According to the six classics, that is, the "Treatise on Typhoid Fever" is classified according to the six classics, this classification method was earlier seen in Yuan Wang Haogu's "Yin Evidence Brief Examples" and Yu Chang's "Shang Lun Later Chapter", and the invention of this classification method was more Keqin in the Qing Dynasty. The brief description is as follows: First of all, Wang Haogu divided the prescriptions according to the three yin in the "Brief Examples of Yin Evidence", such as "the injury is in the yin, Angelica sinensis four reverse soup, Angelica sinensis four reverse soup plus Wu Zhu soup, Wu Zhu Yu soup", "the injury is in Shaoyin, the four reverse soup of the pulse is added and subtracted, and the four reverse soup", "the injury is in Taiyin, Li Zhong Tang", which is a rough method of the six meridians. Secondly, Yu Chang's "Shang Lun Later Chapter" volume.
2. Volume 4 classifies the "Treatise on Typhoid Fever" according to the six classics, namely, "Sun Meridian Wind Injury Guard" 15 squares, "Sun Meridian Cold Injury Camp Prescription" 39 squares, "Sun Meridian Wind Injury Camp Prescription" 10 squares, "Sun Meridian Yang Injury Camp Prescription" 9 squares, "Yang Ming and Shaoyang Parties" 6 parties, and "Three Yin and each Evidence Prescription" 39 squares, a total of 113 parties (excluding duplicates). Its style is preceded by "the law of a certain disease syndrome", followed by the party.
For the Sun Sutra, the "Wind Injury Guard", "Cold Injury Camp Formula", and "Wind Injury Guard Cold Injury Camp Formula" are respectively crowned with "Guizhi Tang Muscle Relief Outline General Method for Distinguishing Stroke Syndrome", "Ephedra Soup Sweating Outline General Method for Distinguishing Typhoid Fever Syndrome", and "Daqinglong Tang Wind and Cold Two Injuries Outline General Method" to show the meaning of "Three Guidelines". In fact, Yu Chang's classification and arrangement of the prescriptions of the "Treatise on Typhoid Fever" in this article is the same as the order of the prescriptions in his "Shang Treatise", and the classification of multiple drugs is only. Ke Qin then followed the six meridian formulas in "Typhoid Fever Attached Wings", that is, "Sun Fang", "Yang Ming Fang", "Shaoyang Fang", "Taiyin Fang", "Shaoyin Fang", and "Yin Fang", which are characterized by the general theory of the Six Classics, such as "General Theory of the Sun Fang" and "General Theory of Yang Ming Fang", ......The rest of the six meridians", etc., each of the general arguments of the scriptures is followed by the analysis of the representative formula, such as the "general theory of the sun square" following the soups of gui, hemp, Qinglong, and dangdang, the following "general treatise of the yang ming square" under the gardenia, white tiger, Chengqi and other prescriptions, and the "general theory of the Shaoyang prescription" following the small chaihu, big chaihu, coptis chinensis, skullcap soup, etc. There are all theories behind each other.
Ke Qin's method of the Six Classics actually embodies the dialectical treatment of the Six Classics. Ke Qin strongly advocated the distinction and treatment of the six classics, and expounded the meaning of the six classics many times in the "Typhoid Fever Treatise on the Wings" and "Typhoid Fever Attached Wings" in the "Typhoid Fever Coming to the Su Collection", believing that the six classics of the "Treatise on Typhoid Fever" are not the six classics in the "Neijing and Heat Treatise", and Zhongjing is based on the boundary of the land rather than the meridians. Ke's opposition to the exclusive meridians of the six meridians is actually consistent with the meaning of Zhongjing's three yin and three yang.
In the original text of "Treatise on Typhoid Fever", there is no name of "six meridians", only the name of the sun, yangming, shaoyang, taiyin, yin, and shaoyin, and the first to take the six meridians as the meridians is Song Zhu Qiu's "Book of the Living", such as saying: "To cure typhoid fever, you must first know the meridians, do not know the meridians, touch the way to the underworld, and do not know where the evil spirit is." And draw the full six meridians "meridian map". Zhu's theory of meridians does not reflect the original meaning of the three yin and three yang, and too few of the three yin and three yang actually reflect the prosperity and decline of yin and yang, such as "Su Wen: The Great Treatise of the Six Yuan Era": "The qi of yin and yang, how many are there, so it is said that there are three yin and three yang." "Ke's Six Meridian Dialectic, grasp the difference in the amount of yin and yang qi and blood of the three yin and three yang as the starting point, and believe that the reason why the six meridian syndromes are different is due to the difference of yin and yang, qi and blood in the human body, so that the disease manifests itself differently in the cold and heat, saying: "Cover the boundary of the six meridians, such as the terroir of Kyushu, although the characters are similar, but the difference in clothing, diet, speech, and temperament is different depending on the terroir, then the cold, heat, and void in the human body are also different from the meridian qi." If the husband hurts people with wind, cold, summer and dampness, the six meridians have their own suffering, and the veins found are different, or the veins are the same but the evidence is different, or the veins are the same but the main evidence is different, and the meridians are different." Legislative prescriptions are based on the different symptoms of the six meridians, which is the essence of the six meridian syndrome differentiation and treatment. "Neijing" "judge its yin and yang, don't be soft and rigid, yang disease cures yin, yin disease cures yang, determines its blood and qi, and each guards its hometown", so the products of yin and yang are the same or different, and they are also determined by the amount of qi and blood in their meridians.
