Treatise on Febrile Diseases
Radix Ginseng, Rhizoma Zingiberis Recens, Radix Glycyrrhizae and Rhizoma Atractylodis Macrocephalae are roasted in twos (9g each)
There are four flavors in usage, which are mashed and sieved, and honey is used as pills, such as gallus gallus domesticus brisson Xuda (9g). Mix several times with boiling soup, mix one pill, grind it, and take it warm, three or four times a day and two times a night. If the abdomen is not hot, it will benefit to three or four pills, but it is not as good as soup. Soup method: cut four things according to two numbers, use eight liters of water, boil three liters, remove me, take one liter warm, and take it three times a day. After taking the soup, if you have eaten enough, drink one liter of hot porridge, which is slightly warm, and don't expose the clothes and quilts (modern usage: grind the medicine into fine powder, refine honey into pills, weighing 9g, 1 pill each time, 9g for small honey pills, and take it with warm water, 2-3 times a day; Can also be used as decoction, water decoction, drink hot porridge after medicine).
it has the functions of warming middle warmer, dispelling cold, invigorating qi and strengthening spleen.
indications 1. spleen-stomach deficiency and cold syndrome. Abdominal pain, feeling warm and pressing, vomiting loose stool, anorexia, aversion to cold limbs, pale mouth and thirst, pale tongue, white and moist fur, heavy and thin pulse or sluggish pulse. 2. Yang deficiency and blood loss syndrome. Blood in the stool, vomiting blood, epistaxis or metrorrhagia, etc., with dim blood color, thin quality and pale complexion? White, shortness of breath, fatigue, heavy and thin pulse or asthenia. 3. Chest arthralgia due to deficiency of middle yang and superior yin and cold; Spleen deficiency and cold, unable to absorb body fluid after the disease; Yang deficiency, soil is not glorious wood children slow shock; Cholera caused by improper eating and drinking, damage to spleen and stomach yang, coherent turbidity and abnormal ascending and descending.
Mechanism of syndrome differentiation and treatment This syndrome is caused by deficiency and cold of spleen and stomach. Deficiency of yang in the middle, endogenous cold, loss of temperature due to yang deficiency, cold limbs; Cold coagulation and stagnation, abdominal pain is continuous and warm; Spleen is in charge of transporting and ascending, while stomach is in charge of receiving and descending turbidity. Deficiency and cold of spleen and stomach lead to spleen failing to transport and stomach failing to receive, so it is found that the abdomen is full, eating less and being tired, and vomiting loose stool. A pale tongue with white and moist fur, no thirst in the mouth, deep and thin pulse or deep and late weakness are all signs of deficiency and cold. If the spleen and stomach are deficient in cold, the control system loses power, and the blood does not follow the meridian, bloody stool, hematemesis, epistaxis or metrorrhagia can be seen, but the blood color is dim and the quality is thin; If the middle yang is insufficient and the yin and cold are superior, the chest yang will be weak, so chest obstruction and heartache can be seen; If the spleen yang is injured by a long-term illness, so that the body fluid overflows in the mouth, it can be seen that after the illness, salivation is more than enough; If children are born with insufficient natural endowment, acquired spleen and stomach deficiency and cold, biochemical passivity, resulting in meridian dystrophy, the soil is not proud of wood, then slow shock can be seen; If the food and drink are improper, the spleen and stomach yang will be damaged, and the turbidity will be coherent, and the abnormal rise and fall will lead to cholera. The method should warm the middle warmer to dispel cold, replenish qi and strengthen the spleen.
