Chapter 179: Left Green Dragon Right White Tiger
Director Yang listened again and again.
Several young female doctors also listened while quickly recording in their small notebooks.
Especially Su Minjuan, she listened to it like a hungry person.
At this moment, it was as if I had returned to the former university campus.
Soon, Zhang Jing began to continue to tell: "Regarding the cause of asthma, that's pretty much it, now let's talk about how to treat it." ”
"The treatment of any disease in traditional Chinese medicine is naturally inseparable from the words 'syndrome differentiation and treatment'. Regarding the so-called standard differentiation and treatment in the textbook, everyone can find it in the book, and if you are interested, you can review it, so I won't go into too much detail here. ”
Su Minjuan obviously misunderstood Zhang Jing's meaning, and then said: "The content in the textbook is too dogmatic to be used clinically, and I don't know how those brain-dead editorial board members are compiled." ”
Unexpectedly, Zhang Jing shook his head: "Doctor Su, you can't say that." The content of the textbook is for reference only, and cannot be used casually. Because the situations encountered in clinical practice are so varied, it is impossible to describe them all. ”
In fact, not only the textbooks, but also the opinions of the doctors, remember not to copy them rigidly. Because, although they are all valuable experience summaries in the process of clinical diagnosis and treatment, they are more or less personal and even prejudiced. Moreover, since everyone's knowledge is limited, it is impossible to guarantee that the opinion is 100% correct. ”
"Therefore, what I will share next is also for reference only, and it is just a matter of providing you with a way of thinking about syndrome differentiation treatment."
Su Minjuan listened and nodded yes again and again.
Director Yang also bowed slightly.
Zhang Jing then began to continue: "First of all, the most common asthma syndrome is naturally in the lung position, Ye Tianshi's "Clinical Guide to Medical Cases" said: the lung position is the highest, the main qi, for the hands are too yin and viscera, its organs are cold and hot, Xuan Xin is passed, and slight bitterness is lowered. If the smell of the medicine is turbid, it goes straight to the middle and lower, and it is not a lung method. ”
"The medicine for the lungs should be ephedra first. For ephedra, many people think that it is warm, but it is not. Zhang Shanlei's "Materia Medica" said: Ephedra is slightly warm in nature, not the ratio of large temperature and high heat. It is good at light and sparse, it not only dissipates wind and cold, but also dissipates wind and heat, the quality is light and sparse, the smell is thin, and the indifference is very much, so it is frivolous and rises, and excretes tendons. ”
Speaking of this, Zhang Jing suddenly stopped and asked Su Minjuan, "Just now, Director Yang mentioned the first way to treat asthma, that is, Xiaoqinglong Soup. Dr. Su, do you know why this recipe is named after Little Green Dragon? ”
Su Minjuan thought about it for a while, but still couldn't recall, and couldn't help but scratch her head in embarrassment.
Fortunately, a young female doctor in the room couldn't see it anymore and got up to answer for her.
"Because the main medicine of Xiaoqinglong soup, ephedra, is also called Qinglong. I remember seeing it in the Chinese medicine pharmacy, the color of ephedra is cyan, and it is slender, light, and elegant, and if it is not truncated into subsections, it looks like a real green dragon. ”
Zhang Jing nodded, but then added: "This should indeed be one of the reasons, but there is another more important reason. ”
"What is the reason?" The female doctor immediately asked curiously.
"I don't know if you have heard of such a saying, called the Yellow Emperor turns into a dragon, sits in the center, the left green dragon, the right white tiger, the front Vermilion Bird, and the back Xuanwu."
As soon as the words fell, a voice replied next: "I know, I know, isn't this the 'Four Divine Beasts' in Chinese myths and legends, they are stationed in the east, south, west, and north directions. ”
"Well, that's right, so do you know how it corresponds?"
