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The second treatment of spasm and dampness

From： Changsha almond shaped yi park culture communication co., LTD Date：2020-05-23 15:04:39 Hits：501 Belong to：Jinkui Yaolue

The second treatment of spasm and dampness

1. Sun disease, fever, no sweat, anti cold, named Gang Jing.

2. Sun disease, fever and sweat, but not cold, is called soft spasm.

[comment] spasm is a kind of disease characterized by strong neck and back, unsmooth mouth, and even recurrent angle. The spasms of the upper two segments are caused by exogenous wind chill. The external wind cold causes spasm, which is the internal injury of body fluid. The recuperation of evil Qi is caused by the sun meridians. Therefore, it can be seen that both the symptoms and signs are apparent and the muscles and veins are strong and urgent, which is different from the common people who simply feel the wind cold. The difference between rigid spasm and soft spasm is that "rigid spasm" means no sweat on the surface and "soft spasm" means no sweat on the surface.

3. Sun disease, fever, deep and thin pulse, called spasm, is difficult to treat.

4. Sun disease, sweating too much, causing spasm.

5. If you have a febrile disease, you will have spasm and recurrent sweating.

6. Sore home ② although the body pain, do not sweat, sweat is spasm.

[comment] too much sweating due to sun disease, rehydration due to wind disease, and spasm due to wrong sweating of sore family. Although the three diseases have different course of primary and treatment, the pathogenesis is the same, that is, fluid consumption due to injury of body fluid, spasm due to loss of nourishment of muscles and veins. From the perspective of pulse, the "pulse is deep and fine", the main sink is in it, the small one has little blood, and the deficiency of blood in Tianjin. It is difficult to treat the solar spasm, which is caused by the deficiency of both blood and blood.

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① Wind disease: refers to the sun stroke or wind temperature.

② Sore house: refers to the patients suffering from sores or golden blade wounds.

7. The patient's body is hot, feet are cold, neck is strong and urgent, cold is severe, head is hot, face is red, eyes are red, single head is shaken, mouth is silent, back is reversed, spasm is also. If the perspiration is caused by cold and dampness, it will show deficiency of benefits, that is, it will be very cold. It's sweating and its veins are like snakes.

8. Those who have severe abdominal distension are those who want to be solved. The pulse is as old as before. It is spasmodic.

9. Spasm the pulse, press it tightly as string, straight up and down ② lines.

[comment] the above three sections expound the main symptoms and main pulse of spasm.

10. Spasm has moxibustion sore ③, which is difficult to treat.

[comment] this section shows that spasm, such as moxibustion sore, is difficult to treat. We can draw inferences from one case to another. We should be cautious in the treatment of spasticity.

11. Sun disease, its syndrome preparation, the body is strong, how many ④ however, the pulse counter sinks late, this is spasm, Lou Guizhi soup owner.

Guizhi Decoction

The root of Trichosanthes, the branches of laurel, the peony, the liquorice, the ginger, the jujube, the twelve of which have six flavors, nine liters of water, three liters of boiled water, three servings of warm water and three servings, and micro perspiration. Sweating, eating, sipping hot porridge.

[comment] this section is to discuss the syndrome and treatment of soft spasm. Guizhi Decoction is the main prescription of solar apoplexy, and Gulou Guizhi Decoction is the main prescription of soft spasm. Sun stroke syndrome and soft spasm are caused by exogenous wind evil. Their common clinical manifestation is "fever and perspiration", but the pulse of sun stroke floats slowly. The syndrome of "Gulou Guizhi Decoction" is the pulse "retrograde sink later", which can be seen that "pulse retrograde sink later" is the key to distinguish the syndrome of sun stroke and Gulou Guizhi Decoction. You Yi in the "synopsis of the Golden Chamber heart code" said: "Shen Ben spasm of the pulse, later than the cold, but the body fluid is less and the trip to the camp is not good."

① For example, read "and". The words "ru" and "Er" were often used by the ancients.

