Fiction and reality are based on the nature of the lesion, and it is an extremely important part of syndrome differentiation.
Therefore, the deficiency is supplemented, and the reality is laxative, which is not easy to distinguish and treatSupplementation is real, and purification is deficiency, which is the inevitable result of distinguishing and curing. However, it is easier to understand the reality of the lesion and the treatment method to make up for the laxative, and it is also very difficult to distinguish it accurately.
Based on the literature and clinical experience, we will make the following repertoire of the meaning of fiction and reality, so as to inform research and may be helpful for reference in syndrome differentiation and treatment.
The analysis of the virtual and real lesions in syndrome differentiation has a variety of different meanings, and they should not be confused and affect the accuracy of syndrome differentiation. In detail, there are about the following:
Righteousness is divided into reality and fiction.
Typhoid Fever Treatise - Flat Pulse Method" cloud: "At the beginning of the pulse, the disease comes and goes late, and the disease enters and enters late, and the name is called the inner void and the outer reality." The first pulse is held late, and the disease comes and goes late, and the disease enters the disease late, and the name is called the inner reality and the outer void. ”
Zhou Zhizhi explained under the volume of "Distinguishing the Pulse Chapters and Sentences": "Those who come and go, the pulse is also in and out;Those who enter and exit, the inside and outside of yin and yang. If you come and go late, if you go out more and enter less, then the qi gathers outside, so the outside is real, and if you come late and go to the disease, if you go out less and enter more, then the qi gathers inside, so the inside is real. The external reality, the suction of yin is weak, so the inner void, the inner reality, the drumming of yang is weak, so the outer void is also. ”
The entry and exit of pulse qi, whether it is yin qi or yang qi, all belong to the category of righteous qi. Therefore, the emptiness and reality mentioned here refer to righteousness, not to evil spirits.
Evil flourishes and decays, and the virtual and the real are separated.
Su Wen Tong Commentary on the Theory of Fiction and Reality says: "If the evil spirit is strong, it will be real, and if the spirit is seized, it will be empty." ”
Zhang Zhicong explained in the fourth volume of the "Commentary on the Collection of Su Wen": "Those who are evil are the evil spirits of wind, cold, heat, and warmth, and those who are spirited are also the qi of camp and health." Cover the evil qi is slightly prosperous, so the evil is prosperous, and the righteous qi is strong and weak, so the essence is empty. Snatch, lose. or by evil. ”
The Japanese Tanba Motojian said in the third volume of "Su Wen Zhi": "The guest of evil spirit is in the human body, and it must enter by the void of essence." It is true that it has entered and the spirit is vigorous, and it is true that it is prosperous with evil, such as typhoid fever and stomach. If the husband and the evil enter and visit, the essence cannot resist it, and if it is taken away by the evil spirit, it is empty, such as typhoid fever is also a direct evidence. ”
All the existence of evil spirits, no matter how small or prosperous, is empirical;The existence of all the innocent qi is only a loss of essence, whether it belongs to qi, blood, viscera, or intestines, and is a false evidence.
This concept is widely used in clinical practice.
Sick and unsick are divided into virtual and real.
There are two situations in which there is a distinction between illness and non-illness.
1. Take illness as reality, and not illness as hypocrisy.
For example, "The Forty-Eight Difficulties" says: "The external pain is fast inside, for the external reality and the internal void, and the internal pain is fast outside, for the inner reality and the outer void." ”
If the evil guest is outside, it will hurt outside, and it is still said that the evil guest is on the surface. For example, Guizhi soup, ephedra soup, etc., only to see cold, fever, and body ache are all external manifestations. Evil qi has not entered the inside, so the inside is fast and sufferingless.
Disease and evil are outside, so it is said that the outer reality is real, and there is no suffering inside, so it is said that the inner void is relative to the external reality, and the non-righteous qi is deficient in the inside
The disease occurs in the internal pain, whether it is cold or hot, from the point of view of the location of the disease, so the name of the day is real;The disease is not outside, so there is no suffering outside, and it is called external emptiness.
It is really a disease, and hypocrisy is not a disease, and it is also the righteousness of confrontation.
Second, the illness is false, and the disease is not the truth.
For example, "The Fifty-Eight Difficulties" says: "Yang deficiency and yin are strong, sweat and heal, and the next is death, and the yang is full of yin deficiency, sweat and die, and the next is healed." ”
Hua Shou explained, "Those who are sick are weak, and those who are not sick are prosperous." Only its emptiness is to make up for it with evil, and only its prosperity is to prevent evil from entering. That is, the so-called "Outer Stage" is the appearance of the disease and the harmony of the disease, which refers to the typhoid fever changer. On the outside, the disease is neutral, and the sweat can be, but on the contrary, the evil is not removed, and the qi is restored. The disease is harmonious, and the lower can also be, and the sweat is reversed, the evil does not retreat, and the expression is regained. Therefore, the cloud is dead, so the sweat can kill the yang, and the lower can damage the yin. This yin and yang word refers to what is said on the surface. (The Original Meaning of the Difficult Scriptures, vol. II).
According to Hua's explanation, yang deficiency is that the guard qi is not filled with the outside, and the wind and cold are on the surface;Yin is prosperous, but the essence is full of energy, and the internal organs are not sick.
If it is on the surface, it will not only hurt its righteousness that is not sick, but also make the evil of the surface deep into it and not come out, so it is urgent to say death.
