Professor Qian Chaochen's textual research on Treatise on Febrile Diseases shows that Treatise on Febrile Diseases is based on Zhang Zhongjing's extensive Treatise on Tang Yejing, which has collected the papers of several generations and even dozens of generations of physicians, including Zhang Zhongjing's disciples. Treatise on Febrile Diseases is not written by one person, and the expression habits of words are different. Most articles are mutually worded and express the same meaning.
1, table:
Article 46 of Treatise on Febrile Diseases: "Sun disease, tight pulse without sweating, fever and body pain, which can't be solved for eight or nine days, and the exterior syndrome is still there, so it should be sweating. If the medicine is slightly removed, people will be annoyed and the dramatist will be relieved. Therefore, Yang is heavy, and Mahuang Decoction is the main one. "
This "table" refers to ephedra syndrome.
Treatise on Febrile Diseases (164): "After severe cold, people who repeatedly sweat, have bloating heart and hate cold are insoluble. Don't attack the new, solve the table first, and the table solution can attack the new. Guizhi decoction is suitable for relieving exterior syndrome, and Dahuang Huanglian Xiexin decoction is suitable for attacking spleen. "
This article refers to cassia twig syndrome.
2. External:
According to Treatise on Febrile Diseases (146), on June 7th, typhoid fever was mainly treated with Chaihu Guizhi Decoction, with fever, slight aversion to cold, vexation and pain in limbs, slight vomiting, and a knot in the heart.
Article 42 of Treatise on Febrile Diseases: "Taiyang disease, with unknown exterior syndrome and weak pulse, should be sweating to relieve exterior syndrome, and Guizhi decoction should be used."
The last two pieces of Guizhi's external testimony
Article 37 of Treatise on Febrile Diseases: "If the sun disease has gone for ten days, if the pulse is rapid and easy to lie down, the exterior has been relieved, and the chest and hypochondrium are painful, Xiaochaihu decoction is used to make it;" The pulse floats, but Mahuang Decoction. "
This article refers to solar disease.
Treatise on Febrile Diseases (104) records: "On the 13th, typhoid fever was puzzling, chest and hypochondrium were full of vomiting, and morning fever was meager. This is a syndrome of Bupleurum chinense, but it is not conducive to the downward trend. Those who oppose it now know that doctors will take medicine, which is not a cure. For hot flashes, it is really necessary to use Xiaochaihu decoction first, and then use Chaihu plus Nitrate decoction as the main treatment. "
This article refers to Xiaochaihu syndrome. Compared with Yangming disease, Shaoyang disease is outside and Yangming disease is inside.
Hu Lao analyzed treatise on febrile diseases and found such a rule. Ephedra syndrome is often called exterior syndrome, while Guizhi syndrome is called exterior syndrome.
3. Internal and external:
Article 93 of Treatise on Febrile Diseases: "The sun disease starts first and never heals. Because hyperhidrosis recurs, both exterior and interior are deficient, and people suffer from hyperhidrosis and heal themselves. " So, if you are, you will sweat a lot. There was no peace in it, and then it recovered. "
4. Internal and external:
Article 60 of Treatise on Febrile Diseases: "If you have a relapse of sweating after onset, you will feel cold and have a thin pulse. Therefore, everyone who does this has internal and external deficiency. Under it is empty, reincarnation is empty, and both inside and outside are empty. "
Articles 60 and 93 are all about "sweating recurs after going down". One said it was empty inside and outside, and the other said it was empty inside and outside. It can be seen that the inside and the outside are words.
Ephedra syndrome is the exterior syndrome of sun disease, while Guizhi syndrome is the exterior syndrome of sun disease.
5, half a table and a half:
Cheng Wuji first put forward the concept of "half exterior and half interior" in Notes on Treatise on Febrile Diseases, and called "half exterior and half interior" as "half interior and half exterior", that is, 148 original text: "On the fifth and sixth day of typhoid fever, head sweating, slight aversion to cold, cold hands and feet, full heart, loss of appetite, hard stool and thready pulse. The pulse condition is deep, and sweating is yang. If you commit the false order of pure yin knot, there will be no exterior syndrome, and it will be half inside and half outside. Although the pulse is heavy and tight, it can't be caused by Shaoyin disease, so if it is, Yin can't sweat. Today, my head is sweating, so I know it's not shaoyin. You can make soup with Bupleurum chinense. If you can't, shit. " "There must be something inside and outside" and "half inside and half outside":-The concept of inside and outside is the only disease position in Tang Bafen's syndrome differentiation. Zhong Jing put forward the concept of "half inside and half outside", that is, the position of disease with half outside and half inside, which is the key to the development from eight-point syndrome differentiation to six-point syndrome differentiation.