② Up and down: "up" refers to the inch part of the vein, "down" refers to the ruler part of the vein, up and down, that is, from the inch part to the ruler part.

③ Moxibustion sore: because of fire after moxibustion break into sore.

④ Several (Shu tree): several, this refers to the shape of a broken wing bird extending its neck to fly, unable to fly again. It describes the patient's tight neck and back, unable to swing freely.

The pathogenesis of soft spasm lies in the deficiency of body fluid, or the misuse of wound fluid, and exogenous wind evil. Camp Wei disharmony, then fever sweat, body fluid deficiency, loss of nourishment, then arrest spasm twin. In view of this, the treatment can not simply use the method of sweating and muscle, but must take into account the body fluid deficiency side. Guanlou Guizhi Decoction is to sweat and relieve the muscles with Guizhi Decoction, to harmonize the Ying Wei, to nourish yin and promote fluid, and to soften the muscles.

12. Sun disease, no sweat and less urination, Qi flushed to chest, mouth silent and speechless. It's the master of Gegen decoction.

Gegen Decoction

Four or two Pueraria, three or two ephedra, two or two cassia twigs, two or two peeled peonies, two or two licorice, twelve ginger, three or two dates, seven flavors on them, one mouth, one bucket of water, boil ephedra and pueraria first, reduce two liters, remove foam, take three liters of internal medicine, remove dregs, take one liter of warm clothes, cover it like sweat, no need to sip porridge. I like Guizhi Decoction and taboo.

[comment] this section is to discuss the syndrome and treatment of rigid spasm. "No sweat but less urination" is the key point of this article. Too ill fever without sweat, anti cold for the rigid spasm. Generally speaking, there is no sweat on the surface, more urination, but less urination. The reasons are as follows: first, due to the invasion of cold and dampness, stagnation of Qi and stagnation of body fluid; second, insufficient body fluid. Evil resistance and deficiency of body fluid are two aspects of things, but they often influence and exist each other in the same organism.

Gegen decoction is mainly composed of radix puerariae, which can promote the development of body fluid and moisten the muscles and vessels, and relieve the anxiety; ephedra and cinnamon can spread external evils, peony and liquorice can benefit Yin, ginger and jujube can harmonize Ying Wei. All medicines can be used together to relieve the external evils and nourish the muscles and vessels.

If the patient's internal heat has already spread, even if the Pueraria Decoction syndrome is found, the ginger and cinnamon with high temperature should be removed or reduced, and some bitter cold heat relieving drugs should be added. For example, in the secret recipe of waitai, the jieji decoction, which is recorded in the secret record of Yannian, is to remove ginger and add Scutellaria. "Prepare for the urgent thousand gold recipe" is the jieji Decoction for treating typhoid and febrile diseases. It's made of ginger, cinnamon twigs and scutellaria. These two jieji decoction can be used for our clinical reference.

(1) Fuju,the meaning of biting. Li Gaoyun: "zhuzui, ancient system. There was no knife in ancient times. It was broken by the mouth. It was like fried beans. "

13. Spasm is a disease, chest full, mouth silent, lying on the mat, foot contracture urgent, must age teeth ①, can be with Dachengqi decoction.

Dachengqi Decoction

Four liang of rhubarb, half a jin of Magnolia officinalis washed with wine, roasted, five pieces of peeled trifoliate, four flavors of roasted Glauber's salt, one bucket of water, boil two things first, take five liters, quench, internal rhubarb, boil two liters, remove dregs, internal Glauber's salt, boil one or two with slight fire, take it at different temperatures, and then take it.

[comment] this section discusses the syndrome and treatment of febrile spasm. The pathogenesis of the disease is characterized by Yang Ming's stagnation of heat and Qi, body fluid consumption, and heat and wind. Therefore, if it is urgent, it will be treated according to its standard. Dachengqi decoction is used to dredge the internal organs and relieve the heat. If the heat goes away, it will remain Yin. The spasm can be resolved. It should be noted that Dachengqi decoction is not the right treatment for spasm, and spasm is often prohibited, and must be taken to stop, still should be treated with its channels.

