1 Set of prescriptions are tight and dexterous
Elder Li believes that the quality of the prescription has a great impact on the clinical efficacy, so it must be paid attention to when prescribing symptoms. He said: "Every party should be an orderly individual, not a mess. ”
Every party should know its indications, should know the indications, sexual taste, and attribution of the drugs inside, which drug has the most obvious characteristics, which drugs have the characteristics are not obvious, which drugs can produce what new effects can be produced when they cooperate with each other, which drugs are what prescriptions are formulated by predecessors when they cooperate, what are their indications, which drugs have the same function, which drugs have different functions, and the general trend of cold or heat, ups and downs, and laxative opening and closing when several drugs are composed of prescriptions, especially the special effects of drugs. Even if the effect of the change in dosage form on the overall treatment should also be considered. ”
He believes that in order to do this, we must work hard in the following two aspects:
First, be familiar with pharmacology, avoid dead back when reading pharmacology, and make more efforts in comparison to find out many similarities and differences.
The second is to read more prescription books, compare the prescriptions with the same treatment, the same composition, the same treatment and the different medications, and the prescriptions with the same drugs and different dosage forms, and find out their commonalities and characteristics, so that after several years of hard work, we can achieve a good idea.
So someone once asked: Director Li. Why do you make a few bucks to make it work? Elder Li said: "Every time I open a party, I must seek verification, medicine for verification, compatibility for verification, dosage for verification, and dosage for proof." At the same time, Elder Li stressed: "In order to achieve a concise and effective prescription, it is necessary to be square in the prescription, there is medicine in the prescription, there is a prescription in the medicine, and there is medicine in the medicine." ”
"There is a square in the square": Li Lao believes that under normal circumstances, one party is composed of one or more flavored drugs, especially the jingfang, and the composition of each party is particularly strict. For example, in the side of Daqinglong Soup, there are actually three parties of ephedra soup, ma xingshi gantang and guizhi licorice soup, but its main treatment is different from the three parties, so the medicinal taste in the jingfang should not be increased or decreased at will, otherwise it will lead to a major change in the original prescription, or even become another party at all.
"There is medicine in the party": Li Lao gave an example: "Wen Jing huiyang to save the wrong guizhi peony medicine plus appendix soup (guizhi three two, one appendage, licorice two two, ginger three two, jujube twelve pieces) and scattered wind and cold to supplement the yang to win the wet guizhi appendix soup (guizhi four two, three appendages, two licorice two, ginger three two, jujube two), the two parties from the variety of the medicine is the same, from the dosage of the medicine is not the same, so the name of the party is different, the effect is naturally different. As for clinical misuse, Elder Li believes: "If the front is used for post-evidence, there will never be a significant effect, because the amount of gui and appendage is reduced." The nature of gan and jujube supplementation is relatively increased, and the evidence of rheumatism is suitable for warm dispersion, and it is not appropriate to supplement it; if the rear is used for the pre-evidence, it will be harmful, because the dispersion of the laurel branch is too much, which is not conducive to the body of yang deficiency and cold. ”
"Medicine in the prescription": Li Lao once said: "There is a disease of cold and heat exchanges, not necessarily completely using chai hu, but when using chai hu, you must take cold and hot exchanges as the upper symptom. If the peach kernel gas soup is used for heating into the blood chamber, it is very effective to change the guizhi to chaihu. "It should also be noted that a small taste of medicine does not mean that the medicine is weak. Elder Li once pointed out: "The licorice of the dried ginger soup to the four reverse soups is very strong, stronger than the four reverse soups, and the yang force is stronger." If you increase the medicinal taste, counter-contain its power and reduce the efficacy. ”
