Hu Xishu’s Study Notes on Treatise on Typhoid – 368

368, Xialihou pulse is exhausted, hands and feet are cold, and when the pulses return, the hands and feet are warm, and those who do not return the pulses die.

Sick home starts The body is stable. For some reason, a sudden sharpness appears, and then the pulse is very weak and almost gone. At the same time, the hands and feet are cold. If the pulse gradually recovers after a day and night, and the hands and feet are warm, then the patient is still alive. Dangerous, if the continuous pulse is cut off and the hands and feet are cold, it is mostly a death certificate.

This is actually a serious Taiyin disease, that is, the body’s righteousness is obviously deficient – unable to converge and fixate, Therefore, it is beneficial to the lower part; if it is deficient, there is no way to replenish and nourish the blood vessels, so the pulse is absolutely absent; it cannot warm the whole body, so the hands and feet are inversely cold. At this time, the treatment considers Tongmai Sini Decoction.

The righteousness comes back and forth, the physical condition gradually recovers, the pulse can be felt again, and the hands and feet are warm The sick person’s physical condition will slowly recover; but the continuous pulse stagnation and inversion of the cold indicate that the righteous qi is getting weaker and weaker, and the sick person will be in danger of life.

When Mr. Hu interprets this clause, he thinks that “after the lower benefit” is actually “the lower benefit is stopped”. Afterwards”, that is, the patient is in a state of lowering and benefiting at the beginning. After a long time, the body is empty and there is nothing to lower, so it is “lowered and beneficial to stop”. At this time, the pulse is stopped and the hands and feet are cold.

This kind of interpretation is no problem in medical theory, and it is indeed encountered in clinical practice. At this time, treatment Consider using Sini plus ginseng soup, but the first interpretation is more suitable, because the original text is “Xialihou”, not “Xializhihou”.