脉坚强者生;小弱者死。
李论 凡治恶血归内,归于肝经,胁痛自汗,宜破血行经。
张论 坠堕便生心HT ,痰涎发于上也,治宜三圣散,吐痰壅。
神应散 治瘀血大便不通。
大黄(酒浸一两) 桃仁 红花 栝蒌根 穿山甲(炮炙二钱) 归(三钱) 柴胡(引经)
麝(透)热酒下。
紫金丹 治折伤骨节疼痛。
川乌(炮二两) 草乌(炮一两) 自然铜( 淬) 禹余粮(淬各四两) 威灵仙 骨碎补
金毛狗脊 麝 没药 红娘子(各二钱半) 木鳖子(去壳) 五灵脂 黑丑 防己 地龙
乌药 青皮 陈皮 茴香(各一钱半)
上醋糊丸,桐子大,酒下十丸。
杖打闪肭痛,皆同血滞证,可下之,凡忍痛则伤血,余同上治。
脉微细者死。
续随子 五倍子 甘草
上茶清下一二碗,取吐,治中药毒。
板蓝根(四两) 贯众(一两去土) 甘草 青黛
上为末,蜜丸如桐子大,青黛为衣,治食毒物。
局方解毒丸 治中药甚者,大戟吐之。
有人用肉豆蔻、宿砂、甘草为末,入大戟、麝香、五倍、细茶服之,能大吐下。
脉大坚疾者癫病。沉数为痰热。虚弦为惊。
盖因痰者,乃血气俱亏,痰客中焦,妨碍升降,视听言语皆有虚妄,宜吐之。
因火者,乃火入于肺气主鼓舞,火传于肝,循衣摄空,胃中大热,治宜
降火。
因惊者,惊则心血不宁,(心者神之本),积痰郁热随动而迷乱心神,有似邪鬼。
治宜先吐之,而后以安神丸主之,佐以平肝之药,胆主惊故也。治法,痰则吐
之,以三圣散。火则降之,承气汤。惊则平之,安神丸。
总治 黄连 辰砂(降火) 栝蒌 南星 半夏(行痰) 川芎(平肝) 青黛 柴胡
局方妙香丸 治洪长伏三脉诸痫狂者,令水浸服之。
李和南五生丸 治弦细缓三脉诸痫狂者。
A pulse that is firm and strong indicates survival; a pulse that is small and weak indicates death.
Li's Discussion: In treating the internal return of evil blood (stasis), if it returns to the Liver Meridian, presenting with hypochondriac pain and spontaneous sweating, the treatment should involve breaking blood and promoting meridian flow.
Zhang's Discussion: After falling or trauma, Heart Fire may arise, with phlegm-saliva surging upward. The treatment should utilize San Sheng San (Three Saints Decoction) to vomit out obstructing phlegm.
Shen Ying San: Treats constipation due to blood stasis.
Da Huang (Rhubarb Root and Rhizome, macerated in wine, 1 liang), Tao Ren (Peach Seed), Hong Hua (Safflower), Gua Lou Gen (Trichosanthes Root), Chuan Shan Jia (Pangolin Scale, roasted, 2 qian), Dang Gui (Angelica Sinensis, 3 qian), Chai Hu (Bupleurum Root, as a guiding herb).
She Xiang (Musk), taken with hot wine.
Zi Jin Dan: Treats bone and joint pain caused by fractures and injuries.
Chuan Wu (Aconitum Carmichaelii Dehanxian, processed, 2 liang), Cao Wu (Aconitum Kusnezoffii Reichb, processed, 1 liang), Zi Ran Tong (Pyritum, quenched in vinegar), Yu Yu Liang (Haematitum, quenched in vinegar, each 4 liang), Wei Ling Xian (Clematis Root), Gu Sui Bu (Drynaria Rhizome), Jin Mao Gou Ji ( Cibotium Barometz Rhizome), She Xiang (Musk), Mo Yao (Myrrha), Hong Niang Zi (Lyttae Cartharis, each 2.5 qian), Mu Bie Zi (Strychnos Nux-vomica Seed, shell removed), Wu Ling Zhi (Trogopterus Dung), Hei Chou (Pharbitidis Semen), Fang Ji (Stephania Root), Di Long (Pheretima), Wu Yao (Lindera Root), Qing Pi (Citrus Reticulata Viride Exocarp), Chen Pi (Citrus Reticulata Pericarp), Hui Xiang (Foeniculum Vulgare Fruit, each 1.5 qian).
