If the internal evils are exhausted, there is still fever. If the tongue coating is not coated, or the coating is thin and has no texture, nourish yin and nourish fluid to ward off evil spirits, such as Radix Glehniae, Radix Rehmanniae, Rhizoma Polygonati Odorati, Radix Scrophulariae, Radix Ophiopogonis and Tortoise Shell. Those who are empty or even arrogant and have no image of heat are still not interested in HT. It is advisable to use moist drugs, such as Liuwei Dihuang Decoction and Fumai Decoction, and then pad them frequently. Don't see that they are ineffective, they will change their methods halfway and make them irreparable. Often, the evil of the upper energizer is due to the lack of a pillar, the emptiness of the inner house, the depression of the inner house, the nourishing of yin, the lower energizer in the blood, the return of qi and the white solution. White and small, white and watery, mostly in the chest and abdomen, lack of basin, shoulder and neck as the image of yin dryness. There is also a nourishing yin pad, which can relieve the symptoms from the inside and relieve the sweating of pathogenic factors. When sweating, the pulse will slow down and the clothes will be loose. After sweating, the tongue coating will retreat immediately. Those who retreat for a day or two will have a clean tongue coating, a quiet pulse and a cold body, and a thin white new coating will be produced on both sides of the tongue. This is the end of evil. All external evils and hidden evils are the same.
Women with comfortable water are even more, but those who are warm in the blood room are even more dizzy at night. They mumble in a low voice, like ghosts, they talk to each other face to face, but if they don't listen, it's not surprising that all the outdoor things that can be heard and seen are salty. Cover the liver to hide the soul, the lungs to hide the soul, and the strong soul is safe. Today, the heat enters the blood chamber, the blood is exhausted, and the liver is the official of the general. Blood is dry, liver blood is dry, kidney water is not enough, lung gold is not enough for irrigation. Therefore, the liver can't hide the soul from itself, but fly outside. This is called leaving the soul. If you leave your soul, you can go in and out all the time, so you can smell and see everything outside. Sick people consciously become two people lying side by side, which is also caused by leaving the soul. It often happens that cards are wasted. The first treatment was mainly a large dose of moistening and nourishing yin. At the beginning of the disease, fever enters the blood room, Zhongjing tries Xiaochaihu decoction to guide the pathogenic factors out, others try Artemisia annua and Bupleurum, add Radix Rehmanniae, Radix Angelicae Sinensis, Radix Scrophulariae and Radix Ophiopogonis to nourish blood and nourish yin, and add Gardenia and Alisma orientalis to guide the pathogenic factors into the blood room and descend the bladder, which is the way out. For patients with blood stasis and less abdominal pain, Radix Paeoniae Rubra, Semen Persicae, Carapax Trionycis and Carapax et Plastrum Testudinis are added to remove blood stasis and nourish yin; Scutellaria baicalensis Georgi and Pinellia ternata taste bitter and bitter. The most taboo is to attack, even if there is true evil, the tongue coating is yellow and dry with texture, the lower abdomen is swollen and painful, the stool is difficult to understand, or the water goes with the evil pulse and the webbed pain is less, or the stool is black as paint, with the syndrome of heat depression and blood stasis, the peach kernel Chengqi decoction can be used. In particular, Radix Rehmanniae, Radix Angelicae Sinensis, Radix Scrophulariae, and Radix Ophiopogonis should be added to nourish blood and yin, strengthen the foundation and strengthen the body. If the water is shallow, the boat will stop. If the water is enough, the boat will go by itself. So should women who are sick after childbirth. For those with prenatal fever, see the internal syndrome, and the present is the next. Covering a fetus is uneasy because of evil, and eliminating evil is an anti-fetus, but it is advisable to add nourishing blood drugs.
