For those who repeatedly sweat, fidgety during the day, quiet at night, do not vomit, do not thirst, have no exterior syndrome, and have weak and lukewarm pulse, Ganjiang Fuzi Decoction is the main prescription. Treatise on Febrile Diseases (6 1)
Original side: one or two dried ginger? Aconitum root, raw, peeled and cut into eight pieces? Take two flavors, take three liters of water, boil one liter, and take it suddenly except me.
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Sini decoction
Original: 1. Typhoid pulse floating, spontaneous sweating, micturition, upset, slight aversion to cold, leg cramps, opposing Guizhi, trying to attack its exterior is also wrong. For those who suffer from syncope, dry throat, irritability and vomiting, use it to make licorice and ginger soup to restore their yang; If the syncope is warmer than the feet, it is made into Paeonia lactiflora and Glycyrrhiza uralensis decoction, which stretches the feet; If the stomach and qi are not in harmony, there will be fewer people who predict it. If you sweat again and burn needles, Sini decoction is the main method. Treatise on Febrile Diseases (29)
2. Typhoid fever, under drug treatment, can benefit continuously, clear the valley, and give first aid to those in pain; Those who have backache and clear intestines are in urgent need of help. Save the interior with Sini decoction and the exterior with Guizhi decoction. Treatise on Febrile Diseases (9 1)
3. Fever and headache, heavy pulse, if not bad, body pain, when it is saved, Sini decoction. Treatise on Febrile Diseases (92)
4. The pulse is delayed, the exterior is hot and the interior is cold, and the beneficiary of clearing the valley is the master of Sinitang. Treatise on Febrile Diseases (225)
5. Self-interest is not thirsty, which is lunar, and it is also cold because of its existence. When it's warm, four generations should live under one roof. Treatise on Febrile Diseases (277)
6. Shaoyin disease, heavy pulse, acute temperature, appropriate Sini decoction. Treatise on Febrile Diseases (323)
7. shaoyin disease, vomiting at the entrance of diet, vomiting in the heart, inability to vomit after recovery, cold hands and feet, delayed pulse, which is in the chest and cannot be lowered, and should be vomited. If there are cold drinks and retching on the diaphragm, there should be no vomiting. It should be Sini soup when it is warm. Treatise on Febrile Diseases (324)
8. Sweat profusely, heat can't be removed, anxiety, limb pain and aversion to cold should be treated with Sini Decoction. Treatise on Febrile Diseases (353)
9. Sweating, if profitable, but afraid of cold, is mainly based on Sini Decoction. Treatise on Febrile Diseases (354)
10. For those with abdominal distension and body pain, warming the interior first means attacking the exterior. Wen Li yi si ni Tang, attack surface appropriate Guizhi Tang. Treatise on Febrile Diseases (372), Synopsis of the Golden Chamber, Vomiting, Deterioration, Syndrome Differentiation and Treatment of Diseases and Veins (17)
1 1. Nausea, weak pulse, urinary compound interest, slight fever, syncope, refractory, Sini decoction as the main treatment. Treatise on Febrile Diseases (377)
12. For those with vomiting and sweating, fever and aversion to cold, anxious limbs and cold hands and feet, Sini Decoction is the main prescription. Treatise on Febrile Diseases (388)
13. Sini decoction is mainly used for those who have diuretic and expectorant effects, but sweat is clear from the valley, and the pulse is slightly heartbroken. Treatise on Febrile Diseases (389)
14. nausea, weak pulse, compound interest in urine, slight fever and syncope are difficult to treat, and Sini decoction is the main treatment. Summary of Synopsis of the Golden Chamber: Vomiting, the seventeenth syndrome, causes lower limbs and pulse diseases.
Original party:
Treatise on Febrile Diseases: Licorice, Fried? A piece of semi-dried ginger? One aconite root, raw, peeled and broken into eight pieces? Take three flavors, take three liters of water, boil one liter and two liters, remove residues and take them at different temperatures. A strong person can have one aconite and three or two dried ginger.
Synopsis of the golden chamber: one piece of aconite (raw), one and a half pieces of dried ginger and two pieces of licorice (fried)? The correct three flavors, use three liters of water, boil one liter and two, remove me and take it at different temperatures. A strong person can have one aconite and three or two dried ginger.
note:
Dong Zi: Four opposites mean cold hands and feet, even cold head. Syncope and aversion to cold are the main symptoms, while fever and diarrhea are possible symptoms.
