1. Jueyin is a disease. It can quench thirst and flush Qi to the heart.
[comments] this section is basically the same as the outline of Jueyin disease in Treatise on febrile diseases, because there are also thirst symptoms, which are listed here to distinguish from thirst in miscellaneous diseases.
2. If the Cunkou pulse floats late, it is empty, and if it is late, it is labor; if it is empty, it is not enough to defend Qi; if it is tired, it is exhausted.
When Yang pulse floats, it means Qi ②. When it floats, it means Valley elimination and big firmness ③. When it is vigorous, it means thin. When it is strong, it means firmness. When it is hard, it means thirst elimination.
3. When a man is thirsty, he will urinate more often. He will drink and urinate one time, which is the main part of Shenqi Pill. Just see feet.
[comments] the above two sections discuss the pathogenesis and treatment of diabetes. The name of Xiaoke disease can be found in the internal classic, such as the theory of strange diseases in Suwen: "the fat make the internal heat, the sweet make the middle full, so its Qi goes against and turns to Xiaoke." According to their syndromes and pathological changes, the later generations can be divided into three types: upper, middle and lower. Upper Xiao belongs to the lung. That is to say, the theory of Suwen and Qijue: "the heart moves heat to the lung, and it is passed on to be Xiaoxiao." Zhongxiao belongs to the stomach, that is, "Lingshu · Shizhuan": "the heat in the stomach will eliminate the valley, which makes people feel hungry." Xiaxiao belongs to the kidney, that is, the theory of prime question and pricking heat: "kidney fever Bitter thirst, several drinks and body heat "and" Lingshu, evil Qi and disease form ":" kidney vessels If it's small, it means eliminating the obstruction. "
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① Chongxin: in Treatise on febrile diseases, it is called "hitting the heart"; after "eating is spitting", there is the word "Ascaris"; it is not willing to stop "benefiting more than one".
② Floating is Qi; Fuyang pulse floating is the fumigation of hot gas in the stomach. Therefore, "floating is Qi".
③ Dajian: This refers to hard stool.
In the second section of this chapter, Zhang Zhongjing expounds the pathogenesis of shangzhongxiao from Cunkou and Fuyang pulse. Cunkou pulse floats late, which reflects the exhaustion of Yingwei, the heat of the heart moving the lung, and the long-term formation of asthenia, fatigue and internal heat. The number of Fuyang vessels floating reflects the elimination of diseases in the process of stomach heat and Qi. The third section discusses the treatment of deficiency of kidney qi and deficiency of kidney qi.
4. If the pulse is floating, urination is not good, and slight heat is used to quench thirst, it is better to make urination and sweating, and Wuling powder is the main one. See above
Thirsty to drink water, the water person vomits, which is named Shuini, Wuling powder master. See you.
[comments] the above two sections are also seen in the treatise on febrile diseases. They are characterized by the adverse urination caused by Qi Bu Hua Jin and thirst for drinking water. Therefore, Wuling powder is used for Qi and water circulation.
6. If you are thirsty for more than water, the clam will be scattered.
Meretrix powder
The clam has five Liang and one taste. The pestle is a powder. It's made of boiling soup and five harmonies. It's a square inch dagger.
[comments] this section is also seen in Treatise on febrile diseases, which discusses the treatment of yin deficiency, dryness, heat and thirst. The clam powder is salty and cold, which can remove heat and moisten the body, and make the body fluid quench thirst.
7. Drenching is a disease. The urination is like a millet. The abdomen is stringy and the pain leads to the navel.
[comments] this section discusses the characteristics of gonorrhea mainly caused by stone drench.
8. When the number of Yang channels falls and the stomach is hot, it means the digestion of grain and the introduction of food. The stool will be firm and the urine will be counted.
[comments] most of the commentators think that this section continues to discuss the pathogenesis and pulse syndrome of thirst after section 2. Chen Nianzu pointed out that "because of stomach heat, gonorrhea has the same origin as thirst quenching." In clinical practice, there are also cases of drenching due to dryness and heat in the stomach. These two explanations are mutually compatible.
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(1) Urine is like millet: millet, millet, that is, small things. It means to urinate and discharge small things like cornflakes.
9. Don't sweat when you are in the shower. If you sweat, you will have blood in the stool.
Those who are not good at urination have water vapor, and they are thirsty.
Qu Mai Wan Fang
There are two Fuling Dioscorea, three or two aconite, one or two processed Qu and one or two processed Qu and five flavors, and finally, the honey refining pill is big. Drink and take three pills every day. I don't know. Increase it to seven or eight pills. It's known for its small convenience and mid abdominal temperature.
