In addition to the heat, there is also the characteristic of heavy humidity in various places. Many areas are rainy and rainy. That day, I saw friends on the Internet laughing, saying that the weather forecast in Guangdong is "high temperature and heavy rain". Do you think this is bath water? In fact, this is due to ignorance of the climate in the south. In this season in the south, there is often a cloud, that is, a heavy rain. When the cloud is gone, the sun is hot and the heat is unbearable. Therefore, there will be two stages of humidity and heat in a day. Steaming, the human body is easy to get sick. At this time, there are many opportunities to use Sanren Decoction for exogenous diseases.
The prescription of Sanren Decoction is a prescription written by Wu Jutong, a master of traditional Chinese medicine in the Qing Dynasty, in "Benefits of Warm Diseases". It is used to treat the syndrome of dampness and temperature. Specifically, it is to treat dampness and heat. , the heat is not so heavy. Now we often use it to treat damp-heat syndrome in exogenous pathogenic factors.
🔹 So, when we catch a cold, what does damp-heat syndrome look like? How do we judge whether it is damp and hot?
This hot and humid exogenous syndrome generally has the following characteristics:
1. Physical reaction: Headache and aversion to cold, like other exogenous sensations, feeling afraid of the cold, and at the same time, the body is heavy and painful. This is a manifestation of heavy moisture. The body feels sore, lazy, weak, and heavy.
2. Color reaction: People with heavy humidity will have a light yellow complexion, which does not feel so bright, and will not have a ruddy complexion, and even sweat is somewhat yellow.
3. Appetite reaction: You will feel chest tightness, loss of appetite, do not want to eat, do not want to drink water, easy to loose stools, this is a very important indication.
4. Fever characteristics: Fever caused by damp heat often has a high temperature in the afternoon, and some people even start to have a fever in the afternoon, which is very typical.
5. Tongue condition and pulse condition: The tongue coating is white, or thick and greasy, or covered. This condition of the tongue coating is often the most important basis for my diagnosis. At this time, the patient's tongue is often red, and the pulse is stringy and moist.
🔹 So, what are the characteristics of the composition of Sanren Decoction?
The composition of Sanren Tang is as follows:
15g each of almonds and pinellia, 18g each of flying talc and raw coix seed, 6g each of Baitongcao, Baikouren, bamboo leaves, and Magnolia officinalis.
Usually I use something like this:
9 grams of almonds (pounded, then the next part), 6 grams of white coix seed (pounded, then the next part), 30 grams of raw coix seed, 6 grams of Pinellia chinensis, 6 grams of Tongcao, 6 grams of bamboo leaves, and 3 grams of Magnolia officinalis.
I usually remove the talc in the prescription.
At the same time, if the heat is more obvious, some detoxification products such as forsythia and honeysuckle will be added.
The three kernels in this recipe are almonds, coix seeds, and white coix seeds. Among them, almonds promote the lung qi in the upper burner, and the lungs govern the whole body. The temper is responsible for opening the stasis in the middle burner; Coix seed is sweet and light in nature, cold in nature, oozes dampness and diuresis and invigorates the spleen, and makes damp heat go away from the lower burner. The three kernels are used together, and the three energizers are divided and eliminated, and they are jointly used as a monarch drug. Tongcao and Bamboo leaves are sweet and cold and lightly infiltrated, which strengthens the merit of the monarch drug for promoting dampness and clearing heat, and is a minister drug. Banxia and Magnolia officinalis promote qi and remove dampness, dissipate stagnation and relieve fullness, and are adjuvant medicines.
The method of boiling medicine is to put the medicine that is not marked "back down" on high heat, boil it for 20 minutes on low heat, then add the medicine "back down", after about five to ten minutes, you can turn off the fire After another five minutes of stuffiness, the concoction can be poured out. Drink three times a day, one small bowl at a time.
Let me explain this prescription through a case:
medical case
An old man with a high fever was admitted to a local hospital of traditional Chinese medicine. Imaging examination showed interstitial pneumonia with high white blood cells. The hospital uses in-hospital preparations to clear away heat and detoxify Chinese medicine, combined with intravenous drip of cephalosporin antibiotics. Ten days later, the high fever was gone and changed to low fever. Imaging examination showed no improvement in the lungs. So the antibiotic drip was stopped, and the hospital preparation was continued to be taken orally.
At this time, I came to analyze and found that the old man's tongue coating was very white and thick. I read the prescriptions in the hospital. It was basically a cold medicine for clearing away heat and detoxification. I drew a question mark in my heart. The tongue coating is so white and greasy, it seems wrong .
