(On a Pulse Syndrome with Fifty-four Prescriptions and Sixteen Prescriptions)

A woman has a stroke for seven or eight days, followed by cold and fever, and sometimes it breaks through water, which is called heat entering the blood chamber. Its blood will be bound to knot, so it will be malaria-like, and sometimes it will attack. Xiaochaihu Decoction is the master.

When a woman has typhoid fever, she will be clear in the daytime and delirious at dusk. If she is like a ghost, this is heat entering the blood room. If she is cured, she will heal herself without causing stomach gas and upper secondary energizer.

When a woman has a stroke, fever and aversion to cold, she gets comfortable after passing through water for seven or eight days, and her pulse is delayed due to heat, and her body is cold and her chest and hypochondrium are full. If she has a chest knot, she will be delirious. This is heat entering the blood chamber, so she should take it as it is.

Yangming's disease, when the blood is delirious, is that the heat enters the blood chamber, but the head sweats out. When the door is pricked, it will be diarrhea with the fact, and the sweating will get better.

A woman's illness is caused by deficiency, accumulation of cold and stagnation of qi, which is cut off by the menstrual water. Over the years, blood cold accumulated in the cell door, cold injured the meridians, congealed on the top: vomiting saliva, long-term lung abscess, physical damage; In the middle: induration, cold hernia around the navel, or pain in both sides, connected with Tibet; Or in the heat, the pain is in Guanyuan, the pulse number is no sore, and the muscles are like fish scales, which sometimes affects men, not women; Next: not much, uneven menstruation, cold, yin, pain, less abdomen, aversion to cold, or low back, qi street, shortness of breath and pain, pain in knees and shin, sudden dizziness, epilepsy, or depression, sadness and anger, all of which are brought down, not ghosts and gods. For a long time, it will be thin, the pulse will be weak and cold, and there will be thirty-six diseases, and the pulse will be ever-changing. It is necessary to judge the yin and yang of the pulse, tighten the string of the deficiency and the excess, and treat the danger with acupuncture and medicine. Although it is the same disease, the pulse has different sources, so it is necessary to distinguish and remember it.

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Xiaochaihu Decoction, Banxia Houpu Decoction, Glycyrrhiza wheat jujube Decoction, Xiaoqinglong Decoction, Xiexin Decoction, Wenjing Decoction, Tugua Root Powder, Infusion Flower Decoction, Jiaojiang Decoction, Dahuang Gansui Decoction, Didang Decoction, Fanshi Pill, Red and Blue Flower Wine, Danggui Shaoyao Powder, Xiaojianzhong Decoction, Shenqi Pill, Fructus Cnidii Powder, Langya Decoction, Gao Fa Jian, Xiaoer Pijian Decoction.

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Ganmai jujube soup, the patent medicine is brain Le Jing.

Original: The woman is dirty and impatient, and she likes sadness and wants to cry, as if the gods had done it, and the number was not enough, and the soup of sweet wheat and jujube was the main one. Synopsis of the Golden Chamber Twenty-second Treatment of Women's Miscellaneous Diseases and Pulse Syndrome

Original prescription: licorice three liang? A liter of wheat? Ten jujubes? Take three flavors, six liters of water, three liters of boiling water, and three servings with warm points, which also tonifies the temper.

Note:

Generalized Analogy: Epilepsy, which is caused by depression and boredom, sleepless nights, aversion to cold and fever, war, wrong words, trance, restless seat, and endless tears.

Tang Yixiao: About "Wheat" in Ganmai Jujube Soup

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Baidu Post Bar: Han Dynasty 1 liter = 300-350g.

Clinically, I often use 60-100g and half of licorice and jujube.

The original text is 6 liters of water. If the wheat is only 140 grams, 6 liters of water is too much.

If it is 300 grams, the amount of water is just right.

Medical record:

Xuanzhenzi: name, gender, age; Mao Yongliang's daughter, two months.