Ke Qin gave full play to Zhongjing's Six Classics Dialectic, and then pointed out that the Six Classics Dialectical Evidence Implies the Eight Gang Dialectics, "Zhongjing divides the six meridians into six meridians based on illness, and the formula is divided into six methods of cold, heat, deficiency and reality. The sun is biased towards the surface cold, the yang is biased towards the heat, the yin is biased towards the deficiency cold, and the yin is biased towards the real heat, but the cardinal position of the less yang and the less yin is not biased, and the less yang is biased towards the yang, and the less yin is biased towards the yin, and the prescription is also biased because of this."
Ke Qin used the six meridian dialectics combined with the eight outline dialectics to make a legislative prescription, pointing out that "the yin and yang on the surface and inside of all diseases are divided into six meridians, so that each has its own division." Clean up the similarities and differences of pulse disease, the void and reality of cold and heat, so that the treatment of diseases can only start with the six meridians, and sweat, vomit, down, reconcile, warm and replenish are carried out without loss. "The specific dialectical legislation is "the main table of the sun, so the cube is mainly published", "the table is different from the real and the virtual, so the two methods of cinnamon branch and ephedra are established";"Yangming's disease is in the stomach, when the following is the correct law, but Yangming is in the middle, all diseases are salty, so the treatment is all in place", "In a chess metaphor, sweating is the first, vomiting is to be on, Qinghuo is stable, Lishui is idle, Wen is angry, and conquering is the end";"Shaoyang Outline has bitter mouth, dry throat, dizziness, the law when the fire, and the fire has a void and reality, if the evil is in the half-table, then make a small firewood to solve the parade of the fire, a big firewood to solve the heat knot of the phase of fire, this treatment of Shaoyang cold and heat two methods;If the evil enters half of the heart, there are half summer laxatives, coptis, skullcap and other agents";"Taiyin is in the Lord, for the Yin to the Yin, the most afraid of the cold, with the warmth to make up for the reason, this Fa is also";"Less Yin is biased towards Yin", "However, there is Yang in the Yin of Less Yin, so its manifest syndrome is rooted in the inside, and the heat syndrome is due to the cold, and the treatment of the surface syndrome is first taken into account of it, and the heat syndrome is mostly treated from the cold, and the cover Yin is mainly Yang, and the Yuan Yang in the kidney is stored in the true Yin of the Less Yin", "Know its deficiency, and get its opportunity";"The Yin is dominated by the Wumei Pill, and the pill is slow", "The Yin is slow, so the reversal of the phase fire is also".
It can be seen that Ke's classification method of the Six Classics captures the essence of the Six Classics and the Eight Outlines of Dialectical Argumentation and Governance, and embodies the spirit of Zhongjing's Dialectical Argument and Governance. In addition, although Ke Qin uses the six classics as a prescription, he does not mud the scriptures, advocating that "each party has its own scriptures, and it can be used without restrictions", saying: "The six classics have their own prescriptions, and his scriptures have the magic of using each other", "such as hemp and guier soup, which are set up for the sun camp guard, and the disease of Yang Ming is also used by the camp guards." Zhenwu soup is designed for less yin water, and it is also used by those who die after the sweat of the sun. The four reverse soup is set up for the Liqing Valley under the Taiyin, and the veins of the sun are suitable for those who sink back. Wuling Scatter is set up for the sun to quench thirst and water, and it is also suitable for those who drink more water in Yangming.
Zhu Ling soup is not conducive to less yin, and it is also suitable for those who are not good for urinating in Yangming disease. The soup is set up for the blood stasis of the sun, and the blood storage of the sun is also used. Guatisan is set up for the ruffians in the chest of Yang Ming, and it is also used by those who want to vomit when they are warm and want to vomit. Its essence is to grasp the essence of dialectical argumentation, "the combination is the evidence, the use of the prescription, the prescription has its own scriptures, and the use can be informal, is the Zhongjing law." For example, Guizhi soup is not only seen in the sun chapter, but also in Yangming, Yin, Taiyin and other chapters, "Guizhi soup is a general prescription for treating typhoid fever, stroke, and miscellaneous diseases." Those who have weak pulses and sweat spontaneously and are incomprehensible, are salty and the main ones, that is, those who have a slow pulse and sweat a lot of Yangming disease are also suitable for those who have a floating pulse in Taiyin disease, and those who know the emptiness of the external evidence are salty and unsolved with the sun, and it can be seen that Guizhi Tang is not specially designed for the sun."
