Treatise on Febrile Diseases Review Key Points
1. Explanation of terms
1. Typhoid fever: There are broad and narrow senses. Generalized typhoid fever is the general term for all exogenous febrile diseases. In a narrow sense, typhoid fever refers to a disease caused by exogenous wind and cold. It is the "typhoid" in "there are five types of typhoid".
2. White drink: refers to rice soup
3. Concomitant diseases: those who have experienced syndromes before giving up, and then see the syndromes again are called concomitant diseases.
4. Face dirt: the face is covered with oil dirt
5. Diabetes: refers to the symptoms of thirsty and drinking a lot of water, not the diabetes mellitus in internal medicine miscellaneous diseases
6. Zhizhong: the fertile body is weak, feeling exogenous evils, the disease does not have the process of three yangs, but directly violates three yins and appears three yin syndromes
7. Fatigue: upset caused by residual heat after vomiting. Deficiency is not a deficiency of righteousness, but an invisible evil heat.
8. Happy vomiting: happy, easy to happen. Happy to vomit, that is, easy to vomit.
9. Gudao: the anus
10. General interest: the meaning of recuperating, resting and nursing. Refers to the nursing method after taking medicine.
11. Week time: refers to a day and night, that is, 24 hours
12. Cholera: It is an acute gastrointestinal disease with sudden onset and characterized by vomiting and diarrhea. Huo, has the meaning of swiftness, sharpness, and suddenness: chaos, that is, the appearance of chaos and chaos.
13. Cold grid: refers to the rejection of upper heat and lower cold.
14. Ascaris: Jue coldness in limbs caused by roundworms.
15. Weakness: weak and thin.
16. Breast knot: Zhenghou name. Refers to the syndrome characterized by the accumulation of excess evil in the chest, diaphragm, and abdomen, and the main feature is pain in the chest, diaphragm, and abdomen.
17. French vinegar: instant vinegar.
18. Spleen home real: real, this refers to the enrichment of righteousness, that is, the restoration of spleen yang.
19. Desire to sleep: Deficiency of heart and kidney yang, excess of yin and cold, or deficiency of yin and blood, all lead to loss of mental support, listlessness, trance, and a state of sleep but not sleep.
20. Mabo soup: boiled water.
21. Insensitivity to the mouth: Numbness in the mouth, unfavorable speech, and no taste in food.
22. Intercourse of cold and heat: Fever and aversion to cold appear alternately, and the onset and stop are irregular.
23. Tendons and meats: near meaning, all refer to twitching. Tendons and meats refer to the beating of muscles.
24. Syndrome: Where two or three meridian syndromes appear at the same time, it is called combined disease.
25. Stroke: stroke, injury. Stroke, the name of the syndrome, refers to the injury caused by wind evil, a syndrome of Taiyang disease, which is different from the stroke disease of sudden falling down and crooked mouth and eyes in internal medicine.
26. Rehabilitation: Those who have recovered from an illness and relapsed due to overwork.
27. In addition to the middle: It refers to the abnormal phenomenon that the stomach qi is dying, but it is not able to eat.
28. Purging pus and blood: even pus and blood.
29. Visceral Jue: Juicy coldness of the extremities due to kidney deficiency.
30. Happy spit: spit phlegm from time to time.
2. Short answer questions
1. The six outlines of typhoid fever and its pathogenesis
1 Outline of Taiyang Disease Pulse Syndrome: When the sun is a disease, the pulse is floating. Strong head pain and chills.
Pathogenesis: Exogenous evils attack the surface, disharmony between the camp and the guard.
2 Outline of Yangming disease: Yangming is a disease, and Weijia is actually it.
Pathogenesis: exuberant dryness and heat, fierce struggle between good and evil.
3 Outline of Shaoyang pulse and syndrome: Shaoyang is a disease, with bitter mouth, dry throat, and dizziness.
Pathogenesis: Evil commits Shaoyang, and good and evil contend between the half surface and the half inside, causing gallbladder fire and internal depression, and the cardinal is unfavorable. Affecting the dysfunction of the spleen and stomach or the loss of power in the final reading of the triple burner.
