” Analysis of the nine flavors of qiangwu soup in qiangwu, wind, dahurica, dahurica, fine spices, atractylodes, Chuanxiong are warm and dry products, treatment of wind-cold or damp external sensation for the most when. The most important thing is that it is a good idea to use it to treat the headache, stuffy nose and runny nose. The reason for this is that I was not careful in my examination and mistakenly used for wind-heat external sensation with red and painful throat, which helped to increase the actual evil, making the body more hot and the breast moth swelling present. From the center, it is crucial to distinguish between hot and cold when there is redness and swelling of the throat. No sore throat available pungent warm taste, sore throat must be pungent cool. Otherwise, pungent, warm, dry and hot agents will help the evil heat into fire, the surface of the gum does not resolve. However, sinusitis appears after 3 days of heat, what should I do?
Gui Zhi Tang (Gui Zhi Tang) is used for solar diseases (4-5 symptoms), headache, fever, sweating, and evil wind. Evidence of exterior wind-cold surface deficiency. Ying and Wei are not in harmony, Yang cannot defend the outside, Ying cannot guard the inside, the lung Qi is not pronounced and the nose thunders, the stomach Qi is not in harmony so dry vomiting.
Gong male, 29 years old, first seen on March 7, 2014. He had fever for 1 week. 1 week ago it rained and wet all over, he had chills and fever at night, he bought cold medicine and sweated, his body temperature dropped, and soon he had fever again. 2 days of hospital sedation was ineffective, blood count was normal, urine protein was normal, stool was normal, Merlin antipyretic + cefmenoxime anti-infective treatment infusion for 3 days, but he still had fever, especially high fever at 3 am, up to 39-40℃. First examination: fever, 38.5℃, slight chill, general weakness, dry mouth and thirst, headache with fever, sweating, no cough or sputum, no hot flashes or night sweats, no discomfort, normal stool. The tongue is light red, the coating is yellowish-white, and the pulse is string.
If it is pneumonia, one is that the blood picture should change, and then in the outside hospital antibiotic treatment should be effective, so then consider whether the youth will exist tuberculosis, blood routine, liver and kidney function, four items before transfusion, virus-related examination, Western medicine temporarily not to be, to wait for the afternoon CT results and then decide whether to use antibiotics.
The Chinese doctor identified the evidence as cold encapsulated fire evidence, the formula is proposed Ma Heng Gan Shi Tang combined with Xiao Chai Hu Tang plus reduction: ephedra almond 10 raw gypsum 50 roasted licorice 10; Chai Hu 24 Scutellaria 10. 5 doses First 2 doses of granules to wash down. The temperature rose 39-38.8℃ at noon, the physician on duty played Chai Hu, played but high (this is very common), to be given glucose sodium chloride 250ml + vitamin C 3g + vitamin B6 200mg to replenish energy, the patient’s appetite is okay, did not give rehydration, advised to drink more water.
March 8: still feverish last night, but this morning the temperature was not high, 36.9℃, blood count was normal.
March 9: No fever last night, stools were slightly diluted after taking Chinese medicine. Then I asked him to buy 2 doses of pellets, originally I asked him to take one dose in two doses, but actually one dose at a time, two doses were taken twice.
March 10: Has not had fever for two days, wants to leave the hospital, but has cold sweats at night, wants to bring a few herbs to regulate, light red tongue, thin white moss, thin pulse. Gui Zhi plus Long Mu Tang: Gui Zhi 10g, Bai Shao 15g, Roasted Licorice 10g, Dazao 6g, Dragon Bone 20g, Oyster 20g , Ginger 3 slices. 5 doses.
The patient was discharged from the hospital with a diagnosis of “fever and investigation of the cause” for 1 week. The “Treatise on Typhoid” “after sweating, not more Gui Zhi Tang, sweating and panting, no great heat, can be with ephedra almond licorice gypsum soup”, if not ask the dry mouth and thirst, from the patient fever, sweating, slightly afraid of cold, it is easy to think that the evidence of Gui Zhi Tang, Gui Zhi Tang warm dry, then help heat, so Zhongjing clearly said ” Do not perform Gui Zhi Tang any more”. In this case, although there is no asthma, but the fever is real, plus Chai Hu and Scutellaria to reduce fever more effective. Because the patient took the wrong medicine, the weight of gypsum hurt the spleen and Yang, so we saw loose stools, so later we took Gui Zhi plus Long Mu Tang with Bai Shao to regulate it afterwards.