"There is medicine in medicine": Li Lao said: "Zhenwu soup is an effective prescription for the treatment of heart failure and pulmonary heart disease, but whether it can be used effectively depends on whether the disease is drinking water on the heart and lungs." When applying this formula specifically, we must also pay attention to the role of each medicine, such as ginger in the formula, because it is warm into the lungs and stomach, it can help white surgery, poria drinking, but because the temperature is floating, it is not appropriate for those who do not accept kidney qi, so they should go to ginger. Also: This evidence pulse is more common in fine numbers, promotion, indicating that not only yang deficiency, but also yin exhaustion, so it is advisable to add ginseng to supplement qi and yin, ginseng, appendages, white art, poria and white peony match, the name of the appendix soup, with the treatment of less yin disease, body pain, hand and foot cold, but also in line with this certificate. However, the addition of ginseng tonic, but also easy to stagnate the evil of drinking water, so it is advisable to add thick and simple, almond, and ginseng match, not only to determine asthma, but also to eliminate swelling and spleen. ”
It can be seen that "there is a prescription in the party, there is a medicine in the party, there is a prescription in the medicine, and there is a medicine in the medicine" is a high-level summary of the relationship between the taste, dosage and efficacy of the three in the application of the addition and subtraction of the prescription. Therefore, when choosing a prescription for medication, it should start from the clinical evidence, the code is standardized, and the change is changed. As Elder Li said: "To cure the disease by adhering to the prescription, such as demolishing the old house and building a new house, how to operate it without the hand of a master." Therefore, the use of fang must not draw gourds in the same way, the ancient party can not be fully suitable for the current disease... If there is a discrepancy in one aspect, it is necessary to add or subtract appropriately, regardless of typhoid fever or miscellaneous evidence. In short, the user must prove that every time I use the original prescription of the ancients in the clinic, and I often use the spirit of the ancient people to apply the same effect, that is, this is the truth. ”
2 Shi Gu Fang focuses on Shi Qifa
Treating the disease by adhering to the ancient formula is like demolishing an old house to build a new house, how can it be properly operated without the hands of a master? Elder Li believes that the ancient side cannot fully meet the current disease, and it is most taboo to use the ancient side and the cheng fang to paint gourds. If you use the Zhongjing Jingfang, from the practice of pro-evidence, as long as the pulse evidence disease machine is fully consistent, it is effectively tested, at this time the addition and subtraction is not to cure the mistake or to draw a snake to fill in the foot, but as long as there is a one-sided discrepancy, that is, it must be added or subtracted appropriately, regardless of typhoid fever and miscellaneous diseases.
To learn the ancient recipe, you must master its spiritual laws, not necessarily the original amount of its original medicine.
What is the function of apricot stone sweet soup and under what circumstances is it available? When clinically encountering this certificate, it can be flexibly applied. Li Lao's commonly used gypsum aspirin soup follows this meaning.
Another example is the need for xinwen sweating, not necessarily the use of ephedra soup, with chai ginger soup, pepper soup is not impossible.
To use ancient remedies to cure today's diseases, we must grasp the key points, understand the spirit of the formula, teach its meaning, add and subtract with the evidence, and be thoughtful in every aspect before it can be used effectively.
For example, to cure bloating, Chuan Pu is jun, and the one who is weak adds ginseng, and the person who is vomiting adds ginger xia, that is, the meaning of shifa thick ginger semi-sweet ginseng.
For example, the real swelling plus citrus fruit, rhubarb, that is, the meaning of bearing qi, the cold plus dry ginger, the cold and hot people plus chai hu, abdominal pain plus peony, cold and hot mixed, often dry ginger, yellow and cold and hot are used together, imitating the meaning of laxative soup and huanglian soup.
As long as you master the spirit, with the addition and subtraction of evidence, you can get results. In short, the use of ancient formulas to cure diseases, you are in the teacher of its method rather than sticking to its prescription, whether it is sticking to the original formula, or adding and subtracting the cut, should be done by the party by the certificate, the medicine with the law, in order to be able to match the disease, the effect is like a drum.
3 About square meaning and addition and subtraction
Fang Yi pointed out the main treatment direction of each prescription, if this direction is correctly mastered, in addition to the good effect of the disease evidence within the main scope of treatment, that is, the disease outside the main treatment range, often touching the extension will also achieve a certain curative effect; if you leave this direction, the treatment will be crowned, not only for the disease outside the main treatment range is unimaginable, but also the evidence within the main treatment range is also unsure.
