治胀肿作喘
赤茯苓 桑白皮 陈皮 大腹皮 枳壳 紫苏子 草果 木通 半夏
水一钟灯心七根姜皮一撮煎五分不拘时服
治腹胀作肿
槟榔(三钱) 黑牵牛(五钱) 大黄(三钱) 青皮(二钱) 木香(一钱)
上为末稀糊和丸如绿豆大量大小用萝卜子煎汤送下
治肺气喘促浑身肿胀
苦葶苈 秦艽 槟榔 木通 桑白皮 赤茯苓 木香 陈皮 泽泻 紫苏子 杏仁
水一钟姜一片灯心七根煎五分服
治食伤脾胃肿胀
萝卜子 黑牵牛 陈皮 三棱 蓬术 胡椒 木香 青皮
上为末糊丸如绿豆大每服十五丸紫苏煎汤送下
魏氏曰痘者豆也因象而立名也顺则形顺否则逆其为证也根于精血之初而成于淫火之后男
女媾精欲因火生火因欲炽精血成形而火即中乎体待时而发发必假乎气血痘症生焉毒非气弗领
非血弗载使气不盛何能逐其毒血不荣何能任其毒盖气血领载之功赖于元气元气充实则易保痊
若痘有稀稠乃受毒之浅深而吉凶生死于此系焉或遇时气之发动者乃天地之邪气与人身之遗毒
相感而类从也
夫小儿痘疹虽禀受胎中三液秽毒未有不因外感内伤相搏而成也其始发热与伤风相似于疑
似之间须当微微发表先表散毒瓦斯否则毒瓦斯在脏而成痘疮所谓诸热失治皆成此症由不能解毒之
过也始于外感其发热之初红点未见之前非微汗则表不解乃痘疮未出发热壅实之时也始于内伤
非微利则里不解在红点未见里热壅实之际也若正出未收之时妄汗则成斑烂妄下则成陷伏盖解
表不致于冷调理不致于热冷热稍偏诸病从此而生焉大抵热则伤肺冷则伤脾肺主皮毛脾主肌肉
杨氏曰痘疹发于肌肉阳明胃经主之脾土一温胃气随畅土可胜水决无陷伏之患张氏曰肺主气痘
疹气匀则出顺快盖血随气行气逆则滞当于未出先急须微汗已出未收之际急宜温补使营卫调和
气血流畅则无壅滞痒塌之患此为调治之良法也
Treatment for abdominal distension, swelling, and wheezing:
Chifuling (Red Poria), Sangbaipi (Mulberry Root Bark), Chenpi (Aged Tangerine Peel), Dafupi (Areca Peel), Zhike (Bitter Orange Fruit), Zisuzi (Perilla Seed), Caoguo (Black Cardamom), Mutong (Akebia Stem), Banxia (Pinellia Tuber).
Decoct with one zhong of water, seven roots of Dengxincao (Juncus Effusus), and a pinch of Jiangpi (Ginger Skin) until reduced to five fen. Take at any time.
Treatment for abdominal distension leading to edema:
Binglang (Areca Nut, 3 qian), Heiqianniu (Semen Pharbitidis, 5 qian), Dahuang (Rhubarb Root, 3 qian), Qingpi (Green Tangerine Peel, 2 qian), Muxiang (Costus Root, 1 qian).
Grind the above into powder, mix with thin rice paste to form pills the size of mung beans. Administer according to patient's age/size, washed down with decoction of Luoboziz (Radish Seed).
Treatment for lung qi rebellion causing rapid breathing and whole-body swelling:
Ku Tingli (Semen Lepidii seu Descurainiae), Qinjiao (Gentiana Macrophylla Root), Binglang (Areca Nut), Mutong (Akebia Stem), Sangbaipi (Mulberry Root Bark), Chifuling (Red Poria), Muxiang (Costus Root), Chenpi (Aged Tangerine Peel), Zexie (Alisma Rhizome), Zisuzi (Perilla Seed), Xingren (Apricot Seed).
Decoct with one zhong of water, one slice of Shengjiang (Fresh Ginger), and seven roots of Dengxincao (Juncus Effusus) until reduced to five fen. Take orally.
Treatment for swelling due to dietary injury to spleen and stomach:
Luoboziz (Radish Seed), Heiqianniu (Semen Pharbitidis), Chenpi (Aged Tangerine Peel), Sanleng (Sparganium Rhizome), Pengzhu (Curcuma Zedoaria Rhizome), Hujiao (Pepper), Muxiang (Costus Root), Qingpi (Green Tangerine Peel).
Grind the above into powder, mix with paste to form pills the size of mung beans. Take fifteen pills each time, washed down with decoction of Zisu (Perilla Leaf).
Mr. Wei stated: "Douchuang" (Smallpox/Chickenpox lesions) is named after its resemblance to beans based on its shape. A favorable course presents smooth morphology, while an unfavorable course presents inverted morphology. The pathology originates from the initial formation of essence and blood, and completes after the influence of excessive fire. During conception, desire generates fire; when desire is intense, essence and blood take form, and fire enters the body. Waiting for the right time to erupt, it must rely on qi and blood. Thus, douchuang arises. Toxins cannot move without qi guidance, nor can they be carried without blood support. If qi is not vigorous, how can it expel toxins? If blood is not nourishing, how can it bear toxins? Generally, the function of qi and blood in guiding and carrying relies on Yuanqi (Original Qi). When Yuanqi is substantial, recovery is easy. Variations in density (sparse vs. dense) reflect the depth of toxin acquisition, determining auspiciousness or peril. Sometimes, activation by seasonal pathogens involves heavenly-earthly evil qi interacting with residual toxins in the body, following similar patterns.
Although children inherit turbid toxins from the three fluids in the womb, no case occurs without the interplay of external contraction and internal injury. Initially, fever resembles wind-injury. In this ambiguous stage, mild exterior-releasing methods should be used first to dissipate toxic vapors; otherwise, toxic vapors will accumulate in the zang-fu organs forming douchuang. It is said that mismanagement of various heat conditions leads to this syndrome, due to failure to resolve toxins. For cases starting with external contraction, before red spots appear during early fever, mild sweating is required to resolve the exterior; this is the period when douchuang has not yet erupted and heat is obstructed and excess. For cases starting with internal injury, mild purgation is required to resolve the interior when red spots have not yet appeared and interior heat is obstructed and excess. If sweating is wrongly applied during the eruption phase before resolution, it leads to ulceration; if purgation is wrongly applied, it leads to sinking/collapse. Generally, resolving the exterior should not be too cold, and regulation should not be too hot. Slight deviation in cold or heat gives rise to various diseases. Broadly speaking, heat injures the Lung, which governs skin and hair; cold injures the Spleen, which governs muscles.
Mr. Yang stated: "Douchuang" eruptions occur in the muscles, governed by the Yangming Stomach Meridian. Once the Spleen Earth is warm, Stomach qi flows smoothly. Earth overcoming Water prevents sinking/collapse complications.
Mr. Zhang stated: The Lung governs qi. Uniform qi flow ensures smooth and rapid eruption of "douchuang." Blood follows qi; if qi reverses, stagnation occurs. Before eruption, mild sweating is urgently needed. After eruption but before resolution, warming tonification is urgently indicated to harmonize Ying and Wei (Nutritive and Defensive levels) and ensure smooth qi and blood flow, preventing obstruction, itching, or collapse. This is an excellent method for regulation and treatment.