Zhang Yu: Classic medicine pairs for wen disease: honeysuckle, forsythia

1

Origins

Last time, when it came to ephedra guizhi and guizhi peony, this is the classic medicine pair for the treatment of solar manifestations in Zhongjing's "On Typhoid Fever", which is mainly used in clinical treatment of colds.

The 7th edition of the internal medicine textbook we studied in the university lists ephedra soup and guizhi soup as the main treatment formulas for wind and cold in the cold, corresponding to this is the wind fever cold, and its representative formula is silver warp powder and mulberry drink, which is the classic formula of the Wen Disease School corresponding to the Zhongjing Typhoid School, which comes from Wu Jutong's "Wen Disease Article Identification" of Wu Jutong, one of the three masters of Wen Disease.

After the end of the Ming Dynasty in China, the Wen School gradually emerged in the south, focusing on the study of external temperature fever. At the time of the Ming and Qing dynasties, the epidemic of warm epidemics was rampant, especially in the Jiangsu and Zhejiang areas, and the climate in the region was hot and the fever was prevalent, which objectively prompted the doctors in Jiangsu and Zhejiang to study the temperature fever, and gradually formed a school.

Following Wu Yousheng's "Theory of Plague" (1642) in the late Ming and early Qing dynasties, which expounded the characteristics of epidemics and the methods of treatment, which were different from those of "Typhoid Fever", some relevant new theories and treatment methods appeared in Jiangsu and Zhejiang regions. Its common feature is that "warm fever and plague are not typhoid fever", so posterity called it the "Wen Disease School", and Ye Tianshi (1667-1746) was one of the representative figures.

Later, Wu Jutong (1758-1836), who had no academic views on the sect, after comprehensively studying the relevant theories of Su Qing and Zhang Zhongjing, down to Wu Yousheng and Ye Tianshi, linked the transmission of Wen disease with the organ disease machine, and proposed to divide Wen disease into three stages: upper focus (lungs and heart), middle focus (stomach and spleen), and lower focus (liver and kidney), that is, the so-called "three focal dialectics" theoretical system.

2

Recognition

My mentor Xiao Xiangru explicitly refuted in "Xiao Xiangru on Typhoid Fever" that some textbooks divide the form evidence into wind and cold evidence and wind and heat table evidence.

Some textbooks expound the wind chill manifestation as the cold is heavy, the fever is light, and the wind and heat is the cold is light, and the fever is heavy; the representative formula of the wind and cold table is the ephedra soup in the "Treatise on Typhoid Fever", the guizhi soup, and the representative formula of the wind and heat table is the silver warp and mulberry drink of the "Wen Disease Article Identification".

However, Zhongjing clearly put forward in the "Treatise on Typhoid Fever" that "if there is a point of cold, there is a point of evidence", but the main disease of silver warp scattering and mulberry drinking does not have a cold, this is only the lung fever evidence that the external evil has entered the blood of the Wei Qi camp.

Moreover, my mentor also mentioned in "Xiao Xiangru on Typhoid Fever" that there is no half-table and half-mile proof in "On Typhoid Fever", only Shaoyang disease and Xiao chai Hu Tang evidence.

Shaoyang disease is a state in which the righteous qi has become insufficient in the process of external infection, good and evil are in decline, and good and evil are divided and inseparable. If the body's righteous qi and evil qi are relatively vigorous, the cold and evil on the surface are the sun disease, the hot and fiery is the Yang Ming disease; the serious weakening of the righteous qi is the three yin disease.

3

Honeysuckle, forsythia re-acquaintance

Silver warp and mulberry drink treat lung fever evidence, not performance evidence, as can be seen from the composition of the prescription drugs of the two parties.

The medicinal herbs of silver warp are silver flowers, forsythia. These two flavors are also antipyretic antidotes, not antidotes.

Gold Honeysuckle

"Famous Doctors": sweet, warm, non-toxic. Indications for the treatment of cold and fever, swelling.

"On medicinal properties": it can also be used alone, and the taste is spicy. Indications for abdominal distension, can stop the breath of the diarrhea.

"Compendium of Materia Medica": honeysuckle, stems and leaves with flowers, the same function. In the past, people called it a medicine to cure wind and swelling, and to relieve diarrhea and expel corpses, but future generations no longer know how to use it. Later generations called it a medicine for reducing swelling and dispersing poison and curing sores. And the past did not say it. It is the truth of ancient and modern times, and the changes are different, and they cannot be the same.

