Summarize:
(1) There are 30 articles of Dachengqi Decoction in "Treatise on Febrile Diseases and Miscellaneous Diseases", among which Dachengqi Decoction is the main one, that is, only 3 articles of Dachengqi Decoction must be used, so the text of Dachengqi Decoction can definitely be applied The scope of certificates includes:
1. Yangming disease. Slow pulse. Although sweating. Those who do not have aversion to cold. Its body must be heavy. Short of breath. Belly full and panting. Have hot flashes. There are hot flashes. In addition, I want to understand. It can also be attacked. Sweaty hands and feet. This stool has been hard also. Dachengqi soup is the master. [Exclusion table confirms that the syndrome is in, and the hands and feet are sweating];
2. Typhoid fever. After vomit. puzzled. Not having a bowel movement for five or six days. Up to ten days. Hot flashes in the afternoon. Not aversion to cold. Talking alone is like seeing a ghost. If the drama. Hair does not know people. Touch the bed through the clothes. Vigilant and restless. Slightly panting and staring straight ahead. Those who have a strong pulse are born. The astringent dies. Small ones. But fever. Delirium. Dachengqi Decoction [Typhoid fever (in a broad sense) was wrongly treated and did not heal, and did not have a bowel movement for five, six, seven, eight or ninety days, hot flashes in the afternoon, no aversion to cold or fear of heat, light syndrome pulse string, Dachengqi Decoction is the main one; typhoid fever (typhoid fever in a broad sense) has not been cured by mistake, and has no bowel movement for five, six, seven, eight or ninety days, and hot flashes in the afternoon, no aversion to cold or fear of heat, heavy pulse, stringy pulse, Dachengqi Decoction Lord’s] Use it whether you see ghosts or not;
3. Question: People are sick and have food, why is it different? The master said: "The pulse at the cunkou is floating and large, and when you press it, it feels astringent, and the center of the ruler is also slightly and astringent, so you know there is food." Da Chengqi Decoction is the main one. This is the pulse method. The floating and large pulse in the inch mouth means that there is evil heat in the upper burner, but it is astringent when pressed, indicating that the body fluid is deficient. This is the place where the evil heat damages the body fluid.
(2) The rest is "Yi" Dachengqi Decoction, which has the most clauses. You need to consider whether it is appropriate. This part is difficult. It has to be combined with other symptoms of the patient. Hot without evidence. . . Or combine the pulse to see if you should use Dachengqi Decoction; there is another very good method, which is also given to you in the treatise on febrile disease, that is: 209, Yangming disease. hot flashes. Those with slightly hard stools. It can be used with Dachengqi soup. Those who are not hard. Not with it. If you don't have a bowel movement for six or seven days. Fear of dry shit. The method of wanting to know. Less with Xiaochengqi Decoction. Soup into the stomach. Those who turn around. There is also dry shit. It can be attacked. If you don't turn around. This is a tough start. After that, it will be loose. It cannot be attacked. If you attack, you will be full and unable to eat. Those who want to drink water. And the water is sloppy. Subsequent fever. It will be hard and less difficult to defecate. Take Xiaochengqi soup and it. Those who do not turn their heads. Be careful not to attack.
This method is the finishing touch of Dachengqi Decoction. Can Dachengqi Decoction be used? You can try it with Xiaochengqi soup first, hehe, if the Xiaochengqi soup is right, then the stool will pass, it must be hard in the head and then it must be loose. This is the standard for eating the right Xiaochengqi soup. If it should be Dachengqi soup, the stool will not pass, but the signal is that you will fart. If you eat Xiaochengqi soup, you will fart, then you should eat Dachengqi soup. [The head is hard at the beginning. It must be loose in the back; it is also a standard for all the methods to be just right-not to hurt the righteousness, not just Chengqi Decoction, all the methods, if the diarrhea is severe, it will hurt the stomach qi, see article 208 of Treatise on Febrile Diseases . 】
208. Yangming disease. Slow pulse. Although sweating. Those who do not have aversion to cold. Its body must be heavy. Short of breath. Belly full and panting. Have hot flashes. There are hot flashes. In addition, I want to understand. It can also be attacked. Sweaty hands and feet. This stool has been hard also. Dachengqi soup is the master. If you sweat a lot. Slight fever and chills. It is also unsolved. It's hot or not. Not with Chengqi Decoction. If the abdomen is full and unreasonable. It can be used with Xiaochengqi Decoction to calm stomach qi. Don't let it go down.
