좌파들이 선동하는 페미니즘 광풍. 하지만 저런 댓글이 있어 조금 안심된다.
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홍준표
정권이 바뀐 직후부터 지난 2년 동안 문 정권은 내 경남지사 4년 4개월 뒷조사와 주변조사를 샅샅이 했다.
박근혜 전 대통령에게 2012.12.대선에서 패하고 정치보복을 피하기 위해 위장 정계 은퇴 선언까지 하더만 자신은 집권하자마자 두 전직 대통령을 감옥에 보내고 주변 인물들은 모두 적폐로 몰아 구속했고 같이 경쟁했던 나에 대해서도 샅샅이 주변을 털었다.
대선 때 십시 일반 지원했던 1000만 원 이상 후원자는 모조리 조사해서 압박했고 일부 중소기업 하는 분들은 폐업까지 하게 하였다. 경남도 공직자들은 아직도 조사를 계속하고 있고 심지어 대법원에서 세 번이나 승소한 진주의료원 폐업 과정 조사도 한다고 한다.
그래 너희들 마음대로 계속 해 봐라. 잘 나가던 사천 KAI는 나를 잡는다고 애꿎은 하 사장을 나와 대학 동문이라는 이유로 억지 수사를 감행하여 무너지게 하였고, 나와 일했던 경남도 공무원들은 죄다 좌천시키거나 한직으로 물러나게 하였다.
급기야 오늘 경남도에서 정무부지사, 정무특보, 경남개발공사 사장을 했던 조진래 전 국회의원이 2년에 걸친 하지도 않은 채용비리 수사 압박을 견디지 못하고 극단적인 선택을 하였다고 한다. 10일 전 창녕에서 만났을 때도 채용비리 수사 압박을 호소했는데 참고 견디어 나가자는 말밖에 할 수 없었던 나는 한없이 무력하고 부끄러웠다.
참으로 못되고 몹쓸 정권이다. 정치보복에만 혈안이 되어 보복 수사로 그 사이 수사 압박으로 자살을 한 사람이 과연 몇인가? 정권의 충견이 된 검·경을 더이상 국민들이 믿겠는가?
그래 계속 그렇게 정치보복만 계속해 봐라. 국민들이 용서치 않을 것이다. 날 잡기 위해 내 주변을 아무리 조작해 털어 봐도 나오는 게 없을 거다. 나는 너희들처럼 살지 않았다. 보복의 악순환으로 초래될 대한민국의 장래가 참으로 두렵다.
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왜 저 따위 사회주의 실험을 정부가 돈을 대주고 하는지 모르겠다.
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취직시켜주면 자본가의 노예, 착취
외국자본 유치는 수탈
광주는 성지, 대구는 고담시티
난동부리면 해방구, 민주화운동
난동을 말리면 공권력 횡포
무기고를 털면 항쟁, 진압하면 살인마
북한은 해방이 필요없고, 남한만 해방이 필요해
자기들이 하면 탐사보도, 남들이 하면 가짜뉴스
뇌물먹고 죽으면 영웅,
기업을 키우는 것은 매판자본 육성
투자를 장려하면 친재벌 정책
민노총과 전교조는 약자
일본과 사이를 좋게 하면 토착왜구
길을 뚫으면 환경파괴
가뭄과 홍수를 없애주면 환경파괴
북한인권을 말하면 냉전수구세력
잘 살게 해주면 개발독재
안되면 외세탓, 남탓....
빨겡이는 독립지사, 일제시대 학교를 세운사람은 친일파
김일성은 항일운동, 이승만은 나쁜놈
북한이 저렇게 된 것은 미국탓, 베트남이 잘 사는것은 개방을 잘해서
좌파들의 사고방식/ 일베
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14만 구독자 감사합니다
경찰이 한 남자를 표적으로 삼아 지하철 성추행범으로 만든 사건.
저 경찰들에게 법의 단죄가 있어야 한다.
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중국 대사 루의 답변: 기술 절도로 항공모함을 띄울 수 있다면, 불공정 경쟁으로 달 표면에 탐사선을 올릴 수 있다면, 지적 재산권을 위반해서 5지 기술이 세계 일류가 될 수 있다면, 모든 국가들은 미국처럼 발전할 것이다. China's ambassador to Canada, Lu Shaye
----> 중국의 도약적인 경제 발전의 이면은 많은 경제학자들이 연구해보아야 할 대상이다.
전에 한 트윗이 "중국의 경제는 2000년 초반만 해도 독일의 1/4이었다"는 말이 생각난다.
중국의 지도자들은 박정희 대통령처럼 마치 주식회사 중국의 최고경영자처럼 생각하고 행동했고, 그 결과 오늘날 미국을 위협하는 경제대국이 되었다고 보는 게 타당하다.
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This new book is the first full account, inside or outside government, of China’s efforts to acquire foreign technology.
Based on primary sources and meticulously researched, the book lays bare China’s efforts to prosper technologically through others' achievements. For decades, China has operated an elaborate system to spot foreign technologies, acquire them by all conceivable means, and convert them into weapons and competitive goods―without compensating the owners. The director of the US National Security Agency recently called it "the greatest transfer of wealth in history."
Written by two of America's leading government analysts and an expert on Chinese cyber networks, this book describes these transfer processes comprehensively and in detail, providing the breadth and depth missing in other works. Drawing upon previously unexploited Chinese language sources, the authors begin by placing the new research within historical context, before examining the People’s Republic of China’s policy support for economic espionage, clandestine technology transfers, theft through cyberspace and its impact on the future of the US.
This book will be of much interest to students of Chinese politics, Asian security studies, US defence, US foreign policy and IR in general.
중국의 산업 스파이를 상세하게 연구한 책/ 아마존
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시진핑: 우리는 이제 새로운 대장정을 시작하고 있고 모든 것을 새롭게 시작해야 한다.
---> 시진핑은 무역 전쟁의 희생을 인민들에게 전가하면서, 어쨌든 현재의 난관을 헤쳐나갈 결심인 듯하다.
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이스트 섬 조각상 티슈 홀더
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폭스뉴스 앵커 트리시 리건과 씨씨티비 앵커 리루신이 폭스 뉴스에서 맞짱 토론을 벌릴 예정.
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팩트1. 해당 사건이 발생한곳은 한국보다 일본쪽에 10배이상 더 가까웠다. 사실상 일본의 코앞에서 일어난 사건
팩트2. 북한쪽 어선에 타고있던 북한인 3명은 모두 단 이틀만에 북한으로
돌려보내졌다(문재앙정부 오피셜)
팩트3. 일본쪽에서 북한 감시활동 및 고발하는 단체 회장은(사실 누가 주장했느냐는 별로 중요한건 아님) 이들이 북한쪽에서 일본으로 탈출한 탈북자들이고 그 도중 배가 고장나서 표류한거라는 주장을 하고있는데, 사건이 벌어진 장소를 보면 "매우" 설득력있는 주장임
난 저주장 보자마자 소름이 쫙 돋더라...저게 사실이면 모든 의문점이 한순간에 해결되는거 아니나?
