This formula is from “Treatise on Typhoid Fever”: If the table of typhoid fever is not relieved, there is watery qi under the heart, dry vomiting and fever with cough, or thirst, or diuresis, or choking, or unhealthy urination, fullness of the abdomen, or asthma, Xiao Qing Long Tang is used. Typhoid fever with watery qi under the heart, coughing with slight asthma, fever without thirst. Those who have been thirsty after taking the soup, this cold goes away and wants to be relieved. Xiao Qing Long Tang is used. This article discusses the evidence and treatment of Sun typhoid with internal stagnation of water-drink. The phlegm and water-dampness have the same origin but different flow, and the water-drink here can be derived from the malfunction of water metabolism in the body due to the deficiency of Yang Qi in the lung and stomach, such as clear watery nasal discharge, coughing and vomiting of white foamy phlegm, internal stagnation of water-drink, obstruction of the Qi flow, congestion of the lung and stomach channels, choking in the throat, shortness of breath, clear watery vomitus, unfavorable urination, edema of the extremities, clear cold urine, including clear banding, and so on. Clinical application is based on the key points of identification of malignant cold and fever, no sweating, wheezing and coughing, sputum is abundant and thin, white slippery tongue coating and floating pulse. It is often used in bronchitis, bronchial asthma, pneumonia, whooping cough, pulmonary heart disease, allergic rhinitis, catarrhal ophthalmia, catarrhal otitis media, and other wind-cold bundles on the surface with internal watery drink. Two cases with good efficacy using Xiao Qing Long Tang are now shared with you: 1. Wang, male, 15 years old, student. He had a history of allergic rhinitis for 2 years and was treated with western medicine such as loratadine and paracetamol during the attack, but the effect was not good, and he took Chinese medicine such as Yu Ping Feng San, Gui Zhi Tang and Cang Er Zi San for several times, but the effect was not obvious. Present symptoms: nasal congestion, nasal itching, sneezing, aggravated by wind and cold, clear water nasal discharge, large amount, fear of wind, fear of cold, thin white tongue coating and slippery pulse. Usually craves cold and drinks cold. Evidence: congested nose – external cold and internal drinking. Prescription: Xiao Qing Long Tang plus or minus. Ephedra (first decoction to remove the upper foam) 10g, 10g white peony, 10g ginger, 10g schisandra, 10g cinnamon 10g, 10g half asia, 5g horsetail, 10g licorice, 10g xingyi Cyperus 10g (fried) cicada 10g stiff silkworm 10g water decoction juice 300ml, each time 150ml twice a day orally, daily l dose. After taking 3 doses of medicine, the effect is particularly obvious, the nasal congestion basically disappeared, nasal discharge reduced, the effect is not more formula, the original formula followed by five doses, the symptoms disappeared, told to stop the medicine, avoid wind and cold, careful living, diet avoid raw cold. However, he did not follow the doctor’s advice and took 3 more doses according to the original prescription on his own, with symptoms of dry nose, dry eyes and sore throat, so he stopped using it. Nasal congestion is a sign of cold stagnation in the nasal orifices, and the clear yang is not allowed to spread, often taking the ephedra, cinnamon stick, fine spices and dry ginger in Xiao Qing Long Tang to warm the nasal passage. In the original formula, Cang Er Zi and Xin Yi are added to disperse the wind and cold and open the nasal orifices; Cicada Mucuna Pruriens and Silkworm are pungent, warm and dispersing, clearing the head and eyes, dispelling wind and relieving pain; the combined use of all the medicines together can dispel the wind and cold externally, remit the watery drinks internally, and open the nasal orifices. If the external cold is mild, remove the cinnamon branch and replace the ephedra with sizzling ephedra; if there is also heat and irritability, add gypsum and scutellaria to clear the heat; if there is also phlegm in the throat, add almond, eucommia and dong quai to reduce phlegm and calm asthma; if there is also edema, add poria and poria to promote water retention and reduce swelling. Experience: (1) Allergic rhinitis is a typical manifestation of the evil of the Qi must be deficient: the disease is mostly due to the greed for cold and drinking cold, damage to the lung and stomach Yang Qi, Yang does not turn into fluid and drink. The lung is in the upper jiao, the lung is the master of the skin and hair, the master of the water channel, the master of the propagation and purification function, the lung and stomach yang is damaged, the lung regulates the water channel, the propagation and purification is not normal, resulting in water metabolism is not normal, the lung is open to the nose, and clear water nasal discharge, the lung is the master of the skin and hair, the external guard is not solid, and the appearance of cold and fear of cold, the tongue coating is thin and white, the pulse is slippery are wind and cold external bundle, the internal manifestation of water and drink. (2). Insufficient Yang Qi in the lung and stomach is the root cause of this disease, which is recurrent and difficult to heal, and this must be deeply understood in order to grasp the core of the problem. If the Yang energy of the lung and stomach is sufficient, the Yang energy of the nasal orifices will also be sufficient, so that an immune barrier can be rebuilt in the respiratory tract, and only then can the long-term efficacy be guaranteed. Therefore, it is important for patients to avoid wind and cold, be cautious in rising and living, avoid cold and raw food, and protect the Yang energy of the lung and stomach. (3) Xiao Qing Long Tang warms the lung and disperses cold, and dissolves drinks. The formula contains ephedra, cinnamon stick, horsetail, ginger, and half-xia, which are pungent and warm. 2. Li Moumou, male, 68 years old, retired teacher. The patient has a history of cough and sputum wheezing for more than 20 years, this time after an external sensation, wheezing, shortness of breath, chest distension, restricted lying down, cough, sputum with clear frothy