4 Outline of Taiyin disease: Taiyin is a disease, fullness and vomiting, inability to eat, self-interest is very serious, sometimes abdominal pain. (If it is lowered, it will harden the lower part of the chest.)
Pathogenesis: Deficiency of spleen yang, exuberance of cold and dampness.
5 Outline of Shaoyin disease: Shaoyin is a disease, and the pulse is fine and thin, but it is difficult to sleep.
Pathogenesis: Deficiency of Qi and blood throughout the body.
6 Outline of Jueyin disease: Jueyin disease is characterized by thirst, qi rushing up to the heart, pain and heat in the heart, hunger and no desire to eat, vomiting of roundworms when eating, and endless benefits.
Pathogenesis: yin and yang are intermingled, internal movement of deficiency wind.
2. The original text of Xiaojianzhong Decoction : Xiaojianzhong Decoction is the main treatment for those who suffer from palpitations and troubles on the second or third day of typhoid fever.
Drug composition: cassia twig, licorice, jujube, peony, ginger, caramel
3. The original text of Zhigancao Decoction : typhoid fever, pulse knots, palpitations, Zhigancao Decoction is the main one.
Composition: licorice, ginger, ginseng, rehmannia glutinosa, cassia twig, donkey-hide gelatin, Ophiopogon japonicus, hemp seed, jujube.
4. Shaoyin disease, vomiting, cold hands and feet, irritability and dying, Evodia decoction is the main treatment.
Drug composition: Evodia rutaecarpa, ginseng, ginger, jujube
5. Peach Blossom Decoction Syndrome : Shaoyin disease, lower benefit. For those with pus and blood in the stool, peach blossom soup is the main one.
Drug composition: red stone fat, dried ginger, japonica rice
The clinical findings should be mixed with pus and blood, tenesmus is light or absent, and there is no foul smell, and symptoms of deficiency and cold such as abdominal pain, warm and pressing, light mouth without thirst, pale tongue with slippery coating, etc. can be seen. This syndrome has more deficiency and less evil, so the peach blossom soup should be warm and astringent.
6. Guizhi Ephedra soup in half
This prescription is Guizhi Decoction, which is made by combining 1/3 of the original dose of Mahuang Decoction. The small dose is meant to slow down, and it is a light dose for sweating. It is consistent with the pathogenesis of the long-term evil and the unhealed external disease.
7. Guizhi Eryue Maid and One Soup Certificate
This prescription is composed of 1/4 of the original dose of Guizhi Decoction and 1/8 of the original dose of Yuebi Decoction.
Guizhi Ermahuang One Decoction Syndrome
This prescription is made by combining 5/12 of the original dose of Guizhi Decoction and 2/9 of the dose of Mahuang Decoction.
8. What is the difference between wind temperature and febrile disease learning wind temperature, and why ?
1 febrile disease is caused by exogenous heat pathogens or by subduing qi and transforming into heat, and originates from the inside. Invasion of heat and evil, and the struggle between good and evil, will inevitably present a state of excitement. Therefore fever, not aversion to cold. Excessive heat hurts the body fluid, so thirsty drink. Febrile diseases change rapidly. There are many syndromes, and those with the above characteristics can be judged as febrile diseases, so from the perspective of the condition. There is no difference with febrile diseases in later generations, and it is different from stroke and typhoid fever.
2. However, in the early stage of febrile disease, the disease is on the surface (the "Weifen" syndrome called "Weifen" syndrome in later febrile disease studies) and there is also aversion to cold. But often accompanied by slight thirst, red tongue, rapid pulse and so on. It is still different from stroke and typhoid fever.