2 address, return call; [Shaanxi] Dongling Village, Wangling Township, Luonan County 09 14-7577932

3 symptoms and signs; Cry at night, sleep for more than twenty days during the day.

4. Auxiliary inspection; without

5 diagnosis or temporary diagnosis; Night crying

6 Han or Tang; Ganmai jujube decoction

7. Evaluation of the effect; Call back, pay less, pay more.

R 109: There are more than ten cases of "suspected depression" treated with Ganmai Jujube Decoction, and the effect is quick and clear.

? A recent case. Xu female, 27 years old. After pregnancy, the whole body was uncomfortable and the six spirits were uneasy. Later, it developed into frequent vomiting, full of wandering pain, restless and silent, and unbearable. Seeking medical treatment in many places in southern Jiangsu and Shanghai failed, but in desperation, she induced labor and terminated her pregnancy in July.

? Looking at her medical records everywhere, the only thing that is clear is that the gallstone is 0.8 cm. Both Chinese and Western medicine experts suggest that the gallbladder should be removed before pregnancy and childbirth, so she will be recuperated for 3 months. On the second day after minimally invasive cholecystectomy, the above symptoms appeared again, and the family members were panicked. Observing the patient, he can't eat, he vomits when he eats, and he doesn't want to get out of bed and lie flat. He just buries his head and sighs, and he is always stretched out. He sits on the bed and rubs his lower limbs with his hands, repeating his actions monotonously, asking him what he is suffering, but he can't explain it clearly. Give Ganmai Jujube Decoction (prescription: licorice 6, floating wheat 30, jujube 10. There was no wheat in the pharmacy, and licorice refused to overdo it. After one dose, it was obviously improved, and it was possible to eat a small amount and communicate with family members. After three doses, it completely returned to normal. Family members all feel amazing, and they have rekindled hope and confidence in future pregnancy and childbirth.

? Regarding this interpretation, I personally think that the 009 exposition in Classic Prescriptions 100 is very accurate, vivid and detailed, which is enough to guide clinical practice.

Ziyun Xiaoyu: My baby, who is just full moon, is prone to wake up and cry when he sleeps for about 1 hour. He wakes up and cries during the day, and several adults are exhausted by him. Although I found out a few days ago, I fed my baby seven star tea, but the result is getting heavier and heavier.

Children always yawn, but they can't sleep deeply, which is very similar to the syndrome of Tibetan mania in Zhongjing's treatise on febrile diseases. Compared with the experience of treating children crying at night in My Life of Traditional Chinese Medicine written by Dr. Lou before, Juncus and golden boiled water are used to treat heat, while Ganmai Jujube Decoction is used to treat symptoms of cold and heat that are not obvious. Ganmai Jujube Decoction is Zhongjing's classic prescription for treating dirty mania. It is composed of licorice and wheat jujube, and it is all food, which is far safer than seven star tea's complex ingredients. My son's cold and fever are not obvious, so this recipe is used together. Licorice 10 gram of floating wheat and 40 grams of jujube 10, mother and son drink it together. In fact, children don't drink much about 80 milliliters a day, but the effect is remarkable. They immediately calm down and can sleep deeply, which is much easier to carry.

The classic prescription is the classic prescription, and the more you cover the cup, the better. In order to consolidate, I later bought 1 dose, which cost more than 3 yuan. As a result, I also benefited, so the whole family can drink it and sleep soundly until dawn. I really don't understand, the world has such a good prescription, but the world doesn't have to use it. Why do you have to make an invalid seven star tea? !

Don't worry about children not drinking this. Although it is not as sweet as glucose, it is not bitter. Ni Shi said that as long as the child needs it, he will drink any bitter medicine if he is right, and it really happens!

In fact, in Zhongjing's treatise on febrile diseases, this prescription is for menopausal women who are sad, yawning and crying for no reason. It seems that its application scope is far more than this.