[comment] as for this syndrome, you Yi pointed out in the heart code of synopsis of the Golden Chamber: "the syndrome of weak Qi and cold Qi in the lower Jiao Yang, but no Qi in the lower Qi, so the aconite is used to benefit Yang Qi, Poria cocos and Qumai are used for water Qi. You can push the temperature in your stomach. If a person is thirsty, it is the cold water that binds at the bottom, while the dry fire gathers at the top. Therefore, it is a good way to treat Dioscorea and trichosanthes root, in addition to hot fluid, with the flame of rising, not nourishing, not accumulating Yin, not keeping warm, and cold, moist, and warm. " "Yizong Jinjian · revised zhongjingquanshu Jinkui essentials note · xiaokexiaojiangonorrhea" said: "urination is not good, water is also stored in the bladder. People are thirsty, water does not change to produce fluid. With the moistening dryness of Dioscorea and pollen, it can generate the body fluid, and the bitter thirst can stop; with the seeping of Poria cocos and Qumai, it can drain the water, and urinate for its own benefit; with the more PaoFu, it can promote the Yang Qi, steam the body fluid, lower the water Qi, and change the kidney qi pill. "
Based on the above theories, it is considered that this article is due to the weakness of Yang Qi in the lower Jiao, resulting in the failure of water stagnation, the disadvantageous urination, and the inability of Yang deficiency to evaporate the hydrated Qi, thus the symptoms of dryness and thirst appear in the upper Jiao. Therefore, Yizong Jinjian regards Qumai pill as the change of Shenqi Pill.
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① Hematochezia: refers to the bleeding of urination.
② Ruo thirsty: "Ruo" was originally written as "bitter" by various families. It means thirsty.
There are some components of Shenqi Pill in Qumai pill, which are Radix aconite, Poria cocos and Dioscorea zingiberensis. There are "men's thirst quenching" in this article According to the theory of "Shenqi Pill is the main body", the Qi deficiency of Xiajiao Yang is disadvantageous to gasify. If it can't evaporate the liquid of Tengjin, it will cause thirst. Take Shenqi Pill to warm yang, turn Qi into water, and its thirst will resolve itself. However, it should be noted that compared with the prescription of Shenqiwan, Qumai
However, in the pill recipe, the root of Trichosanthes kirilowii, which is the most effective in clearing away heat, promoting body fluid and thirst, is used as the general manager, and the root of Trichosanthes kirilowii, which is the most effective in diuresis, is used as the supplement, and the name of the root of Trichosanthes kirilowii is called Qumai pill, which shows that Zhongjing's formula has another profound meaning.
There are five prescriptions for Zhongjing. In addition to the prescriptions, there are also Decoction for Guizhi, dried ginger soup for Bupleurum and Guizhi, oyster Alisma powder and oyster powder. Guizhi Decoction is designed for soft spasm. It mainly uses the root of Trichosanthes to clear the heat and promote the growth of body fluid, and softens the muscles and veins. Chaihu Guizhi Ganjiang decoction is designed for those with shaoyang disease and phlegm. It can nourish yin and promote body fluid with the root of Trichosanthes. The oyster Alisma powder, which is used to attack water evils, can not only nourish yin, clear heat and disperse the knot, but also benefit the stomach and promote the body fluid. The oyster powder of Trichosanthes manshuriensis was set up for "lily disease, thirsty people". It can be seen that Zhongjing uses the root of Trichosanthes to clear away heat, nourish yin and promote fluid production. It can be seen from this that the "bitter thirst" of Qumai pill syndrome in Gulou is due to the deficiency of the lower Jiao Yang, the non transformation of Qi into the fluid and the rising of the fluid. On the other hand, it is due to the injury of heat and evil to the Yin, and the injury of Yin to the fluid.
Looking at Qu Mai again, Shennong's classic of Materia Medica says that "it's mainly about the structure of the body, but it's not easy to urinate." In Shen Nong's classic of Materia Medica, Miao Xiyong of the Ming Dynasty noted that "it is slightly bitter and cold Go to the kidney's home In the ancient and modern records of Tang Zhen Quan, Qu Mai Tang (Qu Mai, liquorice, talcum, kuizi, and Shi Wei) said that "the treatment of typhoid fever is prosperous, and urination is not good." Qumai powder, Yupi decoction, talc powder and Yanming powder are all used in this book. In the prescription of Taiping Huimin pharmacy Bureau of the Song Dynasty, it was used together with pianchu, Mutong and Cheqianzi, such as Bazheng powder; in the treatment of urine dripping with blood, it was used together with gardenia and liquorice, such as lixiaosan. Clinical practice has also proved that Qumai is bitter and cold, which can clear the heart and heat, and benefit the damp heat of small intestine and bladder. It is mainly used for heat drenching, blood drenching, sand drenching, blood urination and urination.
Based on the above analysis, we can conclude that in addition to the deficiency of lower Jiao Yang, the main syndrome of our side is dampness heat injury Yin, which can be summarized as "dampness heat injury Yin Syndrome of lower Jiao Yang Deficiency". The pathogenesis of the disease may be the deficiency of kidney yang, the deficiency of Yang, the stagnation of water and dampness, the inhibition of Qi and fire, the combination of fire and dampness, the accumulation of dampness and heat, and then the injury of Yin, leading to the syndrome of Yang deficiency, dampness and heat, or the syndrome of chronic dampness and heat, repeated, On the one hand, dampness and heat injure Yin, on the other hand, it will consume vital energy and cause deficiency of spleen and kidney, forming the syndrome of dampness and heat obstruction and deficiency of yin and Yang.
