"The treatment of cough should be divided into six qi", saying Ye Tianshi's "Clinical Guide to Medical Cases", "Su Wen: The True Treatise" "All diseases are born from wind, cold, summer, dampness, dryness and fire, and the changes are also made by them" and my clinical practice, I think it is really a wise saying. Therefore, the first thing to pay attention to is the change of season, which is one of the characteristics of traditional Chinese medicine.
In a year, the six qi cycles repeat, the four seasons of the year, the twelve months, and the twenty-four solar terms, and there are six climatic changes, namely wind, fire, heat, humidity, dryness, and cold. If the six qi are excessive, it is the occurrence of lewd cough, that is, it is related to the six lewdness. The cough caused by the six prostitutions presents different clinical manifestations depending on the nature of the evil qi.
The wind is mostly in spring, but it can be seen in all seasons, and it is mostly combined with other diseases and evils (such as wind cold, wind heat, summer wind), and the clinical characteristics are itchy throat, nasal congestion, sneezing, coughing up sputum in the shape of wind bubbles, and the pulse is slippery.
The cold season is mostly in winter, but it can be seen in all seasons. The clinical characteristics are cold and fever, no sweating, cough with thin sputum, tight pulse, white and slippery, and it is advisable to treat Xin Wen and dispel evil, and avoid cold.
The onset of summer is in the summer. The clinical characteristics are dizziness, bad wind, cough, short urine, and large pulse. The clinical characteristics are cold, chest tightness, abdominal distention, sluggishness, phlegm is easy to cough up, greasy, and pulse slippery.
The onset of dryness is mostly in autumn, but the six lewdness can be dry, so it can be seen in all seasons. The clinical characteristics are dry cough without phlegm or less phlegm and sticky and not easy to cough up, dry mouth, thin pulse, and the treatment should be cool or warm, and bitter cold and bitter temperature should be avoided.
The six evils of fire can turn fire (heat), so they can be seen in all seasons. The clinical characteristics are choking cough and qi reversal, red face, yellow or white phlegm and sticky, dry mouth and red tongue, upset and cold, and slippery pulse.
The onset of warm fever is mostly in spring (wind temperature, spring temperature), but it can also be seen in other seasons, which is called wind fever and lung fever. The clinical characteristics are many symptoms at the beginning, cough, thick sputum, sore throat, red tongue, and pulse floating.
As the saying goes, "one key opens one lock", if one party and one medicine are used to solve the cough caused by different evil qi, it is tantamount to trying to use one key to open all the locks. In this way, even if it works individually, it is just a fluke. Of course, emphasizing the importance of the season is only one aspect, and it does not mean that other factors such as physical constitution and living environment are not considered. For example, even in the middle of summer, cough caused by air conditioning and electric fans being turned on too much, or being greedy for cold drinks and sleeping in the wind, should be treated from the wind and cold, and the specific situation should be analyzed and dealt with in detail.
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