Rainy night notes for friends in the north: not just clearing the valley. Li Xia Gu Qing means that diarrhea is thin and mixed with indigestible food.
Clear food means that the stool discharged is full of undigested food, which means that what we say is full of food, not normal stool.
Not only that, but also. The stool discharged is undigested food or has been defecating and diarrhea, which is undigested food.
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Four inverse plus ginseng soup
Original: the pulse of aversion to cold is slight and compound interest, which is beneficial to stop dead blood. Four kinds of adverse reactions of ginseng decoction. Treatise on Febrile Diseases (385)
Original recipe: licorice two Liang, roasted? A aconite, raw, peeled and broken into eight pieces? A piece of semi-dried ginger? One or two people? Serve four flavors, use three liters of water, boil one liter and two, remove me and take it at different temperatures.
note:
Dong Zi: It should be profitable, but it can't stop. It's dead body fluid, called dead blood. It is also a fallacy for later generations to say that Angelica sinensis and Chuanxiong are blood-enriching.
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Fuling Sini decoction
Original: Khan, I still don't understand when I am sick. If you are upset, Fuling Sini Decoction is the main one. Treatise on Febrile Diseases (69)
Original prescription: Poria cocos four Liang? One or two people? One aconite root, raw, peeled and broken into eight pieces? Licorice, roasted? A piece of semi-dried ginger? Take five flavors, five liters of water, and three liters of boiling. Take it warm seven times, twice a day, except me.
Medical records:
Long Zhiyong: Child, male, 22 months old, with average nutrition. 20 16 12 15 for initial diagnosis. When I was a child, I was weak and often caught a cold. Often go to the hospital to hang water and take antipyretic drugs for a week and a half. I just coughed and gasped when I lived, and I didn't recover for a long time. This time I went to Shenzhen with my mother. I accidentally caught a cold, coughed and wheezed, and had a fever. Modified Maxingshi decoction (including Herba Ephedrae, Radix Arnebiae, Indigo Naturalis 10g) was added in a drugstore, and the Chinese patent medicine "Xiaoerzhibao Pill" was added. Continuous service 12 days. On the second day after taking it, I had a high fever, flushed lips, red face, no sweat, slight cough, no aversion to cold and stuffy nose. I hurriedly called for medical treatment on WeChat. At first, I prescribed Ephedra Forsythia Red Bean Soup, Mannan Disinfection Dan and Ephedra Cimicifuga Soup, which lasted for 4 days and had no effect. The fever has been between 38 and 39.5℃. When I had a high fever, my mother gave ibuprofen suspension to make him sweat. On the fifth day, the fever dropped to above 38℃, accompanied by excessive sweating, irritability, less sleep and noise, easy shock, slightly poor spirit, flushing of the mouth and lips, ulcers on the tip of the tongue and upper and lower lips, thirst, cold hands and feet, white and greasy tongue coating, excessive salivation, anorexia, defecation once a day, and less urine. Suddenly woke up, the child's high fever, redness and oral ulcer were due to yang deficiency, and urination was unfavorable. The white and greasy tongue coating was due to wet water and depression. Irritability is the main symptom of Fuling Sini Decoction. Therefore, the prescription: Fuling Sini Decoction and Qianyangdan. Poria cocos 30 (chopped), red ginseng slice 10 (chopped), Radix Aconiti Lateralis 10, Radix Glycyrrhizae 15, Rhizoma Zingiberis 10 (chopped), Fructus Amomi 6 (chopped), Fructus Amomi 6 (chopped) and Cortex Phellodendri 3. × 1, boiled in water. After decocting for 45 minutes in the afternoon, take the juice and feed it frequently. At night 18 o'clock, I sweated slightly after the activity, and my body temperature was 37.7℃, and my spirit improved. I'm no longer fidgety, my oral ulcer is gradually converging and I want to eat. After many twists and turns, there is finally a turning point. On the sixth day, I will pay the original 1. The temperature at night is 37.65438 0℃. Oral ulcers have improved significantly. The face is no longer red. Defecation and defecation are smooth. Then take the original prescription 1 to consolidate recovery. Thinking: The reason for my sudden high fever and flushed lips is that I have been taking Maxing Shigan Decoction and Xiaoerzhibao Pill for a long time (12 days) to treat cough and asthma. The prescription contains 10 gram of roasted ephedra, which can be taken for 12 days, as well as cold medicines such as Arnebia euchroma, indigo naturalis and Zhibao Pill, which are extremely cold, so you can imagine. Children are immature bodies. Long-term use of ephedra leads to yang deficiency, coupled with the destruction of cold products, immature yang is not empty! This kind of high fever is a dangerous syndrome of excessive yang! Later, I specially reminded the child's mother that she didn't shed tears or sneeze when she started to have a high fever. If you really feel cold, you should have these two symptoms, and you should also have a disease of aversion to cold and fear of cold. Floating yang has excessive exterior syndrome, and there is no clear