The above ingredients are made into pills using vinegar paste, sized like wu-tong seeds, taken ten pills at a time with wine.
Pain from beating or spraining belongs to the syndrome of blood stasis and can be treated with purgation. Enduring pain damages the blood; other treatments follow the same principles as above.
A pulse that is faint and fine indicates death.
Xu Sui Zi (Euphorbia Lathyris Root), Wu Bei Zi (Galla Chinensis), Gan Cao (Licorice Root).
Take one or two bowls of the above mixed with tea infusion to induce vomiting, treating poisoning from ingested herbs.
Ban Lan Gen (Isatidis Radix, 4 liang), Guan Zhong (Cyrtomii Rhizoma, 1 liang, cleaned of soil), Gan Cao (Licorice Root), Qing Dai (Indigo Naturalis).
The above are powdered, formed into pills with honey, sized like wu-tong seeds, coated with Qing Dai, treating poisoning from ingested toxic substances.
Ju Fang Jie Du Wan: Treats severe poisoning; Da Jing (Kansui Root) is used to induce vomiting.
Some people use Rou Dou Kou (Nutmeg), Su Sha (Cardamomi Fructus), and Gan Cao (Licorice Root) powdered, mixed with Da Jing (Kansui Root), She Xiang (Musk), Wu Bei Zi (Galla Chinensis), and Xi Cha (Fine Tea), which induces severe vomiting and purgation.
A pulse that is large, firm, and rapid indicates Dian Disease (Mania/Depression). A pulse that is deep and rapid indicates Phlegm-Heat. A pulse that is deficient and wiry indicates Shock/Fright.
Cases caused by Phlegm result from deficiency of both Qi and Blood, with Phlegm lodging in the Middle Jiao, obstructing the ascending and descending mechanisms. This leads to delusions in vision, hearing, and speech. Treatment should involve emesis.
Cases caused by Fire result from Fire entering the Lung Qi, which governs vigorous movement. The Fire transmits to the Liver, manifesting as picking at clothes and grasping at empty air, with excessive heat in the Stomach. Treatment should involve descending Fire.
Cases caused by Fright result from the disturbance of Heart Blood (the Heart is the root of Shen/Spirit). Accumulated Phlegm and stagnant Heat move along with the fright, confusing the Heart Spirit, resembling possession by evil spirits.
Treatment should first employ emesis, followed by An Shen Wan (Calming the Spirit Pill) as the main formula, assisted by herbs that calm the Liver, because the Gallbladder governs fright. Treatment methods: For Phlegm, use emesis with San Sheng San (Three Saints Decoction); for Fire, use descent with Cheng Qi Tang (Order the Qi Decoction); for Fright, use pacification with An Shen Wan (Calming the Spirit Pill).
General Treatment Formula: Huang Lian (Coptis Rhizome), Chen Sha (Cinnabar, descends fire), Gua Lou (Trichosanthes Fruit), Nan Xing (Arisaema Cum Bile), Ban Xia (Pinelliae Rhizoma, moves phlegm), Chuan Xiong (Ligusticum Rhizome, calms liver), Qing Dai (Indigo Naturalis), Chai Hu (Bupleurum Root).
Ju Fang Miao Xiang Wan: Treats various epilepsy and mania cases associated with Hong, Chang, and Fu pulses; administer after soaking in water.
Li He Nan Wu Sheng Wan: Treats various epilepsy and mania cases associated with Xian, Xi, and Huan pulses.