Article 97 of Treatise on Febrile Diseases says: "weak gas exhausts blood, clears it, and evil spirits enter, fighting against healthy qi and binding it under the threat. There are differences between good and evil, cold and heat come and go, take a rest, hey hey, don't want to eat, the viscera are connected, the pain will inevitably come down, and the high evil will cause pain, so vomiting is mainly based on Xiaochaihu decoction. After taking Chaihu decoction, those who are thirsty belong to Yangming and rule by law. "
Is it "evil spirits enter the room as soon as they open" Yangming disease is an internal syndrome, which is achieved by * * * knowledge. "Those who are thirsty after taking Chaihu decoction belong to Yangming". After taking Chaihu decoction, the mouth is dry, and then it enters Yangming internal syndrome. "Rule of law" means treating Yangming disease based on syndrome differentiation, instead of taking Chaihu decoction, otherwise it will be mistreated. "When it is opened, the pathogenic factors enter the body." The pathogenic factors appear on the surface and disappear in the body. Which position is that? Here Zhongjing has hinted that there are half-exterior and half-exterior diseases besides exterior and interior.
Mr. Hu Xishu is a master of modern classics and a clinician of traditional Chinese medicine. Its clinical prescriptions are concise and its curative effect is outstanding, thanks to the correct understanding of Treatise on Febrile Diseases. Hu Lao has his own unique views on the interpretation of Treatise on Febrile Diseases. He thinks that the diseased site is divided into exterior and interior, half exterior and half interior. Diseases are manifested in the skin, muscles and bones; In esophagus, stomach, small intestine, large intestine and anus; Inside and outside the table, the part between the chest and abdomen is half outside and half inside.
Professor Feng, a contemporary master of classical prescriptions, sorted out and summarized the research results of Hu Lao's classical prescriptions and verified the formation of the theoretical system of classical prescriptions. He clearly put forward that Shennong's Classic of Materia Medica, Tang Ye's Classic and Treatise on Febrile Diseases come down in one continuous line, and the six classics of Treatise on Febrile Diseases come from eight classes, and he also made textual research on Benjing, Hanshu Yiwenzhi and Treatise on Febrile Diseases. Classic and Tang Ye only have the concept of exterior and interior, but not the concept of exterior and interior. According to the six meridians, Feng Lao determined the six meridians of the prescriptions in Treatise on Febrile Diseases. For example, Taiyang disease is the syndrome of exterior yang such as Mahuang decoction and Guizhi decoction, Yangming disease is the syndrome of exterior yang such as Baihu decoction and Chengqi decoction, Shaoyang disease is the syndrome of exterior yang such as Xiaochaihu decoction, and Shaoyin disease is the syndrome of exterior yin such as Mahuang Fuzi decoction. Among them, the syndrome of semi-exterior and semi-interior yang, shaoyang, semi-exterior and semi-interior yin and Jue yin are more clear. It can be seen that the concept of "half exterior and half interior" is true and is very useful in clinic.
Classic prescription is accurate, effective and cheap, which is the advantage of classic prescription. Classic prescriptions are difficult to learn because Wang Shuhe added 23 words to the preface of Treatise on Febrile Diseases, which led to the later use of Suwen, Jiujuan, Eighty-one Difficult, The Great Theory of Yin and Yang, Pregnancy Medical Records and Pingmai Dialectics. In fact, the six meridians of Treatise on Febrile Diseases are determined by the location and nature of the disease reflected by the symptoms of the disease, and the key is to distinguish the location of the disease. Correct interpretation of Treatise on Febrile Diseases is the only way for Chinese medicine to enter the room. Only by revising Zhongjing's theory can we inherit, inherit and develop Chinese medicine. Let Chinese medicine take off and benefit for life!