Party, certificate, pathogenesis of corresponding I saw 
 
 
Peng Jian Hunan university of Chinese medicine 
 
 
China's traditional Chinese medicine to 

        The treatise on febrile disease is the corresponding, 112 party has corresponding syndromes, is a kind of linear thinking, provides great convenience for beginners. With the party is to party card corresponding, but party card does not timely, and pathogenesis, can also be effective, it conforms to the word of truth, not so difficult to expand the party USES. 
 
        The study of traditional Chinese medicine, started reading a treatise on febrile disease. It was in the 1970 s, my teacher, xiangya medical school professor Peng Chong let me read from treatise on febrile disease, the treatise on febrile disease section back to memorize, particularly want to pay attention to those who have the card well, stick to "party card corresponding" this link; Future clinical, meet same syndromes in patients with the original, original party can use of treatise on febrile disease treatment, often effect such as Fu drum. For example, patients with headache, fever and sweat out, evil wind, slow pulse, can use guizhi soup; Appear with fever, chest pain full, silent and do not wish to diet, upset xi ou, with small bupleurum decoction. The so-called "is card there is". 
 
        Learn from reading "typhoid fever" of traditional Chinese medicine began to avoid "better" than disambiguation 
 
        The treatise on febrile disease of traditional Chinese medicine (TCM) as a learning enlightenment teaching materials, although very difficult, but a high starting point, far-reaching influence. As Liu Jiuzhi cloud: "to study medicine, from the perspective of the treatise on febrile disease, is difficult in the beginning, then, from the classification of the later books of early if easy, then trouble!" 
 
        The sense of learning methods, to cultivate Chinese medicine clinical talents is of great significance. Because learning knowledge, always "first impressions are most lasting," read a treatise on febrile disease as the study of traditional Chinese medicine the first lesson, to master the corresponding thinking and method, for the future clinical pointed out a right path. 
 
        "Disease" or "syndrome differentiation", is the traditional Chinese medicine and western medicine in clinical fundamental difference. If a clinical doctor of traditional Chinese medicine, disease as the starting point of the understanding of disease, was wrong from the start, made a fundamental error, position. Western medicine is the "disease" is given priority to, with disease as the core. So western medicine learn human anatomy, familiar with the body's physiological structure, once sicken, must understand the pathological changes, find the pathogenic factor, can be an effective treatment. 
 
        Chinese medicine is "syndrome differentiation", on card as the core. The doctor of traditional Chinese medicine, don't have to know the body appear what kind of pathological changes, don't need to find out pathogenic factor, doctors don't even have to have knowledge of the anatomy, physiology. Don't need these, because once the sick, the body will naturally have a reaction, most have syndrome, according to the syndrome, can choose the corresponding formula of treatment. This process, called "evidence-based medicine" in traditional Chinese medicine. 
 
        This is two completely different understanding of the methodology of the disease. Emphasize to learn dialectical, rather than a disease, avoids the learn one step in clinical of traditional Chinese medicine, namely slide into the western medicine knowledge system, was captured by the western medicine system, become a full name of traditional Chinese medicine. 
 
        Some people would say: unlicensed distinguishable? Nei jing is not to say that "please have, no, for the"? Then you can reference the western medicine test results, the reference of his past experience. As western medicine is a disease, once the equipment check out a positive result, and patients' pain, the doctor should play their experience judgment ability, can not blindly the patient said to be "not sick". 
 
        In differentiation under the premise of accurate, however, there are three problems, with the party is wrong, still could not obtain curative effect. The treatise on febrile disease is the corresponding, 112 has a corresponding syndromes, this is a kind of linear thinking, provides great convenience for beginners. Generalization to syndrome differentiation and treatment, such as neijing syndrome differentiation of zang-fu organs and meridians, even distinguishing syndrome differentiation by the way, should go to the party, in the face of the later set a large number of prescriptions in the treatment of internal diseases, it is easier for beginners "better" than disambiguation, have no choice. 
 
        This is why many Chinese medicine college students the main reason for not see the doctor for a long time after graduation. The party master Hu Xishu said: "party card is corresponding to the tip of the syndrome differentiation and treatment". Stress and to grasp the method of the linear thinking, to cultivate Chinese medicine clinical talent is extremely important. 
 
