? Facial paralysis is due to the combination of shaoyang and Yangming.

Yan, male, 52 years old. First visit on April 9th, 20 10.

The patient was exhausted from a business trip and then blew the air conditioner. 1 day ago, I suddenly suffered from left facial paralysis, pain in my left ear and hearing loss. Diagnosis: left facial paralysis, pain and blockage in the left ear, hearing loss in the left ear, dry mouth, sore throat, bitter mouth and dry mouth. The middle of the tongue is prominent, the tongue coating is white and greasy, and the pulse string is thin. The syndrome differentiation of six meridians belongs to the syndrome of shaoyang Yangming, and the syndrome differentiation of prescription belongs to the syndrome of Xiaochaihu plus gypsum and orange stalk soup. Prescription: Bupleurum 24g, Scutellaria baicalensis Georgi 10g, Pinellia ternata 15g, Codonopsis pilosula 10g, Radix Glycyrrhizae Preparata 6g, Gypsum Fibrosum 45g, Platycodon grandiflorum 10g, Ginger 15g, and 4 Chinese dates. 1 dose, decocted in water.

After taking the above dose of 1, I saw that my condition was stable and my sore throat was still obvious the next day. For the treatment of aggravating the function of purging Yangming, Coicis Semen 18g and Patrinia scabiosaefolia 18g are added for 8 doses. Facial paralysis completely recovered and sore throat disappeared. There is no dry mouth or bitter taste, but the hearing in the left ear is decreased and the ear is slightly painful. After taking the medicine, Feng went out to give lectures, so he couldn't make a diagnosis. So I went to an otolaryngologist and was diagnosed as "sensorineural deafness in the left ear". I told him that his hearing was difficult to recover and he needed treatment for 3 to 6 months to observe the curative effect. Chinese medicine was given, and the prescription was Longdan Xiegan Decoction, in which bezoar and musk were used. Unexpectedly, the abdominal pain was severe after taking the medicine. I went to the hospital for emergency treatment that night and found that the urine routine occult blood was positive, but other related tests were normal. Abdominal pain stopped after intramuscular injection of atropine. So, he stopped taking medicine and went to see Feng again on April 20, 20 10. Diagnosis: facial paralysis recovered, mild pain in left ear, ear blockage, poor hearing, slight cough and dry mouth. The tongue coating is white and greasy and the pulse is thin. The syndrome differentiation of six meridians still belongs to the syndrome of shaoyang Yangming, and the syndrome differentiation of prescription and medicine still belongs to the syndrome of Bupleurum root plus gypsum, platycodon grandiflorum, coix seed and Patrinia scabiosaefolia. Prescription: Bupleurum 15g, Scutellaria baicalensis 10g, Pinellia ternata 15g, Codonopsis pilosula 10g, Platycodon grandiflorum 10g, Radix Glycyrrhizae Preparata 6g, Gypsum Fibrosum 45g, Asari 10g, and Prunella vulgaris/kloc. 3 doses, decocted in water.

After taking the above three doses, all the symptoms disappeared, and the hearing in the left ear recovered and gradually recovered.

sports meeting

Classic prescriptions "treat people" but not "treat diseases"

Medicine is designed for diseases. Without diseases and patients, there would be no medicine, doctors and medical affairs. Therefore, it seems inevitable and correct that the drugs and technologies used by doctors are designed to treat diseases. Antibiotics and surgery commonly used in western medicine are really used to treat diseases. However, in clinical practice, Mr. Feng repeatedly stressed that Chinese medicine is a kind of medicine for treating diseases, and the prescription focuses on treating diseases instead of treating them. Feng pointed out in "Classic Prescription of China Decoction and Medicine": "The reason why the sick human body has this general regular reaction of six meridians and eight classes is not mainly because of external diseases, but because of the internal function of the human body's disease-resistant mechanism." At the same time, it is pointed out: "The main spirit of TCM syndrome differentiation and treatment is to emphasize the general treatment of diseases on the basis of the general regular response of the sick human body. It is "an etiological therapy that adapts to the human body's disease-resistant mechanism" and attaches importance to the internal role of the sick body in understanding the disease; In the treatment of diseases, we should pay attention to the disease-resistant function of the diseased body, that is, the ability of self-rehabilitation. Feng's clinical practice always embodies the concept of "governing the people" by classical prescriptions.

Ear diseases are more common in shaoyang disease.

