From the White Tiger Soup, the difference between temperature disease and typhoid fever is discussed
1. The White Tiger Soup of "Distinguishing Warm Illness".
Wu Jutong's "Differentiation of Warm Illness"
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It is also recorded, in the 7th cloud of the Shangjiao chapter: Taiyin temperature disease,
The veins are flooded, the tongue is yellow, the thirst is very strong, the sweat is profuse, the face is red, the heat is vicious, the spicy and cool heavy medicine, the white tiger soup is the master. Wu thinks
White Tiger Soup is suitable for the syndrome of warm evil from Taiyin, lungs, and meridians to Yangming. The heat is overpowering, evil
The heat is outward, and the pulse is flooded, the tongue is yellow, and the face is red; Although the evil heat is outward, the yang is contained in the inside, and it wants to come out but cannot penetrate it
then the heat is vicious; The heat is forced into fluid, and the lungs and stomach are injured by heavy sweating and thirst. White Tiger decoction is a strong force for gravity and strength, and it is clear of qi
The heat is really a "spicy and cool heavy agent". As Wu Jin said: "Xin Liang Ping can be competent, not a tiger roaring wind."
Raw, Jin soars to reduce fever, and can protect the liquid can not. In the "Differentiation of Warm Illness", the four major prohibitions of white tiger soup were proposed
Don't, he said: "Those whose connections are floating and thin cannot be with them; Those with heavy pulses are not allowed to deal with them; Those who do not sweat cannot do so
with him; He who is not thirsty shall not be with him. "Heat, thirst, and pulse are the three main symptoms of Yang Ming Qi and heat.
It is also the key point of the syndrome differentiation of the white tiger soup syndrome, and the white tiger soup should not be used if the heat is not full, in order to prevent the disadvantages of cold suppression. When the evil heat enters the camp,
Transpiration Yingyin rises, Taiyin temperature disease can also be seen to be not thirsty, but the tongue will be purple, the pulse will be thin, the body will be burning, and white
Tiger soup certificate is not difficult to identify. Those who are hot often sweat, but those who do not sweat may not be hot, so those who do not sweat do not need to be white
Tiger soup is not comprehensive, if the heat is in it, even if there is no sweat, you can also use white tiger soup to reduce fever and protect Jin. "Differentiation of Warm Illness"
The first cloud of the Zhongjiao chapter: "The face is red, the voice is dull, the breathing is rough, the stool is closed, the urine is astringent, and the tongue is coated
Old yellow, even black with thorns, but bad heat, not cold, the sun is even better, spread to the middle of the coke, Yang Ming temperature disease also.
The pulse is impatient and even restless, the white tiger soup is the master; The pulse is strong, and even the pulse is small and solid, and the big Chengqi soup is the master
It. This Yangming Temperature Disease is about two Yangming, both have high fever, and the White Tiger Soup can also have stool closure,
The urine is astringent, but there is no full stomach and refuses to press, and the pulse is like a flood. Therefore, through Wu's Taiyin Warm Disease and Yang Ming Warm Disease Institute
White tiger soup can clear both lung heat and stomach heat.
2. The White Tiger Soup of "Treatise on Typhoid Fever".
White Tiger Soup Fang first published "Treatise on Typhoid Fever"
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, its sun chapter 176 clouds: "Typhoid fever, the veins are slippery, and this is to
There is heat on the surface, cold on the inside, and the white tiger soup is the main one. This article deals with the treatment of Yang Ming's disease, which is full of evil and heat, and is both hot on the outside and inside.
"There is heat on the surface, and cold on the inside", which has been discussed by doctors in the past dynasties [3], and the author is inclined to the word "cold" in Hu's [4].
The word "evil" is interpreted, and it is believed that the evidence should be both hot on the outside and on the inside. According to the prescription test, the white tiger soup is a bitter and cold heavy agent, and it should be used
In the evidence of the pervasive heat of the stomach, if it is not filled with evil heat, the surface and the inside are hot, I am afraid that it will not be thrown in vain. Clinical practice has proven that the White Tiger
Tang Zheng is indeed characterized by the separation of yang and bright qi and heat evil, filling the inside and outside of the surface. Yang Ming Chapter 219 Clouds: "Three-Yang Disease,
Abdomen and weight, difficulty turning to the side, unkind mouth, dirt, delirium, enuresis. Sweating is a delirium. The lower one is the upper one
Sweating, cold hands and feet. If you sweat out, the white tiger soup is the master. Discussing the three-yang disease, the evil heat is more focused on the yangming
of the treatment and prohibition. This testimony is that the three yang diseases, when the sun, yangming, and shaoyang three meridians occur at the same time, the clinical master
The symptoms are mainly Yangming heat, so white tiger soup is used. This is the right way to cure, if you misuse Xinwen sweating, it will hurt the liquid even more.
And it makes the stomach dry and hot, and the delirium is heavier. If it is misused and poured down by bitter cold, because it is not fulfilled in it, it will hurt the innocent.
So that the yin fluid is exhausted, and the yang energy is not attached to the upper part and is taken off from the top, and the sweat on the forehead is like oil beads, and the hands and feet are cold.