문재앙 이 싸이코패스 개새끼와 그 패거리들은 충분히 저러고도 남을 개새끼 모임이고
출처: 일베
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이제 정신 차렸나?
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무역 전쟁은 이제 막 시작이다.The China Problem Isn’t Going Away
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기득권을 지닌 기업은 당신이 건강하지 않기를 바란다.
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단어와 언어는 언어학자, 학자, 서기, 관료, 사서, 문법학자, 그리고 기타 애크로-기생충들이 만든 게 아니다.
Acroparasite: a parasite with no skin in the game.
애크로기생충: 스킨 인 더 게임이 없는 사회의 기생충 같은 존재들
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"Meditation is a way to be narcissistic without hurting anyone" - @nntaleb
명상은 타인에 해를 끼치지 않으면서 자기도취에 이르는 방법이다.
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1936년 톨키엔이 베오올프에 관해 발표한 강연(논문)
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더운 날엔 저 잉어처럼 물속에서 유영을 하고 싶은 여름이 성큼 다가왔다.
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디플레의 진정한 의미
생존 자원이 감소함에 따라 디플레이션이 나타난다. 그리고 생존 자원이 감소한 이유는 중앙은행과 지급준비제에 의해 그 이전에 화폐의 공급이 늘어났기 때문이다.
The Real Meaning of Deflation
Frank Shostak
For most experts, deflation is bad news since it generates expectations for a decline in prices. Because of this, it is held, consumers postpone their buying of goods at present since they expect to buy these goods at lower prices in the future. Consequently, this weakens the overall flow of current spending and this in turn weakens the economy.
In this way of thinking, economic activity is presented in terms of the circular flow of money. Spending by one individual becomes the earnings of another individual, and spending by another individual becomes a part of the previous individual's earnings.
So if for some reason people have become less confident about the future and decide to reduce their spending, this is going to weaken the circular flow of money. Once an individual spends less, this worsens the situation of some other individual, who in turn also cuts his/her spending.
According to the former Federal Reserve Board Chairman Ben Bernanke,
Deflation is in almost all cases a side effect of a collapse of aggregate demand — a drop in spending so severe that producers must cut prices on an ongoing basis in order to find buyers. Likewise, the economic effects of a deflationary episode, for the most part, are similar to those of any other sharp decline in aggregate spending — namely, recession, rising unemployment, and financial stress.
As one can see by the popular way of thinking deflation is the opposite of inflation, which is seen as general increases in the prices of goods and services.
Now, while it is true that during deflation we observe that prices tend to decline this is however just a description of things, it is not the essence of deflation.
The Essence of Deflation
To establish the essence of deflation we hold that one must trace how this phenomenon emerges. The key for this is to establish the essence of inflation. Contrary to popular thinking, inflation is not about general increases in the prices of goods and services.
Inflation is not set in motion by increases in wages. Inflation is also not set in motion by a decline in unemployment or an increase in economic activity as popular thinking has it.
Inflation is the diversion of wealth from wealth generators towards non-wealth generators brought about by the expansion, or inflating the money supply out of “thin air.”
In a market economy, the key function of money is to fulfill the role of the medium of exchange. By means of money, a product of one specialist is exchanged for the product of another specialist. Alternatively, we can say that something is exchanged for money and then money is exchanged for something else. This means that something is exchanged for something else with the help of money.
This process is disrupted once an increase in money supply takes place. When money is generated out of “thin air,” no real wealth was exchanged for it. The holder of the generated money out of “thin air” can now exchange it for real wealth. Therefore, what we have here is an exchange of nothing for something. An exchange of nothing for something amounts to a diversion of real wealth from those individuals that have produced this wealth to the holders of the generated money out of “thin air.” Note again that the act of wealth diversion was made possible because of the increase in money supply (i.e., inflation).
Popular thinking, however, holds that a growing economy gives rise to a growing demand for money that must be accommodated to prevent economic disruptions. On this way of thinking as long as the increase in money supply is in line with the increase in the demand for money, no negatives to the economy are going to emerge.
But, irrespective of the state of the demand for money, an increase in money supply must always result in an exchange of nothing for something (i.e. to a diversion of real wealth). Moreover, any amount of money can do the job of the medium of the exchange. Hence, there is no need to increase the supply of money to accommodate an increase in the demand for money. According to Mises,
The services which money renders can be neither improved nor repaired by changing the supply of money. . . . The quantity of money available in the whole economy is always sufficient to secure for everybody all that money does and can do.
We can conclude that inflation is about a diversion of real wealth from wealth generators towards the holders of newly created money. The increase in the money supply out of “thin air” sets in motion this diversion.
Deflation emerges once the process of wealth diversion comes to a halt. This occurs once the money supply out of “thin air” starts to decline.
Fractional Reserve Banking as the Source of Money Out of "Thin Air"
To illustrate further, we must note that a major factor behind the expansion of money out of “thin air” is the existence of fractional reserve banking.
By fulfilling the role of the intermediary, banks play an important factor in the process of real wealth formation. Banks facilitate the flow of real saving by introducing suppliers of real saving to demanders.
Here's how it works:
A farmer, Joe, produced 2kg of grains. For his own consumption, he requires 1kg, and the rest he decides to lend for one year to a farmer Bob. The unconsumed 1kg of grains that he agrees to lend is his saving.
By lending the 1kg of grains to Bob, Joe agrees to give up for one year the ownership over this quantity of grains. In return, Bob provides Joe with a written promise that after one year he will repay the 1.1kg of grains. The 0.1kg constitutes an interest. What we have here is an exchange of 1kg of present grains for 1.1kg of grains in a one-year time.
The introduction of money will not alter the essence of what lending is all about. Instead of lending the 1kg of grains Joe will first (sell) exchange his 1kg of grains for money, let us say for $100. Then Joe decides to lend his money via bank A to Bob for one year at the going interest rate of 10%.
On the maturity date of the loan the borrowed money is paid via bank A back to the lender. Thus, Bob — the borrower of $100 — will pay back on the maturity date the borrowed sum and interest to the bank. The bank in turn will pass to Joe the lender his $100 plus interest adjusted for bank fees. To put it briefly, the money makes a full circle and goes back to the original lender.
Observe that ordinary lenders cannot lend without having something to lend.
