External Infection Syndrome and Internal Injury Syndrome are two common syndromes in TCM clinical practice, and their treatment methods are different. Generally speaking, it is advisable to use the method of surface dispersion**, that is, to eliminate the disease by diverging the surface evil; For internal injury syndrome, it is advisable to use the method of sparse supplementation**, that is, to restore body functions by regulating the internal organs and nourishing qi and blood. However, in actual clinical practice, there is often a combination of external and internal injuries, and then it is necessary to adopt the method of reconciliation. Li Dongyuan was a famous physician in the Jin and Yuan dynasties, and the tonic and qi soup he created was a kind of prescription for both external and internal injuries. The formula uses cimicifuga, bupleurum, ginger, jujube and other medicines to relieve the table, and at the same time uses ginseng, atractylodes, astragalus, licorice and other medicines to replenish the middle and invigorate qi, accompanied by angelica sinensis to regulate blood, orange peel and zhong. This method of treatment is suitable for situations where there is less evil qi and more righteous qi is deficient. Later generations of physicians also often used the method of reconciliation to improve the situation of external and internal injuries when formulating prescriptions. For example, ginseng Su drink is mainly based on Erchen soup and Zhong, and at the same time, it is combined with Su Ye, Pueraria lobata, Platycodon, Qianhu, ginger, jujube and other medicinal solutions, citrus aurantium, wood fragrance and other medicines, and Codonopsis ginseng supplements. This prescription is suitable for the situation of deficiency and solidity, if there is a sign of qi stagnation, phlegm and dampness, it should not be refilled, and it should be mainly based on harmony and evil. To sum up, distinguishing the constitution and using drugs is an important principle in the clinical practice of traditional Chinese medicine. In the case of both external and internal injuries, different treatment methods should be adopted according to the different characteristics of the condition. If the external injury is heavier than the internal injury, the main treatment should be to relieve the surface and treat the internal injury; If the internal injury is more serious than the external sense, the main treatment should be to regulate the internal organs, nourish qi and blood, and also treat the external sense. Through rational medication, the purpose of the disease can be achieved.
The ** of cough needs to be carried out according to its cause, and there are those who need to be treated with external infection, those who need to be treated with internal injuries, and those who need to be treated with both external and internal injuries. For example, at the beginning of the cough, the diagnosis of wind chill and lungs, ** need to use Xinwen medicine to disperse the wind and cold, the heavy one uses ephedra soup, the light one uses Su leaves, parsnip, almonds, etc., and the cough can be relieved after sweating evil. This is a method of treating external senses.
If the cough does not heal for a long time, and is accompanied by loose stools and abdominal pain, you can use Astragalus Jianzhong decoction to nourish the spleen and lungs, which is the treatment of Peiben. If the lung yin is insufficient, and the sputum is bloody for a long time, it can be carried out with Qiongyu ointment**, which is the method of gold and water, lung and kidney treatment. If the internal injury body and external sense of wind and cold, the pulse is tight, the tongue is light and smooth, coughing and wheezing, cold and heat exchanges, it is advisable to use the method of treating the specimen at the same time, such as Xiaoqinglong Tang Hezhen Yuan drinking method, to tonify the kidney and absorb qi and relieve the table.
In addition, if the lung yin is insufficient, and the external wind temperature is also affected, you can use the self-simulated formula to clear the lungs and stomach yin fluid and clear the external warmth. In short, clinical cough needs to be treated according to its cause, and attention should be paid to the internal injury and external infection of each viscera.
February** Dynamic Incentive Program