The party general XieBiao outstanding (tow)

FengShiGuan HuXiShu famous laboratory

China's traditional Chinese medicine reported

        Through the clinical continuously explore and read relevant provisions, felt more and more understanding of the importance of the card table, recognized table card is the success or failure of the treatment, nearly two cases feeling the importance of general list:

        One is the consultation cases: patients, female, 35 years old. Wan abdominal distension full years, have hard piece into strips, two horizontal two vertical, with navel as the center, well completion fonts, move up and down umbilical Ji, very ill urine impassability, guide shit sensation after diarrhea, touch can touch up of bowel, afraid of the cold, mouth and not thirsty, to drink water to drink hot water, the water can't eat, the urine stool, once a day, not forming, tongue light moss white, pulse sink string. Both the guangxi dates with lingya gump soup and thick ginger half GanCan soup, invalid aggravate.

        Ask the no evil cold, dry mouth, have a headache wait for disease, inform of the lunar poria cocos drink party card, take that Ann. This case is the experience: not read "treatise on febrile diseases" article 65: "sweating, the person below hilum Ji person, to be rush dolphin, poria cocos guizhi licorice jujube soup of the Lord", is not rush on coalbed speak table, a table of card is party card; The case is moving up and down umbilical Ji drink water completely, is no table lunar card, of course not XieBiao with guizhi effect.

        2 it is drying syndrome treatment later medical record, specific medical record is: some female, 67 years old, with sjogren's syndrome 16 years, April 15, 2011 on conventional taking prednisone treatment. June 2 appear fever, traditional outpatient service for poor curative effect, June 27 hospital treatment, diagnosis for drying syndrome, pulmonary fibrosis amalgamative infection, Ⅰ type respiratory failure, systemic scleroderma, high blood pressure, the pericardial effusion, glaucoma, etc. With the treatment for sulfuric acid injection, according to star for m anti-infection, phlegmy heat qing injection, a spilled nylon piece, more than a shield of tripterygium wilfordii nucleoside, methotrexate piece, lipitor, cover three treatment such as ballroom, vitamin C, B6 nutrition support. Traditional Chinese medicine to clear away heat, eliminating phlegm breeze dryness method, to clear dry save lung soup, fengxian turtle shell tonga minus treatment. After January, cough spit recover, he disease no change, still sweat out every day in a fever of 37.5 ℃ temperature fluctuations ~ 38.5 ℃. Many times YuanNaWai consultation, conclusion refers to the late dry syndrome, treatment with hormone quantity, ibuprofen, and burn not refund, patients could not panic all the day. Without disease see: dry eye, dry mouth but you do not wish to swallow, the sweat from hot (37.5 ℃ to 38.5 ℃), but a bad cold sweat down, the body skin tightness, sting but by the pain, headache, tinnitus upset, dry eye without what tear, daily use artificial tears more than 10 bottle, every one to two days to clear cornea cell falls off ophthalmology, left, and burn of cricoid cartilage and base of tongue, ulcer, double 腨 JuLuan, move bowels dry 3, a line, god fatigue strength, four inverse, coating on the light, dark red tongue quality, pulse string number.

        For a disease and syndrome differentiation list too Yang Ming lunar and disease, cure to XieBiao clear oneself in service, and a Fried, heat except, defecate chang, 腨 Luan already. Patients feel that the hope of life, after five months of the syndrome differentiation and treatment, symptoms and test results are improved obviously. Counterparts in the curious cable party, and, behold, it was guizhi licorice dragon add art Que helle soup (guizhi 10 grams, roasted liquorice 10 grams, born keel 15 grams, oyster born 15 grams, 30 grams of large-headed atractylodes born, root of herbaceous peony 30 grams), this can fever down? Don't understand its meaning. Here must be read classic clinical touch, this case to check the key: one is the case have table pass is a list with disease; 2 it is XieBiao take the sweat.

