2018년 4월 27일 금요일


'판문점 선언'은, '자유진영으로부터의 이탈 선언'
펀드빌더(조갑제닷컴 회원)


 반면, 김정은 쪽은 많은 것을 얻었다. 선언문은, 김정은의 일방적 승리였다고밖에 볼 수 없는 표현(항목)들로 점철되었다. 대충만 봐도 대표적으로 이런 것들이 눈에 들어온다.

  1.-ⓛ 남과 북은 우리 민족의 운명은 우리 스스로 결정한다는 민족 자주의 원칙을 확인하였으며 이미 채택된 선언들과 모든 합의들을 철저히 이행…

  1.-⑥ 남과 북은…10.4선언에서 합의된 사업들을 적극 추진해 나가며 1차적으로 동해선 및 경의선 철도와 도로들을 연결하고 현대화하여 활용하기 위한 실천적 대책들을 취해나가기로 하였다.

  3.-② 남과 북은…단계적으로 군축을 실현해 나가기로 하였다.
  3.-③ 남과 북은…올해에 종전을 선언하고 정전협정을 평화협정으로 전환하며 항구적이고 공고한 평화체제 구축을 위한 남·북·미 3자 또는 남·북·미·중 4자회담 개최를 적극 추진해 나가기로 하였다.

  가히, 자유대한민국에게 '독소조항'에 해당하는 수준이다. 1.-ⓛ은 '외세배격! 우리끼리!'라는 표현에 다름 아니고, 1.-⑥은 국제제재 무력화 선언에 다를 바 없다. 3.-②는 사실상 주한미군을 한반도에서 내보는 것을 의도하는 교묘한 표현이다. 3.-③은 미북간 평화조약 체결로 한미동맹을 무력화시키려는 의도를 담았다(多者 회담에 일본이 포함되면, 미북간 평화조약 추진에 방해되므로 일본 배제).
(발췌)
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4·27 문재인-김정은 판문점 선언 비판 ①
조갑제


문재인 대통령과 김정은 사이의 ‘한반도의 평화와 번영, 통일을 위한 판문점 선언’을 읽고 해설을 해 드리겠습니다. 이 내용은 2007년에 발표됐던 노무현-김정일 회담에서 나온 10·4선언과 60%가 겹칩니다. 다만 차이는 그때는 정권이 이명박 정부로 바뀌는 바람에 실천되지 않았습니다. 이번에는 이게 실천될 가능성이 상당히 있습니다. 이게 실천되면 어떻게 되느냐? 한국의 안보는 위태롭게 되고 국론 분열은 심해질 것이고 한미동맹은 균열될 것이고 더구나 북한의 핵 폐기는 불가능하게 될 것입니다. (발췌)
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Unbreak My Heart - Toni Braxton LYRICS


https://youtu.be/ZNr2XyEawig
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앙상블 확률과 시간 확률의 차이
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방송통신 심의위원회가 남북 정상회담 보도와 관련하여
각 방송사에 "정부 발표를 토대로 보도하라"는
이같은 강압적 유의사항을 하달 하는 짓을 하였다

사후 심의기관인 방심위가 언론자유를 무시하고
과거 군부독재 시절에나 있을법한 "보도지침"을 내려 보내면서
방심위가 문재인 정권 하수인으로 전락하여  마구 미쳐 날뛰고 있다

이같은 방심위의 오만하고 강압적인 조치는
3ㅡ5년 마다 실시하는 각 방송사 재허가 승인 여부에 대한
칼자루를 갖고 방송사에 재갈을 물려
문재인 정권 입맛에 맞는 보도를 하도록 압박하여 강요 하는것이다

[출처] 방심위가 "보도 지침" 참으로 미쳐도 단단히 미쳤다
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이인호 교수는 대한민국이 선동가들 세상이 된 건 역사에 대한 무지(無知)와 반역 탓이라고 했다.(조선일보 인터뷰)
--->나는 역사에 대한 무지도 있지만, 경제에 대한 무지(無知)가 더 큰 역할을 했다고 믿는다.
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19세기 천부인권 사상가 라이샌더 스푸너는 <악덕은 범죄가 아니다>란 글에서 자신을 해치는 행위는 정부의 통제를 받아서는 안 된다고 주장했다. 스푸너는 악덕이란 자신이나 자신의 재산을 해치는 행위로, 타인이나 타인의 재산을 해치는 행위와는 다르다고 역설했다.
 
