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Is it necessary to ban the eighteen evils and nineteen fears of Chinese medicine?
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[repost] Correct understanding of eighteen evils and nineteen fears

Fu Zi Hegu (He Shaoqi) Shao Qi talks about medicine: Fu Zi Hegu

He shaoqi

People who are sick and thirsty (non-diabetes, diabetes insipidus to be ruled out) should think twice when they come to see a doctor. In order to clear the upper, middle and lower levels, Trichosanthes root, yam and aconite root are used as main drugs respectively. This prescription is based on Zhang Zhongjing's synopsis of the golden chamber? Trichosanthes kirilowii and Qumai pills (Trichosanthes kirilowii root, poria cocos, yam, aconite, Qumai) in treating gonorrhea with pulse syndrome. When the patient arrived at the pharmacy, he was immediately rejected. The pharmacist said, "Radix Aconiti Lateralis and Radix Trichosanthis are anti-drugs!" I was dumbfounded when I heard that. Previously, I only met the situation that aconite and Pinellia ternata were used together and refused to match. At that time, I pointed out that in the traditional "eighteen evils", aconite is a traditional Chinese medicine, and aconite is closely related to aconite, but they are two drugs with different properties and tastes. Such as ephedra and ephedra root, one is pungent and the other is cold and astringent to stop sweating. Can it be said that it is the same medicine, but it is only partially different?

On 1997, I wrote an article entitled "Rehabilitation of Eighteen Anti-drug Movements" and questioned the "Eighteen Anti-drug Movements". Later, this article was published in Zhu Liangchun's Collection of Medication Experience (Hunan Science and Technology Press, 1998). It seems that many readers failed to see it, so I attached it to the end of this article and discussed it with my colleagues.

Attachment: "rehabilitate the' eighteen antis'

Medicine has opposites, and its theory began with Shennong Herbal Classic? Preface (the original book was lost early, and this book was compiled by later generations from cursive scripts of past dynasties). Shu Bencao, written by Han Baosheng in the Five Dynasties, pointed out that "eighteen antis" should be the blueprint of "eighteen antis" theory. Since the Jin Dynasty, Zhang's "Pearl Capsule Supplement" has compiled eighteen evils and nineteen fears into songs, which have been widely circulated since then. For thousands of years, fathers have passed on their children and teachers have taught them. When the drugstore saw "anti-poison", it refused to fill it. Several prescriptions with "anti-drugs" were shelved. As for the doctors who have been wronged by "anti-drugs", I don't know how many doctors there are throughout the ages! What's more, in addition to the "eighteen evils", there is also "Julian": the author uses Pinellia ternata and aconite together in a prescription, and the patient goes to the local drugstore to get the medicine filled. After seeing it, the pharmacist said disdainfully, "The doctor doesn't even know that Pinellia ternata and aconite are working against each other? This should be common sense. " Confucius was born in Sichuan, and Pinellia opposed Confucius, so it was because of the mother that the children were involved. This is not "implicating" or "expanding". What is it?

In this regard, we might as well take a look at the previous discussion.

Zhang Zhongjing, a "medical sage" in Han Dynasty, first used anti-drugs in prescriptions. Tanyin Tablet Gansui Banxia Decoction (Gansui, Banxia, Paeonia lactiflora, Glycyrrhiza uralensis Fisch, honey) is used by Gansui and Glycyrrhiza uralensis Fisch. Akamaru (Poria, Herba Asari, Radix Aconiti Lateralis and Rhizoma Pinelliae) In the same book "Abdominal Cold Hernia Overeating", Radix Aconiti Lateralis and Rhizoma Pinelliae are used together.

Sun Simiao was known as the "King of Medicine" in the Tang Dynasty. There are dozens of anti-toxic prescriptions in his two books Qian Jin Fang, such as Fengman Decoction, aconite and Pinellia. Dabafeng Powder, Radix Aconiti Lateralis Preparata and Radix Ampelopsis are used together; Qiushi Fuling Pill is used together with Euphorbia Euphorbia and Glycyrrhiza uralensis Fisch. Wuyin Pills of the 18th National Congress, ginseng, Sophora flavescens fruit and Veratrum nigrum are all used, as well as Kansui, Euphorbia Euphorbia, Genkwa and Glycyrrhiza are all examples.