nose and sneezing. In addition, unfortunately, due to online diagnosis, the pulse condition cannot be found. If I had felt my pulse at the beginning of my illness, I might not have experienced such hardships. The pulse of high fever caused by a cold should be tight and there should be a thirst for cold drinks. However, the higher the fever is, the pulse condition should be considered as collapse, and then it will be reduced or weakened. I failed to consult in detail at the initial visit and was given ephedra for 4 days. Fortunately, I woke up in time, and the child didn't try his best to take medicine. I mixed Fuling Sini decoction and qianyangdan to taste. Finally, Fuyang gained the upper hand and took the building to the edge of the cliff. Among them, it is very dangerous, and I want to be scared!
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Tongmai Sini decoction
Original text: 1, shaoyin disease, attacking clear valley, internal cold and external heat, hand and foot syncope, slightly heartbroken pulse, aversion to cold, red face, or abdominal pain, or retching, or sore throat, or unable to stop pulse, Tongmai Sini Decoction is the main treatment. Treatise on Febrile Diseases (3 17)
2, the next clear valley, cold inside and hot outside, sweating and fainting, Tongmai Sini Decoction is the main. Summary of Synopsis of the Golden Chamber: Vomiting, the seventeenth syndrome, causes lower limbs and pulse diseases.
Original party:
Treatise on Febrile Diseases: Licorice, Fried? A big aconite, raw, peeled and broken? Three or two dried ginger, but four or two strong men? Three flavors and three liters of water, one liter and two, except me, are taken at different temperatures. The pulse immediately cured the patient. If the face is red, add nine onions. For patients with abdominal pain, onion and peony should be removed. If you vomit, add two ounces of ginger. For patients with sore throat, remove peony and add one or two platycodon grandiflorum. If the pulse can't stop, remove Platycodon grandiflorum and add ginseng 22 liang. People whose diseases correspond to prescriptions are served.
Synopsis of the golden chamber: one piece of aconite (raw), three liang of dried ginger (four liang of strong men) and two liang of licorice (baked).
The correct three flavors, use three liters of water, boil a catty of two, remove me, and take it at different temperatures.
Medical records:
Runtu: Yang, male, one year and two months. Premature baby. Repeated use of western medicine after illness is ineffective. So I often come to my place to treat with traditional Chinese medicine, and I am satisfied with the effect. The child fell ill again at the beginning of last summer and came around 8 o'clock in the morning. Upper vomiting and diarrhea, fever and no sweat, red face and red ears, crying, red tongue and thin fur. Check the temperature at 38.5. According to the past medication experience, Gegen decoction is taken without thinking. In the afternoon 14.30, the child came back for a follow-up visit. Her mother complained that the symptoms were still the same after taking the medicine twice, and the fever was higher. Self-feeding antipyretics doesn't work and you don't sweat. Eyes like closed, not closed, intermittent low voice crying. I won't coax you. Check the temperature at 39.5. So I carefully asked if I was sharbat. His mother said that she was thirsty and had been fed water but didn't drink it. Ask how the urine is, and say that the urine is white or not. He also asked how the stool was, and said whether it was gray or green. Touch his hands and feet again. Warm hands and cold feet. Then observe the appearance of the child. Meditate for a long time. I thought this was the syndrome of Tongmai Sini decoction with cold inside and heat outside. So he decided to take Tongmai Sini Decoction. Prescription: 2g of aconite, 3g of dried ginger and 4g of raw licorice. Ask for frying for half an hour and divide it into three parts. After the first dose is cooled, add 5 ml of baby poop to take it. If you don't throw up after the first service. The second suit can keep warm. The interval between each medication is 3 hours. If there is any situation, return to the clinic in time. My heart has been hanging since the child left. I think all your colleagues feel the same way. The next day, the child finally came again. Seeing the children laughing as usual, my hanging heart was finally put down. Ask his mother about the situation after taking the medicine. After saying respect for what I told you, the crying gradually stopped, and then I went to sleep. Wake up in four hours. At this time, the body temperature gradually drops, and the redness and swelling of the face and ears gradually recede. Keep feeding Er Fu. Feed three times that night 12. Then the symptoms subsided. I knew I was hungry when I got up in the morning, and my stool turned yellow. I'm here to ask if I will continue to prescribe medicine. It is not uncomfortable to ask for the rest of the medicine, but pay attention to the diet. His mother said that the illness was caused by eating indiscriminately and catching cold. I have treated several children with fever, vomiting and diarrhea before. That's why I dare to use Tongmai Sini Decoction decisively this time. Only experienced people know this fear!