Now, let's introduce into our analysis the central bank and the fractional reserve banking. The existence of the central bank and the system of fractional reserve banking permits banks to generate credit out of "thin air."
Let’s say farmer Joe sells his saved 1kg of grains for $100 and then deposits this with Bank A. Observe that Joe is exercising his demand for money by holding them in demand deposits at Bank A.
Note that the demand deposit of Joe is fully backed by the $100 cash (i.e. the bank keeps cash reserves of 100%). Alternatively, we can say that against the bank deposit, which is the bank’s liability of $100, the bank also holds cash to the tune of $100.
Consider now the case when bank A takes a portion of Joe's deposited money and lends it out. Let us say that bank A takes $50 from Joe’s demand deposit and lends this to Bob. By lending Bob $50 bank A opens a demand deposit for Bob to the tune of $50. Note that the spending power prior to the lending to Bob stood at $100 however now it is $150 — the lending to Bob lifted the supply of money by $50.
What we have now is $150 in demand deposits ($100 demand deposits of Joe and $50 in demand deposits of Bob) that are only backed by the $100 cash that was originally deposited by Joe. Observe that bank A’s liability of $150 in demand deposits is supported by cash of $100. Bank A keeps cash reserves against its deposit liability to the tune of 100/150 i.e. 66.7%. If both Joe and Bob were to decide to collectively withdraw $150 and keep the cash in their pockets Bank A will have a problem since it only has $100.
Now on the maturity date Bob repays the $50 to bank A. This means that once Bob pays the bank $50, bank A closes Bob’s demand deposit for this amount. Observe the $50 is not repaid to an original lender because there was never such a lender. Consequently, the money supply contracts by $50 once bank A closes Bob’s demand deposit. (Note again bank A created credit out of “thin air” by lending nothing, which on the maturity date went back to nothing).
As long as banks continue to expand credit out of “thin air”, various non-productive activities continue to prosper. At some point however, because of the relentless expansion in the money supply out of “thin air”, which sets the diversion of real wealth, a structure of production emerges that ties up much more consumer goods than the amount it releases. (The consumption of final consumer goods exceeds the production of these goods).
A Decline in the Subsistence Fund Leads to Deflation
This excessive consumption relative to the production of consumer goods leads to a decline in the subsistence fund. This in turn weakens the support for individuals that are employed in the various stages of the production structure.
Consequently, the performance of various activities starts to deteriorate and banks’ bad loans start to rise. In response to this, banks curtail their lending activities out of “thin air” and this in turn sets in motion a decline in the money supply. (Remember the money supply declines, all other things being equal, once the loans that were generated out of “thin air” are repaid and not renewed). The fall in the money supply begins to undermine various non-productive bubble activities i.e. an economic slump emerges. Also given that now we have less money per goods this amounts to a general decline in the prices of goods. (Note that a price of a good is the amount of dollars spend per unit of a good).
Even if the central bank were to be successful in preventing the fall in money supply, this cannot prevent an economic slump if the subsistence fund is declining. Money cannot substitute the consumer goods required to support the life and wellbeing of individuals. So-called policies aimed at countering a fall in prices do nothing more than provide support to non-productive activities.
Thus, deflation is not general decline in prices as such. It emerges in response to the decline in the subsistence fund. An important cause behind this decline is an earlier increase in money supply brought about by central banks and fractional-reserve banking.
Recent data may help to illustrate the current risks:
Since the early 1980’s the money supply as depicted by our adjusted money supply measure (AMS) displays a visible strength. It stood at $5,101 billion in April 2019 against $418.5 billion in January 1980 – an increase of 1,119%.
If this proxy is a valid indicator of the state of the subsistence fund then this raises the likelihood for a protracted economic slump ahead. Government policies that will aim at fixing various symptoms such as declining price inflation and economic activity are likely to weaken the subsistence fund further thereby making things much worse.
Conversely, if both the central bank and the government cease to intervene this will enable the private sector to quickly build up the subsistence fund and lay the foundations for a genuine economic prosperity.
The biggest problem we face is this: even if the central bank were to be successful in preventing the fall in money supply, this cannot prevent an economic slump if the subsistence fund is declining. Money cannot substitute the consumer goods required to support the life and wellbeing of individuals. So-called policies aimed at countering a fall in prices do nothing more than provide support to non-productive activities.
Hence, the more the central bank and the government try to do to lift the economy by attempting to fix the symptoms such as the fall in prices and rising unemployment, the worse things become.
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학교 의무교육법을 폐지하라!
종교적 자유와 교육의 자유 사이에는 원칙적으로 아무런 차이가 없다. 헌법에 종교의 자유가 있듯이, 모든 사람에게는 교육의 자유가 있어야 한다. 따라서 학교에 의무적으로 출석해야할 의무는 폐지되어야 한다.
아무도 교회 출석을 강요하지 않듯이, 아무도 국가가 인정한 교육 기관에 출석을 강요당하지 않아야 한다.
End School Compulsory-Attendance Laws
Jacob G. Hornberger
Imagine if Congress were to enact a law that required everyone to attend church on Sundays. The overwhelming majority of Americans would go up in arms. The concept of religious liberty is so deeply ingrained in our American heritage that there is no way that people, including devout Christians, would accept such a law. That heritage was enshrined in the First Amendment, which prohibits Congress from enacting such a law.
Now, suppose things had been the exact opposite. Suppose that from the beginning, the Constitution had authorized Congress to enact compulsory church-attendance laws. Suppose that immediately after the Constitution called the federal government into existence, Congress had enacted a law requiring parents to send their children to church, in order to be educated on religious, moral, ethical, and Biblical principles. Suppose that we had been living with that national compulsory church-attendance law for the entire history of the United States.
Now suppose we libertarians were to advocate the repeal of the church-attendance law, which would enable families to decide for themselves whether to send their children to church or not. Can you imagine the outcry?
“Are you libertarians crazy? If we let families make that decision, no one would send their children to church. Most parents are just too irresponsible. How could we be certain that children would receive the right education and training when it comes to morality, ethics, and religion? Wouldn’t some parents teach their children to be atheists or, even worse, to worship Satan? No, you libertarians are all off base. People aren’t ready for that type of freedom. Repealing the church-attendance law would destroy the moral, religious, and ethical foundation of American society.”
After all, isn’t that the mindset of many Americans when they hear libertarians calling for the repeal of compulsory school-attendance laws? Don’t they say that people just aren’t ready for that type of freedom — that parents are too irresponsible — that children wouldn’t get educated — and that a free-market educational system would destroy America?
But the fact is that there is no difference in principle between religious liberty and educational liberty. Just as people shouldn’t be forced to send their children to church, they shouldn’t be forced to send their children to a state-approved organization for secular education and training. Families have the natural, God-given right to make educational decisions for their children without state interference or meddling, just as they do with respect to religious decisions.
