Classical evidence-based treatment.

Author: Lin Peiqin
Editor-in-Chief: Wu Shaozhen
Publisher:
Publishing Date: 1997-02-01
Features:
Content Summary
This book was compiled by the Qing Dynasty physician Lin Peiqin and first published in the first year of the Xianfeng era (1851). It is a comprehensive medical text with significant academic value. The book consists of eight volumes. The first volume, "Internal Scene Essentials," briefly introduces the physiology of internal organs, among other topics. Volumes 1 to 8 discuss various diseases and syndromes, primarily focusing on internal medicine, including conditions such as stroke, wind cold, summerheat, dampness, dryness, epidemics, consumptive debility, tuberculosis, diabetes, and diarrhea. It also covers conditions affecting the nose, mouth, teeth, tongue, throat, as well as appendicitis, hemorrhoids, and vitiligo. Gynecological conditions include menstrual disorders, leukorrhea, pregnancy, childbirth, and heat entering the blood chamber. Surgical conditions include various sores, scrofula, syphilis, carbuncles, furuncles, and empyema. The book is characterized by its comprehensive approach, careful selection of materials, clear categorization, and convenient reference for prescriptions and treatments, making it highly influential in clinical medical literature.
Excerpt:
[Lockjaw] The Foot Yangming meridian runs along the side of the mouth. If wind-cold invades through the deficiency, it causes spasmodic lockjaw. First, rub the teeth with the meat of plum, menthol, and raw Arisaema root powder to relieve the lockjaw. Then, administer Suhexiang pills mixed with bamboo juice and ginger juice. Next, wrap soap ash in paper and burn it to inhale the smoke through the nose, which may help regain consciousness.
[Phlegm Stagnation] It is advisable to induce vomiting. Use Xiyansan with tangerine peel or ginger and salt decoction for vomiting. Use a swan feather to induce vomiting, or Guati San and San Sheng San with scorpion to induce vomiting. Later, use Xingxiang San, Er Chen Tang, Ditian Tang, and Daotian Tang. If there is deficiency, add Ginseng, Astragalus, bamboo juice. If there is cold, add Cinnamon, Aconite, and ginger juice. For spleen deficiency with phlegm vomiting, use Liu Junzi Tang or Yigong San. For middle Qi deficiency, use Lizhong Tang or Wengwei Yin.
[Facial Drooping] This is caused by the exhaustion of blood, which fails to nourish the sinews. The Lingshu states: If the Foot Yangming sinew disease is cold, the cheek sinew tightens, pulling the cheek and mouth to one side. If it is hot, the sinew relaxes, causing drooping that cannot be corrected. Thus, it becomes drooping. It also states: If the Foot Yangming and Hand Taiyang sinews are tense, the mouth and eyes become drooping. It is advisable to nourish dryness to extinguish wind. Daqinjiao Tang or Shiquan Dabu Tang is particularly suitable.
[Hemiplegia] This is caused by the lack of Qi and blood, leading to numbness and loss of sensation. The classics say: If the nourishing Qi is deficient, there is numbness; if the defensive Qi is deficient, there is weakness. If both are deficient, there is numbness and weakness. Danxiu considered the left side as blood deficiency, using Siwu Tang, and the right side as Qi deficiency, using Si Junzi Tang. For Qi and blood deficiency with phlegm, use Er Chen Tang with Gouteng, bamboo juice, and ginger juice. However, many practitioners following this treatment do not see results. Why? To treat hemiplegia, one should draw Yang from Yin, Yin from Yang, right from left, and left from right, allowing Qi and blood to flow continuously. The best approach is to nourish blood and warm meridians, using Bu Zhong Tang with a small amount of Aconite, and Xiqi Dihuang Wan, as Aconite can enhance the effect of Ginseng and Astragalus, promoting Yang circulation. Cinnamon can unblock blood vessels, nourishing the sinews. For phlegm, add Ba Zhen Tang or Shiquan Tang with Arisaema, Pinellia, and ginger juice. For deficiency of both nourishing and defensive Qi, use Huangqi Wuwu Tang. For soft knees, add Achyranthes and tiger bone. For soft joints, add Quince and Angelica.
[Four limbs weak] All Yang meridians originate from the hands and feet, circulating throughout the body. If pathogenic factors lodge in the skin and stagnate at the deficient points, they clash with Qi and blood, causing the limbs to be unable to move. If the pulse is slow, large, and strong, it indicates excess Earth Qi, so drain the dampness with Weilin Tang. If the pulse is fine, small, and weak, it indicates insufficient Earth Qi, so replenish the Qi with Bu Zhong Tang. For thin people with blood exhaustion and tense sinews, and those with excessive Wood Qi and wind, use Siwu Tang with Gouteng, Qinjiao, and Fangfeng. For fat people with pale complexion and phlegm, use Liu Junzi Tang with Qinjiao, Gastrodia, bamboo juice, and ginger juice.