Extra Chapter 2 Clinical Chinese Medicine (excessive chapters, not
Among the medical cases in the Qing Palace, Emperor Guangxu had the most pulse cases, which were recorded from his childhood. In the last decade before his death, the number of pulse cases began to increase significantly.
So what disease did Guangxu suffer from?
In the 24th year of Guangxu, let's take a look at what symptoms he had: I have counted all records in May of that year. The main symptoms of Guangxu include tinnitus, redness in the left eye, swelling of the hands, empty Zhongzhou (stomach), cough, soreness in the waist and legs, occasional nocturnal emission, excessive talk of qi, frequent urination, and thirst.
This was the main symptom of Guangxu at that time, which recurred, but alternated with each other and did not appear at the same time. During this period, the infection was caused once.
From the perspective of traditional Chinese medicine, Guangxu's body began to have problems at this time, which is a symptom of weak fire and inflammation. It can be judged that his qi deficiency is only nocturnal emission and soreness of the waist and legs. However, strong fire in the face can also lead to nocturnal emission, and obstruction of the meridians can also lead to low and leg pain. Therefore, there is a possibility of kidney deficiency, but it cannot be completely valid.
Although the words "Sci pulse weak pulse" repeatedly appear in medical cases (Traditional Chinese medicine believes that "Sci pulse is Houshen", almost all people who have been diagnosed with traditional Chinese medicine have weak pulse, not Guangxu alone.
Among these symptoms, only "hand swelling" is more suspicious and there is suspicion of edema.
In June of this year, Guangxu began to implement reforms, so it can be seen that Guangxu's physical condition was still OK at this time.
After the reform was maintained for a hundred days, the reform failed. The situation was extremely subtle. Consuls from various countries were very concerned about the health of Guangxu. On the fourth day of the September 1st of the lunar calendar that year, the French Embassy sent doctors to the palace to prosecut the body. The symptoms found were as follows: weak, thin, tired, pale head and face, healthy diet, digestion stagnation, slightly diarrhea, indigestion, indigestion food, impermanent vomiting, irregular qi, blockage in the chest, and when qi is timid, he does not have abnormal qi sounds in the lungs, rapid pulse and weak breath, headache, tinnitus, dizziness, chills, especially cold legs and knees, self-conscious fingering, leg pain, deafness, reduced vision, lower back pain, white urine, and differentiation of small water with chemistry. There is no egg white in the inside, and nocturnal emission.
The diagnosis of the French doctor this time was: lumbar ignorance, which is the current nephritis.
There is a problem here, that is, everyone has always believed that Guangxu suffered from lung disease, and this conclusion is quite consistent. Before this prosecution, Guangxu often coughed, but this Western medical diagnosis did not have any problems with auscultation. This provides us with some clues, indicating that at least Guangxu should not have serious problems in the lungs at this time.
In addition, the diagnosis of nephritis is relatively vague. Urinary protein was not detected at this time, but a trace amount of urine protein was detected before Guangxu died, indicating that there is a possibility of nephritis, but at least it is not very serious at this time.
In the second year, Guangxu still had more problems with his body, and his pulse case suddenly grew longer.
In January of that year, the main symptoms of Guangxu were: external wind-cold headache, chills and body pain, nasal congestion, unscented food, sticky mouth and tasteless, blue and yellow complexion, swollen and painful inside the left nostril, black silk in the nose, small ulcers under the nose, dizziness, wood on the left cheeks, sore tendons on the back of the ears, small bubbles on the left between the palate, bloodshots when rinsing, a sense of blockage of the throat, blisters on the left side of the throat, slightly sore throat on the right, left toothache, burning lips, skinny, thirst, itchy throat, choking,
Discomfortable, restless, palpitations, and sometimes breathing, red silk in the eyes, blurred vision, bloating in the eyes, deafness in the ears, tinnitus in the ears, blocked chest, breathing and speech, feeling insufficient qi in the dantian, narrowness in the abdomen, empty air in the lower part of the abdomen, shortness of breath, lazy speech, pain in both shoulders, sleep less at night, after waking up, the tendons and veins are stiff, slippery, and the waist and knees are sore, and they feel laughed in the heart, fatigued constitution, cold lower part, dry and stump, and frequent urination may be difficult or unfavorable.
During this month, Guangxu's symptoms were all these almost every day, and nothing changed.
From the perspective of traditional Chinese medicine, this is obviously a fever syndrome caused by liver qi discomfort. The pain in the waist and knees occurred very early, dry stools began to appear, and tinnitus also began to be severe at this time. These symptoms continued to be accompanied by Guangxu until the end.
If you carefully analyze the medical case of the Qing Palace, your characteristics will be revealed, that is, you will record the emperor's illnesses in detail and everything is recorded. There is only a feeling of the patient, but it also records it. This gives people the impression that the disease is very serious. In fact, as long as we summarize it, we will find that these are all mild symptoms.
