Fever is a common phenomenon. Fever, aversion to cold, fever, this is the individual image, aversion to cold, this is the image. You can't look at it separately, aversion to cold is aversion to cold, and fever is fever, so you can't understand what is the inner essence behind this fever and aversion to cold. We must understand body image and image as a whole.
No fever, no aversion to cold, no fever is a body image, even lower than normal body temperature, aversion to cold is an image, and aversion to cold means liking warmth. Needless to say, he is an endogenous disease with insufficient body temperature, low metabolism and weak function.
Both endogenous diseases and exogenous diseases are manifested through this phenomenon. Exogenous diseases have fever, but our bodies have this instinct. External pathogenic substances enter the human body, and the body's rejection system will expel them.
How to get rid of it? Where this pathogen is, if it is excreted in the tissues around the body, to sweat glands, if it is excreted in the organs and tissues of the body, internally, from defecation, from urination, from bleeding, from vomiting, no matter from which direction, which metabolic organ and which metabolic form it is excreted, it needs energy, and there is a process of improving its own energy and a process of heating.
Fever is not a simple fever, and Chinese medicine has many different views on fever.
For example, 1 fever and aversion to cold, 2 fever and aversion to heat, 3 alternating cold and heat, 4 hot flashes, 5 long-term low-grade fever, 6 body heat not wanting to get close to clothes, 7 body heat wanting to take clothes, and 8 dizzy heat. People who don't know Chinese medicine have a fever. A mature Chinese doctor sees fever, three, five, seven, ten, more than ten different types of fever.
All these different heat types and different fever phenomena contain a different essence, which is called syndrome differentiation. Syndrome differentiation in traditional Chinese medicine, which we often say, refers to this process and the speculation of phenomena. Syndrome differentiation includes 1 body image, 2 images, 3 pulse images, 4 tongue images, 5 body images, 6 color images and 7 object images. Through these phenomena, we can look at a problem comprehensively.
The purpose of syndrome differentiation is to see how the instinctive system of our body moves, which direction it moves, and how we follow its trend to complete this activity, which is to protect and improve life. The essence of medicine is an instinctive activity to help life.
Exogenous diseases and endogenous diseases, this is a general nature, universality, also known as * * * homosexuality, this part of the disease has a * * * homosexuality, which is exclusion, this part of the disease has a * * * homosexuality, which is self-regulation.
This part of the disease has a kind of homosexual disease, which is caused by pathogenic substances from outside entering the body, and that part is the dysfunction of the body itself. This is sex, and it can't be used to treat diseases. What is used to treat diseases is individuality, also called particularity, aiming at a specific case and a specific disease.
Influenza is a specific disease, and the things infected by these colds are the same, all caused by external pathogenic substances. 1 Fever and aversion to cold, a pathogen enters our body, organizes around our body, and our instinctive system will expel foreign bodies when it finds them.
How do you know it's from the surrounding organization? I think this heat type is fever and aversion to cold. It needs sweating, and it needs sweating conditions. It doesn't just sweat casually, it must have enough body temperature and body fluids. Our instinctive system improves energy metabolism and tissues around the body. The pathogen has not yet entered the organs and tissues, so it does not need the involvement of internal organs. Just around the body, we strengthen the energy metabolism of the surrounding tissues and create body temperature.
The process of making body temperature, first of all, is the surrounding tissue, muscle tissue, peripheral circulation, and nerves. The whole instinctive system, muscle tissue is shaking, rubbing and generating heat. It also involves the circulatory system. Blood vessels and peripheral vessels become shallow and blood pressure rises, which is called pulse floating. Body fluids and blood are enriched to the surrounding tissues, and there is enough body fluids, energy and blood pressure, and body tissues raise the body temperature. This is a whole, this is an instinctive systematic behavior, this is an activity. Separately, it is a system, and collectively, it is an action. The purpose of the action is to discharge foreign objects.
When you get sick, you can't get well without sweating. Help! Let's see which direction it goes and we'll help it. This is a fever, aversion to cold, floating pulse, rushing upward. Surge is a kind of power, and the instinctive system rejects it.
