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Analyzing the types of "Planktonia" in the Treatise on Typhoid Fever

Plankton is a kind of symptom in which the patient feels that the stomach and epigastric region is full of stuffiness and plumpness, and the patient feels that the stomach and epigastric region is moist, soft and painless when touching it. It can be caused by sun disease, resulting in invisible heat in the lower part of the heart and congestion of qi, which can lead to the formation of heat plumpness. The symptoms include plumpness in the lower part of the heart, moistening when pressed, distress, thirst, yellow moss, and a floating pulse. The treatment should drain the heat and eliminate the plumpness, the formula is Da Huang Huang Lian Lian Daxin Tang (大黄黄连泻心汤). If the disease is accompanied by a deficiency of surface yang, with malignant wind and spontaneous sweating, it is necessary to drain the heat and eliminate the lumps and support the yang to consolidate the surface at the same time, and to give the epiphyllum laxaxative cardiac soup.

If the sun disease mistakenly down, stomach deficiency heat trapped, can also cause plaque. If the stomach is weak and hot, and cold and heat are blocked, then the heart will be blocked; if the elevation is out of order, and the turbid yin is not descending, then vomiting will occur, and if the clear yang is not ascending, then discharging will occur. The treatment should be healing the middle and lowering the inversion, draining heat and eliminating the plumping, using Half Xia Diarrhea Heart Soup. If there is a combination of dry yelping, odor, thunder in the abdomen and other food and water stagnation, it is appropriate to heat the stomach and eliminate plaque, water dissipation and stagnation, and reduce the amount of dry ginger in the half-summer laxative heart soup and add ginger (i.e., ginger laxative heart soup) main .

If there is a great deficiency in the middle qi, and the disease is very serious, there are "tens of rows of diarrhea every day, the grain does not dissolve, the thunder in the abdomen, the heart is hard and full, dry vomiting, and the heart is upset and can not be rested", then it is also necessary to nourish the middle and harmonize the stomach, subdue the rebellious and eliminate the lumps, and reuse the licorice in the Half-summer Laxative Heart Soup (i.e., Licorice Laxative Heart Soup) .

The Treatise on Typhoid Fever has five treatises on plumping, but in summary, there are only two major types of plumping: hot and hot plumping, and cold and heat plumping. Heat trapped in the stomach, the evil heat congestion for the heat disease, the treatment should be attacked mainly; stomach deficiency heat evil trapped, cold and heat in the obstruction of cold and heat for the cold and heat mismatch plumping, the treatment should be complementary and discharge at the same time.

After the sun disease is mistakenly sent down, the evil heat takes advantage of the situation to fall into the middle Jiao, so that the gastric qi is congested, and then heat plumping occurs. There are two reasons to use rhubarb in the treatment of heat plague:

1. Rhubarb is bitter and cold, and the odor is thick, and the gas is thick, and the taste is thick, and the taste is heavy and turbid and cathartic. The use of rhubarb in laxative heart soup is to Ma Bo Tang (i.e., boiling water) impregnated with bubble juice, so that it can specialize in its gas, you can make full use of its light and clear cathartic function, but also far from the power of its push the wall down the Bik, and therefore the use of invisible heat congregation of congestion of the disease, it is just the right thing to do.

2. Scutellaria and Lian in Laxing Xin Tang, but not go, but have the power to clear heat, but not the power to open the knot, and rhubarb with the combination of the clearing of heat and elimination of plaque both, with the treatment of heat plaque, very well together. Wu Yike said, "Huanglian is bitter and stagnant, cold and dry, and rhubarb are cold medicines, rhubarb goes but does not guard, Huanglian guards but does not go, a dry and a moist, a pass and a plug ." In this way, they are complementary and mutually reinforcing, and the plaque can be cured.

