Pulmonary flaccidity, lung carbuncle, cough, upper Qi disease, pulse syndrome and treatment No.7
1. Ask: heat in the upper Jiao, because cough for lung impotence. The teacher said: from perspiration, or from vomiting, or from thirst, urination, or from the difficulty of urination, and by the fast medicine ① down benefit, heavy death body fluid, so get it. Say: Inch mouth pulse number, person cough, in the mouth have turbid saliva what? Teacher say: for the disease of lung impotence. If there is dryness in the mouth, cough means dull pain in the chest, and the pulse is anti sliding. This is lung carbuncle, cough, spit and pus. Those with deficiency of pulse number are impotence of lung and those with excess of pulse number are
Lung carbuncle.
[comment] according to synopsis of the golden chamber, there are two kinds of impotence: deficiency heat and deficiency cold. This section points out the causes of asthenia heat and pulmonary flaccidity, and the main syndromes and differentiation between pulmonary flaccidity and pulmonary carbuncle. "Heat in the upper Jiao, because cough for lung flaccid", pointed out that the formation of lung flaccid important link is the deficiency of heat fumigation burning in the lung, lung loss and cough. The main evidence is that the number of pulse in an inch's mouth, the person's cough, the mouth has turbid saliva. The original treatise on the causes and main syndromes of pulmonary flaccidity has laid a solid foundation for the syndrome differentiation and treatment of the disease. Although the later generations supplement the symptoms and prescriptions of the disease, they are all inseparable from its purpose.
2. Ask: why do you know that the pulse is lung carbuncle when you have cough? When you have blood abscess, you will die when you spit it. What kind of pulse do you have? The teacher said: the pulse of an inch mouth is tiny, but the number is wind, and the number is heat; the number is sweat, and the number is cold. In the wind in Wei, breath is not human; the heat is too hot to camp and cannot be inhaled. Wind injures skin and blood. Wind in the lung, people cough, dry mouth full of asthma, dry throat is not thirsty, more saliva, often cold vibration. Where the heat passes, the blood is stagnant, accumulating carbuncle and pus, and spitting like rice porridge. Initial sprouting
Save, fester and die.
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① Quick medicine: refers to the sharp attack.
② Diapir dryness: diapir, empty. It describes dry mouth, little body fluid, cough without phlegm.
[comment] this section is to discuss the causes and changes of lung carbuncle. The original "where the heat passes, the blood is stagnant, the accumulation of pain and pus" is a summary of lung carbuncle heat blocking blood stasis, blood decay and meat decay, leading to carbuncle pus. "The first eruption can be saved, the pyogenesis will die", it emphasizes the importance of early treatment of lung carbuncle.
3. The upper Qi is puffy on the face, while the shoulder is resting on the shoulder. Its pulse is large and untreatable, especially in Gali.
4. Those who are asthmatic and manic belong to pulmonary distention. If they want to be geomantic omen, they will sweat more.
[comment] although the above two sections are the same as "Shangqi", there are two kinds of diseases: positive deficiency (Qi loss) and evil excess (Qi block), and the prognosis is even different. Zhongjing holds two sections at the same time, one empty and the other solid, which shows that people should differentiate clearly.
5. If you spit saliva without coughing, if you are not thirsty, you will urinate and urinate. However, the above deficiency cannot be controlled. It is cold in the lung, and you will be dizzy. Saliva more often. It is warm with ganganjiang decoction. If you are thirsty after taking soup, you are thirsty.
Ganjiang Decoction with liquorice
Licorice in four Liang, ginger in two liang, gun in mouth, three liters of water, boil one liter in five, remove the dregs, divide the temperature and take again.
