2019년 6월 23일 일요일

계급장 인생

인간은 곧 잡아먹힐 운명인 줄 모르고 모여있는 돼지떼 같다는 생각이다. 사람이 자기들을 죽이려고 고르는지도 모르고 주둥이를 밥통속에 박고 꿀꿀거리면서 사료를 먹고 어떤 돼지들은 교미를 하느라고 정신이 없다. 계급장을 탐하는 인간의 권력욕이 돼지의 사료와 본질적으로 뭐가 다를까. 내남없이 사람들은 운명이 우리에게 재앙을 내리려고 어떤 준비를 하는지 전혀 알지 못하고 있다.
  
  변호사를 하면서 나는 의뢰인의 자살을 보기도 하고 또 많은 사람들의 죽음을 보았다. 그들이 가졌던 사회적인 지위는 결국 닥쳐올 죽음 앞에 의미가 없었다. 적막한 병실의 바이털을 알리는 모니터의 그래프와 기계음을 들으며 그들은 비로소 깨닫는다. 계급장이나 금배지보다는 가족과 함께 한 번이라도 더 먹고 마시고 웃고 떠들걸. 그리고 한 번이라도 바닷가의 밀려오는 파도를 보고 밤하늘의 별을 볼 걸 하고. 그들은 사랑이 넘치는 기억들을 만들지 못한 것을 후회하고 있었다. (엄상익, 발췌)
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동아일보와 한겨레신문, 두 매체의 부동시(不同視) 현상
문무대왕

문득 1555년 12월2일 조선조 명종에게 올린 남명(南冥) 조식(曺植)선생의 '을묘사직소'가 뇌리(腦裡)를 스쳐갔다. 요약해 봤다.
  
  "전하! 나랏일은 이미 잘못되었고 나라의 근본은 없어지고 민심도 이미 떠났습니다. 나라의 형세가 위태로워 손쓸 수 없는 지경입니다. 온 나라의 형세가 안으로 곪을 대로 곪았는데도 누구 하나 책임지려고 하지 않습니다. 권세가들은 백성 벗겨먹기를 마치 여우가 들판에서 날뛰는 것과 같습니다. 소신(小臣)은 하늘을 우러러 깊이 탄식하고 밤이면 천장을 쳐다보며 답답해 흐느끼고 있습니다." (발췌)

--->박 대통령 탄핵 전부터, 한국에 위와 같은 위기가 감지되고 있었지만, 이를 제대로 파악한 사람이 드물었다. 탄핵은 그런 부패와 안일의 결과였다. 
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미국내 5G에 장비에 대해
화웨이만이 아니라
중국산 자체를 금지시키는 
법령 준비중이라고 함 

(한줄요약) 화웨이 5G 장비만 스파이 짓 하겠냐는 뜻 / 일베
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출처: 헤럴드경제

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중국이 서방의 언론을 허용하지 않는데, 미국이 자국에 "붉은" 언론을 허용해야할 이유가 있는가?
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국유 기업의 개혁을 권장하는 세계은행의 보고서를 차단하고 있는 중국.
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중국 공산당에 대해 긍정적으로 글을 쓰지 않으면 영국 대학의 학자들의 비자를 취소하겠다고 협박하는 중국 관리들. 
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인터넷에 폭로된 중국의 일체화(一体化) 사업. 2017년 6월 일 주일만에 15683명의 무슬림이 강제수용소에 입소했다는 기록이 있다.
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투키디데스 함정은 냉전 2.0의 일차원적인 관점이다. 
그보다는 선과 악의 대결이다.
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미중의 냉전으로 디지털 철의 장막이 점점 현실화되고 있다.
하지만 아직 눈치 없는 유럽 연합은 화웨이에 대해 어떻게 할 건지 결정도 하지 못하고 있다.

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한 마디로 말하면, 만일 중국의 세상이 아니라면, 중국은 
세상에 뒤돌리고 그들만의 세계로 돌아간다는 거다.
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어선을 이용해 남중국해에서 영토를 주장하는 중국
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[외신종합] '차이나 엑소더스'...삼성-애플 등 다국적 기업 '중국 탈출' 봇물!

