Typhoid fever cure cold side # 2: four decoction and angelica decoction 
 
 
Chen Ming Beijing university of Chinese medicine 
 
 
China's traditional Chinese medicine to 

        Said the doctor of traditional Chinese medicine kidney is congenital, if the nature of the cold, what should we do? Here we talk about warming Yang prescriptions. 
 
        The performance of kidney Yang deficiency 
 
        If you have some of the following case, your kidney Yang might have been insufficient. 1. After the winter, the feeling is very afraid of the cold, not so cold, if it's not hot water to soak the foot, before he goes to bed at night long hands are warm, even need to wear socks to bed; 2. The time after the catch cold catch cold easily diarrhea; 3. Sometimes some lumbago, lumbar di ministry, in particular, take part in physical labor or sexual life a little more aggravating; 4. Urinate more frequently, and especially the night several times, defecate often deformed; 5. Some sleepiness, especially in spring and summer season, the two day a little warm to sleep. Or shout to fall asleep while watching TV, and the real sleep but can't sleep again. 
 
        These are all weak kidney Yang deficiency, kidney Yang deficiency, viscera function will subsequently attenuation, people are aging fast, treatise on febrile disease were treated with four decoction. 
 
        Four decoction composition and efficacy of drugs 
 
        Four decoction by aconite root, dried ginger, main licorice, na treatise on febrile disease less used in the treatment of Yin deficiency cold syndrome. What is less Yin deficiency cold syndrome? Is caused by kidney Yang deficiency failure of the whole body cold symptoms, often characterized by hands and feet, and even cold limbs, or cold as ice, like standing in the snow barefoot (treatise on febrile disease called "inverse limbs jue", original decoction treating four limbs jue inverse, so the name four inverse soup), cold evil to the cold, defecate is often shapeless, often diarrhea, even some patients accompanied by cold sweat, pulse is weak, the spirit of malaise, treatise on febrile disease called "but to mei", is no spirit, eyelids lift does not open, seems to sleep lying in bed, awake, awake, is a sign of weakness of visceral functions. 
 
        Treatise on febrile disease in these cases, there are some belong to the state of heart failure, renal failure, shock. These states are more urgent, treatment should be large, rapid repair sun be the spirit can make the hands and feet, arms and legs, save the patient's life. The doctor of traditional Chinese medicine called "Yang save inverse" back. 
 
        Back to Yang save inverse, must use four inverse soup these prescriptions have aconite root, dried ginger, and must use raw herbs, can rapidly vigorously picks up sun be the spirit. But needless to say, for acute heart failure, shock, first aid of traditional Chinese medicine clinic in few can do it, because such patients can be seen at all on the ordinary outpatient, generally to the emergency department, western medicine intravenous drip, emergency treatment for such fast delivery. Four decoction in treatise on febrile disease, however, there are also extract injection, the effect of the strong heart is also very good, is used in the treatment of disease of heart head blood-vessel. 
 
        The clinical use of the four decoction 
 
        Common in patients with kidney Yang deficiency, frequently used in clinic is four decoction of lateral root of aconite, treatment of evil cold fear cold, cold feet, chronic diarrhea patients, as well as chronic heart failure, renal failure patients. The spleen and kidney empty cold situation, not only the elderly, young people have. To take a medical record: 
 
        A 20-year-old young man, is a student at the university of Beijing, defecate pond have diarrhoea, 3 ~ 4 times a day, with no digestive food, abdominal pain of thermophilic, rubbing, hands and feet cold as ice, put cold feet first, so that affects sleep, and need to wear cotton socks to sleep at night, cold sweat out, eating well, white greasy tongue coating, pulse imaginary Numbers. This is a manifestation of the school of spleen and kidney empty cold, and turn over records, but see former d is open, with puerariae and scutellariae and coptidis decoction made me confused. Is with puerariae and scutellariae and coptidis decoction in treatment of hot diarrhea, the patient obtained is cold diarrhea, absolutely can't clear heat, with clear heat medicine, equal in cold cure cold, even rougher. So, after the patient eat according soup, had diarrhea more than two days, the limbs of appetite, couldn't fall asleep at night. Priority, when removing the spleen and kidney Yang, away in the cold, with four inverse soup soup in the reasonable and equal in aconite decoction, and red ginseng. Finished 7 agent, the diarrhea to stop, hands and feet turn temperature, sweat out. And 7 doses of consolidation. 
 
        In most cases the Yin deficiency cold syndrome is characterized by less limbs of appetite symptoms, because the normal human body, is a balance of Yin and Yang, Yin cold dish, sun be the spirit is empty. But also arise when an individual is another kind of circumstance, namely when the Yin cold big hold, can be the sun be the spirit of the weak force out of the body, but some hot like see body surface, such as fever, limb heat, thirst, and this is called a "real" fake cold, treatment cannot use LiangYao, instead, to use large amounts of heat drugs, such as four inverse soup will increase dose (four inverse tonga dialing pulse heavy dose decoction). This illusion is often very puzzled the doctor, a bit not careful differentiation when is meeting, let the patient pain. I also met these situations, for example. 
 
        A 70 - year - old female patient who suffers from dermatomyositis. Seeing the limbs and heartburn, burning pain, yellow greasy coating on the tongue, at the beginning of cassia twig decoction method with combination of four white tiger, to little effect, after does not work, after the increase, coating on the tongue. A closer look at the hou, its limbs expansion, the burning pain, what encounter cold, like thick clothing and body, thirsty and hot drinks, bian for "the heat in the skin, cold in the bone marrow is" treatise on febrile disease (11), switch to pass four inverse pulse decoction and monkshood soup, soup in kidney method (monkshood soup: cannon aconite root, ginseng, radix paeoniae alba, tuckahoe, atractylodes. Soup in kidney, poria cocos, dried ginger, atractylodes, radix glycyrrhizae) add and subtract, two months and receive work (including cannon with to 30 grams, dried ginger with lateral root of aconite to 24 grams), following the four inverse problems arising from soup to angelica.
 
 
 
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