In July, the year before Guangxu's death, that is, in July, Li Jun began to diagnose Guangxu. Li Jun was treated for a month. There was a folk notes about Li Jun's diagnosis. Guo Wen Beicheng records: "Xi Yi Li (Prince Qing) recommended Li Jun, the doctor of the Ministry of Commerce, to enter the palace and received diarrhea, and he had diarrhea. The next day, Jun looked in again, and the emperor looked at him and did not dare to say anything. Jun was afraid, so he asked him not to go there. He said that he was afraid that he would sell himself to thank the world in the name of a great rebellion in the future." We compared the records of the Qing palace archives. During Li Jun's diagnosis, Guangxu was still mainly "don't feel smooth". Occasionally, "dripping twice, and feeling smooth", which shows that Guangxu still felt very happy and did not angrily. Therefore, this statement is unfounded. It can be seen that there are many speculations among the people on this issue, and even the doctors who entered the palace to diagnose the disease became the target of doubt, and we need to exclude this one by one.
I counted the symptoms of Guangxu this month. The main symptoms that appear include: heartbeat, pain in the shoulders and flanks, pain in the lower abdomen when speaking, sore and weak legs and feet, dizziness in the left brain, dry stools, sometimes loose diarrhea, digestive stagnation, spinal pain, nocturnal nostrils, nocturnal pain in the mouth, and slight pain in the nostrils.
At this time, Guangxu himself said that the condition was "slow and severe". Many people think that Guangxu's condition increased in weight year by year. However, when we analyze these symptoms, from the perspective of the shop, he cannot be regarded as a serious illness, because these symptoms can occur in any sub-healthy person, and are not the disease of a terminally ill person.
Therefore, based on the medical case at this time, we judged that Guangxu was not as ill as that. The information of several people around Guangxu proved that Guangxu suffered from severe neurasthenia, so we could even give some symptoms here.
In the study of the cause of Guangxu's death, Guangxu's physical condition in the last year was a key. Let's analyze it below.
In March, I conducted a statistics on the main symptoms recorded in the pulse case. The main symptoms include: blockage of the right ear, pain in the heel tendons and veins, slow transportation and transformation under the food, pain in the right armpit and abdomen, tingling pain in the waist and spine, blisters in the mouth, poor stools, and nocturnal emission. Among these symptoms, the most common symptoms are tinnitus and heel pain. Other symptoms did not appear many times, which can be seen not obvious. Otherwise, those who are so picky about the pulse diagnosis of Guangxu will definitely be written into the pulse case. In this analysis, the condition at this time is not that serious, and it is not the manifestation of a serious patient.
Since the beginning of the year, these symptoms have been around and there has not been much change. It is just that in June there are records of "the waist and hips are particularly painful to jump", indicating that the pain has spread.
Let’s count the situation in July. The main symptoms include: sore waist, traction, dizziness, tinnitus, late movement after eating, irregular bowel movement, cough (once a cold), fatigue, restless sleep at night (can’t wake up when Zi Chou), and nocturnal sperm. Among these symptoms, cough only occurs once. Combined with the auscultation of previous Western medicine, we seem to be able to conclude that this does not conform to the manifestations of tuberculosis, there is no coughing up blood, and even coughing only occurs during external infections. I don’t know where the diagnosis of tuberculosis comes from? At this time, all the energy of the imperial doctors is on Guangxu’s insomnia and waist and hip pain every day, which shows that this is the main disease at that time.
In September, in the month before Guangxu's death, let's take a look at his main symptoms: pain in the middle and lower backs, even worse, dry cough, nasal and snot, bloody nose, tinnitus, thirst, dizziness, aversion to wind, loose stools, dry tongue, bitter mouth.
These days, the main pain in the waist and hips was still the main one. Guangxu himself described the pain as: "as if the air was running out". On September 12, a doctor named Guan Yongqiu was added. The doctor prescribed some external medicine wine, but the condition did not relieve it.
Among them, dry cough was recorded only three times, which shows that it is not a major disease, and there is blood in the snot. It can be analyzed that it is caused by dry nasal cavity. It is necessary to record all the important things to diagnose the emperor. Therefore, this is a common thing for ordinary people, and often makes researchers think it is a serious illness.
On the third day of the 10th month, in the first 18 days of Guangxu's death, imperial physicians Shi Huan and Zhang Pengnian wrote in their pulse case: "I think the pain has not worsened, so it seems that it is advisable to stop the medicine and bait to relieve the stomach qi."
This sentence is very important, which shows that in the eyes of the imperial doctor, Guangxu was far from being terminally ill, and the imperial doctors even wanted to stop the medicine for a while. You can also check the prescriptions: one qian of Fritillaria citrus, one qian of Northern Salvia ginseng, one qian of winter melon kernel, one qian of Hangbai Paeonia , one qian of Ophiopogon japonicus , five qian of Orange Radix.
From the perspective of the shop, this is definitely not a prescription for a terminally ill person. It is just a prescription to moisten the dryness and relieve the lungs. The reason is that Guangxu had some external feelings at this time. From this perspective, we can conclude that Guangxu's body is indeed sick, but it is not that serious, and his disease does not lead to death.
Today I will talk to you about this medicine. In fact, the essence of the topic we are talking about is: how to deal with colds.