Spooner Explains Why Vices Are Not Crimes
 
•Brian Balfour
 
 
Recent actions and statements indicate that the Trump administration is serious about ramping up the federal government’s war on drugs.
 
Earlier this year, Attorney General Jeff Sessions announced a new directive granting US regional attorneys greater authority to crack down on marijuana growers and dealers — even in states with laws making such practices legal. Session’s memo reversed the Obama-era’s much more hands-off approach.
 
More recently, Trump himself declared his desire to implement the death penalty for drug traffickers, saying “These are terrible people, and we have to get tough on those people … and that toughness includes the death penalty.”
 
The ostensible reason drug warriors use to justify the government’s criminalization of certain drugs is the often-harmful impacts these drugs can have on the users. But what justification is there for the state to outlaw certain behaviors that don’t harm others, but only oneself?
 
As 19th century natural-rights theorist Lysander Spooner spells out in his essay “Vices are Not Crimes,” self-harming activities should not come under purview of any government law.
 
“Vices are those acts by which a man harms himself or his property,” begins Spooner. Contrast that with his description of crimes as “those acts by which one man harms the person or property of another.”
 
The distinction is clear. “In vices, the very essence of crime — that is, the design to injure the person or property of another — is wanting,” Spooner explained.
 
If the proper aim of government is restricted to merely “secure these rights” of life, liberty and the pursuit of happiness, clearly the criminalization of vice is a gross overstep of state action. Indeed, attempts to enforce laws against vice amount to a negation of liberty.
 
“Unless this clear distinction between vices and crimes be made and recognized by the laws, there can be on earth no such thing as individual right, liberty or property; no such things as the right of one man to the control of his own person and property,” Spooner declared.
 
In a free society, as long as they are not initiating harm on others, people are allowed to determine for themselves what of their actions are virtuous or vicious. Each individual — using his or her subjective evaluation — evaluates what is in concert with his happiness and emotional well-being (virtuous), or leads to his unhappiness (vice).
 
This process requires the freedom for each individual to inquire and experiment in order to learn for himself what constitutes vice or virtue to him. And not only will the determination between vice and virtue be unique to each person, any given individual’s evaluation will change according to time and circumstance.
 
For instance, a young man may decide a certain act brings happiness, but that act turns to emotionally harmful vice for that same man at an older age. Moreover, the difference between vice and virtue for a certain course of action can be determined by matter of degree. A little of something may bring happiness, but too much brings suffering. That matter of degree will be different for everybody, and often only revealed by trial and error.
 
The discovery process each individual must go through to learn what actions are vice and which are virtuous is described by Spooner as “the profoundest and most complex study to which the greatest human mind ever has been, or ever can be, directed.”
 
No third party can make these evaluations for others, because, as Spooner points out, “no one else knows or feels, or can know or feel, as he knows and feels, the desires and necessities, the hopes, and fears, and impulses of his own nature, or the pressure of his own circumstances.”
 
Each of us must learn for ourselves the question or virtue or vice. When a third party like the state, however, steps in to punish peaceful, voluntary actions because they determine it to be a vice, one of our most precious and personal experiences as a human is taken away. When we are not left free to determine vice from virtue, Spooner notes, “each person is deprived of the highest of all his rights as a human being, to wit: his right to inquire, investigate, reason, try, experiment, judge and ascertain for himself, what is, to him, virtue and what is, to him, vice.”
 
Spooner strongly rejects the right of some men to impose their determination of vice onto others, using coercion to force obedience to the ruling class’ preferences. Those that support such coercion are “shameless imposters and tyrants, who would stop the progress of knowledge” among individuals, and “usurp absolute control over the minds and bodies of their fellow men.”
 
