Prescription syndrome does not exclude the differentiation of zang-fu organs and meridians. On the contrary, it is a systematic and theoretical result of syndrome differentiation of zang-fu organs and meridians, but Zhang Zhongjing has already carried out the process of syndrome differentiation and treatment, and provided a ready-made and accurate result of syndrome differentiation and treatment-Fang Zheng.

The classic prescription is safe, reliable, simple and cheap. For example, Guizhi decoction, according to research, originated from the classic method of decoction and medicine, and it still lasts for a long time. Xiaochaihu decoction is not only used in China, but also abroad, and its curative effect is positive. However, at present, many Chinese medicine practitioners can't use classical prescriptions, and generous and miscellaneous prescriptions prevail, so it is a pity to let the baby left by our ancestors lie down and sleep. So, how to make the classic prescription go to clinic and benefit the people? The key is to attach importance to and master prescriptions, which is the "golden key" to open and excavate the treasure house of prescriptions.

The prescription is mature and perfect

The corresponding prescriptions and syndromes originated from Zhongjing. Treatise on Febrile Diseases, written by Zhang Zhongjing's "seeking ancient teachings and learning from many prescriptions", has preserved a lot of medical prescriptions and medication experience before the Han Dynasty, and these valuable medication experiences are prescriptions. It has been clinically verified by countless doctors for thousands of years. It is reliable evidence of clinical medication and reflects the inevitable relationship between drugs and diseases. It is highly scientific and attractive in traditional Chinese medicine. Cheng Wuji said, "Zhongjing's party is the ancestor of all the parties." .

Treatise on Febrile Diseases is based on prescriptions, such as Guizhi decoction syndrome and Chaihu decoction syndrome, which means 1 1. This is the origin of the word "prescription syndrome". Today's 397 laws are all related to the syndrome of illness, or the syndrome contains reasons, because of the obvious machine, or because of juxtaposition, the machine shows each other; If you find the following syndromes, you will find a prescription and list the drugs. Here is 26 1. Article 3 17 of Tongmai Sini decoction indicates that "all diseases correspond to prescriptions, so it is taken", which can be described as the source of "prescriptions correspond to syndromes"

Emphasize the correspondence between the prescription and the certificate, and the certificate shall be based on the name of the prescription, and the prescription shall be translated with the certificate; Pay attention to grasping the main syndrome in clinic. Take medicine if there is a certificate, and take medicine if there is no certificate, regardless of the name of the disease. Prescription and syndrome, as the indication and basis of medication, neither comes from theoretical reasoning, nor from laboratory data, nor from the results of animal experiments, but from the experience of the Chinese nation in fighting diseases for thousands of years, which is the medication experience directly obtained by our ancestors after trying Chinese medicine with their own bodies.

The prescription card is valid.

The correspondence between prescription and syndrome is the premise and key of clinical curative effect. Prescription and syndrome are corresponding, and they are integrated. In addition, it is necessary to treat both prescription and medicine, that is, taking medicine according to both prescription and medicine on the premise of accurate syndrome differentiation will be effective and relieve the pain after taking medicine.

This kind of pain may be physical pain or mental pain. Many Confucian classics in later generations have discussed this. Xu Ling's "A Brief Introduction to the Golden Chamber" said: "The side of Zhongjing is still a crossbow, such as one. If it misses, it will go far. 」

It is called the highest syndrome differentiation and the tip of syndrome differentiation, and points out that the secret recipe of the family is also a kind of syndrome differentiation. It is said: "As we all know, people in rural areas often use the secret recipe at home to treat a disease. Although they know nothing about syndrome differentiation and treatment, they do have a lot of experience in the application of their own secret recipes (mastering indications), so they often have experience. It can be said that if you don't know that Zhongjing's prescription uses Chinese medicine to treat diseases, it is undoubtedly a blind eye to catch birds, and the effect can be imagined.

Simple and practical standard of prescription and syndrome

There are many traditional methods of syndrome differentiation, but the method of syndrome differentiation is more objective. Because there are many philosophical elements in the theory of traditional Chinese medicine, its clinical prescriptions are very practical and will eventually be implemented. Only by disproving the curative effect of the prescription can we verify whether the syndrome differentiation is correct. Without a specific prescription, syndrome differentiation tends to be vague and general, just as Xu Ling, a physician in the Qing Dynasty, criticized in Chu Yan of Ji Shen: "Take a few general phrases of yin and yang deficiency and excess, and the five elements will give birth to grams, thinking that there is room for warming up. 」

Prescription and syndrome are different from yin and yang, five elements, healthy qi, triple energizer, spleen and kidney yang deficiency, heart-liver fire and other terms and pathogenesis explanations. The basic theory of traditional Chinese medicine is just visible, tangible and tangible evidence. Chen Xiuyuan pointed out in Changsha Square Width: "Generally speaking, we should start from the prescriptions of medical practitioners and take this as the basis. If we have this disease, we must use this prescription ... In the prescriptions of Guizhi syndrome, Ephedra syndrome, Chaihu syndrome and Chengqi syndrome, we clearly put forward the big goal. 」

Zhang Zhongjing's description of drug indications is concrete and vivid. For example, Guizhi Gancao Decoction treats "hyperhidrosis", and people with crossed hands are worried about being nervous and want to press it. "White Tiger plus ginseng soup" takes Guizhi Decoction. After sweating, people are thirsty and have a heavy pulse. Zhi Zi Houpu Decoction is used to treat people who are upset, full and restless after typhoid fever. ",and so on. The indications for use of each prescription and the indications for addition and subtraction of each drug are clearly described.

