In Treatise on Febrile Diseases, apart from licorice, what medicine does Zhang Zhongjing like best? Why?
In Shennong's Classic of Materia Medica, ginger is attached to dried ginger, but in A Book of Famous Doctors, ginger is listed separately. Ginger is a common food in every kitchen, and it is a typical homologous thing of medicine and food. Why do doctors like to use it so much? This is because ginger has many functions.
1 and stop vomiting.
Ginger can treat vomiting caused by various reasons, so Sun Simiao called it "the holy medicine of vomiting". Li Dongyuan said: "Ginger is the holy medicine to induce vomiting. It is used to disperse, but it will not disperse. This medicine is also used to disperse qi. " The mechanism of ginger in treating vomiting can be summarized in one sentence. Modern pharmacology also confirmed that ginger can increase gastric juice secretion, strengthen gastrointestinal peristalsis, and stop vomiting by regulating gastrointestinal function. Whether it is phlegm vomiting, cold vomiting, hot vomiting, virtual vomiting, real vomiting, or vomiting mixed with cold and heat, ginger can be treated.
For example, in Xiao Banxia Decoction, the combination of ginger and Pinellia ternata can not only sober up and stop vomiting, but also relieve the poison of Pinellia ternata. He is good at treating vomiting after drinking, and can also add Poria to strengthen the spleen and promote diuresis to form Xiao Banxia plus Poria Decoction, which can treat vomiting caused by stopping drinking under the heart and dizziness caused by rising water vapor. These are all effective methods for ginger to treat phlegm and vomit in Treatise on Febrile Diseases.
Ginger is also important in the treatment of cold vomiting with Wuzhuyu Decoction and Orange Peel Decoction, and there is also a record of "adding two liang of ginger" behind the treatment of deficiency cold with Lizhong Decoction and Tongmai Sini Decoction.
In addition, Xiaochaihu decoction, Chaihu Guizhi decoction, Scutellaria baicalensis decoction with Pinellia tuber ginger, Gardenia ginger soy sauce soup, orange peel milk-promoting decoction and Chaihu decoction with mirabilite all have the sound of ginger to stop vomiting. Why?
In fact, the cause of vomiting is the upwelling of stomach-qi, but the cause of the upwelling of stomach-qi may be phlegm, cold and heat, deficiency and excess, or even cold and heat mixed in the middle. But no matter what the reason is, ginger, known as "the holy medicine for vomiting", can be used to treat vomiting caused by various reasons, and it is often combined with Pinellia ternata, combined with dialectical medication and so on.
2. Eliminate exterior and pathogenic factors
Zhang Zhongjing is often combined with ginger and jujube to treat exogenous pathogenic factors and disharmony between ying and Wei. Ginger is pungent and warm, and jujube benefits the spleen and stomach. The combination of the two can play a role in reconciling the camp and the guard.
For example, Guizhi decoction, as the ancestor of classic prescriptions, is often used to treat exterior syndrome caused by solar apoplexy. The ginger in this prescription can disperse exterior pathogens and help Guizhi to eliminate exterior pathogens because of its pungent taste, which is called treating epigastric pain. Then ginger and jujube are combined to nourish the spleen and stomach and help yin biochemistry, which is called treating the weakness of the camp. Ginger and jujube are used together, which is an excellent medicine pair for classic neutralization and health preservation. But now many people, who don't understand it, think that ginger or jujube is of little use and blindly remove it, which is a manifestation of not getting the essence of the prescription.
3. Warming yang to remove arthralgia
Huangqi Guizhi Wuwu Decoction for treating blood arthralgia, Zhigancao Decoction for treating pulse arthralgia, Danggui Sini Decoction and Evodia rutaecarpa Ginger Decoction all use ginger as adjuvant, warming yang, promoting blood circulation and relieving arthralgia. Then there are Ji Fang Huangqi Decoction, Guizhi Fuzi Decoction, Baizhu Fuzi Decoction and Guizhi Shaoyao Mu Zhi Decoction for treating rheumatism. Ginger is used as an auxiliary medicine to disperse rheumatism, and licorice, jujube, Baizhu and other medicines can also play a role in nourishing soil and controlling dampness. As Yao Ming said: "Ginger can only get rid of dampness if it is warm and beneficial to the spleen and stomach. The temperature of the spleen and stomach is healthy, and the moisture disappears. "
Step 4 dispel cold and relieve pain
There are three kinds of symptoms in the classic prescription: ① Xiaojianzhong Decoction, Huangqi Jianzhong Decoction and Danggui Ginger Mutton Soup, all of which are supplemented with ginger to dispel cold and relieve pain. "Introduction to Medicine" said: "Ginger is necessary for postpartum because it can break blood and remove blood stasis." It can be seen that ginger has the effects of dispelling cold, removing blood stasis and relieving pain. ② Guizhi plus Shaoyao Decoction and Guizhi plus Tanghuang treat Taiyin abdominal pain, and ginger assists in dispelling cold and relieving pain. ③ Ginger is also used as an adjuvant to warm meridians and relieve pain in the treatment of deficiency-cold syndrome of chong and ren and blood stasis syndrome with Wenjing decoction.
5. Xuanhua Huatan Drink
Classic prescriptions include Shegan Mahuang Decoction, Zeqi Decoction, Yuemai Plus Banxia Decoction for phlegm cough, Fuling Glycyrrhiza Decoction for water retention, Guizhi Quyao Mahuang Fuzi Decoction for phlegm retention, Zhenwu Decoction, Banxia Houpu Decoction for phlegm stagnation, Magnolia Officinalis Ginger for spleen deficiency and phlegm retention, Banxia Glycyrrhiza ginseng soup, Yuemai Plus Surgery Decoction for geomantic water, etc. Ginger is used as an auxiliary medicine, and it also treats phlegm and yin. In addition, whether it is the orange and orange, ginger orange soup for treating mild chest pain, or the cassia twig and ginger orange soup for treating "heartburn, adverse reaction and hanging pain in the heart", ginger is used to achieve the effect of drinking.
This is because ginger has the functions of invigorating stomach, reducing adverse reactions, eliminating dampness and eliminating swelling. Traditional Chinese medicine believes that the middle energizer is the official who decides blasphemy, and the spleen and stomach are the hub of qi activity. At this time, ginger can "warm the middle jiao" and restore the yang of the middle jiao, and then add licorice, ginseng, jujube and other drugs to reconcile the spleen and stomach, thus making the qi move up and down in an orderly manner. The evil of water and dampness is condensed, so most of them use spicy products such as ginger, which can get twice the result with half the effort.
6. Spleen and stomach
Chinese medicine believes that the spleen and stomach are the foundation of the day after tomorrow, so the treatment of many diseases depends on the healthy exercise of the spleen and stomach. Therefore, in the theory of traditional Chinese medicine, the rise and fall of spleen and stomach function plays a decisive role in the outcome and prognosis of diseases, and ginger has a good role in invigorating the spleen and stomach. For example, the explanation of medicinal properties said: "the vitality of coke in ginger ... is fixed, but the orders of the cashier in the spleen and stomach cannot tolerate evil spirits."
Therefore, Zhang Zhongjing, a medical sage, likes to use ginger very much, and it is a wonderful use of ginger. Nowadays, many people think that ginger in the prescription is dispensable, which is wrong. We Chinese medicine practitioners should also carefully understand each drug and deeply understand their compatibility significance in prescriptions, so as to provide our prescription skills.