Huangdi Neijing - Chapter 33 - Commentary on Fever (1)

This article discusses in detail the causes, pathogenesis, symptoms, prognosis, treatment and other issues of Yin Yang Jiao, Feng Jue, Labor Feng, Feng Shui diseases. All diseases are caused by insufficient healthy qi and exogenous evil qi, and most of them have the appearance of fever, and most of them fall into the category of exogenous febrile diseases, so the title of the article is "Commentary on Fever Diseases".

Huang Di asked: Some patients have fever again after sweating, and their pulse is rapid and agitated. Not only is their condition not weakened by sweating, but they also have symptoms such as talking nonsense and not eating enough. What kind of disease is this? ?

Qi Bo said: This disease is caused by the intersection of yin and yang, and it is a fatal disease.

Huang Di said: I hope you can explain the truth.

Qi Bo said: People can sweat because of the subtle substances that are transformed after water grains enter the stomach. If water and grain essences are abundant, evil spirits can be overcome and sweating can occur.

Evil energy and righteous energy compete among the flesh and bones and cause sweating, indicating that evil energy is weak and righteous energy is victorious. The manifestation of positive energy is: the patient can eat and drink and no longer has fever.

If the patient has a fever after sweating, it means that the evil qi has prevailed and the essence has declined, which is one of the signs of worsening of the condition.

If the patient cannot eat, the essence will not be replenished and the evil energy will remain. This is the second sign that the condition is getting worse.

It is also said in "The Treatise on Heat": Sweating and rapid pulse indicate a poor prognosis. The current pulse condition does not match the situation after sweating, indicating that the essence cannot overcome the evil energy, and the signs of death are already very obvious.

Frantic speech is a sign of delirium, and delirium is the third sign of a worsening condition.

Now there are three signs of deterioration of the disease. The person will have no chance of life. Although the disease may be slightly attenuated by sweating, this is only temporary and the patient will die sooner or later.

Huang Di said: Some diseases cause fever, sweating, and depression all over the body. The depression cannot be attenuated by sweating. What kind of disease is this?

Qi Bo replied: Sweating and making the whole body feel hot are due to the invasion of wind evil; boredom that cannot be relieved is due to the reverse flow of Qi. This disease is called Fengjue.

Huang Di said: I hope you can explain it in detail.

Qi Bo said: The Taiyang Meridian governs the qi of all Yangs and governs the surface of the body, so the Taiyang Meridian is the first to be invaded by wind evil.

Shaoyin and Taiyang are the exterior and interior of each other. If there is a disease on the outside, the inside must be corresponding. Shaoyin is affected by the heat of the sun, and its Qi will also go up and down. Upward reversal means syncope.

Huang Di asked: How to treat it?

Qi Bo said: During treatment, the two meridians of the Taiyang and Shaoyin should be acupunctured. The Taiyang should be acupuncture to purge the wind-heat evil, and the Shaoyin should be acupuncture to reduce the upward and negative qi. At the same time, drink the medicine. Decoction.