Four or five days of typhoid fever, abdominal pain, if the gas turns to less abdomen, this desire is also self-interested
Typhoid fever originates from the cold, and the doctor vomits again, which is even more adverse to vomiting. Mahuang Cimicifuga Decoction is the main one. If you vomit immediately after eating, ginseng soup will take charge of dried ginger, scutellaria root and coptis root. Mahuang Cimicifuga decoction prescription Mahuang two and a half (going to the festival)? Cimicifuga one or two? Anemarrhena one or two? Scutellaria baicalensis Georgi, cassia twig, two liang? Atractylodes macrocephala? Glycyrrhiza uralensis Fisch. One or two (roasted) right seven flavors, with a bucket of water, first boil ephedra to remove foam, take all the medicines, boil three liters, and remove me. Take one liter of warm clothes three times a day. Dried ginger, scutellaria baicalensis Georgi and ginseng decoction, dried ginger, three liang? Scutellaria baicalensis Georgi? Coptis chinensis three Liang? Ginseng has three or two flavors, six liters of water, two liters of boiling water, and none of me. Take it at different temperatures.
? Changsha Ben and Song Ben are the same, with four flavors of Mahuang Cimicifuga Decoction, while Guilin Ben is seven flavors of Mahuang Cimicifuga Decoction, and the combination of medicines is also different. The symptoms of Mahuang Cimicifuga Decoction can be understood from a very simple angle, that is, this person is in the middle and the upper coke is hot, while his lower coke is cold. If you want to say up and down, this person's lungs are hot and his intestines are cold; If you want to say inside and outside, he is hot in the middle shaft and cold in his hands and feet. So this is a hot depression in it, that is, it is also a phenomenon that yin and yang cannot intersect. As we said before, if this hot air is depressed in this body, it will present a white tiger soup syndrome with cold hands and feet and slippery pulse. The pulse-slippery white tiger decoction syndrome needs to release the heat in this muscle according to Yangming's medical method, so that this person can reconcile yin and yang. Similarly, if this person is in such a state, it is necessary to use this structure of Mahuang Cimicifuga Decoction to make this person's yin and yang communicate. And ginseng soup, the dried ginger, coptis root and scutellaria root, actually means the same thing. Mahuang Cimicifuga Decoction is a person with lung heat and intestine cold. From the perspective of lung and large intestine, this group of yin and yang is divided. And this dried ginger and Qin Lian ginseng soup in the back is that the stomach is hot and the spleen is cold, that is, from the perspective of the spleen and stomach, he is divided into yin and yang. This is not entirely correct, but symbolically speaking, if we say that we want to hang everything on Jueyin disease, from this symbolic point of view, it will become easier. So when will such a prescription, such as Mahuang Cimicifuga Decoction, be used? For example, his cold is an upper respiratory infection, and this person is a constitution of Jueyin-we say Jueyin disease. When this person doesn't get sick, in fact, basically the liver meridian is already bad, and Yin and Yang are a little loose. Then, when a person with Jue Yin constitution is infected with upper respiratory tract, his upper energizer is often extremely hot, such as lobar pneumonia, and his sputum is bloodshot or rusty. And while this person is suffering from lobar pneumonia, you may-because when the person's lungs are inflamed, isn't the resistance and energy transferred to this to fight, then all of them are transferred, but all of them are cold. So he burned terribly above, then it was cold below, and then he had diarrhea all the time. Generally, when we deal with people's viscera, it is said that the large intestine is also hot when the lungs are hot, which is normal. However, when this person's constitution is Jue Yin, he will form this symptom that the upper lungs are burning and the lower intestines are pulling. Then when this symptom comes out, today's clinic is really the best effect of Mahuang Cimicifuga Decoction. Therefore, the symptoms mentioned by Zhang Zhongjing are not imaginary, but can be seen clinically. Then, if you want to say that some people, when they have a high fever, have a very hot upper energizer, but the whole lower energizer has collapsed and watery diarrhea over there, then you can also see his tonality of being hot on the upper energizer and cold on the lower energizer. If there are some main syndromes, they will use Mahuang Cimicifuga Decoction. If not, there are some other prescriptions that can be used. Even the fever of menopause, some people are suffering from this disease. If you want the fever of menopause, let's not say what woman it is, that is, anyone may have the personality of Jue Yin disease, so when he has fever in menopause, he also presents a state of fever above and chills in his intestines, which may also