shanghanlun

质子豉汤 and its variations.

By Gory ⋅ April 10, 2008 ⋅  Print This Post ⋅ Post a comment

from line 76:

case 1
发汗后，水药不得入口为逆，
若更发汗，必吐下不止。

after the person is made to perspire, decoctions give him cannot be fed him – it comes out immediately.
if he’s made to perspire even more, he will begin to both vomit and precipitate.

case 2
发汗吐下后，虚烦不得眠，
若剧者，必反复颠倒，心中懊恼(ao4nao2)，
栀子豉汤主之。
now he’s both perspired, vomited and precipitated.
he’s feeling vexed and not able to sleep.
and if worse than that,
he’ll start fallling (upside down), with a bad feeling in the chest – where the heart is.
this is when we’ll help him with 栀子豉汤.

case 3: we see how the simple addition of licorice is used to boost qi.
若少气者，
栀子甘草豉汤主之。

case 4: we see how the simple addition of fresh ginger is used to treat nausea and/or vomiting.
若呕者，
栀子生姜豉汤主之。

From line 77,
case 5
发汗若下之，而烦热胸中窒，
栀子豉汤主之。
if he’s made to precipitate after perspiring, he’ll once again feel vexed,
with a bad feeling akin to strangulation in the chest.
once again, 栀子豉汤 will help.

from line 78
case 6
伤寒五六日，大下之后，身热不去，心中结痛者，未欲解也,
栀子豉汤主之。
if after five to six days of being assailed and damaged by the cold pathogen, the heat in the body does not abate, again, the chest area where the heart is feels painful.
once again, 栀子豉汤 is used as treatment.

In all the other cases where 栀子豉汤 is used, we see mention of some problems in the chest or heart area. the person has already lost loads of fluid, and it’s very likely that his blood pressure may have fallen quite a bit, causing hypovolemic shock.

hypovolemic shock is caused by a decrease in blood pressure. This drop will cause the heart to pump harder (increased heart rate). likely that this is the main cause of the weird feeling in the chest.
Redistribution of blood to the vital organs will cause the skin to turn pale and cold. the person will also start feeling cold.
In addition, he will start feeling dizzing and disoriented (反复颠倒).

What helps most immediately is to help the body help itself bring blood to the heart and the brain. does 栀子豉汤 really help here?

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