"Because of its ability to warm up the cold ice, Xiaoqinglong soup can ride the wind and waves and go straight to the sea, which can be invincible. The cold asthma syndrome of water cold ejaculation is particularly common in clinical practice. Therefore, Xiaoqinglong soup has been recommended by many doctors as a miracle prescription for asthma. ”

"It's just that the divine prescription is not universal, and it is still the same sentence, Chinese medicine treatment must be accurate in syndrome differentiation in order to have an exact curative effect."

"In clinical practice, sometimes patients have too much cold water accumulation, and they can't lie down when they are panting, and Xiaoqinglong soup alone may not be able to achieve quick results. At this time, you can combine another laxative pleural effusion agent, only two flavors, Dr. Su, do you know what the recipe is? ”

Su Minjuan thought for a moment, and asked back a little uncertainly: "Yes...... Is it jujube soup? ”

Zhang Jing bowed slightly: "That's right, the full name is Yaoli Dajube Lung Soup, from "Jin Kui Yaolu", which is mainly used to treat pulmonary carbuncles, which is what Western medicine calls lung abscess. However, there is another one on it, which can not be drunk, and the main one is the jujube laxative lung soup. ”

"What is branch drinking, in fact, refers to phlegm drinking, water vapor staying in the chest and diaphragm, forced to the lungs, lung loss of chest and diaphragm adverse disease. It is equivalent to what Western medicine calls exudative pericarditis. The outstanding manifestation is shortness of breath and panting. ”

Speaking of this, Su Minjuan had questions again: "Doctor Zhang, since the jujube soup can cure lung abscesses, then the strength must be very fierce and strong, if it is a patient with frail asthma, should it be used cautiously?" ”

Zhang Jing shook his head: "It is recorded in the book "Materia Medica" by the Qing Dynasty physician Zhang Deyu that Danxi does have a saying that 'the sick are anxious, and those who are ill and involved in deficiency kill people very well'. So everyone didn't argue whether it was or not, and they were afraid like snakes and scorpions. In fact, the body of the leaf is light, so it can go up into the lungs, and the taste is very light, how can it be too violent? ”

"The use of this medicine, many people mistakenly think that it is violent and murderous and dare not use it, or it is only used for one or two points. In fact, most of my teachers use this medicine on the elderly and children, even if they use 10 to 15 grams, the patients do not show obvious discomfort, but they are sick and helped, and they are better than in the past. ”

"So Zhang Xichun once sighed with emotion, since ancient times, there are so many miscellaneous herbs that there are people who are not credible, and they always try the medicine to correct their nature."

"After talking about the Xiaoqinglong soup certificate for the treatment of cold asthma, next, let's talk about the ephedra almond licorice gypsum soup for the treatment of hot asthma, which is also the Ma Xing Shi Gantang."

"There are two articles involved in the "Treatise on Typhoid Fever", which together are that typhoid fever, sweating or after going down, should not be changed to Guizhi soup, sweating and panting, and there is no great heat, Ma Xing Shi Gantang is the main one."

"This prescription is called the first prescription for treating temperature diseases by Mr. Zhang Xichun, and also called gypsum the first medicine for treating cold and temperature."

"After sweating, the disease does not heal, because the disease is a warm disease, the patient has always been more yang, after sweating, the external evil takes advantage of the void and falls into the inside, from the yang heat, the heat inside wins, sweats steaming, shortness of breath and urgency. Therefore, the use of ephedra Xuanlung Gypsum is cool to reveal the hair, so that the heat dissipates from the outside and is invisible. ”

Later generations used this prescription, one is to treat the heat, such as lung inflammation, asthma into the heat, and so on. The second is the evidence of treating external cold and internal heat. This is known as the evidence of internal heat and external feeling bound by cold, which is commonly known as 'cold and fire'. ”

"Clinically, ephedra almond licorice gypsum decoction is widely used, not only for the evidence of heat and asthma."

"When using, you can make a variety of adjustments depending on the amount of ephedra and gypsum, which can be light and lively, and can also be heavy, and it is clinically found that the speed of healing is far from being comparable to the likes of mulberry chrysanthemum. If you see the symptoms of Ma Xing Shi Gantang, and those who see the symptoms of heart failure or their deficiency, they should add an appropriate amount of aconite, and the faster it will be. ”

Speaking of this, Zhang Jing drank a few more sips of warm water, and then continued to say: "Regarding the three prescriptions corresponding to 'Yunlong Sanxian', finally, let's talk about the Ma Xingyi Gantang for the treatment of wet asthma. ”

This recipe is from "Jin Kui Yaolu", which was originally used by Zhang Zhongjing to treat rheumatism. The original text is: The patient is in pain, fever, and the sun is the drama, and the name is rheumatism. This disease is also caused by sweating when the wind blows, or long-term injuries and cold. Can be used with ephedra, almonds, coix and licorice soup. ”

What does this mean, that is, the patient feels pain all over the body, and the fever is mainly from 3 to 5 pm, and this disease is called 'rheumatism'. The onset of this disease is caused by sweating and not drying it in time and blowing directly in the wind, or staying in a low or cold place for a long time without paying attention to keeping warm. ”

"Since it is used to treat rheumatism, how can it be used to treat dampness? In fact, Ye Tianshi has a case in the "Clinical Guide Medical Case - Asthma" that is treated with Ma Xing Yi Gantang and Poria cocos, Liu Lao may have been inspired by this, and according to his own clinical experience, he has made a great exertion, and promoted it as one of the three main prescriptions for the treatment of lung asthma. ”

"After talking about the lung position, let's talk about the heart position."