texture, with aversion to cold, no sweating, mild swelling of both lower extremities, both lungs can be heard in the dry and humid stalls tom-tom Ρ “cone gum〗 簦谑 brother line sac all he chain title disaster ramie quasi-killed court (19) sole zai fir court pattern Zhu Yuan lying onion pregnant brain whoosh. The patient was given a low-salt, low-fat diet, intermittent low-flow oxygen, cefoperazone sulbactam 2.25g, and amiloride hydrochloride 30mg twice a day for symptomatic treatment such as anti-inflammatory and phlegm. He came to our hospital on April 12, 2013. The diagnosis: shortness of breath, shortness of breath, chest distension, restricted lying down, cough, sputum with clear frothy texture, both with cold, no sweating, mild swelling of both lower extremities, dry and humid αΓΓashakrajukafang dazzling toms Ρ “cone gingival〗簦V 幸秸锒希捍-外寒内喝Western diagnosis: acute attack of chronic bronchitis, chronic obstructive pulmonary emphysema, chronic pulmonary heart disease. The prescription: Xiao Qing Long Tang plus reduction: ephedra (first decoction to remove the upper foam) 10g, white peony 15gg, dry ginger 10g, Wu Wei Zi 15g, cinnamon 10g, half ansia 15g, 5g, licorice 10g, asters 15g, winter flowers 15g scape seeds 20g jujube 7, water decoction juice 300ml, each time 150ml twice a day orally, daily l dose. After 7 days of treatment with the above formula, the patient’s wheezing and cough were reduced, diet was improved, stool was normal, tongue was light red, moss was thin white, and pulse was string. The patient was treated with Ling Gui. After 3 months of follow-up, the condition was stable. The original formula was supplemented with Zingiber officinale to relieve cough and asthma, Scapularia draba to promote water circulation and relieve lung and asthma, and jujube to moderate stimulation and take into account gastric energy. (1) Asthma is a common and frequent disease in internal medicine and has been discussed in the classical Chinese medical text “Huangdi Neijing”. The “Su Wen Zhi Zhen Yao Da Lun” says that all Qi Yue Ben Yu belong to the lung. The lung is a very common disease in Chinese medicine. The deficiency is due to the deficiency of the lungs and kidneys, so the deficiency of the lungs and kidneys is dominant; the deficiency is due to the deficiency of the external evil, not only the wind, cold, dryness and heat, but also the internal evil, mainly phlegm or water drink. The main point of the pathogenesis of the actual asthma is that the lung is congested with evil qi, and the main point of the pathogenesis of the deficiency asthma is that the lung is not purified and the kidney is not absorbed. (2) This evidence of asthma is the evidence of external wind-cold and internal stagnation of cold drinks. The wind-cold binds the surface, the hair orifice is closed, the Wei-Yang is suppressed, and the Ying-Yin is stagnant, so we can see vicious cold and fever, no sweating, and body pain. This patient has been suffering from asthma for a long time, the lungs, spleen and kidneys are affected, the lungs are not regulated, the spleen is not transferred, the kidneys are not evaporated, resulting in internal stagnation of water and drink, people who have water and drink, once they feel the external evil, every time the surface cold leads to internal drink, “difficult scripture? Forty-nine difficulties” said: “form cold drink cold is hurt lung”. Water cold fight, internal and external attraction, drink movement does not live, water cold shot lung, lung loss of publicity, so coughing and asthma phlegm and thin; water stop heart, blocking the qi, so chest plank; drink move the stomach gas rebellion, so dry vomiting; water drink overflow in the skin, so swelling body heavy; tongue bitter white slippery, pulse floating for external cold drink of supporting evidence. For the evidence of external cold and internal drinking, if the table is not evacuated but only to treat its drink, it is difficult to solve the surface evil; not to dissolve the drink and specialize in dispersing the surface evil, the water drink is not removed. Therefore, the treatment is appropriate to solve the table and drink with a single move and both the table and the internal solution. In the formula, ephedra, cinnamon shall be the ruler, sweating and dispersing cold to solve the surface evil, and ephedra and can promote the lung gas and calm asthma and cough, cinnamon branch of the gas and water to facilitate the transformation of the drink. Dried ginger, fine spice for the minister, warming the lung to dissolve drinks, and help hemp, Gui to remove the surface of the evil. However, there is phlegm, spleen and lung deficiency, if the pure use of pungent and warm dispersal, fear of depletion of lung Qi, so adjuvant Wu Wei Zi astringent lung cough, peony and nourish the blood, two drugs with pungent and dispersed products, a dispersal a collection, can enhance the cough and asthma, but also to restrain the medicine pungent and warm dry too much; half ansia dry dampness to resolve phlegm, and stomach, also as an adjuvant. The roasted licorice is also an adjuvant medicine, which can benefit the qi and the middle, and can reconcile the pungent, dispersed and acidic products. Although the medicine has eight flavors, the combination is strict, there is a collection in the dispersal, there is a combination in the opening, so that the wind and cold are relieved, the water drink goes away, and the Xuanjiang is restored, then the symptoms will be pacified. (3) Xiao Qing Long Tang is a common formula for the treatment of external wind-cold and cough with internal stoppage of cold drinks. The clinical application is based on the key points of identification, such as vicious cold and fever, no sweating, wheezing and coughing, sputum, white slippery tongue coating and floating pulse. Because Xiao Qing Long Tang has stronger power to disperse pungency and warmth, it should be used for those who have water-cold in the lungs. Although these two medical cases belong to two different diseases, but the pathogenesis is the same, both are external wind-cold, cold drinks stop inside, so the main formula is the same, which can reflect the profound theory of treating different diseases with the same treatment by Chinese medicine.