The drug war is often characterized as an arm of the nanny state — government’s attempt to protect citizens from harming themselves. But the state has no businesses attempting to criminalize vices — actions that involve no aggression or harm towards others. In so doing, the nanny state denies its citizens their natural right to peacefully pursue their own happiness according to their unique evaluation of emotional well-being.
 
 
Brian Balfour is Executive Vice President for the Civitas Institute, a free market advocacy organization in Raleigh, North Carolina
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케인즈의 승수는 허구이다.
일반적인 생각과 달리, 저축은 실질적으로 소비자 상품의 생산 유동(流動)을 축소하는 게 아니라 확대한다.
생산으로 뒷받침 되지 않은 인위적인 소비의 부양은 진정한 저축의 기반을 감소시키고, 케인즈의 생각과 달리 실질적인 부의 유동을 축소시킨다.
 
The Keynesian Multiplier Is an Illusion
 
•Frank Shostak
 
For most economists and financial commentators the heart of economic growth is the increase in the demand for goods and services. It is held that increases or decreases in demand are behind rises and declines in the economy’s production of goods and services. It is also held that the overall economy’s output increases by a multiple of the change in expenditure by government, consumers or businesses.
 
An example will illustrate how an initial spending raises the overall output by the multiple of this spending. Let us assume that out of an additional dollar received individuals spend $0.9 and save $0.1. Also, let us assume that consumers have increased their expenditure by $100 million. Because of this, retailers' revenue rises by $100 million. Retailers in response to the increase in their income consume 90% of the $100 million, i.e., they raise expenditure on goods and services by $90 million. The recipients of these $90 million in turn spend 90% of the $90 million, i.e., $81 million. Then the recipients of the $81 million spend 90% of this sum, which is $72.9 million and so on. Note that the key in this way of thinking is that expenditure by one person becomes the income of another person.
 
At each stage in the spending chain, people spend 90% of the additional income they receive. This process eventually ends, so it is held, with total output higher by $1 billion (10*$100 million) than it was before consumers had increased their initial expenditure by $100 million.
 
Observe that the more is being spent from additional income the greater the multiplier is and therefore the impact of the initial spending on overall output is larger. For instance, if people change their habits and spend 95% from each dollar the multiplier will become 20. Conversely, if they decide to spend only 80% and save 20% then the multiplier will be 5. All this means that the less is being saved the larger is the impact of an increase in overall demand on overall output.
 
Following this way of thinking it is not surprising that most economists today are of the view that by means of fiscal and monetary stimulus it is possible to prevent the US economy falling into a recession.
 
The popularizer of the magical power of the multiplier, John Maynard Keynes, wrote,
 
If the Treasury were to fill old bottles with banknotes, bury them at suitable depths in disused coal mines which are then filled up to the surface with town rubbish, and leave it to private enterprise on well-tried principles of laissez-faire to dig the notes up again (the right to do so being obtained, of course by tendering for leases of the note-bearing territory), there need be no more unemployment and with the help of the repercussions, the real income of the community, and its capital wealth also, would probably become a good deal greater than it actually is.
 
Is the multiplier a real thing?
 
Is more savings bad for the economy as the multiplier model indicates? Take for instance Bob the farmer who has produced twenty tomatoes and consumes five tomatoes. What’s left at his disposal is fifteen saved tomatoes (real savings). With the help of the saved fifteen tomatoes, Bob can now secure various other goods. For instance, he secures one loaf of bread from John the baker by paying for the loaf of bread with five tomatoes. Bob also buys a pair of shoes from Paul the shoemaker by paying for the shoes with ten tomatoes. Note that real savings at his disposal limit the amount of consumer goods that Bob can secure for himself. Bob’s purchasing power is constrained by the amount of real savings i.e. tomatoes at his disposal, all other things being equal.
 
When Bob the farmer exercises his demand for one loaf of bread and one pair of shoes he is transferring five tomatoes to John the baker and ten tomatoes to Paul the shoemaker. Bob's saved tomatoes maintain and enhance the life and well-being of the baker and the shoemaker.
 
Likewise, the saved loaf of bread and the saved pair of shoes maintain the life and wellbeing of Bob the farmer. Note that it is saved final consumer goods, which sustain the baker, the farmer and the shoemaker, that makes it possible to keep the flow of production going.
 
