Personal diseases are only divided into internal injuries and exogenous diseases (febrile diseases should belong to typhoid fever in a broad sense). Internal injuries, which belong to physique diseases, are still moving in a round way, and it will take years for the damage of physique to disappear, so internal injuries can be treated slowly; Exogenous disease belongs to the disease of qi. At first, the qi is even biased, then the qi wins alone and the body movement is not round. The shape and quality are not easily destroyed, but the qi is easy to dissipate. If the exogenous disease wins alone, the treatment should be rapid. Exogenous diseases are based on Treatise on Febrile Diseases.
First, internal injuries:
The human body is divided into five parts: the upper qi drops from the right, the lower qi rises from the left, and the middle qi rises and falls in rotation. The whole movement circle is a disease-free person. Internal injuries are divided into six categories according to the diseases and treatment methods of the whole six lines and six qi of the human body, which are used as the major methods to treat internal injuries:
Lizhong pill, the unlucky side of middle earth
Mai Men Dong Tang, the recipe of golden qi not falling.
Xiaojianzhong decoction, the prescription that gallbladder meridian is incompatible with fire.
Danggui Ginger Mutton Soup, the recipe of wood gas not rising.
Shenqi pill, the prescription of water vapor not rising.
Xiexin decoction, the recipe of heart fire not falling
1. Lizhong Pill (middle qi deficiency, damp and cold soil)
(Ginseng, Atractylodes macrocephala, two dollars each, dried ginger and roasted licorice, one dollar each)
Symptoms: vomiting and diarrhea, headache, inability to move, and no thirst.
Remarks: If it is determined that the upward movement sinks, the rustic atmosphere is cold and wet, and the middle qi is deficient, the Lizhong decoction will be settled.
Comparison with Sini decoction;
Both Lizhong decoction and Sini decoction can treat self-interest without thirst, abdominal pain, loose stool and internal cold. The difference lies in Lizhong decoction treating chronic deficiency syndrome, Sini decoction treating acute deficiency syndrome, and Sini decoction's aconite bears the heavy responsibility of restoring yang and breaking cold.
2. Maimendong Decoction (qi deficiency in the middle, lung qi dryness)
(Radix Ophiopogonis six money ginseng San Qian roasted licorice San Qian japonica rice San Qian jujube San Qian Pinellia San Qian)
Symptoms: the fire goes against the qi, the throat is unfavorable, and there is no phlegm and dry cough.
Remarks: To treat the dryness of lung-gold, only Ophiopogon japonicus blindly, Pinellia ternata to reduce the stomach, and the other drugs are all drugs for invigorating the middle-qi Because soil is the mother of gold, it can make it move more quickly by supplementing soil to produce gold.
3. Xiaojianzhong Decoction (deficiency of gallbladder in the middle, two withered civil works, leakage of fire, stagnation of cold in Wei Rong)
(The caramel is mixed with the roasted grass, the jujube is six dollars, the cassia twig is six dollars, the ginger is half a dollar, and the white peony is fried with San Qian.)
Symptoms: fatigue, acute diarrhea, abdominal pain, epistaxis, upset hands and feet, dry throat and mouth, insomnia in dreams and pain in limbs.
Remarks: The difference between Xiaojianzhong Decoction and Guizhi Decoction is that their prescriptions are very similar, but their symptoms are quite different. Xiaojianzhong treats fatigue, abdominal pain, insomnia and limb pain, and all the symptoms are in the interior, so it pays more attention to white peony than cassia twig. Guizhi Decoction is mainly used to treat fever and aversion to cold, and relieve exterior symptoms, so it pays more attention to cassia twig.
4. Danggui Ginger Mutton Soup (Cold Liver Meridian)
(Danggui San Qian Ginger San Qian Mutton Half a catty)
Deficiency of yang in liver meridian leads to cold, which is the method of promoting liver yang.
Symptoms: cold hernia, hypochondriac pain, tenesmus, abdominal pain, postpartum abdominal pain.
