1. The wind of the husband is a disease. When hemiplegia or arm failure occurs, it is caused by Bi, micro pulse and stroke.
[comments] there are two different opinions on the interpretation of this section: one is that "Bi" means the pathogenesis of apoplexy, that is, the pathogenesis of apoplexy is due to the obstruction of Qi in meridians. One thinks that "this is bi" and "Bi" is Bi syndrome, which is caused by the wind, cold and damp.
2. If the Cunkou pulse is floating and tight, it will be cold, and if it is tight, it will be empty; if it is cold and empty, it will attack the skin; if it is floating, it will be blood deficiency, and if the collaterals are empty; if it is not diarrhea, it will be left or right; if it is slow, it will be urgent; if it is upright, it will lead to evil; if it is remote, it will not be successful.
Evil lies in the collaterals, and the skin is not benevolent; evil lies in the meridians, which means that it is too heavy to be defeated @; evil people in the Fu organs, which means that they do not know people; evil people in the Zang organs, which means that the tongue is speechless and the mouth spits.
[comment] this section discusses the cause, pathogenesis and pulse syndrome of stroke. Zhongjing paid attention to the internal cause and the induced effect of external cause in the onset of apoplexy. The wind evil entered the meridian, the viscera and the viscera, and then the skin was unkempt, the limbs were too heavy, the tongue was speechless, and the mouth was spitting. Later generations on apoplexy, mostly in the middle collaterals
___________
① Thief evil does not diarrhea: thief evil refers to the evil spirit that damages human body, such as wind evil, cold evil, etc. Non diarrhea refers to the retention of evil Qi in meridians and blood vessels, but cannot be discharged.
② The evil spirit is slow, and the positive Qi is urgent: it means that the meridians of the affected side are loose, and the meridians of the disease-free side are tense.
③ Unsociable: the mouth, eyes and throat are inclined.
④ Weightlessness: it means that it is not easy to move with heavy limbs.
This is the origin of the differentiation of the middle meridians, the middle viscera and the middle viscera.
Hou's black powder was used to cure gale (1) those who were tired of limbs and were short of cold in heart. "Waitai" is for the treatment of wind epilepsy.
On the fourteenth taste, the pestle is scattered, the wine is served with a square inch dagger, once a day, for the first twenty days, the wine is mixed with the wine, and all fish and garlic are forbidden. It is often suitable for cold food, until sixty days, that is, the medicine will not be accumulated in the stomach. Hot food is enough. Cold food can help medicine.
[comment] ouyangkai said in the miscellaneous pathogenic Purport: Hou's black powder, although it is speculated that "it comes from Zhongjing" in the source of nest, Zhongjing prescription uses only stone drugs, and shanghanshisan is used only in this way, and the wind of taking stones and cold food prevails in Sui and Tang Dynasties, which may not be zhongjingyuan prescription either. Hou's black powder can be used in combination with cold and warm, and it is mixed with the products that can control the wind. It is not specially used for the treatment of external wind. Later, it can be used for the treatment of apoplexy. It has also been proved that it can be used for the treatment of Apoplexy with the addition and subtraction of syndromes. According to Ye Tianshi's "clinical guide medical case · liver wind" in the Qing Dynasty, it is the first time to test the ancient people's deficiency wind, to promote Hou's black powder, to fill the stomach and intestines space, and to rest the common internal wind
3. Cunkou pulse is late and slow, late is cold, slow is empty, rongslow is dead blood, Wei is late and full and short-lived. It's a stroke. The body itches and the body is addicted to rash when the evil Qi passes through (2); when the heart qi is insufficient and the evil Qi enters, the chest is full and the Qi is short.
[comments] this section shows that people with insufficient Qi and blood in Yingwei are prone to be attacked by cold wind, which can lead to stroke or addictive rash.
Fengyin Decoction ③ for eliminating febrile paralysis and epilepsy ④ _____________ ① Gale: it is the name of ancient syndrome.
② Addictive rash: that is, the disease of rubella, which is closed to the muscle surface by evil Qi, so it occurs at the right time.
③ Wind induced: that is to say, when the wind strikes and leads.
④ Paralysis: paralysis, refers to hemiplegia; pain, refers to epilepsy.
Rhubarb, dried ginger, four or two Guizhi, three or two licorice, oyster, two or two cold water stone, talcum, red stone, white stone, purple quartz gypsum, six or two on each, twelve flavor, pestle, coarse screen, filled with Wei Bao ①, take three pinch, well flower water three liter, boil three boiling, warm clothing one liter. The treatment of adult wind, less small convulsions, epilepsy, dozens of days, the hospital does not treat, except the heat formula. Chao's cloud: feet are suitable for wind and soup.