in the prescription, the dried ginger is very pungent, which warms the spleen and stomach, and helps yang to dispel cold. Yang deficiency is accompanied by weak qi, and vigorous qi can also help yang. Therefore, I use warm ginseng to replenish qi and spleen, and replenish deficiency and help yang. The Neijing says, "The spleen wants to slow down, and it is sweet to slow down when eating urgently." Matching monarch and minister, warming the middle warmer and strengthening the spleen. Spleen is middle earth, which likes dryness and hates dampness. Deficiency leads to dampness and turbidity, which is easy to produce, but it is difficult to trap the spleen and stomach. Therefore, Atractylodes macrocephala, which is warm and bitter, is used to strengthen spleen and tonify deficiency to help yang, and to dry and transport spleen to help biochemistry. Glycyrrhiza uralensis Fisch. is equivalent to other medicines. First, it is combined with ginseng and surgery to help qi and spleen, tonify deficiency and help yang. Second, it can relieve pain urgently; Third, it is to harmonize all kinds of medicines, which is used as an auxiliary medicine and also as a medicine. The combination of four drugs can warm the yang, tonify the temper and help transport and transform, so it is called "reasonable"
this recipe is called "ginseng soup" as a decoction in synopsis of the golden chamber. There is also the word "but not as good as soup" after Lizhong Pill. Gai decoction has stronger and faster effect than pills, and the dosage form can be determined according to the urgency of the disease. (Lizhong Pill and ginseng soup have the same composition and dosage. The former is a pill, which is used to treat epigastric pain, thirst for self-interest or salivation after illness; The latter is a decoction, which is mainly used for treating chest obstruction caused by deficiency and cold of middle and upper jiao, characterized by chest tightness and qi rushing from the lower side to the upper side. The former is mild in deficiency and cold, and the disease is slow, so take pills to slow down the treatment; The latter is more serious in deficiency and cold, and the disease is more urgent, so it is necessary to take soup to treat it quickly.) < P > Compatibility characteristics are pungent, hot, sweet and bitter, combined with warming and tonifying, reinforcing the middle energizer and containing dryness.
This recipe is used as the basic recipe for treating spleen-stomach deficiency and cold syndrome of middle jiao. The main points of syndrome differentiation are abdominal pain, warm and pressing, vomiting loose stool, anorexia, aversion to cold limbs, pale tongue, white fur and deep and thin pulse. After taking this medicine, we should "drink hot porridge" and cover it warmly with "Don't expose clothes and quilts". After taking the medicine, it seems that there is a feeling of heat in the abdomen. If it is "not hot in the abdomen", it should be added appropriately, and "Yizhi Sansi Pill" may be easy to be a decoction.
attached prescription
1. Fuzi Lizhong Pill (Taiping Huimin Hejiju Prescription)?
Radix Aconiti Lateralis Preparata, peeled and navel ginseng, dried ginger and licorice? Atractylodes macrocephala (9g each) is fine powder, and honey is refined into pills, and every two pills are ten pills. Take one pill (6g) each time, take one cup of water, melt it, fry it until 7 minutes, take it slightly hot, and take it before eating.
function: warming yang to dispel cold, invigorating qi and strengthening spleen. Indications: Deficiency and cold of spleen and stomach, or deficiency of spleen and kidney yang. Symptoms include epigastric pain, diarrhea, clearing the valley, nausea and vomiting, chills and cold limbs, or cholera vomiting and tendons turning.
2. Guizhi ginseng soup (Treatise on Febrile Diseases)?
don't cut cassia twig, stir-fry it with four or two (12g) licorice, four or two (9g) Atractylodes macrocephala, three or two (9g) ginseng and three or two (9g) dried ginger. Take nine liters of water, first boil four flavors, take five liters, then cook it with Cinnamomum cassia, take three liters, remove me, and take one liter warm, once a day, once a night.
function: warming yang and invigorating spleen, relieving exterior syndrome and dispelling cold. Indications: Deficiency and cold of spleen and stomach, and syndrome of wind-cold exterior syndrome. Symptoms include aversion to cold, fever, head and body pain, abdominal pain, anorexia, thirst, pale tongue with white and slippery coating, and weak pulse.
Differentiation Lizhong Pill is the basic prescription for treating spleen-stomach deficiency and cold syndrome of middle jiao. Fuzi Lizhong Pill and Guizhi ginseng soup are both modified Lizhong Pills. Fuzi Lizhong Pill added with Radix Aconiti Lateralis with great pungent and great heat has stronger effect of warming the middle warmer and dispelling cold, and can warm the kidney, which is suitable for patients with severe spleen-stomach deficiency and cold or spleen-kidney deficiency and cold. Guizhi ginseng soup is ginseng decoction with Guizhi, which can warm yang and strengthen the spleen, relieve exterior cold, and treat both exterior and interior, and is suitable for patients with spleen and stomach deficiency and cold exterior syndrome.