be used. So you call this recipe obscure? It's not so lonely, but there are still opportunities to use. So after we know about the pathogenesis, we will see if this pulse syndrome mentioned by Zhang Zhongjing can be seen clinically. He said, "typhoid fever falls after six or seven days." This person, after catching a cold for a few days, is still suffering from severe fever. Then you say that after this person is crazy, you think, after pulling, his stomach is always empty. So many laxatives in the Han Dynasty are croton, right? Will croton produce a lot of heat at the entrance? It will. Then, when this person is in the constitution of partial Jue Yin disease, the whole person is weak, and that is weak in the lower energizer, but his whole upper energizer may be due to the heat of this laxative or, oh, don't talk about the heat of laxatives. When a person is diarrhea, sometimes there will be compensatory reflection, that is, some functions in the body will cause a lot of blood gas to rush up. Therefore, the fever of compensatory reaction is also possible. So, his hot air is piled up on it, around his chest and throat. However, the strange thing is that his pulse is heavy and late. This pulse condition is very strange. How can I say it? If our chest is really hot, such as the pulse of Maxing Ganshi Decoction, his pulse is slippery and even bulging, right? He is not necessarily a heavy and late pulse. But it's a strange thing. Let's look at a few medical records in this past dynasties. When this happens, the pulse is really heavy and late, this inch-long pulse. So you say it's hot. Where is it? I think first of all, if this person's qi and blood are very blocked, his yang is depressed in his chest. Maybe this qi can't pass, because his main symptom is cold hands and feet, right? It is possible that the sun be the spirit is trapped in it and can't get out, so the pulse at the mouth of the inch is also in a state of jumping fast. Another possibility, that is, what we are not suitable to say when teaching the classics, is whether this person has a sinking qi. If this person's qi sinks, his pulse will sink late, because there is Cimicifuga in this side, right? That amount of Cimicifuga just lifts the qi. However, it makes people feel very hairy to talk about this in the lecture, because it is clear that Cimicifuga did not use its lifting effect at that time, so this is only a reference lecture. The other point is that some doctors say that if a person is cold in both the lower and middle jiao, it is already doomed that this person's mouth will sink late. Because Cunkou is waiting for the whole body's qi, that is, the overall situation of the whole body's qi will be obtained from Cunkou, and when the lower coke is cold, Cunkou is like this. Don't worry about whether he is hot or not. The pulse condition is in this tone. I think this statement is more credible. So, so we can't feel how hot his upper energizer is, and his "hand and foot are syncope, and his lower energizer is not", which is indeed the case when he encounters this soup syndrome in clinic. His ruler pulse can hardly be felt. Then his hands and feet are cold, but what about him? "Bad throat, spitting pus and blood", bloodshot when coughing, this throat is inflamed. So he does have a mass of heat in this place. Oh, he can't get away. It's too cold to "drain profits." This person has loose bowels. Maybe he doesn't get well when you prescribe Lizhong decoction. This state of rejection is only more spiteful and bloody after Lizhong decoction is supplemented. Because a person with yin-yang split, he will choose his own side if he goes on this tonic, so he still can't be cured. When the so-called mood is extremely tense and overwhelmed, it is possible to have Ephedra and Cimicifuga Decoction syndrome. This person is so hot and dry that he is extremely thirsty, and then he coughs with bloodshot blood, and his stomach is always full of diarrhea. This situation exists. See if you've ever been with someone with a very authoritative role. If there is such a stressful situation, it's just because of emotion that you will have this symptom. Zhang Zhongjing's article basically has no evil, but if you have a little evil, such as joint pain, you can also use this and include it. Then this person will have a cough, a dry throat, a sore throat, or a cough with bloodshot blood, all of which are possible. That pulse condition is indeed like what Zhang Zhongjing said, if there is a ruler pulse, if there is no pulse, then, this inch pulse also looks like it is not moving. Therefore, it means that he has no solution to the exterior evil, and the exterior heat sinks in, and that person is in a state of deficiency in the lower part and heat in the upper part. So usually, besides the symptoms of cold hands and feet, you can also compare this way sometimes, that is, this person's hands and feet are cold, but he himself feels a burning feeling in his chest, and this way may also be used, in short, to catch his state of yin and yang division.