《千金方》治粥食汤药皆吐不停者,灸手间使穴三十壮。穴属手厥阴,在掌后三寸。今
人罕知
用此法者,治吐汤药,虞天民方最善,用顺流水二盏,煎沸,汤泡伏龙肝研细搅浑,放澄清
取一盏,入参、苓、白术各一钱,甘草二分,陈皮、藿香、砂仁各五分,炒神曲一钱,陈米
一合,加姜枣同煎至七分,稍冷服,别以陈米煎汤时时咽之,此法治胃虚不能纳食者皆效。
又黄退庵治胃阴受戕,纳食即吐者,用人乳同糯米饮缓缓服之,亦应验如神。
头痛属太阳者,自脑后上至巅顶,其痛连项;属阳明者,上连目珠,痛在额前;属少阳
者,
上至两角,痛在头角。以太阳经行身之后,阳明经行身之前,少阳经行身之侧。厥阴之脉会
于巅顶,故头痛在巅顶。太阴、少阴二经虽不上头,然痰与气逆壅于膈,头上气不得畅而亦
痛。其辨之之法,六经各有见症,如太阳项强腰脊痛,阳明胃家实,少阳口苦、咽干、目眩
之类是也。高士宗《医学真传》言头痛之症,只及太阳、少阴、厥阴,疏矣。
胁痛当辨左右,有谓左为肝火或气,右为脾火或痰与食。(丹溪则谓左属瘀血右属痰。)
有谓
左属肝,右为肝移邪于肺。余观程杏轩治胁痛在右而便闭,仿黄古潭治左胁痛法,用栝蒌一
枚,甘草二钱,红花五分神效,以栝蒌滑而润下,能治插胁之痛,甘草缓中濡燥,红花流通
血脉,肝柔肺润,其效可必,是肝移邪于肺之说为的也。又观薛立斋治右胁胀痛,喜手按者
,谓是肝木克脾土,而脾土不能生肺金,则为脾为肺,固一以贯之矣。
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) records that for cases where vomiting persists despite taking porridge, rice, soups, or medicines, moxibustion can be applied to the Jianshi (PC5) acupoint on the hand for thirty moxa cones. This acupoint belongs to the Hand-Jueyin Pericardium Meridian and is located three cun above the wrist crease. Nowadays, few people know to use this method. For treating vomiting, the prescription by Yu Tianmin is the most effective: take two cups of smooth-flowing water, boil it, add finely ground Fulonggan (Caulis Longan / Hearth Soil), stir well, let it settle, and take one cup of the clarified liquid. Add Renshen (Ginseng Radix et Rhizoma), Lingzhi (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) each one qian, Gancao (Licorice Root) two fen, Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba), Sharen (Amomi Fructus) each five fen, Chao Shenqu (Fried Massa Medicata Fermentata) one qian, and Chenmi (Old Rice) one he. Add Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus), decoct until reduced to seventy percent volume, and take when slightly cool. Additionally, decoct old rice in water and swallow small amounts frequently. This method is effective for those with Spleen-Stomach deficiency unable to receive food.
Furthermore, Huang Tui'an treated patients whose Stomach Yin was damaged, causing immediate vomiting after eating, by having them slowly drink human milk mixed with glutinous rice, which also proved miraculously effective.
Headache attributed to the Taiyang (Greater Yang) meridian extends from the back of the head up to the vertex, radiating to the neck; headache attributed to the Yangming (Yang Brightness) meridian connects upward to the eyeballs, with pain in the forehead; headache attributed to the Shaoyang (Lesser Yang) meridian extends to the temples, with pain at the sides of the head. This is because the Taiyang meridian runs along the posterior aspect of the body, the Yangming meridian along the anterior aspect, and the Shaoyang meridian along the lateral aspect. The Jueyin (Terminal Yin) meridian converges at the vertex, hence headache occurs at the top of the head. Although the Taiyin (Greater Yin) and Shaoyin (Lesser Yin) meridians do not ascend directly to the head, if Phlegm and rebellious Qi obstruct the diaphragm, preventing smooth Qi flow in the head, headache may also result. The method to differentiate these involves observing the specific symptoms of the Six Meridians: for example, Taiyang presents with stiffness of the neck and lower back pain; Yangming presents with excess heat in the Stomach and Intestines (Wei Jia Shi); Shaoyang presents with bitter taste in the mouth, dry throat, and vertigo/dizziness. Gao Shizong, in *Yixue Zhuan Chuan* (True Transmission of Medicine), discussed headache only in relation to the Taiyang, Shaoyin, and Jueyin meridians, which is an oversight.
Hypochondriac pain should be differentiated by left and right sides. Some say the left side relates to Liver Fire or Liver Qi stagnation, while the right side relates to Spleen Fire, Phlegm, or Food Retention. (Zhu Danxi stated that the left side relates to Blood Stasis and the right side to Phlegm.) Others say the left side belongs to the Liver, and the right side indicates the Liver transferring pathogenic factors to the Lung. I observed Cheng Xingxuan treating hypochondriac pain on the right side accompanied by constipation. He imitated Huang Gutan's method for left-sided hypochondriac pain, using one Gualou (Trichosanthis Fructus), two qian of Gancao (Licorice Root), and five fen of Honghua (Carthami Flos), achieving miraculous effects. This is because Gualou is slippery and moistening, promoting downward movement, capable of treating piercing pain in the hypochondrium; Gancao moderates the middle and moistens dryness; Honghua invigorates blood circulation. With the Liver becoming soft and the Lung moist, the efficacy is certain, confirming that the theory of "Liver transferring pathogen to the Lung" is accurate. I also observed Xue Lizhai treating distending and painful hypochondriac pain on the right side, which the patient preferred to press with hands, stating it was due to Liver Wood overacting on Spleen Earth, and since Spleen Earth could not generate Lung Metal, it involved both Spleen and Lung, maintaining a consistent theoretical framework.