The patient is tall and thin, the skin is delicate and rough, the muscles are firm and soft, whether the abdomen is painful, thirsty or not, whether the pulse is fluctuating, whether defecation is beneficial or not, whether sweating or not, but he still doesn't want to lie down, aversion to cold and fever, etc. They are all important reference indexes for Zhang Zhongjing's diagnosis and treatment of diseases and important factors that constitute medical evidence. They are all objective, concrete and vivid.

However, it should be noted that the prescription syndrome does not exclude the syndrome differentiation of viscera and meridians. On the contrary, it is a systematic and theoretical result of syndrome differentiation of zang-fu organs and meridians, but Zhang Zhongjing has already carried out the process of syndrome differentiation and treatment, and provided a ready-made and accurate result of syndrome differentiation and treatment-Fang Zheng. Clinically, in order to be simple and quick, the process of syndrome differentiation of zang-fu organs and meridians is omitted, so that future generations do not have to think hard.

Therefore, according to Zhang Zhongjing's description of a certain characteristic symptom, those who meet it can be easily obtained, which saves the process of syndrome differentiation, is close to clinic, simple, practical and standardized.

Prescriptions and syndromes are stable and repeatable.

The prescription is stable. Although the spectrum of diseases has changed many times in human history, there was no AIDS and Ebola virus in the past, but now the pathological reaction of human body in diseases has hardly changed.

Prescription and syndrome are the overall pathological reaction state of human beings, rather than studying the pathogens that cause diseases. Prescription and syndrome include not only the commonly used syndromes in modern Chinese medicine, but also the diseases recognized by western medicine, including symptoms, constitution and other concepts. For example, Zhigancao decoction is a specific medicine for arrhythmia and belongs to special therapy; Guizhi decoction can be used as long as the pulse is weak and sweating; Sinisan can be used for patients with chest pain, cold limbs and abdominal pain, so it is widely used and belongs to general treatment.

In addition, there is physical therapy, which is unique. For example, Astragalus is a physical medicine, and Bupleurum is also a physical medicine. Zheng Fang is Zheng Fang, and it is impossible to replace it with any of the above concepts. Therefore, Zheng Fang has been basically stable for thousands of years. No matter what age or disease, you can use Chaihu Guizhi as long as you have the syndrome of Chaihu Guizhi.

Fang and Zheng are like arrows and targets. Fang is an arrow and Zheng is a target. You can reach it if you aim at the target. As long as we follow the principle of correspondence between prescription and syndrome, we can change with constancy, and the curative effect can stand repeated. This was the case in Zhang Zhongjing's time, and it is still the case in 2 1 century. Xu Ling's Treatise on Febrile Diseases said: "The rule of the prescription is determined, and the change of the disease is uncertain." Knowing that a set of therapies will not have a good effect on ever-changing diseases. " This is a fact.

People-oriented prescription

Prescriptions and syndromes are aimed at the reaction of patients, not the pathological changes of viscera and physical and chemical indexes, which is in line with the trend of the current medical model changing to "physiology-psychology-society". In Zhang Zhongjing's exposition, there are references such as "wet home", "restaurant", "lost home", "rich family", "respected person", "sore home", "dead person" and "strong man". Mahuang decoction's "headache, fever, body pain, low back pain, joint pain, bad wind, shortness of breath and no sweat"; Huanglian Ejiao decoction's "shaoyin syndrome, which lasts for more than two or three days, is annoying and can't lie down"; Zhu Ling Decoction's treatment of "pulse floating, fever, thirst and dysuria" is described from the patient's state, and the physical characteristics of different people, as well as the visual and individualized indications in prescription use are summarized.

The key point of the prescription is the whole person. Different people have different physical characteristics and mental states, so they have different prescriptions and syndromes. If you have the same cold, some should use Chaihu recipe, some should use Guizhi recipe, and some should use Mahuang recipe. Professor Huang Huang, an advocate of the theory of prescription syndrome and medicine syndrome, often said that western medicine is a "disease" for treating diseases, while Chinese medicine is a "person" for treating diseases.

Prescription and syndrome are easy to learn and use.

The prescription is not difficult to master. In Qing Dynasty, Ke Yunbo said: "The way of Zhongjing is from flat to easy; The door of Zhongjing is open to everyone. The prescriptions of Treatise on Febrile Diseases and Synopsis of the Golden Chamber are concise and realistic, without any empty words. As long as you study carefully, compare repeatedly, learn from old Chinese medicine practitioners, communicate with colleagues, and use it repeatedly in clinic, you will naturally reach the point where you are at both ends.

Mr. Cao, a famous doctor in the late Qing Dynasty, was self-taught, and his admiration for classic prescriptions came from his bold clinical practice. He has repeatedly proved that he is very skilled in the use of classical prescriptions in clinic and has been addicted to them many times. During his stay in Shanghai, "Nine times out of ten, those who use the classic prescriptions get the results" (Introduction to Classic Prescriptions) made him unique in Shanghai where famous doctors gathered.

In Qing Dynasty, Lu Jiuzhi once pointed out: "Learning medicine from Treatise on Febrile Diseases is difficult at first, but easy;": Starting with the classification books of later generations, if it is easy at first, it will be difficult to continue. This is a fact. In addition, all drugs have certain side effects, but as long as the prescriptions and syndromes correspond, there will be no or few side effects, which can fundamentally avoid the "Xiaochaihu Decoction incident" in Japan.