김필재


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과학적 호기심과 예술적 표현은 어린이에게 자연스럼 일이다. 하지만 어른이 되면 그런 것에 장벽을 쌓고, 그럼으로써 인간의 창조적인 본능은 상실된다.
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7.历史上唐朝有位名声响当当的医生便是药王孙思邈初唐四杰之一的卢照邻得了消渴病大致就是现在人所谓的糖尿病到长安找孙思邈看病并且拜孙思邈为师孙思邈给卢照邻讲了一大通消渴病的发病原理自然跟内经里那套理论相差无几可是治疗就是没效果卢照邻不堪病痛最后投河自尽了人们太迷信孙思邈了以为他什么都能妙手回春不知道孙思邈一生的学问主要在妇科上所以千金要方千金翼方开篇就是讲妇科的

손사막은 당대의 명의로 유명한데, 초당 사걸의 한 사람 노조린卢照邻이 소갈병(당뇨병)에 걸렸는데 치료하지 못햇고, 노조린은 고통을 참지 못해 강에 뛰어들어 죽었다는 얘기.  관련 고사를 좀더 찾아보아 확인해야 할 듯. 어쨌든 한의학의 길은 멀고도 멀다.
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기후 모델은 과거의 기후 변화를 기술하는데 결함이 있다. 


PUTTING CLIMATE CHANGE CLAIMS TO THE TEST


  • Date: 18/06/19
  • Dr John Christy
https://www.thegwpf.com/putting-climate-change-claims-to-the-test/
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스킨 인 더 게임에 의한 여과 장치가 부재하면, 의사 결정을 타락시킨다.
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단세포 생물이 다세포 생물을 몸 안에 집어넣는 장면



https://twitter.com/i/status/1142822060034535424

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서양톱풀yarrow은 아킬레스가 병사들의 지혈에 썼다. 네안데르탈인들의 치아에는 톱풀의 씨앗이 발견되었다.  
 @normonics 12시간 전
Turns out yarrow is LAF (Lindy As Fk) Eg, Achilles used it to stop bleeding of his soldiers, Neanderthals found with yarrow seeds in their teeth, despite negligible nutritional benefit
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시인 바이런의 딸 아다 바이런. 아버지의 정신병을 피하기 위해 어려서부터 수학과 과학을 배움. 찰스 배비지와 함께 작업함. 컴퓨터 프로그램의 기초를 닦음. 암으로 36살에 사망.
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디종의 자랑
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학자금 대출 부채는, 2008년 금융위기 때 월가에 투입된 7,000억 달러의 배가 넘는다.
--->버니 샌더스 --- 모든 학자금 대출 부채를 면제해줄 겁니다!
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도덕적 열성파들은 언제나 "어린이를 보호하기 위해서"라며 그들의 검열을 정당화 했다.
오늘날 트위터 전사들은 어린이들이 성경의 글귀를 읽지 못하게 보호하고 있다. 
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똑똑한 사람의 뇌는 다른가? 한 마디로 말하면, "그렇다"이다.
--->퀼렛이 위와 같은 논문을 발표했을 때의 드라마틱한 반응을 상상해보라!
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우사인 볼트보다 빠른 곰의 달리기
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전체주의 체제 하에서는 불황이 없었다는 주장에 대해
 
독재자가 현재의 소비에 사용되는 수단을 삭감한다면, 사람들은 그만큼 덜 먹게 된다. 주민들은 그들의 불만을 토로할 기회가 없으므로, 위기가 나타나지 않는다.
비즈니스라고 할만한 것이 없으므로, 경기가 좋다 나쁘다 할 게 없다. 기아와 기근은 있어도, 시장경제에서 쓰이는 불황이라는 것은 없다.
 
The Alleged Absence of Depressions under Totalitarianism
 
Ludwig von Mises
 
Many socialist authors emphasize that the recurrence of economic crises and business depressions is a phenomenon inherent in the capitalist mode of production. On the other hand, a socialist system is safe against this evil.
 
