治风自诸疮口入,为破伤风,项强,牙关紧,欲死。
防风(去叉) 天南星(汤,各等分)
上为末。每服三钱,童子小便一大盏,煎至七分,热服。
治破伤湿,口噤强直。
牡蛎
(取末粉敷疮口,仍以末二钱煎甘草汤调下)
治破伤风,口噤强直。
鱼胶(烧七分留性)
上研细,入麝香少许。每服二钱,酒调下;不饮酒,米汤下。又一方,以苏木煎酒下。
夫脏腑合手足三阴三阳为十二经,各有所主,故为十二官。心者,君主之官,神明出焉
;肺者,相傅之官,治节出焉;肝者,将军之官,谋虑出焉;脾者,谏议之官,公正出焉;
肾者,作强之官,伎巧出焉;胆者,中正之官,决断出焉;膻中者,臣使之官,喜乐出焉;
小肠者,受盛之官;化物出焉;大肠者,传送之官,变化出焉;胃者,仓廪之官,五味出焉
;三焦者,决渎之官,水道出焉;膀胱者,州都之官,津液藏焉,气化则能出矣。故五脏为
阴,六腑为阳,此十二官不得相失者,正由阴阳消息盈虚。当随四序而调养之,不可使其偏
胜,偏胜则偏复,偏复则偏害,胜克流变,则真病生焉。夫阴阳虚实者,乃脏腑更相胜复也
。若其子母相感,则母虚能令子虚,子实能令母实。《经》曰∶实则泻其母,虚则补其子。
如肝实则泻肾,肝虚则补心,如百姓足,君孰与不足,此经之本意也,《难经》则反是,及
观《金匮》之论,其得为多。肝虚补用酸,助用焦苦,益用甘味之药,酸入肝,焦苦入心,
甘入脾,脾能制肾,肾气微弱,则水不行,水不行则心火盛,心火盛则肺金受制,肝气乃舒
,肝气舒则肝病自愈,此补子之意也。肝虚则用此,实则反之。《千金》亦云∶肝虚当补心
,心旺则感于肝,皆此类也。此正本藏十二官冷热盈虚而为病,非外感淫邪,及故为背理者
之比。然内所因惟属七情交错,爱恶相胜而为病,能推而明之,此约而不滥,学人宜留神焉。
To treat wind pathogen entering through various wound openings, resulting in tetanus (Po Shang Feng), characterized by neck stiffness, trismus (lockjaw), and impending death.
Fangfeng (Saposhnikoviae Radix, de-awned) Tian nansxing (Arisaematis Rhizoma Praeparatum, prepared with decoction, equal parts)
Grind the above into powder. Take three qian per dose, add one large cup of urine from an uncircumcised boy, decoct until reduced to seventy percent, and take hot.
To treat wetness injury (Po Shang Shi), characterized by trismus and body rigidity.
Muli (Ostreae Concha)
(Take Muli powder to apply externally to the wound; simultaneously, take two qian of powder mixed with Gancao Tang [Glycyrrhizae Decoction] to swallow.)
To treat tetanus (Po Shang Feng), characterized by trismus and body rigidity.
Yujiao (Colla Corii Asini, roasted to seventy percent doneness while retaining efficacy)
Grind the above into fine powder, add a small amount of Shexiang (Moschus). Take two qian per dose, mixed with wine; for those who do not drink alcohol, mix with rice soup. Another prescription uses Sumu (Sappan Lignum) decocted in wine for administration.
The Zang-Fu organs combine with the Hand and Foot Three Yin and Three Yang meridians to form the Twelve Meridians, each having its specific governance, thus they are called the "Twelve Officials." The Heart is the Official of the Sovereign, from whom Shenming (Spiritual Consciousness) arises; the Lung is the Official of the Chancellor, from whom Zhijie (Governance and Regulation) arises; the Liver is the Official of the General, from whom Moulv (Strategizing) arises; the Spleen is the Official of Remonstrance, from whom Gongzheng (Impartiality) arises; the Kidney is the Official of Strength, from whom Jiqiao (Skill and Craftsmanship) arises; the Gallbladder is the Official of Integrity, from whom Jueduan (Decision-making) arises; the Danzhong (Chest Center/Pericardium) is the Official of Envoy, from whom Xile (Joy and Pleasure) arises; the Small Intestine is the Official of Reception, from whom Huawa (Transformation of substances) arises; the Large Intestine is the Official of Transmission, from whom Bianhua (Changes) arise; the Stomach is the Official of Granaries, from whom Wuwei (Five Flavors) arise; the Sanjiao (Triple Burner) is the Official of Ditches, from whom Shuidao (Water passages) arise; the Bladder is the Official of the Prefecture, where Jin Ye (Body Fluids) are stored, and only through Qihua (Qi transformation) can they be excreted. Therefore, the Five Zang organs belong to Yin, and the Six Fu organs belong to Yang. The functions of these Twelve Officials must not fail each other; this is precisely due to the waxing and waning of Yin and Yang. One should nourish them according to the four seasons, avoiding excessive dominance of any one aspect. If there is excessive dominance, it leads to compensatory reversal; if there is compensatory reversal, it leads to partial harm. Through winning and overcoming transformations, true disease arises. The concepts of Yin-Xu (Deficiency) and Yang-Shi (Excess) refer to the mutual winning and reversing among Zang-Fu organs. If there is a mother-son relationship, Mother deficiency causes Son deficiency, and Son excess causes Mother excess. The Classic states: For excess conditions, drain the Mother; for deficiency conditions, tonify the Son. For example, if the Liver is in excess, drain the Kidney; if the Liver is deficient, tonify the Heart. Just as when the people are sufficient, how could the ruler be insufficient? This is the original intent of the Classic. The Nan Jing offers the opposite view, but observing the discussions in the Jin Gui Yao Lue, the correct aspects are numerous. For Liver deficiency, use sour flavors to tonify, assist with scorched bitter flavors, and benefit with sweet flavors. Sour enters the Liver, scorched bitter enters the Heart, and sweet enters the Spleen. The Spleen can control the Kidney; if Kidney Qi is weak, water does not flow; if water does not flow, Heart Fire becomes abundant; if Heart Fire is abundant, Lung Metal is controlled, allowing Liver Qi to relax. When Liver Qi relaxes, Liver disease heals itself. This is the meaning of tonifying the Son. This method is used for Liver deficiency, whereas for Liver excess, it is reversed. The Qian Jin Fang also states: For Liver deficiency, tonify the Heart; when Heart is prosperous, it influences the Liver. All such cases follow this pattern. This addresses diseases arising from the cold, heat, excess, and deficiency of the Twelve Officials of the respective Zang organs, which is different from external pathogenic influences or deliberate violations of principles. However, internal causes belong solely to the interplay of the Seven Emotions, where love and aversion compete, leading to disease. By deducing and clarifying this, the theory remains concise and not excessive; students should pay close attention.