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Peeking into Wei Zhixuan's academic thought from the consistent frying pipe

author:Medical essays

□ Ma Dong Shandong University of Traditional Chinese Medicine

  Consistent frying, created by the famous qing dynasty doctor Wei Zhixuan, is found in the "Continued Famous Doctor Cases : Heart and Stomach Pain Door" In the words of Gao Gufeng and Lü Dongzhuang's Stomach Pain Treatment Test. Wei Shi said: "This disease is more used in the outside world with four mills, five spices, six yu, and leisure, and the new disease is also effective, and the long service is murderous"; "The second case of Gao Lu, holding a slightly the same argument, and using nourishing water to make liver drinks, Yu also tasted this in the early years, but it was not very appropriate, but it was a self-created party, the name was consistently fried, with the six flavors of northern sand ginseng, wheat dong, ground yellow, angelica, berries, Sichuan neem, in and out of the plus and minus throwing, should be like a drum; those who have a bitter mouth, add wine and even Youjie, can rule the pain, swallow acid, spit acid, hernia, all liver diseases. ”

  To sum up, most of the consistent frying recipes are sweet and cold products, reusing raw ground yellow as the king, nourishing yin and strong water to contain liver wood, matching wolfberries to supplement liver blood, nourishing the liver body and liver use, so that the liver can be nourished, and the liver qi is reached, then there is no risk of transverse reversal; supplemented by sand ginseng, wheat dong nourishes the yin of the lungs and stomach, which not only helps the source of the spleen and stomach biochemistry, but also nourishes the source of water, the lungs and stomach are strong, the golden qi is cleared downwards, the self-energy wood is made, so that it can drain the strips without the harm of transverse, and jointly cultivate the soil to nourish the gold, in order to make the work of making liver wood; angelica nourishes the blood to nourish the liver, and borrows its warm nature. Make up for the medicines without stagnation; more into a small amount of Neem, cold and not dry, sparse liver, follow its article to reach the nature, level its transverse, and can lead the medicine directly to the liver meridian. In this way, the evacuation is in the nourishment, the nourishment is not stagnant, the evacuation is not harmful, and the yin and blood can be restored, the liver qi is sparse, and the evidence is flat. The whole formula is only six herbs, the formula is rigorous, the efficacy is outstanding, and it has been respected by many doctors in history. Zhang Shan Leiyun: "Although this party is detached from the two parties of Gu ben pill and ji ling cream, it is uniquely added to the neem of sichuan to adjust the transverse of the liver wood, and to be able to conform to its temperament, it is to conserve the supreme medicine of the liver yin, and the rest are soft to tame its tough qi, and it does not stop drinking phlegm, this party has the most miraculous feats." "If the fruit yin liquid is even weak, such as flesh, white peony, silk, sand garden, two to so on, the liver and kidney yin part of the medicine, can be added as appropriate; those with bitter and dry mouths, it is scorched and depressed, so the river even vents the fire." Even if the book is bitter and dry, and enters the team of the great nourishing liquid, but for the purpose of moisturizing, not god and clear, how can we distinguish this? The famous physician Qin Bo did not point out the method of addition and subtraction of his own side: "Constipation knot plus calamus; hypothermia and sweating plus bone skin; phlegm plus shellfish; red tongue and dry plus dendrobium; abdominal pain plus white peony, licorice; flank pain as swelling, according to the hardness of the turtle nails, etc." ”

  Why consistent frying is famous for "consistency" is rarely discussed by later generations of physicians. Considering the etymology, it has always been a abbreviation of "my way is consistent" in the Analects of Liren, which means to run through all things with a truth. Reading the "Case of Continued Names of Doctors", the author thinks that Wei's use of "consistent" to order his prescription not only highlights the probative characteristics of his prescriptions for the use of beisha ginseng, mai dong, ground yellow, angelica, wolfberry, sichuan neem and other drugs, but also reflects the brilliance of his academic thought.

