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How to Learn Treatise on Febrile Diseases
(1) Generally, people who read Treatise on Febrile Diseases tend to read more notes, and rarely start with the prose of Treatise on Febrile Diseases. In fact, this is a key problem in the study of epidemic febrile diseases, which can not be ignored. Because Bai Wen is the basic feature of Zhong Jing's Treatise on Febrile Diseases, the original features of the Notes on Treatise on Febrile Diseases have changed more or less. Of course, the so-called vernacular only refers to the school magazine of Lin Bu and others in the Northern Song Dynasty. Apart from the Lin School, we can't see a vernacular that is closer to Zhongjing's original theory. This book published in the Northern Song Dynasty is also a rare treasure, and no one has ever investigated whether this book exists in China. Secondly, Zhao's Copy of the Song Dynasty in the Ming Dynasty, according to the Addendum to Visiting Ancient Records, said: "This copy was collected in Zhongjing Encyclopedia, which means that the words copied in the Song Dynasty are correct, quite like the appearance of the Song Dynasty. Not good at covering Treatise on Febrile Diseases. " Unfortunately, this kind of engraving is rarely circulated, so it is not easy to buy. Without books, the following books can still be regarded as rare books of Treatise on Febrile Diseases. First, it was published in Yichang, Wuchang in the first year of the Republic of China, then photocopied by Qiaotuo Commercial Press of Shanghai Railway in the twelfth year of the Republic of China, and then went to Zhonghua Bookstore in Shanghai in the twentieth year of the Republic of China. These three books are proofread or photocopied according to Zhao's reprint, which may be available in antique bookstores. The new edition of Treatise on Febrile Diseases in Song Dynasty, published by Chongqing People's Publishing House 1955, was also printed according to Zhao's engraving and published with the index of 1959. It's still a good prose, except that the original methods of pulse differentiation, pulse dredging, typhoid fever and pulse spasm and dampness have been deleted. Twelve syndromes, such as non-sweating syndrome differentiation, sweating syndrome differentiation, post-sweating syndrome differentiation, non-vomiting syndrome differentiation, vomiting syndrome differentiation, lower pulse syndrome differentiation, lower pulse syndrome differentiation and post-sweating syndrome differentiation, as well as various legal provisions listed in the first chapter of Sanyang, can be called a white abridged edition of Treatise on Febrile Diseases. (2) Since the Song Dynasty, there have been more than 400 kinds of annotation books on Treatise on Febrile Diseases. It is neither possible nor necessary to read all these explanatory books. However, a good annotation can not only help us understand Treatise on Febrile Diseases, but also enlighten our thinking. Therefore, it is very necessary to choose a few better notes to read after reading the vernacular. Here are a few selected companies for your reference. 1. "Notes on Treatise on Febrile Diseases" Song Chats and takes ten notes on Cheng Wuji, which is the first volume of Treatise on Febrile Diseases. Wang Hu said: "Cheng Wuji's annotation of Treatise on Febrile Diseases is like three servants' annotation of Neijing, the only difficulty is to create ears." Indeed, such a classic book is not easy to annotate without a blueprint. The only feature of Cheng's annotation is basically based on Neijing. In the preface, Zhong Jing once said, "Write nine volumes of Chinese". Most people also say that Zhongjing's Treatise on Febrile Diseases was developed on the basis of Neijing, which can be explained by reading the notes. For example, "Treatise on Febrile Diseases" said: "Anyone who uses gardenia soup and the elderly and infirm patients should not take it." Zhu Cheng explained this cloud with Su Wen's theory of disease transmission: "The old and infirm are weak inside and cold below. Although he is annoyed, he does not accumulate heat and should not have gardenia soup. " Neijing said: "Those who discharge first and then get sick should treat their roots, and they must be adjusted to treat other diseases." This article is really a question of the order of specimen processing. The deficiency syndrome of Lao Wei Tang is this disease, and the syndrome of Gardenia Black Bean Decoction is a standard disease and a new disease. Those with internal deficiency can only warm the interior first, which is not only the healing spirit of Neijing, but also Zhongjing's richest experience. Another example is "Treatise on Febrile Diseases", which says, "If the pulse is tight, it will be painful to relieve exterior symptoms by sweating. A ruler should not sweat if he is late. How do we know? " Lack of pride, less blood, so also. Cheng said: "The Needle Sutra says that people who take blood don't sweat, and those who have a late