Today I am going to share a case that surprised me. In this case, I only used the three-flavor medicine of gardenia soy soup, and I successfully ** a case of high fever for 7 days and the diagnosis of Western medicine is not clear. This case is the son of a friend of mine, a 12-year-old boy. The family is ready to go to the field, all the formalities have been completed, the tickets have been bought, and they are waiting for the departure in 10 days. However, the child suddenly had a fever, and his body temperature was getting higher and higher. The hospital across the street from their home received the child and performed various tests, which showed an extremely high number of white blood cells, close to 20,000. The hospital gave the child routine treatment, possibly antibiotics and hormones, but the child's temperature never dropped. The child's father thought of Chinese medicine and asked me to go to the hospital to see how the child was doing. After I went, I looked at the child, smelled, asked, and cut the child. The child was very cooperative with me. His condition was very serious at the time, and his temperature was sometimes a little lower due to the medication, but it was usually still high in the 40s. He did not have the symptoms of being afraid of wind and cold, but had some strange manifestations, such as gritting his teeth inexplicably, not being restless in bed, not sleeping well at night, and appearing very irritable. He didn't sweat a lot, but his neck, shoulders, and head were always a little sweaty, and he had a bitter bad breath and nausea, but he didn't vomit. His throat was very dry, and his urine was particularly smelly and yellow. I examined him and found that there was no particularly hard feeling in the lower part of the heart, and there was no bitterness in the chest. The whole abdominal muscles have a certain elasticity according to it, there is no particularly weak place, and there is no place to feel any stiffness. His rectus abdominis muscles did not feel tight, and symptoms such as tenderness, palpitations, and water vibrating sounds did not appear. His stool was also normal. His tongue is red, his tongue is white, and his veins are numerous. 
After the fourth diagnosis, I had an impression in my heart, such a fever, irritability, gritting teeth, crawling around at night, and no chills.
Directional pattern differentiation should be carried out before the identification of the pattern, just like the exclusion of the Six Classics we talked about.
And I like to exclude from four aspects:That is, is it three yin?Isn't it the sun?Isn't it Yangming?Isn't it Shaoyang?
The pulse, abdominal syndrome, and mental state are not like the three yin diseases, so the three yin diseases are basically ruled out. Sanyin disease also has irritability, such as Coptis Ejiao decoction, as well as Zhuling decoction, but other pulse, spirit, physical fitness, and abdominal syndrome should be a little weaker. This patient has no partial deficiency, so the triple yin disease is basically ruled out.
The patient did not have symptoms of headache, chills, and fear of wind, and his pulse did not float, so sun disease was basically ruled out.
Yang Ming disease is the stomach, gastrointestinal stagnation, abdominal pain and fullness, constipation and other important symptoms, to use Chengqi soup such a prescription**. This patient did not have these symptoms, the stool was normal, and although the abdomen was elastic, there was no tenderness and special fullness, so Yang Ming disease was also ruled out.
The rest is Shaoyang. The outline of impotence disease is bitter mouth, dry throat, and dizziness. Although the patient is not dizzy, he has symptoms of bitter mouth, bad breath, and dry throat, which can be determined as a sign of low yang.
The next step is the identification of the evidence. There are a lot of prescription certificates in the Shaoyang certificate, how to identify it?
First, the patient has fever and nausea, but there is no chest and flank bitterness, cold and heat, which can rule out the prescription of Bupleurum medicine.
Second, although the patient had the symptoms of irritability, fever, and sweating, he did not sweat profusely, but only sweated on the neck and neck, did not feel thirsty, and had chagrin, repeated upside down, and gnashing of teeth, which was obviously different from the white tiger soup syndrome. Therefore, the White Tiger Soup certificate is also excluded.
Third, although the patient had irritability, fever, and sweating, he did not have thirst, cough and wheezing, which was different from the apricot calamine decoction. As mentioned earlier, the apricot calamine decoction syndrome has fever, thirst, sweating, cough and wheezing, while the patient does not have cough, asthma, thirst, and a little sweating, although there is a lot of fever and irritability, but the most important symptoms are not, so it is not a calamine calamine decoction syndrome.