Chinese and Western Doctors: Case 1: A female patient surnamed Zhang, 24 years old, a salesman, lives in Lanzhou (native of Qingyang, Gansu). On May 28th, 20 13, I was first diagnosed at the author's sitting drugstore. Complaint: the left lower eyelid has paroxysmal beating for more than one year, and it is often angry and crying, and it is also easy to attack after running business; Frequent headaches, dizziness, neck pain, less menstruation, and easy mood swings (the patient's original words: "Watching TV dramas is easy to cry and overreact than ordinary people"). I fainted twice before I got sick. In the past year, I have often taken the traditional Chinese medicine of insects prescribed by a drugstore in Xiguan, Lanzhou, with 6 or 7 payments each time, hundreds of yuan, and decocted the medicine by machine. Taking medicine is effective, but it is ineffective if you refuse to accept it. It can be seen that the left lower eyelid twitches frequently, the tongue is reddish, the coating is thin, the pulse string is thin and slow, the figure is slightly thin, and the complexion is average. Three doses of Ganmai Jujube Decoction plus Uncaria rhynchophylla: licorice 10, floating wheat 30, jujube 5, Uncaria rhynchophylla 12 were given. The patient was busy at ordinary times, and returned to the clinic about one month later, saying that the medicine was effective (the patient's original words: "the effect was similar to that of insect medicine") and comfortable, and asked to take the original prescription again.

Case 2: Zhang, a 53-year-old female patient, is a retired western medicine physician and lives in Xiguan, Lanzhou. This patient has been a doctor for 20 years. As the author's classmate, he often finds himself to recuperate in the past year. On July 27th, 20 13, the patient was admitted to the pharmacy. Complaint: I have had a bad cough recently, mainly paroxysmal severe dry cough at night, which affects my sleep. I feel that my cough comes from deep in my chest. Often itchy nose, sneezing, runny nose, dry nose, chest tightness, "phlegm blocking feeling", "heat feeling", palm fever. I have been in a bad mood for many years (unhappy family life) and my family has a history of mental illness. In the past, Shugan Hewei Pill, Dahuang Zhechong Pill, Banxia Houpu Decoction and the like have been used for stomach discomfort, belching, anorexia and emaciation, which have certain effects. Tall and thin, with dark brown face, dull eyes, reddish tongue, slightly fat teeth marks, thin fur, moist, and slightly empty pulse (I can't remember the details). Ganmai Jujube Decoction was added with three doses of Radix Paeoniae Alba: licorice 10, floating wheat 30, jujube 5, and Radix Paeoniae Alba 18. About a week later, I went back to see the doctor, saying that the medicine was comfortable, effective and the taste of the medicine was good. At this time, cough was no longer the main complaint.

Note: Ganmai Jujube Soup is from Synopsis of Golden Chamber * Miscellaneous Diseases of Women. Original text: "The woman is dirty and impatient, and she likes sadness and wants to cry. As the gods do, the number is not enough, and the sweet wheat and jujube soup is the main one. Three liang of licorice, ten jujubes per catty of wheat? Right three flavors, six liters of water, three liters of boiling, and three servings of warm water. Also make up your temper. " The description of this prescription by vector number Daoming is: calming nerves and relieving spasm. Mainly used for hysteria, neurosis, nocturnal crying in children, insomnia, epilepsy, bipolar disorder, persistent laughter, frequent yawning, stomach spasm, uterine spasm, spasmodic cough, rectus abdominis spasm, and cranial nerve urgency. The manual of Tsumura Hanfang describes: physical strength is relatively low, mental excitement is obvious, anxiety, insomnia, convulsions and so on. Rectus abdominis contracture. Diseases: night crying, spasm. Deng Tietao: Ganmai Dazao Decoction is used to treat the symptoms of heart and spleen deficiency, which are special and related to emotions, such as insomnia, dizziness, headache during pregnancy, joint pain (ants walking all over the body), spontaneous sweating and so on. It is also used for abnormal menstruation, intractable neurasthenia and menopause. Hu Xishu: Deficiency syndrome can only be used, and empirical syndrome can't sleep. Prescription: dirty and impetuous. I am in a trance, often sad and want to cry, unable to control myself, upset in my heart, restless in sleep, and even abnormal in words and deeds, frequent yawning, pale red tongue with little fur, and thready pulse.