Trend, everything outward is upward, sneezing, crying, coughing, headache, upward trend.
For example, when people vomit, they will vomit and sweat, and when defecation is difficult, they will cough and defecate. What is inward is downward, and what is upward is outward.
For example, measles, initial fever, intermittent fever, cough, sneezing, tears, vomiting. Look how powerful it is.
How is a headache urgent? Blood pressure rises, outward upward, head congestion, headache. Pulse floating is the circulatory system that raises blood pressure and supplies a lot of blood to the periphery, so it is necessary to support perspiration once. This is * * *, and there are differences. * * * is outward repulsion, suitable for muscle release and sweating.
The prescription for treating sore throat and fever caused by viral cold in front of me is different from that in Treatise on Febrile Diseases, and it is also different from that in Treatise on Febrile Diseases. In the lower row, I used a lot of drugs to promote blood circulation. The first medicine for promoting blood circulation is peony bark (not in treatise on febrile diseases), and the second taste is Achyranthes bidentata, which draws blood downwards, induces swelling of throat downwards and relieves throat. Down the intestines are Arnebia euchroma and Anemarrhena asphodeloides. If there is fever, take out the exterior and add Radix Puerariae to the exterior.
There is no Radix Paeoniae Rubra for febrile diseases and Radix Puerariae Paeoniae Rubra for typhoid diseases. This is because after we know the instinctive system, we consciously use it to develop Chinese medicine.
2 fever and aversion to heat, elevated body temperature, and aversion to cold and warmth. This is an image. This heat is not generated by the surrounding tissues themselves. If the body does it itself, it will protect this heat and preserve it. What it makes will not be easily lost, nor will it scatter its hard-earned money on the street, that's all. An instinctive system, a natural law, will never contradict itself.
This heat is the heat generated by the rising metabolism in organs and tissues. This heat must be dissipated. If it is confined inside, it will destroy the tissue. The instinctive system is ten thousand times smarter than us, and it will dissipate its own high fever during this pathological process. It hates heat, hates warmth and likes cold.
Look at its pulse, slippery, big, counting, the body temperature of the internal organs should be scattered, from the body surface, from the lungs, the lungs are also the body surface, from here. Body temperature is brought to the body surface through circulating blood, and the temperature difference between our body temperature and the outside temperature is used to dissipate heat. Smooth and soft pulse, large and powerful pulse, fast pulse counting, exceeding 5 in one breath,
The way of downward rejection is defecation and urination. Don't defecate for three or five days, and it won't be hot after one. This is the purpose of our syndrome differentiation, and it is also the trend of rejecting the system. We should help the rejection system according to its trend.
Cold-heat exchange refers to first feeling cold, chills and shivering, resulting in body temperature. At this time, the body is not hot, there is no heat at all, and it is not higher than your normal body temperature. First of all, chills are aversion to cold, and the whole body trembles, resulting in body temperature. Trembling may take several minutes, maybe dozens of minutes, maybe an hour or two. When you are shivering and have a bad cold, your body temperature is not high, and it must be not high. After a period of time, the body temperature gradually increased and the chills gradually decreased. When the body temperature rises, the chills end and fever appears, it is not afraid of cold at all, but likes cold, but it may not be obvious. The temperature is getting higher and higher, and sweating and fever are over again. The exchange of cold and heat means that cold comes and summer goes. This heat type should be regarded as a whole and inseparable.
Behind this hot type, first, you can't sweat, not rejection. You will sweat. What was the result? No.65438 +0 can't sweat, you can't sweat, its body fluid is not enough, and its temperature is not enough. Second, if you sweat, it's not good. This person will immediately get a cold, hypothermia, shivering and hypothermia. You lose its body fluid, you lose its body temperature, and it has no ability to adjust the lost body temperature and body fluid. You will cause yang injury, damage its function, yin injury and lose its body fluid, resulting in bad results. Second, you can't spit. If you vomit, it will damage its function. Chinese medicine is also called stomach qi. You can't eat, if you eat, you will vomit, and you will do something wrong, causing bad consequences. Third, you can't relax. If you want to use laxatives, it will cause defecation ten times and twenty times a day, leading to indigestion, indigestion, diarrhea and stomachache. This type of heat is not allowed to sweat, vomit or descend. This heat type is an obstacle to the mechanism of body temperature regulation, and only self-regulation can return to normal.