Liu Lao once had such a discussion in his writings: The heart is the sun in the yang, through the summer air, and the upper part is in the chest, and the authority of the fire and yang is adhered to, and the evil of scorching water and cold does not dare to take a step beyond the thunder pool. Today, the heart and yang are deficient in the top, and the air of water and cold is in the middle, which is the generation of 'water heart disease'. ”

"Liu Lao did not actually mention 'wheezing' in the various diseases of 'water heart disease', but in the clinical process, it will be found that the symptoms of some patients with pulmonary heart disease or cardiogenic asthma are in line with the syndrome differentiation treatment of Ling Guishu Gantang, and the effect is also very satisfactory after using this formula to add flavor treatment."

"About the prescription of Poria Guizhi Baishu Licorice Soup, next, let's take a look at this original text, Article 67 of "Treatise on Typhoid Fever": If typhoid fever vomits, the heart is full of reverse, the qi rushes to the chest, the head is dizzy, the pulse is tight, and the sweating is moving.

Therefore, in the heart of the respite, the first recommendation is Poria cinnamon branch white licorice soup. Poria cinnamon branch atractylodes licorice decoction is also a representative of Ling cinnamon group, which is the best at treating water and gas rush, and treating phlegm and drinking internal retention. Analyzing the composition of the prescription, the prescription is Lingshu to strengthen the spleen and improve water, the cinnamon branch licorice replenishes the deficiency of the heart and yang, and the cinnamon branch is good at reducing the qi of adversity. ”

"Just like Xiaoqinglong Tang to treat severe cases of cold asthma in the lungs, for pulmonary heart disease, heart failure, premature beats and other arrhythmias, regardless of whether they are short of breath or not, my teacher often uses Lingguishu Gantang and Yaoli Jujube Soup to combine it, among them, 30 to 60 grams of Poria cocos will be reused. In addition, aconite, ginseng, shallot, whole root, notoginseng and other medicines can also be added with the certificate. ”

And, at the end, I would like to add a sentence that in fact, modern research has shown that it has a cardiotonic effect. Therefore, it is also confirmed from another side that it can be used as a power medicine to cleanse the water and phlegm carbuncle in the chest. ”

"Okay, let's talk about the recklessness of the kidneys."

"The kidney belongs to water, and the recipe used is the Xuanwu God who sat in the north mentioned earlier, and the corresponding Zhenwu soup."

"Those in the north, water also, so Zhenwu Yitang is not a way to rebel against Wenyang, but a way to control cold water."

"Regarding the use of Zhenwu soup, there is one key point to grasp, that is, yang deficiency and water flooding. And the general of water control is naturally the first to recommend the god of true martial arts. ”

"However, when treating the asthma of the kidneys, there are not many opportunities to use Zhenwu Tang alone, but it needs to be combined with the method of warming the kidneys and absorbing qi and suppressing latent potential. Because the way of breathing, the obstruction of its exhalation, is responsible for the lungs, and the inhalation is not deep, and the responsibility is on the kidneys. ”

"The commonly used medicinal flavors for warming the kidneys and absorbing qi include: walnut, fairy spleen, psoralen, rehman, taro, hyssop, cinnamon, aconite, leek, and schisandra. The main medicines are: purple quartz, dragon oyster, magnet, clam shell, agarwood, other armor, turtle plate, blue lead, etc. ”

"There is not much asthma in the spleen, and the clinical prescription is mainly based on Liujunzi Tang and Buzhong Yiqi Soup, the former focuses on the middle deficiency and phlegm cannot be drunk, and the latter grasps the pathogenesis of weak Zhongqi and the soil cannot produce gold."

"The last liver position, the liver wood is reversed, hitting the lungs and ringing, there are actually very few people who cause asthma alone, and there are relatively many people who cause cough and asthma. Diagnose his pulse with multiple strings and slippery numbers, or have symptoms such as bitter mouth, dry throat, headache, dizziness, irritability, etc. ”

"Patients often feel that their breath rises from the left and cough and wheezing, and the cough is mostly spasmodic, or with or without phlegm, and when the breath is smooth, their coughing and wheezing will stop spontaneously. Treatment of diarrhea liver and gallbladder and its rise too much: gentian grass, flat wood, green daisy, white peony, stone cassia, ochre, cicada clothes, zombie silkworm and other medicines. ”

"In the clinic, it will also be found that the liver qi is stagnant, and the germination can not occur, which can also cause the stagnation of the lungs and the family qi, and the dereliction of duty in the promotion and suppression of the spleen, resulting in cough and asthma. Treatment and use of liver and depression and lung method: Bupleurum, white peony, atractylodes, angelica, tulip, citrus aurantium, green bark, ephedra (the dosage should be light), almonds. ”

Zhang Jing shared asthma-related content one by one.

Looking around at everyone sitting again, except for Director Yang, almost all of them had confused expressions, and couldn't help but feel a little helpless.

Obviously, they didn't understand much.

In fact, if you think about it, this is also normal, although some of them are also from traditional Chinese medicine.

However, since graduating from school, I have almost never formally been exposed to TCM clinical practice, and it is simply unrealistic to understand all the content in a short period of time.

What's more, they are just listening, and there should be few people who are willing to give up their current jobs and "change careers" to become real Chinese medicine, so how "attentive" can they be!