It is different from ordinary malaria, and its pulse condition is the same as summer heat. However, if you stop using it for a certain period of time, the condition will be alleviated, and the treatment is the same as summer fever. It is also necessary to use pungent, pungent, cold and hard drugs respectively. According to the pathogenic factor of summer-damp malaria, it lies in the original membrane and has nothing to do with shaoyang. At present, Xiaochaihu decoction is widely used, which is not only ineffective, but also often leads to liver and gallbladder fire, damp heat rising to illness, vomiting, convulsions and convulsions. Febrile diseases arise from shaoyang, and cold and heat come one after another, that is, cold is hot, heat is cold, and communication is endless, so it is called "communication" rather than "communication"
Summer dampness malaria, first cold and then hot. Wei qi moves in the membrane, enters the yin, and has no defense outside, so it hates cold; If you argue with Yin people, if Yin people are unprotected, you will have a fever. Sweat comes out of heat and then goes back, which means that cold and heat come and go, and sometimes stop, which is quite different from those who associate with cold and heat in shaoyang. There is also a kind of malaria in summer, which is recorded in detail in Neijing. As the saying goes, if you can't sweat in summer, autumn will become wind malaria. It is also said that malaria is wind-borne. He also said that Qiu Cheng suffered from malaria because of summer heat. It is also said that summer heat injury, heat, hidden in the skin, hidden outside the stomach. This camp gas is also abandoned (this refers to summer heat), which makes people sweat and empty. Because of autumn qi, sweat comes from the wind, while bathing, water vapor stays on the skin, which is born with Wei qi, and Wei qi travels in the sun in the day and in the yin at night. This gas. Its qi is deep, thinner than yin, yang alone, yin evil, yin and can not compete, so it is done every day. At the beginning of the article, it is said that sometimes it is cold first and then hot. It is said that when Yin and Yang contend, the excess and deficiency are more serious, and Yin and Yang are phase shifted. Yang and Yin are combined (Wei Qi runs in the camp), Yin is real (Wei Qi runs in the camp), and Yang is empty (Wei Qi runs in the camp, so it is empty). Deficiency of Yangming leads to cold swelling, deficiency of giant yang (that is, sun) leads to neck and back pain, and deficiency of three yang leads to yin victory. Yang is abundant (defensive qi is attributed to the outside), so it is hot outside, yin deficiency is hot inside, and it is hot inside and outside, so I want to drink cold. The theory that summer heat hurts the camp and rheumatism hurts the body is different from the theory that summer heat and dampness combine with deep membrane. The phrase "the place where the camp spirit was abandoned" is very clear. In ancient and modern times, people who called malaria and suffered from shaoyang meridian were misunderstood by cold and heat, and then by half-exterior and half-interior. Husband's cold and hot communication, that is, the meaning of going back and forth, has been clearly distinguished, let alone half a table and a half. The husband's shaoyang meridian is half of both sides of the human body; Camp is the meridian, which is half of the skin inside and outside the stomach; The membrane was originally half the surface and half the interior of the gap between the front and back of the human body. Different parts have different pathogenic factors, so we should distinguish them as early as possible. Or: pulse condition, coating color, syndrome and treatment? It is said that when summer heat and dampness merge into turbid evil, the pulse condition will be blurred, the coating will be turbid and greasy, and the cold and heat will stop, so it is unclear. This treatment is no different from heatstroke in summer. Summer heat hurts the camp and rheumatism hurts the guard, indicating that summer heat is heavy, the guard feels rheumatism, and the guard qi moves in the camp, and then develops, the pulse will float, and the fur will be light and smooth but not greasy. In severe cases, the tongue meat will be crimson, first cold and then hot, then cold and then light and then hot, and then gradually cold and then hot. The husband floats like the wind, and the number of strings is like heatstroke. He is fighting for Wei Fen's wind and dampness, and he is orthogonal to the evil forces. He wants to go out but can't. Treating Guizhi Baihu Decoction, dredging Wei Qingying; For those with severe defensive evil, Guizhi decoction is used to disperse the defensive camp. It was Xia Yue who became malaria when he didn't sweat in summer. When the wind was cool, he filled the sweat with water, driving the evil of summer to the depths. When he stopped sweating, he suffered internal injuries, his pulse would float and his hair would count. "Pulse Tactics" refers to the string as the yin pulse. Countless strings return to heat, which is a sign that the evil of the camp can't come out. The fur will be white, smooth but not greasy, but the tongue meat is not dark red. Cold first, then hot, cold heavy and hot light, then cold light and hot. Guizhi Gancao Decoction should mainly soothe the liver and relieve depression, and should also treat cold and heat. Guizhi decoction can soothe and protect defense. If the cold suppresses the defensive and defensive acupoints, what's more, Xiaochaihu decoction can ward off evil spirits, that is, Sanyang medicine can ward off evil spirits.
