Chapter 21 Acquisition of Zhuangzi in the suburbs
All use Chinese herbs, and will open a pharmacy in the future
The basic theory of traditional Chinese medicine is a theoretical summary of the changes in the human body's vital activities and diseases, which mainly includes the theories of yin and yang, five elements, luck, dirty images, meridians, etc., as well as etiology, pathogenesis, diagnosis, syndrome differentiation, treatment and treatment, prevention, health preservation, etc.
Yin and yang
It is a category of ancient Chinese philosophy. The theory of yin and yang holds that everything in the universe has two aspects of yin and yang, which are both opposing and unified, constantly moving and interacting with each other. This movement and interaction is the root of the movement and change of all things. The ancients called this constant movement and change "biochemical continuation". "Su Wen" Yin and Yang should be like the Great Treatise: "Yin and Yang are the way of heaven and earth (the existence of opposites and unity, which is the fundamental law of all things), the outline of all things (all things cannot exist in violation of this law), in the parents of change (the change of things is formed by the continuous movement and interaction of the two aspects of yin and yang of things themselves), the origin of life and death (the generation and destruction of things come from this fundamental law), and the house of the gods (this is where all the mysteries of nature lie), Therefore, the cure must be based on the root (so if you want to cure the disease, you must seek a solution from this fundamental problem - yin and yang)". It clarifies that the growth, development and demise of all things in the universe are the result of the continuous movement and interaction of the yin and yang aspects of things. Therefore, the theory of yin and yang has become a method of thinking for understanding and mastering the laws of nature. Medicine belongs to the scope of natural science, and it is believed that the physiological activities of the human body and the occurrence and development of diseases cannot transcend the truth of yin and yang. Therefore, if we want to grasp the development process of the disease, explore the essence of the disease, and obtain satisfactory curative effects, we must explore the changes in the yin and yang of the human body.
The Five Elements Doctrine
That is, the five philosophical categories of wood, fire, earth, metal, and water are used to summarize the attributes of different things in the objective world, and the dynamic mode of the five elements is used to explain the interconnection and transformation laws between things. The "Five Elements Theory" refers to the movement and changes of these five types of substances, as well as the interrelationship between them, and uses mutual generation and mutual restraint as a reasoning tool to explain the interrelationship between things and the law of motion change. Traditional Chinese medicine mainly uses the theory of the five elements to explain the functional relationship between the five internal organs and the mechanism of disease occurrence when the internal organs are out of balance, and also to guide the treatment of internal organ diseases.
The Doctrine of Luck
Also known as the Five Fortunes and Six Fortunes, it is a theory that studies and explores the impact of astronomy, meteorology, and climate change on human health and diseases in nature. The five transports include wood, fire, earth, gold and water, which refer to the seasonal cycle of spring, summer, long summer, autumn and winter in nature. The six qi are the six climatic factors of wind, cold, heat, humidity, dryness, and fire throughout the year. The theory of luck is the estimation of annual climate change and disease occurrence laws based on astronomical calendar parameters.
The Doctrine of the Viscera Organs
His research mainly studies the physiological functions and pathological changes of the five organs (heart, liver, spleen, lungs, kidneys), the six organs (small intestine, large intestine, stomach, bladder, gallbladder, and three cokes) and the intestines of Qiheng (brain, marrow, bone, pulse, gallbladder, and female cells).
Meridian Theory
It is closely related to the doctrine of viscera. The meridians are the channels for the flow of qi and blood in the human body, and have the function of communicating inside and outside, and connecting the whole body. In pathological cases, changes in the function of the meridian system will present corresponding symptoms and signs, through which diseases of the internal organs can be diagnosed.
When used in combination with drugs, there will be some interactions between drugs, such as enhancing or reducing the original efficacy, inhibiting or eliminating toxic side effects, and producing or enhancing toxic side effects. Therefore, when using more than two drugs, it is necessary to be selective, which raises the issue of drug compatibility. The predecessors called the compatibility relationship between the application of a single medicine and the medicine as the "seven feelings", and in the "seven feelings", except for the single liner, the remaining six aspects are all about the compatibility relationship. It is described as follows: Nowadays, with the development and research of traditional Chinese medicine resources, many folk medicines are also classified into the category of traditional Chinese medicine. Therefore, traditional Chinese medicine is based on the theory of traditional Chinese medicine, and is used to prevent and treat diseases. Traditional Chinese medicine has a unique theoretical system and application form, which fully reflects the characteristics of China's natural resources, history and culture.