[comment] this section discusses the syndrome and treatment of Asthenia Cold pulmonary flaccid. In the first section of this article, the main syndrome of impotence is cough and saliva. In this section, "impotence spits saliva, but not cough". Therefore, some scholars think that the diagnosis of impotence cannot be established since the syndrome of ganganjiang Decoction of licorice does not cough. For example, Tang Rongchuan's "Jinkui yaolue shallow annotation and correction" said: "this is the syndrome of lung impotence, which is the syndrome of lung impotence. And spit saliva and do not cough, also do not thirsty, must leave drowning, pee number, with the lung Yang deficiency can not be made, this is in the lung flaccid spit saliva, but do not cough, it is not flaccid. " Cold, do not treat impotence Hu Xishu's treatise on typhoid and miscellaneous diseases also holds that "it looks like impotence, spitting saliva, but not coughing, indicating that this is not lung and lung.
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① Upper air: refers to the mouth opposite to the air.
② Shoulder breath: refers to the shrug of two shoulders when breathing, which is extremely difficult to breathe.
It seems inappropriate to deny that the syndrome of Ganjiang Decoction of Glycyrrhiza is pulmonary impotence only if there is "no cough" in the article. Zhongjing repeatedly emphasized in the original text that "saliva" is the characteristic clinical manifestation of pulmonary flaccid disease, which has the significance of definite diagnosis for pulmonary flaccid disease. For example, the first article of this article "what is the person who coughs and has turbid saliva in his mouth? The teacher said: it's a disease of impotence." Cough is a common symptom of lung disease, and "the person who has turbid saliva in the mouth" can be diagnosed as impotence. Zhongjing uses the word "anti" to indicate the important value of saliva. Section 5 of "synopsis of the Golden Chamber · successive diseases of viscera and meridians" also emphasizes that "those with short breath and short mouth, impotence and spittle." The pathogenesis of the disease can not be used because of the weakness of lung qi. The body fluid is not distributed and becomes saliva. But the cough in the lung flaccid is not necessarily to witness, in the deficiency heat lung fistula, because "the heat is in the upper Jiao", the smoke burns in the lung, the lung loses the clear and coughs, therefore Zhongjing said: "the heat is in the upper Jiao, because coughs and the lung flaccid." In the deficiency of cold and flaccid lung, the lung qi gets discouraged day by day and is often unable to cough. As "the origin of various diseases · typhoid lung impotence syndrome" said: "want to cough but not also." "Synopsis of the Golden Chamber · treatment of the pulse syndrome of cough and upper Qi disease of the lung with impotence and carbuncle" contains "Qianjin" Guizhi qupaeony and zaofu Decoction: treatment of the lung impotence and spitting ", but also does not say" cough ". To sum up, Zhongjing's original "impotence spits saliva, but does not cough", which shows the flexible differentiation of syndromes. Asthenia Cold, flaccid lung, spitting saliva, patients do not cough (even cough is also powerless).
"Synopsis of the Golden Chamber · treatment of the pulse syndrome of cough and upper Qi disease of the lung with impotence and carbuncle" also contains: "Qianjin ginger and Licorice Decoction: treatment of the lung impotence, cough, saliva and saliva, dry and thirsty pharynx." Ginger and liquorice decoction is composed of five ginger, three ginseng, four licorice and fifteen dates. Although there is a dispute about the attribution of this syndrome between asthenia heat and Asthenia Cold and pulmonary flaccidity in all generations of physicians, it is analyzed from the composition that this syndrome is characterized by a mixture of cold and heat, deficiency of Qi (Yang) and fluid, so the symptom is "cough, spit, saliva, dryness and thirst" Therefore, Zhongjing's active dialectical thinking of pulmonary impotence can be seen. The argument between cough and non cough of impotence should be solved.