Everyone who has diarrhea due to summer cold wind and summer heat in autumn has different symptoms, but the cause is that summer heat is cold, and summer heat is caused by autumn wind. They are all treated from malaria cases, and Xiaochaihu decoction is also essential. That's what Yu meant when he used Xiaochaihu Cang Xie decoction to treat dysentery and swim against the current.
Others suffer from cholera due to dampness, vomiting and diarrhea, abdominal pain and aversion to cold, and head and body pain. This is not a cold, but moisture is better than ears! Three-yin malaria is also caused by dampness, but malaria is damp and depressed in spleen meridian, and its potential is slow; Cholera is a wet shutdown, which is urgent. When the lungs are wet, the vitality of the viscera is also closed, and when the qi is closed, the water can't flow, the clear gas can't descend, and the turbid gas turns to dryness, and the clear and turbid are mixed, so cholera is the cause; The pulse will sink, inhibit or even sink; The fur will be white and greasy, and the tongue will be white but not red. This disease is most taboo for ascending, dispersing, warming, dryness and sweetness. However, what is recovered by taking warm medicine occasionally is the ear that the damp evil has not turned hot! If you make progress repeatedly, you will make mistakes. The product of husband's warmth and dryness helps turbid qi dryness; All six qi are cremated, and cholera and diarrhea lead to excessive yin damage and the fastest dryness. The method of Wuling powder is to remove Atractylodes lancea, change the qi of bladder and guide the lower qi. In particular, it is necessary to add products issued by ICT to make the gas open and close, the gas is jellyfish, and the gas is flowing. Fu Xin tong fa, no asarum, but also most. I've tried many times, but it's not appropriate to use too much. People who have made great achievements must have great strength.
Then talk about the cold and dampness caused by external factors. Cold and dampness are the original qi of dampness, and the original qi is yin evil. Its testimony is aversion to cold (physical warfare) and chestnut (heart chestnut), and the whole body aches, or external evils suppress internal heat, which is painful and annoying, but the tongue coating is white and smooth, not thirsty and not drinking, and there is no heat inside, so it is cold and wet.
To hurt the exterior and interior, the exterior is deficient and the interior is deficient, and the heat turns to dryness. Although the exterior belongs to the meridian of Mao Qiao, the lungs are unified; Although it refers to the viscera, in fact, the kidney governs it. Its dampness and cold damage the exterior, although it is appropriate to sweat more, but it should not be too violent, which violates the precept of sweating at home. "synopsis of the golden chamber" says: rheumatism beats each other, and the whole body aches, so the method should be sweating. Rainy and rainy, sweating, the atmosphere is gone, moisture is there, and it doesn't heal. People who treat rheumatism will sweat, but if they want to sweat, rheumatism will disappear. Cover the wind as yang evil, frivolous and easy to go; Dampness is yin evil, and stagnation is hard to drive away. Slightly like sweating, that is, from the so-called "stain-like thought sweat" also. The beauty lies in the word "pollution", which means thorough penetration. It is also said that the patient is full of pain and fever, and Japanese drama is beneficial, which is called rheumatism. This pain is caused by wind-cold, sweating is wind, or long-term injury is cold, so it can be used with Maxinggan Decoction. Again, you can add ephedra soup when you are wet, tired and painful. Ephedra plus surgery, slow dryness and dampness, one hair and one tonic, just slightly like sweating, rheumatism is gone. After the Tang and Song Dynasties, the parties concerned either did not use Herba Ephedrae, or used Herba Ephedrae, and mixed it with Herba Menthae, Folium Perillae, Radix Jing, Radix Fang and Notopterygii Rhizoma. Those who escaped from Herba Ephedrae only because of dryness were unable to distinguish between drugs. Ephedra should not be used more. If you use it at the same time, it will be better than people who use other drugs. Even if you don't use it, it's no problem to replace it with almonds and perilla stalks, but just don't use drugs to promote dryness and dissipation, which will make damp evil cover Inner Mongolia, turn it into numbness, hurt the liver and gallbladder, and turn it into spasm. The book says: when you are wet, you should avoid sweating, and if you sweat too much, you will die of yang (sweat is heart fluid, and if you sweat too much, your heart fluid will be injured, so the sun cannot defend itself from the outside, so it will be lost). It is also said that when you are wet, you should avoid sweating. When you sweat, you will get sick and cramp (sweating consumes a lot of blood and the liver has no support, so you cramp). This is not fake.
