Although I don’t like the warm disease school in my heart, I admire and admire several of them, such as Wang Mengying, Ye Tianshi and Wu Jutong, because from their writings and medical cases, they are actually the masters of typhoid prescriptions, and they have many medical concepts and experiences in medicine that are worth following for future generations of Chinese medicine practitioners. For example, Wu Jutong, in his “Wenzhi Zhidian Vol. 4? In the treatment of external sensation, it is said that “the treatment of external sensation is like a general (the army is valuable, the machine is round, the method is alive, the removal of evil is exhausted, the good is detailed, the cover is pacified one day earlier, the person will suffer one day less); the treatment of internal injury is like a phase (sitting calmly, the divine machine is silent, no work can be said, no virtue is visible, and the person is in the field of life). The treatment of upper jiao is like feather (not light but not lifting); the treatment of middle jiao is like Heng (not flat and restless); the treatment of lower jiao is like Quan (not heavy but not sinking).” I think Wu Jutong’s above discussion is the best words from practice, which is not only applicable to external warming diseases, but also has guiding significance for other internal injuries. Here I will only mention my understanding and application of the article “treating the upper jiao like a feather (not light and not lifting)”. Upper Jiao disease is the initial stage of external disease, modern medicine “upper respiratory tract infection” is mostly in the “upper Jiao” disease, the internal organs are mostly in the lung, disease in the lung system skin. According to the principle of “treating the upper jiao like a feather”, the treatment of this disease should be light and dispersed, and the prescription should be light in taste, light in quantity, floating in nature, and short in decoction time; it is not advisable to prescribe in large quantities, not to use thick, nourishing and sinking products, and not to decoct long and thick. Using the above theory, I created my own “Qing Yang Tea” for the treatment of upper respiratory tract infections, with good clinical results. It is especially suitable for those who have early onset of infection, and the sooner the better, so that is to follow the principle of “treating external infection like a general, soldier is valuable and quick”. The basic formula of “Qing Yang Tea” is five Chinese herbs, such as Radix Platycodon, Radix Glycyrrhiza Uralensis, Radix Thornbush or Peppermint (the former is warm and suitable for wind-cold; the latter is cool and suitable for wind-heat or wind-cold into heat) and Hang Bai Ju. This formula is made by adding flavor to Zhongjing’s “Radix Platycodon”. Usage: 1g of each of the above-mentioned drugs, each time, drink as tea, regardless of the time, take it frequently, after the smell is greatly reduced, take the drug again, depending on the severity of the disease, 1-3 times a day. Although the dosage is very light, but for the initial stage of exopathic disease, often bubble serving 1 time that is basically cured. Because pharmacies usually take a penny (3-5g) as the smallest unit, so I only prescribe one pair of medicine at a time in the clinic, each medicine in the formula is 5g, let the patient himself divided into 5 portions, according to the condition, each time bubble take, the condition of eight out of ten can stop taking, diet light, pay attention to rest, food nourishment after good. The amount of drugs added is generally equal to that of the basic formula, for example: for those with phlegm-damp constitution or infected with dampness, they often show symptoms such as white slippery moss, light fat tongue, teeth marks on the tongue, and more phlegm in the throat. If you have a feeling of foul and unhealthy qi, you often have nausea, abdominal pain, loose stools, diarrhea and other symptoms. The half summer bubble can not be applied raw, to prevent poisoning, ginger half summer or French half summer can be soaked, and preferably pressed into powder, conducive to the precipitation of the active ingredients. Yin deficiency, often dry throat, or with sore throat, generally no phlegm or less phlegm, red tongue with little or no moss. It can be added to the basic formula of “Qing Yang Tea” by selecting 1-2 flavors from Xuan Shen, Sha Shen, Yu Zhu, and Lu Gen, and at the same time, remove the thorax. Because the southern ginseng is also effective in resolving phlegm, the northern ginseng is better in nourishing Yin, so it needs to be applied with discretion. The reed root is sweet and cold, clearing heat and nourishing yin, and is a wonderful product for the upper jiao. The dried reed root sold in pharmacies is larger, it is best to break up and soak; fresh reed root is good, but because there is more soil attached, can not be clean, if you need to apply fresh, it is advisable to decoct soup instead of water to take the other flavors of “Qing Yang tea”. External cold bundle table, the fear of cold without sweat, it is appropriate to go to the basic formula to mint, chrysanthemum, plus Su Ye, ginger to remove the table to disperse cold, solid protection of the spleen and stomach, to prevent the internal transmission of evil; vegetarian cold, can be combined with Gui Zhi, to