Understanding of "cold enveloping fire" with Ephedra in summer

"Cold enveloping fire" is one of the most common heat stroke symptoms in summer It is an exogenous fever mainly characterized by high fever, thirst and sweating Heatstroke often occurs in summer, especially during the period from mild to severe heatstroke It has a sudden onset Most of the symptoms are like typhoid fever, such as fever, chills, head and body pain, which are similar to the modern "air conditioning disease" "Suwen · heat theory" said: "the first summer solstice is the disease temperature, and the second summer solstice is the disease heat." After the summer solstice, when it's hot, or when it's hot, or when it's hard to work in the heat, or when it's hot, people are steaming and hot; when it's hot, it's very hot, and the strong fire will hurt the Yin and sweat profusely For example, you can enjoy air conditioning, fans, cold and cold skin, close your door and stay away from cold and heat Therefore, it is characterized by the stagnation of heat in summer and the cold and cool appearance In summer, Professor Chen Tianran of Jiange County Hospital of traditional Chinese medicine of Sichuan Province often has some patients with air conditioning disease or "cold and fire" He thinks that ephedra price can be used to treat it, but five problems should be paid attention to when applying ephedra price: one is that there is a point of chill, there must be a point of table evidence, when applying ephedra price; two is that sweating methods and skills should be paid attention to when sweating or using ephedra price is necessary to solve the table; three is that in summer, Elsholtzia is commonly used to solve sweating, and do not stick to ephedra price; four is that the disease in Ephedra price will stop immediately, and do not have to use all agents Do not sweat too much; fifth, avoid being cold and greasy when sweating, so as not to affect the efficacy Typical case: shenmou, male, 38 years old First visit on August 2, 2010: shenmou worked in the hot sun, sweating profusely, and it was hard to work in the hot, so he moved to the room to avoid the summer heat, and adjusted the air conditioning temperature to a very low level At that time, he felt that his sweat was cool and his whole body was comfortable After half an hour's naps, I have a stuffy nose and sneeze I feel uncomfortable and painful, just like being tied with a rope and a stick 3 hours later, it was feverish, chilly, stuffy in the chest, thirsty and thirsty without sweating, but still unable to understand its thirst after several liters of drinking water The patient was treated in a small clinic After one day's symptomatic treatment, such as intramuscular injection of Shenmai injection and intravenous infusion, the upper symptom was still the same, so he turned to the author Symptoms: cold, fever, head and body pain, chest tightness and slight cough, thirst, no sweat and annoyance, yellow and red urine, tight pulse Syndrome differentiation: heatstroke In the summer heat, the internal depression, the cold and the external attack, the righteous and the evil drama fight, and Wei Yang is suppressed Treatment principle: clear away heat, clear away heat Add and subtract Elsholtzia Decoction and daqinglong decoction Ingredients: 10 grams of Elsholtzia, 15 grams of lentils, 12 grams of Magnolia officinalis, 6 grams of Coptis, 30 grams of gypsum (half an hour first), 12 grams of almonds, 10 grams of ginger, 4 pieces of jujube, 3 times a day The next day's follow-up visit: the above symptoms of the patient were not relieved, and they hated cold and fever, were stuffy and fidgety in the chest, and were thirsty more obviously The author turned to Professor Chen Tianran for help: this syndrome of heat stroke with cold package and fire is suitable for the treatment of sweating, relieving the symptoms and clearing the heat inside If there is evidence, it is medicine The price of Ephedra should be used for sweating Don't stick to summer, but pay attention to sweating skills and methods Therefore, go to Elsholtzia and lentils, add 10 grams of Ephedra and 10 grams of cassia twigs, take a further dose, sip a bowl of porridge after taking the medicine to help the medicine, and take it after sweating Avoid cold drinks, greasy food, etc Three diagnosis: according to the law, take one micro sweat, then take sweat heat drop, stop taking more than one medicine, recuperate for half a day, greatly reduce pre symptoms, and soothe the pulse For the treatment of Invigorating Qi and astringing body fluid, 10 g of medicinal ginseng, 12 g of Ophiopogon japonicus, 6 g of Schisandra chinensis, 15 g of Huai yam were added for flavoring and conditioning, and then 2 doses were added, all symptoms were eliminated Note: due to the hot summer, air conditioning is widely used, which interferes with the normal body temperature regulation In outdoor activities, people are in the hot weather In the hot weather, Xuanfu is open and sweat is leaking However, when moving to a cool summer resort, or the temperature difference between indoor and outdoor is large, the sweat holes are closed rapidly because of cold stimulation, the cold is tied to the skin surface, the sweat does not go out, and the heat is not clear in the summer, which forms the syndrome of "cold enveloping fire" of external cold and internal heat Due to the attack of cold and evil, when Wei Yang is restrained, it will be cold; when the positive and evil fight, Yang Qi will be hot; when the meridians are not comfortable, it will be painful around the body; its "cold, fever, body pain" is similar to ephedra price soup; when the summer heat is in advance, "sweat" is similar to osmanthus price soup; when the heat is greedy and cool, the cold evil cluster will be blocked and there will be no sweat; when the summer heat is in depression, it will be restless, and when the summer heat hurts the body, it will be thirsty and urine red Its "great heat, great sweat, great thirst, great pulse" is similar to white tiger soup If we use Guizhi price Decoction to relieve the cold, we can't get rid of it If we use ephedra price Decoction to disperse the cold, we can't help the heat If we use Baihu Decoction to clear the heat, we can't show the cold evil Read "Treatise on Febrile Diseases" carefully: "the sun has a stroke, the pulse is floating tight, the fever is hot, the body is in pain, and the body is not sweating and fidgety It is the master of daqinglong decoction." Daqinglong decoction is made of Ephedra price soup, gypsum price and ginger and jujube, which is a sweat inducing agent Zhang zhongjingmiao, the medical saint, used the price of Ephedra twice, the price of cinnamon twigs to help the Ephedra to break down the table, quickly opened the door to dispel cold pathogenic factors, and concurrently made the price of gypsum too cold to hurt the spleen and stomach; on the contrary, the price of gypsum was used to clear the stagnant heat, and concurrently made the price of Ephedra too hot to help the pathogenic heat; the price of almond was used to reduce the adverse gas; the price of ginger, jujube and liquorice was used to reconcile the price of Yingwei, help the source of sweat, and prevent sweating too much, making the sweat out of the table Get rid of the evil and get rid of the good When all herbs are used together, they can solve the external cold and internal heat For the first time, although the syndrome differentiation is accurate, the author is puzzled about "no ephedra price in summer" (Elsholtzia, also known as the price of Ephedra in summer), sticking to sweating, using da Qinglong Decoction to remove ephedra is easy to Elsholtzia, which seems to be ingenious, but in fact, it shows cold and no way out, the more hot the summer is, the more stuffy, fidgety and thirsty the chest is Focusing on the main symptom of "cold enveloping fire" and combining with clinical prescriptions, Zhongjing's daqinglong decoction is right for its symptom Don't stick to the saying that "no ephedra price in summer" There is a way that if there is a symptom, it is a medicine The medicine will go to the disease.