Reflections after reading Treatise on Febrile Diseases_Excellent sample essay after reading Treatise on Febrile Diseases

Part 1 of Reading Treatise on Febrile Diseases

On this spring rainy night, there was silence outside the window. I sat alone by the window, watching the passers-by outside the window, and inadvertently saw the table on the table. "Treatise on Febrile Diseases", I couldn't help but turn on the desk lamp and read it carefully. This is not the first time I have read it, but every time I read it, it brings me a new understanding. It not only surprised me, but also confused me. But it made me unable to help but think and study. This time, every thought and study turned into countless deep feelings for "Treatise on Febrile Diseases" and Chinese medicine.

When talking about "Treatise on Febrile Diseases", we have to mention its author? Zhang Zhongjing. Mr. Zhang Zhongjing's main contribution in history is not his official career achievements, but his willingness to benefit and serve the people despite being in a high position. He sought to explore the foundation of life and health day and night, leaving behind his book "Treatise on Febrile Diseases", which guided a way out for thousands of people suffering from diseases. The greatness of his book "Treatise on Febrile Diseases" is not only that he left behind hundreds of prescriptions, but also that he established a theoretical system of syndrome differentiation and treatment and created a precedent for principles, methods, prescriptions and medicines. Since then, traditional Chinese medicine is no longer a talk of experience passed down from master to disciple, but has become a discipline with theories, making various methods of treating diseases in traditional Chinese medicine reasonable and legal. From this point of view, Zhang Zhongjing is to Chinese medicine what Mendeleev is to chemistry. It is not an exaggeration to call him the "sage of medicine".

Then after reading "Treatise on Febrile Diseases" many times, I found that it is not easy to truly understand it. It requires not only the accumulation of knowledge but also a heart of inquiry. To read "Treatise on Febrile Diseases" deeply and carefully, you must first have a thinking framework of traditional Chinese medicine. Not only do you need to read medical records and understand the experience of predecessors, but you also need to think about why the book explains it like this in your daily life instead of memorizing it. Medical records. Secondly, when you encounter something you don’t understand, you should think about it in conjunction with basic theories, and you should not reject it or even doubt it with your own ideas. Finally, when knowledge and experience have been accumulated to a certain extent, you can question "Treatise on Febrile Diseases". In the process of questioning, it is not only a higher level of development of your own understanding, but also the sublimation of medical attainments. In this way, you can read and appreciate the wisdom contained in the book by the ancient Mr. Zhang Zhongjing, and you can also gain something from the reading process. Insights from Reading Treatise on Febrile Diseases, Chapter 2

Since the emergence of Zhongjing’s Treatise on Febrile Diseases, later generations of doctors have made some use of this, either interpreting it according to the original text, or providing some supplements, but it is more practical in clinical practice. The lectures are very simple. I mostly follow Liu Duzhou and Chen Ruichun. The two elders mostly take clinical practice as the starting point, without redundant words, and their guidance has profound practical significance for our future study. When the author re-read "Treatise on Febrile Diseases" recently, I suddenly had some insights, which I will write down here to share with my colleagues.

The author has been in the outpatient clinic recently and has come into contact with many patients with the flu. The disease itself is either a serious illness, or it is what people often call a common cold. If there are no complications, it usually takes 5-7 days to recover. However, if treatment is not timely and thorough, it may cause the recurrence of many old diseases, such as chronic bronchitis, emphysema, and pulmonary heart disease, and aggravate existing heart diseases, such as heart failure, arrhythmia, etc. Suddenly I remembered that as early as 1800 years ago, Master Zhongjing had a detailed discussion on this in "Treatise on Febrile Diseases". Let's take a look at Article 7 of "Treatise on Febrile Diseases": If the disease has fever and aversion to cold, it originates from Yang. "If there is no heat and aversion to cold, it occurs in yin." It will heal in seven days if it develops in yang, and it will heal in six days if it develops in yin. The number of yang is seven, and the number of yin is six. It can be seen that traditional Chinese medicine has a precise discussion on the course and time of acute upper respiratory tract infection, but the disease here does not only refer to colds, and scholars should treat it flexibly.