New traditional Chinese medicine (TCM) published in the 6th issue of 1981, a tetanus patient was sick for four or five days. Yuzhen powder did not work. It was hot and sunny. It was given a heavy dose of Dachengqi (rhubarb 15g, Glauber's salt 12g, Fructus aurantii 12g, Magnolia officinalis 24g). After taking it, the chicken eggs and feces were taken , and then three times, spasmodic body cool. After that, the blood nourishing and liver relaxing agent was used to regulate and consolidate.

14. Sun disease, joint pain and annoyance, pulse sinking and thin, this is called "wet Bi". At the time of dampness arthralgia, urination is not good, but defecation is fast, but it should be used for urination.

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① Xie toothed: "Shuowen Jiezi": "toothed add also". It is used to describe the sound of teeth competition, that is, grinding teeth.

② Dampness arthralgia: disease name, one of wind, cold and dampness arthralgia. Arthralgia, that is, occlusive obstruction, refers to the wet joint, Yang Qi is adverse and pain of a disease.

[comment] the sentence "when dampness is blocked, urination is not good, but defecation is fast, but it should be used for urination" puts forward the important treatment principles of damp disease. Dampness arthralgia is caused by dampness pathogenic arthralgia, poor gasification and water dampness transferring to large intestine. On the treatment of diuresis, so that the dampness from the urine down, Yang gas flow unimpeded, feces and urine return to normal, and damp arthralgia will be reduced. For example, in Zhu humer's book of living people, Wuling powder is recommended for the treatment of dampness Bi, while in Huang Shuzeng's synopsis of the golden chamber, Wuling powder is added with douhuang roll and Yiren. According to the theory of spleen and stomach of Dongyuan in the heart code of synopsis of the golden chamber, it is said that "the treatment of dampness is not good for urination, but not for the treatment of urination". The so-called "the benefit of urination means the actual stool" in later generations is derived from this.

15. Wet house is a disease, with pain, fever and yellow body color.

16. The wet family, with sweat on its head and strong back, wants to be covered with fire. If you go down early, you may have a full chest, which is not good for urination. If you have a foetus on your tongue, you may have heat in your Dantian and cold in your chest. If you are thirsty and can't drink, you may have a dry mouth.

17. Those who are wet at home, sweat on their forehead, pant slightly, and those who are small and convenient die; those who are not benefited at all also die.

[comments] people suffering from rheumatism should not purgative. When it is wet on the surface, it should be removed from perspiration; when it is wet in, it should be used for urination.

18. When the rheumatism strikes, the whole body is in pain. When the method is used to sweat, it's worth the rainy days. The medicine can sweat. If the disease of sweating doesn't heal, why not? When the wind goes, the humidity is there, it won't heal. If treat rheumatism, send its perspiration, but want to perspire slightly person, rheumatism all goes also.

[comments] the sentence "if rheumatism is treated, sweating will occur, but slightly like sweating ③" is inspired by the principle and should be paid special attention to.

19. The wet family has pain and fever, yellow face and wheezing, headache and stuffy nose. It has big pulse. It can eat and drink by itself. It has no disease in the abdomen. The disease is cold and wet in the head, so it has a stuffy nose, which is better in the internal medicine nose.

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① The tongue is like a foetus: foetus and lichen. The tongue of this finger is wet with white moss, which looks like moss but not moss.

② Dantian: the name of the acupoint is three inches below the umbilicus, which generally refers to the lower Jiao and the upper chest.

③ Like to sweat: like, when the word continues to understand, micro continued sweat out of the meaning.

[comment] if the wet house is cold and wet, the clear sun will be depressed. External treatment should be used in the treatment. The original side did not see, note home more advocate to make nose with Guardi powder to produce yellow water. Xinwentongqiao drugs can also be selected, such as Xinyi, Angelica dahurica, Xanthium, chuanxiong and so on. When the drugs are absorbed into the nose and sneezed, the fur can be developed and the skin can be slightly sweated.