In Song Dynasty, Runti Pill and Wuxi Pill were officially promulgated and implemented. Chen Wuxuan's "Sanyinfang" volume 14 soybean soup, licorice, kansui used together. Xu's "skill prescription" is used for activating qi and dispersing pills, Pinellia ternata and Sichuan aconite.

Li Dongyuan Saint Zhang Kui Tang Jian was used with seaweed and licorice in the Jin Dynasty.

In the Yuan Dynasty, Zhu Danxi used Lian Xin Daphne genkwa with licorice.

In the Ming Dynasty, Wu Kun's Prescription was used in bulk, and ginseng, asarum and veratrum were used together. Chen Shigong's Authentic Surgery Seaweed Yuhu Decoction is used together with Glycyrrhiza uralensis Fisch (this prescription was later included in the Medical Records Golden Mirror edited by Janice and others).

In the Qing Dynasty, a famous scheme was compiled in the Collection of Exogenous Diseases, in which seaweed and licorice were also used in The Gate of the Lapis.

The above examples were ready-made in Han, Tang, Song, Jin, Yuan, Ming and Qing dynasties. It can be seen that the so-called anti-drug is also there. "The ancients were cubic and often had it" (Yu). So, what's the attitude of the seniors here? One opinion is that once it is said, it is better not to use it. For example, Tao Hongjing said: "The drugs used in the old side are also contrary, such as Xianfang Gancao Pill, Ji Fang and Asarum; Folk jade powder, just as well, such as Trichosanthes kirilowii, dried ginger, etc. Or some people will control it, such as Kou Jiafuhan and Chengdu Zuo Wu. These people are generally right and must not hurt things. Although, it is better not to use excellent ones. " (The original book is quoted from Compendium of Materia Medica). Another opinion is: saints can use it, but ignorant people can't. For example, Yu Tuan said, "People of the opposite sex have their own cruel feelings. If the two armies are enemies, they will never be in the same team. Although there is a big poison out there, we must attack it with big poison instead of always theorizing. For example, in the ancient prescription, croton and Petunia were used in induction pills, so that drugs could accumulate. Ginseng and Oletum Trogopterori were added to Siwu Decoction to treat thrombosis. Twenty-four flavors of Lian Xin powder for treating corpse furuncle in Danxi, with the same dosage of licorice and Daphne genkwa, are said to be beneficial here. You can only use it if you cover the insight of a saint. You can't kill people if you don't know it. The husband uses medicine as a device, and the good user is executed. If Han Xinxing is behind the water array; Those who are not good will only bring about their own destruction, but they can be careless. " Another is Li Shizhen's opinion. He said, "The ancients used the opposite of evil. Cover phase must use the same person, the emperor also; Those who fear each other and kill each other are also kings. (Note: The "mutual fear" here is based on the classic example: "The poisonous person should be restrained, and the fearful person can be killed", which is completely different from the "fear" of the later "Nineteen Fears"); People who use the opposite of evil are overbearing. Those who have the right know the user. " He also pointed out: "Hu Ye lived in the soil to treat phlegm. He added licorice and rhubarb to Zhao Shi soup, but the phlegm was on the diaphragm, so he wanted to drain it to get rid of the root of the disease. Dongyuan's Gaoli treatment of cervical tuberculosis, seaweed Kuijian decoction, seaweed; Zhu Zhenheng of Danxi treated Lotus Heart Drink with Daphne genkwa, with licorice on both sides, which was Hu Jushi's original intention. Therefore, Tao Hongjing said that the ancient side also has the opposite of evil, which is harmless. People who are not implicit can't know this. " What he means is that users can "imperceptibly" and "perceive" it, but it can still be used, but it needs special caution. These three opinions should be representative.