Nasal tinnitus due to failure to promote Lung Qi.
Nasal congestion with runny nose
Sneezing
All of the above are due to allergy, use mask or Tylenol
Cough due to rebellion of Lung Qi and sore throat
Cough: thin sputum (with dampness but no heat), pus yellow sputum (hot burning)
Cough without sputum.
Ephedra Tang Sun disease (6 symptoms), headache, fever, panting without sweating, evil wind, body pain (pain in the lumbar joints) Ephedra Tang is the mainstay. Floating and tight pulse (obtained by light pressure on the fingertips, and strong pulsation, indicating hyperactivity of the organism) and dark tongue, indicating no internal heat; purely dispersing wind-cold; when there is slight sweating, remove Gui Zhi to weaken the sweating effect of Ma Tang. Shou Gan Ma Huang Tang treats croup with phlegm in the throat.
Xiao Qing Long Tang (see title solution) , Ephedra (remove knots) 10-15g, Hosanna 3-6g, Cinnamomum (remove skin) 10-15g, Paeoniae 10-15g, Radix Ginger 10-15g, Licorice (roasted) 10-15g, Wu Wei Zi 3-6g, Radix Panax Notoginseng (washed) 10-15g. Pungent and warm, disperses cold, warms the lung and dissolves drinks. Externally cold and internally drunk evidence. Vicious cold and fever, head and body pain, no sweating, wheezing and coughing, clear and abundant sputum, chest constipation, or dry vomiting, or sputum and wheezing, not allowed to lie down, or body pain and heaviness, swelling of head and face and limbs, white smooth tongue coating and floating pulse. This formula is used clinically in treating chronic obstructive pulmonary emphysema, bronchial asthma, acute bronchitis, pneumonia, whooping cough, allergic rhinitis, catarrhal ophthalmia, catarrhal otitis media, etc. belonging to external cold and internal fluid evidence. Xiao Qing Long Tang [Interesting Memory] 姜五麻細辛半草藥枝 [Moral] 姜五妈細心拌草藥汁 水寒射肺，肺失宣降，故咳喘痰多而稀；水停心下，阻塞氣機，故胸痞；喝动则胃气上逆，故干呕；水飲溢于皮肤，故浮肿身重；舌苦白滑，脉浮為外寒里喝的佐证。 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 spicy and warm dispersal, fear of depletion of lung Qi, so the adjuvant Wu Wei Zi astringent lung cough, peony and nourish the blood; Han Xia dry dampness and 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 and acidic products.
Da Qing Long Tang can move the clouds and spread the rain to make the sweat come out freely. The formula is aggravated on the basis of the evidence of Ma Huang Tang, wind-cold depression and heat, but the external cold has not been resolved, not completely heat; heavy vicious cold and fever, not sweating and irritability, indicating that the more exogenous wind-cold, the more the hair orifice is closed, the more the Wei Qi can not reach outside, depression within, the higher the fever, heat injury to fluids and therefore irritability; and there is no sweating non-fluid injury, so hemp and gui combined to sweat, wind-cold first injury to Yang Qi, so double the ephedra with 12g (ephedra into the blood vessels) The deep part of the table is not injured, so Gui Zhi warms the meridians, relieves the muscles and generates sweating and Ying (blood gas, Gui Zhi directly affects the blood), still using 4 g. Irritability suggests that the table is in the couples, that is, there is heat in the muscles, the body is depressed and feverish and irritable, so 12 g of gypsum enters the lung and stomach meridians, pungent, sweet and cold. Heat and irritability indicate Yin injury, so added ginger 9 dates 12, glycyrrhiza doubled to 5g, almonds 6g 40. Xiao Long can raise the wind and drink by water.
Huagaisan evidence under Sanjiao Tang: Typhoid causing cough, phlegm with more breath, phlegm with the gas and upward rebellion therefore cough, lung Qi does not declare, phlegm cough does not stay in the throat. Therefore, four expectorants are added on top of Ephedra Tang. Su Zi lowering Qi and expectorant. Red Poria to benefit dampness, white Poria to benefit dampness and also tonic heart spleen. Chen Pi, before the Song Dynasty, was often “white = orange red = orange peel outside the red peel”, moving Qi to dispel phlegm. Mulberry Bark diarrhea Lung Qi and move water.