[comment] this section deals with the syndrome and treatment of heat, liver wind and internal movement. The plaster, cold water stone, talc, oyster and so on in Fengyin decoction are cold and important products. The syndrome of limb convulsion and corner bow reflexion caused by excessive heat and internal movement of liver wind can be considered for use, including infantile convulsion, adult hemiplegia, paralysis, etc. Our focus is on Qingre qianzhen
Gathering the floating sun opens the way for the future generations to use the hidden town for stroke treatment. Zhang Xichun said that "the self prepared Jianling soup (ochre, keel, oyster, yam, Niuxi, Shengdi, hangshao, baiziren), reusing ochre, keel, oyster, and gypsum, really steal the meaning of Shifeng soup."
Fangji Dihuang Decoction can cure the disease like mania, act in a wrong way, talk without stop, without cold and heat, and its pulse is floating.
One money for self defense, three money for cinnamon twigs, three money for wind defense, three money for licorice
Four flavors, one cup of wine, one night of stains, mincing juice, two Jin of raw rehmannia, zhuzui, steaming as rice for a long time, holding its juice in a copper vessel, mincing rehmannia juice, and then serving separately.
[comment] this section is to discuss the treatment of mania caused by Yin deficiency, blood heat and wind evil. Therefore, Shen mingzong said that Fangji Dihuang Decoction "is not the recipe for stroke" in "notes on synopsis of the Golden Chamber". As for the meaning of his prescription, Xu Lingtai said that "this prescription is light in medicine, but only heavy in land. It is also the wind in blood, which is the most suitable method to play." The second volume of the book compares this prescription with Baihe Rehmannia Decoction, which is called "Baihe Rehmannia Decoction, Fangji Rehmannia Decoction, both of which take juice, but one medicine and Rehmannia are shallow boiled, the other medicine is precipitous and Rehmannia is steamed for a long time, the raw one is quick, the cooked one is strong, so Fangji Rehmannia Decoction, Rehmannia Decoction are used for tonic, Baihe Rehmannia Decoction, Rehmannia Decoction are used for propaganda, which is not unknown." It emphasizes the function of our side. We use the land and grind the thick juice, and focus on the Yin points to nourish the blood and clear away the heat; light use of self-defense, Fangfeng and Guizhi, and soak them in the wine, in order to take the nature of light and clear, in the Yang points to disperse the wind evil, and all the drugs are used together, which can be called a good prescription of "blood deficiency generates heat, evil and Yang". Clinically, Fangji Dihuang decoction is not only for the treatment of mental diseases, but also for the treatment of "blood deficiency and evil". _________________ ① Wei Bao: an ancient medicine bag made of leather.
Toufeng ① Moxian square
It's a big aconite. The salt of the cannon is divided into two parts. After bathing, it's a square inch dagger. It's worn fast. It's powerful.
[comment] this section is about the external treatment of the first wind. First wash the affected area with warm water, and then rub the affected area with powder medicine. It can be used with salt to take its nature of salty and cold, penetrate the collaterals, and induce pathogenic factors to go out.
4. The pulse of Cunkou is deep and weak. Sinking is the main bone, weakness is the main muscle, sinking is the kidney, and weakness is the liver. Sweat out of people's water, such as water sad ②, calendar Festival yellow sweat ③ out, so it is called calendar Festival.
5. Fuyang pulse ④ floats and slides. If it slips, the valley will be full of Qi. If it floats, the sweat will come out.
6. Shaoyin pulse ⑤ floats and is weak. If it is weak, the blood is insufficient. If it floats, it is wind. If the wind and blood fight, it is painful.
7. Sheng Ren ⑥ small and astringent pulse, shortness of breath, spontaneous sweating, arthralgia, no flexion and extension, all caused by drinking and sweating.
[comments] the above four sections explain the different causes and symptoms of Li Jie disease by pulse. The internal causes include deficiency of liver and kidney, dampness and heat in stomach, deficiency of yin and blood, deficiency of Yang, etc.; the external causes include sweating in and out of water bath, or sweating out when the wind, etc., which shows that wind cold and dampness are the main external causes. _________________ ① Toufeng: it is a disease such as paroxysmal vertigo and headache.
② Sad like water: the heart dominates the blood, sad like water, which still says that water dampness hurts the blood.
③ Yellow sweat: it refers to one of the concurrent symptoms of the arthrosis, which is the overflow of yellow water from the joint pain. Therefore, the eye "yellow sweat of the arthrosis"
Out. " It is different from the yellow sweat disease in which the excellent yellow sweat spreads all over the body.
④ Down Yang pulse: refers to the dorsal artery of the foot, which can wait for the change of stomach qi.