Now, the owners of final consumer goods, rather than exchanging them for other consumer goods, could decide to use them to secure better tools and machinery. With better tools and machinery, a greater output and a better quality of consumer goods can be produced some time in the future.
 
Note that by exchanging a portion of their saved consumer goods for tools and machinery the owners of consumer goods are in fact transferring their real savings to individuals that specialise in making these tools and machinery. In short, real savings sustain these individuals whilst they are busy making these tools and machinery.
 
Once these tools and machinery are built this permits an increase in the production of consumer goods. As the flow of production expands this permits more savings all other things being equal, which in turn permits a further increase in the production of tools and machinery. This in turn makes it possible to lift further the production of consumer goods. So contrary to popular thinking, more savings actually expands and not contracts the production flow of consumer goods.
 
Can the increase in the demand for consumer goods lead to an increase in the overall output by the multiple of the increase in demand? To be able to accommodate the increase in his demand for goods the baker must have the means of payment, i.e., bread to pay for goods and services that he desires. We have seen that the baker secures five tomatoes by paying for them with a loaf of bread. Likewise, the shoemaker supports his demand for ten tomatoes with a pair of shoes. The tomato farmer supports his demand for bread and shoes with his saved fifteen tomatoes.
 
Once the supply of final goods increases this permits an increase in demand for goods. The baker’s increase in the production of bread permits him to increase demand for other goods. In this sense, the increase in the production of goods gives rise to demand for goods. People are engaged in production in order to be able to exercise demand for goods to maintain their life and wellbeing.
 
We have seen that what enables the expansion in the supply of final consumer goods is the increase in capital goods or tools and machinery — what in turn permits the increase in tools and machinery is real savings. We can thus infer that the increase in consumption must be in line with the increase in production. From this, we can also deduce that consumption does not cause the production to increase by the multiple of the increase in consumption. The increase in production is in accordance with what a given infrastructure permits and is not constrained by consumers’ demand as such.
 
Increase in government demand and economic growth
 
Let us examine the effect of an increase in the government's demand on an economy's overall output. In an economy, which is comprised of a baker, a shoemaker and a tomato grower, another individual enters the scene. This individual is an enforcer who is exercising his demand for goods by means of force.
 
Can such demand give rise to more output as the popular thinking has it? On the contrary, it will impoverish the producers. The baker, the shoemaker, and the farmer will be forced to part with their product in an exchange for nothing and this in turn will weaken the flow of production of final consumer goods. As one can see, not only does the increase in government outlays not raise overall output by a positive multiple, but on the contrary this leads to the weakening in the process of wealth generation in general. According to Mises,
 
 
…there is need to emphasize the truism that a government can spend or invest only what it takes away from its citizens and that its additional spending and investment curtails the citizens' spending and investment to the full extent of its quantity.
 
Summary and conclusion
 
John Maynard Keynes's writings remain as influential today as they were eighty years ago. His ideas remain the driving force of economic policymakers at the Fed and government institutions. These ideas permeate the thinking and writings of the most influential economists on Wall Street and in academia.
 
The heart of the Keynesian philosophy is that what drives the economy is demand for goods. Economic recessions are predominantly the result of insufficient demand. In the Keynesian framework, an increase in demand not only lifts overall output but that output increases by a multiple of the initial increase in demand.
 
In the real world, an artificial boost in demand that is not supported by production leads to the dilution of the pool of real savings and, contrary to the Keynesian view, to a shrinking in the flow of real wealth, i.e., results in economic impoverishment.
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  钗头凤 〔宋〕陆游
红酥手,黄縢酒,满城春色宫墙柳。东风恶,欢情薄,一怀愁绪,几年离索。错错错。
春如旧,人空瘦,泪痕红浥鲛绡透。桃花落,闲池阁,山盟虽在,锦书难托。莫莫莫。





