治伤冷冻饮料者,以五苓散每服三钱或四钱匕,加生姜煎服之。
治伤食兼伤冷冻饮料者,煎五苓散送下半夏枳术丸服之。
治伤冷冻饮料不恶寒者,腹中亦不觉寒,惟觉夯闷身重,饮食不化者,或小便不利,煎去桂五苓散根据前斟酌服之。
假令所伤前后不同,以三分为率,伤热物二分,伤生冷硬物一分,用寒药三黄丸二停,用热药
木香见 丸一停,合而服之。又如伤生冷二分,伤热物一分,用热药木香见 丸二停,用寒药三黄丸一
停,合而服之。
假令夏月大热之时,伤生冷硬物,当用热药木香见 丸治之,须少加三黄丸,谓天时不可伐,故加寒
药以顺时令;若伤热物,只用三黄丸。何谓?此三黄丸时药也。
假令冬天大寒之时,伤羊肉湿面等热物,当用三黄丸治之,须加热药少许,草豆蔻丸之类是也,为引
用,又为时药。经云∶“必先岁气,无伐天和。”此之谓也,余皆仿此。
上部有脉,下部无脉,其人当吐,不吐者死,何谓也?下部无脉,此所谓木郁也。饮食过饱,填塞
胸中,胸中者,太阴之分野。经云∶气口反大于人迎三倍,食伤太阴,故曰木郁则达之,吐者是也。
瓜蒂 赤小豆(以上各等分)
上二味,为极细末,每服一钱匕,温浆水调下,取吐为度。苦不至两手尺脉绝无,不宜便用此
药,恐损元气,令人胃气不复。若止是胸中窒塞,闷乱不通,以指探去之;如不得吐者,以物探去之,得
吐则已。如食不去,用此药去之。
解云∶盛食填塞于胸中,胸中为之窒塞,两手寸脉当主事,两尺脉不见,其理安在?胸中有食,故
以吐出之。食者,物也。物者,坤土也,是足太阴之号也。胸中者,肺也,为物所填。肺者,手太阴金
也,金主杀伐也;与坤土俱在于上,而旺于天。金能克木,故肝木生发之气伏于地下,非木郁而何?吐去上
焦阴土之物,木得舒畅,则郁结去矣。
食塞于上,脉绝于下,若不明天地之道,无由达此至理。水火者,阴阳之征兆,天地之别名也,故曰
独阳不生,独阴不长。天之用在于地下,则万物生长矣;地之用在于天上,则万物收藏矣。此乃天地交而
万物通也,此天地相根之道也。故阳火之根本于地下,阴水之源本于天上,故曰水出高源。故人五脏主
有形之物,物者阴也,阴者水也,右三部脉主之,偏见于寸口,食塞其上,是绝五脏之源,源绝则水不下
流,两尺竭绝,此其理也,何疑之有?
For injuries caused by consuming frozen beverages, administer Wuling San (Five-Ingredient Poria Decoction), three qian or four qian bi per dose, decocted with fresh ginger.
For injuries involving both food stagnation and consumption of frozen beverages, decoct Wuling San (Five-Ingredient Poria Decoction) to take with Banxia Zhizhu Wan (Pinellia and Atractylodes Macrocephala Pill).
For injuries from frozen beverages where there is no aversion to cold, abdominal coldness is not felt, but only a sensation of oppression and heaviness in the body, indigestion, or difficult urination, decoct Wuling San (Five-Ingredient Poria Decoction) without Guizhi (Cinnamon Twig), and adjust the dosage according to the previously mentioned principles.
Suppose the injurious factors differ before and after; using a ratio of three parts, if two parts are due to hot substances and one part to cold, raw, or hard substances, use two parts of the cold-natured Sanhuang Wan (Three-Yellow Pill) and one part of the warm-natured Muxiang Jian Wan (Aucklandia Pill [Note: 'Jian' likely refers to a specific variant or ingredient missing in text]), mixed and taken together. Conversely, if two parts are due to cold/raw substances and one part to hot substances, use two parts of Muxiang Jian Wan (Aucklandia Pill) and one part of Sanhuang Wan (Three-Yellow Pill), mixed and taken together.
