Method by the party with the method

- introduction to dialectical mode of thinking of treatise on febrile disease

Ouyang truth Henan luohe medical college

China's traditional Chinese medicine to

        Although sometimes syndrome do not have, but if the pathogenesis, the healer as long as grasp the pathogenesis essence, can be accurate, syndrome differentiation treatment to the point.

        Treatment, must deal with master card and certificate, and certificate of relationship, namely in the treatment of a group of syndrome, on the basis of additional certificate and certificate of drug treatment time.

        In the book "treatise on febrile diseases", which runs through the treatment based on syndrome differentiation for, examination and by dialectical thinking process. Zhongjing students.she is frequently asks the old adage, "the party", in under the guidance of the cure of this disease in neijing, and through a lot of clinical practice, realized the disease phenomenon and the essence of dialectical relationship. Pathogenesis is the height of the "certificate", pathogenesis inevitably reflected through syndrome at outside, through the dialectical, method for the stand, the party with the method, medicine sent in accordance with the party. In treatise on febrile disease dialectical mode of thinking, discussion is as follows, improper place, also please correct me fellow.

        Highlight the "syndrome" but don't ignore the part "symptoms"

        In terms of treatise on febrile disease, "card" namely "syndrome", refers to the philosophical disease and philosophical disease at all stages of development, because of the disharmony between Yin and Yang, qi of zang-fu organs and meridians of the syndrome characteristic but also contact each other. Symptoms appear all or part of, is the essence of disease mirrors, the difference is that syndrome is a group of comprehensive performance of "syndrome". From the perspective of dialectical analysis, the former is pathogenesis essence from all reflected in the external phenomenon as a whole. The concept of "certificate", in fact, including the above two aspects. Such as cassia twig decoction syndrome "hot, the sweat out, evil wind, slow pulse", small bupleurum decoction syndrome "with fever, chest pain full, silent and do not wish to diet, upset xi ou", etc., all belong to a group of symptoms. Through a set of symptoms, can quickly grasp the crux of the disease. However, in some cases, a group of syndrome is not necessarily all have, and only partially, this condition is more difficult. Treatise on febrile disease such provision is not a few, such as article 53 "disease often spontaneous sweating out" and article 54 "when fever since sweat out and not the" genus cassia twig decoction syndrome, but only some symptoms, syndrome differentiation was more demanding. Or carelessly, it is easy to delay pathogenesis and form change certificate. And as small bupleurum decoction syndrome, except four certificate, will be clear at a glance, but sometimes I see a "chest filled with pain" (article 37), "ou and hot" (149), "chest side rather than full" (article 129) or "sequel sometimes fever attack" (144), etc., can also use small bupleurum decoction. Syndrome is don't have, but its in shaoyang pathogenesis is consistent, doctors want to hold the essence of its pathogenesis, can accurate syndrome differentiation and treatment to the point. Therefore, zhongjing hints: "but see a card is, don't have to be informed" (article 101). Visible, zhongjing are very good at through local phenomenon to grasp the essence of its pathogenesis.

        To highlight the main card second handle certificate and certificate

        Grasp the main ideas, also passes through in the book treatise on febrile disease. So-called master card, that is, in the dominant position in a group of syndrome and syndromes. According to the primary certificate for the main square, each side have master card and at the same time. Only master the master card, can be found in the intricacies of the syndrome reflects the sticking point of disease pathogenesis, which have the effect of holding simple command. White tiger with ginseng decoction syndrome, for example, article 26: "take cassia twig decoction, after the sweat, big polydipsia, headquarters of arteries and veins, white ginseng soup of god." If article 168: "typhoid fever, vomit, if after, seven, eight days, in the heat, the exterior-interior hot, all the evil wind, big thirsty tongue is dry and irritated, to several liters of drinking water, white ginseng soup of god." Article 169: "typhoid fever without a big hot, dry thirsty, upset, back slightly evil cold, white ginseng soup of god." Three are the ginseng soup, white tiger is a big polydipsia, one is the thirst for several liters of drinking water, one is the dry thirsty, known heat injury of polydipsia is master card. Since heat is filled in, so sometimes all hot "list" (168), sometimes "body without the big hot" (169). However, master the heat sheng jin polydipsia master card, will not be "every evil wind" (168) or "back slightly bad cold" (169) and so on the interference, also don't have to emphasize "body heat", "great khan", "pulse", but wait for disease and inertia. Big chest card for another example, hydrothermal alternating knot, the master card is "under the heart pain, according to the worldstone 鞕" or "from the heart at least 鞕 full and abdominal pain is close", the rest are all a hotchpotch of time card, as long as master the abdomen examination master card, it has caught the disease. Moreover, Israel's name card, is actually based on master card, such as four inverse decoction syndrome with "limbs jue inverse, the qing valley" mainly, the principle of bolus of certificate is given priority to with "abdominal pain, vomit" certificate, etc., are too numerous to list.

        Treatise on febrile disease, although emphasis on master card, certificate and certificate at the same time to take care of time. Time card can make give priority to the evidence, to supplement the shortage of the Lord. Small qinglong decoction syndrome, for example, in "table, there are moisture under the heart" as the pathogenesis, the main syndrome of fever and cough, time proved to be "asthma, cough, ou, under", the prompt master card at the same time, also suggest the time card. To the original "or" word summary, see or not see, not necessarily all, but see one card, then as a case in point. And four inverse scattering, its pathogenesis is diseases with ease, cannot buda limbs, reason is given priority to with "inverse limbs jue", and "or nervous, or urination, or stomach ache, or discharge under the heavy", etc. All the probable syndrome, are diseases with ease the time card, but the time card and can be used as auxiliary diagnosis of gas YuZhiJue syndrome differentiation with other factors to jue. So the time card also nots allow to ignore to the position in syndrome differentiation.

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