9. Composition and addition and subtraction of Guizhi Ginseng Decoction?
Composition: Guizhi, Licorice, Atractylodes macrocephala, Ginseng, Dried Ginger
Addition and subtraction: Remove Guizhi, that is, Lizhong Decoction, which has the effect of warming the middle and dispelling cold, and nourishing the spleen and stomach.
10. Angelica Sini Soup
If the hands and feet are extremely cold and the pulse is thready, Danggui Sini Decoction is the main remedy.
Heartbreaking is the dialectical point of this evidence.
11. The original text of Guizhi Gancao Decoction: Excessive sweating, the person crosses his hands and feels his heart palpitations, and he wants to be pressed. Guizhi Gancao Decoction is the main one.
Ephedra Xixin Fuzi Decoction Original text: Shaoyin disease, first acquired, recurrent fever, deep pulse. Ephedra Asarum Fuzi Decoction is the main one.
Mahuang Fuzi Gancao Decoction Original text: Shaoyin disease, after two or three days, slightly sweating with Mahuang Fuzi Gancao Decoction. Because I have no certificate for two or three days, I sweat a little.
Bupleurum Guizhi Decoction original text: typhoid fever for six or seven days, fever with slight aversion to cold, joint pain, slight vomiting, subcardiac knots, and external syndromes that have not gone away, Chaihu Guizhi Decoction is mainly used.
12. The pathogenesis of Bupleurum Guizhi Dry Ginger Decoction and Bupleurum Guizhi Half Decoction?
Bupleurum Guizhi Dried Ginger Soup
Pathogenesis: evil stagnation and less yang, internal stagnation due to drinking water.
Bupleurum and Guizhi Soup
Pathogenesis: too little two yang combined disease.
13. What is the difference between Zhuling Decoction and Wuling Powder?
| Syndromes |
etiology and pathogenesis |
Marquis |
rule of thumb |
Recipe |
Identification points |
||||
| Wuling Sanzheng |
Bladder pneumatosis dereliction of duty |
Exterior evil enters the internal organs, water accumulates in the lower burner |
fever, Thirsty, Difficulty urinating, floating pulse |
Polydipsia, drinking does not quench thirst, vomiting immediately after drinking water, both symptoms |
Lee water |
Tongyang transforms qi and relieves external evils |
Polyporus Poria cocos Alisma |
Guizhi Atractylodes |
There is still external evil water stored in the lower coke body fluid unharmed |
| Pig Ling Decoction |
In Yangming disease, body fluid is injured after lowering, and water and heat accumulate in the lower burner |
Upset and insomnia, coughing and vomiting, fever without aversion to cold |
nourishing yin and clearing away heat |
donkey-hide gelatin talc |
Deficiency of yin, hot water and heat intertwine, insufficient body fluid |
||||
14. Yangming's Four Heat Syndromes
1 Zhizi Chi Decoction certificate, 2 Baihu Decoction certificate.
3 white tiger plus ginseng soup card
4 pig ling soup card
15. Three symptoms of chest knot?
Deep and tense pulse, pain in the heart, and hard pressing are the three typical pulse symptoms of large knot chest syndrome.
Because it is called "three chest diseases" by doctors
16. In "Treatise on Febrile Diseases", what is the principle of treatment?
Observe the pulse and syndrome, know what is wrong with it, and treat it according to the syndrome.
17. What is the difference between the three yang meridians for headache ?
1 Taiyang disease headache is mainly in the back of the occipital, fever and chills can be seen together, and a floating pulse can be seen. It is due to wind-cold stagnation, unfavorable sun meridian qi, pain with tight feeling,
2 In Yangming disease, the headache is mainly on the forehead, which is frequent but hot but not cold, and the pulse is often loud and slippery. It is the heat in Yangming that follows the meridian, and the stagnation of meridian qi presents distending pain.
3 In Shaoyang disease, the headache is mainly on both sides, and there is alternating cold and heat, and the pulse is more stringy. It is because the qi of the Shaoyang meridian is unfavorable, and the stagnant fire follows the meridian and violates it.
