Li XX, female, 18 years old. I have been treated with traditional Chinese and western medicine for more than 40 days, and the symptoms are the same. I came to see the doctor. Symptoms: full chest, less food, fever in the morning, aversion to cold, crouching, not thinking about water and drinking, selfish. The face is dark, the tongue is smooth and the pulse is as thin as silk. According to the prescription of traditional Chinese medicine, some people who treat yang deficiency have used Sini decoction and Bai Tong decoction; According to the treatment of yin deficiency, Artemisia annua, Cortex Lycii, Carapax Trionycis and Ganlu drink have all been ineffective. According to the analysis of pulse condition, it shows yin deficiency syndrome. It is inappropriate to nourish yin, but why is it ineffective to use the four opposites of Fuyang and Baitong? Repeatedly thinking, the fever of this disease is due to the stagnation of the sun's qi by cold pathogens, which can not be resolved in time. In the sun, it is shaoyin (bladder meridian of foot sun and kidney meridian of foot shaoyin)
Exterior and interior), cold pathogens enter the interior, and the true yang loses its transport, which is a severe case of typhoid fever, deficiency of yang and yin. Sini decoction can help yang, but it can't drive away evil spirits; Bai Tong decoction is also a prescription of yin and yang, but it is the yin and yang of the heart and kidney (scallion leads the yin in the heart to the kidney, and aconite leads the yang in the kidney to the heart), so it is invalid. The treatment of this disease lies in the combination of exterior and interior yin and yang, warming meridians and relieving exterior syndrome, based on Mahuang Fuzi Asarum Decoction in Treatise on Febrile Diseases. Prescription: 60g of Heifu Tablet, 6g of Ma Rong, 3g of Herba Asari. According to Zheng Qinan, a physician in Qing Dynasty, this prescription is a recipe for communicating yin and yang, and also a recipe for warming meridians and dispelling cold. Fuzi Fuzi is pungent and hot, which can help the yang of the sun and internalize it into shaoyin. Ephedra is bitter and warm, and asarum is pungent and warm, which can enlighten the essence of shaoyin and diplomatic sun. Zhongjing needs a little sweating to dispel evil spirits. In fact, he is making friends with Yin and Yang. Yin and yang intersect, and evil is self-reliant. Follow-up visit the next day: after taking a dose of medicine, the fever actually went down and the remaining symptoms were alleviated. It is appropriate to support the yang and suppress the yin, and communicate the yin and yang of the heart and kidney. The following two prescriptions were applied: the first one, Sini decoction: Heifu tablet 60g dried ginger 12g licorice 6g, and the second one, Bai Tong decoction: Heifu tablet 60g dried ginger 15g scallion 3. After taking three doses alternately, the spirit was greatly improved and the diet was improved. [Press]: According to Neijing, if you get sick due to cold, you will inevitably die. (Su Wen's theory of fever) The so-called "two senses" means that both the Yang meridian and the Yin meridian feel cold evil at the same time and cause diseases, that is, diseases with both exterior and interior. In the era of Neijing, there was no perfect treatment, so it was classified as death. In Zhongjing era, the theory of Neijing was developed and the clinical treatment methods were enriched. This is a big step forward. Treatise on Febrile Diseases says: from the beginning of Shaoyin disease, ephedra, aconite and asarum decoction are the main indications for patients with fever and heavy pulse. Fever is caused by cold pathogen in the meridians of the sun, and deep pulse is caused by deficiency of both yin and yang. Both symptoms are also common. Therefore, ephedra, aconite and asarum decoction was created to exchange yin and yang, warm meridians and dispel cold, strengthen the body resistance and eliminate evil, so that evil can be eliminated without injury, and the body can not hinder evil. There are only three kinds of drugs, and the compatibility is thorough and the effect is good.
This case is a typical double sense syndrome. If we don't help Yang with less yin and turn on the Sun Qi machine, it will be difficult to find a way out of the evil of two senses and cure the trouble. Using Maihuang Fuzi Asarum Decoction is really a palliative, a legislation and a prescription, so the critical illness will be cured. Journalist: Anyone who treats exogenous diseases must be familiar with the complex mechanism of the Six Meridians, so that the disease will not be hidden and the treatment can be achieved.