has exterior syndrome , and also has internal symptoms of diarrhea and abdominal pain, tetanus is called "similarity" - that is, dysentery - the reason for this syndrome, according to the original text of "Treatise on Febrile Disease": " , the external symptoms have not been eliminated and it is reduced a few times, so it can be accompanied by heat and excretion" (Second of the Sun). If this is correct, this syndrome was originally just Guizhi Decoction. Because the doctor mistakenly gave the dose, this syndrome was achieved.
However, from clinical experience, this syndrome may not be caused by mistakes. Generally, people with gastrointestinal weakness (that is, it means cold), and are prone to diarrhea. Most of the symptoms appear at the beginning of a cold. According to modern techniques, it belongs to the gastrointestinal type , which is a cold.
At the turn of summer and autumn in 1962, cholera was shocked in Taiwan, which lasted for more than 7, 8 and 9 months. The following three cases were those who quickly succeeded in this situation in accordance with the rules of "Treatise on Febrile Diseases".
The first example: the wife of a bone trainer in the city, fifty-four years old. A thin and weak body is a weak and cold constitution. Usually, whenever you have a cold, you will get phlegm and cough, most of them will be effective with Xiaoqinglong Decoction. In mid-August of the same year, her husband suffered from influenza and , and her husband took medicine from this woman dictated her condition. As such, a few days later, on the night of August 25, I suddenly felt disharmonious and tired, and then I felt chills, headache, back pain, and then abdominal pain and diarrhea. According to the cloud, about six or seven lines were available. At this time, it also makes the spontaneous sweating and come out, and it is warm and tempting to vomit but not to vomit. Then he ordered his son to ask me to go to the hospital. When the patient was overturned, he was still thrilling and resenting chills. At this time, the heat was hot and the patient was in high heat, and not only did his body temperature be quite low but his hands and feet were cold. Although the pulse is floating, it is slow and weak. Judging from this symptoms, it is because of the Guizhi Ginseng Decoction syndrome in the Sun disease, so I took a dose of Guizhi Ginseng Decoction and asked him to do the dose tonight. However, the prevalence of cholera is still very popular, and the patient is quite frightened and I explained it and took it according to the method.
The next day I visited him because of a morning walk, and the patient had already gotten up and prepared morning cooking to handle the children's schooling. It is said that the first decoction was taken last night and the aversion to cold and abdominal pain was reduced by half, and there was still diarrhea once, and he fell asleep before and after taking it twice. When I woke up this morning, all the symptoms were relieved last night. Now I feel that my mouth is slightly bitter, and although my dizziness and body pain have not been completely cured, it is quite mild. So I switched to four doses of Chaihu Guizhi Ganjiang Decoction, and all the symptoms disappeared.
The second case: I was a farmer's wife in Chedian Village. Although I had contacted patients when I was taking the medicine, my husband asked me about it. However, this woman is my year-round customer. I can remember her physical condition and chronic illness. It is a kind of excessive cold constitution. The patient suddenly developed fever and chills in the middle of the night on August 27, with headache and body pain, followed by abdominal pain and diarrhea. It was because of the remote village that I endured it all night. The next day, his husband asked about the medicine, his symptoms did not decrease slightly. Based on the oral symptoms, he took Guizhi Renren Ding. Xiang Wan's husband came to get the medicine again. According to the saying, all the symptoms were cured after taking the medicine, so he treated it with the original prescription.
The third example: it is a playwright. This person also has a weak and cold constitution. Usually, Xiaoqinglong Decoction or Ginseng Decoction plus Asarum Schisandra chinensis is most suitable, which contains stomach cold and chronic bronchitis. On September 2, I felt that my whole body was inconsistent, but in the evening I gradually felt chills, and then I became feverish, headache, body pain, abdominal pain, and diarrhea, which came one after another. This person lives in the city and is more convenient to go to the hospital. After diagnosis, he was determined to be Guizhi Ginseng Decoction. So he took Guizhi Ginseng Decoction without thinking. He took two doses in a row to cure all the diseases, so he stopped the medicine. Although this playwright is usually weak, he is busy with work and occasionally has two or three doses of illness. If he is poor, he will take the medicine if he is dissatisfied.
Note: Although Guizhi Renrenz Decoction is used from the second chapter of Dayang in "Treatise on Febrile Diseases" "Sun disease, the external symptoms have not been eliminated and it is reduced by several times, so it can help heat and diarrhea. If the diarrhea is not stopped, the heart is hard, and the exterior and inside are not resolved, Guizhi Renrenz Decoction is the main body" one. However, its conversion has a wider range without being restricted by the mistakes of solar disease.
According to the original text, this dysentery is caused by mistake, so "the exterior symptoms have not been eliminated", so it still has fever. On the one hand, because "severely" in a period that is not suitable for conquering, it means that "heat will benefit" and "profit will not stop." As for "hardness in the heart" is equivalent to stomach fullness or pain, this complication may be due to the damage to the gastrointestinal tract by the agent, which is the so-called "deficiency in the stomach, and politeness is reversed".This is probably the original text.
However, according to clinical experience, the main treatment of this prescription may not be all caused by accidental dysentery, and may not be caused by fever. Judging from the above three cases, the first case has no heat. Generally speaking, people with gastrointestinal weakness are likely to experience this syndrome when they suffer from colds, so it is not necessary to go through mistakes. If this syndrome is based on modern techniques, it will be a "gastrointestinal cold".
In short, those with Rengan Decoction syndrome and have exterior evils have the opportunity to apply regardless of whether they have fever or not. Therefore, this prescription is a commonly used agent in clinical practice. "Zhumutong Jinggong Medical Cases"
Thesis: The key point is that this syndrome may not be caused by mistakes. It is generally common for people with gastrointestinal weakness (that is, it means cold), and are prone to diarrhea. Most of the symptoms appear at the beginning of a cold. Key points, to get rid of the mistreatment point of view: the original deficiency and cold are also damaged by external infection, so fever and diarrhea are caused by diarrhea, which is the pathology of Guizhi Renren Shen Decoction.
These three medical cases are all external infection plus internal deficiency. Guizhi Rengan Decoction is a combination of Lizhong Wan , which is combined with cinnamon twig, to unblock the meridians and relieve the muscles, so as to relieve the meridian heat of external cold.
Theory: cholera
" typhoid fever " Volume 13: Cholera is the cold food and drink in the summer and autumn months, and the external wind and cold are caused by cold food and cold food. The season is hot, and the cause of the disease is cold, so Zhongjing's legislation is in charge. It is the summer and autumn months, when eating and drinking coldly, it hurts the spleen and stomach, and the skin and fur are also filled with cold wind and cold. The cold inside and outside is also sad at the same time, and the qi flows in a mess. The middle qi is incompetent, the rise and fall are abnormal, the five elements are in chaos, and the qi in the outside and inside are also in chaos.
The time of the onset of this case was at the turn of summer and autumn in 1962, and it was more than 7, 8 and 9 months. This cholera disease is a disease such as typhoid fever. Due to mass occurrence, it can be called an epidemic or can be understood as cold epidemic. But this epidemic is not a virus. Antibiotics cannot solve it.
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