        Recognizing this case is very important for a table card, sweat out patients with fever on February not refund, dry eye, dry mouth, khan was born hot, cold, the body skin evil pain pain, headache, according to the tinnitus upset. Read the "treatise on febrile diseases" article 48 can Ming: "two Yang and disease, the sun, at the beginning of the sweat hair become sick... if not sweating, said sun be the spirit Fei Chester insufficient yu may not, when the sweat not sweat, the person be agitated, don't know in the belly pain, at first glance, at first glance, according to the limbs of, the person DuanQi but not sit with sweat, a phrase, the more sweating it is, the more." This case sweat out much, evil cold, general skin tingling, according to pain, headache of obvious, the sun disease and syndrome not; and And according to dry mouth, fidgety obvious, known for two Yang and disease. The card to still can by the "treatise on febrile diseases" article 118 inspired: "fire under the inverse of needle burning fidgety, because the oyster soup, cassia twig licorice keel of the Lord." Read this one is very important, the original is said: it is the sun disease, sick in tables should be sweating XieBiao treatment, the wrong treatment with fire, the inverse needle burning, under attack by be agitated, the main reason is the big hurt human body fluid, not only makes the disease to don't understand, also led the evil, form Ming Yang too close disease, so make the person be agitated; "Treatise on febrile diseases" has many provisions also recorded the incorrect sweating, also cause person be agitated as article 29, article 147, article 157. Because the disease caused by his own card, no matter ancient or modern clinical common occurance, and in this case is typical, its characteristic is: the long term with plenty of hormone, ibuprofen, western medicine refers to the correct treatment and traditional Chinese medicine don't think this is right, big sweating make table don't understand and the heat quickly, thus symptoms as a reaction to dry mouth, dry eye, upset, fever, sweat out evil cold, dry, 腨 arrested, shit, detailed illness is: table don't understand the heat quickly, and see the JuLuan 腨 tianjin blood deficiency, move bowels dry, that is too Yang Ming lunar and disease of guizhi licorice keel oysters and Que art master card.

        This case XieBiao clear oneself in the blood, XieBiao fever down by the party is more prominent characteristics: the later disease particularly feeling, internal injuries, chronic diseases that some people think that no table syndrome, acute disease, not only by the party thinks that a table card, and chronic disease also have table card. Headache, aversion to cold, heat, skin of sweat stabbing pain, for table Yang card stroke card, treatment will guizhi decoction class party sweating XieBiao, treatment, do not pay attention to XieBiao is wrong, the western medicine with plenty of ibuprofen excessive sweating, make sweat a big table don't understand, and tianjin in the injury, illness, the former medical do not take the article 48 of, with a clear heat heavy agent only to Yin, do not pay attention to XieBiao, so hot the fever. Here, we must pay special attention to is, sweating XieBiao to proper, can't sweating too, "treatise on febrile diseases" at records, repeatedly not sweating too, such as the article 12 guizhi decoction Fried in boiling records: "Fried to take three liters, to Zi, comfortable temperature, cold take one up... BianShen 漐 漐 micro seems to be the sweat: beautiful"; Article 35 ephedra soup Fried charmed: "take 2 liters, half, Fried to Zi, temperature under eight close, take the micro like khan", the article 38 large green dragon soup Fried charmed: "take three liters to cook, Zi, temperature rise, take one take micro like sweat." Article 48: "two Yang and disease... so can small sweating." Synopsis of wet Ye spasm · disease "article 18:" if cure rheumatism, send the sweat, who like the sweating slightly but, rheumatism all to also." Emphasize XieBiao is "micro like sweat out". The case of long-term service ibuprofen, sweat out not only make table don't understand, and cause the heat ChengJin blood deficiency, treat the table card, not only to send its small sweat, the more important is also clear the heat, raise the tianjin blood, it can make the hot retreated, and make other symptoms improved.

        By above two case, it is known that the general card table is very important, and to watch the Lord to sweating, when no table card with sweating treatment, ACTS hurt body fluid aggravating illness; When a table card, do not pay attention to XieBiao, make an illness lingering not more, therefore, must pay attention to table card for evidence.

        "Treatise on febrile diseases" detailed records, summarizes the previous table card card to experience, such as heart can interpret and learned, can apply it. But in practice, and explain to the understanding of the card table card is not easy, and former darling is documented focus, not comprehensive or incomplete, or ChuanChao wrong, or lack of knowledge, such as guizhi poria cocos pills only synopsis of · women pregnancy disease "article a record, symptoms only emphasizes the blood stasis, other symptoms are not clear, the card to medicine, cassia twig to XieBiao drop blunt inverse. And as the "treatise on febrile diseases" article 106: "the sun don't understand, heat and illness, the person such as crazy, bladder, the blood from the XiaZhe. Its outside don't understand, who has not yet can attack, take the outside, the solution solution, but the lower abdomen has urgent", but who can attack the peach stone, appropriate bearing gas soup." Peach stone pile xiaochaihu decoction syndrome have gas table card? The party is the role of cassia twig??????? And as ebony pills in wood, cassia twig HuGui in cassia twig stems ginger soup, it up XieBiao role? ...... These are all worth thinking. The understanding of the card in the table, the understanding of the role of drugs, the treatment of table card ancient, modern, not very clear, not very perfect, and need the later in the clinical physicians by the party and summarizing the experience, discussed repeatedly improve understanding, so as to gradually improve the card cure.