As has already become obvious and will be shown later again, the cyclical fluctuations of business are not an occurrence originating in the sphere of the unhampered market, but a product of government interference with business conditions designed to lower the rate of interest below the height at which the free market would have fixed it. At this point we have only to deal with the alleged stability as secured by socialist planning.
 
It is essential to realize that what makes the economic crisis emerge is the democratic process of the market. The consumers disapprove of the employment of the factors of production as effected by the entrepreneurs. They manifest their disapprobation by their conduct in buying and abstention from buying. The entrepreneurs, misled by the illusions of the artificially lowered gross market rate of interest, have failed to invest in those lines in which the most urgent needs of the public would have been satisfied in the best possible way. As soon as the credit expansion comes to an end, these faults become manifest. The attitudes of the consumers force the businessmen to adjust their activities anew to the best possible want-satisfaction. It is this process of liquidation of the faults committed in the boom and of readjustment to the wishes of the consumers which is called the depression.
 
But in a socialist economy it is only the government's value judgments that count, and the people are deprived of any means of making their own value judgments prevail. A dictator does not bother about whether or not the masses approve of his decision concerning how much to devote for current consumption and how much for additional investment. If the dictator invests more and thus curtails the means available for current consumption, the people must eat less and hold their tongues. No crisis emerges, because the subjects have no opportunity to utter their dissatisfaction.
 
Where there is no business at all, business can be neither good nor bad. There may be starvation, and famine, but no depression in the sense in which this term is used in dealing with the problems of a market economy. Where the individuals are not free to choose, they cannot protest against the methods applied by those directing the course of production activities.
 
It is no answer to this to object that public opinion in the capitalist countries favors the policy of cheap money. The masses are misled by the assertions of the pseudo experts that cheap money can make them prosperous at no expense whatever. They do not realize that investment can be expanded only to the extent that more capital is accumulated by saving. They are deceived by the fairy tales of monetary cranks. Yet what counts in reality is not fairy tales, but people's conduct. If men are not prepared to save more by cutting down their current consumption, the means for a substantial expansion of investment are lacking. These means cannot be provided by printing banknotes and by credit on the bank books.
 
It is a common phenomenon that the individual in his capacity as a voter virtually contradicts his conduct on the market. Thus, for instance, he may vote for measures which will raise the price of one commodity or of all commodities, while as a buyer he wants to see these prices low. Such conflicts arise out of ignorance and error. As human nature is, they can happen. But in a social organization in which the individual is neither a voter nor a buyer, or in which voting and buying are merely a sham, they are absent.
 
This article is excerpted from chapter 20 of Human Action:
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 좀비 기업에 의한 종말이 다가왔다.
좀비 기업들은 단지 낮은 금리와 느슨한 은행 규제 덕분에 아직까지 살아왔다.
세계는 지금 영구적으로 축소된 생산성과 낮은 경제 성장을 택하던지 아니면 경제의 상당 부분의 대규모 파산을 택해야 하는 곤란한 상황에 처해 있다.
 
The Zombie (Company) Apocalypse Is Here
 
Joshua Konstantinos
 
One of the most significant economic developments since the Great Recession has been the zombification of the economy.
 
A zombie company is a term introduced to the lexicon by an influential paper, Zombie Lending and Depressed Restructuring in Japan, by economists Ricardo J. Caballero, Takeo Hoshi, and Anil K. Kashyap. The official definition of a zombie company according to the Bank for International Settlements (BIS) “is a publicly traded firm that’s 10 years or older with a ratio of earnings before interest and taxes (EBIT) to interest expenses of below one.” More simply put, zombie companies are companies that are unprofitable so unprofitable they are unable to pay even the interest on their debt out of their profits. They are effectively bankrupt but kept alive by banks continuing to lend them money to pay their existing loans.
 