pulse are proud of their lack of blood, so they shouldn't sweat. "All these can show that Zhongjing is very skilled in using the theory of Neijing in clinic. Although it is difficult to see Zhongjing quoting idioms from Neijing in the text of Treatise on Febrile Diseases, we know that Zhongjing's legislation is based on Neijing. It serves to show that the use of Su Wen and Jiu Juan mentioned by Zhong Jing has a history. Therefore, it can be said that reading Cheng Zhu's notes well will inspire us to better use the theory of Neijing in clinic. In his later years, Cheng also wrote four volumes of Treatise on Febrile Diseases, repeatedly analyzing the essence of fifty diseases such as fever and aversion to cold, which is enough to enlighten our thinking method of clinical syndrome differentiation and is worth reading. 2. "Treatise on Febrile Diseases" is a four-volume book written by Yu Xichang Yan Jia, whose real name is Shang Zhongjing's Treatise on Febrile Diseases. Yu's book is based on Fang Youzhi's Treatise on Febrile Diseases in Ming Dynasty, and its main points are as follows: first, the narrative examples of refutation are considered to be unprepared; Secondly, according to the outline details of Zhongjing 397 law, it shall be determined separately; Thirdly, it is pointed out that Treatise on Febrile Diseases takes typhoid fever in winter and moon as the key link. In the Six Classics, Sun Bin is the key link, while in the Sun Classics, wind hurts health, cold hurts glory, and cold hurts Wei Rong. Therefore, he readjusted the original text of Treatise on Febrile Diseases as follows: the syndrome of common wind injury is listed in the upper part of the sun, the syndrome of cold injury is listed in the middle part of the sun, and the syndrome of Wei Rong with wind-cold injury is listed in the lower part of the sun. Taiyang Yangming syndrome is listed in the first part of Yangming, Zhengyang syndrome in the middle part of Yangming, and Shaoyang syndrome in the second part of Yangming. Complications, concurrent diseases and unhealthy diseases are all attached to the Yang chapter. According to abdominal fullness or pain, those who feel warm at present are listed in Taiyin. The first part of Shaoyin lists all syndromes of meridian warming, and the second part of Shaoyin lists all methods of transmitting Shaoyin meridians to treat heat evil. The methods of liver and kidney syncope and heat advancing and retreating are all listed in Jueyin, accompanied by diseases of difficulty in menstruation, fatigue after poverty and yin and yang. In a word, Yu's family is the core figure in the mistaken bamboo slips of Treatise on Febrile Diseases. Its predecessor is Fang Youzhi, followed by Zhang Lu, Wu, Zhou Yuzai, Cheng Jiaoqian and Zhang Xugu. After reading Shang Lun Pian, all factions can agree. 3. "Treatise on Febrile Diseases" was written by Zhang Zhicong in Qiantang of Qing Dynasty in six volumes, which was the final version of his later years. The manuscript died before it was finished, and was later completed by Gao Shizong. Zhang Zhicong thought that the described cases claimed to be fever, and the syndrome was neither regular nor regular. The outline contradicted this theory, so he cut off the described cases of Uncle He. It also expounds Cheng Wuji's theory that wind hurts Wei and cold hurts glory, and classifies Ramulus Cinnamomi and Herba Ephedrae into two major syndromes: slow pulse, tight pulse, wind evil, aversion to cold and sweating without sweat, as well as the big Qinglong syndrome with wind-cold injury, with three points, a slight difference at the beginning and a thousand miles at the end, but it is enough to deceive Zhongjing's study and not enough for training. In particular, he believes that the compilation of the Six Classics has its own consistency and does not allow arbitrary interpretation. This is completely contrary to Yu's brief exposition of mistakes. He divided the 398 chapters of the Six Classics into 100 chapters according to the original order, and each chapter had its own essence. Never treat Treatise on Febrile Diseases as a broken film and suddenly cut it off with regulations. We should draw a general outline of it, make clear its main idea, and divide it into chapters from the summary part, so that it can be understood and justified. The main idea of Treatise on Febrile Diseases is to clarify the changes of "Qi of Meridian" in human body. He believes that three yang, six meridians and six qi exist between heaven and earth, as well as between people. If there is no disease, the six qi will run, and if it is closed, it will be harmonious. If wind-cold is exogenous, evil will hurt the right. At first, qi and qi will have the same feeling, and then qi will enter the meridians. Knowing the principle of "Qi of Meridian" and reading Treatise on Febrile Diseases, we can know the difference of vital qi caused by syndrome and the course of meridian caused by treatment. His thought was popularized by Zhang Xiju and Chen Xiuyuan, and became the backbone of maintaining the old theory of typhoid fever, which had a great influence on later generations. 