18. What are the characteristics and mechanism of aversion to cold at the beginning of Yangming disease ?
Features: Aversion to cold at the beginning, usually to a mild degree, for a short time, and can stop on its own.
Mechanism: either the external cold has not ceased, and the internal heat has not occurred;
19. What are the characteristics of yang deficiency and irritability?
1 Heart-yang deficiency and irritability: palpitations, restlessness, dread and insomnia, hyperhidrosis, and weak pulse. Selected recipe Guizhi Licorice Keel Oyster Soup
2 Deficiency of spleen yang and irritability: palpitations, restlessness, endogenous water drinking, dizziness, deep and tense pulse. Selection of recipes Xiaojianzhong soup
3 Kidney yang deficiency and irritability: daytime irritability and insomnia often accompanied by cold limbs, quiet at night, no vomiting or thirst, no symptoms, deep and thready pulse, no severe fever. Selection of Dried Ginger and Aconite Soup
20. Why does the syndrome of Lingguizhugan Decoction appear "head dizziness"?
The leader of one is blinded by the rising water vapor
The Qingyang transported by the spleen is hindered by water drinking and cannot rise to the head.
21. What are the pathogenesis and clinical features of Jue syndrome? Which ones are there? and their representatives?
The pathogenesis of Jue syndrome: Yin and Yang Qi are not connected in sequence.
Clinical features: Cold hands and feet, even colder than the elbows and knees.
Representative recipes: 1. Hot Jue——Baihu Decoction 2. Cold Jue——Sini Decoction 3. Qi Depression Caused Jue——Sini Powder
4 Jue due to blood deficiency—Danggui Sini Decoction, Danggui Sini Decoction plus Evodia Dried Ginger Decoction
5 Shui Yin Jue - Poria Gancao Decoction 6 Phlegm Jue - Gua Di San
7 Maijue - Sini Decoction 8 Ascaris - Wumei Wan
22. How to identify the sun water storage certificate and the blood storage certificate?
| Syndromes |
pathogenesis |
Marquis |
rule of law |
prescription |
features |
|
| water storage certificate |
The evil of the sun is incomprehensible and enters through the meridians |
Evil and hydration, the disease lies in the qi, and the bladder is unfavorable for qi |
Thirst, fever, floating pulse, difficulty urinating, less abdominal urgency |
Tongyang Huaqi and water |
Wuling Powder |
The knot with water is focused on Tongyang Qi machine is not good for water |
| blood storage card |
Evil enters the interior and transforms heat and blood stasis in the lower energizer, the disease is in the blood |
The person goes crazy, urinates self-consciously, the lower abdomen is fast or full, deep pulse, red tongue and petechiae |
Activating blood and removing blood stasis |
Peach Core Chengqi Soup |
Heat and blood knots, poor meridians Emphasis on purging heat and removing blood stasis |
|
23. What is the pathogenesis of Bupleurum Guizhi Ganjiang Decoction Syndrome?
When evil enters Shaoyang, the Qi mechanism of the triple burner is unfavorable, and water drinking stops internally.
9. Briefly describe the identification points of Taiyang typhoid fever, stroke and febrile disease.
1. Typical pulse symptoms of Taiyang typhoid fever: fever and chills, no sweating, body pain, floating and tense pulse, which fully reflects the pathological characteristics of cold pathogens.
2. Typical pulse symptoms of Taiyang stroke: fever, sweating, aversion to wind, floating and slow pulse, which fully reflect the pathological characteristics of wind evil.
3. Typical pulse symptoms of febrile disease: fever and thirst, not aversion to cold. In the early stage of febrile disease, the disease also has aversion to cold on the surface (Weifen syndrome), but it is often accompanied by slight thirst, red tongue, rapid pulse, etc. It is different from stroke and typhoid fever.