Its cold-dampness injury is mainly beneficial to urination, and it is the most taboo to make mistakes. "synopsis of the golden chamber" says: the joints are painful and troublesome, and the pulse is heavy and thin, so it is called damp arthralgia. Bad urination, fast defecation, but good urination. The husband's joints are inflamed and painful. Although the exterior is damp and depressed, it produces heat, but the pulse is heavy and thin, which is not conducive to urination and fast stool. Most of them are wet inside, which is good for them to urinate. He also said: when you go home wet, your head is sweaty, your back is full of energy, you want to be covered in fire, and you will die if you get off early; Or the chest is full, urination is unfavorable, and the tongue coating is white, so the abdomen is hot, the chest is cold, the heat is shivering, the thirst is drinking water, and the dry mouth is annoying. Press: When the family is wet and sweaty, the head sweats and the cold condenses on the upper body; If the stool is unfavorable, the body fluid will be discharged by mistake. The waist and back are weak, and the upper Jiao Yang falls into the lower coke, because there is heat in the abdomen; The tongue coating is white and slippery, and it falls into the chest by mistake, indicating that there is cold in the chest; However, if there is heat in dantian, you are thirsty and drink water; However, there is cold and dampness in the chest. Although I can't drink water, my mouth is dry and annoying. He also said, "If you get wet at home, your forehead will sweat and breathe slightly, and people who are convenient will die. If you get more benefits, you will die. Dampness covering the exterior, deficiency under it, the forehead is the meeting of all yang, the forehead is sweaty, and the solitary yang has no roots; Slight breathing, internal heat does not keep up and goes against the sky; Those who urinate by themselves, or those who benefit from it, vent it without hiding yin; Yin and Yang died separately. This shows that the room is cold and wet, and it is clear that the advantages outweigh the disadvantages. The combination of dampness and pathogenic wind and cold hurts the body, with exterior deficiency and interior deficiency, exterior deficiency consolidating exterior, and interior deficiency warming yang. Cover the table, keep the table in the yang, and eliminate the yin by itself; The warm sun leaves the sky and the haze recedes. A gentleman is a good teacher, and a villain is a good teacher. Therefore, Zhongjing treats rheumatism with heavy pulse. Seeing that he is sweating out evil wind, he knows that his exterior is empty, and he is mainly preventing yellow soup and being sparse; Treating rheumatism, body pain, inability to turn sideways, no vomiting and no thirst (no evil inside), seeing its pulse floating and astringent, it is called yang deficiency, and the main Guizhi Fuzi decoction is warm and warm; If the stool is solid, the urine is self-interested, and the body fluid includes insufficient knowledge, the main Guizhi plus Baizhu decoction is warm and moist (although the qi is dry and wet, it can overcome the dampness without hurting the body fluid); For rheumatism, joint pain, no flexion and extension, that is, pain, dysuria, or slight swelling, sweating, shortness of breath, aversion to wind, and deficiency of both exterior and interior, Glycyrrhiza Fuzi decoction is mainly used to warm up. This Chinese medicine is also related to Confucian medicine. The only person who knows this is Yu's good word. As the saying goes, when people are full of yang, they should exercise restraint lightly, but when they are wet, they are heavy as a mountain and have a painful pulse, so they can't turn sideways. What else do you want? Those who show dampness, those who have sweat, aconite and Guizhi decoction, drive them away; Internal dampness can be discharged, and it can be driven by aconite, asarum and rhubarb; Wet, aconite and atractylodes macrocephala warm, dry spleen. However, Yu's study will go straight to Zhang's hall! Those who turn dampness into heat, such as wind, cold and dampness, become arthralgia. In the name of damp arthralgia, this theory combines wind-cold, damp-heat into one, at first, dampness and wind-cold into one, and then damp-heat into one. When damp-heat is combined, pungent, cool and light methods should be used, such as Baizhu decoction, Zhibi Ji Fang decoction, or the combination of asarum and gypsum, so that the weather will be cool, the damp-heat in meridians will be reduced, and arthralgia will be over. Damp-heat dryness, the so-called spasm is strong, is wet. It is also said that damp heat is not noisy, big tendons are soft and short, and small tendons are long; Soft short is restraint, loose long is weakness. It is also said that meridian heat is arthralgia syndrome and collateral heat is flaccidity