Fourth, although there is fever, there is not so much thirst, there is no urination unfavorable, there is no throbbing in the abdomen, and there is no sound of vibrating water, which is different from the Lingguishu Gantang syndrome and Wuling Sanxuan syndrome.
Fifth, the patient did not have abdominal pain, diarrhea, no hard heart, and normal stool, so it was distinguished from Banxia Xingxin soup.
Sixth, although there is irritability, sleeplessness, fever, sweating, and nausea, there is no thirst, no cough, no lower profit, no urine is unfavorable, and there is no lower abdomen distention, which can be distinguished from Zhu Ling soup. At the same time, Zhu Ling soup syndrome should belong to a kind of three-yin disease, but its symptoms such as fever, sleeplessness, irritability, sweating, and nausea are very similar to Shaoyang disease, so it still needs to be identified again.
The above six aspects of the identification of the pattern basically exclude some of the patterns similar to the gardenia bean soup pattern.
The symptoms of fever, chagrin and other symptoms of the patient's gardenia bean soup syndrome are very typical, but there are three types of gardenia bean soup in Kangzhiben, namely gardenia bean soup, gardenia licorice soup and gardenia ginger bean soup, so it also needs to be identified.
Gardenia licorice soy soup will have a kind of hypogas, mouth breathing, the patient does not have the above symptoms, can be ruled out. The patient has nausea, which is also a bit different from gardenia soy soup. What is left in this way is the gardenia ginger and soy soup.
The above is an orderly dialectical process. This process, the doctor completes it may be instantaneous. After a few steps, he automatically identified one by one in his mind: there was no chest and flank pain, no diarrhea in the stool, no sweating, no thirst, no cough, no lack of gas, etc., and it was all at once.
Article 24 of Kangzhiben: "After sweating and spitting, he is tired and sleepless, and if he plays it, he will turn it upside down again and again, and he will be sorry for the heart, and the gardenia soup will be the master;."If there is little gas, gardenia licorice and soy soup are the main ones;If you vomit, gardenia ginger and soy soup are the main ones. ”
The patient has fever and chagrin, irritability, irritability, sleeplessness, repeated reversal, and vomiting at the same time, the disease has not reached the point of vomiting, just nausea. So I chose gardenia ginger soy soup, which is in line with all aspects of the article.
Some people say that there is no fever in this text. That's right!Fever is a non-specific symptom of it, and all medications can have fever. For example, we said that Da Chai Hu soup can be used without fever, and it can also be used if there is a fever;Guizhi soup can be used if there is no fever, and it can also be used if there is a fever;The four reverse soup can be used if there is no fever, and it can also be used if there is a fever;Gardenia bean soup is no exception.
If there is a symptom of "fever" in the first goal of the prescription, beginners will be confused about those diseases that are "not feverish".
If you dig deeper into this provision, you will find that there are features that are not found in other provisions. Let's take a closer look and read it repeatedly.
Nowadays, "if you sweat, you can't sleep, if you are a dramatist, you will turn it upside down, and you will feel sorry for the gardenia soup in your heart."If there is little gas, gardenia licorice and soy soup are the main ones;If you vomit, gardenia ginger and soy soup are the main ones. ”
First, it is a very valuable written record of a mantra left over from the pre-scripture era. Why?If you take a closer look, is there any sun disease or less yang disease in front of the article?No. Have you had a stroke, typhoid fever?No. Are there any concepts such as yin and yang, phlegm drinking, etcNor did it. Is there a pulse?Nor did it.
Is there a tongue elephant?Nor did it. There is no yin and yang, five internal organs, ** pathogenesis, no pulse, no tongue in the article, so I think this is a record of the successful diagnosis and treatment of diseases by the ancestors of the pre-Jing Fang era.
Second, in addition to talking about the state after sweating, vomiting, and mistreatment, behind the description of symptoms and signs, it is the best prescription. "Weakness" refers to the fact that there is no stiffness when pressed down on the lower part of the heart. The words used here are very particular and have special meanings.
