治伤寒瘟疫等症。服诸药不效者。名曰坏症。
炙鳖甲(三钱) 升麻(四分) 前胡(一钱五分) 乌梅(一枚) 黄芩(一钱) 犀
角(镑八分)
水煎服。
总治疫症。不拘轻重。
薄荷 柴胡 前胡 丹参 丹皮 川贝母 知母 橘红 黄芩(炒) 白芍 连翘心 桔
梗(
许。冲入而服。
脉候 瘟病之脉势如虹。浮沉迟数似蒙蒙。紧革弦牢邪热盛。涩小微虚正气空。洪兼滑
大昏沉候。疾促结散命多穷。 糊脉象多寒湿。虚细应知病气通。紧革疾促。药饵难攻。沉
微濡伏。昏蒙耳聋。脉形涣散。须待神工。缓和为吉。短代将
厥者。上逆之症也。世人咸以手足厥冷者指为厥症。非也。讵不知手足冷如冰者曰厥逆。
厥
逆
有先厥而后手足逆冷者。是气郁而不达于四体也。木盛则土必衰。当补其土以泄其木。气郁
者四体失和。当温煦其气以分布四肢。其厥乃愈也。仲景伤寒书。有四逆散以治三阳厥逆。
四逆汤以治三阴厥逆。此皆治四肢逆冷之道也。又有凡阴阳不相顺接谓之厥。厥者手足必逆
冷也。其阳虚故温之。阳陷而不与阴相顺者。则下之。邪热入阴而未深者。则散之。以上之
辨。显系厥症。手足逆冷。与三阴三阳之厥逆有异也。经云。热深厥亦深。热微厥亦微。此
浑指厥字而不言厥逆。可知厥逆非厥脱之厥明矣。厥者。下行极而上也。盖足三阳之脉。起
于足指之间。足三阴之脉。聚于足心之下。凡阳胜阴虚。阳乘于阴。曰热厥。阴虚之症。足
心
之
其
竭
而
矣。
阴。
度。
恶。
成痰
骨枯
吐
出长
气闭
暴厥
血
阳
夫
不
上
暴
心
香
厥
者
Treat conditions such as Shanghan (Cold Damage) and plague where various medications have proven ineffective. This condition is termed "Huai Zheng" (Ruined Syndrome).
Zhi Bie Jia (Prepared Turtle Shell, 3 qian) Sheng Ma (Cimicifugae Rhizoma, 4 fen) Qian Hu (Peucedani Radix, 1.5 qian) Wu Mei (Mume Fructus, 1 piece) Huang Qin (Scutellariae Radix, 1 qian) Xi Jiao (Rhinocerotis Cornu, shaved 8 fen)
Decoct in water and take orally.
Generally treat epidemic syndromes, regardless of severity.
Bo He (Menthae Haplocalycis Herba) Chai Hu (Bupleuri Radix) Qian Hu (Peucedani Radix) Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) Dan Pi (Moutan Cortex) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) Zhi Mu (Anemarrhenae Rhizoma) Ju Hong (Citri Reticulatae Pericarpium) Huang Qin (Scutellariae Radix, stir-fried) Bai Shao (Paeoniae Radix Alba) Lian Qiao Xin (Lonicerae Flos Cor) Jie Geng (Platycodonis Radix, appropriate amount, mix into the decoction and take).
Pulse Diagnosis: The pulse momentum of epidemic diseases is grand like a rainbow; floating, sinking, slow, and rapid pulses appear hazy. Tight,革 (leather), wiry, and firm pulses indicate flourishing pathogenic heat; choppy, thready, small, and deficient pulses indicate emptiness of righteous qi. Surging combined with slippery and large pulses are seen in comatose states; rapid, intermittent, knotted, and scattered pulses often portend death. A muddy pulse image mostly indicates cold-dampness; a deficient and thin pulse should be known as disease qi communicating. Tight, leather, rapid, and intermittent pulses are difficult to treat with medication; sinking, minute, soggy, and hidden pulses accompany dizziness and deafness; a scattered pulse form requires divine medical skill; a harmonious and moderate pulse is auspicious, while a short or intermittent pulse indicates poor prognosis.
Jue syndrome is a condition of rebellious qi ascending. People generally identify those with cold hands and feet as having Jue syndrome, which is incorrect. Is it not known that only those whose hands and feet are cold as ice are called "Jue Ni" (Rebellious Cold)? Among Jue Ni cases, there are those who first experience Jue sensations followed by cold extremities; this is due to stagnant qi failing to reach the four limbs. When Liver Wood is excessive, Spleen Earth must decline; one should tonify Earth to drain Wood. When qi stagnation causes disharmony in the four limbs, one should warm and nourish the qi to distribute it to the limbs, so that Jue Ni may heal. Zhang Zhongjing's *Shanghan Lun* contains Si Ni San (Frigid Extremities Powder) to treat Yangming/Jueyin Shaoyang Jue Ni, and Si Ni Tang (Frigid Extremities Decoction) to treat Yin Jue Ni. These are all methods for treating cold extremities. Another view states that whenever Yin and Yang qi fail to connect smoothly, it is called Jue, and Jue syndrome necessarily involves cold extremities. If Yang deficiency exists, use warming methods; if Yang sinks and fails to connect smoothly with Yin, use purgative methods; if pathogenic heat enters Yin but is not deep, use dispersing methods. The above differentiation clearly falls under Jue syndrome, manifesting as cold extremities, which differs from the Jue Ni of the Three Yin and Three Yang meridians. The classics state: "The deeper the heat, the deeper the Jue; the slighter the heat, the slighter the Jue." Here, the term "Jue" is used generally without specifying "Jue Ni," indicating that "Jue Ni" is distinct from "Jue Tuo" (Collapse of Jue). "Jue" means descending to the extreme and then reversing upward. The Foot Triple Burner, Stomach, and Bladder meridians (Foot Yang Ming/Yang Shao/Yang Ming) originate between the toes; the Foot Liver, Kidney, and Spleen meridians (Foot Yin Jue/Yin Shao/Yin Tai) gather below the sole. Whenever Yang exceeds and Yin is deficient, and Yang invades Yin, it is called Rebellious Heat Jue. In Yin deficiency syndromes... [Text becomes garbled/corrupted here] ...aversion to cold... formation of phlegm... bone withering... vomiting long breath closure... sudden syncope blood... Yang... man does not... up... sudden... heart... aromatic... Jue... person.