People obviously make vastly different decisions when it comes to raising their children, not only on religious matters but also on countless other issues. People often disagree with how other people are raising their children. But Americans have developed a high degree of tolerance with respect to how people raise their children. We simply have to have that same degree of tolerance when it comes to education.
No one should be forced to attend church. By the same token, no one should be force to submit to a state-approved education. For that matter, no one should be forced to fund a state-approved school any more than he should be forced to fund a state-approved church. The state has no more business in education than it does in religion.
Jacob G. Hornberger is founder and president of The Future of Freedom Foundation.
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손에 땀이 차는 수한증의 치료
手汗症是一种对身体健康没有大妨碍的病症，症状就是手汗多，特别在夏天，手汗多得甚至会滴下水来，给患者的日常工作生活造成了一定的困扰。手汗症不分男女，在东方人比较常见，发病率约为1%，在亚热带发病率可以达到3%左右，其中约2%有家族史。在临床上，手汗症分原发性和继发性两种，大多数人为原发性手汗过多。它的治疗可以分为内科治疗和外科治疗。可以内服西药，在抑制手汗的同时，也抑制全身的汗腺分泌，这样相对来说副作用比较大；也可以用药水浸泡治疗，虽然见效但效果短暂；可以外科电视胸腔镜下胸交感神经切断手术治疗，这样不但花费较高，而且手术并发症较多。选用中医辨证治疗，不但花费低，而且安全、可靠，疗效持久。
病案
张某，男，18岁，患者手出冷汗10年余，于2007年6月10日来我处就诊。症见手掌汗出如洗，擦干数分钟即现，汗出冰冷，精神可，纳食一般，大便两日一次，略干，小便量少，身无汗，舌淡白苔白厚滑，舌中心色略黄，脉弦。经多方医治，效果不佳，西医建议作神经阻断治疗。患者担心手术有一定危险性，故求治于余。根据患者病情，辨证为寒湿中阻，蕴久化热。治以温阳化湿，泻下清热。处以厚朴、草果、陈皮、干姜、槟榔、茯苓、白术各 15g，大黄5g，黄芩10g，木香5g，车前子10g，甘草 5g。6剂，水煎服。
6月 17日二诊，服上方后，舌苔渐退，水湿渐化，但手掌汗出较前加重，且手背也汗出如洗，患者仍周身无汗。故续服前方以温化寒湿，清热泻下，加用防风通圣散疏风解表，通达腠理。
6月24日三诊，患者手掌汗出明显减少，惟指端仍汗出较多，续服前方巩固疗效。
7月1日四诊，患者手掌干燥，苔净脉和，以益气健脾，养阴和胃善后，处以太子参10g，白术10g，茯苓10g，麦冬30g，玉竹15g，石斛15g，沙参15g甘草6g。3剂，水煎服。
按《望诊遵经?诊汗望法提纲》曰：“手足汗出者，病在于胃。”故手足汗出的病位在脾胃，多因阳明热盛或寒聚胃脘所致。本患者由于寒聚胃脘，久而生湿，寒湿内盛，发越于外，则手汗如洗，汗出冰冷；郁久化热，故舌中心苔黄。治疗以温化寒湿，泻下清热。二诊患者水湿渐化，但汗出加重，虽至盛暑，患者仍周身无汗，考虑到患者寒湿内阻，长期汗液代谢失常，腠理闭郁，故加用防风通圣散疏风解表，通达腠理，使患者汗液代谢正常，循腠理出表。患者痊愈后考虑到寒湿久聚脾胃，脾胃虚弱，有用温燥辛散之品，耗气伤阴，故以益气健脾、养阴和胃善后，而收全功。
2、治疗手汗的确效方（民间中医网
我的女儿现在已经16岁了，但是她手汗如流水一般的已经有13个年头了，看了许多医生，吃够很苦的药，都没有效果。 《医宗金鉴》曰：手足濈濈然汗出，便硬尿利本当攻，寒中汗冷尿不利，攻之固瘕泻澄清。 汗出一般有这样二种情况：
1、热聚于胃，胃中津液必干，便硬，小便自利。
2、脾寒不约，汗出冷，小便不利。
根据这样的一个治疗原则，诊断我女儿的手汗是因为胃热，大便不硬是因为热并不过盛，尿利，不冷，更确信为胃热。立方如下：
麦冬12g
麦冬为胃提供津液，知母和生石膏为“白虎”大能凉胃去火，黄芩去因胃热导致的肝胆热，白术和甘草防止药物寒凉伤害脾胃。
第二种情况：附子理中丸、四神丸可以解决问题。这样的中成药虽然不是完全对症，效果也是很不错的。它的主要的缺点是没有解决消化也就是降胃的功效，对于寒不是很重的人有变热的可能。
方：白术12
方中加了生鸡内金使整个方剂变得更加顺畅，鸡内金有消化降胃和活血化瘀的功效，凡是食积都能花开，生山药滋阴（脾阴、肾阴）养胃。
【注】胃主四肢为津液之主，今热聚于胃，蒸其津液，傍达于四肢，故手足濈濈然汗出，且小便自利，胃中津液必干，大便必硬，本当攻也。若中寒胃阳土虚，脾不约束，津液横溢，四肢犹如阴盛淫雨滂沱，故汗出而冷也。阳虚失运，中寒不化，故小便不利也。今虽便硬而手足汗出，非为热越者比，慎不可攻，攻之必变生，固瘕泄泻澄清不止也。
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산후에 젖이 부족할 때
芎归调血饮。
它出自哪里？这个方子是出自《万病回春产后门》它的主治功能就是：“产后一切诸病，气血虚损，脾胃怯弱，或恶露不行，或去血过多，或饮食失节，或怒气相冲，以致发热恶寒，自汗口干，心烦喘急，心腹疼痛，胁肋胀满，头晕眼花，耳鸣，口噤不语，昏愦等证。”
芎归益地皮：川芎6、当归10、熟地10、益母草10、丹皮6；
苓术乌附皮：茯苓10、生白术15、乌药10（或6）、香附6、陈皮6
30분에서 1시간 정도 약에 물을 부어놓았다가, 15분에서 20분 정도 짧게, 약간 센 불로 빨리 달여서 약의 휘발성분이 사라지지 않도록 해야 함.