24. Briefly describe the syndrome types and treatment prescriptions of each syndrome of Shaoyin sore throat.
1. Pig skin decoction syndrome of Shaoyin yin deficiency and sore throat caused by deficiency heat——Pig skin decoction
2. Evil-heat guest in Shaoyin meridian, licorice decoction and orange terrier decoction in the throat——licorice decoction and bell terrier decoction
3. Bitter wine decoction syndrome of Shaoyin phlegm heat blockage and throat injury and sores - bitter wine decoction
4. Pinellia Powder and Decoction Syndrome of Sore Throat in the Guest of Shaoyin——Banxia Powder and Decoction
25. How to use Fuzi Decoction and Zhenwu Decoction differently?
The same: both are deficiency of shaoyin and yang, suffering from water-dampness. Poria cocos, Atractylodes macrocephala, aconite and peony were used.
Different: Zhenwu Decoction — flooding with water and dampness (constantly fluctuating) —seeing dizziness, palpitations, body movement, vibrating to the ground, abdominal pain, sharpness in the lower limbs, heaviness and pain in the limbs, and even edema, dysuria — attached Half the amount of surgery, re-use ginger to drink with warm water, not ginseng - warm yang to transform Qi, drink with water
Aconitum decoction — cold damp stagnation, unfavorable meridians — aversion to cold in the back, cold hands and feet, joint pain in the body — double use Shufu, remove ginger and add ginseng to warm and nourish yang — warm and nourish vitality to dispel cold and damp
26. According to relevant provisions, how to distinguish Yangming belly fullness and Taiyin belly fullness?
Article (255) The fullness of the stomach does not decrease, and the reduction is not enough. For the moment, Da Chengqi Decoction is suitable. The cause of the disease is that the Yangming Fu is full, the Fu Qi is blocked, and the Qi movement is stagnant, so it is the time of great reality and fullness. It belongs to internal fullness, abdominal pain and refusal to press, constipation, yellow thick and dry tongue coating, etc.
Abdominal fullness in Taiyin is caused by spleen deficiency and cold-dampness. According to Article (273), Taiyin is a disease, fullness of the abdomen and vomiting, inability to eat, self-interest is very serious, and sometimes abdominal pain. If it is lowered, it will be hard under the chest.
It can be seen from the article that Yangming's abdomen is full and refuses to press, stool is obstructed, and the tongue coating is yellow and thick and dry: Taiyin spleen governs the abdomen, middle Jiao Yang is deficient, cold condenses Qi stagnation and damp resistance, Qi movement is not smooth, and spleen collaterals are blocked, then Dull pain, intermittently on and off, warm and pressing, abdominal pain bursts, warm and pressing,
27. Try to compare the syndrome and treatment of the three prescriptions of damp heat and yellow ,
| square name |
Marquis |
pathogenesis |
rule of law |
| Yinchen Artemisia Soup |
Sweaty head, no heat in the body, stop up to the neck, trouble urinating, thirsty for water, slightly full abdomen, poor stool or constipation |
Hot and humid, steaming, yellow inside |
Purging heat and dampness, promoting gallbladder and reducing jaundice |
| Gardenia cypress soup |
Fever, yellow body, trouble urinating, or seeing thirst, upset |
hot and humid, yellow |
Clearing away heat and dampness, purging dampness and reducing jaundice |
| Ephedra Forsythia Red Bean Soup Certificate |
Yellow body, fever, no sweat, itching, difficulty urinating, or aversion to cold, body pain, floating pulse |
Damp heat and sweltering steam, with yellowish appearance |
Relieves the surface and clears the interior, promotes dampness and fades jaundice |
28 How to distinguish the three parties of heat and power in "Treatise on Febrile Diseases" .
Recipe: Pulsatilla Decoction, Gegen Qinlian Decoction, Huangqin Decoction.
Same as: fever, thirst, burning anus, foul stool, red tongue, yellow fur, rapid pulse
Different: Pulsatilla Decoction—Damp-heat in the Liver Meridian presses the large intestine, and hot dysentery is severe, and the syndrome is mainly tenesmus, followed by sharp pus and blood
The method for the treatment of is heat-clearing and toxic substances removing, cooling blood and stopping dysentery.