Chen Ziming's "Surgical Essentials" Yun: Honeysuckle wine, cure carbuncle back, the first hair bento should be taken here, its effect is very strange, better than the red internal elimination. Hongmai Shen covered the details contained in all directions.

"Medicinal Solution": honeysuckle, bittersweet taste, flat sex, slightly cold, non-toxic, into the lungs. The main heat poisons blood diarrhea, eliminates carbuncles and disperses poisons, and replenishes weakness and heals wind. Press: Honeysuckle detoxifies the skin, so it enters the lung meridian and is a medicine for sores. Tao hermitage in the cloud often serves longevity, many people ignore it, and those who seek more rare things are the feelings of the nobles who are far away and close, and the mediocrity.

"Jingyue Quanshu": sweet taste, flat, its sex is slightly cold. Good at poisoning, so cure carbuncle swelling poisonous sore ringworm, bayberry rheumatism poison, sincerely for the medicine. Those who have not yet succeeded in poison can disperse, and those who have become poisonous can collapse. However, it is slow in nature and multiplied with whiskers. Or boil it with wine, or mash the juice to drink it, or grind and mix the wine thickly. If the fistula and upper qi are divided into poisons, use one or two times, often fry, extremely effective.

brief summary:

Although some of the early Materia Medica works believe that honeysuckle is warm and spicy, it is clear that these records are wrong.

【Chinese medicine】Honeysuckle

【Sexual taste】Sweet, cold.

【Returning to the scriptures】 into the lungs and stomach meridians.

【Indications for function】Clear heat, detoxify. Cure fever, heat poisoning blood diarrhea, carbuncles, swelling poison, fistula, hemorrhoid leakage.

Forsythia

Shennong Materia Medica: Bitter taste, flat. Indications for the treatment of cold and fever, rat fistula, carbuncles, malignant sores, gall tumors, nodules, fever, poison.

"Famous Doctors": Non-toxic. Go white worms.

"Compendium of Materia Medica": Forsythia resembles the human heart, two pieces of synthesis, of which there are renshixiang, is less yin heart, yin enveloping qi main medicine also. All the pains and itches are all heart fire, so it is the holy medicine of the Twelve Classics of Sores, and it also cures the hands and feet shaoyang, and the heat of the three meridian qi fangs of the hand yang. Cure typhoid fever and heat and yellowing.

"Medicinal Solution": Forsythia, bitter taste, slightly cold, non-toxic, into the heart, liver, gallbladder, stomach, three jiao, the six classics of the large intestine. The blood fever of the Six Classics of Diarrhea, the sores that scatter swelling, the small intestine, the killing of white insects, the passage of menstruation, the treatment of five showers, the breaking of gall tumors, and the detoxification of acne. Burdock for the sake of making.

"Medical Heart of The Heart of The Western Record": the taste is light and bitter, and the sex is cool. With the power of ascension and dispersion, it circulates qi and blood, cures the condensation of blood in the twelve menstrual periods, and asks for medicine for sores. It can penetrate the muscles, clear the heat and chase the wind, and it is also a medicine for the treatment of wind and fever. And the performance of the drug out, but also for the publication of rash addiction medicine. Rise and fall for its coolness, so it is good at curing the diseases of the leader, and all headaches, eyeaches, toothaches, nasal discharges or runny noses that become brain leakage can be the Lord. For its light taste can facilitate urination, so it is good at treating lymphatic evidence, drowning inflammation.

The lianyi used in Zhongjing Fang is the root of the forsythia, that is, the root of the Shennong Materia Medica. Its sex is similar to forsythia, its heat-clearing power is not as good as forsythia, and its water-benefiting power is better than forsythia, so Zhongjing ephedra lian chi adzuki bean soup is used to cure stasis in it, will turn yellow, take it can guide the damp heat down also.

【Chinese medicine】Forsythia

【Sexual taste】Bitter, cool.

【Returning to the Scriptures】 Into the heart, liver, and gallbladder meridians.

【Indications】Clear heat, detoxify, loosen knots, reduce swelling. Cures warmth, erysipelas, macules, carbuncle swelling poison, fistula, urinary occlusion.

It can be seen that the main effect of the combination of the two is to clear heat and detoxify, mainly used in lung fever, or various boils and swelling poisons.

Transferred from the Shaw Channel