In short, Ke's Six Meridian Prescriptions embody the dialectical treatment of the Six Meridians and break the limitations of the meridian theory. Although it follows the six scriptures and does not stick to the scriptures, its flexible and flexible thinking has a great enlightening effect on the clinical evidence.
Abstract:Through Ke Qin's exposition of "Six Classics for Legislation for All Diseases", this paper expounds the rationality of the theory from the aspects of symptoms, syndrome differentiation and treatment, and points out that Ke Qin's understanding essentially grasps the clinical value of "Treatise on Typhoid Fever", which provides an idea for later generations of doctors to use Zhongjing formula for syndrome differentiation in clinical practice, and has certain enlightenment for today's understanding that "Treatise on Typhoid Fever" is a monograph on syndrome differentiation and treatment.
Keywords: "Treatise on Typhoid Fever";The Six Classics;Syndrome differentiation.
Since the Tang and Song dynasties, doctors of all dynasties have regarded the Treatise on Typhoid Fever as a monograph on the differentiation of external susceptibility to typhoid fever, and there is a lack of a deeper understanding of the clinical significance of the six meridians. Based on his own clinical application and in-depth experience of "Treatise on Typhoid Fever", Ke Qin put forward the "Six Classics for Hundred Diseases Legislation" in the book "Treatise on Typhoid Fever", and expounded that the Six Classics of "Treatise on Typhoid Fever" are not only set for external fever, but also miscellaneous diseases and other diseases.
The rationality and significance of Ke Qin's views are discussed here.
Menstrual diseases are a combination of typhoid fever and miscellaneous diseases.
When Ke Qin studied "Treatise on Typhoid Fever", he believed that everyone in the world said that "Treatise on Typhoid Fever" was about typhoid fever and "Jin Kui Yaolu" was about miscellaneous diseases, but in practice it was difficult to make a strict distinction.
For example, in the "Treatise on Typhoid Fever: The Complete Treatise": "According to Zhongjing's preface, the "Treatise on Typhoid Fever and Miscellaneous Diseases" is composed of 16 volumes, then the typhoid fever and miscellaneous diseases are not divided into two books, and those who do not penetrate the article are synonymous with miscellaneous diseases, that is, they ......are synonymous with miscellaneous diseases, the outline of the Five Classics, all refer to internal diseases, but the sun outline, for the cold evil injury table legislation, because the sun main table, its outline for the external sense of legislation, so the uncle and the general Zhongjing's theory, all belong to typhoid fever, I don't know that Zhongjing has already understood that his book is not only for typhoid fever. Zhongjing is named after "Typhoid Fever and Miscellaneous Diseases", which is not only the Six Classics on typhoid fever and the viscera on miscellaneous diseases, but later generations are incomprehensible.
In fact, in the book "Treatise on Typhoid Fever", except for the law of the sun as the manifestation of cold and evil injuries, which is specially designed to legislate for external senses, the rest of the outlines of the Five Classics all refer to internal diseases. Ke Qin also said: "Other knots of the chest and visceral knots, yin knots and yang knots, stasis and fever, heat into the blood room, delirium such as madness, etc., or because of typhoid fever, or non-typhoid, among the chaos, is to think about the purpose of the typhoid fever and miscellaneous diseases, covering typhoid fever and other miscellaneous diseases, the disease is not off the six meridians and is divided, typhoid fever is the most miscellaneous disease, inside and outside the solid, virtual and real are presented to each other, so the typhoid fever and miscellaneous diseases are combined, this summary method is also. Many of the symptoms described in the Treatise on Typhoid Fever may or may not be caused by typhoid fever.
Clinically, if the yellow moss is dry, the chest is full, and the yang evil is knotted in the heart, and the pain is pressed, the phlegm and heat are consolidated, and the chest is trapped, if the vomiting is evil, the drowning is damp, and the heart is laxative. "The stomach is really due to the yang and the evil is the yang knot, and the yin is called the yin knot", Ke believes that "the yin knot has no manifestation, it should be less yin, and it cannot be cold and cannot eat as the evidence that Yang Ming should have, and the astringency is the pulse that Yang Ming should see, and the stool is hard for the stomach, and he does not dare to use warm tonic ......."It is urgent to use ginseng to return to yang", "this is yangming, without sweating and vomiting and the fluid has died, so the abdomen is full, urinating is not good, thirsty for drinking water, this stasis is in it, and it is not appropriate to sweat and vomit". The above symptoms such as chest knots, yin knots, and stasis are more likely to be internal injuries and miscellaneous diseases.