Deficiency of lung qi and cold are the pathogenesis of deficiency of cold and impotence, so the symptoms include spitting saliva without cough, thirst, enuresis, urination, dizziness. "Not thirsty" is one of the main symptoms of Asthenia Cold and pulmonary flaccidity, which has the significance of differentiation. First, it is different from asthenia heat and lung flaccidity. The pathogenesis of asthenia heat and lung flaccidity is "heat in the upper Jiao", and it starts from "heavy body fluid", so it may be thirsty. In this syndrome, there is no heat in the upper Jiao, but Asthenia Cold, of course not thirsty. The second is to distinguish from diabetes, which is caused by excessive urination and thirsty drinking. "The theory of Qi Jue" says: "the heart moves cold in the lung, the lung disappears, and the lung disappears, and the lung disappears, then the heart drinks two. Zhongjing explained that the syndrome of Shenqi Pill of Xiajiao deficiency cold was "thirst quenching, more urination, one bucket of drink and one bucket of urination", but the deficiency cold lung flaccid was not thirsty even though it had a few urinations. Because of this, Zhongjing put forward at the end of this article: "if you are thirsty after serving soup, you are thirsty."
Ganjiang Decoction of Glycyrrhiza is composed of two kinds of Medicine: Roasted Glycyrrhiza and processed ginger. In the prescription, the roasted Glycyrrhiza with tonic deficiency is twice as much as the dried ginger with warm lung. It can help Yang without hurting Yin. And dry ginger gun, then reduce the nature of its Xin San, so that it will not leave, in order to prevent Xin San more lung injury.
6. Cough and Qi, the voice of the water cock in the throat is D, which is the main part of Shegan Mahuang Decoction.
Shegan Mahuang Decoction
Shoot thirteen pieces of dried jujube, one method, three liang of ephedra, four liang of ginger, four liang of asarum, one method, three liang of asters, three liang of Schisandra, half liter of jujube, seven pieces of pinellia, eight pieces of dried jujube, one method, half liter of nine flavors, one bucket of water, two liters of dried jujube, two boiling of boiled ephedra, defoaming, all kinds of internal medicine, three liters of boiled jujube, three servings at different temperatures.
[comment] this section discusses the syndrome and treatment of cold drink depression and lung cough. Shegan Mahuang Decoction is the change formula of Xiaoqinglong decoction, that is, Xiaoqinglong decoction can reduce the function of resolving the external symptoms by removing the cassia twigs, Paeonia and liquorice; add Shegan, aster and winter flower, take them to eliminate phlegm and open the knot, reduce the Qi and settle the asthma. Both of them have the functions of wenfeisan hanhuayin and relieving cough and asthma, but they are different from each other. Xiaoqinglong decoction has a strong ability of relieving cold and relieving asthma. This prescription has many characteristics of respiratory diseases. It is used for asthma and long cough of cold drink and depression of lung. It is a respiratory disease characterized by phlegm rumbling, wheezing and wheezing in the throat.
7. Coughing against Qi and vomiting turbid at all times, but I can't sleep. It's the master of zaopod pill.
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① Water cock sound: water cock, that is, field chicken. The sound of water cock is the continuous sound of expectoration, like the sound of water cock.
Zaopodwan Fang
Eight liang of Gleditsia pods, peeled, crisped and roasted. At the end of the meal, the honey pill is big, with three pills of jujube cream and soup, one for three days and one for three nights.
[comment] this section discusses the syndrome and treatment of phlegm stagnation and lung cough. Zaoying pill embodies the treatment of dispersing dampness and guiding stagnation, benefiting orifices and clearing phlegm. The medicine of saponacia is very strong. It's a medicine to break the accumulation, and it's also slightly poisonous. Zhongjing pays attention to its application. First, it's crispy and easy to study. It can also reduce its toxicity. Use honey pill again, can slow its dry and fierce potential more. At last, it was served with jujube extract and soup to protect the spleen and stomach.
8. Cough and pulse floating, master of Houpu Mahuang Decoction.
Houpu Mahuang Decoction
Houpu five two ephedra four two gypsum such as chicken big almond half litre half summer half litre dry ginger two two Asarum two liang wheat half litre Schisandra half litre top nine flavor, with a bucket of water two litre, first boil wheat cooked, remove dregs, internal medicine, boil take three litres, warm take one litre, three servings a day.
