Master Doctor in the City

The theory of febrile disease in traditional Chinese medicine has been mentioned in the "Huangdi Neijing" as far away as the "Difficulty" and "Treatise on Febrile Diseases".

"Suwen? The Theory of Being Angry": "Severe cold in winter, and warmth in spring"

"Suwen? Heat Theory": "The first summer solstice is the disease temperature, and the latter summer solstice is the disease heat."

Several terms of exogenous fever, such as "humid temperature, fever, and febrile disease" mentioned in "Difficulty", are often quoted in later literatures on febrile disease.

"Treatise on Febrile Diseases" summarizes the experience of syndrome differentiation and treatment of fever before the second century AD, and also describes the symptoms of febrile disease. It is based on "febrile and thirsty at the beginning of the disease, and febrile disease if not aversion to cold". Use sweat method. This gave the later generations the establishment of the theory of febrile disease, and advocated the use of Xinliang to clear the treatment method, which has great enlightenment.

According to Wang Shuhe, the physician of the Jin Dynasty in the third century AD, the infection of febrile disease was caused by the unhealthy qi of the four seasons, and there was a distinction between novelty and fuxie.

After the seventh century AD, the theory of febrile disease continued to be invented. "Theory of Disease Sources" lists febrile diseases as 22 signs; "Qianjin Prescriptions" contains prescriptions for treating febrile diseases; "Waitai Mi Yao" lists febrile diseases, which records febrile toxin, warm heat, and warm Poisonous spots and winter temperature, winter temperature spots, etc.

Liu Wansu, one of the four major medical scientists in the Song, Jin, and Yuan eras, his understanding of febrile venereal diseases, and the use of medicine advocates cold and cold, which played a leading role in the treatment of febrile diseases. Therefore, he was known as the school of febrile diseases. The founder of, laid the foundation of the Febrile Disease School.

After Wu Youxing, a medical scientist at the end of the Ming Dynasty, wrote "On Epidemiology", he created a prerequisite for the formation of the doctrine of febrile disease as a specialist.

In 1641 AD, political warfare, the invasion of the Qing troops, the people's life was difficult, and the epidemic was epidemic. Shandong, Zhejiang, Hebei and other places had more people infected with the epidemic. At that time, the doctors used the typhoid method to treat and could not achieve results.

The medical scientist Wu Youxing, a good word, a native of Zhenze, Jiangsu, used his own practical experience to show that typhoid fever and febrile disease are completely different. He said: "Husband febrile disease is a disease, neither wind nor cold, nor heat nor humidity. , It is the feeling of a strange atmosphere between heaven and earth."

Written in 1642 AD, "On the Epidemic", the book has unique insights into the source of infectious disease, the route of infection, and the immunity of infectious diseases.

Wu Youxing believes that the occurrence of the febrile disease is neither due to the unhealthy spirit of the four seasons, nor is it due to new feelings and fuxie. The so-called unhealthy aura, new feelings and Fuxie were originally based on the theory of Wang Shuhe of the Jin dynasty who used the "Huangdi Neijing" theory to believe that "the cold toxin is concealed in the skin in winter... and becomes febrile disease in spring". "Winter warmth is called winter temperature".

Wang Shuhe's statement has always affected the cause of infection of febrile disease, as well as the pathological mechanism of febrile disease with new feelings and fuxie. In Wu Youxing's "On the Epidemic," he disagreed. He believed that the infection came from the nose and mouth with a substance-hostility. He also said: "He who is the husband, the qi is transformed, and the qi is the change of the thing, the qi is the thing, and the thing is the qi."

He also pointed out that hostility is a pathogen of an infectious disease that cannot be seen by the naked eye, cannot be felt by the naked eye, cannot be heard by the ear, or smelled by the nose.

After the eighteenth century AD, the febrile disease theory developed greatly, and gradually formed the febrile disease school, and was promoted as the representative of this school. He was the famous clinical physician Ye Gui Gongyuan in the Qing Dynasty, and he was born in She County, Anhui. People, moved to Suzhou.