In fact, the practical basis of "Treatise on Typhoid Fever" is mainly typhoid fever or external infection, but it discusses that the syndromes can be seen in typhoid fever and internal injuries and miscellaneous syndromes, so these formulas can be regarded as typhoid fever lesions mixed with miscellaneous diseases, so it is called "Typhoid Fever and Miscellaneous Diseases".
The six scriptures can distinguish all diseases.
Ke Shi believes: "The Six Classics are diseases, not the typhoid fever of the Six Classics, but the outline of the diseases of the Six Classics, not specifically for typhoid fever. For example, "the head of the sun is painful, the stomach of Yang Ming is solid, the mouth of Shaoyang is bitter and the throat is dry and dizzy, the belly of Taiyin is full of vomit, the lack of sleep of Shaoyin, the thirst of Yin and Yin, and the heart of the qi and so on", these six main signs can not only appear in typhoid fever, but also other miscellaneous diseases in internal medicine. Ke Qin found that the six meridians of the "Treatise on Typhoid Fever" are diseases, not only the first typhoid fever, but also can legislate for all diseases, so in the "Commentary on Typhoid Fever", the research method of the formula pattern is adopted, that is, the six meridian patterns are the key, and the main pattern is the prescription below, which is very practical for clinical practice. For example, in the sun chapter, Guizhi Soup, Ephedra Soup, Gegen Soup, Chest Trapping, Daqinglong Soup, Guati San, Wuling San, Ten Jujube Soup, Xingxin Soup, Resist Soup and other major certificates are listedIn the Yangming Disease chapter, there are major types of certificates such as Gardenia Soybean Soup, Dachaihu Soup, Baihu Soup, Yinchen Soup, and Chengqi SoupIn the chapter on Shaoyang disease, there are major types of certificates such as Xiao Chai Hu Tang Certificate, Jianzhong Tang Certificate, Coptis Tang Certificate, and Skullcap Tang CertificateThe Taiyin chapter lists the three things and the white scattered evidence;In the Shaoyin chapter, there are ephedra aconite soup certificates, aconite soup certificates, Zhenwu soup certificates, four reverse soup certificates, Wu Zhu Yu soup certificates, Coptis Ejiao soup certificates, and four reverse scattered certificates;In the Yin chapter, there are major types of evidence such as the Wumei Pill Certificate, the Pulsatilla Soup Certificate, and the Fumai Tang Certificate.
Ke Qin does not adhere to the order of Zhongjing's original theory, but focuses on the differentiation of Zhongjing's syndrome, that is, as long as the evidence of all parties is clearly identified in clinical practice, the essence of the disease can be grasped.
It can be seen that the evidence is unique and practical. Because this classification method focuses on the elaboration of the spirit of syndrome differentiation and treatment, reflects the significance of clinical syndrome differentiation, and is not limited to a certain meridian or a certain disease, it is respected by clinical doctors. Later generations of physicians and now clinicians have widely used these formulas not only in the external susceptibility of typhoid fever, but also in the miscellaneous symptoms of warm disease and internal injury. For example, in the "Differentiation of Warm Disease", in addition to the "Treatise on Typhoid Fever", the sun manifests Guizhi Tang and Ephedra Soup, and all other evidence are used in warm disease.
Wu used the classification prescription of the Six Classics to describe the temperature disease, among which Yangming temperature disease used the spicy and cool heavy agent White Tiger Soup, White Tiger Plus Ginseng Soup, and Gardenia Soy Soup. Yang Ming is warm, the pulse is flooding, and the irritability is even worse, and the white tiger soup is the evidence;The number of pulse sinking is powerful, and even the pulse body is small and solid, and the big Chengqi soup is proven. The feet are too cold and damp, the abdomen is distended, the urine is not good, the stool is loose and unpleasant, if you want to stay down, Wuling scatters the syndrome;The feet are too cold and wet, the face is yellow, the limbs are often convulsed, and the Yin Chen four reverse soup evidence. Less yin and temperature disease, pulse deficiency, hot hands and feet and even the back of hands and feet, plus or minus the compound pulse decoction. Wu integrated Zhongjing's Six Classics into the three-focus dialectic, and incisively applied Zhongjing's theory of dialectics to the mild disease, which shows that Ke Qin's theory of "the Six Classics legislate for a hundred diseases" had a certain influence on Wu Yao.
Later generations of physicians widely used the prescription of "Treatise on Typhoid Fever" for miscellaneous syndromes, and as long as the clinical syndrome differentiation was accurate, the curative effect was indeed extraordinary, so the Jing Fang School appeared in later generations. Such as Wuling San**edema;Ten jujube soup** hanging drink;Xingxin soup ** full of ruffian;Guati San** Food Accumulation;Guizhi keel oyster soup **Yin deficiency night sweats;Jianzhong Tang ** Yang Deficiency Certificate;Aconite Soup, Zhenwu Soup, Four Reverse Soupsan ** Spleen and Kidney Yang Deficiency Syndrome;Coptis Ejiao decoction** heart and kidney do not hand over certificates, etc.
