Four reverse soups
1. Prescription and decoction method: two taels of licorice (broiled) one or two halves of dried ginger and one aconite (raw, peeled, broken into eight pieces) on three flavors, three liters of water, boiled one liter of two, drained, divided into temperatures and then served. A strong man can have a large aconite and three taels of dried ginger.
Second, the function of the main treatment is to return to the yang and save the adversity. Cure less yin disease, yang deficiency and cold syndrome. Symptoms include less yin disease and heavy pulse. Less yin disease, the pulse is heavy, the finger pulse is heavy and fine, it is the sign of the great decline of the yang qi of the heart and kidney, and the yin and cold are extremely prosperous.
3. The aconite in the prescription is hot, pure yang and dry, the strength is magnificent, it can go up to warm and pass the heart yang, and go down to tonify the kidney and yang and benefit the life fire, and can reach the twelve meridians, smooth the yang qi, dispel the cold and dampness, and the raw use of the yang to save the adverse effect is stronger, so it is the king's medicine;Dried ginger is hot and warm, and helps aconite to warm the heart and kidneys, which is a subordinate medicine, the so-called "aconite is not hot without dry ginger";Burn licorice and sweetness, replenish the middle and invigorate the qi, and slow down the pungent nature of ginger and aconite, which is used as a support. The combination of the three medicines plays the effect of rejuvenating the yang and relieving the adversity. Li Zhongzi's "Essentials of Typhoid Fever" clouds: "The limbs are the foundation of all yangs, and the yang energy cannot be filled, so the limbs are cold." It is the main symptom of the party, so it is called the four reverses. Fang Hou pointed out that those who are strong can use a large aconite and three taels of dried ginger, which is the same as the dosage of Tongmai Si Reverse Soup, which depends on the severity of their illness and the strength of their body. Regarding aconite, Zhang Lu clearly pointed out in "Treatise on Typhoid Fever" that "the ancients before the Song Dynasty were not good at cultivating, and the weight of aconite was half and two, that is, less, and the big one was extremely rare, so Zhongjing had two or three pieces in one side, and it was not as heavy as one or two in the west." ”
Fourth, the clinical case Chen, more than 50 years old, lives in Daximen. Sudden abdominal pain, vomiting and diarrhea, his son doctor, cast Huoxiang Zhengqi dissipation, vomit in the mouth, and enter the genus of cloves, sand kernels, persimmons, and are also ineffective. At dusk, the limbs were cold, the feet were cramped, the cold sweat was drenched, the breath was low, the personnel were drowsy, the illness was critical, the whole family was panicked, and the treatment was more than enough. As a result, the patient's face is pale, his eyes are sunken, his breath is shriveled, his breath is weak, and the things he sees are like rice swill, there is no rotten gas, only fishy gas, cutting his pulse, and he is faint. Yu said: This is cold too. The true yang wants to get rid of it, the yin is hazy, the sun will go out, and the situation is already dangerous. Throw a large dose of four reverse decoction. 2 doses in a row that night, cold served. The next morning follow-up: Tulizhi, syncope and thin pulse, and change to Lizhong plus aconite and Kang. Hunan Provincial Institute of Traditional Chinese Medicine. Hunan Province Old Chinese Medicine Case Selection, Liu Tianjian Medical Case. Changsha: Hunan Science and Technology Press, 1980:24］
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