syndrome. Thirdly, when the lung leaves are scorched and wilted, they will become soft and so on. Dampness turns to dryness, and there is still more dampness in dryness, so the treatment of dampness cannot hinder dryness, such as Ji Fang Tonga Tortoise Shell, Cassia seed, oyster and Dendrobium nobile; Dry and not excessive, cure dryness without dryness, such as Radix Rehmanniae Preparata charcoal, Herba Cistanches, Fructus Lycii, Rhizoma Polygonati Odorati, Radix Adenophorae, Radix Polygoni Multiflori Preparata, flax, etc. For contracture and other diseases, it is incurable for a long time. I am used to using papaya, which has the function of nourishing muscles and relaxing muscles. As we all know, papaya tastes sour and dry, and there is no reason to nourish and relax tendons. It goes without saying that Shennong Materia Medica is insoluble, and Chen Xiuyuan is the most suitable one. Canes, such as trachelospermum, kadsura, Ficus pumila, etc. , often used to treat joint pain, in order to suppress the knowledge of this vine, it is pungent and dry, breaks the meridians, turns heat into dryness, and the more you eat, the more painful it is. Dampness of husband leads to cold pulse, and cold pulse leads to dryness. At first, we should moisturize and relieve external dryness, and treat it with light penetration. When damp heat turns to dryness, it is necessary to treat it with moistening dryness. If it is serious, moistening dryness is ineffective, it is necessary to treat it with moistening dryness. That is to say, treating arthralgia as damp arthralgia, taking dampness as the foundation and treating cold at the same time, conforms to the purpose of treating diseases in the Bible. If Gui Zhi, Mulberry Branch, Angelica sinensis and Achyranthes bidentata can not only quote classics, but also smooth joints. Isn't it better than rattan?
Then, in terms of internal injuries and damp heat. The weather is also sick. Damp heat hurts the lungs, clearing the spleen is not good, or sweating, or skin swelling, or colic, or fire diarrhea, or watermelon dysentery. If it is summer heat transpiration, it will lead to cool wind and dew, harvest summer heat, open the upper orifices and inject the lower orifices. The treatment is nothing more than spicy and light, such as white tiger soup, almond, mustard seed, coix seed and sweet dew drink of medulla tetrapanacis. Its pathogenic factors also hurt the yin of the spleen and stomach, smothering the lung and liver on the upper side, obstructing the intestine and bladder on the lower side, or producing phlegm, drinking, swallowing acid, spitting acid, vomiting, or choking the ground, making the mountain windy, or closing it, or the next day, or moderately hot and humid. Soil belongs to miscellaneous gas, which is the most common disease. Treatment is nothing more than hard work, such as Wuxiexin Decoction, Ermiao Powder, Qingre Shi Xue Decoction, Shiseido Pill, Liu Jun plus Coptidis Rhizoma, Carapax Trionycis, Alisma orientalis, ginger juice and bamboo juice. Those who are full of nausea and vomiting and can't get up or down, use their initial strength to take more than a dozen saliva pills, or take them several times with Xiaowenzhong pills, so that they can be cured as soon as possible, and don't raise carbuncle, which will cause future trouble. It is because of middle-earth disease and lower energizer, or kidney injury caused by damp heat, and water is not conducive to fire and wet dream is yellow and turbid; It was introduced into the large intestine, but it was dysentery; Or damp heat hurts the liver into the tendons, causing hernia; Or damp heat hurts the spleen, which is diarrhea. Treatment is nothing more than suffering from bitterness, such as Zhudu Pill, Baizhi Sheng Di Decoction, Xuanqing Daozhuo Decoction, Qin Huang Shaoyao Decoction, Shenshiduanxia Decoction, Guiling Ganlu Decoction, Wuling Powder, Oyster Alisma Powder, etc. For those with dryness, it is damp heat at first, then yin deficiency, excess in the upper body and deficiency in the lower body, excessive phlegm due to fire, fullness in the chest and hypochondrium, asthma, dizziness, weakness of limbs, pain all over the body, bleeding, constipation, redness in the face, cold feet, paralysis and paralysis. The treatment is different from general damp heat. If it is light and dry, it will lead to true yin failure. If it is soft and greasy, it will help phlegm and dampness to rush up. It is necessary to combine dryness and dampness with softness, such as Baizhi Dihuang Pill and Qian Hu Pill. Syndrome of deficiency of both yin and yang, decline of true elements and hyperactivity of damp-heat will lead to excessive phlegm-heat and dizziness, and excessive phlegm-heat will lead to severe pain and numbness of limbs, and then similar symptoms will appear, such as weak phlegm, unsmooth tongue, salivation in mouth and eyes, hemiplegia and so on.