Fang Lun selected and recorded the spleen and stomach should be in the soil, located in Zhongzhou, which is called solitary viscera in the five internal organs, and belongs to triple energizer, which is called middle energizer. Since triple energizer is alone in treating middle energizer, this pill is specially used for treating any maladjustment, so it is named Lizhong Pill. Ginseng is sweet and warm, and Neijing says: the spleen wants to slow down, and it is sweet to slow down when eating urgently. Slow down the spleen, you must give priority to sweetness, and ginseng is the king. Atractylodes macrocephala tastes sweet and warm, and Neijing says: spleen hates dampness, sweetness overcomes dampness, and warmth overcomes dampness, so it is necessary to help with sweetness, and Atractylodes macrocephala is the minister. Licorice is sweet, and Neijing says: When the five flavors enter, they enter the spleen first. If the spleen is deficient, it must be supplemented with sweetness, and the spleen must be supplemented with sweetness first, with licorice as the assistant. Dried ginger tastes pungent and hot, and those who like warmth but hate cold have stomachache, and stomach cold will cause middle energizer to die. Neijing says: cold and lewdness prevail, and pungent and hot are equal. To dispel cold and warm stomach, a pungent agent must be given first, with dried ginger as the guide. (Cheng Wuji's Theory of Typhoid Fever)
Medical records show that Cao Province was first ill with typhoid fever. On June 7th, his stomach was full and he vomited, and he couldn't eat. His body was warm, his hands and feet were hot, and he was self-interested, with abdominal pain, vomiting and nausea. Doctors call it excessive yang, but they still suspect that their hands and feet are hot, and they are afraid that the heat will accumulate in the stomach and vomit, or they will become cholera when they see vomiting. Please consult, its pulse is thin and heavy. In essence, it is called Taiyin syndrome. The Taiyin is a disease, with a full stomach and vomiting, unable to eat, and self-interest, and sometimes abdominal pain. To stop with Lizhong Pill, use Zhong Jingyun "as big as gallus gallus domesticus brisson" and throw five or six pills day and night. Following the five-accumulation, it will heal in a few days. (Ninety Treatises on Typhoid Febrile Diseases)
Fangge Lizhong Pill is in charge of Zhongxiang, licorice and ginseng are used to treat black ginger, nausea and abdominal pain are full of yin and cold, or aconite is added to support yang.
six methods are combined, and there are six pieces.
Lizhong Pill
For those with cholera, headache, fever, body pain and thirst, Wuling Powder is the main treatment; Those who don't use water when they are cold will be governed by Lizhong Pill.
Lizhong pill prescription (soup addition and subtraction below)
Ginseng? Dried ginger Roasted licorice? Atractylodes macrocephala
three or two flavors each, pounded and sieved, honey and pills, such as gallus gallus domesticus brisson Xuda. Boil the soup several times, mix one pill, grind it, take it warmly, take it three or four times a day and two times a night; If the abdomen is not hot, it will benefit to Sansi Pills. However, it is not as good as soup and soup method. Four things are cut according to two numbers, eight liters of water are used, three liters are boiled, one liter is taken warm, and three times a day.
If the umbilicus is built, the kidney is also pneumatic, and the operation should be added with Gui Si Liang; If you vomit too much, remove the operation and add three or two pieces of ginger; Under many, but also with surgery; For those who are nervous, add two or two poria cocos; Those who are thirsty for water, add surgery, and the feet are divided into four and a half; For those with abdominal pain, ginseng is added, and the front of the foot is divided into four and a half; For those who are cold, add dried ginger, which is divided into four and a half in front of the foot; If the stomach is full, remove the operation and add one piece of aconite. After taking soup, if you eat it, drink a liter of hot porridge, and it will warm up slightly. Don't expose your clothes and quilt.
Lizhong decoction
The spleen and stomach are not harmonious, the middle cold is rushing upward, the chest and hypochondrium are full, the heart aches, the phlegm is disgusting, sometimes vomiting, the heart is weak and swollen, the obstruction is blocked, the diet is reduced, the breath is short, the body is sleepy, the water is expelled from the warm middle, and the sweat is stopped to remove dampness. Cold and wet intestines and stomach, diarrhea, Shui Gu, thunder in the abdomen, typhoid fever, internal cold and external heat, cholera vomiting, cold hands and feet, chest obstruction and heartache, and stagnation of qi, all of which are treated.
ginseng and licorice file, stir-fried atractylodes macrocephala and dried ginger cannon, each with three pairs
on it is coarse powder. Every San Qian, take one and a half cups of water, fry the middle cup, remove me, warm it slightly, hollow it before eating.
is aconite in the middle circle?
Treat cold and weak spleen and stomach, heart cramps, vomiting and diarrhea, cholera, muscle twitching, body cold and slight sweating, cold hands and feet, full heart, thunder in the abdomen, vomiting, poor diet, and all kinds of cold and cold.
aconite (processed, peeled and umbilical)? Ginseng (removing reed)? Dried ginger (cannon)? Licorice (roasted)? Atractylodes macrocephala
is fine powder on each pair, and it is rounded with refined honey, and every pair is made into ten circles. Take one round each time, melt it with one cup of water, fry it until seven minutes, take it with a little heat, and eat it hollow before eating.