220. Yangming disease, the pulse is floating and tight, the throat is dry and the mouth is bitter, the abdomen is full and breathless, fever and sweating are not aversion to cold, but to heat, and the body weight is heavy. If sweating occurs, there will be restlessness, palpitations, and delirium. If the burning needle is added, the patient will feel anxious, irritable, and unable to sleep; if it is lowered, the stomach will be empty, the diaphragm will be moved due to politeness, the heart will be upset, and the tongue will be pregnant, Gardenia Soybean Soup is the main treatment.

Liu Duzhou

Two pieces of knowledge need to be mastered here. One is that the heat syndrome here is not empirical and cannot be treated based on empirical evidence; the other is that this disease is easily mistreated clinically, especially if it is mistreated. It's easy to happen. At the beginning, it is said that Yangming has heat, which is basically the same as the symptoms of "Yangming's stroke, bitter mouth and dry throat, abdominal fullness and slight wheezing" in item 201, but 201 has fever and aversion to cold, here it is an aversion to heat. 201 means that there is heat in the meridians, and the external and internal factors cannot be resolved, so diarrhea cannot be carried out; here, the external evils have entered the internal organs, mainly due to Yangming heat syndrome, and Baihu Decoction should be used to clear away heat and nourish body fluids. Xie Xiahou, the stomach is empty, evil spirits take the opportunity to enter, the heart is depressed and troubled, and there is yellow coating on the tongue. The disease is located in the upper abdomen, so treat it with Gardenia Soybean Soybean Decoction. Shangwan is between the outer and inner parts of Yangming disease, so Ke Yunbo said that Gardenia Soybean Soup can treat half the outer part and half the inner part of Yangming disease. If the external symptoms of the sun are on the skin, use Wuling Powder to relieve urination. For the superficial syndrome of Yangming disease, use Gardenia Soybean Soup, and for the internal syndrome, use Chengqi Tang. Therefore, Ke Yunbo said the three methods of Yangming, clearing the upper part, clearing the middle part, and clearing the lower part, so as not to damage body fluids and prevent water from gathering in the stomach

Hu Xishu

A floating and tight pulse is a sign of typhoid fever. Pulse, dry throat and bitter mouth are Shaoyang syndromes. Abdominal fullness and panting, fever and sweating, and an aversion to heat instead of cold are symptoms of Yangming disease. The weight of the body indicates that there is dampness. This is also a three-yang syndrome, and Chengqi Decoction cannot be used at this stage. You can't sweat at this time, because of the internal heat, sweating takes away body fluids, and the heat becomes more intense. The heat rushes to the head, so the heart becomes restless. If you add a caloric needle to force you to sweat profusely, you will be sweating like a sea, and you will definitely be frightened, irritable, and unable to sleep. This is the previous Guizhi Peony Decoction with Sichuan Lacquer Dragon Bone Oysters or Guizhi Licorice Decoction with Dragon Bone Oysters. Medication cannot be used at this time, as the stomach will not be full and laxatives will make it weak. If you have white fetuses on your tongue at this time, you can use Gardenia Soybean Soup to treat deficiency and troubles.

Liu Zhijie

The article talks about Yangming disease, and what follows is Sanyang disease. The symptoms of Yangming are obvious, so it is called Yangming disease. Dry throat and sore mouth are Shaoyang; full abdomen and shortness of breath, fever and sweating, not aversion to cold but heat are Yangming; floating and tight pulse, heavy body and cold and dampness from the Yang. Sweating will further damage body fluids, causing irritability, delirium, palpitations and panic. Using fire needles will damage the body fluids, and if the heart and brain are not nourished by body fluids, the patient will be frightened, agitated and unable to sleep.

If it is lowered, the righteousness will be insufficient, causing the water to go up and down, and the external evils will be easily retracted. The lower burnt water will also go up, resulting in dampness and heat, irritability in the heart, discomfort in the stomach, and the feeling of wanting to vomit but not vomiting. , the tongue coating is thick and yellow and greasy, Gardenia and Soybean Soup is the main treatment.