In the summer heat, if injured by cold, raw, or hard substances, treat with the warm-natured Muxiang Jian Wan (Aucklandia Pill), but add a small amount of Sanhuang Wan (Three-Yellow Pill). This is because one must not violate the seasonal climate; thus, cold herbs are added to align with the season. If injured by hot substances, use only Sanhuang Wan (Three-Yellow Pill). Why? Because Sanhuang Wan (Three-Yellow Pill) is a seasonal remedy.
In the deep winter cold, if injured by hot substances such as mutton or wet noodles, treat with Sanhuang Wan (Three-Yellow Pill), but add a small amount of warm herbs, such as Caodoukou Wan (Black Cardamom Pill), as a guide and also as a seasonal remedy. The Classic states: "First ascertain the annual Qi, do not violate the Heavenly Harmony." This is what is meant; other cases follow this pattern.
When the pulse is present at the upper position (cun) but absent at the lower position (chi), the patient should vomit; if vomiting does not occur, death ensues. Why? Absence of pulse at the lower position is termed "Wood Stagnation" (Liver Qi Depression). Overeating fills and obstructs the chest. The chest is the domain of the Taiyin Spleen. The Classic states: "The Qi Kou pulse is three times larger than the Ying Kou pulse," indicating food injury to the Taiyin Spleen. Therefore, it is said that "when Wood is stagnant, it must be dispersed"; vomiting is the method used.
Gengti (Thistle Fruit), Chixiaodou (Red Bean) (equal parts)
Grind these two ingredients into an extremely fine powder. Take one qian bi per dose, mixed with warm Jiangshui (fermented rice water). Induce vomiting until achieved. Do not use this medicine immediately unless the Chi pulses at both wrists are completely absent, for fear of damaging Yuan Qi (Primal Qi) and preventing the recovery of Wei Qi (Stomach Qi). If there is merely chest obstruction, stuffiness, and confusion without complete pulse absence, induce vomiting by stimulating the throat with a finger; if unsuccessful, use an object to stimulate the throat. Stop once vomiting occurs. If food remains, use this medicine to expel it.
Explanation: Abundant food filling the chest causes obstruction. The Cun pulses (upper) should reflect the pathology, while the Chi pulses (lower) are invisible. What is the rationale? Food in the chest is expelled via vomiting. Food represents matter. Matter corresponds to Kun Earth, which is the designation of the Foot-Taiyin Spleen. The chest houses the Lung, which is Hand-Taiyin Metal. Metal governs killing and pruning. With Kun Earth and Metal both located superiorly and flourishing in the Heaven sector, Metal controls Wood. Consequently, the ascending Qi of Liver Wood is suppressed underground; is this not Wood Stagnation? By vomiting out the Yin-Earth substances from the Upper Jiao, Liver Wood becomes free and unobstructed, resolving the stagnation.
Food blockage above and pulse absence below cannot be understood without comprehending the Dao of Heaven and Earth. Water and Fire are the manifestations of Yin and Yang, and alternate names for Heaven and Earth. Thus, "Solitary Yang does not generate, solitary Yin does not grow." When Heaven's function operates within the Earth, all things grow; when Earth's function operates within Heaven, all things are stored. This is Heaven and Earth interacting to allow the flow of all things, the way Heaven and Earth root each other. Thus, the root of Yang Fire lies in the Earth, and the source of Yin Water lies in Heaven; hence, "Water flows from high sources." The five Zang organs govern有形 (有形 - tangible/form) substances. Substances are Yin, and Yin is Water. These are governed by the Right Three Positions (Right Cun, Guan, Chi) and manifest predominantly at the Cun Kou (Radial Artery). Food blockage above cuts off the source of the Five Zang organs. When the source is cut, Water cannot flow downward, leading to exhaustion of the two Chi pulses. This is the principle; why doubt it?