Annotation 9 of Synopsis of the Golden Chamber

This paragraph roughly summarizes the types and sources of diseases. Why did Zhang Zhongjing finish all this in one sentence? Because Chinese medicine does not establish the name of the disease, it only sees a doctor. No matter what the disease is, Chinese medicine only cares about the change of the condition.

"People who eat from the mouth stay at home" refers to getting sick after eating unclean food. The "five evils" are wind, cold, heat, humidity and heat. Extreme cold hurts meridians, and extreme heat hurts collaterals. The cold or hot places on the earth's surface are not suitable for human habitation, but the middle zone is suitable for human habitation.

Illness has priorities, when to save the hospital first and when to save the table first? After being injured by accident, this person has been weak inside and continues to benefit from it, indicating that all the body fluids in his stomach have run away. At this time, the patient has physical pain (symptoms), which is virtual pain and should be saved first.

The next advantage is that yin can't stay, and yang deficiency is gone. There are yin and yang everywhere in the human body. Take the anus as an example. The anus can hold back the stool because the yang is sufficient. If the anus can't hold back and the stool keeps coming out, it means that the yang deficiency is gone, and it is urgent to save it when it is yang deficiency. Therefore, there are principles for treating diseases in Treatise on Febrile Diseases: firstly, the syndrome of sun should be solved, and the syndrome of sun, shaoyang and Yangming should be combined to solve shaoyang, while the syndrome of shaoyin and syncope should not sweat.

"Diseases and chronic diseases" are old diseases that already exist, and "sudden diseases" mean that new diseases are coming again. At this time, we should treat his new disease first, and then treat his chronic disease. The reason is simple: you have been ill for a long time, so don't worry. The synopsis of the golden chamber has not officially started, which is the basic principle of Chinese medicine treatment.

For example, the heart itself is a fire, which is very hot and dirty, and the liver itself is wood, which is relatively cold and dirty. If the heart patient feels hot, it is easy to treat, and if the liver patient feels cold, it is easy to treat. On the contrary, if heart patients hate cold, liver patients will feel hot, which is "unpleasant" and difficult to treat. I'm dirty. Wait.

There is another point in this article. When we prescribe medicine for patients, there are two phenomena: first, after taking the medicine, you will feel dizzy, which means you are ill; There is another situation. Chinese medicine is called medicine, not food because it tastes bad. Generally, delicious food is called food, not medicine, and you give the patient bitter medicine, and the patient actually says, "Wow! This medicine tastes good! " So I have been eating, which is also a phenomenon cured by medicine.

When the patient has stopped eating and suddenly eats a lot, the patient will have a fever. This is the so-called "stomach removal", that is, the stomach gas is gone, which is a very dangerous symptom.

Here is an example of Zhu Ling Decoction, which is kidney calculi's prescription: Alisma orientalis is beneficial to the water in the chest, head, limbs and whole body, Poria is beneficial to the triple energizer, and Polyporus is beneficial to the lower energizer. When these three drugs are used together, all the water in the body is concentrated in the kidney, and talc takes out the stones. In order to prevent the sharp stone surface from scratching the intestinal wall, Ejiao can be used to stop bleeding, and bladder stones can also be used.

Kidney calculi is thirsty because there is something extra in the dirty, and Yang Can can't enter the yin, so he will have a fever.

Dirt is hidden in it, not necessarily in the stomach, but in the disease. For example, hide it in the large intestine with Chengqi decoction. This is what Zhang Zhongjing meant, to "deal with a man as he deals with you". The prescription is as follows: Alisma orientalis is used for upper jiao stagnant water, Poria cocos is used for middle jiao stagnant water, and Polyporus is used for lower jiao stagnant water.