        Party, certificate, corresponding understanding of pathogenesis and expand the party 
 
        "Party card corresponding" is important, but there is still a certain blindness and limitations. Must understand the syndrome and pathogenesis, behind the party the pathogenesis, appropriate for the corresponding to correct. Therefore, the author thinks that party, syndrome, pathogenesis, to more rational use of the party, more fully expand the use of the party. 
 
        For example: a small bupleurum decoction has a "fever, chest, a bitter, silent and do not wish to diet, upset xi ou" four main card, "ou and fever, the minor radix bupleuri decoction". Treatise on febrile disease in the original added: "there is radix bupleuri license, but see a card is, don't have to be informed." See don't want to eat or upset if vomiting, it must be radix bupleuri decoction syndrome? Clinical, apparently not. Some suits with it upright, some suitable for 6 gentleman soup, etc. This requires a clear evil in shaoyang, to intelligent, extrapolate, accurately understand and use by the party. 
 
        Let's look at a basis, learning is how to use Mr Hu Xishu oyster soup soup of radix bupleuri, radix bupleuri in keel for the treatment of asthma. 
 
        Wang, female, 61 years old, was on June 14, 2009. 
 
        Patients complain of bronchial asthma, more than 30 years of the tired, the weather changes, blowing, cold, when heated are prone to make, with hair as show in the evening. Every hair orthopnea, must not lie down, with cough spit. In recent years, frequent attacks, aminophylline and prescription of the invalid, must use western medicine spray can ease. Examine the complexion of flush, breathing pockets, bosom frowsty, irritability, cough spit yellow, viscous in throat, stomach, salivary Fang Shu, thirsty mouth, urine yellow, dry stool, eating well in spirit; Dark red tongue moss yellow greasy, pulse number. With large oyster soup, soup of radix bupleuri, radix bupleuri add keel of shittim pill and subtract: 
 
        Prescription: radix bupleuri 15 grams, 10 grams of pinellia, acid-insoluble ash 10 grams, 15 grams of radix scutellariae, radix paeoniae rubra 10 grams, 10 grams of jujube, ginger 10 grams, 30 grams of giant knotweed, keel 30 grams, 30 grams of oysters, poria cocos 15 grams, 10 grams of tooth soap. 5. 
 
        On June 20 appointment: after taking medicine, asthma, the night did not use spray can lay down, but still after have asthma, cough, have a small amount of sputum, dry mouth, mouth, food, defecate unobstructed, dark red tongue moss thin yellow, pulse string. Decodes the size of radix bupleuri decoction, cassia twig tuckahoe pills to add and subtract. 
 
        Prescription: radix bupleuri 10 grams, 10 grams of pinellia, main licorice 10 grams, white ginseng 10 grams, 15 grams of frutus aurantii immaturus, radix paeoniae rubra 10 grams, 15 grams of giant knotweed, radix scutellariae 15 grams, ginger 10 grams, 10 grams jujube, 3 g (a blunt) at the end of the cinnamon, cortex moutan 10 grams, 10 grams of peach kernel. 7. 
 
        On June 29, three diagnosis: asthma, cough had largely disappeared, tired, fatigue, lumbar debility, dark red tongue moss thin white, pulse fine. Decodes small bupleurum decoction, cassia twig tuckahoe pills, pills and clam powder for: 
 
        Prescription: radix bupleuri 15 grams, 10 grams of pinellia, main licorice 10 grams, red paeony root, 10 g, giant knotweed 10 grams, radix scutellariae 10 grams, 10 grams of frutus aurantii immaturus, cortex moutan 10 grams, peach kernel 10 grams, 15 grams of poria cocos, cinnamon 5 g, 5 g aloes, ginseng 10 grams, 1 for tokay, dried human placenta 10 grams, tooth soap 5 grams, ginger 10 grams, 10 grams of jujube. 5 agent for honey pill, 2 times a day, 10 g each time. 1 material medicine can take about two months. 
 
        Took 3 above, about half a year after drug withdrawal, the attack yet.
 
 
 
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2014-07/25/content_88762.htm