Legislation encompasses three levels of concept.
Rules: It is the basic principle of guidance, such as reconciling yin and yang, curing diseases and seeking the roots, correcting or reversing evil, reversing or treating from the law, etc. It is divided into rules of governance, such as the "from the treatment" method includes "heat is used for heat, cold is used for cold, Sein is used, and general causes are used".
Treatment: It is the principle of a certain type of disease, such as wind, heat, cold, sweating, lowering, harmony, and supplementation, etc., all of which are treatments. Under the rule of law, it is divided into specific rules.
Treatment: It is the best method for a certain syndrome, such as the empirical evidence of sun disease and cold, using the Xinwen sweating method. The so-called "party follows the law" and "party selection is based on law," and so on, and the law here is this kind of law.
The treatment method is the product of the combination of TCM theory and clinical practice. Its emergence is synchronized with the clinical syndrome differentiation method, which means that each syndrome differentiation method must produce a corresponding treatment method. For example, according to the treatment method of syndrome differentiation, it is for different diseases such as wind, cold, heat, dampness, dryness, fire, etc., as well as different lesions, it produces different treatment methods such as wind, cold dissipation, dehumidification, moisturizing dryness, clearing heat, and expelling fire. Another example is the treatment method determined on the basis of the Eight Guidelines, which is summarized as the Eight Methods of Sweating, Spitting, Lowering, Harmony, Warming, Purifying, Eliminating, and Replenishing.
1) ** Principle: * * Principle is the general principle of ** disease that is gradually summarized on the basis of understanding the general law of disease occurrence and development. The main contents include curing the root cause and treating the symptoms, correcting the right and curing the evil, treating the right and the opposite, treating the same disease and treating different diseases at the same time, and adapting measures to the needs of the people at the right time and place. These principles reflect the emphasis of TCM on the treatment of diseases by looking at the essence through the phenomenon, and correctly handling the phenomenon and the essence, the relationship between primary and secondary. Attaching importance to internal causes and correctly handling the relationship between good and evil; Specific problems, specific analysis, correct handling of the relationship between constant and change, etc.
1.Symptomatic treatment: The clinical application of symptomatic treatment of the root cause and symptomatic treatment mainly depends on the severity and urgency of the disease. There are two types of disease syndromes: constant and varied. If the disease is mild, it should be treated slowly, and the serious illness should be treated urgently; False evidence should be treated slowly, and empirical evidence should be treated urgently. This is a common law, which is in line with the principle of treating the root cause if it is delayed, and treating the symptoms if it is urgent. However, although the disease is mild and the pathogenesis gradually increases, there is a problem from shallow to deep, and the treatment cannot be delayed; If you are seriously ill and have been stuck for a long time, and there is a risk that you will not be able to reach it quickly, you should not be treated in a hurry. False evidence of yin and yang is seriously injured, and if you don't rush to help it, your qi and blood will be difficult to recover; The empirical evidence is pervasive and incomprehensible, and if we do not slow down, both evil and good will die. This is a contingency plan, and the principle of treating the root cause, treating the symptoms, and treating both the symptoms and the root causes can be adopted depending on the condition. If the disease and syndrome occur separately, it can be divided and treated according to the above principles. If the symptoms are combined, the treatment method should be used. For example, one disease sees two meridians, and one meridian sees two diseases, or the virtual and the real are combined, or the old and the new are mixed, the surface and the inside are sleepy, and the upper and lower are injured, among which the cold, heat, virtuality, and reality are intricately intertwined. The key to joint treatment is to identify the guest and adopt the principle of treating the root cause, treating the symptoms, and treating both the symptoms and the root cause according to the condition.
2.Righteousness and evil: "All diseases do not come from the two ends of the virtual and the real, and all diseases do not exceed the two methods of supplementing and purging." "Because traditional Chinese medicine believes that the occurrence of diseases is due to the deficiency of righteous qi, it is said that the deficiency and evil are left behind. Therefore, correcting the right and relieving evil are the two major methods of curing diseases. In the practice of disease syndrome, traditional Chinese medicine always focuses on maintaining and supporting the righteousness of the human body. However, attacking and supplementing methods can restore righteousness. In this sense, the two have a common foundation, so their roles can be transformed into each other. Therefore, it is necessary to carefully handle the relationship between evil and good, and achieve the goal of removing evil qi, making it easy to recover righteous qi, and healing the sick body through correct attack and supplementation. Although the purpose of attacking and supplementing is the same, the two cannot replace each other. When the evil spirit is strong, only by effectively attacking the evil spirit can we better preserve the righteous spirit and achieve the best goal of eliminating the evil and the righteous and safe. "Jingyue Quanshu" cloud: "Anyone who treats a disease with clinical evidence does not need to be regarded as having false evidence or not, but there is no empirical evidence to rely on, and for those who are sick, they should make up for it at the same time, so as to adjust the qi of the essence and blood of the guard; It is not necessary to say that there is a fire certificate or no fire certificate, but there is no heat certificate to rely on, and for the sick, it should be warm and warm, so as to cultivate the spleen and stomach qi of the life gate. Therefore, when using, it is necessary to distinguish between supplementing and attacking, which is the primary and what is secondary. At the same time, it is necessary to make up for the void and make up for it in a timely manner; If there is evil, it will be attacked, and the disease will stop.
