Teacher Ni: Nothing. (Then he touched the patient's forehead) It's all right. My hands are a little cold. (gets up and walks to the blackboard)
Teacher Ni: Do you know why he starts at twelve o'clock? (aching all over) Give him a prescription first.
Ephedra two money, almond two money, ephedra how much, almond how much, cassia twig, San Qian, white peony root, San Qian, and then, fried licorice five money, three slices of ginger, twelve jujubes, fried licorice root, ginger, red dates, that is, a little more to supplement his body fluid, ephedra, almond, cassia twig, fried licorice root, that is, Mahuang decoction, cassia twig, white peony root, ginger, and cassia twig. So we use less ephedra and more cassia twig, three cassia twigs and three white peony roots. With the same amount, one will accelerate the circulation of arterial blood vessels, the other will accelerate the circulation of venous blood vessels, and the patient will sweat again to remove the cold virus inside.
With the addition of ephedra and almond, the sweat from this ephedra soup and the sweat in the lungs are the sources of sweat, high fever and body temperature fever in his fever. So, for so many years, the cold has never escaped in his body, and it has always been in that place. When we use ephedra, we use almonds to replenish body fluids. In this case, we can only let the sick sweat flow out, and the normal body fluids will flow back, so there will be no problem. This is the definition of prescription dosage and prescription. Herba Ephedrae and Ramulus Cinnamomi can be used together.
When eating, the whole body will sweat slightly, which is what I predicted, because cassia twig and ephedra will appear on the table as soon as they are eaten, but sweating slightly is different from his sweating now. The sweat he is sweating now is called sick sweat, which is a cold in the past. (Roasted licorice, ginger, jujube) This will replenish his gastrointestinal fluid, and there will be no more defecation problems.
He hasn't defecated for two or three days now, and his urine is a little yellow. You can add a little rhubarb at this time. The dose of rhubarb can't be increased, and rhubarb costs one and a half yuan. Guizhi decoction is yellow, because we are afraid of dryness when sweating, and the biogas produced by defecation will rush up, the patient's head will be dizzy, and people will be uncomfortable. A small amount of rhubarb is to discharge biogas by the way. However, we can't get off the stage when we solve the table. This is the principle of Treatise on Febrile Diseases.
If you have Mahuang decoction syndrome, Mahuang decoction is above the exterior syndrome, above the skin, and the lung governs the fur, just above the lung. When the attack occurs, don't open small Qinglong or big Qinglong, and open Chengqi decoction. Exterior evil will sink, and exterior evil will sink into the chest, which is a new heart. It is in this place in the chest that Gansui Banxia decoction syndrome is produced. If there is water in the ribs, it will be produced.
Why does Treatise on Febrile Diseases talk about this? In addition to reminding doctors that patients have exterior evidence and cannot attack internally, there is another one. The patient didn't know to attack inside, and the patient didn't know, so he caught a cold. At this time, he is still hungry and his stomach is still inside. When he saw a lunch on the table, it was delicious, so he ate it. As a result, the lunch was bad, and the bad lunch showed typhoid fever. So be sure to know how to remedy him. This is what we should pay attention to as doctors.
Teacher Ni: (to the patient) Would you like to eat first?
Liu Lihong: Do you want to use rhubarb now?
Teacher Ni: I need to use some rhubarb now, because he hasn't defecated for two or three days?
Patient: I did it yesterday.
Ni Shi: Do you know much?
Patient: Just solve it.
Teacher Ni: I learned a little yesterday.
Patient: Alas, it was solved yesterday, but there is no response today.
Ni Shi: Is the urine yellow? What color is yellow?
Patient: Drink too much water. Relieve yourself, and it will clear up slowly.
Teacher Ni: (Yes) I'd better use a little. It doesn't matter, because we use Guizhi soup to solve the table. Guizhi decoction for promoting jaundice is one of the classic prescriptions, that is, it can be used together in case the patient has stool in it and it has not been completely cleared. However, you can never attack with a single smell. It is not allowed to use only small gas bearing capacity, large gas bearing capacity and stomach regulating gas bearing capacity. Guizhi soup or Mahuang soup can be used, no problem.
Teacher Ni: (to the patient) OK, try it.
Patient: Thank you.
Nishi: If you eat this, your appetite will be aroused. How do we know? It's simple. If you eat now, eat at noon today, if you eat in the afternoon, your appetite will suddenly open at noon tomorrow, and your stomach will recover at noon, and you will be fine. The fever has gone away, so you can go home. You don't need to be hospitalized. I wish I could eat everything I see.
Patient: OK, thank you!
Ni Shi: However, when you first recover, don't eat indiscriminately, what food stalls, barbecue, eat from beginning to end, that won't do. Eat something light instead of eggs. You feel the pulse of the students.
Patient: OK. (Students begin to feel the pulse)
Teacher Ni: If you feel his pulse, you will find a pulse on the skin, and the disease is still on the surface. When you touch the skin, the pulse is a floating pulse. What is skin? The skin governs the lungs. His typhoid fever is still in his lungs, so the cold for many years is still in his lungs and has not entered. If there are floating veins, the exterior can be relieved. If the patient is thirsty, very thirsty, keeps drinking water, and has constipation, you should be careful when relieving exterior syndrome, because it means that body fluid is insufficient, so you should replenish his body fluid before relieving exterior syndrome.
Therefore, when people are thirsty and the body fluid in the lungs is not enough, let the patients eat more pears. The pears are white and enter the lungs, and then they will sweat. Also will use Guizhi soup and Mahuang soup, according to local conditions, local materials.
Liu Lihong: If you don't completely use half of cinnamon and marijuana, will it effectively solve the problem?
Teacher Ni: It will be effective to solve the table. This Mahuang decoction can remove the cold in the lungs even without half cinnamon and hemp seed. This Guizhi decoction can dispel the cold in muscles. He has muscle pain and joint pain. If only Mahuang decoction is used, it will still hurt his joints and limbs if it is only the body fluid in his lungs. If the muscle hurts, it will still be in it. The cold in the lungs will make him hot and cold. He is very cold, relying on ephedra and almonds.
Let's sort out this recipe that is afraid of cold and heat:
Ephedra, almond, cassia twig, San Qian, Radix Paeoniae Alba, San Qian, Radix Glycyrrhizae Preparata, three slices of ginger, twelve jujubes, and a little rhubarb for constipation. Boil six bowls of water into two bowls of water, because it's sweating, and cook it over high fire.