Contact Us

 

 

  

Address: Beijing's xizhimen south street, xicheng district

 

The British garden 1 floor. Room 824

 

Zip code: 100035

 

Telephone: 010-58562339

 

Fax: 010-58562339

 

Email address: cngjzj@163.com

 

Web site (click on the url link directly left) :

 

http://www.cngjzj.com/

 

Blog (click on the url link directly left) :

http://blog.sina.com.Cn/CNGJZJ

 

To xizhimen south street, xicheng district building to the British garden route

L airport line 1

Take the airport shuttle from the airport, the dongzhimen station transfer to metro line 2 to xizhimen direction and get off at xizhimen station, from C outbound, go straight to the east 100 meters on the right side to xizhimen south street, north to walk to the t-junction namely to the British garden 1 floor downstairs.

L airport line 2

From the capital airport take airport bus to xidan, get off at no.22, take a taxi to xizhimen south street English garden 1 floor.

L bus subway near:

106 bus GuanYuan: 107 road, express way

Bus: xizhimen south road 387, 44 road, inner ring 800, 816 road, inner ring 820, 845 road

Che zhuang: subway line two

Xizhimen subway: metro line 2

Buses and attempts: 107 road, 118 road, 701 road

Buses and north zhuang: 209 road, 375 road, 392 road

 

Your position is: Home >> newspaper >> newspaper

Thought analysis of diagnosis and treatment of throat diseases in treatise on febrile disease

2015年11月23日

复制链接 打印 大 中 小

<

Thought analysis of diagnosis and treatment of throat diseases in treatise on febrile disease

Time: 2015-11-20

Source: China's traditional Chinese medicine

Author: zhang again,

Zhang zhongjing to the treatment of throat disease in treatise on febrile disease, shi kan breaks down, rich in content, full of insights, is well worth finishing research use.

"Clinical"

Involved in the treatise on febrile disease, the throat disease is the main clinical manifestations of dry throat, sore throat, followed by the throat choking, pharynx of sores, rush on gas throat.

The etiology and pathogenesis 】

Function of the throat or not, a lai Yin jin moist, two lai sun be the spirit of transpiration compress fluid, three lai jet flow. So the treatise on febrile disease theory throat disease etiology and pathogenesis of the disease by a widely. There is a mix of exogenous and internal injuries; There is a mix of cold syndrome and heat syndrome; There are both positive, and deficiency syndrome; There are both Yin, and Yang syndrome. Therefore, zhang zhongjing from table, fever, false or true, all sides facing the throat disease for syndrome differentiation of Yin and Yang.

【 】 the lesion site

Portal of throat for lung and stomach, and liver and spleen kidney had three Yin meridians. The party a and party b through "yue:" bravery, the essence of the house, completely depends on bravery, pharynx to make ". So the throat disease involved in disease on spleen and lung liver kidney. In lung and stomach liver and gallbladder are empirical, as cold as the phlegm as fire; Among the lung spleen kidney deficiency syndrome or more relied on the empirical research, or for lung and kidney Yin deficiency, deficiency fire on inflammation, or for the spleen and kidney Yang deficiency and Yang deficiency water stop. Zhang zhongjing from Yang deficiency or Yang floating is very Yang deficiency water stop to differentiation, throat diseases is the most wonderful, especially worthy of our learning and carry forward the inheritance.

The methods of diagnosis and treatment of 】

Yin jin kui little swallow GanYan pain caused by article 83 of the treatise on febrile disease yue: "throat dry, do not sweat." The throat dry, less is Yin jin kui, not simple embellish is caused by the throat. Passive and generally inadequate, sweating, even feel cold table card, unfavorable also use pure XinWen sweating, otherwise will be Yin hot burnt, change to emerge. Article 310 of the treatise on febrile disease yue: "under the shaoyin disease, sore throat, chest full of upset, pig skin soup of god." This sore throat for lung and kidney Yin deficiency, Yin deficiency fire inflammation caused by, when the show is reddish micro slightly swollen painful throat itching, dry discomfort, dry cough without phlegm or sputum less sticky, dry mouth, don't like drinking, voice is hoarse, time will not more demanding, with zygomatic lips red, dizziness, tinnitus, virtual bother less sleep soundly, lumbar debility, hand, foot and heart heat, red tongue less moss, pulse count, etc. The pig skin soup for GanRunPing agent, pig skin cold, good runfei dry of kidney, solution of virtual vexed hot. Bai Mi cool, rice GanPing, dryness and spleen, zi source of mother culture breath can fire off water drop. "Clinical guidance basis:" zhang, a three years gone, summer refuse to, sore throat, cold clear pharynx, anti diarrhea, is known as dragon soar, if electric rage burning, although the torrential heavy rain cannot extinguish, will see body union of Yin and Yang in the party, the vegetation relentless hard work ears." Zhongjing less from Yin sore throat, with pig skin soup of god. Yip's the case, can be used as the best footnote of pig skin soup on fire due to Yin deficiency is less inflammation, with cold qing pharynx, so not only ineffective, but increases diarrhea.