白话译文
红润酥腻的手里,捧着盛上黄縢酒的杯子。满城荡漾着春天的景色,你却早已像宫墙中的绿柳那般遥不可及。春风多么可恶,欢情被吹得那样稀薄。满杯酒像是一杯忧愁的情绪,离别几年来的生活十分萧索。错,错,错!
美丽的春景依然如旧,只是人却白白相思地消瘦。泪水洗尽脸上的胭脂红,又把薄绸的手帕全都湿透。满春的桃花凋落在寂静空旷的池塘楼阁上。永远相爱的誓言还在,可是锦文书信再也难以交付。莫,莫,莫!
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2018년 4월 26일 목요일



드루킹 사건은 문 정권의 탄핵까지 갈 수 있는 중요한 사건이었지만, 경찰과 검찰의 고의적인 지연과 봐주기로 용두사미로 끝날 가능성이 커졌다.
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고3 아는 학생이 와서 한다는 소리가  모레가 시험인데,  수업도 진행안하고 학교에서  계속 납북회담 방송을 틀어준다고 한다.
그래서 학교에 있을 필요가 없어서  조퇴하고 나왔다고 한다.
학교는 공립 고등학교다.


고3에게 수업도 안하고 정치  쇼 방송만 보고하다니!!!

[출처] 고등학교에서 수업안하고 계속 남북회담 틀어준다.
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노름판으로 읽어보는 정상회담
도락산(조갑제닷컴회원)
 영화 <타짜2>를 보면 고광렬이 이렇게 말하는 장면이 나온다.    “때론 한끗이 장땡을 이길 때도 있는 법이야…타짜는 말이야. 패를 읽는 게 아냐. 사람(의 마음)을 읽어야 해.”
문재인은 가만히 있는 것이 이기는 것이다. 정상회담에서 빈손으로 돌아오면 그는 잃을 게 없다. 그러나 어떤 합의를 해주면 그는 반드시 잃는다.
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비핵화가 없는 그어떤경우도 김정은은 물론 문좨인도 끝이다. 
미국은 이미 최후통첩을 날린 것이다. 오늘의 만남이 영원히 끝날 수도 있다는 것이다.


北朝鮮の金正恩(キム・ジョンウン)委員長が、歴史的な1歩を刻んだ。金委員長は27日午前9時半ごろ、
65年間、朝鮮半島を分断してきた軍事境界線を越えた。
こうした中、アメリカ側が米朝首脳会談が決裂した場合、武力行使に踏み切るしかないとの意向を
日本側に伝えていたことが、FNNの取材でわかった。
アメリカが武力行使という選択肢を維持する中、政府関係者は、27日の会談で、金正恩氏が本気で
非核化のプロセスを話し合う姿勢を示すかどうかに注目している。



북한의 김정은 위원장이 역사적인 걸음을 내 디뎠다. 김 위원장은 27 일 오전 9시 반경 65 년간 한반도를 분단 해 온 군사 분계선을 넘었다. 이런 가운데 미국 측이 북미 정상 회담이 결렬 된 경우 무력 행사에 나설 수밖에 없다는 뜻을 일본 측에 전했다 것이 FNN의 취재로 밝혀졌다. 미국이 무력 사용이라는 옵션을 유지하는 가운데 정부 관계자는 27 일 회의에서 김정은이 진심으로 비핵화의 과정을 논의 자세를 보여주는 지 여부에 주목하고있다.[출처] 미북회담이 결렬될 경우 바로무력사용에 들어간다. (일본 후지테레비)
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번영이란 동일한 노동으로 얻은 소득으로, 더 많은 상품이나 서비스를 구매할 수 있는 것.
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인문학이 자유사상가를 만든다는 생각은 최대의 허구이다. 인문학은 자유인이나 생각하는 사람이 아닌 세뇌된 사람과 노예들을 만든다.


