Reading Treatise on Febrile Diseases: On this rainy night, there was silence outside the window. I sat by the window alone, looking at the pedestrians outside the window, and accidentally saw Treatise on Febrile Diseases on the table. I couldn't help turning on the desk lamp and reading it carefully. This is not my first time to read it, but every time I read it, it brings me new feelings. This not only surprised me, but also puzzled me. But I can't help thinking and studying. Thinking and learning again and again have turned into countless deep feelings for Treatise on Febrile Diseases and Chinese medicine.

When it comes to Treatise on Febrile Diseases, we have to mention his author Zhang Zhongjing. Mr. Zhang Zhongjing's main contribution in history lies not in his official career achievements, but in his willingness to take a high position to benefit the people and explore the root of people's life and health day and night, thus leaving the book Treatise on Febrile Diseases, which has guided a way out for thousands of people suffering from diseases in Qian Qian. The greatness of his book Treatise on Febrile Diseases lies not only in its hundreds of classic prescriptions, but also in its establishment of a theoretical system of syndrome differentiation and treatment, which pioneered the theory, method, prescription and medicine. Since then, Chinese medicine is no longer the experience passed down from master to apprentice, but has become a theoretical subject, which makes various medical methods of Chinese medicine reasonable and legal. From this point of view, Zhang Zhongjing is to Chinese medicine what Mendeleev is to chemistry, so it is called? Medical sage? It's no exaggeration.

Then after reading Treatise on Febrile Diseases for many times, I found that it is not easy to really understand it, which requires not only knowledge accumulation, but also an exploration heart. To read Treatise on Febrile Diseases in depth and in detail, we must first have a thinking framework of traditional Chinese medicine, not only to look through medical records, to understand the experience of predecessors, but also to think about why it is explained in the book in combination with our daily life. Instead of memorizing medical records. Secondly, when you encounter something you don't understand, you should think with basic theories, and you can't exclude or even doubt it with your own ideas as the leading factor. Finally, when knowledge and experience have accumulated to a certain extent, we can question Treatise on Febrile Diseases. In the process of asking questions, it is not only the higher development of our own understanding, but also the sublimation of medical attainments. In this way, we can read and appreciate the wisdom contained in ancient Mr. Zhang Zhongjing's books, and we can also gain something from reading.

Reading the second part of Treatise on Febrile Diseases Since Zhong Jingzhi's Treatise on Febrile Diseases appeared, later generations of doctors have played a role in it, either interpreting it according to the original text or supplementing it, but it is more practical and simple in clinic. I learned a lot from Liu Duzhou and Chen Ruichun, and my parents started from the clinic. There is nothing superfluous to say, which is of great practical significance to guide our future study. Recently, I reread Treatise on Febrile Diseases and suddenly realized something, which is recorded here to encourage my colleagues.

Recently, the author sat in the outpatient clinic and contacted many patients with upper respiratory tract infection. The disease itself is not a serious illness, nor is it the common cold that people often say. If there are no complications, it will usually heal in 5-7 days. However, if the treatment is not timely and thorough, many old diseases may recur, such as chronic bronchitis, emphysema and pulmonary heart disease, which will aggravate the original heart diseases, such as heart failure and arrhythmia. It suddenly occurred to me that as early as 1800 years ago in Treatise on Febrile Diseases, Master Zhong Jingxian had a detailed discussion on this. Let's look at article 7 of Treatise on Febrile Diseases. The disease of fever and aversion to cold occurs in yang; Those who have no heat and hate cold are born in yin. It happens in seven days in the yang and six days in the yin. The number of yang is seven and the number of yin is six. ? It can be seen that Chinese medicine has an accurate discussion on the course time of acute upper respiratory tract infection, but what about here? What's wrong with you? It's not just a cold. Scholars should be flexible.