⑤ Shaoyin pulse: hand Shaoyin pulse is at Shenmen acupoint, which can wait for heart qi. Foot Shaoyin pulse is at Taixi point, which can wait for kidney qi.
⑥ Sheng Ren: a man of fat body.
8. The limbs are painful, the body is Kui Lei ①, the feet are swollen like falling off, the head is dizzy and short of breath, the body is warm and ready to vomit, which is the main ingredient of Guizhi Shaoyao Zhimu Decoction.
Guizhi Shaoyao Zhimu Decoction
Cassia twig, four Liang peony, three Liang liquorice, two liang ephedra, two liang ginger, five Liang Atractylodes, five Liang Anemarrhena, four Liang windbreak, four Liang aconite, two pieces, cannon
For the ninth taste, seven liters of water, two liters of boiled water, seven combinations of warm clothes, three suits a day. [comment] this section discusses the treatment of rheumatism. The calendar festival also has the category of arthralgia syndrome. In the internal classic, the external cause of Bi syndrome is due to wind, cold and dampness, while the internal cause is due to the failure of Ying Wei Qi. As the saying of "Bi Lun" in Suwen: "the Qi of Rongwei is also Bi Hu Glory is the essence of water valley Wei, the fierce Qi of water valley If you go against the Qi, you will get sick. If you follow the Qi, you will get better. If you do not mix with the cold and damp Qi, you will not suffer from Bi syndrome. " Zhang Zhongjing inherited and developed the theory of arthralgia syndrome in Neijing. When discussing the pathogenesis of arthralgia disease in Section 9 of this chapter, he put forward that "the Qi of Ying is blocked, the Wei does not walk alone, the Wei of Ying is weak, the Sanjiao has no control, the four genera are broken, the body is thin, and the sole foot is swollen." It shows that the internal cause of the disease is the disharmony between the camp and the guards. Due to the disharmony of the element body, the Yang Qi is weak, and the external wind, cold and dampness are pathogenic. For this reason, Guizhi Shaoyao Zhimu Decoction uses Guizhi Decoction to mix with jujube and Yingwei, liquorice and Fuzi Decoction to warm yang and dispel cold, plus wind prevention to dispel wind, ephedra to dispel cold, and Baizhu is used to dispel dampness and replenish spleen. On the one hand, Zhimu is used to mix with Fangfeng Cassia twig, ephedra, aconite, etc. can prevent this kind of medicine from damaging Yin with hot and dry heat; on the other hand, in the course of pathogenesis, the disease of Lijie has the potential to turn heat, and this product can be added to clear heat.
This prescription is widely used in the diseases with "joint pain" as the main clinical manifestations, such as rheumatoid arthritis, periarthritis of shoulder, ankylosing spondylitis, lumbar disc herniation, gout, knee joint effusion, etc., which can all belong to the category of "Li Jie" and "Bi Zheng" in traditional Chinese Medicine. _________________ ① Kui win: describe joint swelling. In the Qing Dynasty, Shen mingzong's notes on synopsis of the golden chamber and Youyi's heart code on synopsis of the golden chamber all made "win by win", which means that the body is thin and weak. In this regard, many commentators advocate combining the two explanations, because most of the patients with calendar Festival are thin, weak and swollen.
② Swelling of feet: refers to swelling of both feet, such as the appearance of separation from the body.
9. Sour taste will hurt tendons, and tendon injury will slow down. The name is Xie. Salt can hurt the bones, while bone injury can cause impotence. The name Jiao has nothing to resist. The four genera are severed. The body is thin and the sole foot is swollen. Yellow sweat, cold shins. It's supposed to dry up. It is called duanxie ①. The camp Qi is blocked. The guards do not walk alone. The camp guards are all tiny. The three jiao has no control. The four genera are broken. ② the body is thin and the sole foot is swollen. Yellow sweat, cold shins. If you have fever, it's a calendar Festival.
[comment] this section further discusses the pathogenesis of Lijie disease. The acid and salt intake, liver and kidney injury are just examples, which show that the internal cause of Lijie is liver and kidney insufficiency.
10. On the medical record day, do not bend or stretch. It is painful. It is the master of Aconitum soup.
Aconitum decoction is used to treat foot pain. Do not bend or stretch.
Ephedra, Paeonia, astragalus, licorice and aconite, five pieces of roasted Sichuan aconite, two liters of honey, one liter of fried aconite
Top five flavors, four flavors of zhuzui, three liters of water, boil one liter, remove the dregs, fry the inside honey, fry it even more, take seven combinations, don't know, take them all.