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오약의 사용
乌药味辛性温，是一味理气、解郁、散寒、止痛的佳品，对于胸腹胀满、气逆不顺之疼痛，用之最合。所以《本草求真》认为本品对“逆邪横胸，无处不达，故用以为胸腹逆邪要药耳。”《本草述》更盛赞其“实有理其气之元，致其气之用者。……于达阳之中而有和阴之妙”。朱老指出：“乌药性温气雄，对于客寒冷痛，气滞血瘀，胸腹胀满，或四肢胀麻，或肾经虚寒、小便滑数者，用之最为合拍。若属气虚或阴虚内热者，均不宜用。本品有顺气之功，但对孕妇体虚而胎气不顺者，亦在禁用之列，否则祸不旋踵，切切不可猛浪。由于它‘上入脾肺，下通膀胱与肾’(《本草从新》)。”
朱老用此治疗肾及膀胱结石所致之绞痛，取乌药30克，金钱草90克煎服，有解痉排石之功，屡收显效。乌药常用量为10克左右，但治肾绞痛需用至30克始佳，轻则无效。此乃朱老经验之谈。
徐×，男，38岁，干部。一年前突发肾绞痛，经检查为右侧输尿管结石引起，对症治疗而缓解。因工作较忙，未作根治，顷又发作，右侧腰腹部绞痛甚剧，汗出肢冷，尿赤不爽，苔白腻，脉细弦。此输尿管结石引发之肾绞痛也。急予乌药30克、金钱草90克煎服，药后半小时腰腹部绞痛即渐缓，4小时后又续服2煎，绞痛即定。次日排出如绿豆大的结石2枚。继以金钱草60克、海金沙20克、芒硝4克(分冲)、鸡内金9克、甘草梢5克，服20剂，又排出结石3枚，经B超复查，已无结石。如湿热偏盛，则需加用生地榆、生槐角、小蓟、草梢等品始妥。
乌药与香附合用名“香附散”(《慎斋遗书》)，对浑身胀痛，气血凝滞者有佳效，因乌药能气中和血，香附善血中行气，相辅更彰。乌药配川芎治妇人气厥头痛及产后头痛(《本草纲目》)甚效。乌药伍益智仁、山药为“缩泉丸”(《妇人良方》)，乃治肾经虚寒、小便滑数之名方，对老人尿频、小儿遗尿而偏阳虚者，有温肾祛寒、固涩小便之功。因其具温阳固摄之效，以之移治肺寒或肾阳虚之涕多如稀水，或咽际时渗清涎者，取此三味加于辨治方中，大可提高疗效，此则异病同治之理也。
王×，女，54岁，工人。体禀素虚，稍受风寒，即喷嚏频频，流清稀涕如水液状，绵绵不绝，头昏神疲，颇以为苦。苔薄质淡，脉细软。此乃肺肾阳虚，乏于固摄，治宜温肺益肾，摄敛止涕。
炙黄芪20克，炒白术、怀山药、台乌药、益智仁、苍耳子、辛夷、茯苓各10克，甘草4克。4剂。药后清涕即显著减少，再剂而敛。随后嘱服“玉屏风口服液”，每次2支，1日3次，连服1个月，即获根治。
此外，久治不愈之胃脘痛，不论寒热虚实，均可于辨证方中加入乌药、百合二味，多能提高疗效。乌药具行气散结之功，对人体水液代谢具有双向调节作用，故对于肾积水、肝硬化腹水均有疗效。肾积水可用乌药30g、泽泻20g，水煎两次药汁合并，在上午8时顿服，20日为1个疗程，一般2-3个疗程可愈。肝硬化腹水可用乌药、炙鳖甲各30克煎汁分服，一般5-10剂后尿量增加，连用2-3个疗程，腹水消失，再用复肝丸（或胶囊）巩固之。但注意阴虚内热者忌用。
作者/朱琬华、
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중의학으로 어머니의 방광암을 고친 아들
古语：
为人父母者不知医，谓不慈；
为人子女者不知医，谓不孝。
现代的医疗模式，再次将中国人民，推向全民学医，大众学医的时代。
广东吴大师人生信息风水策划公司
宋柏杉
兄弟姐妹都反对，但我用中医治好了母亲的膀胱癌
2010年5月母亲打电话给我，说排尿不舒服，尿颜色偏红，我建议母亲去医院检查，在北京305医院确诊为膀胱癌。
我认为应该中医治疗，但母亲的主治医生认为应该手术、放化疗，家里兄弟姐妹经过投票表决4:1，只有我不同意手术，少数服从多数，我也只好同意手术。
母亲术后又接着化疗，化疗后母亲身体承受不住了，再一检查，癌细胞反到更多了，肿块更大了，我非常生气，坚决要求出院改用中医治疗。
后来我把母亲接回来用中医治疗，母亲当时的情况是：尿频，尿急，颜色浑浊，排尿不舒服，小肚子有下坠感，大便偏干，饮食尚可，睡眠不好，精神状态和情绪很差，伴见手足凉，每天到傍晚就开始难受，症状加重，舌淡苔水滑，脉弦。
我用了四逆散、猪苓汤和下瘀血汤三方合方。
四逆散见于《伤寒论》318条“少阴病四逆其人或咳、或悸、或小便不利、或泄泻下利重，或腹中痛，四逆散主之。”
首先母亲手足凉即四逆，小便不利加之母亲平素爱生闷气，有些肝郁气滞，肝气失于疏泄，所以选择四逆散。
猪苓汤是治疗慢性泌尿系统疾病首选方，黄煌老师曾讲过四逆汤加猪苓汤是治疗各种小便不利，小便不畅，小便失禁的主方。
“上焦蓄血则善忘，下焦蓄血则如狂”，母亲有夜晚症状加重的情况，有神志方面的表现，所以选用下瘀血汤。《伤寒论·蓄血病篇》106条“太阳病不解热结膀胱其人如狂血自下，下者愈其外不解者尚未可攻，当先解其外；外解已，单少腹急结者，乃可攻之，宜桃核承气汤”。“小便不利知不在血。”
小便即不利，应该在水，我母亲既在血又在水，属于血水同病的诊断。本来应该应用桃核承气汤，唯恐桃核承气力量不足就用了下瘀血汤。
母亲服药一周后各种症状明显减轻，排尿异常的尿道刺激征、尿的颜色、自觉症状都有明显改善，大便也通畅了。
效不更方，继续服用，连服一个月后各种症状体征都十分舒服。
一个月后，辨证调方，改用达原饮，透达膜原。膀胱病属于三焦膜原病变加用猪苓汤，调整一个月后复查，癌肿块明显缩小，前后服用三个月，癌细胞彻底消失，母亲恢复了健康，癌细胞至今没有再发现。
广东吴大师人生信息风水策划公司
www.wudashi.net
2016-05-16
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중의학은 어떻게 진단하고 치료하나?
