Li Ke, a famous and old Chinese medicine practitioner, summed up his experience on latent evil, which is the core of mastering his academic system.
first, the medical history characteristics of latent evil.
1. A long history of edema. This refers to patients with chronic nephritis edema, who have a long course of disease. We know that the edema of chronic nephritis is often treated by geomantic omen in TCM. These patients generally have a history of exogenous wind and cold, and geomantic omen is easy to be untreated and mistreated in clinic, which leads 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 layered one after another, and it will form a stubborn disease. The third is the history of accidental attack by exterior syndrome. Suffering from exterior syndrome has not been solved, but the attack method has been misused, leading to exterior evil invagination. The fourth kind is that the exterior syndrome makes up the medical history by mistake. Suffering from exterior syndrome, instead of using medicine to relieve exterior syndrome, I used medicine to replenish qi. The fifth type is the history that the exterior syndrome is mistakenly treated with cold and cold, but the exterior syndrome is treated with cold and cold drugs, which damages the healthy qi and leads to chronic diseases. From the characteristics of the above five kinds of medical history, we can know that the emergence of latent evil is formed by the failure to treat the exterior syndrome, mistreatment and prolonged delay. The so-called "latent" person has no obvious meaning.
second, the symptom characteristics of latent evil.
1. Disease in exterior and interior. That is to say, patients have both exterior syndrome and interior syndrome, such as sun deficiency and yin deficiency with the same disease. Lack of healthy qi is the fundamental reason why patients suffer from both exterior and interior diseases. 2. The exterior evidence is hidden. For this part of patients, his exterior syndrome is slightly concealed, and there is no typical exterior syndrome, such as aversion to cold, fever, anhidrosis, headache and so on. It is only manifested as local coldness or tightness, feeling sleepy and so on. 3, the table is long-lasting. That is to say, the symptoms are not only hidden, but also persistent, such as hidden symptoms such as heavy shoulders and back for many years, migraine and no sweat for many years. 4. The evidence is deep. Pathogens invading the interior invade the blood and five internal organs, and become chronic diseases such as cough, asthma and edema. 5, the evil is biased. Latent pathogen is a combination of exterior and interior diseases, but it focuses on interior syndrome. From the characteristics of these symptoms, we can see that the fundamental reason why patients form latent evil lies in the lack of vital qi, which can not expel external evil from the body in time. In addition, the lack of vital qi also leads to the hidden clinical manifestations of patients' illness, which is not easy to be found, misleading doctors only to treat internal diseases but not to exorcise evil.
thirdly, the characteristics of the onset time of latent evil.
1. Cross-joint diseases. That is, when the solar terms intersect, the patient's condition will have an attack. All patients suffering from joint diseases have a characteristic, that is, deficiency of middle qi and weakness of spleen and soil, because the spleen dominates summer and irrigation. 2. It must be committed before menstruation. That is to say, every time before menstruation comes, the disease will break out. According to Fang Jia Ni Haixia, the cold during menstruation should be treated with Xiaochaihu decoction, because the vital qi of menstrual people is insufficient, and exogenous pathogens can directly enter Shaoyang meridian. 3, long-term cure, repeated attacks. Pathogens lurk inside, and vital qi 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 Dr. Li Kelao dialectically conceals evil, he should first change from the medical history. If the medical history is not detailed, he should distinguish from the symptoms. However, if he argues from the symptoms, he should 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 find clues from them. The last method is to distinguish from the regularity of the onset time.
Sixthly, the law of treatment of latent evil.
Dr. Li Kelao believes that the principle that "a good person can cure superficial diseases" in Neijing is not only a principle to treat superficial diseases, but also a magic weapon to treat severe diseases, difficult diseases and chronic diseases. In addition, it emphasizes strengthening the body and exorcising evil spirits, "but supporting the body and listening to evil spirits." By mobilizing the healthy qi of the human body to overcome diseases, that is, incurable treatment, this is the highest realm of traditional Chinese medicine.
There are three common methods for the treatment of latent evil: 1. The method of strengthening the body resistance to evil. Li Ke, an old Chinese doctor, often used Xiaochaihu decoction and black mustard spike for heat entering the blood chamber; Black snake Rongpi decoction is used to treat dermatosis; Modified Ginseng and Poison Powder for Diarrhea Cold. 2, help Yang through evil method. The commonly used prescription is Xiaoqinglong Decoction, which is used for phlegm retention. Mahuang Fuzi Asarum Decoction is used to treat cold pathogen with deep depression and little yin; Aconitum decoction is used to divide cold pathogen into deep blood. 3. Countercurrent boating method. Ginseng Baidu powder is used to treat diarrhea with pathogenic factors in the interior. From the commonly used prescriptions of Li Lao's treatment of pathogenic factors, it can be divided into three categories: one is the combination of strengthening the body resistance and eliminating pathogenic factors, such as ginseng and detoxifying powder, the other is a reconciliation agent, such as Xiaochaihu decoction, and the other is a warming agent. Most of the pathogenic factors are yin, such as cold, phlegm, dampness, etc., and the effect of expelling pathogenic factors can be achieved by using yang drugs or yang-activating drugs, such as aconite decoction and ephedra, aconite and asarum decoction.
Changes in the treatment of latent evil: According to the principle of self-retreat of strengthening the vital energy, Li Kelao, an old Chinese medicine practitioner, mostly adopts the tonic method for all latent evil due to physical weakness. For example, ginseng Sini decoction combined with Yinchen Wuling powder is used to treat various latent diseases or Wen's Bentun decoction is used to treat them.
The theory of latent evil is a unique theory of Li Kelao's Chinese medicine, which is of great value for the dialectical treatment of clinical intractable diseases and chronic diseases, and is also the key to systematically master Li Kelao's academic experience, which requires us to dig deeper and study.