The Atlas of Chinese Medicine (The library aims to establish a powerful database of Chinese medicine pictures, including the sources of various Chinese medicinal materials and pictures of decoction pieces, and introduces in detail the basic information and processing methods of various Chinese herbal medicines!) Now it contains more than 600 flavors of commonly used Chinese medicinal materials
Single
That is, there is no need for compatibility, and the disease can be cured with a single medicine, which is called a single line. For example, Qing Jinsan is to use skullcap alone to treat pulmonary fever and cough up blood.
Whiskers
That is, drugs with similar performance and efficacy are used in combination to enhance the original efficacy. For example, the combination of gypsum and Zhimu can significantly enhance the therapeutic effect of clearing heat and dissipating fire; The combination of rhubarb and miscanthus can significantly enhance the therapeutic effect of catharsis fever; The use of whole scorpion and centipede can significantly enhance the effect of antispasmodic and convulsive fixing.
Mutual Envoys
That is, there are some commonalities in terms of performance and efficacy, or although the performance and efficacy are not the same, but the drugs with the same therapeutic purpose are used together, and one drug is the main drug, and one drug is supplemented, which can improve the efficacy of the main drug. For example, when the combination of Astragalus membranaceus, which replenishes qi and water, and Poria cocos, which strengthens water and strengthens the spleen, Poria cocos can improve the therapeutic effect of Astragalus membranaceus to replenish qi and water.
Fear each other
That is, the toxicity or side effects of one drug can be mitigated or eliminated by another drug. For example, the toxic properties of Shengbanxia and Shengnanxing are reduced or eliminated by ginger, so it is said that Shengbanxia and Shengnanxing are afraid of ginger
Kill each other
That is, one drug reduces or eliminates the toxicity or side effects of another. For example, ginger can reduce or eliminate the toxicity or side effects of Shengbanxia and Shengnanxing, so it is said that ginger kills Shengbanxia and Shengnanxing. It can be seen from this that fear and kill each other are actually two terms of the same compatibility relationship, which are in terms of mutual treatment between drugs.
Mutual evil
That is, when two drugs are combined, one drug can reduce or even lose the original efficacy of the other drug. For example, ginseng is evil for sulforaphane seeds, because sulforaphane seeds can weaken the qi-replenishing effect of ginseng
opposite
That is, the combination of two drugs can produce or enhance toxic reactions or side effects. For example, some drugs in the "Eighteen Anti" and "Nineteen Fears".
Compatible applications
The main form
In addition to the single line, the change relationship of the above six aspects can be summarized into four items, that is, in the case of compatible application: (1) some drugs enhance the efficacy due to synergistic effect, which should be fully utilized in clinical use; (2) Some drugs may antagonize each other and cancel out or weaken the original efficacy, so attention should be paid to the use of drugs; (3) Some drugs can reduce or eliminate the original toxicity or side effects due to interactions, and must be considered when using toxic drugs or strong drugs; (4) Some drugs produce or enhance toxic side effects due to interaction, which are contraindications for compatibility and should be avoided in principle. Based on the above, it can be seen that from the single medicine to the application of compatibility, it has been gradually accumulated and enriched through a long process of practice and understanding. The compatibility application of drugs is the main form of traditional Chinese medicine. Drugs are combined according to a certain method, and a certain proportion of the amount is determined, and an appropriate dosage form is made, that is, a prescription. Prescription is the development of drug compatibility, and it is also a higher form of drug compatibility application.
Dictionary of Traditional Chinese Medicine (Collection: Yin and Yang Five Elements, Visceral Elephants, Meridians, Jing, Qi, Blood, Jin, Etiology, Pathogenesis, Syndrome Names, Syndrome Differentiation, Prescriptions, Medical History, Medical Books and Other Related Medical Vocabulary and Their Detailed Explanations!)