宋柏杉：从无字处看症状作者：瑞雨
今天想给大家讲点什么呢？我就想给大家讲一讲真正的中医的整体观。
我们在课本上曾经学过，整体观包括这两方面：一、人体是一个有机的整体。二、人与自然界是个统一的整体。但是我们在临床上真正能够做到这一点的又有几人呢？可以说为数不多。人体是个有机的整体，就连这一点恐怕能够做到的人都不是很多。
平时有很多学员问我说：宋老师，你给我一个治柯兴氏综合症的那个方子，我这有一个什么什么柯兴氏综合症，有一个阿茨海默氏症的人，赶紧给我一个秘方。这种问题我已经不再回答了。如果你单纯的给我一个西医的病名就让我处方，这确实是强人所难的事情。如果按照这种思维方式去学习中医，我想将来前途会很暗淡的。
现在有些方面我们也应该向西医学习。我们现在来看看我们中医的病历：写了几个症状甚至连十问歌的问都没有写全，然后底下就出了个方子，说治好了什么什么样的病，然后就觉得沾沾自喜。更有甚者，说一摸哪儿怎么样就开出什么方子来，我觉得不可思议，不符合中医的常理。
我们现在来看看人家西医写的病历，人家还写体貌，什么发热体貌、强迫体位、自主体位等等还写了这么多东西呢。我们回过头来再反省一下我们自己，我们做的又如何呢？现在的医院分科分的越来越详细，居然把中医也分成了脾胃科、肝胆病科、肾病科、眼科等等的。这种分法我认为是不科学的，也没有可取之处。一个优秀的中医，他只要把中医的基础理论和内经的理论、伤寒的理论、后世脾胃医家的理论学得透彻了，一个优秀的中医人就应该是一个全科的医院。
跟过我的同学都知道，我的一天门诊，内、外、妇、儿无所不及，包括眼科或者耳鼻喉科，我们的患者都会要看的，你不可能只看一个专门的疾病。为什么我们又有所侧重，在哪个方面做的更好、更突出呢？是因为医生和患者具有双向选择性，当你治好了某个病，这个患者就会给你宣传。比如昨天讲课的赵老师，他在当地就擅治脾胃病，你治好了一个，很多的脾胃病人就找你，长此以往，你治的这个病就比较多，对这个病研究的也相对透彻一些。这是很正常的现象。但是，我还是那句观点，如果你是一个优秀的中医，你将是一个全科大夫。
群里有好多同学问我学习方法。我个人的体会是这样的：经典一定要熟读。不仅仅是熟读，而且要反复的读。我的个人的情况是这样的，《伤寒》、《内经》、《金匮》、王孟英的《温热经纬》、叶天士的东西我每年都要读上一两遍，而且每次读的效果都有一个提高。
我认为每天你要抽出一定的时间来研读经典。要想成为一个真正的中医人，你就要比别人付出的多，你要比别人孤独一些，每天要抽出一两个小时多读读书，你的应酬要比别人减少一些，少做一些无谓的事来修身养性，静以修身，俭以养德嘛！
另外就是人们下决心很容易，但往往能坚持到底的人就少，也就是说善始者实繁，克终者甚寡。其实在群里，好多的那个同道都比我的水平要高，但是我为什么还要给大家讲一讲呢？有一句话：师不必贤于弟子，弟子不必不如师。我给你们讲一讲我个人也能够提高，而且从你们的身上从你们的讨论中，也能激发我的灵感。在这里一并谢谢大家。
我今天讲的主要议题就是：我们怎样从无字之中找出你需要的主症和变症。
陆某，女，58岁，承德隆化人，2015年8月中旬不明原因出现头晕，呕吐，在当地卫生所用药物治疗没有什么效果，然后转到隆化县医院，经县医院检查，确诊为缺钠，进行补钠治疗，补的时候有点效果，停了之后很快无效，再者，患者服用大量的钠盐，呕吐的更加剧烈。转到承德医学院附属医院，治疗半个月，原因查不出来，补钠效果不明显。2015年10月27日，去北京协和医院，诊断为左肺上叶小细胞肺癌（cT4N3M1b，IV期），左肺上叶部分不张，双侧纵隔淋巴结肿大，肾上腺转移可能，高血压。住院治疗后出院（治疗过程不详），出院后给予西黄丸，乌苯美司胶囊，百令胶囊，昂丹司琼片，氨酚羟考酮片口服治疗。
刻下症：头晕，时干呕，心下发空，食后减轻，乏力，又怕冷又怕热，口干，但不想喝水，大便干，小便黄，睡眠尚可以，手足凉，舌淡红，苔黄略厚，脉沉，尺脉尤甚。
大家看一看这个病例，我拿这个病例给大家讲一讲，怎么从无字处来整体察病，有一个整体观。这里讲的整体观，只是局域，不是绝对的整体，绝对的整体，应该做到天地人合参，时间空间合参。咱们今天不讲那么高层面的，只讲人事物层面的整体观。
首先这个患者，她有一个体貌一眼就看到，这是个水肿型的体貌。在群里讨论过程中，好多同学选了苓桂术甘汤、五苓散等等的方子，这个方向是对的。 那么，这里面究竟有哪些个症状，需要从别处推出来呢？我刚才说了，一个是她的体貌，再一个西医的诊疗过程和她的原始症状。这个患者是诊断为肺癌的患者，实际上无论西医怎么诊断，咱们看她的原始症状，只是一个头晕、呕吐而已，西医缺钠等等，这个咱们不做参考。再看一看还有一个症状是什么？是手抖，抖的厉害。实际上，当初如果是首诊咱们来处方，应该是个真武汤的症状。但是为什么到后来，单纯治水饮是不行的呢？ 我们来看一看前面的症状已经都有了：呕吐、浮肿，这些症状指向了水饮，还缺什么症状呢？大家再仔细思考一下，我当初也提示大家再思考。
首先西医给了一个定位：肺癌，这个病位在肺。癌，相当于中医的积和瘕。也就是说这是个西医的肿瘤的病人。患者刻下症就这么多：头晕，时干呕，心下发空，食后减轻，乏力，又怕冷，又怕热，口干，但不想喝水，大便干，小便黄，睡眠尚可，手足是凉的，脉是沉的，尺脉尤甚。