Comprehensive summary of learning materials: Japanese and Chinese seem to attach importance to their own side and describe it in detail. In short, the main symptoms are spasms: emotional or mental spasms ("crying with joy", hysteria, neurosis, night crying, etc.), somatic spasms ("overstretching", frequent yawning, stomach spasms, uterine spasms, tracheal spasms (cough), eyelid spasms, etc.). This paper reports the treatment of emotional diseases such as spermatorrhea and depression with Baihe Dihuang Decoction. In a word, there must be emotional factors in prescription and syndrome.

Case 1: Eyelid muscle spasm, seizure related to emotion (often when angry and crying), emotional overreaction (the plot in TV series can easily cause sad and crying reaction), and physical weakness (fatigue attack from running business, less menstruation, body shape, tongue pulse, etc.). The prescription and syndrome of Ganmai Jujube Decoction basically correspond, and the modified Uncaria rhynchophylla is considered from the theory of liver wind in later generations, and it may be better to add Radix Paeoniae Alba. This prescription pays about 2 3 yuan, which is as "effective" as the previous large and expensive prescriptions of insect drugs, but "simple, convenient and inexpensive" is quite different. This prescription is basically a dual-purpose product for medicine and food. Compared with long-term use of large prescriptions and expensive prescriptions, it goes without saying that it is safe.

Case 2: The prescription was used for spastic cough (paroxysmal dry cough), long-term emotional disorder, and asthenia. The prescription and syndrome of Ganmai Dazao decoction are basically corresponding, and the modified Paeonia lactiflora is combined with Paeonia lactiflora and Glycyrrhiza uralensis decoction, which is helpful for further spasmolysis. It is gentle, comfortable and effective after taking the medicine.

This prescription has a mild effect, and both cases have a comfortable and delicious experience after taking it. It can be regarded as health conditioning. Nowadays, the popular prescription drugs are rich in flavor and heavy in dosage, and the fact that doctors want to show off their skills and patients are quick for a while is the social mentality of impetuous people and quick success (not to mention the mercenary behavior of deliberately prescribing too much and expensive prescriptions). This goes against the concept of health. Health is a lifelong systematic project, involving many aspects of life such as diet, exercise, psychology and daily life. Medicine is just one of the links. The advantages of traditional Chinese medicine in health care should not only be reflected in the calm prescription mentality, but also be suggested to guide patients' healthy lifestyle and follow the old adage of "working to prevent diseases".

The above two cases are not as effective as a drum, so they are not typical cases. Just take this case to improvise and show the learning and understanding of this square card to the same person, so that the visitors can point out the mistakes. (in the afternoon of 20 13-9-20, written in Xiaoxihu, Lanzhou)

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Tuguagen powder

Original: It is not good to take the menstrual water, and the abdomen is full of pain. If you meet again in January, the roots of the potato will be scattered. (Yin collapse and swelling are also the main cause)

Original prescription: sweet potato root, cassia twig, peony and scale insect are equally divided. The right four flavors are scattered, and the wine is served in square inches, three times a day.

Note: fire in water: this medicine is no longer available in pharmacies. The root of sweet potato in Zhongjing's book refers to the red-baked cucurbitaceae plant, but now the root of sweet potato sold on Taobao is Cucurbitaceae plant Wanggua. This fake root of sweet potato will cause serious diarrhea after taking it, which is caused by not knowing the source of Zhongjing's medicinal materials. Because it is difficult to buy genuine products, we have to replace the root of sweet potato with red steamed stuffed bun, so the patient actually uses red steamed stuffed bun 3 to mash white peony 3, cassia twig 3, beetle (Eupolyphaga Seu Steleophaga) 3 and decoct it in yellow wine. Shen Nong, a sweet potato root, said that it can treat blood stasis and moon closure, and the beetle (Eupolyphaga sinensis) is a powerful magic medicine for treating blood stasis in Zhongjing's book.