Don’t underestimate this cold. Whether it is the cold we usually suffer from or the large-scale epidemic, it is a headache. Many people have a cold and finally go to the hospital for infusion. Now the antibiotic level is getting higher and higher, and the cost is getting more and more expensive. Many people spend less than 1,000 yuan in a few days of infusion, but they haven’t seen much better yet. There are too many such patients.
Some people say that a cold will pass after rushing, but you should know that this cold can cause several serious diseases such as nephritis and myocarditis. Many people suffer from these diseases after catching a cold. Now there are more and more people with nephritis and kidney failure. Many of them are young people, so I have to say regrets.
Every time the flu comes, you can hear coughs everywhere in a city. On the bus, everyone has a lot of noise when they speak. I guess every time the large-scale flu is in a large city, there will be more than one million people who are sick in a large city. It could have been stopped, but no one seems to care about this. As a result, every time I see more and more people catching a cold on the street, and eventually all the people around me are infected.
So, what should we do? Do we have any solutions? How to deal with the minor illness of cold? Do traditional Chinese medicine have any good suggestions for this?
In fact, traditional Chinese medicine is best at treating colds, but people are not good at using it.
In traditional Chinese medicine, colds are external diseases. Due to the relationship between traditional Chinese medicine theory, the correct treatment method has been delayed for a long time. This matter is a long story, so I will talk to you slowly.
During the Han Dynasty, our medical saint Zhang Zhongjing died of external infections because many people in his family suffered from external infections. Therefore, he vowed to figure out this disease, so he collected a lot of medical books at that time, and combined his own experience, he wrote the book "Treatise on Febrile Diseases". In this book, Zhang Zhongjing divided the human body's defense system into six levels. He discussed the problems that would arise in these six defense systems when cold evil attacked, and talked about how to solve them. I objectively rely on this matter. The six defense levels that Zhang Zhongjing divided were very appropriate. Now we say that this is a system theory division method, and the prescriptions prescribed by Zhang Zhongjing are also very insightful. It should be said that as long as these prescriptions are used correctly, the effect of the doctors who prescribe the prescriptions themselves is dumbfounded. This is the truth, and people who practice traditional Chinese medicine have feelings.
Because the cold evil attack was attacking, Zhang Zhongjing chose to use spicy and warm medicines (ephedra, cinnamon twig, etc.) to treat them at the beginning of his treatment, which means that everyone can sweat. Zhang Zhongjing meant that the cold evil was dispersed from the body surface.
If the first line of defense on the body surface has not spread out, then there are five lines of defense behind it.
This method has been used all the time. In the Qing Dynasty (actually before the Qing Dynasty), people have seen that pungent, warm and dispersion cannot solve all problems. Some people become seriously ill as soon as they use ephedra and other medicines, so the warm disease school appeared. They believe that not only the cold evil that attacks the human body, but also the warm evil. This warm evil has its own characteristics and should be treated with pungent, cool and relieve exterior symptoms (Wu Jutong is from this school). Do not use ephedra, but use forsythia and honeysuckle to treat it. The result also achieved certain results.
From then on, the cold and warm disputes in the history of traditional Chinese medicine began. The typhoid school said that warm diseases were nonsense, while the typhoid school said that the dead condom typhoid fever was harmful to people. In short, the fight was very serious and the scale was spectacular. When you open the medical book, you can see many relics of the debate at that time.
Now, in the textbooks of Chinese medicine, the cold part, the external wind-cold, external wind-heat, etc., are all the results of the division of the cold-Wen School.
But everyone, according to the classification of cold and warm, is it effective to treat colds? Is it effective? To be fair, the efficacy is average. Some patients are good, and some patients are not good. If they are all good, then the task of controlling influenza has long been put on traditional Chinese medicine. It is because it is not good for a while, so the leaders above also feel very suspicious. Is traditional Chinese medicine good for treating colds?
I have had a personal experience. When I first learned Chinese medicine, I didn’t mention others, even if I had a cold, I had to carefully analyze it. Is this typhoid fever or a warm disease? Which prescription should I use? At that time, I used myself as a test to boil medicine. I often made mistakes, but I gradually accumulated experience.
When the Chinese medicine practitioners entered, they suddenly realized that what are these people competing for? What are the differences between typhoid fever and warm diseases? It’s just the same thing!
You should ask, what? Are typhoid fever and warm disease the same thing?
Yes, in fact, they are all different states in external infections, and are artificially separated, so each treatment effect is not 100%.
Let me analyze it for you. Now that we have also understood microorganisms, we can classify viruses. Which type of virus is a virus that causes wind and cold? Which type of virus is a virus that causes wind and heat? The external evils of traditional Chinese medicine include wind, summer, shi, and dry evil. You can classify the cold virus and compare them with these evil spirits!
This task is crazy because there is really no way to check the numbers. We now know that the influenza virus that mainly causes influenza is a positive mucus virus, divided into three types: A, B, and C. Our infection is mainly Type A, and there are many mutations. So, how does it correspond to external evils such as cold and warm? The answer is: There is no way to correspond at all.
Chapter completed!