Zhongjing's formula is not limited to the Six Classics, and is widely used in the differentiation of internal, external, gynecological, and pediatric syndromes, which further confirms the understanding that the differentiation of the Six Classics of Keqin is not for typhoid fever.
The Six Classics can be used as the criterion.
Ke's main creative view on the study of "Treatise on Typhoid Fever" not only found that the Six Classics are diseases, not only typhoid fever, but also the treatment of the Six Classics, and also the "Neijing", Zhongjing's Six Classics specifically embodies the basic principles of the "Neijing", and pointed out in the "Treatise on Typhoid Fever": "According to Qi Bo, the prescription for regulating the treatment must be different from yin and yang, yang disease cures yin, yin disease cures yang, and determines the inside and outside, each guarding its own hometown." "As we all know, this is the most basic rule of Chinese medicine.
Ke Shi believes that this principle is fully applied in the treatment of the Zhongjing Six Classics, such as "white tiger and chengqi are used to preserve yin for yang diseases, aconite and wu qi are used to support yang for yin diseases, Ma Gui is used for the outside, and nitrate is used for the inside." It is in the surface of the void and the truth, the surface of the heat and the cold, the publication and the table, the attack and the rescue, the disease is shallow and deep, the treatment has the second, the party has the severity, it is to determine the inside and outside of each to guard its hometown", "the sun is bright and sick, a little sweating;The ephedra soup used for the combination of the sun and the sun is from the outside to the inside, and the outside is also treated. Yang Ming disease, fever and sweating, not cold, but anti-heat, with gardenia bean soup, is from the inside and outside, adjust the inside. Those who sweat and do not solve the evaporation heat, from the inside and outside and the outside, adjust the stomach and bear the qi, first adjust the inside, the surface is not solved and the heart is under the ruffian, from the outside and the inside is prosperous, when the first solution to the table, it can attack the inside, is the first to rule the outside, and then adjust the inside. China and foreign countries are not related, it is the disease in half the surface and half in the middle, the size of the chai hu soup to treat the main disease, this is the so-called micro tune, followed by the flat, with the white tiger, gardenia, small Cheng Qi and the like, the sheng to seize it, the big Cheng Qi, the chest, the same and so on.
In the "Treatise on Typhoid Fever", Zhongjing made full use of the "Neijing" "the outside is treated, the inside is treated, the outside is governed by the outside, and the inside is transferred to the inside", and "from the outside to the inside, and the inside is the first to solve the table, it can be attacked", not only in the first typhoid fever and other external diseases, but also has universal guiding significance for the clinical, external, gynecological and pediatric clinical departments. It can be seen that the treatment method in the six classics of Zhongjing's "Treatise on Typhoid Fever" is a specific application of the treatment rules of the "Neijing", and the book is actually a work dedicated to expounding the laws of syndrome differentiation and treatment in traditional Chinese medicine, so it is respected by later generations of doctors as "the rule of medicine and the foundation of treatment".
In short, Ke Qin's theory of "six classics legislating for all diseases" can be seen from the analysis of the process of clinical diagnosis and treatment, syndrome differentiation, and treatment. In terms of symptoms, the six meridians are a combination of typhoid fever and miscellaneous diseases, not typhoid fever alone;In terms of syndrome differentiation, it is revealed that the pattern differentiation method of the Six Meridians is not only applicable to external infectious diseases such as typhoid fever, but also guides the internal, external, gynecological and pediatric departments, as well as internal injury and miscellaneous syndromesIn terms of treatment, it fully embodies the rules established by the "Neijing" and has become the norm of clinical practice. It can be seen that the book "Treatise on Typhoid Fever" is actually a special book on syndrome differentiation and treatment, and it has universal guiding significance for all clinical departments. As Ke Qin said: "The Six Classics of the original husband Zhongjing are legislated for all diseases, not specifically for typhoid fever, typhoid fever and miscellaneous diseases, there is no two reasons for treatment, and the salty is controlled by the Six Classics." ”
Abstract Ke Qin gave full play to the theory of the "six classics" in the "Treatise on Typhoid Fever", and took the "meridian boundary" as the six meridians instead of focusing on the meridian theory, breaking through the scope of the old theoryThe Six Classics were used as the legislation for all diseases, and the main treatment of the Six Classics was expandedThe six scriptures are proved to contain eight outlines of dialectical evidence, and eight laws are allegorical;Each party has its own experience, and it can be used informally, flexibly and universally;The doctor does not follow the prescription, focuses on syndrome differentiation, and opposes chiseling and dividing the wind and cold. His theory is of great significance for expounding the essence of Zhongshi's dialectical argument and making use of the scriptures.
