---김종필 (출처: 조갑제닷컴)
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우리는 모두 (좌경화된) 대학 캠퍼스에 살고 있다.
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트럼프의 싱가포르 회담은 중국이 한국에 대해 우위를 점하고 있고, 미국은 동아시아에서 철수할 수 밖에 없다는 사실을 자인한 것이다.
What's Behind Trump's Korea Agreement
•Alasdair Macleod
The Western media was incredulous. The Donald had disregarded diplomacy, scuttled out of the G7 meeting in Canada without endorsing the G7 agreement, and ended up shaking hands with a previously avowed enemy in Singapore. The formally leisurely pace of global diplomacy, where all is pre-agreed before the photo-op showing unanimity of leadership, was ditched in favor of the Art of the Deal. Foreign correspondents for the established media were confused and obviously out of their depth, particularly over the deal with President Kim Jong-un.
As a female journalist pointed out at the press conference after the meeting, Kim has proven to be ruthless and untrustworthy, killing members of his own family and imprisoning and torturing his own people. How could Trump possibly come to terms with him, and concede, apparently without consulting South Korea, to suspend joint exercises, and agree to the objective of a complete denuclearization of the peninsula, which is the implication of the eventual withdrawal of American forces entirely from the South?
The Singapore deal was in fact not a deal, but an endorsement of the earlier agreement between the two Koreas at Panmunjom on 27th April. And this is the point, Singapore was the US confirming it accepted Panmunjom.
The razzmatazz of a Singaporean summit plays well to Trump’s electoral base, as did his disdain for G7 and his trashing of Trudeau, who he described as “very dishonest and weak” over trade. Trump’s supporters also buy into his fake-news accusations, conveniently placing him beyond criticism so far as they are concerned. Now they are seeing concrete results from the man they elected President, ahead of the mid-term elections in November.
We need to look into the North Korean situation with greater objectivity, before commenting on recent trade policy developments.
Korea and Its Economic Role in Asia
The Panmunjom Agreement was an agreement between the two Koreas only. No other powers are a party to it. That was why Singapore had to endorse it, China having already done so. Essentially, it was the graceful way for everyone to back out of an intractable position, dressed up as a victory for Trump, whereas in truth it is also a thorn in China’s side being removed.
North Korea has a far longer border with China than with South Korea. Having a totalitarian state on her eastern flank was never ideal, even though it acted as a buffer between China and the Americans in South Korea. The similarities with the earlier case of the Iron Curtain in Europe in the late eighties are striking. On one side there was growing capitalist prosperity, widening the gulf with socialist stagnation on the other. China could tolerate it today, but Kim would have been increasingly aware that time was running out for his government, just as Secretary-General Gorbachev recognized it when he proposed the historic meeting in Reykjavik with President Reagan in October 1986.
Events at that time moved quickly, even though the Reykjavik meeting ended without a formal agreement. Twenty-five months later, the Berlin Wall dramatically fell, symbolically marking the end of seventy years of Soviet communism. Those same economic tensions exist between China and North Korea today. North Korea’s bankruptcy means that it has not the economic resources to continue with its nuclear program to credible effect. Kim was forced to come to an agreement with China as a way out of his difficulties, and that is why he visited Beijing to meet President Xi one month before Panmunjom.
Trump’s Singaporean summit was an admission that China holds the winning cards over Korea, and that America will be forced to withdraw its military from the East Asian landmass. It signals something else, and that is the neo-cons have lost much of their influence in Washington. Trump is succeeding in bringing the administration under his control with respect to foreign policy. We see this with the court cases over Russian interference in the presidential election fizzling out, and attention switching towards allegations against the Clintons. Rather cleverly, Trump is maneuvering himself into a convincing position ahead of the mid-term elections.
So far as China is concerned, it is also a strong win. In the east, at least, she has secured herself against a US military presence, which will retreat to Japan and her islands. And even Japan realizes her future is increasingly China-related. The industrialization of North Korea will bring significant economic benefits to China as well, just as the development of Eastern Europe did to Germany. (발췌)
Alasdair Macleod is the Head of Research at GoldMoney.