这些症状，如果单从刻下症来看，我们诊断为水饮，和有一点儿阳明经有热，是没有问题的。看到了这些就全面了吗？我想肯定不够全面。为什么这样说呢？我们来看看北京协和医院给开的药物：羟考酮、西黄丸、百令胶囊、昂丹司琼，还差一种药物没打上来，总之是五种药物。（注：乌苯美司胶囊，已在病例中补充）。我们别的都不知道，昂丹司琼、百令胶囊，基层的大夫好多人有可能不知道，但是有一个药，大家不可能不知道，也就是说羟考酮。羟考酮是麻醉药品，一类管制药品。这个药品在这里起什么作用呢？这个是强力的镇痛药，是麻醉药品，可见患者是有疼痛的。我们在病历里并没有写患者有疼痛，如果患者没有疼痛，协和医院也不会给他开羟考酮的。我为什么没有把病历再往下写，我发上来的目的，就是看大家在临床有没有一个真正的整体观。其实当我看到开羟考酮的时候，我就猜到患者有哪个部位疼。于是我就问她，你有没有胸痛背疼啊？她说：“有啊，没吃协和医院这个药的时候背痛，痛的非常受不了，而且无法睡眠，不眠不休的痛！”这样咱们从简单的层面来看，就相对的整体观了。
那么我们来分析如何处方。这个患者我们处方怎么处呢？首先，她有头晕干呕，还有面色浮肿，苓桂术甘汤肯定大家能够选出来。 那么，又怕冷又怕热，怎么解释呢？以前听过我分析病例的人都知道，大家一下就想到了，既怕冷又怕热，那证明患者既有寒又有热。那么究竟是哪的寒，哪儿的热呢？大便干，小便黄，阳明有热。她的后背疼，又怕冷，是哪有寒呢？是太阳有寒，按六经辨证。那么我们能不能选出一张方子来，既能照顾水饮，又能照顾太阳的表寒，又能照顾阳明的里热这样的方子呢？
下面我再进一步给大家阐述一下。既然肿瘤在肺，肺为娇脏，它是喜润恶燥的一个脏器。我们在选药的时候，治疗肺部的肿瘤，尽可能少选一些过于燥烈的，除非你确定它确实是寒湿阻肺型的，否则在这方面用药，应该注意一下。再说了肺为华盖，肺为娇脏。
我们选方吧！如果不会选，我们可以往上凑：苓桂术甘汤有了，太阳表寒，又恶寒又身痛，麻黄汤有了吧；大便干，小便黄，阳明有燥热，可不可以用白虎汤呢？这里边承气是不稳妥的，你看患者的脸色和舌苔，绝不可以用承气的。刚才又谈到肺为娇脏，喜润恶燥，那么加一点润药。加什么呢？我们可以去想一些个润肺的药加进去。如果更贴切一些，我们慢慢往下选，发挥个人的智商，我们可以自己添加。但是这样的效果会好吗？我认为不完美。如果你对古方比较熟悉，我在以前讲过，能用一张方治疗的就不用两张方，能用两张方治疗的就不用三张方。这个患者还有点气虚，有点乏力，有一点脾肺气虚的表现。
我选的方子是麻黄升麻汤。
下面我们来看一看麻黄升麻汤的组成。麻黄升麻汤，有两个。在桂林本《伤寒论》里边，有一个麻黄升麻汤。桂林本《伤寒论》里边是这样描述的：伤寒，本自寒，下医复吐下之，寒格，更逆吐下，麻黄升麻汤主之。食入即吐者，干姜黄芩黄连人参汤主之。
咱们来看看张仲景老人家说的下医，在咱们病案里体现没体现出来？有谁能知道呢？当然有！如果你能够体会我刚才讲的整体观，你看西医让他吃什么？让她吃大量的食盐。后来患者吃不下去，就给她补钠，补钠不是用的食盐吗？又把食盐装到胶囊里让患者吃。盐，在中医里是催吐的。你看看，在《伤寒论》里面描述的：下医复吐下之，寒格，更逆吐下。原本是寒的，又用了一个更寒的药物，导致寒格，麻黄升麻汤主之。
麻黄升麻汤啊，麻黄和升麻结合在一起，是解毒散结的作用，是非常好的。桂林本麻黄升麻汤的组成是这样的：麻黄二两半，升麻一两，知母一两，黄芩一两半，桂枝二两，白术一两，炙甘草一两。
下面我们再回过头来，看看宋本伤寒论是怎么描述麻黄升麻汤这个条文的。宋本《伤寒论》第三百五十七条：伤寒六七日，大下后，寸脉沉而迟，手足厥逆，下部脉不至，咽喉不利，唾脓血，泄利不止者，为难治，麻黄升麻汤主之。
来看一看宋本《伤寒论》麻黄升麻汤的组成：麻黄二两半，去节。麻黄为什么要去节呢？在日本做过这个研究，如果把麻黄的节去掉了，人们服用麻黄就不会有心悸的表现。在咱们中国我还没发现或者我还没看到谁做过这方面的研究。升麻一两一分，知母十八铢，黄芩十八铢，葳蕤十八铢，这里边葳蕤就是现在的玉竹，芍药六铢，天冬六铢去心，桂枝六铢去皮，谈到桂枝六铢去皮的问题，我在十多年以前用过去皮的桂枝，效果还是不错的，茯苓六铢，炙甘草六铢，石膏六铢，白术六铢，干姜六铢。
我们回过头来看看刚才的分析。我刚才说了，太阳有表寒，有身痛恶寒，没有汗，首选的是麻黄汤。咱们看看这里边麻黄汤有没有，麻黄二两半，桂枝六铢，炙甘草六铢有了，这里边没有杏仁。我们再来看看宋本的组成，苓桂术甘汤都有了，桂枝六铢，茯苓六铢，炙甘草六铢，白术六铢，苓桂术甘汤是全的。阳明有热，白虎汤呢，石膏，知母，炙甘草，有没有？也有了。我又谈到，病位在肺，肺为娇脏，喜润恶燥，这里边用了黄芩清肺火，玉竹，白芍，天冬来补肺阴，这样一张方子，切合不切合病机？患者又有气虚，我又加了生晒参10克。
方子我给大家发上去：麻黄10g，升麻10g，石膏30g，黄芩10g，知母10g，玉竹10g，天冬10g，当归10g，白芍10g，茯苓30g，桂枝10g，白术10g，干姜10g，甘草6g，生晒参10g，7付。
这是当时开的方子，因为我的处方比较小，前面一张都是写的患者的治疗过程、症状，后边一张方子补充了症状，就是没吃羟考酮时疼的厉害。这是我当时开的方子。
目前伤寒大概分这几个门派：一个是以刘渡舟、郝万山、陈明老师为代表的脏腑辨证，用《内经》解伤寒，这是一派。另一派是胡希恕胡老、冯世纶冯老一脉，是以六经辨伤寒，这个张（立山）老师也讲过了，学起来简单，初学者容易上手，效果也不错。还有一派，就是黄煌老师从东瀛日本学来的大冢敬节的体质辨证，这个在临床也非常实用。大家如果有这个精力呢，最好多涉猎几家，尺有所长，寸有所短，大家多学习一些，就知道各有各的优势，可以互补。我个人比较推崇胡老、冯老的六经解伤寒。