Third, there is another very important thing to read carefully, that is, the name of the prescription and the name of the constituent drugs are all the same, and even the order of arrangement is the same. Gardenia ginger bean soup, the first is gardenia, the second is ginger, and the third is tempeh, which is the name of the party. The arrangement of the drugs after the prescription is also gardenia, ginger, and tempeh, which is very interesting, and this is a characteristic of Kangzhiben. The arrangement of the names of the drugs in the prescription and the order in which the drugs are arranged in the prescription are orderly and regular, which is what Hiromasa Toda has discovered, which is very remarkable.
The child was finally given gardenia ginger and soy soup, and after taking it, the fever subsided and he was discharged from the hospital. 
This is an ancestral prescription for dealing with the body's depression, and later generations have actually created many prescriptions along this idea, such as Epsom Huang San, Liang Diaphragm San, Double Dissolution and the like, and even the Chinese patent medicine Pediatric Soy Qiao, is also this idea.
Even to a certain extent, gardenia soy soup is the "Treatise on Typhoid Fever" version of Yinqiaosan!The curative effect of Yinqiaosan** external fever is obvious to all, and even many scriptures are commonly used. However, the gardenia bean soup is the ancestor of Yinqiaosan, but with the addition of some feathers, the wings are fuller. Due to changes in eating habits, typhoid fever enters the body and turns heat, or causes the cold and evil to be closed to the outside, and the inner fire is blazing inside. However, if you overuse drugs that are too cold and have no flow, including various antibiotics, it will cause the heat evil to enter and cool and curb the cold condensation. Regardless of the wind, cold, wind and heat, or even the evil and warm disease, gardenia bean soup can relieve this state of depression.
Evidence analysis
Gardenia bean soup certificateThis recipe is composed of gardenia and tempeh. Gardenia bitter cold, can lead the fire downward, and because of its light body floating, there is Xuan in the clear, so it is different from the bitter drop of Qinlian. The smell of tempeh is light and thin, which can not only relieve the surface of the heat, but also reduce the stomach gas, and the Xuan has a fall. The combination of the two medicines can not only relieve the heat of the chest surface, but also vent the annoyance of fire depression, and can also regulate the rise and fall of the qi machine, which is quite effective for the evidence of fire depression and deficiency. Liu Lao pointed out that in clinical use, we must first fry gardenia to get its flavor, and then natto sauce to take its gas. Gardenia licorice soy soup, gardenia ginger soy soupGardenia licorice soup is designed for gardenia bean soup and lack of qi. Cover less qi is a manifestation of evil heat and hurt qi, the chest is a sea of qi, fire is depressed in the chest and diaphragm is very easy to hurt qi, and qi deficiency is seen less qi. Liu Lao pointed out that lack of breath is different from shortness of breath, and lack of breath refers to low breathing and insufficient self-conscious breathingShortness of breath is shortness of breath, which seems to be blocked, so it is generally believed that lack of breath is deficiency and shortness of breath is true. Fiery and wounded, the treatment should be purging fire and replenishing qi, but the qi tonic medicine is ginseng and ten thousand warm supplements, which is difficult to choose, only the licorice flavor is sweet and gentle, and the qi is slow and urgent, and does not help the heat, and then with the mast, the soybean is clear and the heat is clear, and the party is suitable for the evidence. The mast ginger soy soup certificate is designed for gardenia soy soup and vomiting. The lid is hot and can be used for drinking. Gardenia Magnolia soup certificateThis recipe is made by removing rhubarb and adding gardenia to Xiao Chengqi soup, which can also be regarded as a combination of gardenia bean soup and Xiao Chengqi soup. Because its abdomen is full only of qi stagnation and no intestines, it does not need to be rhubarb;And because its surface is evil and hot into the inside, forcing the belly and abdomen, it does not need to be penetrated by the bean drum. Fang uses a tree to clear away heat to get rid of annoyance, and citrus aurantium