Fortunately, since he couldn't handle it himself, Lu Xuan could call for help, otherwise, he could only send the patient to see another doctor.
This group of well-read and knowledgeable teachers did not disappoint Lu Xuan.
[In the "Frequent Lake Pulse Study Main Disease Poem," there is mention of a soft pulse indicating disease. A soft pulse is indicative of blood deficiency and yin deficiency, with the sea of marrow and the dantian depleted. Sweat steams into the bones at night, while blood and humidity invade the spleen. However, in modern times, a soft pulse is more often seen as resulting from dampness.
The patient experiences alternating cold and heat, which are typical symptoms of Lesser Yang Disease, manifesting as intermittent fever and aversion to cold, occurring in cycles and recurring several times a day without a set schedule, caused by qi stagnation, an imbalance between nutrient and defense, and a struggle between the upright and pathogenic qi.
Based on the physiological and pathological characteristics of the Lesser Yang Meridian, Lesser Yang Disease can be roughly divided into qi stagnation, water retention, and qi-water retention syndromes. Due to varying degrees and duration of qi stagnation, it can be further divided into qi stagnation, qi constraint, and qi binding syndromes.
Thus, considering the patient's condition, it is proposed to treat from the perspective of qi deficiency with yang sinking to yin, obstructed Lesser Yang pivot mechanism, and disharmony between the exterior and protective to relieve fever, prescribing a gentle warming method to eliminate heat with Chaihu 10g, Prepared Cinnamon 10g, stir-fried white peony 10g, Pueraria 15g, Cimicifuga 5g, Astragalus 15g, Danggui 10g, White Atractylodes 10g, processed licorice 3g, stir-fried Scutellaria baicalensis 10g, Dried Tangerine Peel 6g, processed Pinellia 10g, light-colored ginseng 12g, Baiwei 15g, fresh ginger 3 slices, and 4 Chinese Dates.]
Upon hearing this prescription, Lu Xuan immediately thought of a rarely used method of eliminating heat.
Gentle warming method to eliminate heat.
The therapeutic concept of gentle warming to eliminate heat originates from the "Inner Scripture of the Yellow Emperor," established by Zhongjing, formalized by Dongyuan, and continually refined by later generations of physicians.
The "Inner Canon" states: "Warm those who toil; benefit those who have been damaged," and "The spleen desires gentleness, eat sweetness to ease it, use bitterness to discharge, sweetness to supplement it." These theories later became the cornerstone of Li Dongyuan's Spleen and Stomach Doctrine during the Jin-Yuan period, with Zhang Zhongjing in the "Essential Prescriptions of the Golden Cabinet" also creating the prescription for treating deficiency and vexation fever—Minor Strengthening the Middle Decoction.
The "Essential Prescriptions of the Golden Cabinet·Chapter on Blood Paralysis and Deficiency" states: "Deficiency with internal urgency, palpitations, nosebleeds, abdominal pain, dream emission, soreness and pain in the limbs, restless heat in hands and feet, dry throat and mouth, Minor Strengthening the Middle Decoction as the main treatment." This formula is indeed the earliest formula using the "gentle warming method to eliminate heat."
However, it was Li Dongyuan, the famous physician of the Jin-Yuan period, who truly developed and perfected the gentle warming to eliminate extreme heat to its peak.
Can gentle warmth eliminate extreme heat?
There has always been debate in the academic circles, with many denying this notion as fallacy.
Lu Xuan also had some understanding of this knowledge and felt that completely denying the concept of "gentle warmth eliminating extreme heat" was too absolute, ignoring the lifetime of scientific research by Mr. Li Dongyuan was certainly not correct.
There are also many who say that the extreme heat Li Dongyuan referred to is actually false heat, where the patient feels feverish, but a thermometer shows no fever; or they say the "extreme heat" eliminated by gentle warmth is not necessarily "high fever."
There are skeptics, but there are also many who consider it reasonable and apply it in practice in Chinese medicine.
However, for Lu Xuan, it was indeed his first time using the method of gentle warming to benefit qi and eliminate extreme heat to treat a patient's illness.
Meanwhile, Ji Xiuwen, who had noticed that Lu Xuan had not made any movements for a long time, couldn't help but feel worried.
After being here for a few days, it was the first time he had seen this old classmate of his in such deep thought for so long.
Thinking about Pan Yuqian's condition, Ji Xiuwen could understand that Lu Xuan needed time to think.
After all, he had never heard of such a complicated situation before.
What Ji Xiuwen was worried about now was that Lu Xuan might not have a good solution for Pan Yuqian's condition, and this situation might break the undefeated streak he had painstakingly built.
Although no one can cure every illness, not even a divine doctor.
But for Ji Xiuwen, he still hoped his old classmate could maintain his undefeated record.
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