Jingfang's "three proofs" thinking

According to the "Book of Han and Yiwen Zhi", the cold temperature of the Materia Medica, the shallowness and depth of the disease, the taste of the fake medicine, the appropriateness of the sense of qi, the discernment of five sufferings and six hardships, the unity of water and fire, the closure of the knot, and the opposite of peace. Clinically, we use the Jingfang theory to treat diseases with remarkable efficacy, and there will always be a therapeutic effect of "one dose to know, two doses to have, and even cups to heal". The author once treated a Patient in Inner Mongolia who had a "neck and back stiffness for a week" and chose to add or subtract "Kudzu Soup", and the patient's discomfort completely disappeared after about 20 minutes of medication! The effect is truly breathtaking! Therefore, I advocate that the use of the Jingfang theory for diagnosis and treatment should first establish a "three evidences" thinking of "pulse evidence", "prescription evidence" and "drug certificate", so as to achieve clear diagnosis, accurate medication and significant efficacy. "Pulse evidence" thinking

As we all know, when we encounter a patient clinically, we must first clarify what disease he has, and we must clarify the nature of the disease, the law of development and the basic situation of the outcome. And when treating the disease, we must first put the diagnosis in the first place, assuming that the diagnosis is not clear, we often press the gourd to scoop up, this symptom is good, immediately there are other symptoms, or eat a lot of chinese medicine has no effect, serious will also lead to aggravation of the disease ... "Typhoid Fever Theory" Article 16 mentions that "look at its pulse evidence, know what is wrong, with the evidence to cure", "pulse evidence" thinking is the top priority in the process of diagnosis and treatment of the jingfang, as the name suggests, "pulse" and "evidence" include two parts, according to the "Typhoid Fever Theory" and "Golden Shortage Strategy" Summarizing the common pulses are "floating, sinking, late, counting (disease), slippery, astringent, virtual, real, hong, large, string, tight, slow, fine, micro, volt, qian, weak, volt, moving, promoting, knotting, generation, pulse harmony and (pulse level)" and other common veins, and there are "pulse is not to, no pulse (pulse detachment), pulse like a snake, etc." special pulses, because the Book was incomplete when Uncle Wang He discovered and sorted out the "Treatise on Typhoid Fever and Stroke Disease", and he himself was good at pulse methods, and he wrote the book "Pulse Sutra", and he did indeed run his thoughts through Zhongjing's book. I think this is both a good thing and a bad thing, a good thing is that we can better understand Zhongjing Thought according to Wang Shuhe's supplement (especially the pulse method), and the bad thing is that what we see is not necessarily really Zhongjing's original idea, such as "wind injury guard, cold injury camp" such fallacies have also led to the bad influence of "one blind blind", in short, I think Wang Shuhe's merit is greater than excessive, we can indeed start from here, summarize the Zhongjing pulse method as the basis for "pulse evidence", but also more touch, think more, summarize more. Let's talk about "proof", the concept of "proof" summarizes the high degree of generalization of the disease at a certain stage of disease development, and the characteristic of the dialectic of the six classics is to use the "six classics" to include all diseases, here is simply to say that a problem is the problem of "six classics and hundreds of diseases", we are often too extreme, either say that the six classics can treat all diseases in the world, or say that the six classics are fictional, can not see, can not touch, say that it can cure the disease is also nonsense, we according to Zhongjing's "Typhoid Fever Theory - Preface" said, "Although we have not cured all diseases, we can see the source of the disease, Although the Six Classics cannot cover all diseases, they can help us find the clues to cure the disease, help diagnose and treat, and then add to the internal dialectics of the Golden Outline, I think it is enough. The evidence in the Six Classics precisely reflects the patient's subjective feelings and the various information we have collected clinically, different symptoms have different meanings in different "meridians", and the information fed back is also different, such as the same cold, which may indicate that it is a solar typhoid fever certificate, or it may be a certificate of less yin and cold, or it can be the beginning of Yangming disease, or it may be the "cold without heat" Of the oysters, etc., in short, "proof" is the key to the Six Classics, only the accuracy of the "evidence" identification is the premise of the next step of treatment, and the "pulse evidence" thinking is the key to improving the diagnosis. To put it simply, it can reflect the following aspects, such as the position of the struggle of evil and the situation of prosperity and decline Article 42 of the "Treatise on Typhoid Fever": sun disease, unsolved external evidence, weak pulse, when it is solved by sweat, it is advisable to guizhi soup. This vein is weak, floating is a table, weak is insufficient, evil qi is not exhausted, righteous qi is powerless to drive away evil, so it cannot use the offensive method, and it is also necessary to use guizhi soup to make up for the void and reconcile, and get the "positive sweat" solution. Another example is to identify the nature of the disease, such as Article 2: solar disease, fever, sweating, bad wind, slow pulse, called stroke. Article 3: Sun sickness, or fever, or fever, will be cold, body pain, vomiting, and the pulse of yin and yang are tight, called typhoid fever. Therefore, pulse slowness is the nature of "wind evil", and pulse tightness is the nature of "cold evil", the two are completely different, the causative factors are different, and the symptoms produced are also different. Then there are "pulse evidence" that directly indicate the treatment method, such as Article 240: The patient is irritable and hot, sweating is solved, and if it is malaria, the fever of the sun is Yang Mingye. Those with solid pulses should be lowered; those with floating pulses should sweat. The next and the big gas soup, sweaty Guizhi soup. The pulse is really the present moment, the pulse is insufficient, so it should be supplemented, the two are very different, and must not be taken seriously. Studying pulse evidence is to study "pulse evidence" is a key step to help diagnose the disease, analyze the disease mechanism, judge the disease situation and then choose the drug.