According to the records of the diseases I treated, the course of the disease was more than one year. I have this fever every day, but I can't get rid of it. After taking hormones for a few days, it became more and more serious and more frequent.
Someone wants to ask, you said that fever and aversion to cold are exogenous diseases. Why not? Not fever and aversion to cold. It doesn't hate cold at the same time. Not fever and aversion to heat. I don't like being cold when it's hot, but I can sweat by myself. Its body temperature is high, it perspires by itself, and its sweating body temperature is not high, so this is not rejection.
I didn't sweat, I didn't vomit, I didn't pee. I just adjusted myself, that's all. I proved that it is not rejection, and the other heat type is not rejection.
I have another reason. There is absolutely no "one" that unifies everything in this world. If there is, it is a difference in phenomenon and essentially the same. For example, fever and aversion to cold occur in the yang, while non-fever and aversion to cold occur in the yin. This standard is unified by 10,000, and the remaining one is not among them. Do we want this standard?
Student: Yes.
Lao Guo: This standard requires that the remaining ones be hung on the side. This is called extra-legal method. We hope that the law is indefinite, and indefinite method is the best method.
Don't confine yourself to a frame. The frame is dead. Everyone who comes in will die. You can go in and out when you see it. Knowing that there is such a frame, there must be no frame. When you enter a frameless frame, you are wise.
Hot flashes on the 4 th, when fever occurs between 3 pm and 5 pm every day, hot flashes are getting higher and higher, reaching 39: 40 or even higher. They are delirious, delirious and raving, reaching this level. After this period of time, it gradually recedes in the evening, that is, the hot flashes from Wednesday to Friday in the afternoon.
This hot flash is like the tide of the sea, which starts at this time and then recedes. This type of fever is dry stool in the colon. This type of heat is much colder, and heat is not measured by temperature or time. Heat and cold, that is, fever and aversion to cold are also carried out at the same time, but aversion to cold is very light, much lighter than fever, with slight aversion to cold and fever.
We know that the heat of fever and aversion to cold is made by the tissues around our body, and this is also made by the tissues around our body. This part of muscle trembling is very little, because this heat is similar, and it does not need strong movement of muscle tissue to produce more heat, so it produces a colder heat.
If you have a fever and aversion to cold, it is Guizhi decoction that sweats and Mahuang decoction that doesn't sweat. This is hot and cold. You sweat too much with Mahuang decoction. You use Guizhi decoction, but the medicine is insufficient. Guizhi decoction and Mahuang decoction are half each. Look at this level.
6. If the patient is hot and wants to be close to clothes, the heat is in the skin and the cold is in the bone marrow; The patient has a bad cold, but he doesn't want to go near his clothes. It's cold in the skin and hot in the bone marrow. (Lack of 5 has a long-term low fever)
The patient has a high fever, but he doesn't like to be cool. On the contrary, he had to put on more clothes and quilts. He is a hot phenomenon on the surface of the skin, and the cold is inside.
7 is cold, and the body temperature is very low. You cover him with clothes and a quilt, and he will get it. But cold is the heat in the skin and bone marrow, and it is the cold phenomenon on the body surface, and it is hot inside. Bone marrow should not be regarded as this medulla in bone, but as its interior.
We know that there is a saying that extremes meet, and the anode is like yin. This phenomenon often occurs in nature. The solstice in winter is the coldest and coldest time. At this time, the warmth of spring begins to appear, the yang is growing and gradually strengthening, and the yin is gradually fading. This is a natural phenomenon. Day and night, starting in the middle of the night, gradually, the sun came out, until six o'clock, began to reach the horizon, and gradually set at noon. It is also a cycle of yin and yang, with the anode being negative and the cathode being positive.
Pathology is the same, for example, a febrile infectious disease has to go through such a process, from illness to death.
