(1) The warmth of spring. "Historical Records Tian Jingzhong Wanshijia": "The man whose big string is turbid and warmed by spring is the king; the man whose small string is clean and clear is the prime minister." Song Su Shi's poem "Sending Lu Yuanhan Shaoqing to Know Weizhou" poem: " In the ice and snow, laughter and words express the warmth of spring. "Sun Zhiwei of the Qing Dynasty" "Xing Dew": "The warmth of spring turns to autumn, and the morning sun becomes the sunset." Lu Xun's "Collected Collection of Collections: Occasionally Composed Poems in the Remaining Autumn of the Year of Hai": "Zeng Jingqiu." Respecting the world, I dare to send spring warmth to my writing."

(2) Refers to the time of spring warmth. "History of the Song Dynasty: Biography of Li Ruogu": "If the soldiers are passing by in a boat and the weather is extremely cold and barren, they should be kept and treated until the spring warms up and sent away."

(3) A type of cold-temperature disease. Refers to acute febrile diseases caused by cold evil in winter and onset in spring ("Warm Heat Jingwei·Ye Xiangyan Three Seasons Exogenous Qi Subduction Chapter")

(4) A new type of febrile disease. It refers to an acute febrile disease caused by wind-heat in spring. Volume 1 of "Supplementary Commentary on Febrile Diseases": "Those who get sick due to wind-heat in winter and spring...those who get sick in spring are also called spring fever." Spring fever is an acute exogenous fever that occurs in spring or at the turn of winter and spring. sick. Doctors in the past dynasties have different understandings of spring temperature, but most of them regard it as a disease caused by Fuxie febrile disease. A febrile disease caused by cold evil in winter and occurring in spring. See "Supplementary Notes to Treatise on Epidemic Warmth: Correct and Errors of Various Schools on Epidemic Warmth". "Warm Heat Jingwei·Ye Xiangyan Three Seasons Subdued Qi Exogenous Sensation Chapter" attributes it to subdued temperature disease. It is characterized by symptoms of internal heat that appear at the beginning, such as fever, thirst, irritability, yellow and red urine, and red tongue. The main treatment method is to clear away internal heat and use Scutellaria baicalensis decoction. For those with aversion to cold and headache, it is appropriate to treat both external and internal problems, using onion, platycodon and platycodon decoction plus scutellaria baicalensis. For those with Yangming heat, strong heat, thirst, excessive sweating, heavy pulse, or hot flashes and delirium, abdominal fullness and constipation, the treatment should be to clear qi and relieve heat, or to attack and relieve heat. Baihu Decoction and Tiaoweichengqi Decoction should be used. If heat enters the nutrient blood, or damages yin and causes wind, refer to the wind-warm treatment method. Volume 1 of "Supplementary Detailed Notes on Febrile Diseases": It is said that this disease is a new febrile disease. "Treatise on Diseases of Time" states that it occurs due to a new feeling of external cold that touches the subdued qi. "Treatment by Similarity and Treatment of Warm Diseases" states that it may induce underlying evil, or a sudden feeling of strange qi may occur in spring. See the articles on latent temperature diseases, new febrile diseases, wind-temperature diseases, etc.

Exogenous evils are felt in winter, and the evils turn into heat. In spring, the latent evils arise from the inside, or acute febrile diseases occur due to new external evils, which trigger the latent evils. Symptoms of heat in Qi or blood in blood, such as high fever and upset, thirst and sweating, red tongue with yellow coating, or even dizziness, convulsions, spots, etc. may appear at the beginning. The disease is acute, severe, changes, and develops It is fast and belongs to the category of Fu-temperature disease. If the human body's healthy qi is weak and the spring warm disease is re-infected, it can develop into spring warm disease. In terms of treatment, the basic method is to clear away internal heat. ① The heat is at the spring temperature. Symptoms include body heat and upset, dry and bitter mouth, short red urine, red tongue with yellow coating, and stringy and rapid pulse. Treatment should be to clear away heat and nourish yin, and use Scutellaria baicalensis Decoction to flavor it.

② Hot colon and internal organs are warm in spring. Symptoms include hot flashes, constipation, abdominal fullness and pain, dry mouth and tongue, thick fur and deep pulse. It is suitable to treat the lower part of the body by nourishing yin, and then use Zengye Chengqi Decoction.