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견주염肩周炎 : 어깨 염증
附子10__15g桑枝15g姜黄10g黄芪30g当归10g山萸肉20g桂枝10g羌活10g防风15g乳香10g没药10g白芍15g苍术10g白术15g葛根30g甘草10g
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인진咽诊과 복진腹诊
南阳20 11经方医学论坛特诊组总结之咽诊篇
南阳20 11经方医学论坛特诊组总结之咽诊篇
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南阳20
11经方医学论坛特诊组总结之腹诊篇
具体内容如下。 一，腹诊判体质 黄师在临床上非常重视体质的判定，腹诊是判断体质的一个重要方法，以下列举几种常见体质的腹诊特点。 ◎大黄体质 腹证：腹部饱满，大腹便便，腹部皮肤厚而油润，紧绷有弹性，按之腹部充实，有底力。大黄体质属实性体质，易表现为里实热证，是适合长期服用大黄剂的体质类型。 ◎黄芪体质 腹证：腹部大而松软，脂肪层厚，腹肌软弱无力，按之无抵抗感及痛胀感。黄芪体质为骨弱肌肤盛者，属于虚体，容易出现肺脾气虚，表气不固证，是适用长期服用黄芪剂的体质类型。 ◎柴胡体质 腹证：腹部大小中等，或偏瘦或偏胖均可见。腹部皮肤较干燥，腹肌偏紧，尤其是上腹部肌肉容易紧张。腹部多怕冷。胸胁苦满是柴胡体质者最明显的腹证。 ◎桂枝体质 腹证：腹部扁平甚则凹陷，腹部皮肤薄而细腻，多湿润，脂肪层薄，腹肌薄弱按之无底力，但却偏紧，甚至腹直肌拘急，触之有抵抗感。 二，分部腹诊 ◎按胸胁 胸为胸廓之前面，胁为胸廓侧面腋下之部分。 胸胁苦满（含：胁下满、胁下硬满、胁下痞硬、胸满胁痛等等）：腹证出现胸胁苦满征，是使用柴胡剂的指征。 胁下痞：胁下扪及痞块，固定不移。可能是腹腔肿瘤。 ◎按心下 1 心下痞：心下痞是指病人自觉剑突下非胀非痛，满闷不适，医者按之不痛或有轻微之疼痛感。 心下痞分为两种，一为心下痞软（濡），一为心下痞硬。 心下痞濡者，心下按之濡软无抵抗，多见于三黄泻心汤证，大黄黄连泻心汤证等。 心下痞硬者，为上腹部扁平而按之腹肌较为紧张，疼痛不明显，腹肌无底力和弹性者为人参证。多见于使用含有人参的方剂。 2 心下软痛：心下常规手法按之腹肌柔软，但在冲击性触诊时，剑突下压痛明显，同时可出现剑突下腹肌的紧张收缩，咽喉多见充血，病人多觉胸骨后窒闷，呼吸不畅，此为栀子证。 3 心下硬痛：心下按之腹肌紧张，触痛明显。根据程度不同，可出现小陷胸汤证，大柴胡汤证，大陷胸汤证。 ◎按腹 腹满按之痛者为实，宜大承气汤。 腹满按之不痛者为虚，宜桂枝加芍药汤。 另有虚实夹杂，宜桂枝加大黄汤主之。 ◎按少腹 1 实证：包括瘀血证，蓄水证，血水俱结证等等。 2 虚证：少腹或见紧张拘急而按之无底力，或见软弱，为精气营血不足，失于温阳所致。多用桂枝加龙骨牡蛎汤，八味肾气丸证。 ◎候悸动 悸动常见者为虚悸和水悸。虚悸为体质虚弱，冲气上逆所致，多见于桂枝体质。水悸为饮停心下，水饮凌心或者脐下冲气夹水上逆所致。多五苓散、茯苓甘草汤或真武汤以温阳利水。
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스승의 암 치료 기본방
作者：黎小裕
认识肿瘤：肿瘤局部是实证，但全身是虚证。
肿瘤的治疗原则立足于：一、痰毒（津液凝聚成痰）。二、攻补调导（+心理疏导），攻局部之实，补全身之虚。补乃平补：益气养阴、补益脾肾。
那么治疗方法也就跟着明朗：化痰解毒+活血化淤+调整阴阳
则治疗的基本药物是：化痰：海藻、浙贝、夏枯草。
解毒：白花蛇舌草、半边莲、半枝莲。
平补：太子参、黄芪、白术、北沙参、生地、麦冬、石斛、天花粉、仙灵脾。
注意的地方是；不用人参和南沙参。
服用三年中药不复发，以后就很少复发。
当然有基本方还是要结合辩证。
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땀을 배출해 소양증을 치료하다.
