"Treatise on febrile diseases" headache for card discrimination

HongWenXu shaanxi institute of Chinese medicine

China's traditional Chinese medicine reported

        "Treatise on febrile diseases" witness involved in the provisions of headache, article 17. Among them, "the sun disease article" article 12, "Yang disease article", "little Yang disease article", "faint Yin disease article" the article 1, "cholera article" article 2. In these provisions, for the headache, this paper discussed some in the Lord put forward certificate, some discussion and certificate, change certificate, the change, and disease or as the basis of the syndrome differentiation and put forward. Because of the different narrative successively, different ways, its expression meaning are also different. This paper intends to have a headache card of the paper, from the etiology and syndrome differentiation and treatment do the following two aspects of discrimination.

        Article 15 etiology, reduced to four points

        One is evil make muscle table: belonging to the sun feeling cold syndrome. Because of the six exogenous, wind and become good number, more clip cold evil attacks, master the sun, for the person the fencing, sufficient sun meridians therein of bladder equal, if the wind chill guest, the essential made, then see "float, the head of pulse strong pain and cold evil" (article 1) the sun syndrome; If the wind chill yu in muscle table, sun be the spirit is illegal, it is the table, then see "headache, pain and fever back pain, and of the joints, evil, no pain the sweat and out of......" (article 35); If health spirit not solid, muscle Cou given away official secrets, the table deficiency syndrome, then see "headache, fever, the sweat out evil......, the wind" (article 13); If the sun and the table don't understand, and make the sun, the meridians adverse, the headache is not removed, such as article 56: "typhoid not defecate six seven days, headache are hot... the unclear person, know not to urinate, still in the table also, when must be sweating; if the headache, actions will be......" . And as article 134: "the sun disease, pulse float and move number. Float is the wind, they count for hot, move is pain, they count as virtual fever, headache, the night sweats, but the evil out the cold, table not solution also." Less by the evil of Yang syndrome, since less Yang is located in half and half table, of which half of YuShaoYang table, also have a headache a card. Such as article 256: "typhoid fever, headache and pulse strings, who is less Yang." For the sun and it via and disease and syndrome, and if the two made, the sun and the it and disease, and may also be depressed the sun for evil, qi and appear adverse headaches, such as article 142: "the sun and less disease, head of Yang and strong pain, or dazzle take..." Among them, "a strong head pain", criterion because the sun qi of adverse be caused by. And as article 92: "disease fever, headache, if not the heavy pulse is poor, physical pain, when save its, four inverse xiaochaihu decoction." This "fever headache, body pains" are depressed and sun, qi caused by bad, but the "pulse the sink," for my little Yin. The sun and less Yin and disease, to the table, so "when save in it".

        2 it is the sun misdiagnosis: my sun, if because of the disease, the sun can't the the qi, the headache cannot remove. Such as article 28: "take guizhi decoction, or next, still a pain, head strong playing fever, no sweat, playing under the pain, heart full urination......" This word is better than cure method, evil and water ", to the sun, the gas of the setting is not caused by a strong flow of headache. And as article 140: "the sun disease, the pulse count under..., who did not stop a headache." This speech the sun occurs all kinds of disease after change certificate. "Pulse count" in error and less under injury Yin. "Without the headache, while" the evil trends unanswered by the sun. Be like again article 110: "the sun disease 2, the state that iron, the back. And the big sweat out into the stomach, and the hot... shit, outstanding however head has pain, the heart will be hot, full of nasty the gas." This speech the sun disease misuse fire treatment, when "shit already" illness turned more, the suddenly appeared a headache. This headache causes the cognitive 2: a no others in a representative. Think the headache was "sun be the spirit came down, and the head of rats caused by; Another to HuangKunZai for represent, think "and the general and headache, such as furnace bottom congestion, does not rise, a flame of fire in general that inflammation." In short, the headache for the disease after, to the disease from the change.