③ The heat in the camp is spring temperature. Symptoms include severe body heat at night, irritability, faint rashes, red tongue without coating, and thready and rapid pulse. For treatment, Qingying Decoction should be used to relieve heat.

④ Excessive heat activates blood and warms the blood in spring. Symptoms include body heat and irritability, rashes, or coma and delirium, vomiting blood, nosebleeds, and red tongue. Treatment should be to clear away heat, detoxify, and cool blood, and use Xijiao Dihuang Decoction.

⑤ Qi and blood are warm in spring. Symptoms include strong heat, thirst, or coma, vomiting blood and epistaxis, exposed rashes, red tongue with yellow coating, and slippery and rapid pulse. Treatment should be to clear both qi and blood, and use Qingwen Baidu Drink.

Excessive heat that moves the wind and heat that closes the pericardium are caused by the excess of heat evil. They can be treated with Lingjiao Uncaria Decoction and Qinggong Decoction respectively to cool the liver, calm the wind and clear the heart. In the later stage, if the yin of the liver and kidneys is depleted, Jiajia Fumai Decoction should be used to nourish the liver and kidneys.

Syndrome differentiation and treatment of Spring Warmth Symptoms: body heat, upset, retching, chest and flank discomfort, bitter mouth and thirst, short and red urine. Red tongue, yellow coating, stringy and rapid pulse.

Treatment: Bitter cold to clear away heat, relieve depression and eliminate evil.

Treatment prescriptions:

1. The main recipe is Scutellaria baicalensis soup plus tempeh and Scrophulariaceae recipe (Liu Baoyi's "Wenre Fengyuan") addition and subtraction

Recipe: 12 grams of Scutellaria baicalensis, 12 grams of white peony root, 10 grams of light tempeh, 15 grams of Scrophulariaceae, 10 grams of gardenia. Grams, 9 grams of bamboo root, 9 grams of Bupleurum, 6 grams of cicada slough, and 6 grams of licorice. Decoction in water, 1 to 2 doses per day.

If the vomiting is severe, or the vomiting is like spitting, you can add 12 grams of gentian, 6 grams of coptis, 9 grams of pinellia, and 6 grams of ginger. If there are external symptoms, such as aversion to cold, headache, and no sweating, 9 grams of Nepeta japonica, 9 grams of Peppermint (lower and lower), and 20 grams of Pueraria lobata can be added.

2. Chinese patent medicine

(1) Qingkailing oral liquid, 1-2 bottles each time, 3 times a day.

(2) Xia Sangju granules, 1 to 2 packets each time, 3 times a day, take with boiling water.

(3) Banlangen granules, 1 to 2 packets each time, 3 to 4 times a day, taken with boiling water.

3． A single recipe of onion, black pepper and platycodon decoction (Yu Genchu's "Treatise on Febrile Diseases")

Prescription: 10 grams of fresh green onion, 6 grams of platycodon, 15 grams of light fermented beans, 10 grams of burnt gardenia, 6 grams of mint, 9 grams of forsythia. Gram, 12 grams of fresh bamboo leaves. Decoction in water and take it warmly, 2 times a day. It is quite effective for those who have severe internal heat at the beginning of spring temperature and have external symptoms. Symptoms: body heat, irritability, restlessness, slight aversion to cold, bitter mouth and thirst. The tip of the tongue is red, the fur is thin and yellowish, and the pulse is rapid or stringy.

Treatment method: Qingxuanyu heat.

Recipes:

1. The main recipe is gardenia and black bean soup (Zhang Zhongjing's "Treatise on Febrile Diseases") with flavoring

Recipe: 12 grams of gardenia, 10 grams of light black bean, 9 grams of light bamboo leaves, 9 grams of forsythia, 12 grams of trichosanthes, 9 grams of mint , 6 grams of cicada slough, 5 grams of licorice. Decoction in water, 2 doses daily.

2. Chinese patent medicine

(1) Ganmaoqing tablets, 3-4 tablets each time, 3 times a day, take with boiled water.

(2) Yinhuang oral liquid, 1 to 2 bottles each time, 3 to 4 times a day.

