汗出筋惕肉 ,若眩悸,振振欲擗地者,及服大青龙汤后厥逆者,俱宜真武汤。(方见战掉及发热。)
若动气在左,头汗不止者,《活人》用防风白术牡蛎,次服建中汤。(论见重寒。)
汗下吐温针后,若肤 动,胸烦,面色青黄者,难治。(论见痞。)若经脉动惕,脉微,心下痞,气冲咽
喉者,久而成痿。(论见痞。)
发汗过多,叉手自冒心,心下悸欲得按者,桂枝甘草汤。(方论见悸。)
少阳耳聋目赤,胸满而烦者,不可吐下,吐下则悸而惊。(论见口苦。)
伤寒八九日,下之胸满烦惊,小便不利,谵语,一身尽重,不可转侧者,宜柴胡加龙骨牡蛎汤。
半夏(二合) 大枣(六枚) 柴胡(四两) 生姜 人参 龙骨 铅丹 桂枝 茯苓(各一两半) 大
黄(二两半) 牡蛎(一两半)
上 咀,每服五钱,水一盏半,煎至八分,去渣温服。
伤寒脉浮,医以火迫劫之,亡阳必惊狂,起卧不安者,桂枝去芍药加蜀漆牡蛎龙骨救逆汤主
之。(《活人》云∶医以火于卧床下或周身用火迫劫汗出,或熨而成火邪者是也。)
桂枝蜀漆牡蛎龙骨救逆汤
桂枝(去皮,三两) 甘草(炙,二两) 生姜(切,三两) 牡蛎(炒,五两) 龙骨(四两) 大枣(十二枚)
蜀漆(洗,去腥三两)
上 咀,每服五钱,水一盏半,煎至八分,去渣温服。
太阳伤寒者,加温针必惊也。风温脉浮自汗,身重多眠,若被火者,微则发黄,剧则如惊痫,时螈 。
(论见风温。)阳明病,脉浮紧,口苦咽干,腹满,若加烧针,必怵惕烦躁不眠。(论见自汗。)
Sweating leading to twitching of sinews and quivering of muscles, if accompanied by dizziness and palpitations, with the body trembling as if about to fall to the ground, as well as cases of cold limbs (Jue Ni) appearing after taking Da Qing Long Tang (Great Blue Dragon Decoction), all are suitable for treatment with Zhen Wu Tang (True Warrior Decoction). (For the formula details, see chapters on "Trembling" and "Fever".)
If there is a sensation of Qi movement on the left side of the umbilicus, accompanied by continuous sweating only on the head, *Huo Ren Shu* (Book of Life People) recommends using Fang Feng Bai Zhu Mu Li San (Saposhnikovia, Atractylodes Macrocephala, and Oyster Shell Powder) first, followed by Jian Zhong Tang (Establish the Middle Decoction). (The discussion can be found in the chapter on "Severe Cold".)
After undergoing sweating, purging, vomiting, warming moxibustion, or acupuncture treatments, if the skin and muscles twitch, there is chest irritability, and the complexion is greenish-yellow, the condition is difficult to treat. (The discussion can be found in the chapter on "Pi Syndrome" [Epigastric Fullness]). If the meridians show twitching and restlessness, the pulse is faint, there is epigastric fullness (Pi), and Qi rushes up to the throat, it will eventually develop into Wei Syndrome (Flaccidity Syndrome). (The discussion can be found in the chapter on "Pi Syndrome".)
Excessive sweating causing the patient to cross their hands over the heart region, feeling palpitations in the epigastrium that are relieved by pressure, should be treated with Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction). (Formula and discussion see "Palpitations".)
In Shaoyang disease presenting with deafness, red eyes, chest fullness, and irritability, emetics and purgatives must not be used. If vomiting or purging is mistakenly applied, it will result in palpitations and fright. (Discussion see "Bitter Taste in Mouth".)
In Shang Han (Cold Damage) lasting eight or nine days, if purgatives were mistakenly used, resulting in chest fullness, irritability, fright, difficulty in urination, delirium, heaviness of the entire body, and inability to turn the body, Chai Hu Jia Long Gu Mu Li Tang (Bupleurum plus Dragon Bone and Oyster Shell Decoction) is appropriate.
Ingredients: Ban Xia (Pinelliae Rhizoma, 2 he), Da Zao (Ziziphi Jujubae Fructus, 6 pieces), Chai Hu (Bupleuri Radix, 4 liang), Sheng Jiang (Zingiberis Rhizoma Recens), Ren Shen (Ginseng Radix), Long Gu (Fossilia Ossis Mastodi), Qian Dan (Lodanum), Gui Zhi (Cinnamomi Ramulus), Fu Ling (Poria, each 1.5 liang), Da Huang (Rhei Radix et Rhizoma, 2.5 liang), Mu Li (Ostreae Concha, 1.5 liang).
Preparation: Coarsely crush the herbs. Take 5 qian per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
In Shang Han, if the pulse is floating and the physician uses fire methods to force sweating and deplete fluids, leading to Yang collapse (Wang Yang), it will inevitably cause fright, mania, restlessness, and inability to lie still. This should be primarily treated with Gui Zhi Qu Shao Yao Jia Shu Qi Mu Li Long Gu Jiu Ni Tang (Cinnamon Twig Decoction without Paeonia plus Chinese Perilla Leaf, Oyster Shell, and Dragon Bone for Saving from Emergency). (*Huo Ren Shu* states: This refers to situations where physicians place fires under the bed or use fire around the body to force sweating, or cause fire pathogenic factors through hot compresses.)
Formula Name: Gui Zhi Shu Qi Mu Li Long Gu Jiu Ni Tang
Ingredients: Gui Zhi (Cinnamomi Ramulus, peeled, 3 liang), Gan Cao (Licorizae Radix et Rhizoma, honey-fried, 2 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Mu Li (Ostreae Concha, stir-fried, 5 liang), Long Gu (Fossilia Ossis Mastodi, 4 liang), Da Zao (Ziziphi Jujubae Fructus, 12 pieces), Shu Qi (Perillae Folium, washed to remove fishy smell, 3 liang).
Preparation: Coarsely crush the herbs. Take 5 qian per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
In Taiyang Shang Han, adding warm needle therapy will inevitably cause fright. In Feng Wen (Wind-Warmth) disease, characterized by floating pulse, spontaneous sweating, heavy body, and excessive sleepiness, if fire methods are mistakenly used, mild cases will result in jaundice, while severe cases will resemble convulsive epilepsy with intermittent spasms. (Discussion see "Feng Wen".) In Yangming disease, with a floating-tight pulse, bitter taste in mouth, dry throat, and abdominal fullness, if burning needles are added, it will inevitably cause fear, apprehension, irritability, and insomnia. (Discussion see "Spontaneous Sweating".)