Another example is article 43 of Treatise on Febrile Diseases: solar disease and mild asthma in the lower body are also unknown. Ramulus Cinnamomi, Cortex Magnolia Officinalis and Semen Armeniacae Amarum are the main components. ? Article 18:? Sichuan Zuo Jia, Guizhi plus Magnolia officinalis and apricot are all good. ? These two articles discuss the syndrome and treatment of Sun Zhongfeng complicated with lung failure. What should I do with prescription verification in clinic? Sun stroke? The clinical manifestations are headache, fever, excessive sweating, aversion to wind, slow pulse and wheezing. Guizhi decoction is an effective prescription for relieving exterior syndrome, dispersing lung qi, resolving phlegm and relieving asthma by adding Magnolia officinalis and almond. I understand that this syndrome is equivalent to the symptoms caused by the common cold, chronic bronchitis and bronchial asthma in modern medicine, or the clinical manifestations of chronic bronchitis and bronchial asthma are this syndrome type, which can be used. For example, Selected Medical Records of Treatise on Febrile Diseases records a case of treating exogenous chronic asthma. Liu, male, 42 years old, is famous for his phlegm and asthma, with frequent attacks. In spring, you catch a cold, and sometimes you have fever, spontaneous sweating, slight chills, headache, cough and asthma. The attack is worse than before, chest tightness, flatulence, asthma, white and thick phlegm, and sweating more when coughing and wheezing. Do not eat. The tongue coating is white and greasy and the pulse is slow and smooth. This wind evil hurts the exterior, causing the recurrence of phlegm and asthma, and the external wind is accompanied by phlegm and turbidity, which is depressed in the chest and wrist, and the lung and stomach qi are not reversed. The prescription is Guizhi Houpu Xingtang. The prescription is: Cinnamomum cassia twig, Radix Paeoniae Alba, Radix Glycyrrhizae Preparata, 4.5 ginger, 2 pieces of Magnolia Officinalis, 9 almonds, 9 ephedra, 1.5 Fritillaria, 9 perilla and 9 fried Fructus Aurantii. After three doses, exterior syndrome can be eliminated, spontaneous sweating can be stopped, and phlegm can relieve asthma. Look at Pu Fuzhou's medical record again. Pu Lao used this prescription to treat 1 case of severe adenovirus pneumonia. The patient is a 3-month-old boy. I was hospitalized twice because I had a fever for 4 days, coughing and shortness of breath. After western medicine and large dose of Maxing Shigan decoction, it was ineffective. At that time, his temperature was 40℃, he was sweating like a pig, his face was yellow, he coughed a lot, his diaphragm was cold, and his mouth was blue. Pu Lao believes that bitter cold and bitter cold keep fever away, which is caused by disharmony between camp and health and cold evil blocking the lungs. So he used cassia twig, white peony root, licorice root, ginger, jujube, magnolia bark, almond and coriander to make a little sweat, and his body temperature gradually dropped, and the heat decreased to relieve asthma, so as to balance the camp and the health, and then he could be cured by adding and subtracting Ganmahuang decoction. Looking at Pu Lao's medical record carefully is like pneumonia complicated with heart failure. It suddenly occurred to me that I had read Mao Yilin's "Into the Door of Chinese Medicine", and I told Professor Liu Xinxiang's case of treating heart failure with Guizhi Thickening Puxingzi Decoction, and emphasized the importance of sweating and not sweating. It can be seen that this prescription can be used not only to treat chronic asthma caused by exogenous factors, but also to treat heart failure diseases such as wheezing, chest tightness and inability to lie down.

Former article 40:? Xiaoqinglong decoction is mainly used for typhoid fever, watery heart, retching, fever and cough, thirst, constipation, choking cough, dysuria, less abdominal distension or asthma. ? This paper discusses the syndrome and treatment of taiyang typhoid complicated with internal stagnation of water and drink. Xiaoqinglong decoction can relieve exterior symptoms with pungent warmth and be drunk with warm water. Herba Ephedrae in the prescription can perspire, relieve asthma and induce diuresis, while Ramulus Cinnamomi can enhance the function of activating yang and dispersing lung. Radix Paeoniae Alba and Ramulus Cinnamomi can be matched, and Wei Ying can be reconciled. Dried ginger and asarum can dispel cold and relieve cough, while Schisandra can astringe the lung to prevent dried ginger and asarum from rising too much. Pinellia ternata can reduce adverse reactions, and the combination of Radix Glycyrrhizae Preparata and traditional Chinese medicine can relieve exterior syndrome. This prescription is widely used by modern physicians in clinic, and its application scope is: (1) to treat patients with exogenous cold pathogen, internal drinking, fever and retching accompanied by cough and asthma. (2) Excessive drinking, watery heart, coughing and wheezing, frequent colds, foaming at the mouth, inability to lie flat and dry throat. (3) Drinking, having fever, retching, spitting, coughing and being unable to lie down. In short, cough and asthma caused by cold drinks can be used regardless of the symptoms. This prescription has a good effect on colds, acute and chronic bronchitis, bronchial asthma and pulmonary heart disease as long as it is accurate in syndrome differentiation in modern medicine. There is an example in Selected Treatise on Febrile Diseases. Li, male, 44 years old, has had asthma since he was a child, and his asthma is even worse when he works in cold weather and water. August 1964, 12, due to a bad cold, asthma recurred, repeated cough, listless throat, foaming at the mouth, sitting up, spitting, anorexia, constipation, long urination, white and slippery tongue coating and tight pulse. Or when wood is fragile, Shui Han is cold, and body fluids can't evaporate, it will stay and drink. When the human body is forced by the lung, the lung collaterals are blocked and the qi movement is blocked, it causes cough and asthma. Therefore, it is appropriate to drink in the warm, to spread the lung and nourish the kidney. The prescription is: ephedra 4.5 cinnamon 0.9 agarwood 1.5 white peony 6 asarum 2. 1 dried ginger 3 Schisandra chinensis 3 Pinellia tuber 6 roasted licorice 6 chestnuts 15 radish seeds 12. After taking it, asthma will be relieved, expectoration will be greatly reduced, and you can sleep. Then warm drink evil and reduce lung qi, and take six doses. Liu Lao often used Xiaoqinglong decoction to treat cough and asthma, and often achieved remarkable results, and summarized six main points of Xiaoqinglong decoction application. You can refer to some cases in Liu Duzhou.