Selected cases based on syndrome differentiation of Fan Liujing: Huang××××, male, 1 1 year old. Former students in Chengdu, Sichuan.
Medical history 1948 autumn, first feeling general weakness, then aggravating, coma, high fever to 40. Above c, diarrhea. At that time, it was the epidemic season of intestinal typhoid fever, which was diagnosed as "typhoid fever" by the former Sichuan Provincial Hospital. An expert believes that the disease has developed to an extreme stage, and the systemic poisoning is too heavy, which is an incurable disease. Later, after consultation with Chinese medicine, he used a lot of rhinoceros horns. Antelope horn, purple snow Dan and other rescue. Although the child has a fever and diarrhea, his condition is worse, his limbs are cold, his pulse is heartbroken and he is finally dying. Finally, come to the clinic, treat it according to the syndrome of shaoyin, change it at the first diagnosis, and it will be fine after a few consultations.
The newly diagnosed child has been lying in a coma for several days, his face is dark and his body is thin. My pulse is subtle and heartbroken, but I tried my nostrils with Juncus, and I still had a slight breath. Cold limbs, cold above elbows, cold above knees, and even cold all over. This is a sinister stage in which pathogenic factors change from yang to yin, and develop into yin deficiency, yin cold is extremely abundant, and yang is to be eliminated. Urgently use the method of nourishing yin and restoring yang and consolidating middle energizer, and cooperate with large dose of Tongmai Sini decoction for first aid. Prescription? Chuanwu tablets 120g (long-fried) dried ginger 120g roasted licorice 60g.
Above the second clinic, I often take it all night. In the early morning of the next day, the parents of the children rushed over and said, "It's broken, and my nose is bleeding after taking medicine!" Fan Lao immediately replied: "Ok, the child is saved!" Then check it again. Although the child's appearance and symptoms are similar to those of yesterday, his breathing has been slightly continuous and even, showing signs of rebirth. It is advisable to take it again according to the original method with the dose of dredging the pulse and reversing the four evils. Prescription? Sichuan aconite tablets 500g dried ginger 500g roasted licorice 250g.
Cook the soup with a fat hen first, then fry it in chicken soup for an hour and a half, and then add ginger and grass. About two hours after taking the medicine, the child suddenly discharged two purple-black blood clots from his nose, about three inches long, and spit out some blood clots in his mouth. At this time, I slowly opened my eyes, became conscious and said, "I want to eat white cake!" " "The whole family immediately cried and laughed, and everyone was happy. Then according to the original prescription, add four more doses.
The children diagnosed for the third time are fully conscious and free of language, and can eat a small amount of liquid such as chicken soup every day. The face is black and blue. The tongue is pale white, dark in color and without moss. The upper limbs can move and start eating in the bowl. The lower limbs are stiff, unable to bend and stretch, and the limbs are still cold. The condition has begun to improve, and the yang is gradually recovering; But the yin cold has already condensed deeply, especially in the lower limbs. The original plan is to add white wine as the guide, and then serve. Take another dose above, and the lower limbs can flex and stretch slowly the next day. Take two more doses and you can get out of bed and walk slowly. Take 13 dose and gradually recover.