This phenomenon first began in Japan after their real estate and stock market bubble popped in the early 1990s. The Cabellero, et al have proposed that zombie companies are to blame for Japan's Lost Decade(s), writing:
 
We propose a bank-based explanation for the decade-long Japanese slowdown following the asset price collapse in the early 1990s. Large Japanese banks often engaged in sham loan restructurings that kept credit flowing to otherwise insolvent borrowers (which we call zombies). We examine the implications of suppressing the normal competitive process whereby the zombies would shed workers and lose market share. The congestion created by the zombies reduces the profits for healthy firms, which discourages their entry and investment. We confirm that zombie-dominated industries exhibit more depressed job creation and destruction, and lower productivity.
 
Scale of the Zombie Infestation
Following the Great Recession, zombie companies became a worldwide phenomenon. Even with today’s very low interest rates; more and more companies are unable to pay the interest on their debts out of profits. According to the BIS, the share of zombie companies in the US doubled between 2007 and 2015, rising to around 10 perceent of all public companies. And counterintuitively, as interest rates have fallen lower and lower the number of zombie companies has increased. Economists Ryan Niladr Banerjee and Boris Hofmann, writing in the BIS quarterly review, describes this seemingly paradoxical result:
 
Using firm-level data on listed firms in 14 advanced economies, we document a ratcheting-up in the prevalence of zombies since the late 1980s. Our analysis suggests that this increase is linked to reduced financial pressure, which in turn seems to reflect in part the effects of lower interest rates. We further find that zombies weigh on economic performance because they are less productive and because their presence lowers investment in and employment at more productive firms.
 
In part this may be because low interest rates signify a weak banking system. Banks may be reluctant to allow a company to fail even if there is little hope of eventual repayment because it would be too painful to accept the losses on the loans already lent to these companies. And of course the ultra-low interest rates created by central banks unconventional monetary policy since 2008 keeps the costs of servicing debt low.
 
These studies likely understate the problem of zombie companies for the economy. A company doesn’t have to be as far gone as a zombie to be at risk of default if interest rates rise. Moreover, as economist Daniel Lacalle writes:
 
At the end of the day, 10.5% means that 89.5% are not zombies. But that analysis would be too complacent. According to Moody’s and Standard and Poor’s, debt repayment capacity has broadly weakened globally despite ultra-low rates and ample liquidity. Furthermore, the BIS only analyses listed zombie companies, but in the OECD 90% of the companies are SMEs (Small and Medium Enterprises), and a large proportion of these smaller non-listed companies, are still loss-making. In the Eurozone, the ECB estimates that around 30% of SMEs are still in the red and the figures are smaller, but not massively dissimilar in the US, estimated at 20%, and the UK, close to 25% 77.
 
Additionally, corporate leverage has surged in the last three years since the BIS analysis. Today corporate debt is now above the levels seen before the 2008 crisis in the United States.
 
How Can You Kill Zombies?
In a market economy, resources are allocated according to profitably this allows resources to flow to where they are best utilized. Keeping companies that are unprofitable alive misallocates resources and, as numerous studies have shown, slows the growth of the entire economy potentially leading to stagnation as has been seen in Japan since the 1990s.
 
Zombie companies are kept alive only with low interest rates and/or lax banking regulation. But as bankers assembled last month in Stockholm for the annual meeting of the International Capital Markets Association pointed out: “The question is, with the debt level where it is, can central banks ever afford to let interest rates go back up because it will lead to a major bankruptcy wave.” Zombie companies pose a significant challenge for central banks, because in a very real sense their hands are tied they cannot raise interest rates significantly without causing a huge number of companies to go bankrupt.
 
The world now has the impossible choice of permanently reduced productivity and slower economic growth or the mass bankruptcy of a significant percentage of the economy.
 