20. Wet home body is irritated and painful. It's better to sweat with Mahuang Jiazhu decoction. Be careful not to attack it with fire.

Mahuang Jiazhu Decoction

Three liang of ephedra, two liang of cinnamon twigs, two liang of liquorice, seventy almonds, four liang of jujube

First boil ephedra, reduce two liters, remove foam, all medicines in it, boil two and a half liters, remove dregs, take eight combinations of warm clothes, and cover with a little sweat.

[comments] this section discusses the treatment of cold and dampness on the surface. Known as rheumatism, but also feel the evil of cold and dampness, Yu Yiwei Yang, adverse meridians, visible body pain, upset restless. It can be seen that this syndrome can be demonstrated by fever, cold and non perspiration. You can use Mahuang Jiazhu Decoction to make a little sweat to disperse the cold and dampness on the surface. For the treatment of this syndrome, no

Fire robbery makes sweat flow away like water and injures Yang Qi, which leads to syndrome change.

Mahuang Jiazhu decoction is composed of Mahuang Decoction and Atractylodes macrocephala. On the compatibility of Atractylodes macrocephala in this prescription, Yu Jiayan of Qing Dynasty pointed out in the fourth volume of medical law that "if ephedra is used to get Atractylodes macrocephala, it will sweat, but not sweat." Tao baosun also put forward in "the synopsis of the Golden Chamber" that "the use of Atractylodes macrocephala and the relaxation of the divergence of Ephedra should be emphasized so as to make people sweat slightly." Both of them think that the reason why Mahuang Jiazhu Decoction "slightly sweats" is that Baizhu has supervised the sweating power of Mahuang Decoction, which is not in line with Zhongjing's original intention. Mahuang Decoction is a representative prescription for the treatment of wind chill syndrome. Later generations of doctors call it "the Junji of sweating". However, Zhongjing uses Mahuang Decoction in the back notes of the prescription, which clearly puts forward that "covering slightly like sweating without eating porridge". Even the big green dragon soup with Mahuang added up to sixty-two is "like sweat". Zhong

Jingyong's method of sweating in the treatment of solar diseases, whether it is the syndrome of typhoid fever or the syndrome of deficiency of apoplexy, advocates "taking micro like sweating". The reason why Mahuang Jiazhu Decoction adds Atractylodes macrocephala is to use the sweating power of Mahuang Decoction to act on the surface of dampness, otherwise, the cold will go to dampness, and the disease will go deeper.

21. The patient suffered from all kinds of pain and fever, and was named rheumatism. The disease is caused by sweating, wind, or cold for a long time. It can be used with ephedra, almond, Coix and liquorice soup. Mahuang almond Coix licorice decoction, Mahuang to the festival, half two, liquorice soup - two, roasted Coix half two almonds ten, peeled tip, stir fry to the big Ma Dou, every four money dagger, water half, boil eight points, to quench, warm. A little sweat, shelter from the wind.

[comments] this section discusses the causes and treatment of rheumatism on the surface. Rheumatism is on the table. It is treated with ephedra, almond, Coix and licorice decoction. It can relieve the rheumatism on the surface of muscles by sweating and resolving the exterior of Ephedra; it can promote the lung and Qi of apricot to help the strength of Ephedra; coix seed is sweet, mild and cold, and has the function of light infiltration, diuresis and pain relief, which can not only cure the contracture of muscles and veins, but also restrain the temperature of Ephedra

Sex, licorice and medium. With the combination of various drugs, the effect of qingxuanhua, dispersing wind and eliminating dampness can be achieved. As for the dosage and the method of decocting, danboyuan Jian thought in the synopsis of Jinkui Yuhan that "this prescription is small, but the decocting method is different from other prescriptions, which was modified by later generations." In the 19th volume of the nine prescriptions for rheumatism of waitaimiyao, it is recorded that "when you cure the dampness, you can contact job's tears when you get sick

Yi Mahuang Decoction. Coix half liter, ephedra four Liang (de Jie), licorice two liang, almond two Liang. On the four flavors, ah Tsui, with five liters of water, sub temperature and then clothing, sweat will be more. " And note: "this zhongjingfang, the weight of small differences." Mahuang almond Coix Licorice Decoction and coix Mahuang Decoction can be selected according to the situation in clinical practice. Although the drugs are the same, the former is light in dosage, while the latter is heavy in dosage.