3. Spleen and stomach qi deficiency, not thinking about eating. Use one penny of ginseng, two coins of atractylodes, one penny of poria cocos, five points of boiled licorice, three slices of ginger, one jujube, add two cups of water, fry to one cup, and warm before meals. This recipe is called "Four Gentlemen's Soup" (according to: the amount of each medicine is no longer discounted in this recipe). 4. Appetizing and phlegm. Use two taels of ginseng (baked), half summer five coins (ginger juice soaked and roasted), and the ground is the end, and the noodles are kneaded into balls, such as mung beans. Thirty to fifty pills per serving, ginger soup is sent. Take after meals. Take three times a day. It is also possible to add tangerine peel to the medicine. 5. The stomach is full of cold, and I can't eat hungry. Use two coins of ginseng, half a penny of raw aconite, two coins of ginger, add water and fry them into two coins, add one egg white, and serve hollow. 6. Stomach deficiency and vice, or vomiting with phlegm. Use one or two ginseng, add two bowls of water, fry into a bowl, add a cup of bamboo, and three tablespoons of ginger juice. Serve warmly. This recipe is best for the elderly.
7. Nausea (vomiting in the diet, the patient is weak and weak). Use three taels of ginseng, slice it, add one liter of water, boil it into a four, and serve it hot. At the same time, use ginseng juice to add egg white and shallot white (i.e. head) to cook corn porridge and eat. 8. Pregnant women have abdominal pain and vomit acid, and cannot eat or drink. Use ginseng and dried ginger to divide into equal parts. Add raw rehmannia juice and make it into balls, such as the size of a sycamore. Fifty pills per serving, rice soup is sent. 9. Yang deficiency, wheezing, self-perspiration, night sweats, shortness of breath and dizziness. Use ginseng for five dollars, cooked aconite for one or two, divided into four sticks. Ten slices of ginger per sticker, two bowls of water, fried into a bowl, and served warmly.
10. Gasping. Decoction with minced ginseng, one teaspoon per serving. Take five to six times a day.
11. Postpartum wheezing. Use one or two ginseng and two taels of sumu, add two bowls of water, fry into one bowl, and then adjust the ginseng to take it internally. There are special effects.
12. Postpartum deficiency, fever, and self-sweating. With ginseng and angelica, divide into equal parts; In addition, take three liters of water, add a pork kidney (slice), glutinous rice half, two green onions, and cook rice until cooked. Take a bowl of juice, mix ginseng and angelica medicine to decoction, and warm it before meals.
13. Postpartum stool can't be felt, and there is a lot of bleeding. Use ginseng, hemp seeds, and citrus aurantium husks (fried with wheat bran), grind them finely, and add honey to form pills, such as the size of a sycamore. Fifty pills per serving, rice soup is sent.
14. Miscarriage. Use one penny each of minced ginseng and minced frankincense, five points of dansha, grind finely, add one egg white, three tablespoons of ginger juice, stir well and serve cold. There are special effects.
Typhoid fever is a common term for the ancient Chinese who are susceptible to foreign diseases, and it is not a special name for a certain disease. The ancients often regarded the cause of disease as the pathogen, and cold is not only the modern cold, but the general term for all diseases caused by external evils, the source can refer to Mr. Hao Wanshan's lecture video, and the typhoid fever in Zhang Zhongjing's "Treatise on Typhoid Fever" is also the meaning, and has nothing to do with modern typhoid fever
The original book of "Treatise on Typhoid Fever" was once compiled and compiled by Wang Shuhe of the Western Jin Dynasty, and it was already in a state of crisis of survival and extinction during the period of the Five Dynasties and Ten Kingdoms. This book was in the Northern Song Dynasty National Book Office Secret Collection for 890 years, during the Jiayou period (1056-1063), the Northern Song Dynasty Correction Medical Book Bureau was established, and Gao Ji Chongjin was selected as the base book, edited by Sun Qi, Lin Yi, etc., and published in 1065 by the imperial court edict Guozijian engraving, named the definitive version of "Treatise on Typhoid Fever", ending the situation of disagreement and confusion of the text from the late Han Dynasty to Song Fan for more than 800 years.
In the fourth year of the reign of Emperor Jin, that is, in the fourteenth year of Shaoxing in the Southern Song Dynasty (1144), Cheng Wuji's "Annotated Treatise on Typhoid Fever" was published, with detailed notes, which gradually replaced the white text "Treatise on Typhoid Fever", and the white text was not re-engraved in the Southern Song Dynasty. By the Yuan Dynasty, the white text "Treatise on Typhoid Fever" had no such book in the society, except for a few bibliophiles who occasionally had their books.