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When a woman is trapped in the classics, she is puzzled by the black leakage, and the glue ginger soup is the master. (Chen Yi and other schools invited this glue-free ginger soup, which is supposed to be the glue soup before pregnancy.)

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Women's menstrual obstruction is unfavorable, and they are obsessed with hiding hardness. There is dry blood in them, white matter in them, and Fanshi Pill is the main one.

Fanshi pill prescription

Three points for alumite (one point for burnt almond)

The right two flavors, the last one, refined honey and pills and jujube stones are big, hidden in the inside, and the dramatist is inside again.

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Red and blue flower wine

Original: Women have sixty-two kinds of wind, and the blood gas in their bellies stings, and red and blue flowers are the main ones.

Original: One or two red and blue flowers? Just take a big liter of wine, fry it in half, take half at a time, and take it again. (Suspected not Zhongjing Fang)

Note:

Zhaojie: Red and blue flowers, blue petals, safflower core, and a style in the middle is a medicinal part. Red and blue flowers are saffron and have no effect of abortion. The ancients fried 200 ml of wine with 100 left, but the ancients made rice wine, the degree of which was very low. The rice wine was similar to the current fermented glutinous rice wine. After brewing, there were both white rice grains and slightly white rice wine. Because when drinking, the ancients swallowed rice grains together, so the ancients called it eating wine, not drinking, but actually eating and drinking together. The ancients called numbness and pain and inexplicable discomfort wind, because rice wine is low in degree, and when taken as a medicine, there is alcohol to speed up the efficacy. It is often used to treat chronic abdominal pain in gynecology, and the curative effect is definite, but it is not suitable for acute abdominal pain such as ectopic pregnancy. In life, in fact, we can make red and blue safflower wine as a health wine. Saffron is more expensive, and people with financial difficulties can replace it with grass safflower. In fact, there is no need to pay much attention to it. Usually, putting some safflower in white wine and drinking a few cups occasionally can treat female abdominal pain and various abdominal discomfort, and men can also drink it to prevent cardiovascular and cerebrovascular diseases. Everything is fine, but the health wine doesn't take effect immediately, because the dosage is small, not red and blue flowers 15 grams, but a few grams a day, so it is better to use it for a long time. Eating regularly is much better than intravenous preventive vascular needle. It is recommended to use it frequently when you have drinking habits. It can be used as a diet prescription, chilblain, dysmenorrhea, heart and brain diseases, vasculitis, all kinds of pain and numbness.

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The prescription of Fructus Cnidii Powder is warm and yin-warming.

Fructus Cnidii

Right blindly, at the end, with a little white powder, which is in harmony with the order, such as jujube, wrapped in cotton, naturally warm.

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If the pulse of less yin is slippery, sores will be born in the yin, and if the sores are eroded in the yin, Langya Decoction will wash them.

Langya decoction

Lang ya San Liang

Right blindly, take four liters of water, cook half a liter, wrap the tendons like cocoons with cotton, and soak the soup in the water for four times a day.

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Zhu Huang, pig cream is the main one.

Stomach-qi purges, while yin blows and it is noisy. This valley-qi is also real, so it can be guided by ointment and decoction.

Gao Fa Jian Fang (see jaundice)

Zhu Gao fa Jian Fang

Half a catty of pig paste has three pieces of hair as big as a chicken.

The right two flavors are decocted in the ointment, and the medicine is made, and then taken separately, and the disease comes out from childhood.

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Prescription for children's scabies and tooth erosion (suspected not Zhongjing prescription)

Realgar

The second taste on the right, and the last, take the fat of the twelfth lunar month pig, melt it with the first four or five pieces of Sophora japonica branches, and brand it with medicine.

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