Yang deficiency or sun be the spirit of buoyancy pharynx pain GanYan treatise on febrile disease caused by article 29 yue: "typhoid, floating pulse, spontaneous sweating, urination, upset, bad cold, feet twin acute, and cassia twig to attack its table, this mistake, also of jue, pharynx dry, irritated vomit inverse, as liquorice dry ginger soup with it, to compound the Yang." Article 317 of the treatise on febrile disease yue: "shaoyin disease, the qing valley, under the cold outside in the hot, hand, foot and jue inverse, micro pulse, body not bad cold, he was red, or abdominal pain, or dry heaves, or stop the pulse out, four unclogged arteries decoction of god." Article 283 of the treatise on febrile disease yue: "patients vein Yin, the sweat out, wu Yang also; this is a little cloudy, method when the sore throat, and after vomit." The dry throat is spleen and kidney Yang deficiency, Yang deficiency does not cause transpiration compress fluid, its performance for the throat dry, or pain, not red swollen, cough spit dilute, lip color light white, tastelessness not thirsty, hand, foot and not warm, defecate pond thin, pale tongue juicy moss, pulse heavy late weakness, etc. Xu Yang floating double face red, pixu (spleen deficient) can both Lai Yan food less sleepy, less gas. Liquorice and replenishing qi, dry Jiang Wen, effectively compatibility, xin GanHua and for Yang, cold temperature for releasing agent. If Yang deficiency to extremely, the increasing dosage of dried ginger, and wu to raw herbs, has explored the cold strength is stronger, as the YiZong Jin Jian "said:" with its big zhuang yuan Yang, presided over by the Chinese and foreign, recruit external heat and vice within." With platycodon grandiflorum led by the pharynx open again.

Yang deficiency caused by water stop throat choking treatise on febrile disease article 40 yue: "typhoid table don't understand, the heart has the moisture, retching, fever, cough, or thirst, or, or choke, or urination, lower abdomen, or asthma, small qinglong decoction of god." Choked to the throat obstruction of the feeling. This is Yang deficiency of water stop drinking, hinder the angry machine, indicates the lung and stomach channel. Zhang zhongjing to ephedra and aconite, in this article, the cold drink. The card when you have sore throat jams feeling, red swelling and moist, spit dilute sputum, see vomiturition, asthma, vibration, under the new stomach is full of water, not thirsty or thirsty, urination, lower abdomen, pale tongue fat soft moss water slide, pulse string weakness, etc.

Evil in half exterior and half mouth pain caused by dry throat, article 263 of the treatise on febrile disease "of shaoyang disease, bitter mouth, dry throat, dizzy also." The mouth bitter dry throat for disease into Yang, less evil in half exterior and half, so that the cardinal, bravery fire inflammation, burns fluid, so see mouth pain, dry throat, when see red slightly swollen throat, fever, chest, a bitter, full expression in silence, do not wish to diet, upset xi ou, tongue reddish yellow moss, pulse string. Treat with small bupleurum decoction to pinellia, radix trichosanthis, ginseng, etc.

Cold certainly have phlegmy wet winding resistance caused by sore throat, article 313 of the treatise on febrile disease "in shaoyin disease, pharynx pain, pinellia and soup of god." The sore throat is cold certainly have phlegmy wet resistance caused by winding, when not visible diffuse red swollen throat, moss white and smooth, and accompanied by the evil cold, reversed flow of qi, phlegm stripping more thin, arteries and veins. Treated with this decoction to phlegm fights, cassia twig tong Yang, cold main licorice to fill in.

Held dry solid pharynx GanYan pain caused by hot and article 221 of the treatise on febrile disease yue: "yangming disease, floating of arteries and veins and tight, pharynx dry mouth, abdominal and full, fever sweat out, not the evil cold, the evil heat, body weight. If sweating, heart offers, and the delirious speech. If warming needle, will feel apprehensive, can not sleep. If, under the stomach empty, polite move diaphragm, ao nong in the heart, tongue moss, gardenia fish soup of god." This is a matter of evil accumulate yu XiongGe, steam caused by the throat. When you have sore throat pain and dry, irritated heat, belly full of heart), fever, sweating, heat evil, body weight, red tongue powerful yellow moss, pulse number, etc. Gardenia Fairbanks, can clear wind-cold, resolve depression except vexed, can guide the fire downward again; , is good at sending hot, lobster sauce odor with light, and a drop in the stomach gas. Wu effectively, drop in have xuan, with drop in xuan, as the qing xuan XiongGe wind-cold cure.

Article 311 of the treatise on febrile disease yue: "shaoyin disease, two or three day, sore throat, with licorice soup. Don't claim, and platycodon grandiflorum soup." For the light of hot guest pharynx nov.17, pharyngeal only slight swelling pain. Reason with licorice qingrejiedu, can cure heat, sore throat, with characteristics of open fights, more can improve the curative effect. The party for the treatment of sore throat hot basic party, owing to treat sore throat which mostly flavored. If gastrointestinal dry compaction has become, when relieving heat release, broken. Article 320 of the treatise on febrile disease yue: "shaoyin disease, another three days, mouth dry dry throat, nasty under, appropriate large bearing gas soup."