350 clouds in the Yin Chapter: "Those who have a slippery typhoid pulse and have a convulsive pulse have heat in it, and the white tiger soup is the main one. " The slippery veins belong to the main heat of the yang,
The heat of yang and light is transmitted to yin. Those whose pulses are slippery and their limbs are rebellious, due to the drainage of the liver, this evidence is the heat and depression from Yangming
In the liver, the liver loses its function and cannot be discharged, which is deep and deep with heat. Treat with white tiger soup to clear away heat
Faint. As mentioned above, the evidence of the White Tiger Soup in typhoid fever mainly discusses the heat of Yangming.
"Differentiation of Warm Disease" "Treatise on Typhoid Fever" The difference between white tiger soup
3. 1 Differences in etiology and pathogenesis Typhoid fever is divided into a broad sense and a narrow sense, and typhoid fever in the broad sense is all external fever
Collectively, "Su Wen · The so-called "people with fever in the present husband are all typhoid fever and the like", typhoid fever in the narrow sense is an external wind
The evil of cold, the disease that comes on and goes. Therefore, "The Difficult Scripture· Fifty-Eight Tribulations says: "There are five typhoid fevers, and there are strokes,
There is typhoid fever, there is damp temperature, there is fever, there is temperature sickness. Typhoid fever in the broad sense includes typhoid fever in the narrow sense, fever and other external sensations
Disease. This is the unity of warm disease and typhoid fever, so typhoid fever, including warm disease, can be according to Zhang Zhongjing's Six Classics
Dialectical methodology. The unity of cold and temperature refers to the overall form, and the temperature disease can be distinguished from typhoid fever in the narrow sense
It is clear that it is different from typhoid fever, and warm fever refers to the acute external fever caused by the feeling of warmth, and most of it is contagious and flowing
Rowing, seasonal, regional characteristics, with fever, heat (tongue, pulse, drowning and other heat
signs), easy to dry and hurt yin as the main clinical manifestations.
3. 2 Difference in usage and dosage The evidence of Baihu decoction is described in typhoid fever, which is caused by external cold evil, cold condensation, and obstruction
Suppress yang energy, depressed for a long time. At the beginning of the cold evil on the surface, Weiyang was contained, and the cold syndrome of the surface must last for a certain period of time, and it must go through the cold
It is only in the process of depression that the heat appears. If there is a sign of white tiger soup, it means that the cold and evil depression will turn into heat for a long time, and it needs to be heavy
The dosage used is: one pound of gypsum, six taels of Zhimu, two taels of licorice, and six taels of japonica rice
Together, the dosage is one liter of warm food, three times a day. The white tiger decoction syndrome is described in the temperature disease, which is the onset of external temperature evil, and the temperature is
Yang evil, its nature is hot, it presents a sign of heat at the beginning, and it is easy to enter the inside to appear a sign of heat. Because it was from the beginning
Heat, if from typhoid fever, heavy medicine, fear of its yang, the dosage used is: one tael of raw gypsum, five coins of knowing mother,
Raw licorice three coins, japonica rice one together, the dosage is three doses of divided temperature, take it after the disease subsides, I don't know how to take it again. Wu Jutong said:
"The white tiger is fierce, the evil is not its strength, it is used properly, the original is immediate, if it is not used properly, it will not be harmful
Spiral heel. Many cowards dare not use it, and they will inevitably take the wrong opportunity; Meng Lang, regardless of what his pulse is, use it all,
Even when gypsum is used to the extent that there is more than a pound, there are many people who are effective and many who are killed. None of them are really known
That's why it's so inaccurate. The author consulted the information
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Discover, study the problem of weights and measures
There are many doctors, and this article uses Mr. Hao Wanshan's 1 jin = 250g, and 1 tael in the Han Dynasty = 15.625g, which is about equal to 15g
According to the decoction method of white tiger soup, it is taken three times, and the conversion is obtained: gypsum 83g, Zhimu 30g, Gan
Grass 10g, japonica rice 40g. The predecessor recorded "Distinguishing Warm Illness Strips" White Tiger Soup Recipe: Raw gypsum (grinding, one tael 37.3g,
1 Jin of the original Chinese square) Zhimu (5 coins 18.7g, 6 taels of original Chinese medicine) Raw licorice (3 coins 11. 2g, original Chinese medicine 2 taels)
The comparison of the two shows that the dose of Baihu decoction in warm disease is less than that in typhoid fever
dosage.
To sum up, the difference between Baihu decoction and typhoid fever lies in the difference in etiology and pathogenesis, and the difference in dosage. pathogen
In terms of pathogenesis, the onset of warm disease is attributed to the heat of health and qi; Typhoid fever feels the cold evil, depressed and heat.
In terms of usage and dosage, take mild doses for mild diseases frequently, and always take care of yin fluid; The amount of typhoid fever is large, and the fever is relieved by cold medicine. though
The dosage is different, but there is no absolute, Wu Yao Zengyun: "The amount of the cover medicine, depending on the severity of the disease. It's in
The "Ordinary Cases of Distinguishing Warm Diseases" explains: "The amount set in the prescription should be more and less than that, but it is only approximate, and it still needs to be imminent
Witnesses exercise their own discretion. Therefore, the clinical application of fellow doctors needs to be flexibly mastered.