Cold hernia: swelling and pain of the right testicle, or even abdominal pain, is one of the syndromes of hernia.
Remarks: This recipe can be used as a dietotherapy to promote liver yang and promote hair growth in early spring, but it should be noted that there is no disease of deficiency fire and wind dryness during taking.
5. Shenqi Pill (kidney qi does not rise)
(Dried Rehmannia Eight Money Yam Four Money Cornus officinalis Two Money Powder Peony, San Qian Poria One Money Alisma One Money Cinnamomum cassia Peel One Money Fuzi Two Money)
Symptoms: fatigue, thirst, excessive urination or poor urination, acute abdomen, and urgency.
6. Dahuang Huangqin Huanglian Xiexin Decoction (heart meridian is insufficient to reduce qi)
(rhubarb is one dollar, coptis is one dollar, scutellaria is one dollar)
Symptoms: bleeding, vomiting blood.
Remarks: Third, does the medicine for severe cold and diarrhea in Huang Nai only see bleeding and vomiting blood+pulse flood, and it can be used if it is not used again (the pulse method has not been understood yet, so we can't understand it)
Second, the classification of exogenous diseases: Wei Rong exterior diseases, visceral diseases, and semi-exterior and semi-interior diseases.
(A) Wei Rong table disease.
Main symptoms: fever, aversion to cold and strong neck pain.
? Treatment of Dafa: the method of sweating
1. Rongyu has fever, and it tends to relieve diarrhea. Prescription: Guizhi Decoction.
2. Wei Yu hates cold and tends to converge. The prescription is Mahuang Decoction.
3. Rong Wei is depressed and puzzled for many days. The prescription is: cassia twig and ephedra soup.
Remarks: cassia twig for slight sweating, ephedra for no sweating, and cassia twig and ephedra for many days.
(2) Diseases in the zang-fu organs (cold in the zang-fu organs and heat in the fu-fu organs, deficiency in the cold in the zang-fu organs and excess in the heat in the fu-fu organs).
The great method of treating dirty cold: the method of warming and tonifying
1. Too damp and damp soil has a unique qi. The main symptoms are: self-interest, abdominal pain, vomiting due to fullness, and inability to eat. The prescription is Sini Decoction?
2. Qi with less yin and cold water prevails. The main symptoms are body pain, joint pain and limb syncope. The prescription is Fuzi Decoction.
3. Jue Yin Feng Mu wins in one breath. The main symptoms: Jue Yin Feng Mu, thirst quenching, qi rushing to the heart, heart burning and pain, hunger and vomiting, restlessness and uncertainty. Use: Wumei Pill.
Remarks:
A. Sini decoction treats internal cold; Fuzi decoction is used to treat exterior symptoms (so Sini decoction uses aconite root, and Fuzi decoction uses auxiliary tablets. My understanding is that the auxiliary tablets are white ones, and their efficacy is slightly worse than that of aconite root. Please correct me. )
B. Mume Pill consists of Mume Fructus, Herba Asari, Zingiberis Rhizoma, Radix Angelicae Sinensis, Radix Aconiti Lateralis, Fructus Zanthoxyli, Cortex Cinnamomi, Cortex Phellodendri, Rhizoma Coptidis and Radix Codonopsis.
This prescription is based on the syndrome of cold and heat mixed with ascaris lumbricoides, so it is regarded as the ancestral prescription for treating ascaris lumbricoides by later generations. However, we can't regard Wumei Pill as a special agent for insect control, which greatly limits its therapeutic scope and function. Because it can clear the upper temperature and lower the temperature, it is bitter and bitter; It can also reconcile yin and yang, strengthen the body resistance and control the constrictor, so it is not only the main prescription for treating the syndrome of stranguria, but also the main prescription for treating the syndrome of imbalance of yin and yang, internal fire of wood, and mixed cold and heat. (Note: Copying from other places)
Treatment of fu-organ heat: the method of attacking
1. Yangming dry gold (stomach heat) wins in one breath: prescription: Dachengqi decoction
2. Taiyangfu fever (bladder fever): Prescription: Taohe Chengqi Decoction
Remarks:
Dachengqi Decoction: Rhubarb, Natrii Sulfate, Fructus Aurantii Immaturus, and Magnolia Officinalis, which is used to treat Yangming's fu-organs with severe excess, and dry stool and heat pathogen are obviously intertwined. This prescription is a severe agent for cold, not full, dry and unnecessary.
