Xue Xue
Xue Xue
Xue Xue (1681-1770) was born in white and named yipiao. He was also named huaiyun Taoist, sword grinding Taoist, and cattle herding Laojiu. Wu County, Jiangsu Province, and Ye Gui at the same time and equally famous. In his early years, he toured the door of Ye Xie, a famous scholar. He was good at poetry, painting and calligraphy, and good at boxing. Later, because of his mother's disease of damp heat, he made great efforts in medicine and became more skilled. Xue Xue was brave and indifferent all his life. He died at the age of 90. It is known that Xue Xue Xue is not a professional doctor, but he is known as an expert in the treatment of damp heat syndrome. His book "chapter of damp heat disease" has been handed down from generation to generation, and has made a great contribution to the study of febrile diseases. The original text of Neijing was selected and compiled into six volumes (1754) of Yijing Yuanzhi. Tang Dali's Wu Yi Hui Shuo recorded eight pieces of his RI Shuo Za Ji, which expounded the medical theory and drug use, as well as Gao Wan pan Zi (Special Edition), Shang Ke Fang, Xue yipiao's theory on malaria (manuscript), etc.
Profile
Xue Xue, born in 1881, was born in Wuxian county (now Suzhou, Jiangsu Province) and died in 1770. Xue Xue has been studious and talented since she was a child, and her poems are very rich. She is good at painting, boxing, bravery and erudition. In the early years of Qianlong's reign, both of them had learned a lot about Hongci. Because his mother was ill, he studied medicine carefully, read extensively, and was good at medicine, especially at warm heat disease. "Chapter of damp heat disease", which further develops the syndrome differentiation and treatment of damp heat, enriches and enriches the content of warm heat disease, and makes considerable contribution to the development of warm heat disease.
During the reign of Emperor Qianlong, ye Tianshi, a famous doctor, was as famous as Xue. Both of them were good at treating febrile diseases, but they often attacked each other. It is said that in history, there was a rumor about "Sao Ye Village" and "Ta Xue Zhai" in the apricot forest. Here's what happened: one of the watchmen was suffering from edema and asked Xue for treatment. Xue thought that the patient was terminally ill, so he refused to treat him. When the watchman came home, he fainted by the road. It happened to be discovered by Ye Tianshi. After diagnosis, he thought that the disease was caused by the watchman's years of exposure to poisonous mosquito repellent incense. After careful treatment, he recovered. The watchman told everyone about it, and everyone in the city knew about it. When Xue learned about it, he was jealous and angry with Ye Tianshi. He felt that his reputation had been damaged. So he decided to compete with ye to save face. For this reason, he named himself "Sao Ye Village" and hung a plaque on the front door. Ye was very angry when he heard about it. Originally, they did not give in to each other. At this time, they were even more angry and immediately responded. The cursive script horizontal plaque "stepping on the snow room" was placed at the door of the study to show that they would never show weakness to Xue Xue. Just as they were about to fight for a higher position, Ye's mother suddenly fell ill. Although she was treated carefully, she still didn't get better. Ye was very anxious. Xue's younger brother and ye's are usually good friends, so he told Xue about Ye's illness. After knowing the disease in detail, Xue thought that the virus Yangming syndrome, not reuse Baihu Decoction can't put out its raging fire, raw gypsum must be used to two Jin to work. Xue told ye Tianshi about his brother's advice. Ye's side suddenly realized that he was in a hurry to fry Baihu Decoction. After taking it, he recovered. Afterwards, ye admired Xue's medical skills very much, so he threw away his past grievances and took the initiative to visit Xue. Xue was deeply moved and felt guilty. He immediately took off the plaque of "swept leaf village" and apologized. From then on, the two famous experts studied each other and made great contributions to the theory of epidemic febrile diseases in Chinese medicine.
According to records, Xue's great grandson Dong came to write eight miscellaneous notes on Japanese lectures, which were recorded in volume two of Wu Yi Hui Shuo. He also described Xue's deeds, saying that Xue disdained medical advice, so he died in his nineties. It is said that the first edition of "differentiation of dampness and heat" was published in Shu songmo's "doctor's Secret collection". However, some doctors (such as Wang Mengying) think that the author of the doctor's Secret collection is still difficult to determine. Xue believes that "Damp heat is a disease, which is not only different from typhoid fever, but also different from warm disease. Febrile diseases are caused by Shaoyin and Taiyang, while damp heat is caused by Yangming and Taiyin. He also said: "Damp heat is mainly caused by Yang Ming and Tai Yin. The disease in the surface of the two meridians is often accompanied by Shaoyang Sanjiao, and the disease in the interior of the two meridians is often accompanied by Jueyin Fengmu. Therefore, this syndrome is prone to deafness, retching and spasm This theory is Xue's original idea, which is worthy of attention. In the differentiation of damp heat, Xue explained the origin of damp heat. The so-called syndrome, which is the main symptoms of damp heat disease, is the outline of identifying damp heat disease. That is: "the beginning of cold, but not cold, sweating chest ruffian, white or yellow tongue, thirst does not lead." In addition to his brilliant exposition of warm heat disease, Xue also believed that Zhang jiebin's Lei Jing was dubious and could not go to China to keep the truth. The author also thinks that Neijing is not the biography of sages, so why not separate the sections, so he focuses on the elaboration.