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황련탕 해설





南京中医药大学 黄 煌教授
 
下面我给大家说说常用的黄连方。
 
首先说说黄连汤。这临床上不常用,张仲景是这样用的:黄连三两、甘草三两、干姜三两、桂枝三两、人参二两、半夏半升、大枣十二枚。上七味,以水一斗(2000毫升),煮取六升(1200毫升),去滓,温服。昼三夜二。一般调和作用的经方常用七味药,张仲景经典的方证是我们研究的本源。虽然张仲景的条文是非常真实但又不是很全的,我们看条文要善于用古学家的研究,就是看到骨干需要复元它的全身,如通过恐龙的牙齿可以复元整体、生活习性。因为张仲景的条文就只是方证的一个角,或者是方人的头、其身段、四肢隐藏着。所以我们需要进行诠释、发挥而不拘泥于仲景方。
伤寒原文:伤寒,胸中有热,胃中有邪气,腹中痛,欲呕吐者,黄连汤主之。(173)胸中有热,并不是说胸中的发热,不仅仅是胸中有热,而是说患者伴有一些精神症状,如胸闷、心悸、心不安等,所以应包括我们大脑的症状。胃中有邪气,并不是说我们胃部的胀气,而是含有动的意思,如桂枝汤的气上冲胸的气,是动的意思、咚咚地跳动,这里所说邪气是不正常的反射,如胃内撩扰不适,或呕吐,或胃中撑胀攻冲,或肠鸣如水声,而胡希恕先生所说的胃中有水气,只是一部分。腹中痛,是指心下往下,脐周的疼痛,甚至到脐下,或如窒如胀,或如坠如结,或冷痛,或冲逆而痛;江阴名老中医凡是遇到脐中疼痛的患者,用肉桂,这种痛是板状痛、冷痛、僵硬痛、冲逆痛。这是我们使用黄连汤的主要依据。这是我的经验用量:黄连10g、桂枝10g或肉桂10g、党参10g、半夏15g、甘草10g、干姜10g、大枣20g。
黄连汤的体质:1、消瘦,肤色暗;2、唇舌多暗紫而淡,舌苔多白(此时,我们要注意方证与药证的区别);3、腹部多扁平,腹肌菲薄而缺乏弹性;4、脉多弱;5、或心下痞,或腹中痛,或欲呕吐,或下利,或心中烦,或不得卧。这里提示桂枝体质的患有黄连病的适用黄连汤。
 