9. Those with deep pulse are the owners of lacquer soup
Decoction of Chinese lacquer
Half a litre of ginseng in the middle of the summer, three jin of Aster Zeqi, five buckets of running water in the East, one bucket of ginger, five liang of white, five liang of licorice, Scutellaria, three liang of ginseng, nine flavors of osmanthus, mouth, in the lacquer juice, boil five liters, warm clothes and five combinations until the end of the night.
[comments] the above two sections discuss the syndrome and treatment of cold drink mixed with hot cough and asthma. Zhongjing uses "pulse floating" and "pulse sinking" to distinguish the differences in disease location and pathogenesis. When the pulse is floating, it is the main exterior, while when the evil is on top; when the pulse is sinking, it is the main interior and the main water and air stop. Therefore, the former uses Houpu Mahuang Decoction to relieve the symptoms of fullness and depression, and Xuanfei Huaying Decoction; the latter uses Zeqi Decoction to drain the water, dredge the Yang, and change the drinks
Down the inverse.
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① Crispy: crispy, an oil made from cow's or goat's milk. Crispy, that is, crispy spread on the pod, and then baked with fire.
10. It's not good for the throat to stop the flow of Qi. It's the owner of Maimendong decoction.
Maimendong Decoction
Ginseng, licorice, rice, jujube, wheat, winter, seven liters, six flavors, one bucket of water, two liters, six liters of boiled water, one liter of warm clothes, three nights a day.
According to the original text of "Da Ni Shang Qi", Cheng Lin's "synopsis of the Golden Chamber" said: "Da Ni means asthma, cough and throat." "Syndrome and treatment criteria miscellaneous diseases" said: "the upper Qi, cover the air up but not down, rise but not down, ruffian full of diaphragm, airway rush, wheezing sound is also."
Maimendong decoction is a medicine for nourishing Yin, clearing heat and lowering down Qi. Maimendong is used as the main medicine in the prescription to nourish the Yin of the lung and stomach, so that the Yin can be recovered and the fire can be reduced. It is supplemented by ginseng, liquorice, japonica rice and jujube to benefit the stomach, promote qi and promote fluid production. In addition, a small amount of Pinellia ternata is used to lower down Qi and reduce phlegm. The compatibility of Pinellia ternate with a large number of Ophiopogon japonicus can not only restrict its dryness, but also make all kinds of drugs nourishing but not greasy.
Yu Chang in the "medical law · lung flaccidity lung carbuncle door" volume six called the prescription card "this stomach fluid dry, deficiency fire on the inflammation of the card, the good law also." In Ye Tianshi's clinical guide medical record, Maimendong decoction is used as an important prescription for clearing the Yin of lung and stomach. In the aspect of application of the original prescription, ye thought that Maimendong decoction had the effect of "sweet pharmacology stomach, but the deficiency is the tonic of its mother, and it is still used to Xuantong the cutting pattern between the epigastric areas". He used this prescription to treat the lung flaccidity, cough, sore throat and dumb throat, dry throat itch and other diseases. In the application of chemical planting, if the lung is dry and coughing, go to pinellia, add northern ginseng; if the heart is hot, sweat is thirsty, noise is like hunger, the anus is awake, go to pinellia, add Dendrobium, tangerine peel, and Peilan leaf; cough up blood and spit blood, diet is gradually reduced, go to mid air drop, if you want to defecate, go to ginseng, add Dendrobium; if the liquid is dry and thirsty, but the appetite is not Pinellia.
11. Lung carbuncle, can't breathe and lie down, which is the main ingredient of Dingli jujube Xiefeng decoction.
Dingli Dazao Xiefeng Decoction
The color of the reed is yellow. The twelve big jujubes are like marbles. First, three liters of water are used to boil the jujube, and then two liters are used to boil the jujube. After removing the jujube, one liter of the internal reed is used to boil the jujube and take it as a meal.