Fever, fever, fever, fever, fever, fever, the higher the fever, that is, flu, fever, pneumonia, pneumonia, lung infection, fever, fever, fever to 39, 40, 4 1℃ and still go up, suddenly, the body temperature is low, 35℃, slightly cold, without opening your eyes or opening your mouth. Internal heat pole, suddenly this nerve center is inhibited, because of long-term fever, a large number of body fluids are lost, this blood is relatively reduced, there is no ability to transmit internal heat, and this body surface tissue can not carry out effective basal metabolism. It is said that the surface is cool and the inside is hot.
Jade, also known as Qingwen Baidu Decoction, consists of gypsum 1 kg, rhinoceros horn 1 kg, antelope 4 yuan, honeysuckle, forsythia suspensa, cowherb seed, isatis leaf, peony bark, Arnebia euchroma, Anemarrhena rhizome, Gardenia and Scutellaria baicalensis, all of which are eight yuan and one liang, Nangong Niuhuang Pill and Zhibaodan. For reference, above.
This is really hot and fake cold, and so is the real winter vacation fever. There is a process of development. The pulse is heavy but sleepy, and it has entered circulatory failure. In addition, defecation, diarrhea, dozens of lines a day, undigested, ten times a day, not eating or drinking, circulatory failure, internal function is so low. I have a sudden fever, my face is red, and my temperature ranges from 35℃ to 38℃. This is that the patient's body is hot and the body is cold and hot in the bone marrow. In fact, it is internally cold and functional exhaustion. There are too few drugs that can be cured, namely Sini Decoction, Tongmai Sini Decoction, Fuzi Ganjiang Ginseng and so on.
Traditional Chinese medicine has a rich observation and speculation about a fever, and it doesn't stop the fever when it is seen. Chinese medicine is to tell you the truth, that is to say, what is the instinctive system, to tell you the methods, an treatise on febrile diseases and a study on febrile diseases, and to tell you many methods. In fact, you have this ability now, but it is not enough. According to the traditional method of TCM, you should learn how a qualified TCM doctor treats diseases, how he communicates with patients, how he thinks, how he makes judgments, what method he uses, how he treats diseases, how he cures them, and so on.
I said several prescriptions, and the dialectical prescriptions I said were very simple and incomplete. Some people use it when they go back, no problem. I am very happy. You can't do this. This Chinese medicine practitioner is not like this. You must have medical theories and methods, that is, understanding and understanding, and then have intuitive feelings. Who has any questions?
Student: I have observed that, for example, some children cough and have a runny nose after catching a cold, but they don't have a fever. If they don't have a fever, runny nose or cough, should it be considered exogenous or endogenous? According to your score, it is not a fever, but I feel that it is caused by catching cold. Should it be considered exogenous?
Lao Guo: Most people have a fever, but some people don't, not very rarely. Endogenous diseases are aversion to cold, aversion to cold is not hot, and body temperature is not low? Don't you obviously feel whether his temperature is high or low?
Student: No.
Lao Guo: This is exogenous. If the temperature is not low, he is likely to be higher than usual, or I don't feel higher than usual, not lower than usual, since it is not low, it is high. For example, do you know Zhang San? Say I know him. What do you think of that man? How about what? Do you think he is a good person or a bad person? I can't tell whether he is a good person or a bad person. You said that Zhang San is not bad, not bad, and this person has not done anything bad, that is a good person. He's not bad, he hasn't done anything bad, he's a good man, that's all.
When we encounter this kind of problem in our life, it is not as clear as you said. I can tell at a glance that this is not the case. Life is not measured by a ruler, nor is it measured by a scale. Life is a process, and life is perfected in this process.
Student: For example, onychomycosis and hallux valgus have nothing to do with cold and heat, but some diseases of the brain system. What happens when they attack, but they are just like normal people if they don't attack.
Lao Guo: Onychomycosis is an exogenous disease, but as I said just now, everything in this universe is not explained by a "one", not just a fever. Is his temperature low? Onychomycosis, which is an obvious exogenous source. Onychomycosis, if you question your theory as incomplete, you can say so. I say this theory is complete, even if one onychomycosis and two onychomycosis are missed, it can't hinder the authenticity of this theory. And this thing is obviously an exogenous disease, and everyone knows that it is contagious.