Another example is Article 43 of "Treatise on Febrile Diseases": Taiyang disease, mild wheezing at the bottom, is caused by unresolved symptoms. Guizhi plus Magnolia officinalis and apricot dominate. ?18: ?Chuangjiajia, Guizhi plus Magnolia officinalis and apricot are good. ?These two articles discuss the syndrome and treatment of Taiyang stroke and lung failure. According to the prescription, the clinical manifestations of "Taiyang Stroke" should be the clinical manifestations of "Taiyang Stroke", that is, headache, fever, sweating, bad wind, slow pulse, etc., as well as symptoms such as wheezing. Guizhi Decoction is used to relieve muscles and expel wind. To harmonize Yingwei, add Magnolia officinalis and almond to reduce qi and relieve asthma, eliminate phlegm and guide stagnation, treat the external and internal symptoms at the same time, and take into account both the root cause and the root cause. It is an effective prescription for relieving the appearance of the lungs, resolving phlegm and calming asthma.

I understand that this syndrome is equivalent to the cold in modern medicine. It can be used by those who cause symptoms of chronic bronchitis or bronchial asthma, or who have clinical manifestations of this syndrome during acute attacks of chronic bronchitis or bronchial asthma. For example, the "Selected Medical Cases of Treatise on Febrile Diseases" records a case of treating persistent asthma caused by external infection. Liu, male, 42 years old, has a history of phlegm and asthma, with frequent attacks. A cold in spring is characterized by fever, spontaneous sweating, slight aversion to cold, headache, and coughing and wheezing. The attack is worse than before, with chest tightness and distension, wheezing, heavy white and thick phlegm, and sweating even more when coughing and wheezing. Not thinking about food. The tongue coating is white and greasy, the pulse is floating and slow, and the pulse is slippery and strong. This wind evil injures the surface and causes the recurrence of phlegm and asthma, which is caused by the external wind bringing turbid phlegm to block the chest and wrists, and the lung and stomach qi not descending. Add cinnamon twigs, Magnolia officinalis and apricot soup to taste. The prescription is: Guizhi 6, White Peony Root 6, Zhigancao 4.5, Ginger 2 slices, Magnolia officinalis 9, Almond 9, Ephedra 1.5, Fritillaria 9, Perilla 9, Fried Citrus aurantium 9. After taking 3 doses in a row, the superficial symptoms disappeared, spontaneous sweating stopped, and phlegm and asthma subsided. Looking back at "Pu Fu Zhou Medical Records", Pu Lao used this prescription to treat a case of severe adenovirus pneumonia. The patient was a 3-month-old boy who was hospitalized for 4 days of fever, cough, shortness of breath and convulsions twice. He was treated with western medicine. And a large dose of Maxing Shigan Decoction was ineffective. At that time, the body temperature was 40°C, no sweat, pale complexion, fullness of breath due to coughing, diaphragm movement and cold feet, green color around the mouth, pale lips, slippery pulse, pale tongue, gray and white coating. , fingerprints are green, directly breathable above the air barrier. Pu Lao believed that it was pungent, bitter, cold, and the heat did not subside, which was caused by the imbalance of Yingwei and cold evil closing the lungs, so he used 5 points of cinnamon twigs, 6 points of white peony root, 6 points of roasted licorice, 5 points of ginger, 2 pieces of jujube, 2 pieces of Magnolia officinalis, and 5 points. A dose of ten almonds, one pennywort and five cents of Rhizoma Fronticifolia causes slight sweating, the body temperature gradually subsides, the fever subsides and the asthma subsides, and the Yingwei is harmonized. Afterwards, the patient is cured with modified Shegan Mahuang Decoction. Reading Pu Lao's medical records carefully, I felt like pneumonia complicated by heart failure. I suddenly recalled reading Professor Mao Yilin's "Stepping into the Door of Traditional Chinese Medicine" about Professor Liu Xinxiang's case of treating heart failure with Guizhi plus magnolia bark and apricot decoction. , and focused on the importance of sweating and not sweating. It can be seen that this prescription is not only used to treat persistent asthma caused by external factors, but also can be used to treat heart failure diseases such as wheezing, chest fullness and inability to lie down.