Liu Shouzhen Dihuang Yinzi should be used, and more ginger juice and bamboo juice should be added, or a little black tin should be taken for half a day, and then a large amount of bamboo juice, ginger juice and children's feces should be added to the soup. After this, the phlegm fire started again, and it is difficult for the medicine of invigorating qi to break through. Hot and sweaty rushed into Shengmai Powder to absorb Yin Qi; People covered in cold sweat should rush into Shenfu decoction to restore yang, or use Li Yin decoction to absorb yin and yang. There are such cases in treating damp-heat and dryness.
Let's start with internal injuries, cold and dampness. Or because of the weather, or because of people, or because there is nothing outside, and it is wet inside. Because of the weather, long-term rain and humidity prevail, and external humidity leads to internal humidity; Because of others, Xia Yue either enjoys the cool air and drinks it, or he is addicted to tea, alcohol and fruit. What is anxious is the bitterness at that time, and what is slow is the hair after autumn; Outside, there is no reason but the humidity in Shui Gu, which stops in the middle. The origin of the three is always due to yang deficiency and inability to pay water. The weather is also sick, lung yang hurts water cooling, gold cold does not melt water, and there is an image of haze and fog covering the air; The lung yang is restrained, and the heart yang is also covered by it, which has the image of clouds covering the sun. Or the water overflows the plateau, and there are many asthma and phlegm; Or drink evil spirits, that is, palpitations; Or dry head, dizziness, vomiting. The treatment method is mainly pungent and light, with Lu 'an Decoction for mild cases, Xiaoqinglong Decoction for severe cases, and Ephedra for sweaty Xiaoqinglong cases, or Gui Ling Shugan, Guiling Shujiang and Fuling Drink from outside Taiwan. Those with yang deficiency and heavy dampness and cold sweat have no symptoms such as abdominal distension, abdominal distension, abdominal pain, swelling, diarrhea in loose stool and malaria in Yin San. And the method should be warm and dry, such as Fuzi Lizhong Decoction and Zhenwu Decoction. Stomach-yang injury is manifested as abdominal distension, vomiting, no hunger, no food, and inconvenient movement. The treatment should be pungent and warm, such as Wei Ping Powder, Ling Wei Decoction and Chu Shi Decoction. There is also damp stagnation and heat, the tongue coating is white and slippery at first, then yellow and dry, thirsty but not hungry, painful urination and firm stool, which was called wet fire in ancient times. Treatment should be bitter, such as Banxia Xiexin Decoction. If necessary, it is natural that dampness is yin and evil, and yang is hurtful. Hurting yin is also a change of heart. It is sick to the air and has an impact on underground water, fire and wood. Deficiency of kidney-yang, triple energizer can not penetrate into bladder, but it is manifested as wet dysentery, sliding diarrhea, diarrhea in the fifth watch, waist and leg pain, etc. When evil water thrives, true water is less. The main therapeutic methods are warming kidney to help yang and purging bladder. Warming kidney yang means spleen is born; Diuretic bladder means calming kidney yang. Warming and tonifying kidney yang, such as Zhenwu decoction, Jingui Shenqi decoction, Shen Rong decoction, etc. Bladder bleeding, such as Wuling powder. What is the disease of liver wood? The so-called rheumatism, the wind is too wet. Xiaoyao powder, Xiaochaihu decoction, Buzhong Yiqi decoction and Zhongyiqi decoction should be used for treatment. In order to restore its wind and wood, water turns with gas, blasphemes into the state capital, and abuses it. The treatment of this kind of internal injury is also greater than cold and dampness. Scholars read widely and know that what they say is true.