Famous doctors and prescriptions: Zhang Zhongjing's collation and application of cold and heat syndromes

Zhang Zhongjing is the pioneer in the history of traditional Chinese medicine prescriptions in the creation of cold-heat medicine sharing classic prescriptions. This article gives examples of the corresponding prescriptions for the syndrome differentiation of cold and heat and the combination of cold and heat in "Treatise on Febrile Diseases" and "Synopsis of the Golden Chamber". For reference by clinicians.

Cold and hot in the outside, inside, and half of the table and half

1. Cold and inside heat syndrome

Body heat or lung heat Intrinsic, recurrence of wind and cold, internal heat is contained by external cold, forming external cold and internal heat, also known as cold pack fire. Treatment: Relieve the surface and clear the inside, resolve phlegm and relieve asthma.

Example: "Treatise on Febrile Diseases" Daqinglong Decoction is composed of ephedra, cassia twig, licorice, almond, ginger, jujube, and gypsum. In the prescription, ephedra, cassia twig and ginger are used to relieve cold and cold, and gypsum is a cold medicine to clear away heat and trouble.

2. External heat and internal cold syndrome

Normally the spleen and stomach are insufficiency and cold, but also feel wind-heat, or because of the unresolved external pathogens, the spleen and the stomach have insufficient Yang Qi. Manifested as existing fever, headache, nausea and other superficial fever. At the same time, there were symptoms of cold in the interior such as loose stools, long urination, cold limbs, and lack of thirst.

Example: "The Synopsis of the Golden Chamber" bamboo leaf soup consists of bamboo leaves, kudzu root, fangfeng, platycodon, ginseng, cassia twig, and aconite. The cold and cold herbs in the prescription, bamboo leaves and pueraria lobata root, radiate wind-heat, and the warm herbs cassia twig and aconite can protect Liyang.

3. Half-outside, half-inside and cold-outside syndrome

Half-outside and half-inside syndrome means that the pathogen is neither in the appearance nor in the inside, between the outside and inside.

Example: "Treatise on Febrile Diseases" Chaihu Guizhi Decoction consists of Guizhi, Scutellaria, Ginseng, Licorice, Pinellia, Peony, Jujube, Ginger, and Bupleurum. The cold medicine in the prescription, Bupleurum and Scutellaria baicalensis, reconciles half the surface and half the inside (Shaoyang evil heat), and the warm medicine Guizhi radiates wind and cold.

4. Half outside and half inside and inside cold syndrome

Example: "Treatise on Febrile Diseases" Chaihu Guizhi Dry Ginger Soup consists of Bupleurum, Guizhi, Dried Ginger, Trichosanthes Root, Scutellaria, Oyster , Licorice composition. In the prescription, Bupleurum and Scutellaria baicalensis reconciles half of the surface and half of the li (Shaoyang evil heat), and the warm medicine cassia twig and dried ginger are used to dispel cold.

Cold and hot in the viscera

1. Cold and hot viscera

Example: "Golden Chamber" Linggan five flavors plus ginger Xinban Apricot Rhubarb Decoction consists of Poria, Licorice, Schisandra, Dried Ginger, Asarum, Pinellia, Almond and Rhubarb. In the prescription, the warm and heat medicine is dried ginger, asarum, Pinellia ternata warming the lungs, and the cold and cold medicine rhubarb to relieve stool and relieve stomach heat.

2. Zang-heat-fu-cold syndrome

Example: "Treatise on Febrile Diseases" Huanglian Decoction consists of Coptis, Licorice, Dried Ginger, Guizhi, Ginseng, Pinellia and Jujube. In the prescription, the cold and cold medicine Huanglian clears the heart and relieves annoyance, and the warm medicine dried ginger and cassia twigs warm the stomach and cold.

3, the cold and heat are in the same internal organs

Example: "The Synopsis of the Golden Chamber" Xiaoqinglong plus gypsum soup consists of ephedra, cassia twig, peony, asarum, licorice, dried ginger, schisandra, pinellia , Gypsum composition. In the prescription, the warm-hot medicine cassia twig, asarum, dried ginger, Pinellia ternata warms the lung and decoys the lung, and the cold and cool medicine gypsum clears the lung heat (the cold-in-the-lung drink suppresses heat).

4. Cold and heat are in the same organ

Example: "Golden Chamber Synopsis" orange peel Zhuru soup is composed of orange peel, bamboo ru, jujube, ginger, licorice, and ginseng. In the prescription, ginger warms the stomach and yang, cold medicine Zhuru clears stomach heat (stomach cold and stagnation heat).

5. Cold and heat are in different organs

Example: "Treatise on Febrile Diseases" Gardenia Dry Ginger Soup is composed of gardenia and dry ginger. In the prescription, the cold medicine gardenia clears the heart and relieves annoyance, and the warm medicine dried ginger warms the spleen and dispels cold.

6. Cold and heat are in different organs

Example: "Treatise on Febrile Diseases" Wumei Pills are made of ebony plum, asarum, dried ginger, coptis, angelica,

辅子

, Shujiao , Guizhi, ginseng, cork. Coptis and Phellodendron chinense to clear stomach fire,Warming medicine: dried ginger, asarum, aconite, cassia twig, and shu pepper to warm the intestines and cold.

Cold-heat complex syndrome is a clinically intractable syndrome. This article is simply sorted out and needs to be improved. The miscellaneous prescriptions for cold and heat in "Treatise on Febrile Diseases" is Zhang Zhongjing's great innovation in prescriptions. Its scientific value is very high, and we should inherit and develop it well.

The content of this article is compiled and referenced from the Internet.