4 Addition and subtraction serve two purposes
One is to help scholars address the more common symptoms outside the scope of treatment. At the beginning of clinical study, once you encounter symptoms outside the scope of treatment, you will often be unable to start. Because no disease is completely separate, there is always a force of interrelationship to a greater or lesser extent, and evidence outside the scope of treatment is often seen. With this column, you can press Tu SuoJi and use medicine according to the certificate, which is quite convenient.
One is to help scholars solve many uncommon symptoms, because human lesions are infinite, it is impossible to write all of them, with the inspiration of this article, you can touch the analogy or give an example, get an appropriate solution.
The above paragraph about "Fang Yi and addition and subtraction" is written on the cover of "Li Hanqing's information". The data records that there are 26 prescriptions for warm diseases, each of which is treated according to the meaning of the formula. Drugs, addition and subtraction, preparation or decoction method, contraindications, medication carelessness, etc. are included. Among them, Fang Yi is the first, indicating that Mr. Li Hanqing has a sober idea of prescription science and treatment, which is most vividly displayed in his manuscript "Typhoid Fever On the Clinical Use Experience of 113 Parties", which scholars can savor from it. The emphasis on addition and subtraction is the embodiment of Li Lao's academic thinking on the examination of evidence and the special inclusion of traditional Chinese medicine diagnosis and disease. Because it is on the basis of the main side of the evidence, so Li Lao's academic thinking appears to be both principled and flexible.
This article is excerpted from "Li Hanqing of 100 Old Chinese Medicine Practitioners". The articles shared in this number are for reference and study purposes only. If there is improper use of the posted content, you can contact us at any time. Please retain the copyright information when reprinting.
Li Hanqing (1892~1972) medical scientist. The word Huaxuan, also known as Xi Jin. A native of Shapo Village, Lingqiu County, Datong City. The first director of the Shanxi Institute of Traditional Chinese Medicine. In 1955, the research on the non-surgical treatment of ectopic pregnancy with integrated traditional Chinese and Western medicine was successful and was rated as one of the top ten medical scientific research achievements in China. In 1960, he edited "Clinical Use Experience of 113 Parties on Typhoid Fever".
<h1 class="pgc-h-arrow-right" > Li Hanqing's chronology</h1>
Li Hanqing is also known as Xi Jin.
Born in 1892 in Shangshapo Village, Lingqiu County, Shanxi Province.
When he was young, he studied at a local private school and studied medicine with his uncle Zhang Yuxi, who was a famous local doctor. According to Yun Li, at the age of 15, he was able to prescribe a prescription alone.
When he was young, he worked as a chinese language teacher in his hometown.
In 1919, he was recommended by the county to take the exam at the Shanxi Provincial Medical Institute (the predecessor of Sichuan To Medical College) and was admitted with the first place. After graduating from the department, he served as a military doctor and military medical chief of the old Shanxi Army (Fu Zuoyi Unit).
In 1922, he was invited to practice medicine in Taiyuan "FuchengTang".
After that, he successively served as a physician at Li Hanqing Clinic, a medical director of the "Taiyuan Red Cross Shi Clinic", a vice president of the "Taiyuan Red Cross Hospital", a physician of Ti Qiantang, and an executive committee member of the Taiyuan Traditional Chinese Medical Association. During this period, because of his noble medical ethics and good treatment of critical care, he was praised by the masses as one of the four famous doctors in Shanxi.
In 1946, he was appointed as a member of the "Taiyuan Central Examination Office".
After the liberation of Taiyuan in 1949, Li Hanqing donated a copy of the Universal Library that he had treasured for many years, totaling 1942 books, to the state, and the library of Shanxi Public School published a notice of appreciation in the Shanxi Daily on June 19. In the second half of the same year, Taiyuan established the "Chinese Medicine Research Association", and Li Hanqing was elected as the president.
In 1950, he was appointed as a physician, medical director and vice president of the Shanxi Provincial Federation of Trade Unions Staff Hospital and the Second Hospital of Taiyuan Workers' Sanatorium.