Our syndrome is characterized by mixed cold and heat, mixed with deficiency and excess. The original text puts forward that "urination is not good". Due to the combination of damp and heat, it often has drenching and astringent pain or hematuria; damp and heat hurt Yin, combined with the deficiency of lower Jiao and Yang, which is not good for Qi, and the body fluid is not good, so it is thirsty. Kidney yang deficiency can be seen in the abdomen is not warm, the tongue is light fat, moss white greasy or yellow greasy, the pulse is deep and smooth. The combination of cold and temperature, tonic and combined application make the recipe exquisite. The root of Trichosanthes is used to clear the heat, generate the fluid and moisten the dryness. The rhizome of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of Rhizoma of trichosanthes is used to warm the kidney and turn. All drugs are used together, moistening dryness to nourish the source, warming the kidney to help Qi, and clearing away heat, removing dampness and removing drenching.
Tao baosun said in "synopsis of the Golden Chamber" that "this prescription is just right to deal with the mixture of the false and the real. If we can deeply understand the spirit of the prescription system and be good at adding and subtracting changes, then we can cure thirst and cure gonorrhea. Therefore, although there are many prescriptions for curing thirst and gonorrhea in the future, they will develop from then on. " From the clinical point of view, this prescription is mainly used for thirst quenching, drenching syndrome and diarrhea syndrome.
11. Urination is not good, Pu Hui powder is the main; talcum white fish powder, Fuling Rongyan decoction is the main.
Pu Hui San Fang
Pu ash seven points of talcum three points of two taste, pestle for the powder, drink clothing square inch dagger, three clothes a day.
Talcum and white fish powder
Two points of talcum, two points of random hair, two points of boiled white fish, three points of flavor, pestle for powder, drinking clothes square inch dagger, three clothes a day.
Fuling Rongyan Decoction
Poria cocos and Atractylodes macrocephala
[comments] this section puts forward three treatment methods for the disadvantage of urination. The three main treatments are different in severity, deficiency and excess. Puhui powder has the functions of removing blood stasis and promoting orifices, clearing heat and promoting dampness. It mainly treats the dysuria and gonorrhea caused by dampness heat and stasis, and the disadvantageous bladder gasification. Talc white fish powder has the functions of removing blood stasis, hemostasis, clearing away heat and removing dampness. It is mainly used to treat the dysuria, gonorrhea and drowning caused by dampness heat and blood stasis. Fuling Rongyan decoction has the functions of warming the kidney and strengthening the spleen, promoting water and dampness. It is mainly used for the treatment of the spleen and kidney weakness, the disadvantageous gasification, and the disadvantageous urination syndrome with mild heat and dampness of lower Jiao.
The above three parties are mainly for urination, and can also treat gonorrhea and drowning. Pu ash, random hair, white fish and Rong salt are not general and profitable products. They can be divided into blood, which shows that it is not good for people to treat urination. They should be used in promoting Qi, promoting water and promoting blood circulation and removing blood stasis. The prescriptions for treating drenching are Pu ash, random hair, white fish, Rong salt and talcum, which are worth imitating in clinical practice.
12. Those who are thirsty for drinking water and thirsty, white tiger and ginseng soup owner. I'll drink from you.
[comment] this section discusses the syndrome and treatment of hyperactivity of lung and stomach, Qi and fluid injury and thirst elimination. Later doctors treated Shangxiao syndrome with Baihu and Renshen decoction, for example, Yu Chang said in the medical law: "this is a good medicine for treating fire and heat, hurting the lungs and stomach, clearing heat and saving thirst. Therefore, those who suffer from diabetes will use it. Dongyuan was used to treat diaphragmatic dissipation. He who is able to eat and thirsty is to be cleansed. "
13. Those with fever, thirst for drinking water and poor urination are the owners of Zhuling decoction.
Zhuling Decoction
Poria cocos, shelled Poria cocos, alexin, talcum and Alisma have one or two or five flavors respectively. They boil four flavors with four liters of water first, take two liters, remove the dregs, close and dissolve the internal glue, warm and take seven in one, and take three in one day.
--------------- ① Shangsanwei: after the "right Sanwei" in the four parts, there are some words such as "first fry Poria cocos and Atractylodes macrocephala, then renrong salt, and then divide the temperature into three", which should be followed.
[comment] this section discusses the syndrome and treatment of the combination of water and heat, and the disadvantageous urination of yure and traumatizing Yin. Zhuling decoction has the functions of Nourishing Yin liquid, clearing Qi and heat, and promoting water and humidity. In the prescription, Polyporus umbellatus and talcum are used to remove dampness and heat, Poria cocos and Alisma are used to remove water, donkey hide gelatin is used to nourish yin and dryness, and five drugs are used together to remove dampness and heat and nourish Yin simultaneously, so as to remove water, remove pathogenic heat and recover Yin fluid, then the disease will be resolved.