        3 it is cold drink on inverse: belonging to mind-cold, the suggestion to drink water card, if water drink for the attacks have stopped within the suggestion, inverse attack on blunt the mind, can also cause headaches. Such as article 152: "the sun stroke, the inverse, table under in the solution, but can attack. The person 漐 漐 sweat out, sometimes, headache, heart attacks under hard, lead with new sash pain......" This said "headache, while" the attacks the suggestion for water to drink, drink water made be caused by. The headache and table card headache is different, its characteristic is "attack sometimes", a table of card headache, pain is endless, is YangMingZhong cold, and drink the inverse card. If Yang stomach cold, drinking and cohesion, turbidity Yin inverse also as a headache on. Such as article 197: "Yang disease, but no sweat and small convenience, two three days and cough, hand and foot ou genre, will the bitter, if do not have a headache, brothers don't cough not ou genre, the head of pain." This, as Yang in cold, polluted the Yin inverse syndrome. Oh, well, faint of cold water to drink in the committed reflect nature, if no such symptoms, show no moisture and the inverse, so does not have headaches. From this view it, headache and cough and asthma jue cold speaking, a headache as standard, oh, well, faint cold as this. Is liver cold stomach virtual, turbidity Yin extensive card on, for foot jue Yin liver du meridian in pulse and will vertex, if liver cold empty stomach, turbidity Yin is not successful, the essential in vertex, then see "retching, spit saliary foam and headache" (article 378) card. This headache characteristics as the pain in the vertex.

        Four is the beginning of cholera, also have a headache. Such as article 383: "sick headache, pain and fever evil cold... this name cholera." This points out the main cholera syndrome. Party a hold on "the fever, headache, pain and evil cold; the disease also spit, internal injuries are discussed, the nature of the cholera headache to make the correct explanation.

        Article 11 the syndrome differentiation and treatment, and which party 10 first

        For evil make muscle the headache, treat to XinWen XieBiao. The sun feeling cold syndrome saw a strong head pain, fever, the sweat out, and the evil wind, pulse float slow person, to guizhi decoction; If the head of severe pain, aversion to cold, the body is pain, ou inverse, cough and asthma, no sweat, pulse tight person, to which the soup. If the table and not the solution, headache, fever, and they are setting the attribution of the reality, to appropriate spilled hot aperient, party bearing with small gas soup. Yang and less by a headache, when reconciliation list, to small radix soup. The sun and it via and disease, if less and Yang and disease of the heads of the strong pain, appropriate is used sting method, the da-zhui, lung yu thorn, liver yu; If the sun and Yang and fever in less sick headache, pulse of the sink, appropriate back to Yang save inverse, party with four inverse soup.

        For the sun of the disease a headache, lesions in seven days or more, "to make the needle foot, then through Yang Ming (meridian), so that the don't preach it is, the more" (article 8). If the sun and the table don't understand, take guizhi decoction is invalid, or with XiaFa, so that a strong head pain, fever without khan, and drink of water stop together and certificate, put to appropriate reconciliation list, cassia twig to guangxi with party with tuckahoe atractylodes macrocephala koidz soup; After the sun, pulse count, headache did not stop, the sun the certificate, but to guizhi decoction; The chest into "occurs, the" water cure should be driven, with big chest soup into party; The yellow, put to appropriate concretion run smoothly, but to feed ChenHao soup; The misuse of fire treatment into fire and inverse card turned more, the shit already, head pain is outstanding however, can cut to the pill.

        For cold drink on the inverse headache, if mind-cold, the suggestion cold drink card, then see 漐 漐 sweat out, onset headache, under full new heart hard, lead sash pain, retching DuanQi, sweat out the aversion to cold, appropriate attack by water to drink, party with ten dates soup; If YangMingZhong cold or liver cold empty stomach, turbidity Yin extensive card on, and oh, cough, faint cold, or dry vomiting saliary foam, who put to appropriate scattered cold drop inverse, party with WuZhuYu soup.

        The beginning of the headache for cholera, card see head body pain, heat desire the drinking water, appropriate in thin outside the party with the five lingya scattered; If the cold water users not more, appropriate temperature emitted cold, with Richard shot in the party.

        (the serial number in accordance with the provisions are song "treatise on febrile diseases")