Diseases of the brain system, whether this attack occurs or not, you can't tell that he is sick. I can see that he is terminally ill. This man will have a tumor in two years. I can tell you. Don't you dare use his body to test my theory. You dare not. I said that this person has high blood pressure for one year. There is nothing wrong.
It took me at least fifty years to sum up internal illness and external illness. I wrote "Seeking Truth from the Six Classics of Typhoid Diseases", which is a summary of my experience. I'm not saying that you can only know when you have an attack, but you can know when you will have an attack. You study Chinese medicine. You are pathetic. You are cut by others, and Chinese medicine is halved. You're the other half. That's not enough.
The first knife, cut to our waist, cut Chinese medicine and Chinese medicine in half. Chinese medicine has existed since ancient times. Doctors are pharmacists and health care providers, and pharmacists are doctors and health care providers, and they have never been separated at all. This knife makes us unable to understand medicine, and medicine cannot understand medicine. We use one brain to think about medicine, medicine and health care.
The second knife is to study western medicine for two years first, and take out the brain that wants Chinese medicine. Your bottle is filled with foreign national wine first, and the thinking of Chinese medicine can't get in.
The third knife is to overthrow the holistic thinking of TCM and the harmonious concept of harmony between man and nature.
The fourth knife is dismemberment, this branch and that branch, how many branches Chinese medicine is divided into, dismembering Chinese medicine.
The fifth knife, Chinese medicine, you see that "Chinese medicine", first learn chemical analysis, is it a single substance? Waste medicine keeps medicine. I wrote an article to expose it. You can look online.
Student: Lao Guo, as far as the case you mentioned, the disease that died after using a catty of plaster, can you put the prescriptions for febrile diseases and typhoid fever together?
Lao Guo: Typhoid fever is a systematic life instinct method. For typhoid fever, in Mr. Wu Jutong's own words, it is completely thorough. He also studied Treatise on Febrile Diseases with new wisdom and contributed some methods. Theoretically, he is far from pure and mature.
Wu Jutong's syndrome differentiation of epidemic febrile diseases has developed a set of methods, which can penetrate the exterior and interior, aromatic turbidity and activate yang water, so it is very valuable.
Zhang Zhongjing started with White Tiger Soup, White Tiger Soup with Ginseng, Tiaowei Chengqi Soup, Xiaochengqi Soup, Dachengqi Soup, Taohe Chengqi Soup, and Dachaihu Soup, all of which were based on defecation. After arriving in Wu Jutong, he prescribed Daochi Chengqi decoction, Baixuan Chengqi decoction, Zengye Chengqi decoction, Niuhuang Chengqi decoction, Huanglong decoction and self-made decoction.
There is no way to have a theory, and whoever wants to see it will see it; There are methods without theory.
Today, we have developed instinctive systems and methods to treat endogenous diseases. For those diseases that foreign countries consider taking medicine for life, we treat dozens of diseases with one prescription, which is the contribution of our generation.
Student: Generally speaking, all Chinese medicines are prescribed by the monarch, ministers and assistants, and there will be these relationships between the medicinal properties of the medicines. Now some people don't pay attention to this when prescribing medicine. What do you think of this relationship?
Lao Guo: I said that when a doctor makes a prescription, he won't consider it. Any successful thing does not grow in a box. A Dream of Red Mansions, Romance of the Three Kingdoms, Liaozhai and Water Margin are not written in one frame. I didn't consider any monarch, minister or assistant in these prescriptions, so I know it can cure diseases. It was later generations who studied this system and provided the cabinet. For example, Sijunzi decoction, ginseng, Atractylodes macrocephala and Poria are all medicinal materials, which is the king? Siwutang, Guidi, Radix Paeoniae Alba and Rhizoma Chuanxiong, which is the monarch? It doesn't matter whether there is a gentleman or not, as long as you can cure the disease with this prescription.
Song Wu beat the tiger, and Peisi Chen Zhu Shimao's sketch "The Leading Role and Supporting Role". When we use drugs, we should not consider which is the main and which is the auxiliary. No matter what you do, never set the rules. Do it well.