Film more than the original phlegmy wet Antipyretic distinguishing four terminal 
 
 
Li Ming The capital university of medical sciences institute of traditional Chinese medicine 
 
 
China's traditional Chinese medicine to 

        Zhou Yaoting, male, han nationality, born in 1930, zhejiang daishan. The capital medical university, professor, chief physician, doctoral supervisor of Beijing medical university, the second, three, four of the old Chinese medicine expert academic experience inheritance work instruction in the country teacher, capital medical university of traditional Chinese medicine education undergraduate double shicheng famous doctor tutor, combine traditional Chinese and western medicine of Beijing institute of infectious disease experts. Engaged in medical treatment, teaching and scientific research work more than 60 years, proficient in science of seasonal febrile diseases of traditional Chinese medicine, is good at using the method is given priority to combine traditional Chinese and western medicine of traditional Chinese medicine treatment of respiratory system infection, and the immune system, digestive system, urinary system diseases of difficult diseases, especially in the treatment of fever, cough and gasp the long-term, diseases such as diarrhea, adhd, allergic purpura. 
 
        For a long time, that generations of physicians have different understanding of wet resistance film former, reference literature is less, but the wet resistance of membrane in clinical prototype fever patients are not uncommon, clinical cause more by mistake. Of doctor of professor of college of traditional Chinese medicine to the capital university of medical sciences, Zhou Yaoting () clinical 50 years, has rich clinical experience and higher theory background, Chinese and western medicine, especially in the science of seasonal febrile diseases theory attainments, make free with science of seasonal febrile diseases theory of traditional Chinese medicine treatment of febrile disease, curative effect is remarkable. 
 
        Attaches great importance to the wet resistance film prototype fever he had had for so many years, from theory to practice for a long time of study, the clinical curative effect is distinct. I have the honor to follow shi, deeply its precious experience, summarized below to share with everyone. 
 
        The original is not a simple anatomical site 
 
        Earlier, the word "film" in neijing has been put forward: "by the evil within thin in the five zang-organs, even film former." , Ming wu, but also inherited the membrane of the original theory of neijing, and close ties to plague in clinical practice, in his book the theory of plague, clearly put evil fu film former, and the corresponding characteristics of syndromes, therapeutic principles and methods, and created the famous formula "drink", its contribution. 
 
        Later the acknowledgement according to own understanding, to the film former, evil fu film there were plenty of play, the original license, however, there is no unified understanding. Zhou Yaoting argues that for wu can say again "membrane", cannot be mechanically simple understanding for visible parts, should be understood as a special level: 
 
        Film is the place to pay for good and evil, is a place where the disease evil lurking and membrane was illness change of land. In treatment, membrane belongs to qi and blood, it is difficult to land. Film former is located in the zang-fu organs, skin, not in the table, not within; Shaoyang, the sanjiao (triple energizer) is closely associated with them. Membrane in the original space, more phlegmy wet easy to stay together, so closely related to film the original license and phlegmy wet. Cause of phlegm dampness, or for hot and humid, but the will and the origin, not the existence of the origin, development to film the original license. 
 
        Treating the original license key points 
 
        A pony is evil nature: wet resistance film prototype fever is closely related to the phlegm wet, so the patients with high fever but without red red complexion huangbai, greasy coating on the tongue slippery and not dry, high fever and spirit can be a long illness. Because of phlegm wet deter a film former, wet curbing hot v. 
 
        Second, distinguishes the fever type: a high body temperature has a certain regularity of the disease, the clinical manifestation of "fever, take time, after the first cold heat, sweat the fever". Typical was not clear, xue shengbai the hot and humid disease "will be referred to as" fever, such as malaria. 
 
        3 it is to cause disease evolution: the origin, gooey, film more than the original gap, phlegmy wet easy to stay together, disease spread is slower, so the wet resistance film prototype fever patients generally has the characteristics of long-term fever, short duration, lasting a few weeks, patients with the more long, a few months or even years without. 
 
        Four is to identify common misdiagnosis reason: most patients clinical manifestation is not typical, especially bad cold symptom is not obvious. Should first hot after cold, fever, such as malaria, fever, often because of bad cold symptom is lighter, doctor-patient many found the symptoms, not easy to cause the disease by mistake for distinguishing but not cold yangming's hot card, and the misuse of white tiger decoction and even purple powder snow cold LiangYao treatment, symptoms can not ease, not only makes the illness is more complicated. 
 
        Zhou Yaoting emphasized the key point is the disease clinical syndrome differentiation to the fever of the recognition. This is about to be careful during their patients to interrogation, if patients with bad cold symptoms do not very clear, do not rush to the diagnosis, also need reference temperature fluctuations, complexion, spirit, tongue, pulse, and so on and so forth comprehensive judgment. 
 
        Treatment: according to the nature and features of the disease, syndrome is phlegmy wet indicates, inhibit membrane. Therefore, the treatment principle is wet expectorant, reconciliation list, with membrane. Commonly used such as radix bupleuri amounted to the original amount to drink, drink and LeiShiXuan membrane original method to add and subtract, and cutting treatment.
 
 
 
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