3． Single prescription: Jieyu Qingxin Decoction (Lai Tiansong et al. "I New Prescription for Clinical Miracles")

Prescription: 10 grams of Bupleurum, 9 grams of Cyperus rotundus, 15 grams of dragon bone, 15 grams of oyster, 15 grams of turmeric, 6 grams of calamus, 20 grams of raw rehmannia glutinosa, 9 grams of coptis, 10 grams of antelope horn bones, 10 grams of bamboo leaves, and 6 grams of licorice. Decoction in water, 1 dose per day. Symptoms include constant body heat, irritability, burning sensation in the chest and diaphragm, thirst, burnt lips and dry throat, constipation and yellow urine. Red tongue, yellow coating, slippery and rapid pulse.

Treatment method: clear away diaphragmatic heat.

Recipes:

1. The main prescription is Liangge Powder ("Taiping Huimin Heji Bureau Prescription" by Chen Shiwen et al.) flavored

Prescription: 9 grams of rhubarb (lower dosage), 6 grams of Glauber's salt (flush), 12 grams of gardenia, 12 grams of skullcap. grams, 12 grams of forsythia, 10 grams of mint, 12 grams of prunella vulgaris, 10 grams of bamboo leaves, 6 grams of licorice. Decoction in water, 2 doses daily.

If the stool is not constipated, remove Glauber's salt and do not use rhubarb. If you are very thirsty, add 15 grams of trichosanthin and 15 grams of reed root. For those with sore throat, add 30 grams of Ganggenmei, 6 grams of Platycodon, and 9 grams of puffball.

2. The Chinese patent medicine Niuhuang Jiedu Pills are taken orally, 4 pills each time, 3 to 4 times a day. Symptoms include: strong heat, red face, excessive sweating, irritability, thirst for cold drinks, bitter mouth, short and red urine. The tongue is red, the coating is yellow and dry, and the pulse is rapid.

Treatment method: clear away heat and protect body fluid.

Recipes:

1. The main prescription is Baihu Decoction (Wu Jutong's "Tiao Bian of Febrile Diseases") with added flavor

Prescription: 30 grams of raw gypsum (decoction first), 15 grams of Anemarrhena, 6 grams of japonica rice, 9 grams of raw licorice, and 15 grams of honeysuckle. , 15 grams of reed root and 15 grams of dendrobium. Decoction in water, 2 doses a day, 1 dose in the morning and 1 dose in the afternoon.

If you have cough and yellow and thick phlegm, you can add 12 grams of almonds, 12 grams of Trichosanthes trichosanthes, 20 grams of Houttuynia cordata, and 12 grams of Scutellaria baicalensis. If the heat disturbs the mind and causes delirium or irritability, you can add 20 grams of buffalo horn (slice and fry first), 12 grams of forsythia, and 10 grams of bamboo leaf rolls. If excessive heat spreads to the liver meridian, causing liver wind and twitching of the hands and feet, 10 grams of antelope horn, 12 grams of Uncaria, and 15 grams of chrysanthemum can be added. If excessive heat has damaged qi and yin, causing excessive sweating, slightly cold back, slight breathlessness, and a soft pulse, 12 grams of American ginseng (or 30 grams of Pseudostellariae ginseng) can be added.

2. Chinese patent medicines

(1) Shuanghuanglian powder injection, 3 grams per day, add 500 ml of 5% glucose (or 500 ml of normal saline) for intravenous infusion for 5.7 consecutive days.

(2) Xinhuang tablets, 3 to 4 tablets each time, 3 times a day, orally.

3． Single prescription antipyretic decoction ("New Clinical Prescription" by Lai Tiansong and others)

Prescription: 30 grams of Daqingye, 30 grams of Bupleurum, 20 grams of Forsythia, 15 grams of Scutellaria baicalensis, 30 grams of Mudan bark, 20 grams of Imperata cognac root and 12 grams of Pinellia ternata. Take 1 dose per day, boil 3 bowls of juice in water, and drink half of the bowl warmly every 4.6 hours. It has the effects of clearing away heat and detoxifying, ward off epidemics, and reduce muscle fever. It has obvious antipyretic effect on Yangming's severe stomach heat. Symptoms include: body heat, dry mouth and throat, abdominal distension and abdominal pain, fatigue and shortness of breath, or touching the bed with empty hands, tremors of the limbs, and constipation.