For treating cough and cold, it is used to relieve the symptoms + Tongli (dispel phlegm + promote dampness) + Mulberry Bark to relieve Lung Qi)
Ma Huang plus Atractylodes Tang: treats wind-damp cold, disperses cold and dispels dampness, mainly treats body annoyance and pain in wet homes. Atractylodes macrocephalus prevents great sweating, replenishes the spleen qi main muscle, so sweating is slow and long-lasting, supporting the great sweating of hemp Gui. And Aspirin ate, a big sweat, turn around and sweat dry again hot, “but the wind goes, dampness in”. The key to the sweat method lasting all over the body micro sweat.
The patient has a lot of pain, fever, and a lot of drama between the day and the night, when the Yang Ming gas is strong, and the struggle with the evil is intense. Because of the heavy dampness, so reduce the sweating strength and strengthen the elimination of dampness. Diabetic patients should not use honey, use yam to make paste pill medicine.
Ephedra 6 Hesperidin 6 Phellodendron 9 Soup Helping Yang to relieve superficiality Vegetative Yang deficiency External wind-cold evidence
Tao’s Chai Ge relieves the muscles of the body. The evil is in the three yang heat tension, with heavy fever and light vicious cold, headache, lumbar soreness and eye pain, dry nose and thin yellow tongue coating. Spring temperature and summer fever, the evidence of fever and headache, the same as positive typhoid fever, but not vicious cold and thirst, different from positive typhoid fever. Influenza belongs to the cold and heat, the surface evil has not been resolved. If there is no vicious cold and headache, Qiang Zhi can be removed; if the heat is very injurious, Zhi Mu can be added; if the cough and phlegm are sticky, Gua Pou Pei can be added. Radix Scutellariae Sinensis 9, Radix Paeoniae 3, Radix Phellodendron 5, Radix Phellodendron 3, Radix Phellodendron 6. For cold and wind-cold, depression and heat, add Temperate Bamboo Leaf for heart trouble and Gypsum for delirium.
Cold with wind and cold and heat due to depression. The cold is gradually lighter, the body heat increases, no sweating and headache, pain in the eyes and dry nose, disturbed heart and sleepless eyes and orbital pain, pulse comes to be slightly flooded; this formula is light in cold and heavy in heat, the headache is obvious, manifesting in forehead pain, connected with orbital pain and dry nose, indicating heat in the Yangming meridian, and when the cold is heavy, there is discomfort in the collar and back, so Chai 6 Ge 9 Scutellaria 9 Qiang Zhi Shao 3 Ginger Orange Herb 3 Paste 6 Jujube; with Jiu Wei Qiang Wu Tang with Sheng Di Huang Qin, with Scutellaria Baicalensis Red Peony (clearing heat and cooling blood) to control the pungent warmth and dryness of Qiang Zhi. If there is no sweating and very cold, remove scutellaria and add ephedra.
(C) For bitter-cold
(1) Almond soup (Almond, Scutellaria, Radix Scutellariae, Mulberry Leaf, Cardamom, Slippery Stone, Poria, Pear Peel) for cough with dampness-heat congestion in the lung where dampness is heavier than heat.
②For cough paroxysms with much phlegm and wheezing, Qianjin reed stem soup combined with Scapularia daidze diarrhea lung soup is used to combine the meaning of clearing phlegm and lowering qi and stopping coughing; it is often used for acute attacks of slow branch and acute cough of asthma with infection.
Generally, fever is present in typhoid fever of Sanyang disease, but many Sanyang diseases in miscellaneous diseases do not manifest as fever, but only Sun, Shaoyang, Yangming, based on symptoms such as headache/mouth bitterness, dry throat/thirst, constipation, etc.
1, from the etiology of: three Yang typhoid fever is due to external wind and cold evil injury, the positive and the evil cross-correction caused, cross-correction in the table for the Sun, cross-correction in the half table and half for Shaoyang, cross-correction in the Yang Ming, which is a battlefield from the table and the process. Three Yang miscellaneous disease without external evil.
2, from the position of the disease: three Yang typhoid fever is due to all have meridian evidence, and miscellaneous diseases three Yang more for the internal evidence.