Ke Qin strongly advocated the differentiation of the Six Classics, and expounded the meaning of the Six Classics many times in the "Typhoid Fever to the Su Collection", and his theory of the dialectical theory of the Six Classics has many incisive and unique features. The details are as follows:
1. The essence of the righteousness of the Six Classics and the dialectic of the Six Classics.
Ke Shi made a unique interpretation of the essence of the six classics in the "Treatise on Typhoid Fever", opposing Wang Shuhe's use of "Su Wen and Heat Treatise" as the "prelude" of the "Treatise on Typhoid Fever" and using the six meridians as the meridians, arguing that the six classics of the "Treatise on Typhoid Fever" are not the six classics in the "Neijing and Heat Treatise", and Zhongjing is based on the division of the earth and not exclusively on the meridians, "Shuhe does not know that the six classics of Zhongjing are the meridians of the meridians rather than the meridians, and vainly quote the "Neijing Treatise on Fever" (according to: as the "Treatise on Heat") as the "preface" to crown Zhongjing's book, and mix the symptoms of the six meridians to cure", " Fu Zhongjing's six meridians are divided into six areas of the ground, so the one is wide, although the pulse is the meridian, and not specifically on the meridians to say", give full play to the meaning of the "Inner Classic" "Yang is outside, Yin is inside" and said: "Therefore, Zhongjing is outside the three yang main outside, and the three yin is mainly inside", "above the waist is the ground of the three yangs, and the three yang is outside and the inside", "below the waist is the ground of the three yin, and the three yin is inside and not outside", "if the meridians of the six meridians, it is the road of the six meridians, not the ground of the six meridians".
Ke Qin advocated the "meridian theory" and opposed the "meridian theory", because it severed the organic connection between the meridian skin and the meridians, and had a certain one-sidedness, but it was more positive, it broke the limitations of the exclusive meridian theory, and clarified the essence of the six meridians from the essence of the three yin and three yang. Ke's opposition to the exclusive meridians of the six meridians is actually consistent with the meaning of Zhongjing's three yin and three yang. In the original text of "Treatise on Typhoid Fever", there is no name of "Six Meridians", only the name of the sun, Yangming, Shaoyang, Taiyin, Yin, and Shaoyin. Zhu's theory of meridians does not reflect the original meaning of the three yin and three yang, and the "too much" and "less" in the three yin and three yang actually reflect the prosperity and decline of yin and yang.
Ke's Six Classics says that it is to grasp the essence of the difference between the yin and yang qi and blood of the three yin and three yang as the starting point, and believes that the reason why the symptoms of the six meridians are different is due to the difference between yin and yang, qi and blood, so it is reflected in the difference between the yin and yang of the disease, and this is the essence of the differentiation of the six meridians. Covering the boundary of the six meridians, if the terroir and characters of Kyushu are similar, but the differences in clothing, food, speech, and temperament are different due to the terroir, then the cold, heat, and void in the human body are also different from the meridians. "Legislating prescriptions according to the different symptoms of the six meridians is the root of the six meridian syndrome differentiation and treatment," Zhongjing formulas are based on meridian qi. "Neijing" said, "Judge its yin and yang, don't be rigid and soft, cure yin for yang disease, cure yang for yin disease, determine its blood and qi, and guard its hometown".
2. The Six Classics are legislated for all diseases, not only for typhoid fever patients, but also for the treatment of the Six Classics.
Ke Shi refuted the old theory of typhoid fever exclusive to the Six Classics: "The Six Classics of the original husband Zhongjing are legislated for all diseases, not specifically for typhoid fever, typhoid fever and miscellaneous diseases, there is no two reasons for treatment, and salty is under the control of the Six Classics", "then typhoid fever and miscellaneous diseases are not divided into two books". Zhong Jingzhi's "Treatise on Typhoid Fever and Miscellaneous Diseases" was originally a book, and the typhoid fever and miscellaneous pathogens were not distinguished, and it was not until later generations that the "Treatise on Typhoid Fever" and "Jin Kui Yaolu" were analyzed, and it was said that ""Treatise on Typhoid Fever" cures external diseases, and "Jin Kui" treats miscellaneous diseases", and it is said that "the Six Classics are the program for the differentiation of external diseases". In essence, the Six Classics of Zhongjing are just a program or method of dialectic, and cannot mechanically chisel into typhoid fever and miscellaneous diseases, even miscellaneous diseases can also be used in this dialectical method, and today's "Treatise on Typhoid Fever" and "Jin Kui Yaolu" also have mistakes, so the strong division of the Six Classics into the dialectical program of external sensation is a misinterpretation of the original intention of Zhongshi, in recent years, there have been frequent reports on the scriptures, such as Guizhi Tang, Xiao Chai Hu Tang, etc., and the scope of its treatment has long exceeded the external diseases, such as Xiao Chai Hu Tang can be used for mumps, type B viral hepatitis, AIDS, gastritis, etc., prove Ke's insight. It can be seen that Ke's Six Classics has broken the limitations of external diseases and expanded the six classics.
