Notes on Treatise on Febrile Diseases 17

Sanjiu, "sun disease", headache, fever, body pain, low back pain, joint pain, wind evil, asthma and no sweat, "Mahuang decoction" is the main one.

This is a syndrome of sun typhoid fever, which is harmful to normal solar terms. Unless it is seasonal, it is not contagious, and typhoid fever can also occur in summer, not necessarily a cold in winter, such as air conditioning and cold water (such as swimming), because it is understood as typhoid fever. The main symptoms of typhoid fever are dyspnea, anhidrosis and joint pain.

Chinese medicine pays great attention to sweating, that is, to know how the gastrointestinal system and heart function are. Sweating during exercise and walking shows that the heart function is good, and there are two situations in which the heart function is not good: one is not sweating during exercise, and the other is sweating during non-exercise, which is called night sweat. As long as there is sweat during exercise, people will not get edema or accumulate water.

After being hurt by the cold, the pores are locked by the cold and cannot breathe. You can only exhale through two nostrils. Lung governs fur, and fur is cold. The lungs are also bound by cold, and the body fluid cannot be dispersed. So asthma includes coughing. Therefore, people with Mahuang decoction syndrome can say that their fur and lungs are closed and cannot vent. The cold binds the body, the water can't move, and the joints of the whole body ache. Bad wind is the degree of fear of cold, which can be whether it is cold in the car wrapped in quilt and closed doors and windows in summer. Fever is because the immune system is fighting against evil. Headache is that the yang (immune system) rushes to the head, and the head is the opportunity for all yang.

ephedra decoction

Ephedra sinica, Cinnamomum cassia twig, Glycyrrhiza uralensis Fisch, and 70 almonds.

Mahuang decoction, also known as "Huanshen decoction", can restore yang and save inverse. Ephedra is not only published, but more importantly, it can make yang. The idea of Zhang Zhongjing's classic prescription is: when Yang comes back, Yin will naturally reverse. This is the real self-healing, the disease can be cured. The classic prescription is booster. When a person is sick, use it to push you, stimulate your body and restore your body function, so you don't have to eat it all your life.

Mahuang decoction has only four herbs, which can be described as simple and effective. Almond oil, white, enters the lung, which can increase the body fluid of the lung and eliminate phlegm at the same time.

Radix Glycyrrhizae Preparata protects stomach and body fluid, and Herba Ephedrae sweats on the surface by the power of Ramulus Cinnamomi. Ephedra enters the lungs and can open lung pores. After Mahuang decoction goes down, sweat comes out of the lungs, and body fluid in the lungs will be insufficient, so put almonds in advance.

Making good use of ephedra can cure all cough, asthma and lung diseases, and can also save the adverse reactions. It can be seen that Mahuang decoction is used to relieve exterior syndrome and lung syndrome, while Guizhi decoction is used to relieve muscle syndrome by gastrointestinal fluid.

Dosage and decocting method:

The dosage of Herba Ephedrae is greater than that of Ramulus Cinnamomi, and the almond is at least equal to that of Herba Ephedrae, which is beneficial.

Ephedra 3 money, cassia twig 2 money, fried licorice/kloc-0 money, almond 4 money. Boil ephedra first (together in the event of an adverse event), cook 3 bowls in 9 bowls, and don't sip porridge. Because the cold is in the lungs, it is forbidden to use Guizhi Decoction.

Forty, "Sun" and "Yangming" are co-diseases, and those who are full of qi should not go down, so "Mahuang Decoction" should be used for treatment.

Asthma and chest fullness represent the disease in the lungs, which is Mahuang decoction syndrome. There is cold in the lungs, don't attack. Principle of Treatise on Febrile Diseases: When exterior syndrome exists, exterior syndrome should be solved first, and exterior syndrome cannot be attacked, especially when typhoid fever occurs. When typhoid fever strikes by mistake, cold will "knot the chest", that is, stop in the chest.

This argument tells us that as long as there is typhoid fever, we must never attack it.

Forty-one, the "sun disease" has gone to the tenth day, and those with rapid pulse and drowsiness have been relieved. Small Bupleurum Decoction is set for those with chest pain and hypochondriac pain, and Mahuang Decoction is set for those with floating pulse.

The sun will change after 7 days of illness, and people with good stomachs will heal themselves. So they should take good care of their stomachs at ordinary times. Drink Guizhi soup when you are afraid of the wind, and you can drink it when you are fine, as a maintenance, because you often catch a cold and don't know it.

Thin pulse, easy to lie down, indicating that the exterior syndrome has gone. If sun syndrome still exists, Mahuang decoction is still used. If hypochondriac pain occurs (sun syndrome also has chest fullness), it means that the disease enters shaoyang, and the prescription of shaoyang syndrome should be used.

Xiaochaihu decoction is the first prescription of shaoyang syndrome. The main symptom is fullness in the chest and hypochondrium, that is, hypochondriac pain and uncomfortable rib fullness, which will be explained in detail later.