Gegen Qinlian Decoction——take the outside and enter the inside, and the heat will force the large intestine. The syndrome is mainly based on wheezing and sweating, and the syndrome of internal heat and lower benefit is concurrent with exterior syndrome.
Control with clearing away heat and stopping dysentery concurrently with penetrating appearance.
Scutellaria baicalensis decoction—Shaoyang suffocation and fire force Yangming to benefit the large intestine.
Control with clearing away heat and stopping benefit, purging Shaoyang gallbladder fire.
29. According to relevant provisions, try to analyze how to judge the true and false of cold and heat?
Article (11) If a patient is too hot and wants to wear clothes, the heat is in the skin and cold is in the marrow of the bone; if the body is extremely cold but does not want to wear clothes, the cold is in the skin and heat is in the marrow of the bone.
Generally, those who are really hot have aversion to heat; those who are really cold have aversion to cold. Today, "patients who are very hot and want to get clothes" are not in line with normal conditions. Because there are people who are really hot, they should not want clothes and quilts. Although the body is very hot now, but I want to cover it with more clothes, it shows that the yin and cold are condensed inside, and the virtual yang floats outside, which is a syndrome of real cold inside and false heat outside. "The patient is very cold, but he doesn't want to wear close clothes" is also very affectionate, because people who really have severe cold will want to cover themselves with clothes to keep out the cold. Although the body is very cold today, but the sick person does not want to wear clothes or even wants to remove the clothes and blankets, it shows that the evil heat is suffocating inside, and the yang energy cannot penetrate to the outside, which is a syndrome of real heat inside and false cold outside.
30. Try to compare the syndrome and treatment of mixed cold and heat .
The same: Disharmony between the spleen and stomach, mixed cold and heat, stuffy qi, symptoms of fullness in the heart, vomiting, borborygmus,
The medicines are compatible with both cold and temperature, and both function and tonic.
Different: Banxia Xiexin Decoction—fullness in the heart, vomiting and diarrhea, injury to the spleen and stomach after taking it by mistake, internal pathogenic heat, cold and heat mixed in the middle burner.
Ginger Xiexin Decoction—Featured with fullness in the heart, dryness and food smell, water vapor under the ribs, and thunder in the abdomen, with water in it, and food stagnation, use ginger to warm yang.
Licorice Xiexin Decoction----Dropped by mistake many times, it will be very beneficial, the Zhongyang will be damaged, the water and grains will not melt, retching, upset and restless, use licorice to warm and tonify the Zhongyang
31. What are the symptoms and treatments of Taiyin abdominal pain?
1. Pain when the abdomen is full - spleen yang is damaged, nutrition and defense are in harmony - Guizhi plus Shaoyao Decoction
2. Dashi Pain—spleen injury, qi stagnation, collateral damage—— Guizhi Dahuang Decoction
3. Acute pain in the abdomen—the meridians are affected by pathogenic factors, and Qi and blood are deficient——Xiaojianzhong Decoction
4 Abdominal pain and vomiting—spleen affected by evil, yang deficiency and cold congealing—Lizhong Decoction.
32. Discuss the pathogenesis, main syndrome and prescription of Guizhi Renshen Decoction syndrome .
Pathogenesis: Deficiency and coldness in the middle jiaor, sun offending the surface
Main symptoms: hard heart, lower sharpness, accompanied by external symptoms of fever, aversion to cold, headache, lower sharpness, clear urine, light mouth without thirst, etc.
Governing method: warm the middle and relieve the exterior.
Recipe: Lizhong Decoction plus Guizhi
33. What is the difference in syndrome and pathogenesis between Rhubarb and Huanglian Xiexin Decoction and Fuzi Xiexin Decoction? What are the characteristics and clinical significance of the two decoction method?