《伤寒论》从汗论治瘙痒第一处是《伤寒论》第23条：“太阳病，得之八九日，如疟状，发热恶寒，热多寒少……一日二三度发，脉微缓者，为欲愈也……面色反有热色者，未欲解也，以其不能得小汗出，身必痒，宜桂枝麻黄各半汤。” 李心机《伤寒论通释》解释为：太阳伤寒八九日，表邪将解，本当以小发汗之法，一疏即解。却失于发汗。病有向愈之机，而未顺势发泄，阳气怫郁在表。表邪欲解而不得，肌肤欲通而未通，邪扰肌肤，故痒。正邪交争已八九日之久，邪气微，正气也不盛。过汗则伤正，不汗则不能开启腠理、予邪以出路，治疗以桂枝麻黄各半汤小发其汗。验之临床，确有佳效。 笔者数年前以经方治疗皮肤病，曾治一七八岁男童，皮肤瘙痒数月，无疹，无余症，试开两服桂枝麻黄各半汤，隔数日，路遇其家人，言一剂即效，两剂瘙痒除。 第二处是“脉浮而迟，面热赤而战惕者，六七日当汗出而解，反发热者瘥迟，迟为无阳，不能作汗，其身必痒也。” 见于《医宗金鉴·订正仲景全书伤寒论注·卷三辨太阳病脉证并治下篇》，在该篇中紧随《伤寒论》第23条之后。两条相邻，均有“面赤身痒”，而证机却迥然不同。关键在于脉象，23条脉是浮紧的，后来“脉微缓者，为欲愈”意为脉由浮紧变得略微缓和。而本条却是“脉浮而迟”。脉浮与脉迟并见之论还有一处，《伤寒论》第225条：“脉浮而迟，表热里寒，下利清谷者，四逆汤主之。”其“下利清谷”、“里寒”“（脉）迟”已经到了用四逆汤的程度，“表热”、“脉浮”只能是虚阳外越。反观此处之“脉浮而迟”、“面赤身痒”也可能是里阳虚甚、虚阳浮越于外，而不是肌表阳气怫郁。此处之“不能作汗，其身必痒”，原因是“无阳”，即里阳虚，无力“加于阴”而作汗，浮阳扰动肌肤而痒。治疗时既要着眼于“汗”，更要注意到“无阳”，麻黄附子剂较为合拍。 笔者曾治疗一位慢性荨麻疹患者，脉象虽未体会到“浮而迟”，但证机却确为里阳虚寒，处以麻黄汤合麻黄附子细辛汤，患者得汗而愈。 需要指出的是此条不见于目前通行的《伤寒论》条文，录有“辨脉法”的版本在“辨脉法”中录有此条。这提示我们学习《伤寒论》时需要多个版本互参，有很多有价值的条文及字词在经过漫长的传承，及多次辑复后，会有所脱落、或杂陈于不重要的条文之间，但这些却可能正是临证之箴言。在谢观的《中国医学大词典》解释“痒”时收录了此条之“（脉）迟为无阳，不能作汗，其身必痒”。《古今图书集成医部全录之淋浊遗精血汗门·无汗篇》中也录有此条，“经所谓脉浮而迟，迟为无阳，不能作汗，其身必痒……皆阳虚而无汗者也。” 第三处是《伤寒论》第196条：“阳明病，法多汗，反无汗，其身如虫行皮中状者，此以久虚故也。” 对于“身如虫行皮中状”为瘙痒之意，并无异议。而对于“久虚”则见解多有不同。有认为阳明反无汗是因为阴津久虚、作汗无源、邪热欲解而无从疏解故痒。如《聂氏伤寒学》在此条后言“今反无汗，乃其人久虚，津血均亏，无以作汗”，治疗“当取益气生津，以充汗源，宣透郁热，以清阳明之法。”方取白虎加人参汤、栀子豉汤化裁，也有选用竹叶石膏汤与桂枝二越婢一汤加减的，思路大致相同。而另外一些学者将“久虚”理解为阳气虚，作汗无力。如上文引过的《古今图书集成医部全录之淋浊遗精血汗门·无汗篇》认为：“阳明病反无汗，其身如虫行皮中之状……阳虚而无汗者也。”选方亦截然不同，《太平圣惠方》此条后出方，“宜术附汤”。组成为：甘草（炒）二两，白术四两，附子（炮）一两半，方后明言“此药暖肌补中，助阳气。” 对于《伤寒论》第196条“久虚”的认识不同，选方不同，为我们临证选方拓宽了思路，而对于本条痒的核心机理的认识却没有分歧，即“无汗……久虚故。”《素问·阴阳别论》中将汗的机理归为“阳加于阴谓之汗”，无阴、无阳均不能作汗。广而言之，“久虚”可能是阴虚或阳虚，也可能是阴阳两虚，也可能是气虚、津亏，或气阴两亏。无论是什么不足，都可以导致“无汗”而“痒”，临证宜“机圆法活”，总以酿汗为要。 综上所述，《伤寒论》中论痒三条，一条讲肌腠不通而不得小汗，阳气怫郁在表故痒；一条讲阳虚较甚不能作汗，浮阳外扰肌肤而痒；一条讲久虚酿汗无力或无源，肌肤不得由汗而通却欲通，故痒。《内经》有言“知其要者，一言而终”，《伤寒论》中论瘙痒，“其要”即为“不得汗”，治疗目标则为“汗出而解”。 ----------------------------------------------------------------------- |
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