4. The Introduction of Treatise on Febrile Diseases into Suzhou Collection: There are four volumes of Notes on Treatise on Febrile Diseases, two volumes of Treatise on Febrile Diseases and two volumes of Appendices on Treatise on Febrile Diseases written by Cixi Ke Yunbo in the Qing Dynasty, with a total of eight volumes. He thought that after Treatise on Febrile Diseases was edited by Wang Shuhe, Zhongjing's original text could not be seen again. Although the chapter is chaotic, it is not far from Zhongjing's appearance. Fang Youzhi and Yu are more important, but the farther away from Zhongjing. However, there are sun syndrome, Guizhi syndrome and Chaihu syndrome in Treatise on Febrile Diseases, which must be based on syndrome differentiation. In order to apply the theory of Treatise on Febrile Diseases to clinic better, the most feasible way is the method of syndrome differentiation. Therefore, he advocated that it is not necessary to diligently inherit the compilation of Zhongjing's old theory, but more importantly, to inherit Zhongjing's dialectical method. For example, in The Sun, he classified eleven syndromes, such as Guizhi Decoction, Mahuang Decoction, Gegen Decoction, Daqinglong Decoction, Wuling Powder, Shizao Decoction, Trapping Chest Decoction, Xiexin Decoction, Dangdang Decoction, Fire Inverse and Spasm. Guizhi decoction lists 16 syndrome differentiation types, 18 bad cassia twig syndromes, 1 suspected cassia twig syndromes, and 1 8 cassia twig syndromes such as Ermayina 1 and Guizhi1. Here are 14 Mahuang decoction syndromes,/kloc-0 Mahuang decoction and Chaihu decoction syndromes, 8 syndromes of deficiency after sweating, 4 Mahuang decoction syndromes and 5 Mahuang decoction syndromes, such as Mahuang decoction and Maxingshi dried decoction. All other certificates are listed according to this kind of article. This is Koch's method of attaching importance to evidence, collecting the theory of Six Classics, and drawing inferences from one instance to another. He divided the theory into chapters, summarized the outline in detail, and clustered the reasons of the evidence, which was more suitable for clinic. At the same time, in Treatise on Febrile Diseases, he made a systematic analysis of the whole Dafa, the interpretation of the six meridians, the justice of the six meridians, and the problems of co-diseases, cold and summer heat, spasm and dampness, which was enough to inspire many scholars. Tong's statement that Ke Yunbo can understand the outline of Treatise on Febrile Diseases refers to these comments. Later, Xu Dachun wrote Treatise on Febrile Diseases, which was also proved by prescriptions. However, the difference between him and Ke Yunbo is that Yunbo divides the syndrome into meridians and uses the name of the prescription, while Xu Dachun divides the syndrome by the prescription, regardless of the meridians. These two methods have practical significance in clinic. 5. The combination of exogenous fever and penetrating beads is clear. Changzhou wrote eight books in Jingjing. All chapters in the book are divided into three parts, namely, correct treatment method, correct reform method, mediation method, rescue method, disease-like method, syndrome differentiation method and miscellaneous treatment method, which are the backbone of its compilation. For example, the sun chapter is divided into five chapters: the rectification of the sun, the correction of the sun, the mediation of the sun, the rescue of the sun, and the disease of the sun. Yangming, Shaoyang and Yin San all have the same legislative provisions on syndrome differentiation and treatment. If you treat typhoid fever, you should judge whether the pulse is slow or tight and distinguish whether there is sweat. You can use Guizhi Mahuang and other methods to relieve it. This is the correct treatment. Although the human body is different from deficiency and excess, and the viscera is different from yin and yang, it is the same as typhoid fever, but it is not allowed to use Ma Gui method, and we should take into account Xiaojianzhong, roasted licorice, large and small Qinglong and other soups. This is the right reform. In the treatment, there are often some disadvantages such as unclear sweating or excessive sweating killing yang, so there are methods such as sweating and warming meridians. This is mediation. Unfortunately, if you are abused, or if you sweat, or if you sweat again, it will lead to symptoms such as chest tightness, heat coordination and loss of benefits. Therefore, there are methods such as large and small chest depression, various catharsis decoction, etc., in order to save the inverse method. The sun is affected by pathogenic factors, such as rheumatism, febrile diseases, wind temperature and moderate temperature. Its form is similar to typhoid fever, but the treatment principle is not the same. There are