Niqijie
First, the medical history characteristics of latent evil.
1, with a long history of edema. This refers to patients with chronic nephritis edema, with a long course of disease. As we know, edema of chronic nephritis is often treated by geomantic omen in Chinese medicine. Such patients generally have a history of exogenous wind and cold, and geomantic omen is easy to be untreated and mistreated in clinic, leading to the emergence of latent evil. The second is the history of repeated colds. Li Ke believes that patients with repeated colds will have a little cold accumulated in the body every time they catch a cold. If it is not completely solved, the cold evil will be superimposed layer by layer, forming a stubborn disease. The third is the history of accidental attack on exterior evidence. The exterior syndrome is not solved, and the attack method is misused, resulting in exterior evil invagination. The fourth kind is the mistaken medical history of exterior syndrome. Suffering from exterior syndrome, I didn't use drugs to relieve exterior syndrome, but used drugs to replenish qi. The fifth is the history that exterior syndrome is treated with cold and cold by mistake, but exterior syndrome is treated with cold and cold drugs, which damages healthy qi and leads to chronic diseases. From the characteristics of the above five kinds of medical history, it can be seen that the appearance of latent evil is formed because the exterior syndrome can not be treated, the treatment is improper, and it is delayed. The so-called "latent" people have no obvious meaning.
Second, the symptoms and characteristics of latent evil.
1, exterior-interior disease. In other words, patients have both exterior syndrome and interior syndrome, such as yang deficiency and yin deficiency of the same disease. Lack of healthy qi is the root cause of patients' duplicity. 2. The prima facie evidence is hidden. For this part of patients, his exterior syndrome is slightly hidden, and there is no typical exterior syndrome, such as aversion to cold, fever, anhidrosis and headache. Only manifested as local chills or tightness, feeling sleepy, etc. 3, the table is long. In other words, symptoms are not only recessive, but also persistent, such as years of heavy shoulders, migraine, years of not sweating and other recessive symptoms. 4. The evidence is profound. Pathogens invade into the blood and five internal organs, and become chronic diseases such as cough, asthma and edema. 5. Evil is biased. Latent pathogen is a combination of exterior disease and interior disease, but it mainly focuses on interior syndrome. From the characteristics of these symptoms, it can be seen that the fundamental reason for the formation of latent evil in patients lies in the lack of vital qi and the inability to excrete exogenous evil in time. In addition, the lack of healthy qi also leads to the hidden clinical manifestations of patients' diseases, which are not easy to be found, misleading doctors to treat internal diseases without exorcising evil spirits.
Third, the characteristics of the onset time of latent evil.
1, arthropathy. That is, when the solar terms cross, the patient's condition will have an attack. All patients with arthropathy have a characteristic, that is, deficiency of middle qi and weakness of spleen and soil, because spleen governs summer irrigation. 2. It must have been committed before menstruation. In other words, every time before menstruation comes, the disease will attack. According to Ni, menstrual colds should be treated with Xiaochaihu decoction, because menstrual people are not healthy enough, and exogenous pathogens can directly enter Shaoyang meridian. 3, long-term cure, repeated attacks. Evil spirits lurk in it, and righteousness is unable to support evil spirits, which leads to evil spirits waiting for opportunities and recurring attacks.
Fourth, the dialectical thinking of concealing evil.
Fifth, when Li Kelao differentiates and hides evil, he must first change from the medical history. If the medical history is not detailed, he should distinguish from the symptoms. But if he demonstrates from the symptoms, he needs to learn from the details, carefully analyze various symptoms and find the truth behind them. If the symptoms are not detailed, then we can change from the symptoms and look for clues from the symptoms. The last method is to distinguish from the regularity of onset time.
Sixth, latent evil therapy.
Li Kelao, a traditional Chinese medicine, believes that the principle of "good people treat fur" in Neijing is not only the principle of treating exterior syndrome, but also the magic weapon to treat severe, difficult and chronic diseases. In addition, it emphasizes strengthening the body to exorcise evil spirits, "but helping the body to listen to evil spirits." It is the highest realm of Chinese medicine to overcome diseases by mobilizing the healthy qi of the human body, that is, incurable diseases.
There are three commonly used methods to treat evil spirits: 1, strengthening the body resistance and eliminating evil spirits. Li Ke, an old Chinese doctor, often used Xiaochaihu decoction and black mustard spike to heat into the blood room; Wushe Rongpi decoction is used to treat dermatosis; Modified Ginseng Poison Powder for Treating Diarrhea and Cold. 2. Help Yang to cross the evil law. The commonly used prescription is Xiaoqinglong decoction, which is used for phlegm drinking. Mahuang Fuzi xixin decoction is used to treat cold pathogen with deep depression and less yin; Aconitum decoction is used to divide cold pathogens into deep blood. 3. Rowing against the current. Ginseng Baidu powder is used to treat diarrhea including pathogenic factors. Judging from Li Lao's commonly used prescriptions for treating evil spirits, they can be divided into three categories: one is the combination of strengthening the body resistance and eliminating evil spirits, such as ginseng and detoxifying powder, the other is a harmonizing agent, such as Xiaochaihu decoction, and the other is a warming agent. The pathogenic factors are mostly yin, such as cold, phlegm and dampness. Using aphrodisiac or yang-activating drugs, such as aconite decoction and ephedra, aconite and asarum decoction, can achieve the effect of exorcism.
Changes in the treatment of latent evil: Li Kelao, an old Chinese doctor, based on the principle of strengthening the body resistance and strengthening the foundation and giving priority to self-withdrawal, mostly adopted the method of tonic for all latent evil caused by physical weakness. Such as ginseng Sini decoction combined with Wuling powder to treat various latent diseases or Wenshi Bentun decoction.
The theory of latent evil is a unique theory of Li Kelao's Chinese medicine, which is of great value to the dialectical treatment of clinical intractable diseases and chronic diseases, and is also the key to systematically master Li Kelao's academic experience, which needs our in-depth excavation and research.