Clinical application of ephedra-like formula (2)

  No sweat In addition to the yellow swelling there is another one, no sweat. After eating licorice and ephedra soup, Zhang Zhongjing emphasized that it must be “repeatedly sweated out, no sweat and then served.” This means that licorice and ephedra soup has the effect of sweating, and it is suitable to use ephedra, should be no sweating. The question is what is meant by no sweating? People who are new to Chinese medicine often go to the patient and ask, “Do you have sweat? The patient says I have no sweat now. The patient’s complaint can not be counted, no sweat, to see out. “We have to “observe” and “see” the pulse evidence. The skin of a person without sweat is often dry and rough, if you touch it, it seems to have thorns, or even like fish scales, it looks yellow and dark, no luster, then this kind of person, is without sweat.  A yellow swollen face is a body type “a yellow swollen face” is such a body type. We call it ephedra body type. This kind of person is safer to take ephedra. Ephedra body type, first of all, from the physical appearance, the body type to be strong, muscular to be developed, of course, there are some more fat and strong, fat or swollen, dry skin to be rough, no luster, dark, “all over the face yellow swollen”, is the most simple and concise expression of this body type and physical appearance. Secondly, we also need to look at the stomach of this person, his stomach is often thicker abdominal wall fat, abdominal muscles to be elastic, if the person is thin and hard under the heart, ephedra is not available. Also, the person should look sleepy, his senses, his reaction, to be more sluggish.  The pulse is floating and tight. Zhang Zhongjing used ephedra with great attention to the pulse. The pulse must be strong, Zhang Zhongjing used Da Qing Long Tang, especially emphasizing that the pulse should be floating and tight. What is tightness? It means strong, that is, the patient’s heart and lungs are functioning well. Because if the heart function is poor, ephedra is used up to be a problem. Therefore, Zhang Zhongjing was very cautious at that time, because the ancients paid great attention to safety issues when using medicine. Why is that? In ancient times, doctors were slaves, workers, upper workers, middle workers, lower workers, what is a worker? They were slaves with skills. Who did they serve in those days? The slave owners. If you couldn’t see the slave owner’s disease or if the side effects were great, you had to be killed, even the whole family was beheaded. So the ancient doctors were real doctors, both effective and safe. After the formula of Da Qing Long Tang, how to rescue after excessive sweating, it is very clear, to warm powder puff, a serving of sweat, can not overdose, in the disease that is stopped, etc.. The key to the safe use of ephedra, the pulse should be strong. Figuratively speaking, ephedra physique is Lu Zhi Shen, is Li Kui.  We can also determine whether the person can use ephedra from the good symptoms. Generally speaking, these people are susceptible to cold, their senses are relatively dull, and by the time they have symptoms, the cold has already entered the body pain, stuffy nose, coughing and wheezing. Women with ephedra are prone to menstrual problems, long menstrual cycles, or amenorrhea. Many people like to sweat, after sweating, the symptoms can be relieved, the whole body feel comfortable. This can often be regarded as an ephedra constitution.  Ephedra Tang This formula, Ephedra Tang, was first learned and least used. When our students went to the hospital to practice and suggested using Ephedra Tang, they were often scolded by their teachers: How can there be any Ephedra Tang evidence? How can there be any true typhoid fever? Many people do not know how to use Ephedra Tang. In fact, Ephedra soup is a good prescription. It is a classical formula of pungent warmth to relieve symptoms, which is suitable for those who have no sweat but wheezing, no sweat but body pain. But today I will not talk about the treatment of asthma and body pain, but rather about the expanded use of Ephedra Tang.  Weight loss The weight loss effect of Ephedra Tang is very good. Zhang Zhongjing used Ephedra and Glycyrrhiza Soup to treat water in the lining. What is the manifestation of li-sui? It is a yellow swelling of the face, so after you take ephedra and licorice soup, sweat, urinate more, people will naturally lose weight, so licorice and ephedra soup is actually a typical formula for weight loss. And inside the ephedra soup, there is this combination. The Sixth Dynasty’s Tao Hongjing also said that ephedra “makes people deficient”, this “deficiency” is not the “deficiency” of the eight syllabuses spoken of in later times, the deficiency here is “thin “, is synonymous with “thinness”. Not long ago I treated a man in his thirties, he was a fan of sutra prescriptions, because of a cold, prescribed ephedra soup, he put two doses of ephedra soup as one decoction, ephedra 15 grams, two doses as one dose, ate 30 grams at a time. As a result, he sweated profusely that night, and for several days, he lost four kilograms of weight in a week! And the heartburn was very strong. I used Gui Zhi Gan Cao Long Bone Oyster to save the rebellion. After using it, the heart rate came down, however, I felt that the person was still very weak, so I combined it with Sheng Wei San – Ginseng, Mai Dong, Wu Wei Zi, plus Cornelian and so on, and regulated it for half a month. His heart palpitations and spontaneous sweating slowly disappeared, and his weight stopped falling and regained. This case shows that the weight loss effect of ephedra is very obvious. Nowadays, if you rely on lotus leaves and hawthorn alone, how long can you say you can lose weight? To lose weight quickly, use ephedra, but this must depend on the constitution, get badly hurt the body, the heart may have damage.  The ephedra soup can also stimulate birth. This is the case of the Qing Dynasty typhoid scientist Shu Chiyuan, said that a woman has been launched for six days, the head has been down, just can not give birth, no contractions. The doctor used a lot of prescriptions to induce labor, the spiritual talisman to induce labor, the furnace potion and everything else, but to no avail. At this time, Shu Chi Yuan arrived and took a look at her. She was hot and sweaty, with strong pain in her head, waist and back. What is it? He said this is the evidence of ephedra soup. It is a cold injury to the camp, a solar typhoid! A dose of ephedra soup, the fever subsided and the body was at ease, and the hunger and hunger demanded food. This is also the case of Asada Sobo in Japan. Sobo Asada was a very famous doctor in Japan before the Meiji Restoration. His medical case is called “orange book shadow”, which also recorded his case of using ephedra soup to induce birth: said that a woman in labor after breaking the pulp, Zhen cold waist pain like folding, can not give birth, the former doctor gave her to break the blood agent. As a result, the gentleman came to see what he saw after running? The pulse is floating and the muscle is hot, it is an external sensation! Ephedra soup with sophora. After taking it, she sweated, and after a short time, her back pain was slightly relieved, and contractions started; then she sat on the bed and delivered a girl. The above two medical cases suggest that Ephedra soup can induce labor. Ephedra soup acts on the pelvic cavity, which stimulates the organs and muscles in the pelvic cavity, and there was a report in the Journal of Traditional Chinese Medicine in ’92 about the use of ephedra soup to treat uterine prolapse. This experience came from a case study: a middle-aged woman with a cold and fever was cured of her cold and her uterine prolapse after using Ma Huang Tang. He later used Ma Huang Tang with extra flavor, adding Radix Codonopsis, Astragali, Radix Rehmanniae, and Radix Angelicae Sinensis, which were all effective after use. However, he said that it was easy to relapse after exertion, but he used Ma Huang Tang with additional flavor again and it was still effective. This experience deserves attention.