这个患者今日回访，服完药效果非常好，去医院做了检查各项指标都恢复正常。遗憾的是，患者的儿子就问我：你能不能包治？我说我不能。患者儿子就说：我一个朋友介绍的，河南一个人能包治，我上河南去治两个月去。对于这个患者我很无奈，可以这么说，肿瘤的患者有十分之一的患者都是首诊，一诊，这个患者我们从舌苔、从面相，从舌相看，用我们的办法治疗，很可能会完全痊愈的。患者家属又问：你有几成把握？我说：一成把握也没有，你可以选择。他说：那我上河南治俩月，回来不行再找你。我就笑了笑，把电话挂掉了。这也是咱们做医者的无奈，咱们不能给患者拍了胸脯的下保证，也不能像有些人那样说可以包治，我临床这么多年，即便是一个感冒，也不敢和患者说包治。
言归正传，咱们还回到条文上来说话。桂林古本《伤寒论》：伤寒，本自寒，下医复吐下之，寒格，更逆吐下，麻黄升麻汤主之。食入即吐，干姜黄芩黄连人参汤主之。我今天讲这一条的意思，就是咱们可以往下推衍一下。食入即吐，干姜黄芩黄连人参汤主之。干姜黄芩黄连人参汤这个方子，临床很好用的。食入即吐，我用的往往是大黄甘草汤。《金匮要略·呕吐哕下利病脉证并治》：“趺阳脉浮而涩，浮则为虚，涩则伤脾，脾伤则不磨，朝食暮吐，暮食朝吐，宿谷不化，名曰胃反。脉紧而涩，其病难治。”胃反，这个病名，取的是非常好的。咱们群里辛大夫是个中医，但学过胃镜，他跟我讲：你见过胃反的病人么？真的是从胃镜里看的，胃反向一收缩，一翻个儿直接就进到贲门里，然后冲到食管里把胃镜都能顶出来。可见咱们的古人没有胃镜，也能看出胃反来。胃反的病人呕吐都是比较剧烈的。
张仲景在这个条文里说：胃反，脉紧而涩，其病难治。说了难治，仲景给没给治法呢？给了，给的是哪一个方剂呢？“胃反呕吐者，大半夏汤主之。”有的人可能说：没听说过。也有的人可能听说过但是没用过。我用过。但是大半夏汤，说句心里话，好用不好用？肯定好用，但是说句真话，你敢不敢用呢？你肯定不敢用。大半夏汤，仲景用的半夏啊，都是用的生半夏，只是用水洗一下。生半夏从地里刨出来如果不用水洗，它就有一层黏液，特别黏，一容易变质，再者也不好保存。所以半夏要洗完才能用。半夏二升洗完用，人参三两，白蜜一升，这是大半夏汤的组成。
我在我的门诊上用生半夏，我也亲自做过考证，半夏一升按二百毫升，二升按四百毫升，折合下来，生半夏一升重量是130克左右，两升是260克，我们谁敢用？我用的生半夏极量是用到80克，没敢用到过130克，更别说260克了。如果半夏真用到超量的时候，患者的感觉就是食道和胃里像火烧一样的，火烧火燎的感觉。
这种胃反，我个人经验是随吃随吐，属于热；朝食暮吐、暮食朝吐属于寒。随吃随吐，我喜欢用大黄甘草汤，我不喜欢用黄芩黄连干姜人参汤，我觉得这个方没有大黄甘草汤来的快，因为随吃随吐这种病人很痛苦，你直接用大黄甘草这么两味药，很快地，要么用开水一泡，就是熬也很快，大黄四两，甘草二两，也可以按照比例酌情减低剂量，这种食已而吐的病人，吃下去覆杯而愈。就是不明原因胃肠痉挛引起的急性胃痛，你直接用大黄10克，肉桂10克研成粉，迅速用捣药臼子捣成粉，开水泡10多分钟喝下，过十多分钟就会好的，很简单。有时候急性胆囊炎的疼痛也管用。
那么朝食暮吐用什么方子呢？我们再回顾一下原文：“朝食暮吐，暮食朝吐，宿谷不化，名曰胃反，”前面是，“趺阳脉浮而涩，浮则为虚，涩则伤脾，脾伤则不磨，暮食朝吐，朝食暮吐，宿谷不化，名曰胃反。脉紧而涩，其病难治。”后边说了，胃反用大半夏汤。大半夏汤剂量不好掌握，那么究竟用什么方子能替代一下呢？咱们再往后看，胃反，就是早晨或上午所进的食物，到了傍晚或夜间随机吐出，或者晚上吃的早晨吐出来，我们再看看《三因极一病论》怎么描述的：“病者，胸腹胀闷，四肢厥冷，恶闻食臭，食入即呕，朝食暮吐，暮食朝吐，是由饮食伤脾，宿谷不化之所为也。”在《金匮要略心典》里有这样的描述：“谷入于胃而运于脾，脾伤则不能磨，脾不磨则谷不化，而朝食者暮当下，暮食者朝当下，若谷不化，则不得下，不得下，必反而上出也。”此症多见于食积。
恰巧，今天北京房山王艳芳医生介绍的一个患者，冯某，20多岁，她就是这样的：朝食暮吐，暮食朝吐，我问她吐出的都是什么东西呢？她说：吐出的都是没消化的食物。这样我们在《金匮》《伤寒》里选方子，往往选不出更好使的方子，我就在后世的方子里选了五积散，五积散原方，给她开上了。今天初诊，一周后才能看出效果。五积散治五般积，二陈平胃痰湿去，三物枳桔行气血，麻芷姜桂温表裡。这个方子就这样开的，我想如果不出意外，效果应该不会很差的。
总而言之，咱们今后在临床上不仅要从问诊上找到症状，写在纸上，再摸摸脉，我们要观患者的体貌特征。如果你有能力的，再结合当时的天时，西医细微的诊查，西医的用药也会给我们提供很多信息的。希望大家在今后临床中，能够多收集信息，来更好的提高我们的技术，更好地为广大患者服务。
我再补充一点，刚才咱们没从方证对应方面来分析，麻黄升麻汤对这个患者是对症的，该患者寸脉沉，尺脉更沉，手足凉，《伤寒论》说：“下部脉不至”，我倒没摸到。“喉咽不利，唾脓血，泄利不止者，为难治，麻黄升麻汤主之。”我认为“麻黄升麻汤主之”应该放在“咽喉不利”后面。唾脓血，泄利不止者为难治，放在最后，《伤寒论》条文中多次出现过这种结构。如果方证对应熟悉的话，也能想到这张方子。
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