The patient wrote to me on February 26th, 1978, saying, "Thirty years ago, after Fan Lao cured me of my illness, I joined the army at 1953 and made two third-class achievements in the army. Now working as a locksmith in a mechanical parts factory, I have always been in good health. "
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Baitongtang
Original: Shaoyin disease, attacking the lower method, mainly Bai Tong decoction. Treatise on Febrile Diseases (3 14)
Original square: four stems of scallion? One or two dried ginger? A aconite, raw, peeled and broken into eight pieces? For three flavors, three liters of water, one liter of boiling, take it at different temperatures without me.
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Baitongjia pig bile soup
Original: Shaoyin disease, purgation, micro-pulse, Bai Tong decoction. For those who suffer from nausea, vomiting and upset, Baitong plus pig bile soup is the main prescription. Take the soup, the pulse bursts out and dies, and the pulse continues slightly. (3 15)
The original prescription: four stalks of scallion, one or two dried ginger, eight pieces of raw aconite, five human urine and one pig bile.
note:
Chahar: There is a prescription for adding pig bile in Treatise on Febrile Diseases.
Baitong plus pig bile soup is actually a manifestation of extreme lack of positive energy and extreme evil. Bai Tong decoction is used for strengthening yang, and pig bile is used for clearing heat and inducing resuscitation. Tongmai Sini decoction and pig bile soup are similar to this one. Adding human urine is similar to modern sugar and salt water supplement. In ancient times, there was no such method, and the problem could only be solved by human urine close to human body fluids.
About pig bile, it is similar to bezoar condensed by bile, and has similar effects with bear bile, sheep bile, chicken bile and human bile.
They all have the functions of clearing away heat and toxic materials, inducing resuscitation and waking up. The way it affects the human body is just the opposite of the way fat, sweet and greasy affect the human body. Bile is the function of human body to digest meat. If the meat stagnates, the human body will get angry. The so-called fire poison is. The use of bile or bile products of such animals can supplement the fiery symptoms caused by the relative shortage of bile caused by overeating meat.
By extension, human diseases caused by changes in diet structure can be treated with animal bile, such as hyperlipidemia, fatty liver and coronary heart disease.
In terms of products, such as chicken bile dispersible tablets, bear bile powder, bezoar, Ma Bao (gastrointestinal stones), sheep bile and so on.
However, to protect animals, it is a good idea to eat less meat. Eating less meat naturally reduces the symptoms of getting angry, and also uses less medicinal materials such as animal bile. Why eat delicious bile and then bitter bile to eat back?
Medical record: dune sand: patient, female, 48 years old, farmer in this village. He has a history of coughing and wheezing for 30 years, with obvious chest and thin figure. 199 1 spring, heart failure, exacerbation of asthma and edema of lower limbs occurred. He was hospitalized twice in Guangzong County Hospital, and his condition eased and he went home. May 199 1 14: The illness became worse, with asthma in sitting and lying, abnormal irritability, no food for many days, edema of both lower limbs, cold limbs and no pulse. Family members also know that they are critically ill and have begun to deal with mourning. The decoction of Baitong plus pig bile is used in the certificate: cooked aconite root 50.0 dried ginger 30.0 scallion, 600 ml of water, 200 ml of decoction, 200 ml of infantile feces and 50 ml of pig bile, which are decocted for one day. One dose, the irritability is slightly relieved, and two doses, you can feel the pulse. Three doses, restored to ordinary people, the memories of recent days, completely ignorant, such as waking up from a big dream. It was recuperated with "Waitai" Fuling drink and Danggui Sini decoction and survived for half a year.
Discussion: In Treatise on Febrile Diseases, the fidgety, syncope and pulseless of Bai Tong Jia Zhu Bile Decoction were caused by purgation, while the fidgety, syncope and pulseless in this case were caused by pulmonary heart disease not eating for many days. Although the etiology is different, the syndrome is the same, so it can be treated with the same prescription. It can be seen that the practice of classic prescriptions focuses on specific pulse conditions and syndromes, and does not need too much pathogenesis analysis and theoretical derivation. In addition, raw aconite is used in the original prescription, but it is not allowed to be used in the same department. Our prescription is aconite, so we should increase the dosage appropriately to ensure the curative effect.
At that time, I was a dead horse as a living horse doctor, and my physical examination skills were not so good. I didn't have a heart auscultation and took my blood pressure. According to the situation at that time, it is estimated that blood pressure could not be measured. I haven't drunk water for four or five days, and I have hardly peed. I only recorded the actual situation at that time. Although the four diagnoses are obviously not comprehensive, they can highlight the key points.
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