For ear diseases, the medical classics school based on Huangdi Neijing thinks that its acute symptoms are mostly related to hepatobiliary diseases, and Bupleurum is often used to treat Shaoyang disease. The classic school based on Treatise on Febrile Diseases takes the Eight Classics and Six Classics as cognitive tools, and holds that ear diseases mostly belong to semi-exterior and semi-interior syndrome, and the excess syndrome is mostly shaoyang disease. Hu Xishu's Treatise on Febrile Diseases and Miscellaneous Diseases points out in the explanation of Article 263: "Shaoyang disease is a syndrome of yang half exterior and half interior, and yang heat is between the chest and abdomen, and here it is half exterior and half interior, so it can't enter the interior, nor can it leave the exterior, so it can only go up between the orifices. "Bitter mouth", "dry throat" and "dizziness" mentioned in Article 263 of Treatise on Febrile Diseases, and "deafness" and "red eyes" mentioned in Article 264 belong to the diseases of the orifices. The treatment of otopathy, whether it is nerve, virus, inner ear or outer ear, starts from shaoyang disease in half exterior and half interior, and the sum of Bupleurum chinense is used for treatment, which is in line with the natural ability of human body to treat diseases. This is the way of treating diseases by classical prescriptions.

Recognition of Xiaochaihu Decoction

Traditionally, Xiaochaihu decoction is the main prescription to treat shaoyang meridian and fu-organ evil, and it is the representative prescription to embody "harmony". Clinically, it is widely used in various diseases such as exogenous internal injuries, and is widely used in various diseases such as fever, digestive system diseases, mental and emotional diseases, respiratory diseases, gynecological diseases, etc. Feng believes that it seems to be clinical to understand, interpret and use Xiaochaihu Decoction in this way. However, from the perspective of corresponding prescriptions and syndromes, it is difficult to master and the curative effect is uncertain. Feng advocated eight basic principles to interpret the six meridians, and the prescription was based on syndrome differentiation and treatment, which was simple and effective.

All lesions have disease sites that respond to the disease. According to the disease sites, exterior syndrome, interior syndrome or semi-exterior syndrome can be distinguished. All pathological changes have a dispute between good and evil. According to the ups and downs of justice in this struggle, we can distinguish between yang syndrome and yin syndrome. According to the combination of disease location and yin and yang, six meridians can be distinguished: Taiyang, Yangming, Shaoyang, Shaoyin, Taiyin and Jueyin. According to cold, heat, deficiency, excess and corresponding symptoms, prescriptions and syndromes can be further distinguished. Xiaochaihu decoction is suitable for Xiaochaihu decoction syndrome, which belongs to shaoyang disease syndrome, and shaoyang disease should be distinguished first in clinic. Shaoyang disease is a syndrome of half exterior and half interior. In order to identify it, Feng put forward two main points in his book Zhang Zhongjing's Medical Interpretation: First, "Heat stagnation in the exterior and interior, which can neither reach the exterior nor enter the interior, will inevitably force the mind, so bitter mouth, dry throat and dizziness are natural reactions. Therefore, any disease with bitter mouth, dry throat and dizziness can be judged as shaoyang disease. The second is, "So the syndrome differentiation of shaoyang disease is more correct than before, so it is better to ask for the side." In other words, it is necessary to supplement the exclusion method, because the exterior is easy to know and the yin and yang are easy to judge. Any evidence except exterior and interior is, of course, half exterior and half interior yang syndrome, that is, Shaoyang disease. Regarding Xiaochaihu decoction, Feng also pointed out the key points of syndrome differentiation: "exterior-interior heat syndrome, or bitter mouth and dry throat, dizziness, chest and hypochondriac pain, not thinking about diet." 」

Bitter mouth, dry throat, earache and deafness in this case are obviously caused by heat stagnation in half exterior and half interior. Combined with pulse count, Xiaochaihu decoction is undoubtedly regarded as the treatment of Shaoyang disease. At the same time, the patient also has obvious dry mouth and sore throat, which is considered to have Yangming internal heat, so it is further divided into Xiaochaihu plus gypsum, orange stem soup combined with shaoyang and Yangming disease. The usage of 24 grams of Bupleurum root comes from "half a catty of Bupleurum root is used in the prescription, divided into three parts, and each part is equivalent to eight yuan" (Hu Xishu's Treatise on Febrile Diseases). The next day, Coicis Semen and Patrinia scabiosaefolia were added to enhance the power of clearing Yangming. The last prescription is asarum, which is intended to "promote blood circulation and remove blood stasis" and clear the orifices. The prescriptions and syndromes are consistent, but they are fully effective.