3 The six scriptures are proved to contain eight outlines of dialectical evidence, and eight laws are allegorical.
Yan Keqin gives full play to the essence of Zhongjing's six classics of dialectic, and its six classics of differentiation proves the eight outlines of the dialectic, "Zhongjing is divided into six meridians by illness, and the formula is divided into six methods of cold, heat, deficiency and reality in the surface, and each of the six classics has six methods and has a bias towards Yan." The sun is biased towards the surface cold, the yang is biased towards the heat, the yin is biased towards the deficiency cold, and the yin is biased towards the real heat, but the cardinal position of the less yang and the less yin is not biased, and the less yang is biased towards the yang, and the less yin is biased towards the yin, and the prescription is also biased because of this." The application of the eight methods is reflected in the dialectic of the six classics and eight outlines, Ke Qin put forward the six methods of the formula in the "Typhoid Fever Treatise on Wings" in the "Typhoid Fever Commentary", and listed its representative parties, "Zhongjing Cube is fine but not mixed, of which the six parties are the mainstay, and the parties thus add and subtract." All sweat agents are the cinnamon branches, the vomiting agents are the gardenias, the attacking agents are the same Chengqi, the and the agents are the bupleurum, the cold agents are the laxative heart, and the warm agents are the four reverses. He also said: "Yin and yang on the surface of all diseases are divided into six meridians, so that each has its own division." Clean up the similarities and differences of pulse disease, the void and reality of cold and heat, so that the treatment of diseases can only start with the six meridians, and sweat, vomit, down, reconcile, warm and replenish are carried out without loss.
Specifically: "the sun is the main table, so the cube is mainly published", "the table has the difference between virtual and real, so the two methods of cinnamon branch and ephedra are established";"Yang Ming's disease is in the stomach, when the following is the correct law, but Yang Ming is in the middle, all diseases are salty, so the treatment is complete", "In metaphor, sweating is the first, vomiting is to be on, the fire is stable, the water is idle, the temperature is angry, and the capture is the end";"Shaoyang Outline has bitter mouth, dry throat, dizziness, the law when the fire, and the fire has a void and reality, if the evil is in the half-table, then make a small firewood to solve the parade of the fire, a big firewood to solve the heat knot of the phase of fire, this treatment of Shaoyang cold and heat two methods;If the evil enters half of the heart, there are half summer laxatives, coptis, skullcap and other agents";"Taiyin is in the Lord, for the Yin to the Yin, the most afraid of the cold, with the warmth to make up for the reason, this Fa is also";"Less Yin is biased towards Yin", "However, there is Yang in the Yin of Less Yin, so its surface symptoms are rooted in the inside, and the heat syndrome is due to the cold, and the treatment of the surface deficiency is taken care of first, and the fever is mostly treated from the cold, and the cover of the Yin is mainly Yang, and the Yuan Yang in the kidney is stored in the true Yang of the Less Yin", "Know its deficiency and get its opportunity";"The Yin is dominated by the Wumei Pill, and the pill is slow", "The Yin is slow, so the reversal of the phase fire is also". It can be seen from this that Ke Shi has grasped the essence of the Six Classics and Eight Outlines of Dialectical Argumentation and Governance, and has given unique play to the spirit of Zhongjing's Dialectical Argument and Governance.
4. Each party has its own experience, and it can be used informally, flexibly and universally.
Ke Shi advocates the flexible use of scriptures, although a certain scripture is not confined to a certain scripture, all scriptures can be universal, saying that "the six scriptures have their own main prescriptions, and he scriptures have the magic of mutual use", "such as hemp, gui two soups, for the sun camp guard, and the disease of Yang Ming in the camp guards also use it." Zhenwu soup is designed for less yin water, and it is also used by those who die after the sweat of the sun. The four reverse soup is set up for the Liqing Valley under the Taiyin, and the veins of the sun are suitable for those who sink back. Wuling Scatter is set up for the sun to quench thirst and water, and it is also suitable for those who drink more water in Yangming. Zhu Ling soup is good for less yin, and it is also suitable for those who are not good for urinating in Yangming disease. The soup is set up for the blood stasis of the sun, and the blood storage of the sun is also used.