Original article 40: ?Typhoid fever with unexplained symptoms, water vapor in the heart, retching, fever and cough, or thirst, dizziness, choking, difficulty in urination, fullness in the lower abdomen, or wheezing , the master of Xiao Qinglong Tang. ?This article discusses the syndrome and treatment of Taiyang typhoid fever combined with cessation of drinking water. Xiaoqinglong Decoction is used to warm the body and warm the water to drink. The prescription includes ephedra, which induces sweating, relieves asthma and diuresis, and combines it with cinnamon twig to strengthen the function of clearing yang and relieving the lungs. The combination of peony and cinnamon twig harmonizes the body and mind, and dried ginger and asarum dispel cold. To transform into a drink, Schisandra chinensis astringes the lungs and relieves cough, and prevents dried ginger and asarum from rising and dispersing excessively. Pinellia ternata is transformed into a drink, and Zhigancao is used to harmonize the middle and all kinds of medicines. All the essentials are combined. , the power of warming drinking water. Modern doctors have widely used this prescription clinically, and its scope of application is: (1) Treating those with cold evil on the surface, drinking water internally, fever, retching, and cough and asthma. ⑵ Overflowing drinking, water vapor under the heart, coughing and wheezing, which will occur when cold, spitting out phlegm, being unable to lie down, and astringent throat. ⑶ Sudden drinking, fever, retching, vomiting of saliva, cough and inability to lie down without breathing. In short, it can be used for cough and asthma due to cold drinks, regardless of whether there are external symptoms. This prescription has good curative effect on colds, acute and chronic bronchitis, bronchial asthma, and pulmonary heart disease caused by modern medicine, as long as the dialectics are accurate. There is a case in "Selected Medical Records of Treatise on Typhoid Febrile Diseases" as evidence. Li, male, 44 years old, had suffered from asthma since childhood. His asthma worsened when he was exposed to water and worked in cold weather. On August 12, 1964, he suffered a recurrence of asthma due to a severe cold. He coughed continuously, had a lump in his throat, vomited a lot of white foam, could not sit down or lie down, and had difficulty spitting, loss of appetite, constipation, long and clear urine, and white and slippery tongue coating. Pulse is loose and tight. ?Or there is excessive decay of wood, cold water and cold metal, and the body fluid cannot evaporate, so it remains as a drink and presses on the lungs. The lung collaterals are blocked and the Qi movement is suppressed, causing cough and asthma. Treatment should be to warm the lungs and relieve the lungs. kidney. The prescription is: ephedra 4.5, cinnamon 0.9, agarwood 1.5, white peony root 6, asarum 2.1, dried ginger 3, schisandra chinensis 3, pinellia 6, licorice 6, bean seed 15, radish seed 12. After taking it, the asthma is relieved and the cough is relieved, the phlegm is greatly reduced, and you can sleep lying down. Then use warm drinks to dispel the evil spirits and lower the lung qi. Take six doses in a row to relieve the symptoms. Mr. Liu often uses Xiaoqinglong Decoction to treat cough and asthma, and often achieves miraculous results. He summed up six key points in the use of Xiaoqinglong Decoction. You can refer to "Selected Cases of Liu Duzhou".

Guizhi plus Magnolia officinalis, Xingzi decoction and Xiaoqinglong decoction are all prescriptions for superficial syndrome and asthma. Guizhi plus Magnolia officinalis and Xingzi decoction are for superficial deficiency and asthma. Clinically, sweating and no water are required. Xiaoqinglong Tang is a symptom of cough and asthma that stops internally, while Xiaoqinglong Tang treats both superficial excess and asthma, and is a symptom of cough and asthma that stops sweating and stops drinking water internally.