Yang Sheng is the righteous qi that fills the outside and does not appear sick;Yin deficiency is the deficiency of essence and qi in the interior and the evil qi in the house. The evil is in the house, so it is healed;If it sweats, it is enough to hurt its surface and yang, then the surface and the inside are empty, and the evil and the real benefit are consolidated and cannot be solved, so it is also urgent to say death.
This fiction and reality are tantamount to the interplay of illness and non-illness, which is the opposite of the meaning of "Forty-Eight Difficulties".
The lesions are subtle and very different.
It is about the slightest illness as a void, and even as a reality.
The distinction between the large and small chest decoction and the Xingxin decoction in the "Treatise on Typhoid Fever" belongs to this category.
Treatise on Typhoid Fever "Cloud: "Typhoid fever for six or seven days, the chest is hot, the pulse is heavy and tight, the heart is painful, and the stone is hard according to the press, the big chest soup is the master", and "the small chest disease, is under the heart, the pain is pressed, the pulse is slippery, the small chest soup is the master." ”
Chest syndrome is a lesion of yang heat and evil in the chest, so it is called "chest heat and solidity".
Its heat and evil are deep and knotted, for the big chest, so use rhubarb, miscanthus, and gansui to wash away the heat;The heat evil is light and the knot is shallow, which is a small trap chest evidence, so Coptis chinensis, Banxia, and melon are used to remove heat and disperse knots.
Although there are differences in severity, it is a thermal empirical one.
The Xingxin decoction syndrome, that is, the deficiency ruffian syndrome, is the lesion of the yang qi of Zhongjiao and the invagination of the invisible heat evil, so the Banxia Xingxin soup, ginger Xingxin soup, and licorice Xingxin soup are treated differently, but they are all based on ginseng, jujube, dry ginger, licorice and other drugs that warm and replenish the yang qi of Zhongjiao, and then supplemented with skullcap and Coptis chinensis to clear the invisible heat evil of its invagination, so the ruffian syndrome is basically a false syndrome.
The Treatise on Typhoid Fever says: "The disease occurs in the yang, and on the contrary, the heat enters the cause and the chest is formed;The disease occurs in the yin, and on the contrary, because of the ruffian".
Therefore, in the treatise, it is called "chest knot is hot and solid", and Yu ruffian theory says: "This is not knotted heat, but it is weak in the stomach, and it is politely reversed, so it makes it hard", which shows that the heat of chest knot is very strong, it is empirical, and the heat of the ruffian in the heart is a false evidence.
Cold and heat are divided into virtual and real.
The first is to take the cold as the void and the heat as the reality.
Su Wen Tai Yin and Yang Ming Theory said: "Yang Dao is real, ** virtual", which has such a significance. Tanbo Yuanjian's "General Principles of Medicine" volume 2 said: "The cold is beneficial, everyone knows that the great deficiency should be supplemented, and the hot flashes are said to be great and the truth is suitable for diarrhea." ”
The former is a deficiency cold syndrome, and the latter is a real heat syndrome.
Secondly, it is based on cold as yin and yang deficiency, and heat as yang and yin deficiency.
Su Wen and the Treatise on Regulating the Scriptures say: "Yin is prosperous and the inside is cold", and "Yang deficiency is cold outside", which belongs to the former;"Yang is strong and external heat" and "Yin deficiency is internal heat", which belongs to the latter. This is all a confrontation between yin and yang, each according to its own meaning.
Sickness is divided into fiction and reality.
It is mainly divided from the aspects of the product, dispersion, emptiness, and solidity of the disease.
If the upper pressure of the air is solid, the sinking is the void;The internal condensation of qi is solid, and the external dispersion is void, and so on.
The wind evil side is divided into the real and the virtual.
The Nine Palaces and Eight Winds of the Lingshu says: "The wind comes from the hometown where it lives as the real wind, the Lord is born, and all things are nourished, and from the bront of it is the false wind, and those who hurt others are also the main ones who kill, and the main ones who are harmed." Wait for the wind to avoid it".
Zhang Jiebin explained: "The people who live in it are also the hometown of Taiyi.
If the moon is built in a house, the wind comes from the north, and the winter weather is also good;The moon is built and the wind comes from the east, and the spring is also;The moon is built in the afternoon, the wind comes from the south, and the summer weather is also good;The moon is built and the wind comes from the west, and the autumn weather is also positive. The four corners and twelve buildings are all the same.
Those who are angry are righteous and prosperous, so they are said to be real wind, so they can grow and nourish all things. Puncher, hedge also. The latter, in other words, comes far away, and is prosperous from afar.
If you live in a house, the wind comes from the south, and the fire wins. Taiyi Jumao, the wind comes from the west, and Jin Shengmu also. Taiyi lives in the afternoon, the wind comes from the north, and the water is better than the fire. Taiyi Juyou, the wind comes from the east, and the wood wins also.
Those who lose their righteousness are not righteous enough, so they are called void wind, so they can hurt people, and the main killing is the most important thing to avoid. (Nine Palaces and Eight Winds, Note 27).
The void wind is also called "the evil and the evil" in the "Neijing", such as the "Lingshu Evil Qi Zangfu Disease Chapter" said: "The body is also in the void and evil, and the body is sprinkled with movement." People are also ...... between good and evil”
According to the analysis of the above materials, the truth and fiction of Chinese medicine are extremely broad and include many aspects.
There is a void and a reality in the righteous qi, and there is a void and a reality in the evil qi, so there is a void and a reality in the lesions and disease syndromes.
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