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Summary of the decoction method and taking method of Zhongjing's prescription

The prescriptions in "Treatise on Febrile Diseases" and "Jinkui Yaolue" are 112 prescriptions and 179 prescriptions (excluding repetitions), mostly decoctions. After each prescription, Zhongjing always tirelessly wrote about the cooking method and taking method because it not only relates to the amount of medicine entering the human body, but also directly related to the efficacy of the medicine.

(hereinafter referred to as), compiled and proofread by Lin Yi and others in the Northern Song Dynasty based on Zhang Zhongjing's miscellaneous diseases. The book contains 205 prescriptions, which are rigorous in composition, exquisite in combination, and excellent in efficacy. They are later honored as "the ancestor of prescriptions and the classics of medical prescriptions". After each prescription, the book discusses the preparation, decoction, and methods of taking drugs in a more detailed manner. The scientificity and practicality contained in it are of great guiding significance for clinical practice. In order to facilitate clinical application, the author makes the following analysis from the two aspects of decoction and methods of taking prescriptions. The following analysis is made from the following aspects of decoction and methods of taking prescriptions.

(1) General cooking method:

1. (叶叶) sip. It is necessary to break the medicine into small pieces, which is conducive to boiling the medicinal flavor and more effectively exert the effect of the medicine. This is only stated under Guizhi Decoction, and other prescriptions are omitted. This is just a waste of the text, not to say that other prescriptions do not need to be sipped. Only one prescription for the Da Aconitum Decoction states that "no need to be sipped".

2. When boiling a few liters of water, boiling several liters to remove residue. The amount of water is roughly determined by the amount of medicine. For example, Guizhi Decoction is seven liters of water, boiling three liters; Huangqin Decoction uses one dou of water, boiling three liters. How much water is used and how much boiling is, it includes the time for cooking medicine. For example, Xiaobanxia Decoction and Zhongjing take Pinellia all use raw Pinellia. After boiling for a long time, it will remove its poison and not cause the throat of the stern. This recipe is seven liters of water, boiling one and a half liters, and then the decoction time is more than an hour. For boiling medicine, there are slight fire, fast fire, and medium heat. Anyone who does not state the slight fire and boiling is medium heat. If the Banxia Decoction is water, boiling for seven times is fast fire. Guizhi Decoction clearly informs "boil it with a slight fire".

3. Zhongjing used decoctions, and the rate was only cooked once per dose. To sum up, the reason was that the medicine taste was not much, at least one or two, and at most no more than twelve ingredients; the second was that after "(口安容)" the medicinal ingredients were easy to precipitate; the third was that the decoction time was long; the fourth was that some prescriptions were decocted with wine or half decocted with wine, which helped the medicine and was also an excellent solvent.

4. The method of boiling the prescriptions of Zhongjing is mostly done by using all medicines.

(2) Special cooking method:

1. Cook first:

The medicines that need to be cooked first are different in meaning. For example, Mahuang Tang, Daqinglong Decoction, Maxing Shigan Decoction, Mahuang Fuzi Xixin Decoction, etc., all prescriptions for using Ephedra clearly state that: boil Ephedra first to remove the foam, because if you do not boil first, you will have side effects that cause annoyance after taking it. For Dachengqi Decoction, first boil Citrus aurantium, Magnolia officinalis, and boil it for five liters, then add rhubarb to two liters, then add Glauber's salt, and then add a light heat to one and two boils. The meaning is to take Citrus aurantium to move Qi and disperse first, yellow, and dryness will be moistened after the dryness, and orderly.

In Baihu Decoction, Baihu plus ginseng Decoction, Zhongjing did not decoct first, but decocted with other medicines, and made with rice cooked soup. The aconite in Sini Decoction is not decocted first, such as Sini Decoction with three liters of water, boiled with one liter and two combinations, Zhenwu Decoction with eight liters of water, boiled with three liters, and boiled with three liters. It is estimated that the decoction time should be between 40 and 90 minutes, so there will be no danger of poisoning.

The Yinchen Hao Tang is first boiled in Yinchen, then add rhubarb and gardenia. Xu Lingfei said that boiling Yinchen is the secret method of Zhongjing. The prescription is also called "the urine is smooth, the urine is like soap bean juice, the color is red, and the abdomen is reduced all night, and the disease is removed from urination."