In 1952, the "Chinese Medicine Research Association" was reorganized into the "Taiyuan Health Workers Association", and Li Hanqing served as the president of the Chinese Medicine Association.
In 1954, he became the president of the "Taiyuan Association of Traditional Chinese Medicine". Since the same year, he has successively served as a deputy to the First, Second and Third People's Congresses of Shanxi Province.
In 1955, the Shanxi Provincial People's Committee formulated the "1956-1967 Shanxi Medical Science Research Work Plan", and Li Hanqing served as the vice chairman of the Shanxi Medical Science Research Committee.
In August 1956, he joined the Communist Party of China. In the same year, the Chinese Medical Research Institute of Shanxi Province was established, and Li Hanqing served as the director and member of the general branch of the party. In the same year, he was appointed vice chairman of the Shanxi Branch of the Chinese Medical Association.
In 1958, when studying at the Party School, he met Dr. Yu Zaiqi, director of the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Shanxi Medical College, and since then began to explore the treatment of ectopic pregnancy with Yu Zaiqi, and then together with Yu Zaiqi, Yao Chaoxin, Song Ruihe and others, he formed a research group on the treatment of ectopic pregnancy with Yu Zaiqi, Yao Chaoxin, Song Ruihe and others, and carried out research and cooperation on non-surgical therapy for the treatment of ectopic pregnancy.
In 1959, he was appointed as a member of the "Shanxi Science and Technology Association" (Shanxi Daily, Published on July 3, 1959). Since August of the same year, he has successively served as a member of the Standing Committee and members of the second and third standing committees of the Shanxi Provincial Committee of the Chinese People's Political Consultative Conference.
In January 1959, Li Hanqing's "One Hundred and Thirteen-Party Use Of Typhoid Fever" was internally printed, which was the first step in Li Hanqing's practice of "Medical System of Prescription Medicine for Medical Evidence". At that time, reference materials for Shanxi Western medicine leaving to study Traditional Chinese medicine classes were circulated in a small range.
In 1960, under the guidance of Li Hanqing, An Zhiji, An Bangyu, Ping Quanyi, etc., the "113-Party Use Method for Typhoid Fever" was further enriched and sorted out as "113-Party Clinical Use Experience of Typhoid Fever", and its manuscript is now stored in the Institute of Basic Theory of Traditional Chinese Medicine of Shanxi Academy of Traditional Chinese Medicine.
Since 1961, it has planned to write a book of the nature of a practical clinical manual for the treatment of diseases in traditional Chinese medicine, accumulating a wealth of materials, and 277 volumes of data have been preserved in the Institute of Basic Theory of Traditional Chinese Medicine of Shanxi Academy of Traditional Chinese Medicine.
In September 1963, he received more than 20 interns from the graduating class led by teacher Liu Duzhou of Beijing College of Traditional Chinese Medicine.
In 1965, the State Science and Technology Commission and the Ministry of Health organized an expert group headed by Professor Lin Qiaozhi, a well-known obstetrics and gynecology expert in the country, to identify the scientific research results of "non-surgical treatment of ectopic pregnancy", which was identified as "Ministry of Health-level scientific research achievements", which was praised as a model of the integration of traditional Chinese medicine and Western medicine in the field of obstetrics and gynecology, and was filmed as a scientific and educational film.
During the Cultural Revolution in 1968, he was dismissed from his post as director, but was called "old director". Hu has been passed down from the mouths of the people to this day.
In 1970, during attending the "National Health Conference on Integrated Traditional Chinese and Western Medicine" in Beijing, he suddenly suffered from cerebral hemorrhage and was admitted to Beijing Hospital. During his hospitalization, Premier Zhou, Qian Xinzhong, and other party and state leaders personally inquired about his condition.
From 1971 to 1972, two national integrated traditional Chinese and Western medicine non-surgical treatment ectopic pregnancy classes were held in Taiyuan, and Zhu Jinzhong introduced the treatment experience of Li Lao's gynecology department during the serious illness. He died on July 4, 1972, at the age of 80.
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