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① Risuo, with Japan, is a commonly used concept of time in ancient times, i.e. 3-5 p.m. So, no

Definite words are approximate. The Japanese exchange refers to around 3-5 p.m.

22. Rheumatism, pulse floating, body weight, sweat out of the bad wind, Fangji Huangqi decoction.

Fangji Huangqi Decoction

One or two licorice and half Liang for self defense, seven and a half for stir fried Atractylodes, one or two for Astragalus, one or two for going to Lu to Ma Dou Da, four pieces of ginger, one jujube, half for water calyces, eight for frying, going to Jin, taking warm clothes, taking them for a long time. For those with asthma, add ephedra and half Liang; for those with disharmony in the stomach, add three points of peony; for those with strong Qi, add three points of Cinnamon Twig; for those with cold Qi, add three points of Asarum. After taking it, it should be like insect skin, like ice from under the waist, sitting on the quilt, and then wrapping it around the waist and below, warming and sweating slightly, poor.

[comment] this section discusses the syndrome and treatment of deficiency of rheumatism. Fangji Huangqi decoction is composed of Fangji, Huangqi, Baizhu and liquorice. Ginger and jujube are added to its usage. It can prevent oneself from cold, pass through twelve channels, relieve dampness and remove arthralgia, and make the dampness on the surface be discharged through urination; Astragalus can nourish Qi and firm the surface, Atractylodes macrocephala can strengthen the spleen and remove dampness, which can help Astragalus to firm the surface, but also help prevent oneself from dampness; liquorice and middle, ginger and jujube can coordinate the Ying Wei. Its compatibility is characterized by the combination of Qi tonifying and dampness removing and water benefiting, taking into account both the specimen and the root, which embodies the method of both eliminating and supplementing.

This recipe is also included in volume 8 of "preparing a thousand gold prescriptions, fengbi gate". However, the method of boiling the ingredients is different from this. For "licorice, astragalus, tetrandron, ginger, Atractylodes, twelve dates. Six flavors, mouth blowing, six liters of water, three liters of boiled water, three servings. After taking the clothes and sitting on the quilt, I want to solve the problem like a bug in the skin and lie down and sweat. " There is no addition and subtraction method behind the prescription. Generally speaking, it is considered that the prescription contained in the prescription for preparing the urgent thousand gold is the original prescription of the synopsis of the golden chamber, which can be used as a reference.

23. On the eighth and ninth days of typhoid, the body is in pain, unable to turn around, nauseous or thirsty, and the pulse is weak and astringent, which is the main ingredient of Guizhi Fuzi decoction. If the defecation is firm and the defecation is self beneficial, go to the owner of Guijia Baizhu soup.

Guizhi Fuzi Decoction

Cassia twigs in four Liang, peeled ginger in three Liang, cut three aconite, cannon, peeled, eight pieces of licorice in two liang, twelve dates, brake

Five flavors, six liters of water, two liters of boiled water, to remove the dregs, three clothes at different temperatures.

Baizhu Fuzi Decoction

Licorice - two, roasted ginger - two, cut the two and two aconite of Atractylodes macrocephala - one and a half, cannon, peeled jujube six, five flavors, three liters of water, one liter of boiled water, one liter of dregs, three servings at different temperatures. When you take one, you will feel your body blocked. You may take it again half a day. When you take all three, you will feel your body blocked. Don't blame it. It's the skill, the attachment and the skin, the water and the air. You can't get rid of your ears.