Another voice immediately replied: "Up the north, down the south, left west, right east." Of course, it should be, the north corresponds to the Vermilion Bird, the south corresponds to Xuanwu, the west corresponds to the green dragon, and the east corresponds to the white tiger. ”
Zhang Jing listened, but shook his head: "No, we should be based on the perspective of the Yellow Emperor, sitting north and facing south." So, it's exactly the opposite of what you just said. The correct one should be that the left east corresponds to the green dragon, the right west corresponds to the white tiger, the front south corresponds to the Vermilion Bird, and the back north corresponds to the Xuanwu. ”
Speaking of this, Zhang Jing paused slightly.
Then he said: "You may be a little curious, why did I introduce the concept of the 'Four Divine Beasts'. In fact, the main reason is that going back all the way back to the source of Chinese medicine is also related to these. ”
Therefore, when the four famous parties of "Treatise on Typhoid Fever" were named, they also borrowed these names. There are large and small Qinglong soup, white tiger soup, Suzaku soup, that is, Coptis Ejiao soup, and the last Xuanwu soup, of course, is Zhenwu soup. ”
"The reason why it is named 'Four Divine Beasts' soup is that it sits in the east, west, north and south respectively, and the meaning is naturally not simple. Now let's talk about this little green dragon soup, which is located in the east. As we all know, the east is the place where the sun rises, and it belongs to the lord of wood. ”
Speaking of Xiaoqinglong soup, the ancients called ephedra "Qinglong", and said that it was "cloudy and rainy". Liu Lao, a master of the Jing Fang, once proposed three ways to treat asthma, which correspond to the 'Yunlong Sanxian'. ”
"One of them is the Xiaoqinglong soup for cold asthma, and the other two, one is Ma Xing Shi Gan Tang for heat and asthma, and Ma Xingyi Gantang for treating damp asthma.
Let's talk about the little green dragon soup that cures cold and asthma first. ”
"Qinglong soup has a big and small difference, Yu Changyan, the little green dragon turns the waves to return to the river and the sea, and the big green dragon ascends to heaven, these two words explain the big and small green dragons, better than the words of many families."
"The green dragon, the way of spring ascension. The little green dragon, just like the early spring, the spring cold is particularly steep, the water has hard ice, the little green dragon warms the ice, breaks the waves and rides the wind to go straight to the sea. ”
"As for the big green dragon, it is like a rapid rain, the wind and clouds are suddenly changing, the air pressure is very low, the yang is extremely depressed, the depression is extremely high, the thunder and lightning are coming, the green dragon is taking off, the clouds are raining, and it is clear and happy for a while. It is said that it will be dispersed in a rain. ”
"Xiaoqinglong soup, the people who are cured are all cold outside and drink inside, and there are two solutions on the outside and inside. However, from a clinical point of view, in fact, the main focus is on the cold drink inside, and the cold bundle outside is dispensable, and it is not necessary to have it. ”
"Regarding the dialectic of Xiaoqinglong soup, I will continue to share my teacher's opinions, which are for reference only. The first is a visible water color, water ring, or water spot. ”
"The second is phlegm, which can be as cool as water and melt when it lands, or it can be thin and wind-blistering, and it is generally easier to cough up. However, if the phlegm has been stagnant in the lungs for a long time, it can also be sticky sputum, which is important to know. ”
"The third is coughing and wheezing, wheezing and asthma can go hand in hand, cough and asthma can also be seen together, and they can also be light and severe. As for the taste, it is often manifested as not thirsty, and the taste is light or cool. ”
"In addition, tongue diagnosis. The tongue is mostly pale in color, which is caused by cold soaking in the inside, and some can also see a dark red. Moss is mostly white and greasy, and more slippery or moist. ”
"The last one is the pulse, Xiaoqinglong soup patients often see string pulses, or floating tight, slippery pulses, in addition, those who have been sick for a long time can also see heavy strings and thin pulses. If the patient has a small green dragon decoction certificate, and his pulse ruler is weak, the little green dragon should be used as a cut, not too divergent, and the impulse of the person can be put into the aconite magnet to wet it. ”