Rhubarb and Huanglian Xiexin Soup
Zheng Hou has the symptoms of theoretical heat such as nausea, nausea, thirst, upset, red urine, red tongue, and yellow fur.
The pathogenesis is stagnation of pathogenic heat in the middle burner. The decoction method: Soak rhubarb and coptis in boiled water for three to five minutes, take the juice and take it again.
Clinical significance: The intention is to take the lightness of its qi and avoid the heavy and turbid taste, so as to make it beneficial to clear the invisible heat and not to purify the visible evil.
Aconite Xiexin Decoction
Syndrome Hou: nausea and discomfort in the lower part of the heart, accompanied by body heat, thirst, upset, red urine, rapid pulse, on the basis of which there are symptoms of aversion to cold, sweating, and deficiency of Weiyang.
Pathogenesis: stagnation of pathogenic heat in the middle burner (heat ruffian) and deficiency of external yang. The decoction method: do not boil the aconite to get the juice, soak the three yellows (scutellaria baicalensis, coptis, rhubarb) in boiling water for three to five minutes, mix the two juices and take them separately.
Clinical significance: Soak Sanhuang in boiling water to get the juice, take the lightness of its qi to expel heat and eliminate swelling, and fry Fuzi separately to remove the juice, so as to collect all the pungent, hot and mellow nature in it, so as to benefit the warming meridian and restore yang.
34. The syndrome of Linggui Zhugan Decoction and Zhenwu Decoction are both syndromes of water stagnation due to yang deficiency. What are the similarities and differences between them?
The same: both suffer from drinking water, and see dizziness and deep pulse.
Difference: The syndrome of Linggui Zhugan Decoction is mainly due to deficiency of spleen yang, stagnation of water in the middle energizer, mild illness, rising of water and air leading to inverse fullness of the heart, upward rush of qi to the chest, dizziness when it starts, and deep and tense pulse.
Zhenwu Decoction proves that Shaoyang Yang is deficient and the water is cold, the water stops burning, and the condition is severe. In mild cases, only severe pain in the limbs can be seen, and in severe cases, edema of the limbs can be seen. Symptoms include fever, palpitations, and dizziness. In severe cases, there may also be water overflowing, spreading all over the body, symptoms include abdominal pain, cold hands and feet from the bottom. Heavy pain in the limbs, trouble urinating, or coughing or vomiting or trouble urinating, etc.
3. Case analysis. (Questions 1-6 are the key points that the teacher said)
※ 1. Deng, male, 47 years old, farmer. The body is strong, and it is hot in summer. I sleep by the door at night, enjoying the coolness in the wind. I wake up in the middle of the night and gradually feel cool. I feel cold and wake up late at night. I enter the room and wrap up a blanket before going to bed. The next day is hot and cold. , headache like chopping, body pain like being stuck, strong heat without sweating, irritability, red eyes and dry mouth, shortness of breath and panting, large pulse with floating tightness, thin white tongue coating, yellowish root.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
※ 2. Li, female, 63 years old. Recurrent dizziness, accompanied by nausea, vomiting of white saliva, poor appetite, unable to get up, chills, cold extremities, upset, lack of thirst, loose stools and less urine, pale tongue, white greasy fur, deep and tense pulse.
(Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
※ 3. Male, 67 years old, known as chronic bronchitis, which occurs whenever he catches a cold. Because of aversion to cold and fever, cough, expectoration, palpitations, chest tightness, and mouth breathing after being exposed to rain 3 days ago. After a certain medical doctor took Xiaoqinglong Decoction, he sweated profusely, and now the fever has subsided, dizziness, inability to stand up, cold limbs, palpitations and chest tightness, a little relief when lying still, aggravated dizziness when moving, trouble urinating, and flat stools. The tongue is pale, the coating is white and moist, and the pulse is deep and tight.
