Chapter 16 Li Dongyuan started seeing a doctor

One day, a poor man ("a poor man") came to Li Dongyuan because he vomited blood. When Li Dongyuan checked the pulse, the pulse in six parts of his hands was stringy and astringent, and when he pressed again, he felt empty under his fingers. Looking at the face again, the color is pale and there is no luster on the surface. Li Dongyuan judged after the cross-reference of color and pulse that this is a severe cold syndrome, accompanied by qi deficiency, so he formulated a treatment rule: use medicines with pungent and warm smells to nourish and nourish blood, and medicines with sweet and warm smells, sweet and hot, and smooth The drug was used as an adjuvant, and a prescription called ginseng drink was prescribed.This prescription is used to treat hematemesis caused by weak spleen and stomach, accompanied by symptoms such as shortness of breath and lack of energy.

You should say, why does Li Dongyuan use ginseng when he treats the poor? Don't worry, Li Dongyuan's prescriptions are actually very unique. Sometimes the medicine has many flavors, which looks scary. Some people in later generations commented that Li Dongyuan's prescriptions are like Han Xin's order of soldiers. The more the better.In fact, although Li Dongyuan's prescriptions have many flavors, the amount of each medicine is based on the condition of the disease, which is usually very light. For example, this ginseng drink is 3 points for ginseng, 1 qian for astragalus, 5 qian for schisandra, 1 qian for white peony, 1 qian for licorice, 30% for angelica body, and 20% for Ophiopogon japonicus.The weight of each medicine is not heavy, just break the medicine into rough powder, decoct it with water and drink it.

After taking the medicine, the poor man recovered from his illness, but in winter, because he slept on the hot kang, he committed another crime and vomited blood several times. No, I'm looking for Li Dongyuan again, because Mr. Dongyuan was the one I looked for last time. Li Dongyuan thought about it, this is a false syndrome, yes, but why did he commit a crime after sleeping on the kang once? There must be something strange, so let the patient lie down, check the patient's stomach for abdominal diagnosis. Around the patient's navel, he found a feeling of agglomeration (attached to the umbilical cord), and then suddenly realized.

It turns out that this is a patient with a mixture of deficiency and excess. This patient is "fiery inside, with insufficient upper Qi, and external deficiency of Yang Qi". In winter, wearing thin clothes makes the yang energy more damaged, and if there is a severe cold on the outside, the fire evil inside cannot be dissipated, which leads to vomiting blood. At this time, Li Dongyuan remembered that Zhang Zhongjing used Mahuang Decoction to treat patients with tight pulse and no sweat but epistaxis in "Treatise on Febrile Diseases" when treating Taiyang fever, so he wrote Zhang Fangzi, called: Mahuang Guizhi soup.

Recipe: Ephedra 1 qian, used to remove external cold, Astragalus 1 qian, used to strengthen the exterior and benefit Weiqi, Guizhi half qian, used to replenish exterior deficiency, white peony 1 qian, benefiting the spleen (actually there is also Heyingxue, The effect of clearing heat in the interior), 1 qian of licorice, used to replenish the weakness of the spleen and stomach, 2 parts of ginseng, benefiting the Qi of the upper burner and strengthening the exterior at the same time, 3 parts of Ophiopogon japonicus, used to protect the temper (actually clearing the lungs and volts), Schisandra chinensis Five, used to soothe lung qi, and half a coin of angelica body, used to harmonize blood and nourish blood.

First fry the ephedra, remove the foam, then add the remaining medicine, take it before going to bed. Due to the careful analysis of the condition, a good curative effect was obtained. The poor man only drank the medicine once and he was fine, and he has never committed another crime since then. From the process of Li Dongyuan's medical treatment this time, we found that he has a relatively deep understanding of "Treatise on Febrile Diseases", but his thinking is not to follow Zhang Zhongjing's prescriptions, but to use his ideas, and then use it flexibly to form prescriptions at any time .

He also wrote a book called "Treatise on Febrile Diseases", which has "more than 300,000 words". Yuan Haowen asked Yuan Haowen to make a preface, but unfortunately, this book is no longer available and lost. Another famous medical case is one that we often read when studying Chinese medicine medical cases. It is said that Mr. Feng Shuxian, who studied "Spring and Autumn" with Li Dongyuan, had a nephew who was only sixteen years old and had typhoid fever. In ancient times, exogenous diseases were collectively called typhoid fever, and later generations separated febrile diseases from it.) Red eyes, irritability, and thirst, all of which seemed to be obvious manifestations of heat. A doctor came to see it and thought it was a heat syndrome. Ah, let’s use Chengqi Decoction, which is to use the purging method. The medicine has been cooked after buying, so it’s almost time to drink it. At this time, Li Dongyuan happened to come from outside. This teacher Feng said: just now the doctor said to use Chengqi Decoction. Gas soup.

Li Dongyuan said: Really?Let me cut the pulse too (actually, I guess I wanted to be polite to show my concern for this child). But who knew there was a problem with the pulse, Li Dongyuan himself was startled: Thanks to the pulse, otherwise the doctor would have almost killed the child (killed here a few times)! Everyone was also dizzy, and hurriedly asked: Why? Li Dongyuan: This doctor really knows that a fast pulse is a syndrome of heat, and a slow pulse is a syndrome of cold. Now the pulse has seven or eight pulses between breaths, which should be extremely hot, but he does not know that the "Huangdi Neijing" mentioned pulse When it is the opposite of the disease, the disease syndrome is the excess of yin and the separation of yang from the outside (that is, the yin qi in the body is too strong, and the weak yang qi is squeezed out of place, and it runs to the outside. This is one of the traditional Chinese medicine. terminology, this kind of situation can often confuse doctors, seeing the appearance of heat and thinking it is a heat syndrome, but the truth of the disease is a severe cold syndrome). "Speedy Ginger Fulai (dried ginger and aconite are both hot medicines)".

In this urgent situation, Li Dongyuan prescribed a large amount of prescriptions, allowing the patient to take eight liang at a time. The medicine has not been decocted yet, and sure enough, the patient's condition began to change, and the fingers began to turn blue, which means that the remaining yang energy began to dissipate, indicating that the patient was already in critical condition (if it is true at this time If the patient also uses Chengqi Decoction to make the patient have diarrhea, then the person will indeed die). After taking the decoction, the patient sweated and recovered.

God, it's dangerous!In the past, because the diagnosis was mostly based on pulse diagnosis, this pulse diagnosis is very delicate and difficult to learn, so people who are not good at learning are prone to make mistakes. Later, tongue diagnosis appeared, and this situation has improved. At the time, this incident seemed to cause a small sensation. Some people even wrote a long poem to commemorate it. The poem is very long. Friends who are interested in it can take a look at the book "Dongyuan Experimental Prescription". By the way, Li Dongyuan's book has an advantage, that is, it basically selects the prescriptions that he has used and has a better curative effect, and writes them down, so it is called "Dongyuan Trial Prescriptions". Of course, this book is his later disciple. Luo Tianyi sorted it out, we will talk about the story of this apprentice later.