Pueraria decoction is first boiled in Pueraria decoction. Because the exterior evil is sinking, the meaning of boiling first is to lead the exterior evil to the exterior. However, the cinnamon twig ginseng is first boiled, ginger, grass, and then add the cinnamon twig. Because the internal symptoms are seven or eight out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of 10 out of

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2. Next:

There are fried first and then put them later. In addition, there are also those with lower contents such as malt sugar in Xiaojianzhong Soup, chicken yellow in Coptis chinensis chicken yellow in Coptis chinensis chicken yellow in Dachengqi Soup, Glauber's salt in Taohua Soup, red stone fat powder in Baitong plus pig bile soup, and human urine are all among the following.

3. Soup soak:

Dahuang Huanglian Xiexin Decoction is soaked in two liters of Mafei Decoction (boiling boiling water), and after a moment, the residue is removed, and then taken with warm. Xu Lingfei called this method "the strange method". He believed that it was to lightly promote it and lightly to cleanse the evil of the upper burner, and the taste was thick, and it would enter the middle burner. This is a saying. However, using this method to relieve bowel movements, the effect is the fastest, and you will no longer take it if you gain benefits. This is what Zhang Jiebin said, "If you want it to be quickly, you will soak the soup and swallow it." Ke Yunbo also said, "The raw ones are sharp and go first."

4. Recook:

Immediately, I cook a certain medicine in the prescription, and then add another medicine or several medicines to the soup and cook it. The purpose of this method is to relieve the medicine with more intense properties and not to cause harm. For example, in the jujube Xiefei Decoction, first boil the jujube to make the yellow color, pound the jujube (it is easier to exert the effect than unprocessed), and three liters of water, then boil the jujube, remove the jujube, add the jujube, and boil it for one liter, and take it all at once. The jujube is spicy and cold, and the nature is smooth and sharp. The "Ben Jing" says that it "mainly symptom the accumulation of qi and breaks the hardness and eliminates evil" and opens the water channel. Huang Gongxiu said that it "is impatient and does not reduce the nitro-yellow nature", and Huangshu once said that it "contains the nature of croton and rhubarb, so it drops rapidly", so Zhongjing matches it with jujube, and adds this method of cooking to effectively alleviate the harshness.

(III) Cook medicinal water:

Generally speaking, Zhongjing only said how much water was used and did not specify which water was used. Most of the people used were daily food water. However, some people were occasionally boiled with other water.

1.Slush:

When you see the red bean soup of Ephedra, Xu's note is "rootless water". Li Tiejun's note says "ground water", which is actually rain water. Is it possible to take it from light and clean?

2. Slurry water:

See Shuqi Powder and other formulas. Slurry water, that is, the water after fermentation of rice washing water, or boil the corn to cook, and soak it in the water for five or six days. The meaning may be to nourish the stomach qi, which is because Shuqi lacquer has a bad smell.

3. Spring water:

Various prescriptions for lily disease are seen. The cold spring water is beneficial to eliminate the evil heat of the heart and lungs. The water of the well is close to it.

4. Ganlan Water:

See Poria cocos, cinnamon twig, licorice, jujube soup. After the prescription, the method of making Ganlan water is added: take two dou of water, put it in a large basin, and lift it with a sap. There are five or six thousand beads on it to chase it, so it is used. Xu Lingfei probably doesn’t understand the meaning of Ganlan water. He said that it is probably the meaning of being able to move and think about it. You Yi said, “It is light to promote it, so that it will not benefit the kidney evil”, which is quite interesting.

5. East-flowing water:

When you see Zeqi soup, it means it is about to cleanse it.

In addition, there are:

1. Half fried wine:

When Zhongjing used wine, he used it to treat the spicy and hot good deeds to help the medicinal power. In addition, it is also conducive to the precipitation of the effective ingredients of the medicine. For example, the stewed licorice decoction consists of seven liters of sake and eight liters of water, and combine them into one dou and five liters, and cook until three liters (it can be seen after a long time of decoction), take one liter warm, and take three daily doses. This syndrome is that both qi and yin deficiency and the meridians are not suitable, so jujube, raw licorice, roasted licorice combined with ginseng, Ophiopogon jelly, donkey-hide gelatin, and hemp seeds. Sake wine is used to help cinnamon twigs and ginger open the meridians.