The seventh article in the theory: "If the disease has fever and malignant cold, it develops in yang; if there is no fever and malignant cold, it develops in yin." Where the fever is present at the same time as the cold, the table is not resolved; where the cold is present without fever, and there is sweating, the table is weak in yang. In the case of heat plaques with an epiphenomenon, it is a plaque under the heart, and with fever and cold, headache and body pain, etc. "When the epiphenomenon is relieved first, and the epiphenomenon is relieved then the plaque can be attacked, and it is appropriate to relieve the epiphenomenon with Gui Zhi Tang, and to attack the interior with Rhubarb, Huang Lian, and Laxing Xinsheng Lei." In the case of hot lumps with deficiency of yang in the surface, it is "lumps under the heart and sweating out of cold", the treatment is to drain the heat and eliminate the lumps, support the yang and consolidate the surface, and give the epiphyllum laxative cardiac soup.

The pathogenesis of ginger laxative cardiac soup is caused by stomach deficiency and heat aggregation, and water and food are not transformed. Because of the cold and heat in the victory, the air stifled, the heart under the hard; stomach deficiency food stagnation, the dry yelp food odor; water and gas internal stop, down to the intestines, the intestinal tinnitus and discharge. To summarize, the evidence of Ginger Diarrheal Heart Soup belongs to the planktonic evidence of water and food stagnation, and when presenting the evidence, "dry yelping and food stench (upper)", "plumping and hardening under the heart (middle)", and "thundering and discharging in the abdomen (lower)" are the main points of identification. The main points of diagnosis. Article 162: "After sweating out of typhoid fever, after solving the problem, there is disharmony in the stomach, plumpness and hardness under the heart, dry yelping and smelly food, watery gas under the dolphin, thundering in the abdomen and discharging profits, Sheng Jiang Laxing Xin Tang is the mainstay of the disease."

The pathogenesis of the evidence of Zuanfu Daichu Tang is caused by gastric deficiency and phlegm obstruction, and gastric qi upward reversal. Because of the stomach deficiency and phlegm obstruction, qi congestion, so the heart under the plump hard; deficiency qi upward reversal of the yelp will not be removed; due to neither heat and stagnation of food, so the yelp and no food odor. When examining the case, the main points of identification should be "yelping not removed (top)" and "hardness under the heart (middle)". Article 166: "In typhoid fever, if sweating, if vomiting, if down, after the solution, the heart under the plump hard, yelping is not removed, spinning and replacing ochre soup is the main."

Hemixia diarrhea heart soup evidence belongs to the cold and heat mixed plumping evidence. Due to stomach deficiency and heat trapping, cold and heat obstruction, and congestion of qi, the plumpness under the heart occurs. In addition, there are gastrointestinal symptoms such as vomiting and intestinal tinnitus, or even profuse discharges. Therefore, the formula to scullcap is to clear the evil heat, Jiang Xia, and the cold, so the Xin Kai Bitter drop, cold and heat and in order to eliminate the fullness of the stomach; stomach due to the error of down and weak, unable to manage the power of the medicine, so more with ginseng, grass, jujube to make up for the middle of the virtual. The combination of these seven flavors ****succeeds in draining heat from the stomach and replenishing the deficiency and eliminating the plumpness.

Huanglian soup evidence for typhoid fever elevation disorder, the upper heat under the cold evidence. Because there is an evil blockage in the stomach, making the cold and heat live in the upper and lower, yin and yang do not meet. Yin can not rise, and only in the lower treatment, for the lower cold abdominal pain; Yang can not descend, and only in the upper treatment, for the chest heat vomiting, so use Huanglian as the main clearing of the upper heat, with dry ginger to warm the lower cold. However, the yin and yang do not meet due to the stomach gas of the virtual, can not run, so more ginseng, grass, jujube fill in the virtual, half-summer down vomiting, Gui Zhi Xuan through the upper and lower yang qi. The seven flavors with, *** into clear on the warmth of the lower, and adjust the yin and yang of the work.

In short, the pathogenesis of the two evidence, although both cold and heat dissonance. However, the upper part of the cold and heat plagued in the center, to the heart of the plagued as the main witness; the latter is the upper heat under the cold, yin and yang do not intersect, hot from the heat, cold from the cold, to want to vomit, abdominal pain as the main witness.