ephedra, atractylodes macrocephala, Trichosanthes kirilowii, ginseng, white tiger and so on. This is a disease-like method. Explain the experience of Zhongjing's various legislation, especially from typhoid articles to clinical practice, which makes people easy to master and is conducive to later study. (3) Reading Methods Treatise on Febrile Diseases is the most systematic and methodical book that closely combines theory with practice. It integrates the method of syndrome differentiation and treatment into the method of regulating methods and prescriptions, so it is a must-read book for learning Chinese medicine. When I say read here, I mean read it thoroughly. At least you should know how to recite the six classics. When reading, it is best to use white words instead of notes. For example, when it comes to Guizhi decoction syndrome, you can list all the articles about Guizhi decoction syndrome before and after, and when it comes to Mahuang decoction syndrome, you can list all the articles about Mahuang decoction syndrome, which is basically called perusal. Please read the notes carefully before studying them. The precautions listed above are the minimum requirements. If we can use it for reference, we can link many theories of Neijing with Treatise on Febrile Diseases and learn how Zhang Zhongjing applies the theory of Neijing to clinic. After studying the note, study Zhang's note again. When reading Zhang's notes, we can't ignore his examples and original intention, because we can understand his central idea from here. It is best to write an outline briefly according to his hundreds of chapters, which will help us to make a comprehensive analysis of Treatise on Febrile Diseases. Reading Zhang Zhu before reading Yu Zhu is based on the 397 laws and the theory of separation of three classes. Whether we agree with his classification method or not, Sanyang, cold camp and health are the basic problems in the study of Treatise on Febrile Diseases, and we can learn from its experience to better deal with these problems. Look at Yu's Annotation before Ke's Annotation, and look at Ke's Annotation on the Wing first, because these are the basic problems of Treatise on Febrile Diseases, especially the three chapters, namely, the theory of various laws, the justice of the Six Classics and the differentiation of cold and confusion. After getting a general concept from here, it is not only easy to go deep, but also helpful for us to identify the relationship between prescription and syndrome of typhoid fever. After reading Ke's notes, read You's notes. You mainly study the legislation of Treatise on Febrile Diseases. Understanding why it expounds the establishment of typhoid treatment is enough to give us inspiration in the opportunity of clinical legislation and treatment. The reason why I introduce these annotators is not to say that they can cover all of the more than 400 annotators, but to trace the origin of Zhongjing's academic thought, to understand Treatise on Febrile Diseases from Zhang's annotation, to distinguish the spread of yin and yang diseases from other annotations, to examine the nonsense of dialectical prescriptions from Ke's annotation, and to judge the reasons for treatment legislation from You's annotation. Some efforts have been made in these aspects, which can fully understand the law of syndrome differentiation and treatment of febrile diseases and is also helpful to guide clinical practice. Of course, there are many different viewpoints among note writers, even in mutually exclusive and critical areas, so it is not necessary to pursue these issues excessively, but to learn from each other's strengths. The only standard to learn from each other's strengths is through clinical practice. For example, the note says, "Sweating makes you feel a tight pulse on your forehead, and you can't sleep when you look straight. "If you sweat, the body fluid in the upper energizer will run out and the meridians will dry up, so the pulse on your forehead will be tight. All the veins belong to the eyes. When the tendons are in a hurry, they will pull their eyes, so they can't look straight and close their eyes instantly. " However, most note writers interpret it as "a sunken forehead and a rapid pulse". This is not only unheard of in clinic, but also difficult to understand, and the internal meridians are hidden deeply, which is called trapped pulse, which is also inherent in Neijing. Zhu Chengfang said; "Sour and bitter are discharged in the yin, bitter is vomited in the middle, cold is better than heat, gardenia and black bean soup are combined, and emetic is appropriate." Although Cheng's theory is based on Neijing and many scholars agree with it, Gardenia Black Bean Decoction has never been used in clinic. The former said that there were not many people in tune, but it was reasonable and clear, so we took it. The latter said that although there are many harmonious people in the family, this is not a clinical fact, so we dislike it and never like it.