1. The teacher said: malaria pulse from the string, string number is hot; string late is cold. If the strings are small and tight, the lower part will be poor; if the strings are late, the lower part will be warm; if the strings are tight, the lower part will be sweaty, acupuncture and moxibustion; if the strings are floating, the lower part will be vomited; if the strings are small, the lower part will be bad; if the strings are late, the lower part will be warm; if the strings are tight, the lower.
[comment] it's a common method in Synopsis of the golden chamber to expound the pathogenesis and establish the treatment principle from the pulse condition. This section highlights the characteristics of syndrome differentiation based on pulse and treatment based on syndrome. Since the malaria pulse is stringed, it means that the stringed pulse is the main pulse of malaria. However, because of the malarial pathogen, it often involves different pathogenic factors and the physical constitution of people is also different. Therefore, the syndrome shows the difference between cold and heat, heat and cold, or heat but not cold. Pulse condition is not only string pulse, but also clip pulse. By observing the pulse condition and combining with the specific symptoms, we can distinguish the upper and lower cold and heat attributes and disease location of malaria, and determine the methods of sweating, vomiting, lowering, warming and acupuncture.
2. For malaria, it should be cured on the first day of the month. If it is not bad, it should be solved in the same month. If it is not bad, what should it be? The teacher said: This is the crux of the disease, which is called malaria mother ③. If it is treated urgently, it should be treated with Biejia Decoction pill.
Biejia Decoction
Turtle shell 12 points, roasted black fan 4 3 points, roasted Scutellaria 3 points, bupleurum 6 points, mousewoman 3 points, boiled ginger 3 points, rhubarb 3 points, peony 5 points, cinnamon branch 3 points, reed 1 point, boiled stone Wei 3 points, go to maohoupu 3 points, peony 5 points, go to xinqumai 2 points, bigwig 3 points, half summer 1 point, ginseng 1 point, insects 5 points, boil donkey hide gelatin 3 points, roasted bee nest 4 points, roasted Red nitrate 12 points, dung beetle 6 points, boiled peach kernel 2 points
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① Wind: wind, generally referring to evil. Wind hair is the fever caused by wind evil.
② On the 15th, the lunar calendar uses five days as a waiting period and three as a solar term, that is, the 15th.
③ Malarial mother: refers to the malaria that does not heal for a long time. Due to persistent phlegm and blood stasis, it forms a lump under the threat.
④ WuFan: shoot dry. "Shennong herbal classic": "shoot dry, cure old blood in the heart and spleen, a black fan."
It is the last of the twenty-three flavors. Take a bucket of ash from the forge, a bucket of wine and five buckets of wine. Soak the ashes and wait for half of the wine. Put the turtle shells in the middle and boil them to make them as rotten as glue paint. Grind the juice and all the herbs in it. Fry them into pills. They are as big as a Phoenix. Take seven pills for the hollow and three for the day. There are 12 pieces of turtle shells used in Qianjin Fang, including three parts of seaweed, one part of Euphorbia, five parts of trichomonad, no two flavors of Rattus and red nitrate, and the pills are turtle shell Decoction and various medicines.
[comment] this section is about the treatment of malaria mother. All kinds of malarial diseases can not be cured for a long time, and the positive Qi is gradually weak, and the phlegm clots together. Then the malaria pathogenic fake blood depends on the phlegm, and the aggregation is the syndrome, and the malaria mother is formed under the threat. The syndrome of malaria mother should not be neglected. It is necessary to treat the syndrome of eliminating phlegm, breaking blood and eliminating disease with Biejiajian Pill and supplementing qi and blood.
Biejiajianwan, 25 kinds of medicine, is the most frequently used prescription of Zhangzhongjing, so it is called "the first generous in the Golden Chamber of typhoid". There are four characteristics of the formula: first, reuse of turtle shell, the best way to make it. Fang reused turtle shell, and took the ash under the forge iron stove, soaked with sake, to soft and firm powder to eliminate the disease. Zhang Lu of Qing Dynasty pointed out in "Zhang's medical communication" that "this recipe has a wonderful effect. It's all made of ash drenched wine, which can be boiled as glue paint. It's not only the turtle's shell that can eliminate the accumulation, but also the wine drenched juice that can eliminate the accumulation." The second is to ease Shaoyang and lead evil spirits out. We use bupleurum, Scutellaria, pinellia, ginseng, and dried ginger to remove liquorice and jujube from Xiaochaihu Decoction, and use dried ginger instead of ginger to reconcile Shaoyang and treat malaria; use dried ginger, Guizhi, and use bupleurum, Scutellaria, pinellia as the decoction; use Guizhi, peony, and use bupleurum, Scutellaria, pinellia, and ginseng as the decoction. These two methods are both Bupleurum and good at treating malaria. "Malaria pulse from the string", string for the main pulse of Shaoyang, malaria is the disease caused by the feelings of malaria pathogen, disease location in Shaoyang half surface half. The malarial disease can not be treated for a long time. The malarial pathogen has been in Shaoyang for a long time. The course of disease is long, so that the healthy qi gradually declines. The malarial pathogen then lies deep in the channel and forms a block with Qi, blood, phlegm, dampness and other evils. So we take Chaihu into Shaoyang,
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① Calcined ash: ash under the calcined stove. Generally, the recipe for burning ashes in the forge is not contained in the book. Tao Hongjing of Liang Dynasty collected the inferior part of "bielu" in the collection of Materia Medica Sutra. He said: "in this forge iron stove, the ash is also the result of iron strength", which is the main treatment of "gathering the symptoms and removing the evil gas"