In pharynx caused by phlegm fire within sores, article 312 of the language is not a treatise on febrile disease yue: "shaoyin disease, pharynx slander, sores, not language, sound out, bitter soup of god." This is phlegm fire within, besides see red and swollen canker in the pharynx, when red tongue moss yellow greasy, pulse sliding and powerful. Must be made clear heat polyester phlegm, boils detumescence. Pinellia polyester phlegm fights, chicken refrigerant, pharynx, bitter boils detumescence. Pinellia chicken qing, good sound orifices flux, without dry saliva liquid desiccation were evident. Pinellia bitter, xin open drain, can strengthen the effect of dispelling the saliary boils. Take less medicine containing pharynx, can make the drug directly ACTS on the affected part and improve the curative effect.

Article 166 of the gas in the throat "treatise on febrile diseases", which said, "the disease such as cassia twig, head pain, is not strong, micro floating pulse, chests are the new hard, rush on gas laryngopharyngeal may not interest, this is a chest cold also. When spitting, appropriate of melon pedicle." The syndrome of stagnation of phlegm real XiongGe cause lung qi, but the evil on more. When using spit method, make on the evil of the more. Its performance when on the gas throat, XiongGe oppressed, difficulty breathing, pulse float and powerful. Party very bitter melon pedicle of sexual litres of vomiting, rice bean bitter flood discharge, clear light catharsis, tempeh for chung spit completed agent. Body when avoid deficiency, blood loss, and to the disease.

Although no single throat disease, zhang zhongjing from shi kan breaks down the throat disease, zhang zhongjing attaches great importance to the throat disease diagnosis and treatment. Summarize zhang zhongjing treatise on febrile disease diagnosis and treatment of throat disease academic thought, for we have two: (1) the throat discomfort, is likely to be both local pathological changes, is more of a reflection of the other systemic diseases, is one of the important ways to help in the diagnosis of other diseases. (2) make a diagnosis and give treatment of throat disease must treatment based on syndrome differentiation, not influenced by modern medicine, the sight of the throat disease is diagnosed with heat syndrome, treatment only qingrejiedu, pharynx.

"Feeling and experience"

The throat of diagnosis and treatment of disease in zhang zhongjing "treatise on febrile diseases", which, under the guidance of academic thought I looked at the throat as important supplement of the tongue and pulse. Whether patients with and without and throat discomfort, looks at the throat is one of my clinical must check not omissions project, in order to make up for the inadequacy of hope tongue was made in the disease.

Through the inspection of the throat, the main help in the diagnosis of cold syndrome and heat syndrome, blood stasis syndrome. Bright red or dark red, throat for real fire certificate; Pink or reddish and dry throat, both may be real light the fire, may also be a Yin fire; Pale white and moist the throat, as the cold syndrome, further according to the other four are real cold syndrome or deficiency cold syndrome; Throat whether light dark or dark red, suggesting the blood stasis. Through many years clinical observation, I found inconsistent pharynx diagnosis and tongue diagnosis, such as tongue body moss Bai Runze thin Bai Pan big teeth marks, but the throat the brick is bright red or dark red, when I was diagnosed with weak spleen and stomach, lung and stomach heat syndrome or heart the fire, treatment is nourished taste, heat purging fire, commonly used prescription of the yiqi tonga, drug appropriate, selection of astragalus, angelica, dangshen, atractylodes, poria cocos, main licorice, radix platycodi, forsythia, bupleurum, cohosh, gardenia, dandelion, ginseng, radix rehmanniae, radix ophiopogonis, yuan folium isatidis, radix isatidis, rhizoma belamcandae, fructus arctii, mountain bean root, white mulberry root-bark, radix scutellariae, rhizoma coptidis, salvia miltiorrhiza, turmeric, batryticated silkworm, earthworm, etc; Tongue thin Bai Pan big and white water slide and moss, but your throat is bright red or dark red, when I was diagnosed with spleen and kidney Yang deficiency, lung and stomach syndrome or heart the fire, hot treatment is removing the spleen kidney, heat purging fire, prescription with plum pill to add and subtract, compatibility of these drugs take into consideration the gun aconite root, dried ginger, cinnamon, evodia rutaecarpa, fairy spleen, medicinal indianmulberry root, rhizoma drynariae, malaytea scurfpea fruit, sichuan pepper, asarum, etc. If at this moment not looking at the throat and tongue, only can only simple diagnosis of spleen and stomach weakness or spleen kidney Yang deficiency, would bring a factors, not the mixed misdiagnosed as a simple deficiency and cold syndrome, treatment methods and treatment will be very different, the effect of the treatment of nature also is not very good. More than a vague experience, provide the reference for the fellow.