Insights from Reading Treatise on Febrile Diseases Chapter 3

I personally believe that the development path of traditional Chinese medicine is tortuous and long, but the future is unclear. Looking back on the development process of traditional Chinese and Western medicine, the various doubts faced by traditional Chinese medicine in society will inevitably make people doubt it. Although I am a student of the College of Traditional Chinese Medicine, I can honestly say that I was biased against Chinese medicine at the beginning, especially our major of integrated traditional Chinese and Western medicine. After studying Western medicine for two years at Southern Medical University, we have no idea about Chinese medicine, which is rich in philosophy and requires knowledge. A subject that can only be understood with a certain amount of ancient Chinese knowledge seems so abstract and ambiguous to us who lack the knowledge of this era and have been educated in Western atomism. I remember what Teacher Wu from "History of Chinese Medicine" said to us: Western medicine makes people die clearly, while Chinese medicine makes people live in confusion. Perhaps this is the difference between Chinese medicine and Western medicine.

I have been receiving Chinese medicine education for a year and a half, and I have some understanding of Chinese medicine. I have also cultivated my interest in Chinese medicine and strengthened my belief in learning Chinese medicine. Although not every Chinese medicine practitioner can become a Chinese medicine practitioner. Everyone, one thing that is certain is that Chinese medicine can really make people live better. Or is Mr. Deng’s words right? The reason why traditional Chinese medicine is ineffective is because you haven’t learned it well?

"Treatise on Febrile Diseases" is one of the four classic medical works of the motherland. The author is Zhang Zhongjing, a famous physician in the Eastern Han Dynasty. This book is a monograph that explains the syndrome differentiation and treatment of various exogenous febrile diseases. It is the first important ancient medical work in my country that has relatively complete theories, methods and prescriptions and integrates theory with practice. "Treatise on Febrile Diseases" describes diseases through the transmission of changes in the six meridians and syndrome differentiation of the six meridians. Zhang Jingzhong is really a great medical scientist and writer. He uses many techniques: elliptical grammar and reverse order. . . . It is really difficult for us, the new generation who have little knowledge of Chinese medicine culture, to understand. But fortunately, he described it according to the law of transmission and transformation of the Six Classics, which also gave us a very clear idea to explore the ancestor of prescription books and the classic of medical prescriptions, and there are not no tricks to find. Furthermore, his pulse method has unique features: 1. Each disease has a main pulse; 2. One pulse controls the number of diseases; 3. One disease has several pulses; 4. The pulse method is quite flexible; 5. Use pulse conditions to explain the pathogenesis; 6. Use the pulse condition to guide diagnosis; 7. Use the pulse condition to guide treatment; 8. Infer the prognosis based on the pulse condition; 9. If the pulse conditions are the same, use the pulse condition to identify the disease; 10. When the syndrome is the same, use the pulse condition to identify the disease. The treatment principles and methods are also very specific: 1. Treat the disease before it is diagnosed; 2. Pay attention to protecting the spleen and stomach; 3. Pay attention to the treatment principles of taking advantage of the situation; 4. Emphasize the priority of the symptoms; 5. Emphasis on treating the same disease differently and treating different diseases together; 6. Point out the treatment methods and prohibitions of the disease. 7. Pay attention to overall care. 8. It also reflects Zhang Zhongjing’s thinking that if there is one more syndrome, one more medicine will be added, and if one less syndrome is missing, one more medicine will be subtracted. This not only brings great convenience to our understanding of Treatise on Febrile Diseases, but also enriches and expands our thinking in traditional Chinese medicine and clinical thinking.

This semester I studied "Treatise on Febrile Diseases", one of the four classic medical works. Everyone attaches great importance to it. Plus, fortunately, Professor Li Saimei teaches it, so everyone is even more motivated to learn. Professor Li Saimei will show us a video of the clinical director's ward round case analysis. I really like this teaching method, because it not only allows us to understand how to use "Treatise on Febrile Diseases" to explain and differentiate syndromes in clinical practice, but also cultivates It improves our clinical thinking and deepens our understanding and application of the articles. It also increases the classroom atmosphere, activates our thinking, and alleviates the boring situation where we only read PPT in class. Reduces our visual fatigue.

In their spare time, everyone will read the "Treatise on Febrile Diseases" written by various schools, and then summarize their own experiences based on their own understanding and interest in what they see, or think that others have said it well. , and summarized it well, I will share it with everyone. Then several classmates often discuss the articles together and express their own opinions. Everyone expresses his or her own opinion. I think this has given me a lot of help. We can learn from each other and understand other students’ understanding and thinking points. Students can also expand their own thinking. Furthermore, sharing with everyone can achieve the ultimate sharing of resources. Not only can Learning more in a limited time also enhances our friendships and develops our ability to collaborate with others and express ourselves.