(3) There are a lot of methods of rushing down, but even though rushing down to save yin, Zhongjing didn’t use Da Chengqi Decoction in any of them, and all of them were "appropriate". Why? Because anyone who uses Dachengqi Decoction to rush down to save Yin means that the evil heat has already hurt the Yin, and it belongs to the category of "excessiveness is harm" that Maomao said. These patients are not the main patients treated by Dachengqi Decoction, and they will definitely hurt the body. I believe that these patients need follow-up to strengthen the spleen and stomach, and they have to be used; but later generations have Zengye Chengqi Decoction, which can fill the gap in theory, but Zhongjing is useless, there may be two kinds . First, at that time, ideological thinking had not expanded to this level; second, Zhong Jing knew it, but thought it was inappropriate to use it; There are always some places where the thinking cannot go through, and febrile diseases have supplemented a lot of expansion in thinking. . . I think this knowledge point may be in this category.
(4) Now pull back your thoughts and divide Dachengqi Decoction from Yin and Yang, that is, the so-called "too much" and "not enough" mentioned by Hu Xishu; Too much, that is, on the yang syndrome, or in a state where the struggle between good and evil is equal, go hand in hand, and evenly matched; but if the righteousness is a little weak, we can also use it. This is the method of saving yin in a hurry, but it needs to be followed up to strengthen the spleen and stomach;
2. Xiaochengqi Soup:
208. Yangming disease. Slow pulse. Although sweating. Those who do not have aversion to cold. Its body must be heavy. Short of breath. Belly full and panting. Have hot flashes. There are hot flashes. In addition, I want to understand. It can also be attacked. Sweaty hands and feet. This stool has been hard also. Dachengqi soup is the master. If you sweat a lot. Slight fever and chills. It is also unsolved. It's hot or not. Not with Chengqi Decoction. If the abdomen is full and unreasonable. It can be used with Xiaochengqi Decoction to calm stomach qi. Don't let it go down.
209. Yangming disease. hot flashes. Those with slightly hard stools. It can be used with Dachengqi soup. Those who are not hard. Not with it. If you don't have a bowel movement for six or seven days. Fear of dry shit. The method of wanting to know. Less with Xiaochengqi Decoction. Soup into the stomach. Those who turn around. There is also dry shit. It can be attacked. If you don't turn around. This is a tough start. After that, it will be loose. It cannot be attacked. If you attack, you will be full and unable to eat. Those who want to drink water. And the water is sloppy. Subsequent fever. It will be hard and less difficult to defecate. Take Xiaochengqi soup and it. Those who do not turn their heads. Be careful not to attack.
213. Yangming disease. The person sweats profusely. Go out with body fluid. Stomach dryness. The stool must be hard. Hard to delirium. Xiaochengqi soup is the master. If you take delirium to stop it. Don't take it again.
214. Yangming disease. Delirium. Hot flashes. Slippery and ill pulse. Xiaochengqi soup is the master. Because of one liter of Chengqi Decoction. Those who turn gas in the abdomen. Take a liter more. If you don't get angry. Do not change it. I won't have a bowel movement tomorrow. Those with a slightly astringent pulse. Li Xu also. It is intractable. It cannot be changed with Chengqi Decoction.
250. Taiyang disease. If you vomit. Ruo Xia, Ruo sweating. Slightly troublesome. urine count. Those with hard stool. With Xiaochengqi Decoction and Healing.
251. I got sick for two or three days. weak pulse. No Sun Bupleurum certificate. irritable. hard heart. to four or five days. Although can eat. Use Xiaochengqi Decoction to harmonize Shaoshao and Weiwei. Ling Xiaoan. to six days. With one liter of Chengqi Decoction. If you don't have a bowel movement for six or seven days. Those who urinate less. Although not eaten. But the beginning is tough. After that, it will be loose. Undetermined hard. Attack must be loose. Must be small and convenient. Shit is hard. It can be attacked. Yida Chengqi Soup.
374. Downside. Delirium. There is also dry shit. Yi Xiao Cheng Qi Soup.
41. Xiali, those who are delirium, have dry feces, and Xiaochengqi Decoction is the main one.
*, "Qianjinyi" Xiaochengqi Decoction cures constipation and delirium.