(Clearly write out the principles, methods, prescriptions, and medicines)
※ 4. Zhang, male, 65 years old. Suffering from cough and asthma for more than ten years,
Every year, winter hair and summer heal. This year, it has been frequent and excessive, and it is now midsummer. I still wear cotton-padded jackets and cover quilts at night. I feel chilly and chilly, especially on my back. Diet, dim vision, greasy tongue coating, stringy and tight pulse.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
※ 5. Zhang, male, 19 years old. Fever and chills at the beginning, sweating, slightly thirsty mouth. When he went to the doctor, he had a high fever of 39°C, sweating, coughing and wheezing, yellow and sticky sputum with a small amount of blood streaks, chest tightness and pain, phlegm in the throat, thirst, irritability, yellowish dry tongue coating, floating and rapid pulse.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
※ 6. Patient Chen, male, 48 years old. Onset yesterday, aversion to cold and fever, headache, slight sweating, chest tightness and nausea, thin white tongue coating, slightly floating pulse, and weak pressing.
(It is required to write the principles, methods, prescriptions, and medicines)
7. Zhong, female, 4 years old. Diarrhea for more than a month due to eating disorders, undigested matter in the stool, Chinese and Western medicine and infusion are ineffective, the child's complexion is faintly flushed, fever and body temperature 38.5 ℃, mental fatigue, sleepy eyes, thin body, dry skin, elasticity Poor, thirsty, not drinking too much, cold extremities, pale red tongue with white coating, deep and weak pulse.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
8. Chen, male, 12 years old. Mother’s complaint: edema in the child
For more than ten days, the head and face first started, and then the whole body was swollen, less urine, yellow in color, loose and less stool, loss of appetite, slight fever, moist pulse, white tongue coating, body temperature 38.4 ℃. Urine test: protein ++, cast +, red blood cells +++, pus cells +. Diagnosed as acute nephritis.
(Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
9. Wang, female, 36 years old, farmer. Because I was very thirsty when I went to work, I drank water in the river. After returning home, I felt borborygmus, abdominal pain and diarrhea. After treatment with traditional Chinese and Western medicine, the diarrhea remained the same, but the borborygmus in my abdomen became worse. Displeasure and discomfort, general nausea and desire to vomit, and the condition of the disease is acute, please turn to Chinese medicine for treatment. Symptoms: distension and fullness in the heart, nausea, borborygmus, diarrhea for more than ten lines a day, abdominal pain, dry mouth and desire for cold drinks, white coating on the edge of the tongue, slightly yellow and greasy in the middle, six pulses with decimal numbers, body temperature 38.6°C.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
10. Chen, female, 43 years old, first diagnosed on April 27, 1992.
The patient has weak body, dizziness, anorexia, loose stool, fatigue and shortness of breath, recent cough and shortness of breath, mild edema of eyelids and limbs, fullness in chest cavity, no desire to eat, pale tongue, white fur, deep and stringy pulse.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
11. The child, male, 7 years old, was first diagnosed on December 20, 1996.
The mother complained: suffering from measles combined with pneumonia, measles appearing and reappearing, fever without sweating, wheezing and nasal agitation, phlegm in the throat, coughing up yellow and sticky phlegm, dry stool, lack of appetite, yellow tongue coating, slippery and rapid pulse.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription selection, medication and dosage in "Treatise on Febrile Diseases".)
12. Zhang, male, 32 years old, cook.
First visit on June 30, 2000. A week ago, she started to lose appetite, feel weak, feel sick, and have dark yellow urine. Diagnosed as "acute infectious icteric hepatitis" by a certain hospital. Presently, the skin of the whole body is moderately yellow, greasy, pain in the liver area, urine like strong tea, partial knot in the stool, yellow body and eyes, and the liver is soft and tender 2 cm below the ribs. The tongue coating is yellow and dry, the tongue quality is normal, and the six pulses are wet.
* (Requirement: Write down the disease name or prescription name, pathology, treatment method, prescription, dosage, decoction method and precautions in "Treatise on Febrile Diseases".)