Joshua Konstantinos is the Founder and Global Macro Strategist for Cassandra Capital LLC. His analysis focuses not only on the global economy, but also on the longer demographic and geopolitical trends. Follow him on Twitter.
도표생략
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진맥의 방법

我的经方之路-2010.8.6-脉诊
1.寸脉
左寸主心血管头脑和颈项左寸浮弦主心火左寸上竟上弦紧提示颈项不适眩晕头痛痒疮等左寸沉弱示头晕血虚大脑供血不足等
右寸主肺主气的运行右寸浮弦主肺热右寸上竟上提示鼻腔疾病鼻塞鼻甲水肿鼻涕多易上火咽壁淋巴滤泡增生扁桃体肿大牙龈肿痛,、咳嗽呛急喘促大便秘结等右寸沉弱示气虚胸闷不舒
关脉
左关主肝脾左关弦示肝脾气滞提示精神抑郁腹胀失眠等左关弱示脾气虚表现为脘腹隐痛失眠梦多睡眠障碍情志异常月经不调内分泌紊乱
右关主胆胃右关弦示胆胃不和脘腹饱胀打嗝消化功能障碍口苦口腻口苦泛酸灼热嘈杂等
尺脉尺脉主肾命门尺脉弦数提示水液代谢问题女性为盆腔积液紧弦主结石腰痛等下竟下提示腰腿痛
左尺主肾少腹部左侧腰腿部
关联症状少腹胀腰痛腿足痛女生殖系统疾病泌尿系疾病
右尺络属于肾命门):
相关部位少腹部腰腿部
我见到的颈椎病很多是左寸沉右寸弦紧
2.汉张仲景在金匮要略五脏风寒积聚病脉证并治中介绍到诸积大法脉来细而附骨者乃积也寸口积在胸中微出寸口积在喉中关上积在脐旁上关上积在心下微下关积在少腹尺中积在气冲脉出左积在左脉出右积在右脉两出积在中央各以其部处之该脉法条分缕析其实用价值非同一般确实值得深入研究
例子如下
076月的某一天邻县万安县的一个领导过来看病他的司机一个年轻的很壮实的小伙子约二十七八岁见我摸脉如算命一样叫我也试试他的脉结果一按脉就感觉他的左寸脉浮细弦而硬且短在左侧颈部中段扪及一绿豆大的小硬节问其有无不适答无任何不适当即告诉他必须重视应当尽快去做鼻咽部的检查约一个月后小伙子来诊所告诉我他第二天就去了广州中山医科大学肿瘤医院在鞍蝶部发现一个小肿物确诊为鼻咽癌早期小伙子非常感激告诉我已做了放疗治疗云那个检查的医生非常惊讶说这么小的病变摸脉都能发现简直是太玄了

088月份的某个下午一个结识不久的姓黄的朋友来诊所请我吃饭见诊所无人叫我把脉下指三关我心中大惊其人左寸脉浮弦硬过寸右寸及双关弦滑而尺脉沉弱近无又在其左侧颈窝摸到一个黄豆大的肿物我怀疑他颈部或鼻咽部有肿瘤当即告诉他今晚别喝酒了作好明天一早去医院做相关检查的准备但第二天检查影象及生化检查结果一切正常第四天又去了省城某肿瘤医院结果仍无任何异常那朋友对我比较信任一个半月后由我介绍赴上海445医院做PTCT结果是恶性淋巴瘤肿瘤病灶已广泛转移当即住院行伽马刀及化疗恨无力回天于春节后四天而殁
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수족냉증에 당귀사역탕을 일반적으로 쓰나, 소시호탕이나 형개연교탕을 쓸 경우도 있다.