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3.Positive treatment and reverse treatment: cold to cure heat, heat to treat cold, it is called positive treatment, this treatment is constant. Treating heat with heat and treating cold with cold is called the opposite treatment, and this treatment is changing. In the clinical evidence, there are true and false opposites. If the heat and evil are inward, the yang energy does not reach the outside, so the body is cold, the limbs are convulsed, the trembling, and the cold are healed by the great Chengqi soup. Although the external evidence is like cold and cold, and the internal evidence is really hot and cold, it is actually a positive treatment, which should be a false reverse. If the wind and fire are violent, phlegm and saliva surge, the throat is occluded, and the non-hot products cannot be dispersed, so it is necessary to temporarily use hot medicines such as Nanxing, Banxia, Aconite, Aconite, and Croton. This is true and negative.
There are positive and negative treatments, and they are set up for cold and heat to be false and true. It is relatively easy to apply the correct treatment method in the clinical syndrome, but it is more difficult to apply the anti-treatment method well, all of which depend on the precision of the syndrome differentiation. Anti-adjuvant treatment also includes anti-adjuvant medication and anti-adjuvant medication. If the syndrome is pure cold, and less cold products are added to the hot agent, and less heat is added to the cold agent, this is the anti-adjuvant drug. If the heat is in the middle, if you treat it with cold, you will not enter, and if you treat it with heat, the disease will increase, but if you use cold medicine to heat, after entering the abdomen, the heat will disappear, and the cold will follow, which is an anti-adjuvant medicine.
4.Same disease and different treatment and different disease treatment: The same disease and different disease are treated at the same time, which concretely reflects the characteristics of syndrome differentiation and treatment in traditional Chinese medicine. The main purpose of TCM treatment is not to focus on the similarities and differences of "diseases", but to focus on the differences between "syndromes". If the disease is the same, basically the same treatment method is used; If the same disease is different, basically different treatment methods are used. This is the so-called "the same syndrome is the same, and the different treatment is also different".
5.Adapting measures to the time and place: The application of the temporary certificate according to the time and place and the conditions of the person is mainly in the legislation, which should comprehensively examine the climate conditions of the four seasons and the square land, the strength of the physique, the difference between the young and the old, and the difference in living habits. Thus, the best law in line with the disease syndrome is established.
2) The selection of the clinical evidence of the governing law: The basis for the selection of the governing law is the result of dialectic, and the law must be consistent with the evidence. The predecessors said: "The method of curing diseases is not to distinguish between the outside, the inside, the cold, the heat, the void, and the real." However, it should be dispersed on the surface, and it must be reviewed that it should not be dispersed; It is necessary to examine whether it is suitable to attack in Li. If it is cold, it should be warm, and it must be judged whether it is warm; Those who are hot should be cleared, and they must be judged for improper clearance. Those who are false should be made up, and they must be examined and cannot be made up; Those who are real can be discharged, and they must be examined. It can be seen that when choosing a treatment, in addition to identifying the indications for the treatment method, it is necessary to examine whether there are contraindications. If so, they have the right to change their governance. Each treatment can be adapted when applied to a specific patient.
If there are three sweat methods, one is said to be warm and dispersed, when the cold wins, the yin wins the hidden, and the yang energy is not full, then the table is incomprehensible, although the body has a great heat, it must be used Xinwen. It is said that it is cool, the heat is blazing, the surface and the inside are dry, the yin qi is not camping, and it cannot sweat, so it is advisable to use the cold. It is said that the disease is between yin and yang, which can neither be warm nor cold, but it should be used evenly and expected to solve the table. Due to the different seasons, endowments, and pathogenesis, there are three alternative application methods of sweat method. In the case of visceral disease, the treatment method should be selected to conform to the functional characteristics of the viscera. The viscera should be hidden, the viscera should be passed, and the viscera should be used differently. For example, the disease of the spleen and stomach, the cold and heat, the dryness and moisturization, the solid should be distinguished, and it is especially important in the word lifting. If the spleen and yang are insufficient, the stomach is cold and damp, and the internal organs are suitable for the method of warmth and dryness; If the spleen and yang are not lost, and the stomach is dry, then it should be treated with the method of nourishing the stomach yin. These treatments are designed to restore and re-establish the normal physiological function of the spleen and stomach. *When qi and blood deficiency syndrome syndrome, the mutualistic relationship between qi and blood should be taken into account. If the qi tonic is reactive, add blood tonic medicine; If the blood tonic is ineffective, add qi tonic medicine. Elderly people have weakened blood and qi, mental depletion, hearing and hearing, hands and feet do not follow their will, physical fatigue, dizziness, chronic illness, or secretion or discharge, or cold or heat, all of which are common for the elderly. In the treatment of the law, if you sweat, you will lose your yang qi, if you vomit, your stomach will be reversed, and if you are under it, your vitality will be lost, and it will be irretrievable.
Therefore, the treatment of elderly disease syndrome should mostly use supportive, gentle and smooth qi methods, and eat to replenish deficiency and neutralize the condition. Pay special attention to the diet of the diet. When choosing the treatment method for clinical syndrome, it should be known that changes are always made. The standing law refers to the basic governing law, which is the basis for the contingency of the governing law. Therefore, first of all, it is necessary to grasp more basic treatments, including the general rules of a certain ** and a certain syndrome. However, due to the complexity of the disease syndrome, the common method is often used less and the variation is used more when the clinical syndrome is selected, especially for difficult disease syndromes. Therefore, while mastering the common law, we should master as many changes as possible to enhance the ability to adapt to clinical problems and improve the clinical skills.