He inherited his father's academics when he was a boy, and he has studied with 17 teachers in succession, humbly studying from various parents. Because he has been busy with clinical work all his life, he has not written many books. Both "Warm Syndrome Treatment" and "Clinical Guide to Medical Cases" were compiled by students.

Ye Tianshi summarized the pathological phenomenon of exogenous febrile disease as "warming evils, first infecting the lungs, and passing back to the pericardium" to explain that it was first caused by respiratory infections, and in severe cases, confusion can occur. During the differentiation of symptoms, the symptoms of febrile disease are divided into "health" The four types of "Qi, qi, ying, and blood" are the guidelines, which illustrate the depth of the disease and serve as the basis for emergency treatment.

At the same time, it also shows the severity of the disease and its development trend. Wei-epidemiology, qi-gradually enters from the surface, and Ying and blood-internal syndrome. If the disease starts in Weifen, it is relatively mild; the pathogens from Wei to Qi and Yingxue gradually deepen, which means that the disease is getting worse.

Ye Tianshi also summed up the experience of medical scientists of the past generations, enriched the content of syndrome differentiation, creatively used the methods of observing the tongue coating, examining teeth, and identifying macula and leucorrhea, which played a certain guiding significance for clinical practice, and used the treatment of clearing away heat and detoxifying. , Aromatic resuscitation, nourishing yin and health law, etc.

Xue Shengbai, who is as famous as Ye Tianshi, wrote "Warm and Fever", and his academic views are basically the same as Ye's. Xue Shengbai, named Xue, is from Suzhou.

Since then, more and more physicians have studied the theory of febrile disease, and the two representative ones are Wu Jutong and Wang Mengying.

Wu Jutong, named Tang, was from Huaiyin, Jiangsu. He inherited and carried forward Ye Tianshi's theory, and referred to books such as "Huangdi Neijing", "Difficulty Scriptures", "Treatise on Febrile Diseases" and the academic thoughts of medical scientists of previous generations, combined with his own clinical experience, and wrote "Febrile Diseases Articles" in 1798 AD "Differentiation" divides the syndromes of febrile disease into upper, middle and lower triple energizers to treat. It marks the progression and change of febrile disease.

For example, the upper Jiao syndrome is mostly respiratory disease; the middle Jiao syndrome is mostly digestive system disease; the lower Jiao syndrome is mostly a series of weakened diseases caused by the decline of body resistance.

Wu Jutong also created famous prescriptions such as "Sangjuyin" and "Yinqiao Powder", which are still widely used in clinical practice today and have reliable curative effects.

After the Opium War, the Qing Dynasty physician Wang Mengying, a famous man, was born in Haining, Zhejiang. During the Revolutionary War of the Taiping Heavenly Kingdom, he moved to Shanghai. He used the theories of "Huangdi Neijing" and "Treatise on Febrile Diseases" as "Jing" and the theories of Ye Tianshi and Xue Shengbai as "Wei". In 1852, he compiled "Warm and Hot Jingwei", which is a comprehensive theory of febrile disease From this book, people who study medicine in later generations can get a more comprehensive knowledge of the origin and development of febrile disease theory.

. . .

In the discussion, arguing, and exploration of several members of the Febrile Disease School sitting at the front desk, Ye Chen who was sitting at the back could hear clearly.

Ye Chen thinks this salon model is very good. After all, compared to the members of the typhoid sect, these febrile disease sects have much fewer members here.

However, these members are all major Chinese medicine doctors in Shanghai, major doctors in major hospitals, and major professors in major universities. It can be said that they are a group of elites in the field of Chinese medicine.

Taking the development of the febrile disease school to the most prosperous period of the Ming and Qing dynasties, and then to the current decline, in fact, as long as the development of the febrile disease school is clear, there is a clear line in it.

Ye Chen sat there and heard that there are members of the Febrile Disease School, saying that the Febrile Disease School will definitely replace the Typhoid School in TCM in the future. When it flourishes again, Ye Chen knows that among these members, perhaps it is true. He is very warm-hearted.

But is this really possible?

!!