10.近期治验一则21手脚冰冷冬日尤甚体形中等不瘦面色暗红精神可二便调月事正常舌淡红脉滑数
处方荆芥连翘汤常规剂量五剂后手冷明显减轻原方继进五剂手足转暖握之亦无冰凉之感
两年前病案一则24手足冻疮手脚冰冷脉滑数余无异常黄师处方八味除烦汤七剂后手足已暖
之所以对于手足逆冷的患者没有使用当归四逆汤当归四逆即是冻疮的高效方也是一张我近期使用频率比较高的处方完全取决于患者的脉象而手足冷用清热药的知识储备则来自黄师两年前的一则病案
事实上伤寒论中记载白虎汤就有肢冷而脉滑的用法但白虎汤的热厥证已是病情危重对于一般疾病的肢冷一般以温通为主黄师则喜用四逆散类方但在临床上见到一些患者从外观来看既没有明显的阳虚之象也没有明显的火热之象唯独脉象滑数流利这种情形常提示郁火在里黄师常用除烦汤荆芥连翘汤史欣德老师常用小柴胡加连翘栀子枳壳等药谓之小柴胡加半张凉膈散
当归四逆汤类方和四逆散类方是治疗四肢逆冷的常用处方思路除烦汤荆芥连翘汤也是备选的重要处方以脉象为辨以清热药治逆冷两年前已知但近期方有所感是记之
阳郁是大学生中非常常见的类型多表现为四肢冰冷有的还可见手心多汗但头面部上火的症状如舌边尖红唇红面浮红心烦寐差不能吃热性食物面部容易长痤疮等我一般用四逆散治疗四药等量开水冲服每服5g左右一般抓住四逆内火和柴胡体质瘦长型筋骨质三个要点可以取得比较好的效果上学期针推系一男生服后很快见效就学会了四逆散这张方推荐很多同学到国医堂点名要打一些四逆散治疗手脚冰冷

我平时对脉没有深切的体会结合杨兄的贴及张子和的医案脉象滑数有力也可以作为方证判定的重要指征另外热像明显的时候可以径用清热药如除烦汤凉膈散小柴胡汤治疗。(杨兄那个病例用了荆芥连翘汤我是觉得有点杀鸡用牛刀了。)
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장중경 현기증 치료 방법
7.张仲景治眩晕之法
A脾阳虚水气上冲苓桂术甘汤
脾胃阳虚运化失司水气上逆则心下逆满脾虚不能制水水气上冲则气上冲胸水气上蒙清窍则头晕起则清阳之气更难达头部则头晕目眩加重脉沉主水脉紧为寒水寒为病故脉沉紧
B肾阳虚水泛于上真武汤
……其人仍发热心下悸头眩身瞤动振振欲擗地者真武汤主之82肾阳虚不能化气行水则水气不行水气上凌于心上逆蒙蔽清阳则头晕目眩阳气者精则养神柔则养筋筋肉为水气浸渍加之阳虚失于温养则时跳动身体振颤站立不稳而欲倒仆于地发热乃虚阳浮越于外所致
C饮停下焦五苓散

饮停下焦水气凌心水饮上逆犯胃胃失和降故吐涎沫上蒙清阳清阳不升故眩晕
D.饮停心下泽泻汤2饮停隔间小半夏加茯苓汤
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대시호탕 합 치자후박탕으로 노년의 폐 감염을 치료한다.
1.用大柴胡汤合栀子厚朴汤治疗老年肺部感染是我这几年积累的经验张仲景本用大柴胡汤治疗按之心下满痛的宿食病也治疗伤寒十余日热结在里复往来寒热者以及呕不止心下急郁郁微烦者栀子厚朴汤治疗心烦腹满卧起不安按之心下满痛是指医生用手按压上腹部以及两肋下有明显的抵抗感患者常有胀满感及疼痛感这一指证不仅在胆囊胰腺以及上消化道疾病中可见而且呼吸道疾病也常见特别是肺部感染以及支气管哮喘此外两肋下硬满按之有明显的抵抗感郁郁微烦”“心烦”“卧起不安是精神症状许多肺部感染患者多有烦躁谵妄意识模糊等往来寒热是发热持续据此大柴胡汤和栀子厚朴汤用于肺部感染也有经典的依据
临床发现许多肺部感染患者大多伴有胃反流特别是老年人和昏迷患者反流常常导致吸入性肺炎从而导致肺部感染反复难愈而大柴胡汤是传统的反流抑制剂所谓的通里攻下就是这个意思据我经验大柴胡汤对反流性胃炎胰腺炎胆石症便秘等均有很好的疗效所以对老年人来说控制上消化道的反流有利于控制肺部感染当然也不能将大柴胡汤的抑制反流视为治疗肺部感染的机理大柴胡汤中的柴胡黄芩有良好的退热抗炎作用也不能忽略栀子除烦特别对胸中窒闷者最有效果配合大黄黄芩可以清解胸膈中的郁热是我治疗老年肺部感染的常用合方为何加连翘连翘也是清热除烦的要药温病家擅用治疗热在胸膈烦热有汗者据我经验连翘用于肺部感染发热量要大大量连翘与大量柴胡配伍退热迅速但大多伴有发汗
柴胡 30黄芩10姜半夏15枳壳30白芍20制大黄10厚朴15栀子15连翘60干姜3红枣15嘱取两剂每剂煎取600毫升一天内分3-4次服用