[direct review] this section discusses the syndrome and treatment of cold and humid calendar. As a result, the joint is swollen and deformed, and pain is a necessary symptom. If cold and dampness are added to the joints, the channels are blocked and Qi and blood flow is not smooth, so the joints are in severe pain and can not be bent or extended. The evil of cold and dampness can't go without Aconitum and ephedra. Therefore, the prescription uses ephedra to dispel wind, sweat and relieve Bi, and Aconitum warm meridian to disperse cold and relieve pain; Paeonia and Glycyrrhiza to relieve pain in a slow and urgent way, so as to facilitate joint flexion and extension; Astragalus to promote qi and help to correct; white honey and Glycyrrhiza to detoxify Aconitum, and can prolong the efficacy. The combination of all drugs is a good agent for warming the meridians, dispersing the cold and relieving the pain.
Wutou decoction can treat many pain syndromes caused by cold and dampness stagnation and blockage of channels, such as arthralgia, arthralgia, shoulder coagulation, neck pain, abdominal pain, dysmenorrhea, etc. the diseases involved include rheumatoid arthritis, periarthritis of shoulder, lumbar disc herniation, sciatica, rheumatic myalgia, undifferentiated spondyloarthropathy and pain of various cancers. ① Duanxie: it refers to the exhaustion of kidney essence, the deficiency of liver blood, and the non continuation of Qi, which is called "duanxie".
② Severance: refers to the lack of Qi and blood nutrition for limbs.
Alunite Soup for treating foot Qi and heart flushing.
Alunite two liang
On the first taste, a bucket of water to pulp five liters, fry three or five boiling, good foot dip.
[comment] according to the seventh volume of Sun Simiao's "a prescription for a thousand gold coins in a hurry", it is said: "in the Wei Zhou Dynasty, there was no such disease." It can be seen that the name of the disease of beriberi began after the Sui and Tang Dynasties. Therefore, our beriberi rushed to the heart and was attached by later generations.
Accessory party
In ancient and modern times, it was recorded to treat apoplectic heat with the decoction of life continuation. The body could not hold itself, the mouth could not speak, and it was presumptuous to know the pain, or it was too urgent to turn around. Yao Yun: it's the same as Da Xuming, and it's also used to treat women with postpartum hemorrhage, the elderly and children.
Mahuang, Guizhi, Danggui, ginseng, gypsum, ginger, liquorice, three or two xionglao, one or two almonds, 40 pieces each
Nine taste, one bucket of water, four liters of boiled water, one liter of warm clothing, when small sweat, thin covered ridge, with a few seats, sweat out more, not sweat more clothing, no ban, not when the wind. It can also be used to cure but not lying down, coughing against Qi and swelling of face.
Qianjin Sanhuang Decoction is used to treat apoplectic hands and feet, pain in hundreds of knots, upset, hot and upset, and cold. After a day, you don't want to eat.
Ephedra five points, angelica four points, asarum two points, Astragalus two points, Scutellaria three points
Five flavors, six liters of water, two liters of boiled water, three servings at different temperatures. A small sweat, two big sweat. Heart heat plus rhubarb two points, full belly plus a Fructus aurantii, inverse Qi plus ginseng three points, palpitation plus oysters three points, thirst plus root of Trichosanthes three points, first a cold plus aconite. -------------- ① Foot gas attack heart: refers to the foot GAS disease and see palpitation, asthma, vomiting and other diseases.
The near effect formula is attached to Decoction to treat wind deficiency, head and heavy vertigo. It is extremely bitter and does not know the taste of food. It warms the muscles and nourishes the middle, and benefits the essence and Qi.
Baizhu Er Liang liquorice two, aconite one and a half, shelled and grilled
On three flavors, file, every five yuan dagger, five pieces of ginger, one jujube, half water cup, fry seven parts, to dregs, warm clothes.
Cui's Bawei pill is used to treat the upper part of the foot.
Dried rehmannia, Fructus officinalis, Rhizoma Dioscoreae, Rhizoma alismatis, Poria cocos, Cortex Moutan, each with three or two Guizhi - two aconite, one or two, eight flavors on the cannon, the last, honey refining and pills, and big Wuzi. Drink 15 pills and take them every day.
Qianjinyue maidservant and Zhushu decoction are used to treat extreme meat (1). When it's hot, the body will take off. If it's hot, the body will take off. If it's open, the sweat will be released. If it's strong, the air will be strong (2). If it's burnt, the feet will be weak.
Ephedra, Liu Liang gypsum, half a Jin ginger, San Liang licorice, er Liang Baizhu, Si Liang jujube, 15 pieces
Six flavors and six liters of water. First boil ephedra and remove the foam. Take three liters of internal medicine and take them at different temperatures. Evil wind adds one aconite, cannon. ____________
① Meat pole: refers to extreme muscle wasting.
② Li Fengqi: Ancient syndrome name, may refer to modern leprosy.