Medical achievements
Damp heat disease is a major type of exogenous febrile disease, which is caused by both damp evil and summer heat evil. Also because of the long stay of dampness evil and heat, become the evil of dampness and heat interweave, and for dampness and temperature. The occurrence of this disease is closely related to the season. In the long summer and early autumn, the climate is hot and humid. People are in such a natural environment, and the weak are often easy to get sick and become wet and warm. Dampness and temperature are both pathogenic factors of dampness and heat. Wet sticky, hot inflammation. The two coincide, the evil heat is difficult to eliminate due to the stickiness of the damp evil, while the damp evil is diffused up and down by the relaxation of the heat evil, resulting in a very serious disease. As Xue Xue concluded: "husband's heat is the air of heaven, while dampness is the air of earth. The hotter you get, the hotter you get. If the disease is divided into damp and heat, it will be mild and slow; if the disease is combined with damp and heat, it will be severe and rapid. "
The invasion route and site of damp heat pathogen are different from other exogenous diseases. Xue summarized the invasion ways of damp heat disease into three aspects. On the one hand, there are a few patients whose evil Qi invades from the skin. Xue's view is different from Wu You Ke's and ye Tian Shi's view that warm evil comes from the mouth and nose. In most patients, the evil Qi comes from the mouth and nose. This is the same as the view of epidemic febrile disease experts, but different. The pathogen of Gavin's disease enters from the mouth and nose and injures the heart and lung. Although the pathogenic factors of damp heat disease also enter from the mouth and nose, the injured viscera are mainly in the spleen and stomach. Because the spleen soil belongs to Taiyin, which is mainly responsible for dampness and evil dampness. Yangming stomach is the dirty part of Yang soil and the sea of water and valley. It is mainly dry and evil. It is easy to turn into fire. Therefore, most of the lesions are located here. Third, the evil Qi is not in the spleen or stomach, but invades the membrane. Xue attached great importance to the role of spleen and stomach in the pathogenesis of damp heat disease, and pointed out that spleen deficiency and dampness were the internal factors of damp heat disease.
Xue believes that the main manifestations of damp heat syndrome are: cold at the beginning, but not cold at the end, sweating, chest fullness, white or yellow tongue, thirst without drinking. According to Xue's classification, damp heat syndrome can be divided into three types: dampness evil injures the surface, dampness evil in the muscle and dampness heat invading the meridians. The so-called "dampness evil injures the exterior" refers to dampness evil's suppression on the exterior of the body's Yang defense. It can be seen that the symptoms of aversion to cold, no sweat, body weight, headache, chest distension, lumbago and so on. At this time, when scattered in the surface of the wet, so with agastache, Elsholtzia, notopterygium, Atractylodes bark, mint, burdock and so on. Dampness evil injures Yangming muscle, and its symptoms include aversion to cold, fever, sweating, body weight, joint pain, chest distension, low back pain, etc. If dampness invades the channels and channels of the human body, and there is acute traction of the limbs, and even Jiao Gong Zhang, Kou Jing, etc., fresh earthworm, Gentiana macrophylla, clematis, talc, Xanthium sibiricum, Luffa collateral, haifengteng, fried Coptis chinensis with wine, etc. should be used. If it belongs to damp evil, it can be divided into different situations. For those with dampness stagnating and Yang Ming, the tongue coating is white and thirsty. It is better to use the method of pungent opening to make the upper Jiao well connected and the body fluid well developed. Magnolia officinalis, caokuo, Pinellia ternata and Acorus calamus are selected. For those with dampness trapped in Taiyin, there are aversion to cold, yellow face, thirst, mental fatigue, lazy limbs, weak pulse, abdominal pain, etc. the treatment is suitable for warming spleen yang, resolving dampness and turbidity, imitating Shupi Yin (shrinking Amomum villosum, dark plum meat, stewed caogo, roasted licorice, dried Pueraria, white lentils), Dashun powder (licorice, dried ginger, almond, dried ginger), and laifudan (saltpeter, sulfur, wulingzhi, Qingpi, Chenpi), etc.
If dampness and heat can suppress membranous protoplasm, and cold and heat can be seen as malaria, Wu Youke's method of dispersing membranous protoplasm can be used. Imitating Dayuan drink, Chaihu, Houpu, areca, Caogou, Huoxiang, Atractylodes, Pinellia ternata, ganchangpu, liuyisan, etc. can be used. If both dampness and heat are emphasized in the interior, the tip of the tongue is red and the base of the tongue is white, which indicates that the dampness pathogen is stagnant, but gradually turns into heat. For those who are in excess of heat evil, we should take clearing away heat as the urgent task, distinguish the difference of heat evil in Qi, camp and blood, and treat them with the help of Ye Tianshi's method. If the damp heat is full of Sanjiao, it is easy to suppress the Qi mechanism due to the sticky damp nature, so it should be treated according to the syndrome differentiation of Sanjiao. For the patients with dampness heat and Yin injury, Xue selected fresh radix rehmanniae, Rhizoma Phragmites, Radix Polygoni Multiflori, fresh radix oryzae and other products, which can not only restore the body fluid in the stomach, but also release heat and remove pathogenic factors. For those with deficiency of Yang due to dampness heat, for example, those with cough, shortness of breath, tiredness, thirst and sweating, and those with deficiency of pulse can use ginseng, Ophiopogon japonicus and Schisandra chinensis to replenish qi and generate pulse. If the deficiency of Qi in the middle makes the ascending and descending abnormal, and the symptoms appear a few days after the disease, vomiting and diarrhea come at the same time, and the spleen is very weak. If the Qi in the middle is not enough, the raw malt, lotus seed heart, lentils, coix seed, Pinellia ternata, licorice and poria cocos can be used to invigorate the spleen. In a word, Xue made a good summary of various syndrome types and clinical changes of damp heat disease.
Xue Xue's research on damp heat disease highlights the characteristics of the combination of dampness pathogen and heat pathogen, grasps the key of different degrees of dampness and heat pathogen, and combines the differentiation methods of viscera, Sanjiao, exterior and interior to integrate them, solves the differentiation of syndrome types of damp heat disease, and is conducive to clinical application. In the treatment, although there is temperature
Chinese PinYin : Xue Xue
Xue Xue