계지복령환으로 요통, 전립성 증생, 하지부종, 각통 등을 치료한다.
2.桂枝茯苓丸善于消解少腹腰腿瘀血女人痛经漏下闭经不孕者男人便秘腰痛前列腺增生下肢浮肿脚痛等都可用此方加大黄怀牛膝更佳大黄桂枝桃仁为活血化瘀的经典组合犹如桃园三结义能通调血脉清除淤积牛膝利腰膝能通经活血并治少腹痛前人所牛膝能引药下行是否能如此不好说但牛膝的作用部位在下肢倒是明显的而且牛膝能治大肚子先前治疗一中年男子腹大如怀八月胎儿外号大肚子用大量牛膝后明显松快缩小

桂枝茯苓丸加大黄牛膝我常用于各种血栓性疾病X老就是下肢静脉血栓可能如不加治疗瘀血冲胸也会酿成大祸

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형개연교탕 
피부가 약간 검은색을 띤 사람은, 습열, 어혈, 수음水饮 3가지 상황의 표현이다. 
2.荆芥连翘汤是四逆散与温清饮的合方再加疏散风热药荆芥防风连翘薄荷桔梗白芷),常用于柴胡体质而出现郁热似火之证日本人用荆芥连翘汤把皮肤浅黑作为方证指征从临床上总结出皮肤浅黑多为湿热瘀血水饮三种情况的征象湿热者多为面有油光而润而瘀血者多是皮肤干燥而枯……运用荆芥连翘汤时除了皮肤浅黑或皮肤暗黄的火柴胡者外还有肤色不黑甚至皮肤白晰/咽暗/红的热性体质者疗效甚佳也有颜面皮肤淡黄的湿热病症者
关于皮肤浅黑
皮肤浅黑者临证所见与湿热相关者最多多为年轻人其人或为痤疮或为口腔溃疡或为过敏性皮肤疾病或为育龄期妇科炎症等此为皮肤浅黑而有光泽临证常使用清热利湿方如荆芥连翘汤猪苓汤合栀子柏皮汤加味等可有黑气退却脸色转白者
皮肤浅黑特别是有两目暗黑皮肤粗糙毛孔比较粗大者多见于瘀血体质患者中如桂枝茯苓丸八味活血汤大黄蛰虫丸等体质多见
皮肤浅黑与水饮有关的经验从刘渡舟先生而来他在用小青龙汤时有经验说小青龙证为水寒射肺或寒饮内伏寒饮为阴邪必羁縻阳气而使心胸之阳不温如是则荣卫之行涩而不能上华于面故患者面部呈现黧黑之色我们管它叫做水色或两目周围呈现黑圈互相对称我们管它叫做水环或者在患者的额头鼻柱两颊颏下的皮里肉外显现黑斑如同妇女妊娠蝶斑),我们管它叫水斑。《近代名老中医经验集-刘渡舟论伤寒
关于荆芥连翘汤的体质描述形体中等或偏瘦或浅黑色或白里透红有油光目睛易充血或多眵唇红咽喉红入冬手足易冷怕热易口腔溃疡或鼻衄皮肤易过敏易发痤疮疮体多色红而有脓腹肌较紧女性多月经粘稠而有血块易有宫颈炎阴道炎宫颈糜烂输卵管不通等妇科疾病易烦躁焦虑或抑郁以年轻人多见
其病机定为血热血燥血瘀而荆芥连翘汤则是在温清饮的基础上加减用于皮肤粘膜疾病的专方痤疮带脓头也是本方证的特点

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