The tongue is red, the coating is yellow and dry or burnt black, and the pulse is deep and thready or weak.

Treatment method: attack the internal organs and replenish qi and yin.

Recipes:

1. The main prescription is newly added Huanglong Decoction (Wu Jutong's "Tiao Bian of Febrile Diseases")

Prescription: 20 grams of raw rehmannia glutinosa, 15 grams of Ophiopogon japonicus, 20 grams of Scrophulariaceae, 9 grams of raw rhubarb (bottom below), 6 grams of Glauber's salt (flush), 6 grams of raw licorice, 12 grams of Codonopsis pilosula (or 20 grams of Radix Pseudostellariae), 6 grams of angelica root, 2 sea cucumbers, and 2 slices of ginger. Decoction in water, 2 doses a day, to relieve pain, reduce heat, and clear the mind.

If there is no fatigue, shortness of breath, emptiness when touching the bed, or tremors of the limbs, but the main symptoms are abdominal fullness and pain, constipation, dry mouth, cracked lips, and burnt tongue coating, you can remove Codonopsis pilosula, angelica root, ginger, and licorice, that is, It became Zengye Chengqi Decoction, which is used to treat simple Yangming heat knot and Yin fluid deficiency. If you have abdominal distension and pain, press hard, or feel fecal matter, and the abdominal distension and pain are obvious, you can add 9 grams of Magnolia officinalis and 9 grams of Citrus aurantium to relieve constipation, distension and pain, and then stop taking it.

2. Chinese patent medicine Niuhuang Jiedu Pills and American Ginseng Oral Liquid: 3 to 4 Niuhuang Jiedu Pills are taken orally, 3 times a day; 1 to 2 pills of American Ginseng Oral Liquid are taken orally, 3 times a day. Used together, the two medicines can not only clear away heat, detoxify and relieve constipation, but also replenish qi and nourish yin. Symptoms include: body heat that persists, constipation, difficulty in passing urine, heat and pain in the urethra during urination, red urine, and severe polydipsia. Red tongue, yellow coating, stringy and rapid pulse.

Treatment method: clear the secret knot of the large intestine and relieve excess heat in the small intestine.

Recipes:

1. The main recipe is Dao Chichengqi Decoction (Wu Jutong's "Febrile Diseases Treatise") flavored

Prescription: 12 grams of red peony root, 25 grams of raw rehmannia glutinosa, 9 grams of raw rhubarb (bottom below), and 6 grams of coptis. , 10 grams of Cortex Phellodendron, 6 grams of Glauber's Salt (taken as a drink), 30 grams of Imperata Root, and 6 grams of Liquorice Root. Decoction in water, 2 doses a day, 1 dose in the morning and 1 dose in the afternoon to reduce heat and relieve pain.

If you have abdominal distension and pain, dry tongue coating, and a heavy pulse, you can add 9 grams of Citrus aurantium and 6 grams of Magnolia officinalis. If you are very thirsty and sweat a lot, you can add 25 grams of gypsum (fried first), 15 grams of trichosanthes, and 15 grams of reed root.

2. Single prescription Tongli Gongxia Decoction ("Clinical Prescription Manual" by Lai Tiansong et al.)

Prescription: 12 grams of rhubarb (dispensed later), 9 grams of Glauber's salt (dissolved), 30 grams of gypsum (decocted first), Imperata cognac root 30 grams, 30 grams of salvia, 15 grams of Phellodendron, 15 grams of Atractylodes, 15 grams of Achyranthes, 15 grams of Caohe Che, and 9 grams of licorice. Decoction it in water twice and take it in 2 divided doses, 2 doses per day. Symptoms include: severe body heat at night, irritability, or even delirium from time to time, faint rash, dry mouth and throat, and difficulty in drinking. The tongue is red and crimson, with thin, yellow and dry coating or no coating, and a thready and rapid pulse.

Treatment method: clear the Yin and relieve heat.

Recipes:

1. Main recipe: Qingying Decoction (Wu Jutong's "Tiao Bian of Febrile Diseases")

Prescription: 30 grams of buffalo horn (slice and fry first), 15 grams of raw rehmannia glutinosa, 15 grams of Scrophulariaceae, and 15 grams of Ophiopogon japonicus. grams, 12 grams of bamboo leaves, 9 grams of salvia, 6 grams of coptis, 15 grams of honeysuckle, and 12 grams of forsythia. Decoction in water, 2 doses a day, 1 dose in the morning and 1 dose in the afternoon.