Guizhi plus Magnolia Officinalis, Xing Zi Decoction and Xiaoqinglong Decoction are all prescriptions for treating asthma. Guizhi Thickening Puxingzi Decoction is the syndrome of cough and asthma due to exterior deficiency, and there is no water for asthma to drink. Xiaoqinglong Decoction is the syndrome of cough and asthma due to exterior deficiency, and there is no water for asthma to drink.

Personally, I think the development of TCM is tortuous and long, but the future is unknown. Looking back on the development of Chinese and western medicine, it is inevitable that Chinese medicine will be questioned in society. Although I am a student of the College of Traditional Chinese Medicine, frankly speaking, I was biased against Chinese medicine at first, especially our major of integrated traditional Chinese and western medicine. We first studied western medicine in Southern Medical University for two years. In our view, Chinese medicine, which is rich in philosophy and needs some knowledge of ancient China, lacks the knowledge of this era and has received the education of western atomism. What an abstract and ambiguous thing it is. Do you still remember this sentence told us by Mr. Wu, the history of traditional Chinese medicine? Western medicine makes people die clearly, while Chinese medicine makes people live in a daze? . Perhaps this is the difference between Chinese medicine and western medicine.

I received a year and a half of Chinese medicine education, and I know a little about Chinese medicine. It also cultivated my interest in Chinese medicine and strengthened my belief in learning Chinese medicine. Although not everyone can become a master of Chinese medicine, one thing is certain: Chinese medicine can really make people live better. Or is Deng Lao's words good? Chinese medicine is ineffective because you didn't learn well? .

Treatise on Febrile Diseases is one of the four classic medical works in China, written by Zhang Zhongjing, a famous doctor in the Eastern Han Dynasty. This book is a monograph on syndrome differentiation and treatment of various exogenous febrile diseases, and it is the first important ancient medical work in China with relatively perfect principles, methods and prescriptions, and integrating theory with practice. Treatise on Febrile Diseases tells about diseases through the transmission and differentiation of six meridians. Zhang Jingzhong is really a great doctor and writer. He used many methods: preserving grammar and reversing the order. . . . It's really hard to understand for the new generation with little Chinese medicine culture. Fortunately, he described it according to the laws of the Six Classics, which also gave us a clear idea to discuss the ancestors and medical prescriptions of this prescription, and it was not without tricks. Moreover, his pulse method is unique: 1, each disease has a main pulse; 2. One pulse dominates several diseases; 3, a disease sees several pulses; 4. The pulse method is quite flexible; 5. Explain the pathogenesis with pulse condition; 6. Pulse guided diagnosis; 7. Use pulse condition to guide treatment; 8. Predict the prognosis according to the pulse condition; The pulse condition is the same, and the disease is differentiated according to the syndrome; 10, the syndrome is the same, and the disease comes from the pulse rather than the syndrome. The principles and methods of treatment are also very specific: 1, disease prevention; 2. Pay attention to protecting the spleen and stomach; 3. Pay attention to the law of improving the situation; 4. Emphasis on specimen priority; 5, highlighting the same disease and different treatment, different diseases and the same treatment; 6. Point out the treatment and prohibition of diseases. 7. Pay attention to holistic nursing. 8. It also reflects Zhang Zhongjing's thinking, adding one medicine for more syndromes and reducing one medicine for less syndromes. This not only brings great convenience to our understanding of Treatise on Febrile Diseases, but also enriches and expands our traditional Chinese medicine thinking and clinical thinking.