24. Rheumatism, pain in bone joints, pain in paws, ② no flexion and extension, near pain, shortness of breath, bad urination, bad wind, no desire to go to clothes, or slight swelling of the body, licorice root and aconite soup.

Decoction of liquorice and aconite

Two licorice, two aconite, two Baizhu, two cannon, four cinnamon twigs, two peeled

Four flavors, six liters of water, three liters of boiled water, three liters of dregs, one liter of warm clothes, three clothes a day. If you take it for the first time, you will be relieved if you sweat slightly. If you can eat it and sweat again, you can take it in five directions. If you fear more than one liter, it's better to take six or seven.

[comments] Guizhi Fuzi decoction, Baizhu Fuzi Decoction and liquorice Fuzi Decoction all have the functions of warming the meridians and helping the Yang, removing dampness and relieving pain, and treating the arthralgia syndrome of rheumatic Yang deficiency. However, due to different compatibility, they have different preferences. Guizhi Fuzi decoction is mainly used to treat rheumatism. It is mainly used to remove rheumatism and dampness. It can warm the meridians and disperse cold. Baizhu Fuzi decoction is mainly used to treat rheumatism. It is mainly used to treat excessive dampness and muscle disease. It is mainly used to treat the body heavy and unable to turn its side. Therefore, Baizhu and Fuzi are used to walk in the skin and chase the water and Qi. Liquorice Fuzi decoction is used to treat rheumatism, and the disease is mainly caused by joints and severe pain of bone joints The main symptoms are shortness of breath due to perspiration, adverse urination, aversion to the wind, or slight swelling of the body. Therefore, cassia twigs, Atractylodes macrocephala and aconite are used together to warm the meridians and help Yang, disperse the wind, remove dampness and relieve pain.

25. Drink it in the sun. It's feverish and chilly. It's heavy and painful. Its pulse is thin and late. Urinate already, sprinkle and shrug, ① cold hands and feet, little work, body is hot, mouth is open ②, front plate teeth are dry, if it perspires, it will be very cold; warming needle, it will be very hot; a few times, it will be very drenched.

26. If the sun is hot, drink it. Sweat out cold, body hot and thirsty, white tiger add people to join the soup master.

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① A person is like a person who is in a daze. That is to say, he is dizzy.

② Pain: the meaning of pulling. Pain of paw is pain of traction.

③ Middle drinking: that is, summer heat injury.

White tiger and Ginseng Decoction

A jin of plaster of Anemarrhena, two Jin of broken licorice, two Jin of rice, six Fen of ginseng, three liang of top five flavors, a bucket of water, cooked rice soup, go. One liter of warm clothes, three clothes a day.

27. When drinking in the sun, the body aches heavily, but the pulse is weak. This is caused by the cold water hurt by the summer and the moon, and the water running through the skin. It's the owner of Guadi soup.

Yiwu Guadi Decoction

Guadi 20, with a litre of water, boil five together, to waste, meal.

[comment] drinking is different from sunstroke, which is caused by a journey in the hot sun and a sudden faint. Its pathogenesis is characterized by two injuries of Qi and Yin and heat dampness. If there are two injuries of heat, Qi and body fluid, Baihu and Renshen Decoction should be used to clear away heat, replenish qi and body fluid; if there is heat and dampness, Guadi Decoction should be used to remove dampness and disperse water. Although there are only three original texts, the treatise on drinking disease in this article has listed the treatment methods of pulse syndrome of heat injury, Qi and body fluid, and heat disease with dampness, and has put forward that there are three kinds of heat diseases: perspiration, warm needling and three prohibitions, which laid a theoretical foundation for the treatment of heat disease in later generations.

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① Sprinkle ran Mao shrug: describes the appearance of sprinkle Pei shivering after urination.

② Mouth opening: it means that there is internal disturbance in the summer heat, and the Qi reverses to make asthma. This is in accordance with the spirit of "because of the heat, sweat, annoyance, then breath and drink" in Suwen · Qi Tongtian Lun.

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