In order to dredge the Shaoyang Qi and lead the evil outside. Third, attack and expel blood stasis, dissipate phlegm and drain water. The success of a malaria mother is usually due to the accumulation of false blood in the sputum. To strengthen the elimination of pathological products in vivo. In the prescription, a large number of blood activating and blood stasis removing drugs, such as the peach kernel, rhubarb, peony skin, paeony, turtle shell, soft and hard powder, are used, such as the Chinese medicine for promoting blood circulation and removing blood stasis, the Chinese medicine for resolving phlegm, the Chinese Medicine for Redwood, the black fan, the red nitrate, the mouse woman, the insect, the dung beetle, etc. Such as Tingli, Qumai, Shiwei, pinellia and so on. In order to strengthen the effect of bijiajian Pill on eliminating red nitrate and rat's wife, seaweed and Euphorbia are added to treat malaria mother. Compared with the rhubarb and insects pill, the compatibility of attacking blood stasis and resolving phlegm in Biejia Decoction pill is particularly prominent, which more embodies Zhongjing's academic thought of "blood disadvantage is water". The syndrome is the same disease of blood stasis and water stasis, which needs the same treatment of blood stasis and water stasis. Fourth, insect drugs search for evil, dredge collaterals and remove blood stasis. There are 4 kinds of insect drugs in this prescription, which are Trichogramma, Rattus, dung beetle and bee nest. As for the general idea of using insect drugs in Biejiajian pills, Li case of "clinical guide medical record · malaria" stated: "there are four ways to use insect ants: that is to say, those who fly will rise, those who walk will fall, those who are nimble and quick, and those who pursue the evil of sinking and mixing Qi and blood." Biejiajian Pill, a pioneer of insect drugs for the treatment of collaterals, laid a foundation for the treatment of collaterals.
3. The teacher said: Yin Qi is isolated, Yang Qi is isolated, so the heat is less and the Qi is annoying. ① the hands and feet are hot and nauseous, which is called "malaria". ② if the heat is not cold, the evil Qi is hidden in the heart and separated from the flesh, which makes the flesh disappear.
[comments] the original text of this section is based on the "Suwen · malaria theory" that "if the heat is not cold, the Yin Qi is first eliminated, the Yang Qi is unique, then the heat is less and the Qi is irritated, the hands and feet are hot and the stomach is itching, and the name is" malaria ". The attack of malaria is mainly characterized by hyperactivity of heat, but the original text has not been treated. Later doctors have advocated using white tiger plus ginseng soup, bamboo leaf plaster soup, or pear juice, sugarcane pulp, or five juice drink.
4. Those with warm malaria have flat pulse, no cold but hot body, painful and irritated bone nodes, and vomit when they are sick. White tiger and Guizhi Decoction are the main ingredients.
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① Grievance: the feeling of being upset in the heart.
② Plasmodium falciparum: it is a kind of malarial disease that is not cold but hot.
Baihu and Guizhi Decoction
Zhimu is roasted with six Liang licorice, two liang of gypsum, one jin of Japonica rice, two Jin of cinnamon twigs, three liang of files, one and a half pieces of water for every five yuan, fried to eight points, dregs, warm clothes and sweat.
[comments] Baihu and Guizhi Decoction are not only used for warm malaria, but also for the treatment of arthralgia and arthralgia pain, which is aggravated by heat, and is not good for flexion and extension, and slightly evil wind.
5. Those who suffer a lot of malaria are called female malaria, which is the main body of Shuqi powder.
Shuqi Sanfang
Shuqi washed away the fishy mica and burned the keel for two days and nights. The pestle was scattered. Before the hair was sent, it was dressed with water and half money dagger. Warm malaria and Sichuan lacquer half points, when the hair service a money dagger. One mica is cloud solid.
[comment] Shuqi, Changshan Miao, is the main drug for eliminating phlegm and stopping malaria. All Changshan class I drugs or prescriptions for malaria treatment should be taken one to two hours before the onset of the disease. If they are too early or too late, they will not work. This is the key to success. Therefore, it is of great significance to note the medicine of "taking it with syrup before hair".
Attached with "secret essentials of Taiwan"
Oyster soup is used to treat female malaria.
Four liang of oysters, four liang of boiled ephedra, two liang of liquorice and three liang of Sichuan lacquer
For the four tastes, eight liters of water are used. First, boil Shu lacquer and ephedra, then go to the froth and get six liters. For the medicines inside, boil two liters and take one liter warm. If vomiting, do not take more.
Chaihu to Pinellia plus cauliflower Decoction for the treatment of malaria patients thirsty, but also for the treatment of malaria.
Radix Bupleuri, eight ginseng, Scutellaria, liquorice, three Liang each, root of Trichosanthes, four Liang ginger, two liang jujubes, twelve
For the seven tastes, take a bucket of water and two liters, boil six liters, remove the dregs, fry again, take three liters, take a liter of warm clothes, and take two clothes a day.
Chai Hu GUI Jiang Tang is used to treat malaria and cold with little or no heat. Take a dose like a God.
Chaihu, half a kilogram of cinnamon twigs, three liang of peeled ginger, two liang of cauliflower root, four liang of Scutellaria, three liang of oysters, three liang of boiled licorice, and roasted
For the seven flavors, take a bucket of water and two liters, boil six liters, remove the dregs, fry again, take three liters, take a liter of warm clothes, and take three clothes a day. If you take it for the first time, it will be more annoying. If you take it again, you will sweat more.