This semester, I learned Treatise on Febrile Diseases, one of the four medical classics, and everyone attached great importance to it. In addition, thanks to the guidance of Professor Li Saimei, everyone's learning enthusiasm is even greater. Professor Li Saimei will show us the video of clinical director's rounds and medical records analysis. I quite like this teaching method, because it can not only let us know how to explain and differentiate diseases with Treatise on Febrile Diseases in clinic, but also cultivate our clinical thinking, deepen our understanding and application of the provisions, increase the classroom atmosphere, activate our thinking, and reduce the current situation of watching PPT in class. Reduce our visual fatigue.

After school, everyone will go to see the viewpoints of various schools in Treatise on Febrile Diseases, and then sum up their experience according to their own understanding and interest in what they have seen, or share others' well-said and well-summarized opinions with everyone. Then several students often discuss articles together and express their opinions, and everyone expresses their opinions. I think it helps me a lot. I can learn from each other, understand other students' understanding and thinking breakthrough points, and students can also expand their own thinking. In addition, sharing can realize resource sharing, not only can we learn more in a limited time, but also can enhance our friendship and cultivate our ability to cooperate with others and express ourselves.

I read Liu Duzhou's Lecture Notes on Treatise on Febrile Diseases this semester, and I think it is very helpful for me to learn and understand it. There are some cases he treated with classic prescriptions, which help me understand the curative effect and clinical thinking of classic prescriptions. Remember what Liu Jiaoshou said? Guizhi Qushaoyao Decoction? Why go to Paeonia lactiflora? This is a good speech. There are two reasons: first, peony tastes sour, and blood yin is not good for chest yang, so it should be reduced. According to Zhang Zhongjing's prescription, the chest is yang, and whenever the chest is full due to unfavorable chest yang, peony should be used; The abdomen is yin, and the abdomen with unfavorable spleen yin is added with white peony root. ? So do people who go to Paeonia lactiflora avoid yin and save yang? . Secondly, Paeonia lactiflora will hinder the promotion, prosperity and tonifying the heart and strengthening yang of Guizhi. Subtract Radix Paeoniae Alba, and the rest of Guizhi Decoction is Xin Gan's medicine. This explanation can not only help us better understand why we want to go to Paeonia lactiflora, but also summarize how Zhang Zhongjing used Paeonia lactiflora. This also gives us the "synopsis of the golden chamber"? Feng shui, heavy pulse, sweating out evil wind, prevent Huangqi decoction from dominating it. Patients with abdominal pain, plus peony? It is easier to understand why peony is added here.

I am a very thoughtful person, and sometimes I have some strange ideas in my head. I sometimes study Treatise on Febrile Diseases and Synopsis of the Golden Chamber, both of which are manuscripts of Zhang Zhongjing, a medical sage. I always want to find a breakthrough point and read these two books together, which may be better understood. Like a sore throat.

Personally, I think that the two prescriptions treat sore throat, and the bitter wine soup focuses on resolving phlegm, so Pinellia ternata is used to resolve phlegm and dissipate stagnation. However, Gancao Xiexin decoction is a mixture of cold and heat, which is easy to heat. Therefore, Scutellaria baicalensis Georgi and Coptis chinensis are used to relieve bitter cold, clear heat and dry dampness. When sore throat occurs in clinic, these two prescriptions can be added and subtracted, especially the cold and heat in Gancao Xiexin Decoction can be adjusted separately, which has a wider application range.

Zhang Zhongjing's differentiation of six meridians is very clear, and his prescription has been verified in clinic, which is really effective and has a very good curative effect, so there is no need to question it. But it's a pity that he didn't leave us a cure for the world's number one killer tumor, which also gave us a new field. After all, this problem will emerge one after another, and after learning Zhang Zhongjing's dialectical and clinical thinking, we will learn to draw inferences from others, broaden our thinking, constantly enrich our experience, and use reality to verify the efficacy of the prescription and the possibility of breaking through this difficulty to fill this gap. I am also very interested in this aspect, and I firmly believe that Chinese medicine is always more advantageous and humanized than western medicine in treating tumors. Li Kelao's Experience Atlas of Critical and Difficult Diseases in Traditional Chinese Medicine has strengthened my confidence in breaking through the tumor difficulties. Although I don't have this ability at present, since I set foot on the road of medicine and realized the world problem of tumor, I have made up my mind to devote myself to the cause of treating tumor with Chinese medicine. I believe that Chinese medicine will definitely break through the problem of tumor in the future, at least it will have more advantages for human health, reduce the pain of patients and improve their quality of life. Although I know it is not scientific for me to say this, it is a beautiful wish of mankind. As long as we have confidence and perseverance, it is as possible as the leap of human landing on the moon.

& gt& gt& gt More exciting next page? Read Treatise on Febrile Diseases?