黄连汤的适用病症:
1、糖尿病胃轻瘫,目前国内糖尿病的发病率非常高,有统计显示与GDP水平同步的。糖尿病的并发症有很多,胃轻瘫临床表现为慢性胃炎、胃驰缓与胃潴留等。症状主要为腹胀、早饱、厌食、嗳气、恶心、呕吐、体重减轻,症状通常在餐后较为严重。体检可见胃区胀满,可闻及震水音。X线检查显示胃蠕动减慢、减弱,胃扩张或弛缓,排空延迟,幽门开放等征象;胃镜检查可见胃体或胃窦部黏膜充血、水肿、糜烂;胃电图检查有胃蠕动功能减弱。对于胃轻瘫,一般用黄连。有一病人,不断地呕吐,人又瘦,起初我用半夏厚朴汤治疗,效果不明显,后来考虑到血糖的症状,我用黄连汤,后来效果不错,应用于其他病人也适用,故我推荐黄连汤。现代研究黄连、肉桂也有降糖尿病的作用。
2、伤食:曾有报告,有人将此方煎煮后作为春节期间治疗胃肠炎的“西药”,效果非凡。主要由于春节期间饮食不节,暴饮暴食,饮酒过量,儿童多食过食糖果以及肥甘厚腻之品,导致胃的受纳障碍,引起腹痛、腹泻,恶心呕吐等所谓急性胃肠炎的病变。这种情况与黄连汤证相似。经过很多实践,我发现原方的妙用;学生时代我以为辩证论治要灵活用方,故常用组合方,后来认识沿用经方,但没有完全跳出局限,还是经方加减,最后我发现疗效最好的是经方,我坚定不能随便加减,要加减也是按照仲景规律。最近用黄连汤治疗一个胃病,效果非常好,他已经是胆汁返流性胃炎、慢性腹泻、人消瘦,用了后效果非常好,他说这个方神了,这么长时间的胃胀胃痛解决了,后来他来复诊我出国了,旁边的一个医生以黄连汤为主方,而且加入蒲公英、神曲等数味药,后来病人胃痛反复,而且汤药味道很难闻;我告诉大学经方原方使用不仅有效,而且汤液可口;我大学里面有一群学生,组建了一个模拟经方实验室,大学生生病后自己开方、煎药,也给别人煎,他们发现经方原方,煎出来的汤药闻起来很香,如果煎杂方,味道确实很难闻,事实确实是这样的,黄连汤加入大枣、生姜、肉桂后药味就香起来了,苦味可以接受。为什么?经方的原始服用者是奴隶,医生是奴隶,服务对象是奴隶主,要既治病,又可口,那个时候的大夫就研究调味。
3、醉酒:醉酒后大多呕吐、腹泻、头昏,此方可以解酒。胸中有邪热、邪气,黄连汤就适用了。它能迅速地解决醉酒后的心慌心悸、恶心呕吐、腹泻、脸红等等。春节期间大家对这个方的反应很好。
4、慢性胃炎、胃溃疡:消瘦、面色暗、有腹泻倾向的患者出现胃炎、胃胀,此类患者大都存在寒热互结之象,可用黄连汤;而黄芪建中汤适用于能食、没有腹胀的病人,黄芪多吃会腹胀,这是虚中杂实,单用人参、大枣效果不明显。很多慢性胃炎的老男人,我常用黄连汤;而壮实的人出现胃痛,我根据扶阳理论,常用附子干姜甘草之四逆汤,但是要加肉桂、黄连、黄芩、大黄,其中三黄的量要小。
5、心肌炎、快速型心律失常:多见于消瘦、心中烦等。肉桂可治悸、黄连也治悸、除烦悸,故可用黄连汤。现代很多人一看到心悸,就想到炙甘草汤,这是错误的,不是所有心律失常都适用,炙甘草要用于消瘦而心悸的病人。
6、胃肠型感冒发热:夏奕钧先生曾经治疗一例反复发热不退的男子,原因不明,发热后出汗,汗出身冷,大便不成形,舌头根部厚白,用此方愈。根据江苏省名中医夏奕钧先生经验,使用本方时,患者可见舌苔白厚,尤其是舌体的后半部,用温法。
7、失眠、神经症:很多失眠、神经症或伴有糖尿病、或有胃痛胃胀等。可以用原方,也可以用交泰丸,我发现也可以用黄连、肉桂等量,睡前用沸水泡服,喝2-3口,能帮助睡眠,而且那个香味也可能有催眠作用。
再说几点供大家参考:本方采用昼三夜二的服法,可能考虑到患者恶心呕吐,无法大量服用,也考虑到汤液的浓缩,而采取少量频服的方法;说说半夏厚朴汤,是昼三夜一的用法,早中晚和临睡。另外,黄连汤的桂原文为桂枝,我临床用肉桂效果好,肉桂治腹中冷痛,胃中有邪气,心悸不寐,正是黄连汤的主治,肉桂的止痛、温胃、定悸作用比桂枝为好。但是大剂量使用肉桂,药房有所限制,故我用大剂量肉桂时尝配用桂枝,这里的参用党参即可,不需要用高级人参,如果人非常瘦弱、不能吃东西,党参力量就薄了。黄连汤的方根是黄连、肉桂,经方里面的剂量是一比一,但是如果这个人舌头淡红、纳呆,这时候要用肉桂的量大于黄连,黄连有抑制食欲的功效;如果心烦、脉不滑,黄连可大于肉桂,这是可调的。再说说本方与半夏泻心汤的区别,黄连汤有肉桂无黄芩、半夏泻心汤有黄芩无肉桂,两方都能治疗消化道疾病,区别在于用黄芩的嘴唇、舌头要红、即粘膜充血;而半夏泻心汤治疗经常喝酒的青年人,少睡、唇红、口腔溃疡;但如果是老年人脸色淡暗、唇淡的,用黄连汤;但黄连汤证以腹痛为特征,并有肠鸣腹泻等,而半夏泻心汤以心下痞为主,两者有胃肠上下之别。此外,本方与小柴胡汤的区别,两方均能治疗呕吐,但小柴胡汤多伴有发热、胸胁苦满;而本方证多伴有腹痛、腹泻、烦悸,特别是下腹痛。
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