If you have mild aversion to cold, headache, sore throat, and yellow and thin fur, you can add 9 grams of tempeh, 9 grams of mint (lower and lower), and 9 grams of burdock to soothe the skin. Touxie goes out. If the yellow coating has receded and the tongue is red and deep, remove honeysuckle and forsythia and add 12 grams of peony bark, 15 grams of red peony root and 12 grams of gardenia.

2. Chinese patent medicine

(1) Xin Xuedan, take 1-2 bottles each time, 3-4 times a day.

(2) Qingkailing needle, add 30-40 ml of 10% glucose solution for intravenous infusion, once a day.

3. Single prescription Chaiqing Mixture ("Clinical Prescription Manual" by Lai Tiansong et al.)

Prescription: 10 grams of Bupleurum, 6 grams of Artemisia annua (bottom and back), 12 grams of Digupi, 12 grams of Scutellaria baicalensis, Di Dantou 20 grams, 15 grams of alfalfa, 18 grams of dog liver, 15 grams of reed root, 15 grams of wild chrysanthemum, and 5 grams of licorice. Decoction 2 times in water and take 2 times, 2 doses per day. Symptoms include strong fever, thirst, headache, irritability, skin rash, or even vomiting blood or epistaxis. Red tongue with yellow coating and rapid pulse.

Treatment method: clear both Qi and Ying (blood).

Recipes:

1. The main recipe is Yunv Decoction with the removal of Achyranthes bidentata, cooked Rehmannia glutinosa, raw Rehmannia glutinosa, and Scrophulariaceae (Wu Jutong's "Tiao Bian of Febrile Diseases")

Prescription: 30 grams of raw gypsum (decocted first), 15 grams of Anemarrhenae, 20 grams of Scrophulariaceae, 20 grams of Rehmannia glutinosa, and 20 grams of Ophiopogon japonicus. Decoction in water, 2 doses per day, 1 dose in the morning and 1 dose in the afternoon.

If the rash is exposed and dark in color, remove the raw rehmannia glutinosa and Ophiopogon japonicus, add 30 grams of buffalo horn (slice and fry first), 20 grams of white japonica rice, and 6 grams of raw licorice to make the Huasi Tang. That is, white tiger soup plus buffalo horn and scrophulariaceae. If the condition is severe, irritable, exposed rash, vomiting blood, or bleeding, remove Ophiopogon japonicus and add 30 grams of buffalo horn (slice and fry first), 9 grams of coptis, 15 grams of gardenia, 15 grams of skullcap, and 15 grams of red peony root. Grams, 15 grams of forsythia, 12 grams of peony bark, and 12 grams of bamboo leaves become the Qingwen Baidu Drink, which is a combination of Baihu Decoction, Liangge Powder, Coptis Jiedu Decoction, and Xijiao Dihuang Decoction.

2. Chinese patent medicine

(1) Qingkailing needle, add 30 ml of 10% glucose solution to 500 ml of intravenous drip, once a day.

(2) Xingnao intravenous injection, add 20 ml of 5% glucose solution to 250 ml of intravenous infusion, twice a day.

(3) Purple Snow Pill, take 1-2 bottles each time, 3-4 times a day.

3． A single prescription of Xiaoli Decoction ("New Prescription with Miraculous Clinical Effects" by Lai Tiansong et al.)

Prescription: 10 grams of moutan bark, 15 grams of raw rehmannia root, 15 grams of red peony root, 10 grams of skullcap, 10 grams of gardenia, and 6 angelica. grams, 15 grams of madder root, 15 grams of sophora flower, and 20 grams of isatis root. Decoction in water, 2 doses per day, 1 dose in the morning and 1 dose in the afternoon. Suitable for those with high fever and skin rashes. Symptoms include: burning body, restlessness, or even coma and delirium, purple-black skin color, flakes and lumps, or vomiting and bloody stools. The tongue is deep and crimson, and the pulse is stringy and rapid.

Treatment: clear away heat and detoxify, cool blood and disperse blood.