help benefit the Wei Qi, warm the meridians; but if the wind and cold bundle table serious, see the headache, vicious cold, high body temperature, neck stiffness, muscle, joint pain around the body, it is not Ephedra can not assume this role, and also need a large decoction to be effective, not “Qing Yang tea” is suitable. The disease is wind-heat, when sweating, the fear of cold does not appear, add mulberry leaves, go to thorny mustard; disease from heat, vicious cold does not appear, sore throat and red, it is appropriate to “Qing Yang tea” basic formula to remove the thorny mustard, add forsythia, big green leaves, gold silver flower, panacea, Ma Bo and other drugs can also be used; if high fever does not vicious cold, the disease heat into the qi, the middle Jiao, the treatment is appropriate to Bai Hu Tang and other prescriptions If you have a high fever but not cold, then the disease heat into the qi, the middle Jiao, the treatment should be Baihu Tang and other formulas. In addition, nasal congestion is often added dahurica dahurica, onion; cough often added loquat leaves, Qian Hu; spleen and stomach stagnation, dullness and fullness, often added sand. At present, in the outpatient clinics of various hospitals, for upper respiratory tract infections, basically on antibiotics, even if the doctor does not want to use (very little), the patient will take the initiative to apply (very much), and sometimes is the use of two groups of antibiotics hanging saline, ranging from 2-7 days, no hundreds of dollars can not come down, spend money, not to mention, toss ah! The patient all want to quickly and choose antibiotics, the results, but also about a week, the current medical environment is not good, doctors can not make a “mistake”, can not take a detour, or easy to be complained about, so doctors generally will not go against the wishes of patients without antibiotics, the result is more and more tests, antibiotics more and more rotten, spending more and more heavy, contradictions ～More and more …… I treat gynecological male diseases in the clinic, but upper respiratory tract infections are often encountered, especially in patients with colds during pregnancy, internal medicine is not willing to deal with, so I also often overstep the mark to prescribe Chinese medicine treatment, but encounter fever, I will also “cunningly” suggest to the “fever clinic “After all, the regulations stipulate that people with fever must go to a fever clinic. I prescribe the addition and subtraction of “Qing Yang Tea” for less than five yuan a payment, many patients are doubtful that “such a few dollars can cure the disease?” “Can you do without antibiotics?” The stereotype is so deep! After about a year of initial observation, I learned that in the first 1-2 days of the upper sense of the person, often a “Qing Yang tea” can greatly alleviate the condition, ineffective two out of ten people. However, for serious upper respiratory tract infections, often not simply “on the focus of the disease”, so “Qing Yang tea” often has the power to fail, more need to take tonics to be effective. Case example: A female, 32 years old, was seen in early October 2011 for “2 inevitable miscarriages, 8 weeks of menopause, 10 days of small amount of vaginal bleeding, and 2 days of sore throat and low fever”. The patient has a history of miscarriage and has been treated with Chinese and Western medicine to protect the fetus after pregnancy. He was given one dose of “Qing Yang Tea”, which consists of 5g each of Radix Platycodon grandiflorus, Radix Glycyrrhiza glabra, Radix Panax quinquefolium, Radix et Rhizoma gastrodiae, Radix peppermint, Radix chrysanthemum, and 10g of Mulberry leaf. The patient was given 6 doses of fetus-protecting tonics and asked to take fetus-protecting tonics again. One week later, the patient complained that her cold symptoms improved significantly after taking “Qing Yang tea” once, and she started to take fetus-protecting herbal medicine that night, and the next day her cold was cured. The patient has a phlegm-damp constitution and a weak spleen and stomach. The prescription is based on the basic formula of “Qing Yang Cha” with the addition of mulberry leaves, half asia and sand. The reason for removing thorny mustard is that it is pungent, warm and dispersing, not suitable for wind-heat symptoms. The addition of mulberry leaf is because it is sweet and cold, which can not only clear superficial heat, but also astringent sweat to stop bleeding, which is suitable for patients with pre-eclampsia abortion state. The “Ben Jing” says it: “Mainly cold-heat sweating”, and the Qinghai pill of Fu Shan for treating gynecological blood disorders at the end of Ming Dynasty is based on mulberry leaf as the main ingredient. The addition of Panax notoginseng to dissolve dampness is suitable for her phlegm-damp constitution, and can treat her sore throat and help her sleep. The addition of Sharen to harmonize the stomach and resolve dampness as well as to calm the fetus, all the evidence combined, so it can be effective. The principle of “treating the upper jiao like a feather” has a special meaning during pregnancy, so that the amount of medicine can be reduced as much as possible under the premise of ensuring the efficacy, which can reduce the harm to the fetus caused by heavy doses when the evidence is off.