2. Fry wine:

Trichosanthes kirilowii Baijiu soup uses seven liters of white wine, and Trichosanthes kirilowii Banxia soup uses one dou of white wine to decoct medicine without adding water. This is because of the obstruction of heart qi and chest pain, which is not enough to open it without alcoholic nature. Red and blue flower wine is also only decocted with wine.

3. Boil with vinegar:

For the recipe, such as the pineapple and citrus decoction, the bitter wine in the recipe is vinegar. Use one liter of vinegar and seven liters of water to combine, boil and take three liters, and take one liter warm. To treat yellow sweat, use pineapple, cinnamon and peony to adjust the Yingwei and Wei, and use bitter wine to decoct, which will make the qi more harmonious and move more frequently. It is because bitter wine has its own movements and harvests, which can help the cinnamon and peony.

4. Honey fried:

For Da Aconitum Soup, boil three liters of water and take one liter, remove the residue, add two liters of honey, decoct to make the water vapor exhausted, take two liters. Take seven combinations for strong people and five combinations for weak people, only take once a day, and take it tomorrow. Decoction of honey will not only relieve the poison of aconitum, but also relieve the pain.

(Four) Method of obeying:

1. Regular service method:

Most prescriptions are routine prescriptions, that is, boiling one dose to take three liters, removing residue, taking one liter warmly, and taking one day and another night; or taking three days and taking two liters a day and then taking it in warmth. For example, Xiaoqinglong Decoction, Xuanfu Daizhe Decoction, Huangqin Decoction, Dried Ginger, Scutellaria, Coptis chinensis Decoction, Baihu Decoction and other famous prescriptions are all used in this routine prescription. Among the routine prescriptions, there are also three days and one night, that is, four times a day, so you must pay attention.

2. How to take Guizhi Decoction:

This is the most refined person in Zhongjing. The method of taking Guizhi Decoction: 7 liters of water, boil it on low heat until three liters, and warm it up. First take one liter; then sip hot porridge to help the medicine, warm it up for about a while, and then take a slight sweat, and the disease will be cured. If the remaining 2 liters are not sweating, you do not need to take it again. If you do not sweat, take it again according to the previous method; if you do not sweat, take it later for a short while, and the time for taking the medicine is shortened. After half a day, let the three doses be completely eliminated, and the disease will stop after the disease is stopped. If it has not cured, you can take two or three doses according to the law.

3. How to take Dachengqi Decoction:

One dou of water, boil it for two liters, and take one liter. If you take this liter, you will get a diarrhea, and there is no need to take it again. This is the so-called "stop it and take it later", "Do not take it after getting the rest". Dachengqi Decoction is also the only way to stop it after taking it. If you don't get the benefits, drink it all over the liter, two and half combinations. It is already very clear, and finally adds a solemn sentence: "If you change clothes, do not take it."

Zhongjing was extremely brave and decisive in sweating and slacking methods, and was extremely cautious and cautious. Brave and decisive is a must-use and should not be taken care of. Even if Shaoyin disease, yang evil enters yin and the kidney water is about to dry up, it is necessary to rush to preserve yin. The original text has three "urgent" in a row, which shows that he is determined; be cautious and careful, the disease will stop, and minimize the damage to the positive energy of the evil-attacking medicine. Like today, the number of doses of the anti-inflammatory drugs will be prescribed!

4. How to take Xiao Chaihu Decoction:

Xiao Chaihu Decoction is one dou and two liters, decocts and takes six liters (half), remove residue and then decoct, take three liters, take one liter warm, and take three liters a day. The purpose of decoction is to remove some of the water and make it thick. Xu Lingfei said that Shaoyang is between the two yangs, and this reconciliation agent, decocts again, the medicinal properties are combined, which can make the meridians and qi blend together and no longer go in and out. This statement is a bit abnormal. Da Chaihu Decoction also uses the method of removing residue and decocting.

5. Suddenly:

That is, one dose is one dose (only decoct once per dose). For example, Guizhi Licorice Decoction is used to treat excessive sweating and damage the heart yang. The person crosses his hands and causes the heart to rise, and he wants to press it. Therefore, he urgently uses this prescription to help Yang Buzhong. If you also take the 无大子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子子

6. Honey to the throat: Biju Decoction treats Shaoyin disease sores in the throat, unable to speak, and unable to sound. Use this prescription to restrain fire and reduce qi, which is a combination of internal and external treatments.
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