(Bump: refers to a conscious symptom of obstruction of qi between chest and abdomen, and some of them only feel full)
Xiaochengqi Decoction: Radix et Rhizoma Rhei, Fructus Aurantii Immaturus, and Cortex Magnolia Officinalis are used to treat Yangming fu-organ syndrome with dry feces but no obvious heat phase. (Remove mirabilite, reduce the dosage of Fructus Aurantii Immaturus and Cortex Magnolia Officinalis)
Tiaowei Chengqi Decoction: Radix et Rhizoma Rhei, Natrii Sulfas and Glycyrrhrizae Radix, which is used to treat the symptoms of obvious heat image and early accumulation of dry feces.
Taohe Chengqi Decoction: peach kernel, cassia twig, fried licorice, rhubarb and mirabilite. Efficacy: breaking blood and removing blood stasis, clearing heat and moistening dryness.
Indications: abdominal distension, dark stool, self-interested urination, delirium, thirst, fever like madness, blood stasis or postpartum lochia, abdominal distension with less pain or bloody dysentery.
(3) semi-exterior and semi-interior diseases: (shaoyang gallbladder meridian does not reduce the disease)
The law of governance: the law of reconciliation
Main symptoms: alternating cold and heat, bitter taste, dry throat, dizziness and full chest.
Mechanism analysis: this syndrome is mostly caused by the sun's syndrome being incomprehensible, and the pathogen spreading to the shaoyang part in half the exterior and half the interior. The gallbladder meridian fire does not fall, and the triple energizer fire sinks and does not rise.
Xiaochaihu Decoction: Bupleurum, Scutellaria, Faxia, Ginger, Ginseng, Roasted Grass, San Qian, Jujube, Six Money each.
Dachaihu Decoction: Radix Bupleuri and Radix Scutellariae, Radix et Rhizoma Rhei and Fructus Aurantii Immaturus, Radix Paeoniae Alba, two dollars each, jujube and six dollars ginger and San Qian.
Remarks:
Xiaochaihu decoction is the reconciliation of shaoyang, and Dachaihu decoction is the same disease and pathogenesis of Taiyang Yangming. Xiaochaihu is pathogenic in shaoyang gallbladder, and Dachaihu is the syndrome of transforming heat into the interior with Xiaochaihu. It is characterized in that Xiaochaihu is the reconciliation of shaoyang to drive away evil, while Dachaihu is the reconciliation of removing heat from the interior. The main ingredient of Dachaihu decoction is Xiaochengqi decoction on the basis of Xiaochaihu.
Question: Why does the book say that shaoyang disease has no fu-organs syndrome and has classics syndrome?
Syndrome manifestations such as deafness, red eyes, headache, chest pain; The manifestations of fu-organ syndrome are bitter mouth, upset, and vomiting.
Looking back, glory is partial to releasing fever, while Wei is partial to accumulating aversion to cold, and honor and Wei are in harmony with each other.
If yang deficiency and gallbladder yang are sufficient to cross Jue yin, the liver will not get cold.
Yangming's stomach is full of yang, so the spleen will not get cold.
If the yang of the sun and the bladder are sufficient to communicate with less yin, the kidney will not get cold.
On the contrary,
If the yin of the Taiyin spleen and soil is sufficient to communicate with Yangming, the stomach fu-organs will not get sick and hot.
The deficiency of yin and kidney water can make the bladder warm.
These are all related to each other, and the exterior is the same.