talked about the relationship between the virtual and the real of vain. It can be seen from the above content that Zhang Zhongjing's thinking is very rigorous and worthy of our in-depth study.
Fifth, typhoid fever is unified, and the inside and outside are unified
After we read the Vain Lao chapter, have we ever thought about the relationship between "Typhoid Fever" and "Outline of Jin Kuang"? The characteristics of "Typhoid Fever" are that the disease is first diagnosed and then evidenced, first distinguishing the six meridians as a disease, and then distinguishing the pulse evidence and curing, focusing on qi regulation, and putting the content of the tuning machine and the complex matter in the "Outline of Jin Kuang". For example, the content of the divine tuning machine, "Jin Kuang Essentials" has "Ben Dolphin Qi Disease Pulse Evidence and Treatment Eighth" and "Lily Fox Confused Yin Yang Poison Disease Pulse Evidence and Treatment Third": the content of complex matter, and "Blood Paralysis Deficiency Labor Disease Pulse Evidence and Treatment Sixth" in "Jin Kuang Essentials". Zhang Zhongjing took all the contents other than the modulation from the "Typhoid Fever" as a miscellaneous disease part. As a result, the theoretical system of "Typhoid Fever" becomes very concise, but it does not fully cover the clinical complexities. For example, if the oligo-yin disease chapter is not a vain labor disease article to make wings, the oligo-yin disease chapter is incomplete. If the content of the hypothetic labor disease chapter is integrated into the oligo-yin disease chapter, the oligo-yin disease chapter is very complete, the treatment is very orderly, and the relationship between external sensation and internal injury can be well reflected. We gave an example earlier, a patient with yang deficiency external sensation has too few two senses, use ephedra aconite licorice soup to treat from the external sense, after the external feeling is good, he belongs to the internal injury, you need to use dioscillary pills to reshape, otherwise after two months he will catch a cold again; Another example is less yin and cold evidence, vomiting, profit, and the use of four reverse soup for acute temperature, but what to do after the temperature of the four reverse soup? If you don't continue the treatment, after two months he eats watermelon, vomits, and makes a profit, so when you use the four reverse soup to warm it quickly, after vomiting stops, you have to use kidney qi pills. The relationship between gasification and shape, external sensation and internal injury, that is, the relationship between the Fuyang school and the Wen Supplement school, we cannot oppose Zheng Qin'an and Zhang Jingyue, just as we cannot oppose "Typhoid Fever" and "Jin Kuang Essentials".
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