I read "Liu Duzhou's Lecture Notes on Febrile Diseases" this semester, and I think it is very helpful for my study and understanding of "Treatise on Febrile Diseases". It contains his classic prescriptions for treatment In individual cases, this has helped me deepen my understanding of the efficacy of classic prescriptions and my clinical thinking in applying classic prescriptions.

I remember Professor Liu was talking about: "How to remove cinnamon twigs and peony soup? Why should we use peony soup?" It was a good talk. There are two reasons: First, peony tastes sour and enters the blood and yin components, which is detrimental to the yang energy in the chest, so it must be subtracted. According to Zhang Zhongjing's method of medication, the chest is yang, and if the chest yang is unfavorable and the chest is full, peony should be removed; the abdomen is yin, if the spleen yin is unfavorable and the abdomen is full, peony should be added. ?So those who remove peony are to avoid yin to save yang? Secondly, peony will hinder the function of cinnamon twig in promoting, developing, and invigorating Yang Qi in the heart and chest. After subtracting the peony, all that is left in the Guizhi Decoction is pungent and sweet medicine. This explanation not only allows us to better understand why peony is used, but also summarizes how Zhang Zhongjing uses peony as a medicine. This is also given to us in the "Golden Chamber Synopsis": Feng Shui, if the pulse is floating and the body is heavy, sweating is bad, and Huangqi Decoction can be used to prevent it. For those with abdominal pain, add peony? It is also easier to understand why peony is added here.

I am a person who loves to think about things, and sometimes I always have some strange ideas in my head. I sometimes read "Treatise on Febrile Diseases" and "Synopsis of the Golden Chamber", both of which are manuscripts by the medical sage Zhang Zhongjing. I always want to find an entry point to read these two books together, so that I may have a better understanding. . For example, a sore throat.

I personally think that the two prescriptions treat throat ulcers. The bitter wine soup focuses on phlegm, so pinellia is used to remove phlegm and disperse stagnation. However, Licorice Xiexin Decoction is a combination of cold and heat, with a tendency to cause heat. So I used 3 liang of Scutellaria baicalensis and 1 liang of Coptis chinensis to bitter cold, clear away heat and dry dampness. When throat ulcers occur clinically, these two prescriptions can be used in addition or subtraction. In particular, the medicines in Licorice Xiexin Decoction can be adjusted separately for cold and heat, so that they can be used in a wider range.

Zhang Zhongjing’s syndrome differentiation of the six meridians is very clear, and his prescriptions have been clinically verified. They are indeed effective and have very good curative effects. There is no need to question this. But the only regret is that he did not leave us with the prescriptions for the treatment of tumors, the number one killer in the world today. This also gave us a new field. After all, this problem will arise one after another, and it also allows us to learn. After Zhang Zhongjing’s dialectical and clinical thinking, we have learned to broaden our thinking by drawing inferences, constantly enrich our experience, and use reality to verify the effectiveness of classic prescriptions and the possibility of overcoming this difficulty to fill in the blank page. I am also very interested in this aspect, and I firmly believe that Chinese medicine will always be more advantageous and humane than Western medicine in treating tumors. "Li Ke, a Traditional Chinese Medicine Doctor's Experience in Critical, Severe and Difficult Diseases" has strengthened my confidence in overcoming the difficulty of tumors. Although I do not yet have this ability, ever since I embarked on the path of medicine and realized that cancer is a global problem, I have made up my mind to devote myself to the treatment of tumors with traditional Chinese medicine. I believe that traditional Chinese medicine will definitely be able to overcome this problem in the future. , at least it can be more advantageous to human health and reduce the patient's pain and improve the patient's quality of life. Although I know that what I say is not scientific, it is a good wish of mankind. As long as we have confidence and perseverance, it is as possible as the leap of mankind to landing on the moon. >>>More exciting things on the next page? What are your thoughts on reading Treatise on Febrile Diseases?