[comment] Lu yuanlei put forward that this syndrome is not lung carbuncle, but lung distention. It is said that "there are two syndromes of xiefei Decoction in this article, both of which are named as lung carbuncle. However, there is no purulent blood in the syndrome, and the prescription does not need to discharge pus, but to drain water. It can be seen that the disease is not lung abscess, lung gangrene, but the aggregation of ears due to water toxicity in bronchitis of pneumonia.". It's because the Scriptures don't fit the cloud lung carbuncle, when the cloud lung distends. It is noted that the family's words of lung carbuncle in the Scriptures are not formed into pus. It's the function of driving away the water by using the decoction to treat the branch and drink in the article of restraining phlegm and drinking cough. What's the relationship between the lung carbuncle that is not formed into pus. Chest fullness, cough, cough, wheezing and choking are all symptoms of pneumonia and bronchitis. The body surface is puffy, but the lung circulation is stagnant, causing stagnant blood edema. "If you have a stuffy nose and a clear runny nose without smelling it, you will have rhinomucositis." From the clinical practice, it is true that the decoction can be used in the treatment of asthmatic bronchitis, pulmonary heart disease, pulmonary fibrosis and other diseases. In this sense, it is feasible to treat pulmonary distention with the decoction. But according to the title of this article and the meaning of "lung carbuncle" in other articles, and the therapeutic function of the decoction, the article should be titled "lung carbuncle" "Lung carbuncle disease" should be understood in accordance with the original.
- Cough and chest full, vibration cold pulse number, dry throat not thirsty, turbid saliva odor, long time spit pus such as rice porridge, for lung carbuncle, Platycodon soup master.
Platycodon decoction can also treat blood stasis.
Platycodon or licorice
On the second taste, take three liters of water, boil one liter, divide the temperature to take again, then spit pus blood.
[comment] this section discusses the syndrome and treatment of emphysema and ulceration. Phlegm heat dammed up the lung, and the Lung Qi was depressed disadvantageously, then the cough and chest were full. Heat flows into Ying blood, and blood stasis and heat build up, so that Wei Qi can't flow more freely to warm the surface of the muscle, then the number of cold pulse will be vibrated. The heat is inside and the steam camp is Yin, the tide is in the mouth, so although the throat is dry, it is not thirsty. Heat dampness and poison accumulation lead to blood and flesh putrefaction and purulence. Then, it is always turbid and stinky and spits pus like rice porridge for a long time. The word "long time" has a profound meaning. It means that after the disease has become fester, the healthy qi has been gradually injured. As Wu Qian's "medical school Jinjian · revised zhongjingquanshu Jinkui essentials note, lung impotence, lung carbuncle and cough up Qi disease" notes: "after the current collapse, the deficiency and evil also." At this time, use Platycodon Decoction to discharge pus and detoxify. In order to expel phlegm and pus, Platycodon grandiflorum was used to lift lung qi, and licorice was used to clear heat and detoxify, which has the effect of expelling pus, detoxifying and eliminating carbuncle.
Platycodon decoction is widely used in the treatment of pharyngeal pain. It is also known as Ganju Decoction in later generations.
13. Cough and breath. This is lung distension. The person is asthmatic. His eyes are like disfigurement. If the pulse is big, he will become the master of Banxia soup.
Yue maidservant and Banxia Decoction
Half a jin of ephedra, six liang of gypsum, three liang of ginger, fifteen dates, two liang of licorice, half a liter of Pinellia
Six flavors and six liters of water. First boil ephedra, remove the foam, and then boil three liters of medicine. Take three warm and three warm clothes.
[comment] this section discusses the syndrome and treatment of cough and Qi caused by exogenous wind and hot water. Internal and external pathogenic factors, blocking the chest, and lung qi blocking are the pathogenesis characteristics of this syndrome. It can be seen that cough and upper Qi, asthma is prominent, the eyes are detached, and the pulse is floating. It is suitable for the treatment of lung and heat, and for the treatment of asthma. The more maid soup is used to relieve the heat in the lungs, the more water vapor is produced, and the more Pinellia is added to reduce the adverse effects
reduce phlegm.