In the twenty-seventh year of Wanli in the Ming Dynasty (1599), Zhao Kaimei, a bibliophile in Changshu, Jiangsu, accidentally obtained the ten volumes of the Northern Song Dynasty engraved "Treatise on Typhoid Fever", and asked an excellent carver to engrave this book in the "Zhongjing Quanshu". The original inscription of the Northern Song Dynasty was immediately lost, and only Zhao Kaimei's copy is still preserved today. Zhao Kaimei was originally a realistic Song version, and later generations called Zhao Kaimei "Song Ben Treatise on Typhoid Fever". Zhao Kaimei has five copies today. The Treatise on Typhoid Fever also had a wide influence abroad.
In addition, there are other editions of "Treatise on Typhoid Fever in the Tang Dynasty" (Tang Sun Simiao), "Treatise on Typhoid Fever in the Song Dynasty" (Gao Jichong in Song), "Treatise on Typhoid Fever in the Golden Book" (Jin Cheng Wuji), "Treatise on Typhoid Fever in the Song Dynasty" (Ming Zhao Kaimei), "Treatise on Typhoid Fever in Kangzhi" (Japan), "Treatise on Typhoid Fever in Kangping" (Japan), "Treatise on Typhoid Fever in Guilin", "Treatise on Typhoid Fever in Dunhuang" (fragment), etc., one of the outstanding achievements is to establish the dialectical system of the Six Classics. Using the four diagnoses and eight outlines, a comprehensive exposition was made in the form of articles on the pulse identification, examination, treatment, prescription, and medication rules of each stage of typhoid fever. For typhoid fever and six meridian diseases, each has its own main syndrome treatment, such as ephedra soup for "solar typhoid fever"; "Sun stroke" with cinnamon soup; Yang Ming is certified to use white tiger soup; Yang Ming Fu proves to use Chengqi soup; Shaoyang disease with Xiao Chai Hu soup...... This paper summarizes the experience of syndrome and treatment of different stages of the disease course and symptom types, and analyzes the main and secondary points clearly, which is clearly organized, and can organically integrate the principles, methods, prescriptions and medicines, and show people the essentials of diagnosis and treatment.
Another outstanding achievement of the Treatise on Typhoid Fever is its significant contribution to the study of Chinese medicine. This book records 397 methods and 113 prescriptions, puts forward a complete principle of formulation, introduces the treatment methods of typhoid fever with sweat, vomiting, and inferiority, and applies the eight methods to the formula, introducing Guizhi Soup, Ephedra Soup, Daqinglong Soup, Xiaoqinglong Soup, Baihu Soup, Ephedra Almond Gypsum Licorice Soup, Pueraria Skullcap Huanglian Soup, Da Chengqi Soup, Xiao Chengqi Soup, Stomach Regulating Chengqi Soup, Da Chai Hu Tang, Xiao Chai Hu Tang and other representative recipes. Most of the prescriptions recorded in the book are reliable and clinically practical, and have been repeatedly used by substitute doctors for more than 1,000 years. Because Zhang Zhongjing's prescriptions or personal formulas are proficient in drug selection, pay attention to compatibility, have clear indications, and have outstanding results, later generations are known as "the ancestor of all prescriptions" and respected as "Jing Fang".
The book summarizes the medical achievements and rich practical experience of the predecessors, integrates the culmination of medicine before the Han Dynasty, and combines its own clinical experience to systematically expound the syndrome differentiation and treatment of a variety of external diseases and miscellaneous diseases, and has a complete range of rational, legal and prescription medicines, which has epoch-making significance and the role of inheriting the past and the future in the history of the development of traditional Chinese medicine, and has made important contributions to the development of traditional Chinese medicine. Moreover, the book "Treatise on Typhoid Fever" not only put forward the syndrome differentiation program and treatment methods for the diagnosis and treatment of external diseases, but also provided the norms for syndrome differentiation and treatment for various clinical departments of traditional Chinese medicine, thus laying the foundation for syndrome differentiation and treatment, which was regarded as a classic by later generations of doctors. [2]