Then, when asked about the fever, the fever was severe every afternoon, and it was relatively stable in the morning and evening.
At this time, we need to think.
In Chinese medicine, there are several possibilities for having a fever in the afternoon caused by external factors. One is that Yangming’s internal organs are strong, and there will be hot flashes in the morning (bū). However, the excess of Yangming Fu organs is due to the accumulation of heat in the middle, leading to dryness and heat in the stomach, often fullness and pain in the abdomen, refusal to press, dry stool, and yellow dry tongue coating. At this time, it is necessary to relieve heat and store body fluid. There are many prescriptions in traditional Chinese medicine for treatment This situation.
Regarding this situation, Wu Jutong said: "You can't see whether it is full or not. If you think it is stagnant, it will hurt the spleen and stomach. If dampness takes advantage of the situation, it will be venting." Those who get confused think that there is stagnation in the stomach and intestines, and they need to use laxative medicine. Once they are laxed, the consequences will be disastrous.
In the second case, fever in the afternoon is due to yin deficiency, but fever due to yin deficiency is often a little later than hot flashes in the afternoon, and the later the heat, the more severe the fever. At this time, the patient's tongue must be red and the tongue coating is very Thin, or no tongue coating, this patient's tongue coating is white and greasy, obviously not.
When Wu Jutong talked about this situation, he especially emphasized not to confuse the two. He said: "It can't be seen that his body is hot in the afternoon. He thinks that he is yin deficiency and uses soft medicine to moisten it. Dampness is glue to stagnate yin evil. Add softening and moistening yin medicine, and when the two yin are combined, there will be an indissoluble bond." What he meant was that Yin should not be nourished at this time, and if it is nourished, the disease will be delayed.
Wu Jutong has three taboos for this situation. We mentioned two earlier, and the third taboo is not to sweat. Wu Jutong warned not to sweat because of external cold. He said: "You can't see that you have a headache and aversion to cold. If you think you have typhoid fever and sweat, if you sweat to hurt your yang, you will be dizzy and deaf, and even your eyes will be closed." This makes sense, because dampness and temperature are syndromes of heat, and the medicine of high heat must be used for sweating, which is contrary to the disease and should not be used.
I add a taboo, that is, do not use bitter cold medicines. Many people think that this is a heat syndrome and needs to clear away heat and detoxify. In fact, this is wrong. If it dissipates, the heat evil is easy to dissipate. If a large amount of bitter and cold medicine is used, it is easy to make the moisture difficult to remove, resulting in "icing", making the disease lingering and unhealed. Mr. Zhao Shaoqin, a master of traditional Chinese medicine, pays special attention to this matter. He has seen a large number of damp and warm diseases, which were used by Chinese medicine for clearing away heat and detoxifying medicine, so he once pointed out this matter.
And the third type of fever in the afternoon is damp-warm fever. This kind of damp-heat disease is also afternoon fever. At this time, the fever is often not high, the tongue coating will be thick and greasy, the appetite is poor, chest tightness, vomiting, and headache.
At this time, the patient's tongue coating is white and thick, which is consistent with this symptom.
Coincidentally, at this time, the patient's family members said that the patient's stool was not shaped and sticky, which is the second evidence.
Based on this, I basically judged that it was damp and hot.
It should be said that the early treatment in the hospital was effective in controlling the high fever and stabilizing the condition, but now that the dampness and heat are obvious, it is not appropriate to continue to use cold and cooling medicines. Therefore, I suggested that they no longer take the heat-clearing and detoxifying medicines from the hospital of traditional Chinese medicine. In order to take care of the relationship, the medicines are still taken, but they don’t take them.
As a result, the fever subsided after just one dose of medicine. I continued to let them take it for two days, and then I was discharged from the hospital.
This matter makes me feel emotional, which is the importance of tongue diagnosis. I think that if you can analyze the tongue phenomenon carefully, it will be easier to distinguish the syndrome of dampness and heat, and it will be more targeted.
In the past, there was a saying in the field of Chinese medicine called "the doctor's mind", which means that there are many things that can only be felt, but cannot be expressed in words. I have always been disgusted with these words. I think it is impossible to analyze the disease in this way. To analyze the disease, it must be based on a large amount of data. It is necessary to read more books, learn more, collect more information about patients’ symptoms, and know how many possibilities there are. Then, It must be like deciding a case. Each possibility is combined with several other symptoms to rule out which possibilities, and then determine only that possibility. When your reasoning and data information are closely intertwined, the criminal will definitely show up.
May all Chinese medicine colleagues encourage each other.
This summer, it is hot and humid, and many people will get sick because of it. I hope everyone has this concept and can recognize it when they encounter it.