14. Lung distension, cough and upper Qi, dysphoria and asthma, pulse floating, and water under the heart. Xiaoqinglong plus plaster soup is the main one.
Xiaoqinglong and gypsum Decoction "Qianjin" has the same syndrome and treatment, but it's more painful to induce the lack of basin.
Peony, cassia, asarum, liquorice, ginger, three Liang, Schisandra, pinellia, half liter, gypsum, two liang
First boil the ephedra, remove the foam, and take three liters of medicine. The strong take one liter, the weak take three, the children take four.
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① Eyes like detachment: describes the bulging of the eyes as if they were prominent.
[comment] this section discusses the syndrome and treatment of external cold and internal drink with hot cough and Qi. There is cold on the outside and water in the inside, which can block the lung qi. If the lung qi goes up, you will cough and breathe. If there is external evil, your pulse will float. In Treatise on febrile diseases, Xiaoqinglong decoction has the following syndromes: "the surface of febrile diseases is incomprehensible, and there is water vapor under the heart" (40 prescriptions); and "there is water vapor under the heart, cough and slight asthma" (41 prescriptions). Therefore, "external cold and internal drink" is the main pathogenesis of Xiaoqinglong decoction. "Fidgety" is Zhang Zhongjing's high generalization of the internal pathogenesis of depression and heat. If you drink pathogenic depression and heat for a long time, you will be fidgety. Since it's cold outside and hot inside, damming up the lung qi, causing lung distention, treating the cold and resolving the surface, warming the water to drink, and clearing the stagnant heat, use Xiaoqinglong and gypsum soup.
Accessory party
Zhigancao Decoction is used to treat impotence, saliva and saliva, and warm liquid in the heart. Only in vain can we see that we are working hard.
Qianjin liquorice soup
Licorice on the same taste, three liters of water, boil half, sub temperature three clothes.
Qianjin ginger and licorice decoction is used to treat impotence, cough, saliva, and thirst.
Ginger, five ginseng, three licorice, four dates, fifteen pieces, four flavors, seven liters of water, three liters of boiled water, three warm clothes.
Qianjinguizhi to paeony plus saponacia Decoction for pulmonary fistula spitting saliva.
Cinnamon Twig, ginger, licorice, jujube, ten saponaceous pods, peeled, burnt, five flavors, seven liters of water, three liters of heat, three servings.
Waitai Platycodon grandiflorum white powder is used to treat cough, chest fullness, cold pulse number, dry throat, turbid saliva and foul smell. Those who spit pus like rice porridge for a long time are lung carbuncle.
Chinese bellflower
Three points for Fritillaria, one for Croton, peeled, boiled and grinded like fat
The three tastes are for dispersing. Strong people drink and wear half money daggers. The losers will be reduced. Disease in the upper part of the diaphragm spit pus blood, the lower part of the diaphragm catharsis, if more than under, drink cold water a cup will be set.
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① Warm liquid in the heart: it means to vomit evil.
Qianjin Weigan decoction is used to treat cough with slight fever, irritated fullness and chest nail fault.
Reed stem, two liter coix seed, half liter peach seed, fifty melon petals, half liter
For the first four flavors, boil the reed stem with a bucket of water, get five liters, remove the Ping, take two liters of medicine, take one liter of medicine, and then take it. When you take it, you should vomit it like pus.
15. The lung carbuncle and chest are full of swelling, the whole body is puffy, the nose is blocked, the nose is clear, the smell is not sour, the cough is against the upper Qi, the cough is loud and pressing, and the Tingli Dazao Xiefeng decoction is the main one. As you can see, one dose for three days can reach three or four. Take one dose of Xiaoqinglong soup first. Xiaoqinglong's prescription is in the coughing door.