Guatisan is set up for the ruffian leather in the chest of Yang Ming, and it is also used by those who want to vomit when they are warm and want to vomit with less yin. Its essence is to grasp the essence of dialectical treatment, "the combination of symptoms is to use the prescription, the prescription has its own scriptures, and the use can be informal, it is the Zhongjing method." For example, Guizhi Tang is not only seen in the Sun chapter in the "Treatise on Typhoid Fever", but also in Yangming, Yin, Taiyin, etc., indicating that Guizhi Tang is not only suitable for sun diseases, but also can be used for those who have external symptoms of the six meridians, so Ke Qin said: "Guizhi Tang is a general prescription for treating typhoid fever, stroke, and miscellaneous diseases." Those who have weak pulses and sweat spontaneously and are incomprehensible, are salty and the main ones, that is, those who have a slow pulse and sweat a lot of blood in Yangming disease are also suitable for those who have a floating pulse in Taiyin disease, and those who know the deficiency of all menstrual diseases are salty and have the same treatment method as the sun, and it can be seen that Guizhi Tang is not specially used for the sun. Therefore, it is said that "each party has its own experience, and it can be used without constraints".
5. The doctor does not follow the prescription, and the syndrome is differentiated;The naming of the disease is not limited, and the name of the wind and cold camp is not chiseled.
Ke Qin firmly grasped the essence of the dialectic of the Six Classics, broke the limitations of typhoid fever, stroke, and miscellaneous diseases, and said: "Zhongjing Cube, there is only the difference between cold and heat on the surface and the void on the inside, and there is no difference between typhoid fever, stroke, and miscellaneous diseases. "Zhongjing prescription, not limited to the naming of the disease, but the right to seek the disease, know its opportunity to get its feelings, where stroke, typhoid fever, miscellaneous diseases, it is advisable to master a certain party, come at will, all live the way, this is called the doctor does not practice the prescription. "Prominently manifested in the issue of Daqing Dragon Soup. Ke Qin tried his best to oppose the theory of the Three Guidelines, believing that the legislation of hemp, gui and Daqinglong focused on the cold and heat on the surface, and that the Daqinglong soup was a variation of ephedra soup, which was designed for those who were cold on the surface and hot at the same time, and should not be confined to the wind and cold and the two injuries of the camp guards, saying: "Uncle Xu Weiyun: Guizhi cures stroke, ephedra cures typhoid fever, Daqinglong treats stroke and sees cold veins, typhoid fever sees wind veins, and the three are like a tripod. The origin of the three outlines of this Fang clan, and the proof of the Great Green Dragon, has not been known in the world since then.
I don't know Zhongjing's treatment of the table, only in the two methods of hemp and cinnamon, ephedra to treat the real surface, Guizhi to treat the void, Fang Zhi to divide the virtual and the real, not to divide the wind and cold. Cover the two certificates of wind and cold, both of which are shallow and deep, and there are camp guards, and ** are divided into camps and guards in the virtual and real, and not in the wind and cold. The husband has sweat for the appearance of weakness, and the cinnamon branch soup cures the wind and cold ,...... of sweatWith no sweat as the surface, and ephedra decoction to treat the wind and cold without sweat, but there are also differences between the cold and the heat, the internal cold and the internal heat, so the addition and subtraction of ephedra is the main one, such as the kudzu root soup, the size of the green dragon, the ephedra aconite, the fine spice licorice, the ephedra almond licorice gypsum, the ephedra forsythia red bean and other agents, are all changes in the ephedra soup, because the surface is also different from the inside and outside of the cold and heat. "Zhongjing, but carefully distinguish the pulse disease and treat it, why not stick to the difference between stroke and typhoid feverIt is pointed out that the focus of Daqinglong is to add gypsum to clear the internal heat, correct the fallacy of Cheng Wuji, Fang Youzhi and other gypsum as two injuries of wind and cold, break through the scope of the "Three Guidelines" to say that wind and cold are injured and guarded, and grasp the essence of cold, heat and reality in the dialectic.
In short, Ke Qin's theory of the six meridians of syndrome differentiation is based on the amount of yin and yang qi and blood in the six meridians, and takes the cold, heat, deficiency and reality of the yin and yang as the program of dialectic, breaking the limitations of the meridian theory, breaking through the scope of typhoid fever and miscellaneous diseases, taking the six classics as the key link and not being confined to the six classics, with incisive insights, and grasping the essence of Zhongjing's syndrome differentiation and treatment, which is of great significance for making full use of the scriptures and guiding clinical syndrome differentiation and treatment.
For example, a throat disease that does not heal after many years, the examination shows that the vocal cord polyp, the color is purple and pedicle, and the treatment should be used to promote blood circulation and dispel stasis. In summary, Zhongjing can be widely used in otolaryngology diseases. In the specific application, the main evidence of each evidence is not necessarily "complete", but it is sufficient to see one evidence. Even if the main syndrome is different, but the pathogenesis is the same, it can be applied. Grasping the main syndrome and distinguishing the pathogenesis is the key to the application of Zhongjingfang, and grasping the pathogenesis is more accurate and important than grasping the main syndrome.