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Notes on Treatise on Febrile Diseases 68
In 162, typhoid fever broke out in May and June. Chest and hypochondriac fullness, slight knot, unfavorable urination, thirst without vomiting, but head sweating, cold and heat, upset, this is also unsolved, "Chaihu Guizhi Ganjiang Decoction" is the main one.

This prescription is the first prescription in treating tuberculosis. It is useless for people with tuberculosis to take any medicine, and they will not get fat if they eat any food.

What is the cause of tuberculosis? According to the concept of traditional Chinese medicine, ordinary people's dampness in the middle energizer is internal dampness, if it is wet in the joints, it is rheumatism, if it is wet in the stomach, it is cold and damp in the stomach, if it runs to the kidney and wraps the kidney, the renal function will be bad, and if it is wet in the blood, it will be tuberculosis.

How do you know that dampness is in your blood? People are thin, but their blood vessels are twice as big as ordinary people. Half of them are blood and half are wet. The pulse is very big, but it is hollow. It is equal to bringing two blood systems, so people are easily tired and tired, and they have to rest for a long time to recover.

Typhoid fever, "sweating" after drinking Mahuang decoction, also fell, and the stool was clean, and the result was not good. "Chest and hypochondrium are full and slightly knotted", and there are still sweat knots that have not been sent out in the chest diaphragm, and the stomach is slightly swollen. Sweating attack causes loss of gastrointestinal fluids, so "urination is unfavorable" and "thirst without vomiting", which seems to have Yangming syndrome of "thirst" and no shaoyang syndrome of "vomiting". When there is food in the stomach, it will vomit, and not vomiting means no food. Yin and Yang should be balanced, Yin is body fluid, Yang is stomach fire, and the stomach can wriggle by the heat energy of the stomach, which is stored in the stomach because of body fluid, just like a little liquid in a battery can store electricity. Now that the body fluid in the stomach is gone, the heat rushes up, and the heat is light and rushes to the head, so "but the head sweats." "People who are upset by cold and heat" means that they have both sun syndrome and shaoyang syndrome.

Clinically, "Chaihu Guizhi Ganjiang Decoction" can be prescribed as long as the patient is thirsty, general muscle weakness, poor urination, uncomfortable stomach, no nausea and no appetite. The diseases inside may be liver cancer, liver cirrhosis, gastric cancer and pancreatic cancer, regardless of the name of the disease.

Chaihu Guizhi Ganjiang Decoction:

Half a catty of Bupleurum, three ounces of cassia twig, two ounces of dried ginger, three ounces of scutellaria baicalensis, four ounces of roots, two ounces of oysters and two ounces of licorice.

As long as there is cold and heat, Bupleurum chinense will be used, as long as the muscles are sore and sweaty, cassia twig will be used.

The difference between dried ginger and ginger: both can stop vomiting, dried ginger is warm and used for stomach cold; Ginger is loose, and ginger is used for stagnant water. There is nothing in the stomach here, so I use dried ginger to warm the middle.

Scutellaria baicalensis Georgi removes heat. The difference between Scutellaria baicalensis Georgi and Rhizoma Coptidis and gypsum: Qin Lian tastes bitter, but it is deficient in stomach, while gypsum is sweet and divergent, and it is excessive in stomach (thirst). There is thirst here, but it is not a big thirst. Use Scutellaria baicalensis Georgi. Gypsum is used for pure heat syndrome, but there is cold and heat here, so it is not correct.

Thirst is treated with Trichosanthes kirilowii root (Trichosanthes root is used instead in the market, which is strictly different), and it is specially used to treat insufficient water in blood vessels. Diabetes is that there is not enough water in the blood vessels, and the body will be thirsty and drink more water when saving itself, but this water will be excreted in urine, and only the water in food will enter the blood vessels.

The heart and lung are in the chest, and the chest is the meeting of all yang. Blood is exchanged here, and gas is in the lungs. It comes from the gasification of large intestine water, such as clouds and fog in the sky, which is very pure. This gasified water enters the blood vessels. Including wilting roots to replenish the water in the lungs, the color is white and enters the lungs.

Shennong's materia medica is bitter in taste, cold in nature and non-toxic. It mainly relieves thirst and body heat, annoys people with great heat, tonifies deficiency and calms the middle energizer, and needs medicine for moistening lung and lowering qi.

Oysters are specially used to reduce the floating yang, but the head sweats. Oysters and dried ginger are only warm, and the yang must be converged back. Oysters are used when yang is outside, and keels should be added when heart yang and kidney yang are outside. The people who came out of the fire were all out, and when they fled, they would squeeze the kidney to release the kidney and run fast, so they used "Guizhi to remove peony and Shu lacquer keel oyster to save the inverse soup". There is only stomach heat rushing up here, so only oysters are used.

After the licorice is roasted, the body fluid is more and the sex is hotter. When using dried ginger, it is more matched with roasted licorice, which can also strengthen the heart. Here, the body fluid in the stomach is not enough, so the roasted licorice is used.

Dosage and decocting method:

Bupleurum 5-6 yuan, cassia twig 3 yuan, dried ginger 2 yuan, Scutellaria baicalensis 3 yuan, including wilting root 4 yuan, oyster 2 yuan, and roasted licorice 2 yuan. Boil six bowls out of twelve bowls, and then cook three bowls out of me. Take one bowl warmly, and take it three times a day. I feel slightly annoyed after taking it for the first time, and the more I sweat after taking it, the better.

Sweat after drinking is wet in the blood, and sweat is sticky. Why not use Atractylodes macrocephala when it is wet? Atractylodes macrocephala removes dampness from joints, muscles, viscera and intestines and stomach, but cannot remove dampness from blood vessels.

This is a disease that only people with tuberculosis have, and people without tuberculosis will not get this card.