〔成〕动气者,为筑筑然动跳于腹者是也。动气在右,不可发汗,发汗则衄而渴,心苦烦,饮即吐水。(《活人》
云∶先服五苓散三服,次服竹叶汤。)动气在左,不可发汗,发汗则头眩,汗不止,筋惕肉 。(《活人》云∶
先服防风、白术、牡蛎,汗止,次服建中汤,方见自汗。)动气在上,不可发汗,发汗则气上冲,正在心端。(《活
人》云∶宜服李根汤,方见气上冲。)动气在下,不可发汗,发汗则无汗,心中大烦,骨节苦疼,目晕,恶寒,
食则反吐,谷不能进。(《活人》云∶先服大橘皮汤,吐止后,服小建中汤。)动气在右不可下,下之则津
液内竭,咽燥鼻干,头眩心悸也。动气在左,不可下,下之则腹内拘急,食不下,动气更剧,虽身有热,卧则欲蜷。
动气在上,不可下,下之则掌握热烦,身上浮冷,热汗自泄,欲得水自灌。动气在下不可下,下之则腹胀满,
卒起头眩,食则下清谷,心下痞也。
〔云〕伤寒汗下后,脐在有动气者,宜防葵散。
防葵(一两) 木香(不见火) 柴胡 黄芩(各半两)
上锉为细末,每服五钱,水煎服。
伤寒汗下后,脐上有动气者,宜枳壳散。
枳壳(麸炒,五钱) 赤茯苓 当归 三棱(炮。各一两) 木香 诃黎勒(各五钱)
上为末,每服五钱,沸汤点服。
伤寒汗下后,脐右有动气者,宜前胡散。
前胡 赤茯苓 大腹皮 人参(各五钱) 木香 槟榔 大黄(各三钱)
上为细末,每服五钱,沸汤点服。
伤寒汗下后,脐下有动气者,宜茯苓散。
赤茯苓(一两) 槟榔(三钱) 桂心 大腹皮 川茴香(炮,炒) 良姜(各五钱)
上为细末,每服五钱,沸汤点服。
如久不治,传为积热,治之难痊,不可汗下也。
[Cheng Wuji's Commentary] "Dongqi" (Moving Qi) refers to the sensation of throbbing or jumping within the abdomen.
If Dongqi is located on the right, sweating therapy should not be used. If sweating therapy is mistakenly applied, it will lead to epistaxis (nosebleed) and thirst, with the heart suffering from vexation and restlessness, and drinking water will immediately cause vomiting of fluids. (*Baiwen Lun* states: First administer Wuling San five times, then administer Zhuye Tang.)
If Dongqi is located on the left, sweating therapy should not be used. If sweating therapy is mistakenly applied, it will lead to dizziness, incessant sweating, and twitching of muscles and flesh. (*Baiwen Lun* states: First administer Fangfeng, Baizhu, and Muli; once sweating stops, administer Jianzhong Tang. See the section on spontaneous sweating for the formula.)
If Dongqi is located above, sweating therapy should not be used. If sweating therapy is mistakenly applied, it will cause Qi to rush upward, striking directly at the cardiac region. (*Baiwen Lun* states: Lifgen Tang is suitable. See the section on Qi rushing upward for the formula.)
If Dongqi is located below, sweating therapy should not be used. If sweating therapy is mistakenly applied, it will result in an inability to sweat, extreme mental vexation, severe pain in the bone joints, blurred vision, aversion to cold, regurgitation after eating, and the inability to ingest food. (*Baiwen Lun* states: First administer Dajupi Tang; after vomiting stops, administer Xiao Jianzhong Tang.)
If Dongqi is located on the right, purgative therapy should not be used. If purgative therapy is mistakenly applied, it will deplete the internal body fluids, leading to dryness of the throat and nose, dizziness, and palpitations.
If Dongqi is located on the left, purgative therapy should not be used. If purgative therapy is mistakenly applied, it will cause abdominal constriction and urgency, inability to eat, exacerbation of Dongqi, and even if there is fever, the patient will desire to lie curled up.
If Dongqi is located above, purgative therapy should not be used. If purgative therapy is mistakenly applied, it will cause heat and vexation in the palms, a sensation of floating coldness on the body, spontaneous leakage of hot sweat, and a desire to pour water over oneself.
If Dongqi is located below, purgative therapy should not be used. If purgative therapy is mistakenly applied, it will cause abdominal distension and fullness, dizziness upon sudden rising, passage of undigested food after eating, and epigastric stuffiness (Pi syndrome).
[Wang Haogu's Commentary] After sweating or purgative therapy for Shanghan (Cold Damage), if there is still Dongqi at the umbilicus, Fangkui San is suitable.
Fangkui (1 liang) Muxiang (not roasted) Chaihu Huangqin (each 0.5 liang)
Grind the above into fine powder. Take 5 qian per dose, decoct in water, and drink.
After sweating or purgative therapy for Shanghan, if there is Dongqi above the umbilicus, Zhike San is suitable.
Zhike (bran-fried, 5 qian) Chi Fuling Danggui Sanleng (roasted. each 1 liang) Muxiang Helile (each 5 qian)
Grind the above into powder. Take 5 qian per dose, mix with boiling water, and take.
After sweating or purgative therapy for Shanghan, if there is Dongqi to the right of the umbilicus, Qianhu San is suitable.
Qianhu Chi Fuling Dafupi Renshen (each 5 qian) Muxiang Binglang Dahuang (each 3 qian)
Grind the above into fine powder. Take 5 qian per dose, mix with boiling water, and take.
After sweating or purgative therapy for Shanghan, if there is Dongqi below the umbilicus, Fuling San is suitable.
Chi Fuling (1 liang) Binglang (3 qian) Guixin Dafupi Chuan Huixiang (roasted, fried) Liangjiang (each 5 qian)
Grind the above into fine powder. Take 5 qian per dose, mix with boiling water, and take.
If left untreated for a long time, it will transmit into Ji Re (accumulated heat), making treatment difficult to cure. Sweating and purgative therapies are contraindicated.