属阴虚元气不足。戴云∶秋初夏末,头痛脚软,食少体倦,身热者是,脉弦而大,补中益气汤去柴胡、升麻,加
炒柏;宜生脉散,麦门冬、五味子、人参,出《千金方》;或补中益气汤中去柴胡、升麻,加炒柏、芍药;挟痰加
半夏、南星、陈皮之类。
暑风是痰用吐。挟火、挟痰,实者可用吐法。夫治暑风用吐法者,即中暑是也。其人必内先有火热痰实之故,因
避暑纳凉,八风袭之,郁而成身热。或昏冒,吐中有汗,火郁得汗则解,风得汗则散,痰得汗涌则出,一举三得。此当
时治挟痰实者,非通治暑风大法也。夫暑风无所挟者,宜汗以散之。
胃风脉,右关弦而缓带浮,初饮食讫,乘风凉而致。其症饮食不下,形瘦腹大恶风,头多汗,膈塞不通,胃风
汤正治此。亦看挟症加减。
《本草》苍术治湿,上下都可用。二陈汤加酒芩、羌活、苍术、散风行湿。二陈汤治湿,加升提之药,能
使大便润,而小便长。上湿苍术功烈,下湿升提,外湿宜表散,内湿宜淡渗。淡渗治湿,在上中二焦,湿在
上,宜微汗而解,不欲汗多,故不用麻黄葛根辈。湿淫诸症治法,并见各病条下。戴云∶夫治湿之药,各有所入,
苟切于治功,便为要药,岂苍术一味便都可用哉。先生宁肯语此,以示人耶。戴云∶湿之为病,有自外入者,有自内
出者,必审其方土之病源。东南地下,多阴雨地湿,凡受必从外入,多自下起,是以重腿香港脚者多,治当汗散,久者
宜疏通渗泄;西北地高,人多食生冷湿面,或饮酒后寒气怫郁,湿不能越,作腹皮胀疼,甚则水鼓胀满,或周身
浮肿如泥,按之不起,此皆自内而出者也,审其元气多少,而通利其二便,责其根在内者也。然方土内外,亦互相
有之,但多少不同,须对证施治,不可执一也。一男子三十五岁,九月间早起,忽目无光,视物不见,急欲视,片
时才见人物,竟不能辨,饮食减平时之半,神思极倦,已病五日,脉之缓大四至之上,作受湿处治。询之,果因卧
湿地半月而得,以白术为君,黄 、陈皮为臣,附子为佐,十余帖而安。诸湿客于腰膝重痛,足胫浮肿,除湿丹方,
见香港脚条下。
It belongs to Yin deficiency and insufficient Yuan Qi (Original Qi). Dai Yunli stated: In the late summer and early autumn, when one experiences headache, weak legs, poor appetite, body fatigue, and fever, with a pulse that is wiry and large, one may use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) removing Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), adding stir-fried Baicao (Phellodendri Cortex); it is suitable to use Shengmai San (Generate the Pulse Powder), composed of Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Renshen (Ginseng Radix et Rhizoma), from *Qianjin Fang*; or use Buzhong Yiqi Tang removing Chaihu and Shengma, adding stir-fried Baicao and Shaoyao (Paeoniae Radix); if complicated by phlegm, add Banxia (Pinelliae Rhizoma), Nanxing (Arisaematis Rhizoma prepared with alum), and Chenpi (Citri Reticulatae Pericarpium).
Shu Feng (Summerheat Wind) caused by phlegm can be treated with emesis. If complicated by fire or phlegm, excess patterns may utilize the vomiting method. The use of emesis for treating Shu Feng refers to Zhongshu (Summerheat Stroke). The patient must first have internal heat-fire and phlegm-excess conditions; due to seeking coolness and avoiding summerheat, they are attacked by the Eight Winds (pathogenic factors from eight directions), leading to stagnation and resulting in fever. Or there may be confusion and dizziness; after vomiting, sweating occurs. Fire stagnation resolves with sweat, wind dissipates with sweat, and phlegm is expelled through the surge of sweat, achieving three benefits at once. This was a treatment for those complicated by phlegm-excess at that time, not the general principle for treating all Shu Feng. For Shu Feng without complications, it is appropriate to use diaphoresis (sweating method) to disperse it.
The pulse of Wei Feng (Stomach Wind) is wiry, slow, and floating on the right Guan position. It is caused by eating and then exposing oneself to cool drafts. Symptoms include inability to swallow food, emaciation with abdominal distension, aversion to wind, excessive sweating on the head, and chest diaphragm obstruction. Weifeng Tang (Stomach Wind Decoction) is the principal treatment for this. Modifications should be made based on accompanying symptoms.
*Bencao* records that Cangzhu (Atractylodis Rhizoma) treats dampness and is applicable to both upper and lower parts. Erchen Tang (Two-Aged Decoction) added with Jiuhuangqin (Scutellariae Radix processed with wine), Qianghuo (Notopterygii Rhizoma et Radix), and Cangzhu can dispel wind and dry dampness. Erchen Tang treating dampness, when combined with lifting herbs, can moisten the stool and increase urination. For upper dampness, Cangzhu has strong effects; for lower dampness, lifting methods are preferred; for external dampness, surface-dispersing methods are suitable; for internal dampness, bland leaching methods are appropriate. Bland leaching treats dampness in the Upper and Middle Jiao (Burners). When dampness is in the upper part, mild diaphoresis is used to resolve it, avoiding excessive sweating; thus, herbs like Mahuang (Ephedrae Herba) and Gegen (Puerariae Lobatae Radix) are not used. Treatments for various dampness-induced symptoms are detailed under respective disease sections. Dai Yunli said: Herbs for treating dampness enter specific meridians and organs; if they effectively treat the condition, they are essential drugs. Is it true that only Cangzhu is universally applicable? Would your teacher speak thus to instruct others? Dai Yunli said: Diseases caused by dampness arise either from external invasion or internal generation. One must examine the local climatic sources. In the southeast, where the land is low and rainy, dampness enters externally, often starting from below; thus, heavy legs and Hongjiaojiao (Hong Kong Foot/Gout) are common, requiring dispersing via sweating, and chronic cases require dredging and leaching. In the northwest, where the land is high, people often consume cold, raw, or damp wheat noodles, or drink alcohol causing cold qi stagnation, preventing dampness from venting, leading to abdominal distension and pain, severe water drum distension, or whole-body edema like mud that does not rebound upon pressure; these arise internally. One must assess the amount of Yuan Qi and promote urination and defecation, addressing the root internally. However, external and internal factors interact everywhere, differing only in degree. Treatment must be symptomatic and not rigid. A thirty-five-year-old man, upon rising in September, suddenly lost vision clarity, unable to see objects clearly even after focusing for a moment, could not recognize figures, ate half his usual amount, felt extreme mental fatigue, and had been ill for five days. His pulse was slow, large, and slightly above four beats per breath cycle, indicating dampness exposure. Inquiry revealed he had slept on damp ground for half a month. Bai Zhu (Atractylodis Macrocephalae Rhizoma) was used as the Sovereign herb, Huangqi (Astragali Radix) and Chenpi as Ministers, and Fuzi (Aconiti Lateralis Radix Preparata) as an Assistant. After more than ten doses, he recovered. Various dampness pathogens lodging in the waist and knees causing heaviness and pain, and swelling of the calves, are treated with Chushi Dan (Dampness-Removing Pill), see the Hongjiaojiao section.