  Internal injuries and miscellaneous diseases, mostly caused by liver disease

  Wei Shiyun: "The liver wood is a dragon, and the changes of the dragon are unpredictable, and the same is true of its illness." If a person who is aware of internal injuries is proved, but seeks his origin, his standard can be verified according to the book. The secret of this heaven and earth, ancient and modern, reveals a slight word in the Inner Scriptures, saying that the liver stops at the six words of the thief of all diseases, and it seems that the saints do not want to fulfill their commissions, and they are unable to handle the ears of people with the handle of life and death. Yu Lin's testimony for decades was obtained, and one of the thousand worries was obtained. The gentleman of the world, he does not neglect everything. Wang Mengying commented on Wei's admonition: "The surface of the lung lord's body, the liver lord's body, the five senses of qi all enter from the lungs, and the disease of the seven emotions must start from the liver. Wei Shi was longer than internal injuries, and Si Yan won my heart first. Gailong is difficult to tame, unpredictable, and self-evident. ”

  Wei is good at treating internal injuries and miscellaneous diseases, and the theory that "the liver is the thief of all diseases" is indeed related to the physiological characteristics and pathological characteristics of the liver. The liver hides blood and the main drainage, the body yin and the yang, its sexual main ascending initiative, the meridian of the liver up to the top, the lower network of the vulva, adjacent to the spleen and stomach, and the pericardium belongs to the same yin; therefore, its leakage disorder is the qi machine is obedient, or upward, or downward pressure, or transverse spleen and stomach, or into the pericardium. In the "Case of Continued Names", those who are rebellious on the gas machine are seen in the doors of vomiting, vomiting blood, blood, wheezing, hiccups and eyes, ears, nose, and so on; those who are forced to go down are seen in diarrhea, malaria diarrhea, lower blood, hernia, hanging carbuncle, epilepsy, and gynecological diseases; those who commit transgressions are seen in the doors of flank pain and abdominal pain; those who penetrate into the heart are seen in the doors of seizures, epilepsy, etc.

  Attach importance to the liver body, and advocate nourishing the yin and growing the liver

  The liver is just dirty, hi-tinder and depressed. Drainage disorders, qi machine depressed knot, then liver qi; depressed and fire, then liver fire; qi sheng yang, then liver yang, yang hyperactive wind or hot pole wind, then liver wind. Liver qi, liver fire, liver yang, liver wind four homologous and heterogeneous, in the course of the lesion, each multiple clip or mutual transformation. General doctors treat the liver, because of the ignorance of the "liver has no tonic" theory, most of them attach importance to its use, mostly to thin the liver, diarrhea liver as the right treatment, hard scattering, bitter cold often hurt the yin and dry; even if the liver yin is insufficient, need ground yellow, goji berries to nourish the yin, but there are two greasy diaphragm theory, and people are afraid of it like a tiger. Wei Zhi Chen's abuses: "The Ancient Fang Shu has no ken in this disease, there is no strange dream of the world, the original beginning of its mistake, only the liver has no tonic four words, so that tens of millions of beings contain unjust springs." ”

  Wei's treatment of the liver, focusing on the liver body, pays special attention to the method of nourishing the yin and the liver, thinking that the cause of liver deficiency, or due to insufficient endowment, or due to excessive room work, is more caused by the doctor's mistreatment; and many evidence of leakage disorders is caused by liver loss, thus affecting liver use. Therefore, it is not appropriate to know only the drainage, do not know the Pei Ben; the treatment of pei Ben, but also must focus on the cultivation of yin, even if the symptoms are like yang deficiency, in fact, it is mainly from yin deficiency, by the liver yin is insufficient, can not contain the liver yang, so the use of leakage is lost. Therefore, it is advisable to supplement the liver yin, and to supplement the liver body, then the liver can be used freely. Even if the virtual and the real are mixed, the symptoms and the root causes are treated, it is still advisable to nourish the liver and yin mainly, and slightly drain it.

  In the era of Wei Zhixuan's life, the phenomenon of directly dominating the bitter cold or arbitrarily using warm supplements was quite common, especially the Wen supplement school, since the prevalence of Li Dongyuan's supplementary Qi Tang, through the deduction and play of Xue Ji, Sun Yikui, Zhao Xianke, Zhang Jingyue, and even Wang Ji, Li Zhongzi and others, almost to the point of "if the whole country is crazy, who is awakening". In long-term clinical practice, Wei Shi witnessed the abuse of warm supplementation, and always suffered from heartache, on the basis of summarizing and analyzing the experience of the predecessors, he vigorously advocated the theory of the mechanism of liver and kidney yin deficiency as the basis of hundreds of diseases, and formed a unique style of yin nourishment, and the establishment and wide application of consistent frying is the embodiment of his yin nourishing thought.

Peeking into Wei Zhixuan's academic thought from the consistent frying pipe