"Square Proof" Thinking

When it comes to Fang Zheng, many hardcore Jingfang Chinese medicine practitioners will immediately be very excited, thinking that Fang Zheng is the key to Jing Fang, "a certain party cures a certain disease", many ancients also initiated this theory, but it is worth noting that "Fang Zheng" is by no means a simple one certificate corresponding to a certain party, and through the analysis of high generalization, some symptoms and signs are summarized as the indications of so-and-so, such as Guizhi tang certificate, ephedra soup certificate and so on. In the "Typhoid Fever Theory" 317 articles "through the pulse of the four reverse soup" mentioned that "the disease is corresponding to the party is to serve" It can be said that this sentence is the theoretical support that I can find the earliest square proof, the square proof is right in the end, I think it should be understood in this way, a person has a certain disease, he appears all the symptoms and signs of the high generalization is "proof", this certificate is not immutable, Zhongjing also said "with the evidence to cure", indicating that in the development of a disease "evidence" will change, And the disease at a certain stage will also have different ways to deal with it. If you intercept a high-speed car, we have many means to force it to stop, you can set up a card interception on the highway when it does not enter the city, you can also pierce its tires, if you enter the urban area, you can also choose to use various methods to force it to stop, you can also guide it to other places, etc., the treatment of disease is also the same reason, Zhongjing summed up the law of the disease he saw as the "Six Classics", these six classics are different stages of the disease, such as the sun is the struggle between evil qi and righteous qi in the table, if it is evil and righteous, it is in line with " Guizhi soup "the general principle of making up for the deficiency, you can use, this is the correspondence of the square evidence, so the key to the square evidence lies in the symptoms and the high understanding of the core of the party, through the pulse evidence can judge that the disease is at a certain stage, and the other party's understanding is particularly important, even if the same drug composition formula, dosage, dosage form, decoction is different, such as the same rhubarb, magnolia, citrus fruit magnolia rhubarb soup, magnolia soup, magnolia soup, small chengqi soup in the drug is exactly the same, and the therapeutic significance is very different, lizhong pills, The soup in theory is also a truth, which is the key to "fang evidence".

"Drug evidence" thinking

I personally think that "drug evidence thinking" is the top priority of the Jingfang, there are many doctors who clinically "see" the disease is very powerful, the set of reasoning is said, but when it comes to the efficacy, it is not close to human feelings, "pulse evidence" gives you a pair of wise eyes to let you recognize the disease, "fang evidence" gives a direction to let you go to the light, and if you don't know the "medicine certificate", it is like "carving a boat for a sword", always imitating, people are cloudy, and the party that is prescribed seems to be very reasonable, but the effect is average. There are very few drugs in the Jing Fang, we now understand the medicine of the Jing Fang theoretically, we can find the most recent is the "Shennong Materia Medica", so the study of the Jing Fang's medicine, let's take this book for a moment, the most simple idea of the ancients to cure the disease is what a certain medicine can lead to, and then record, the next time you encounter a similar situation, take it to use, this simple thinking is the initial model of "medicine evidence", such as "Typhoid Fever" Article 96 "Xiao Chai Hu Tang" mentioned "If the chest is annoyed and not vomiting, go to the half summer, ginseng, add a piece of Chestnut Fruit." If you are thirsty, go to the half summer, add ginseng, and combine the front into four halves, and the chestnut root is four and two. If you have abdominal pain, go to skullcap and add peony medicine three or two. If the coercion is hard, go to the jujube and add oysters four or two. If the heart palpitates, the urination is unfavorable, go to skullcap, add poria four two. If you are not thirsty, if there is a slight heat outside, go to ginseng, add cinnamon branches three or two, warm cover slight sweat healing. If you are a jerk, go to ginseng, dates, ginger, add half a liter of schisandra, and dry ginger two or two. The above drug addition and subtraction is actually the basic embodiment of the "drug certificate", such as why go to the half summer when thirsty, because we say that the half summer dryness can go to water drinking, when there is water in the human body, this person is often not thirsty, and the water drink goes to this person to feel thirsty, the appearance of thirst indicates that there is no place to use the "half summer", but the thirst indicates that the jin liquid is insufficient, and the lack of jin liquid will affect the recovery of the patient's righteous qi, so at this time, the role of using melon to quench thirst (refer to the "Benjing"), the role of ginseng yiqi (see "See" This sutra"), so the drug certificate is changing, the symptoms shown at different stages of the disease are different, the evidence can be changed, the medicine should also change, and then such as the 147 "Chai Hu Gui Branch Dried Ginger Soup" is completely a change from the small Chai Hu Soup. Typhoid fever for five or six days, has sweated and returned, the chest is full of micro-knots, urinary is unfavorable, thirsty and not vomiting, but the head sweats, cold and enthusiastic people, this is not solved, Chai Hu Gui branch dried ginger soup master. Sweating damage to the surface yang, under the injury of the Yang, the appearance of the void, the sudden change, the chest is shaoyang meridian boundary, see the full and slight knots, but the head sweats out, the cold and hot, belongs to the Shaoyang Yu certificate, the party chooses the small chaihu, sees the thirst and upset to go to the half summer, people participate in the melon root, see the knot to the jujube plus oysters, urinate unfavorably, the liyang decline fear of raw drinking, go to the skullcap plus guizhi (ginseng white art appendage soup), the table yang declines, easy to ginger for dry ginger, this is the change of a "pulse certificate", "square evidence", "medicine certificate" Highly combined formula!

Finally, I would like to give you an original poem to encourage!

Pulse prescription drug certificate three and,

All diseases can be the Six Classics.

Throughout the heart and benevolence,

The people of tongden Shou Domain are peaceful