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Peng Deqi, individual physician in Zhangming Town, Jiangyou City, Sichuan Province

Gardenia and Fermented Soybean Decoction is found in Shanghan Lun and is composed of Cape Jasmine Fruit and fermented soybean. It mainly treats cold. damage disease, "After sweating and vomiting, you will feel tired and unable to sleep. If it is severe, you will have a feeling of vexation." And cold damage disease, "stuffiness in chest", "severe epigastric pain" will appear after sweating and vomiting. , "heartache" and other symptoms, if the certification is accurate, the results will be quite good.

The annotators of the past dynasties have roughly two interpretations of Gardenia and Fermented Soybean Decoction. One is that it is an emetic, and the other is that it is a heat-clearing and diffusing agent. The difference between these two explanations lies in the efficacy of fermented soybean (also known as 芸, fermented soybean) on the issue. The former believes that fermented soybean is a vomiting medicine. For example, Ke Yun-bo said: "fermented soybean resembles the kidneys and is made into black bean paste. , The upward movement of frivolity can cause evil spirits in the heart and soul to come out of the mouth, and once vomited, the chest and abdomen will feel relaxed." The latter believes that fermented soybean is a powdered medicine. For example, Shanghan Lun, editor-in-chief of Hubei Chinese Medicine Institute, said: "fermented soybean is a powder that promotes Dispel the depression in the chest." Although the two explanations have their own merits, they still have common views, such as "dispelling evil and relieving troubles", but the methods of dispelling evil are different. This theory of dispelling evil and relieving troubles has one thing that is difficult to explain. That is, since it says "deficiency and troubles", why do we need to use emetic formula or powder to relieve the deficiency? Therefore, there are sayings such as "healthy qi is a sudden deficiency, not a long-term illness, healthy qi is a real deficiency", "Yangming's deficiency is different from Taiyang (EX-HN5)'s deficiency", etc., but these statements are similar to the high-level talk of "a white horse is not a horse". There is a suspicion of being stretched thin. As the saying goes: "It's violent but not empty", then cassia twig Xinjia Tang should not add ginseng root. As the saying goes: "Yangmingxu and Taiyang (EX-HN5)xu are different", then what is the explanation for White Tiger Decoction plus ginseng root soup?

The author believes that Gardenia and Fermented Soybean Decoction can neither induce vomiting nor vent. Its effect is the same as Coptis and Ass Hide Glue Decoction, that is, it can clear heat and nourishing yin, and restore coordination between heart and kidney. The only difference is that Gardenia and Fermented Soybean Decoction has less yin-nourishing power than Coptis and Ass Hide Glue Decoction. To understand this problem, we must first understand the function of fermented soybean. Doctors in the past believed that fermented soybean was a medicine for dispersing wind-heat or vomiting diaphragmatic heat, as mentioned above. Although Bielu claims that it can cure "consumptive disease", "Medicinal Property" says that "it can stop night sweat and relieve troubles", and "Huiyue Medical Mirror" says that it can "treat steaming bone fever". ”, but it did not attract the attention of the medical community. The first two theories have become commonplace, especially the theory of "dispersing wind and heat", which firmly occupies the dominant position.

The author personally believes that fermented soybean is sweet and cool, can nourish the kidneys, calm the heart, and relieve middle consumptive thirst. Although its ability to enrich yin is not as good as rehmannia root and Dwarf Lilyturf Tuber, it has no side effects of wheat and sluggishness that hinders the stomach. For those with strong internal heat and weak yin deficiency, it is suitable to use with Cape Jasmine Fruit; for those with strong external heat and slight yin deficiency, use it with fistular onion stalk YAO>, Yinqiao, etc. are also suitable for use together. The basis is: modern reports, fermented soybean contains a large amount of fat, protein and enzymes, etc. Therefore, this product can not only nourish but also aid digestion, so Qianjin Fang said : "Gardenia and Fermented Soybean Decoction can cure shortness of breath in teenagers", which is aimed at curing yin deficiency with internal heat. Zhongjing Shanghan Lun Use Gardenia and Fermented Soybean Decoction to see excessive sweating, vomiting, diarrhea and constipation. Use it when deficiency and excess appear and are proven. For example, if fermented soybean is a medicine for dispersing wind and heat, it should not be used for patients with both internal and external deficiency syndromes; if it is a medicine for inducing vomiting, it should not be used for patients with both internal and external deficiency syndromes. What's more, Article 78 of Shanghan Lun clearly states that those who have Gardenia and Fermented Soybean Decoction certificates and have vomiting are added with fresh ginger rhizome downbearing counterflow to stop vomiting , it is clear that it is not an emetic agent.

Onion stalk is used for fistular onion stalk and fermented soybean, which originally meant nourishing yin and releasing exterior. For example, Nine-lngredient Notopterygium Decoction is used for raw land, Cinnamon Twig Decoction is used for Debark Peony Root, none of them have the effect of helping the main drug to produce sweat, but have the power to restrict the excessive dispersion of the main drug. Antagonism and complementary formulas can be found everywhere in ancient and modern formulas, and this is not the case only for Onion and Black Bean Soup. The folk single-flavored ginger and green onion induces sweating to releasing exterior, but the useless single-flavor fermented soybean induces sweating to releasing exterior, which is sufficient to illustrate that fermented soybean has no sweating effect. . For fermented soybean , although ephedra and cultivated purple perilla leaf are used, soak the soybeans in decoction and then steam them. Cooked fermentation is a method, but after steaming and fermentation, the emanating substances on the surface of the soybeans have completely disappeared, and they no longer have the power to be expressed. Wei Yi-lin Shiyi Dexiao Fang contains: Use a pinch of this product (amount of more than 30 grams), decoct it and take it to treat hematuria. If it is a drug that induces dispersion and vomiting, how can it be used in such large amounts? How can it stop bleeding without sweating or vomiting? The reason why it can stop bleeding must be that adding water can resist fire. The author has used Gardenia and Fermented Soybean Decoction to treat chronic debilitating diseases such as Zangzao and insomnia, which are of the deficiency-heat type. Every time I get good results, is this kind of disease a severe deficiency? Should medicine be used to induce vomiting or dispersion? That's it.