and magnolia to dissipate the fullness. Gardenia dried ginger soup certificateThis recipe is composed of gardenia soy soup to increase the amount of black bean sauce and add citrus aurantium. Citrus aurantium wide in the middle and down, broken knots to eliminate ruffians;Gardenia and tempeh relieve heat and remove annoyance, and at the same time increase the dose of tempeh, which is intended to dissipate depression and detoxify the stomach. Decoction with clear pulp water, take its cool nature, be appetizing and stagnation, quench thirst and get rid of annoyance. If there is food and lodging and abdominal distension and cutting pain, and the moss yellow pulse is slippery, then increase the yellow to cleanse the stomach and intestines. Liu Lao pointed out: The initial recovery from a serious illness, the righteousness has not yet fully recovered, if the inappropriate adjustment, or reckless work, or uncontrolled diet, can lead to his illness**. Citrus aurantium gardenia soy soup certificateThis recipe is composed of gardenia soy soup to increase the amount of black bean sauce and add citrus aurantium. Citrus aurantium wide in the middle and down, broken knots to eliminate ruffians;Gardenia and tempeh relieve heat and remove annoyance, and at the same time increase the dose of tempeh, which is intended to dissipate depression and detoxify the stomach. Decoction with clear pulp water, take its cool nature, be appetizing and stagnation, quench thirst and get rid of annoyance. If there is food and lodging and abdominal distension and cutting pain, and the moss yellow pulse is slippery, then increase the yellow to cleanse the stomach and intestines. Liu Lao pointed out: The initial recovery from a serious illness, the righteousness has not yet fully recovered, if the inappropriate adjustment, or reckless work, or uncontrolled diet, can lead to his illness**. Gardenia cypress soup certificateGardenia in the square clears heat and dampness, gardenia is light, and there is a permeability effect in the clear profit, which can pass three cokes, facilitate urination, open dampness and heat condensation, and can also remove heat. Cork bitter cold, clear heat and dampness to strengthen yin. Licorice is used to burn the stomach, strengthen the stomach and spleen, and make gardenias, cork bitter cold and stomach disadvantages. Among them, the gardenia is biased towards clearing the upper coke, and the heart is hot;Phellodendron is biased towards clearing the lower coke, laxative phase fire;Liu Lao pointed out that although the clinical application of this prescription is not as extensive as Yinchen Artemisia decoction, for some damp and hot jaundice, it cannot be cured for a long time, the spleen and stomach are damaged, and the righteous qi is slightly weakened, and the yin is divided into heat, sometimes unexpected effects can be obtained. As for the use of licorice in the formula, some commentators disagree, but it is actually the subtlety of Zhongjing's formula. Covering licorice and glyph is peaceful, which can not only prevent gardenia from bitter cold and hurt the stomach, but also have the function of strengthening the spleen and detoxifying, which is indeed wonderful. Gardenia rhubarb soup certificateGardenia in Fangzhong is clear in the upper heat, flexion and downward movement, diuretic and damp;Rhubarb dissipates heat and breaks knots to benefit the intestines;Tempeh Qing Xuan Diaphragm Contains Heat;Citrus aurantium implements qi elimination. The four medicines must be used to dissipate the depression and heat, and clear the diaphragm, then the evidence can be solved. Liu Lao pointed out that the function of gardenia rhubarb soup is to clear the real heat, which is similar to the effect of Yinchen Artemisia soup, but there are differences in the same. Yin Chen Artemisia soup is damp and hot, and the abdomen is mainly full, so the recipe uses two taels of rhubarb, with Yin Chen Tongli damp heat;Rhubarb gardenia soup proves that heat is heavier than dampness, and the main thing is annoyance in the heart, therefore, rhubarb is used one or two, with tempeh and gardenia to relieve heat and eliminate annoyance. This recipe can also be regarded as the addition of yellow to the citrus aurantium gardenia bean soup, and then to increase the dosage of citrus aurantium, so it can be "wine dice" yellowing, and has the effect of removing stomach annoyance, dampness and laxative. The two parties refer to each other to see their meaning.