Hu Xishu’s Study Notes on Treatise on Typhoid – 386

386, cholera, headache, fever, body aches, excessive heat and desire to drink water, use Wuling San, and those who do not use water, use Lizhong Pill.

Lizhong Wanfang

Ginseng, Dried Ginger, Licorice, Atractylodes, and Atractylodes

Four flavors, Pound and sieve, and combine the honey into pills, such as chicken yellow, combine with boiling soup, mix one pill, crush it, take it warm, take it twice a day, three or four nights, without heat in the abdomen, it will benefit to three or four pills, but it is not as good as the soup. , Soup method: Cut the four things into two, take eight liters of water, boil to take three liters, remove the waste, take one liter warm, three times a day… After taking the soup, drink one liter of hot porridge as if you were eating it. Wen, don’t expose the quilt.

This paragraph begins Discusses the treatment of cholera disease, there are brief texts, but also the situation of parenthesis.

There is a brief text because it does not explain the situation of vomiting and inferiority. The previous articles have clearly explained Cholera is actually a Taiyin-Taiyin disease. This article only mentions the sun-disease of “headache, fever, and body aches”.

There is an interjection, which means that “those who are hot and want to drink water, govern by Wuling San” does not belong to cholera Disease, but to compare with “cold people who don’t use water”.

We will discuss the interjection later, but first let’s talk about the main meaning of the clause:

The patient belongs to cholera disease. There are both sun disease with headache, fever and body pain, and also yin disease with vomiting and lowering. When Taiyin disease occurs at the same time, it is necessary to warm up Taiyin first, so Lizhong Pill is used to treat it. After the Taiyin disease is cured, the Taiyin disease can be treated again. That is, as mentioned in Article 387 of the next paragraph, “When the news is reconciled, Guizhi Decoction is recommended.” .

Lizhong Pill is composed of Codonopsis, Atractylodes, dried ginger, and licorice. Xia Li, all use dried ginger, licorice or aconite, which can directly warm the yang and converge. Codonopsis is rarely used. Compared with dried ginger, Codonopsis is more yin-boosting. Codonopsis is used for cholera because of This kind of disease is very serious in terms of vomiting and inferior benefits, and it will damage the essence and body in a very short time. Therefore, while warming the yang, it is necessary to use Codonopsis pilosula to supplement it from the beginning.

Let’s talk about the interjection “those who are hot and want to drink water, go for Wuling San”. This does not belong to the cholera disease, but to compare it with “those who are cold and do not use water, Lizhong Wanzhuzhi”.

The patients with Wuling Powder Syndrome will not be able to drink water in the body, and the body fluid will be insufficient, so there will be obvious thirst , and drink a lot of water, there will be the water inverse syndrome mentioned in Article 74, that is, the water will spit, and it is also because there is water in the body, which will lead to the lack of smooth expression. The symptoms are similar to those of cholera, but they are generally more positive and more venereal. This is different from the cholera of the sun-taiyin syndrome, so it is called “hotness”. Master Zhong inserted the Wuling San syndrome to explain that the vomiting of cholera is a Taiyin disease, a deficiency syndrome and a cold syndrome.

I don’t agree with Mr. Hu about the understanding of this interjection, Mr. Hu thinks it is also cholera. , but we put all the articles in the cholera disease chapter together, that is, 382 to 391. Cholera disease is a combination of the sun and the yin, and there is no serious problem of drinking water. Therefore, Hu Lao’s understanding may be incorrect.

Lizhong Pill is composed of Codonopsis pilosula, Atractylodes Rhizoma, licorice root and dried ginger, and decoctions are mostly used clinically. But, each herb is 9 grams, soak in eight bowls of water for 40 minutes, fry until three bowls, and take it warm in three times. After drinking the medicine, also drink a bowl of hot porridge to promote the efficacy of the medicine.