治虫胀腹痛,及食劳发黄,喜食茶米炭土等物(饮食停滞、湿热蒸郁,则生诸虫,至胀
满
使君子(去壳,二两) 南星(姜制) 槟榔(一两。)诸药合炒。如喜食生米,用麦
牙一斤
此手足阳明药也。使君子之甘,南星之毒,槟榔之苦,皆能杀虫。炒以诸物,因其所嗜
;引以砂糖,诱之以甘也。
(《肘后》)
治鬼疰传尸劳瘵(此五疰之一。其证使人寒热,沉沉默默,不知所苦,而无处不恶,死
后
獭肝一具(须从獭身取下,不尔多伪)。阴干,为末。水服三钱,日三次。
此三阴药也。吴鹤皋曰∶獭肝治鬼疰,此何以故,凡物恶人而僻处、昼伏而夜出者,
皆阴类也,故假之以治阴疾。独用其肝者,肝为厥阴,藏魂之脏也(昂按∶物之恶人僻处,
昼伏夜出者,狐鼠皆然,不独獭也。《本草》云∶诸肝皆有叶数,惟獭一月一叶,其间又有
退叶,
(《夷坚志》)
治消渴有虫。
苦楝根。取新白皮一握,切焙,入麝香少许,煎。空心服。虽困顿不妨,取下虫三四条
,类蛔而色红,其渴乃止。
此阳明药也。消渴一证,有虫耗其精液而成者,盖饮醇食炙,积成胃热,湿热生虫,理
固有之,临病宜谛审也。
目之在人,特五官之一耳,而古人立有专科,盖以余窍各主一脏,或兼二脏,目虽为肝
窍,而五脏六腑之精气,皆上注于目而为之精,精之窠为眼,骨之精为瞳子,筋之精为黑眼,
血
后出于项中,此则眼具五脏六腑也,故其证多而方亦广,兹集限于篇章,故略录专治目疾者
数方,以备采用,其疏风、燥湿、泻火、养血之剂,可以通用者,则散见于各门。目有五轮
∶白睛为气轮,属肺金,故独坚;青睛为风轮,属肝木,内包膏汁,涵养瞳神;目角大小皆
为血轮,大 属心君火,大 赤者为实火,小 属心包相火,小 赤者为虚火;两脾为肉轮
,属脾土,土藏万物,故包四轮,开动为阳,为应用;闭静为阴,则睡矣。目中有神膏,此
由胆中渗润精汁积而成者,能涵养瞳神;有神水,先天真气所化,润泽之水也;有神光,
原于命门,通于胆,发于心,是火之用也;有真血,肝中升运,滋目经络之血也;有真气,
目之经络中往来生用之气,先天之元阳也;有真精,先后天元气所化精汁,起于肾,施于胆
,而及瞳神也。目有坚壳数重,真血滋神水,神水包神膏,膏中一点青莹,乃胆肾所聚之精
华,惟此一点,鉴照万物,空阔无穷,为水轮,属肾水。人之邪正寿夭贵贱皆可验目而得之
,岂非人身之至宝乎。
Treats abdominal distension and pain caused by intestinal parasites (worms), as well as jaundice resulting from dietary stagnation and labor-induced fatigue, where the patient has a craving to eat tea leaves, rice grains, charcoal, soil, and other substances (this occurs because food stagnation and damp-heat steaming and郁 [stagnation] generate various worms, leading to abdominal fullness).
Shijunzi (Quinine Fruit, *Quisqualis Indica* Fructus) (shelled, 2 liang) Nanxing (Arisaema Rhizome, *Arisaema Erubescens* Rhizoma) (processed with ginger juice) Binglang (Areca Seed, *Areca catechu* Semen) (1 liang). Stir-fry these drugs together. If the patient specifically craves raw rice, add Maiya (Malt, *Hordeum Vulgare* Fructus Germinatus) 1 jin.
This prescription belongs to the Hand-Yangming and Foot-Yangming meridians. The sweetness of Shijunzi, the toxicity of Nanxing, and the bitterness of Binglang all possess vermifuge properties. By stir-frying them with other substances, it aligns with the preferences of the worms; using rock sugar as an adjuvant induces ingestion through its sweet taste.
(From *Zhou Hou Bei Ji Fang*)
Treats Gui Zhu (Ghost Tethering) and Chuan Shi Lao Zhai (Transmissible Consumption Disease) (this is one of the five types of Zhu diseases. Its symptoms cause alternating chills and fever, a depressed and silent demeanor, unknown specific suffering, and general malaise throughout the body, and it can be transmitted after death).
Ta Gan (Otter Liver, *Lutra Lutra* Hepatis) one piece (must be taken from a live otter, otherwise many are counterfeit). Dry in the shade and grind into powder. Take 3 qian with water, three times daily.
This prescription belongs to the Three Yin meridians. Wu Hegao stated: "Otter liver treats Ghost Tethering." Why is this so? Any creature that dislikes humans, dwells in secluded places, hides during the day, and emerges at night belongs to the Yin category; thus, they are borrowed to treat Yin diseases. The reason for using only the liver is that the Liver is the Jueyin organ, the zang organ that stores the Hun (Ethereal Soul). (Wang Ang's note: Creatures that dislike humans, dwell in secluded places, hide during the day, and emerge at night include foxes and rats, not just otters. *Bencao Gangmu* states: All animal livers have a fixed number of lobes, but the otter's liver grows one lobe per month, including some degenerated old lobes.)
(From *Yi Jian Zhi*)
Treats Xiao Ke (Wasting-Thirst) accompanied by intestinal worms.
Kulian Genpi (Toosendan Root Bark, *Melia Toosendan* Cortex Radicis). Take a handful of fresh white bark, cut and dry-roast it, add a small amount of Shexiang (Musk, *Moschus* Moschiferus) Decoct in water. Take on an empty stomach. Even if the patient is weak, it is not harmful; it will expel three or four worms, resembling roundworms but red in color, after which the thirst will cease.
This prescription belongs to the Yangming meridians. In the syndrome of Xiao Ke, there are cases where worms consume the essence and fluids. This is generally due to drinking strong wine and eating roasted/grilled foods, accumulating Stomach Heat, where damp-heat generates worms; this is theoretically sound, but clinical examination must be meticulous.
The eye, in the human body, is merely one of the five sense organs. However, ancient physicians established a specialized department for it, because the other orifices each govern one zang organ, or sometimes two. Although the eye is considered the opening of the Liver, the essence of the Five Zang and Six Fu organs all ascend to the eye to form visual clarity. The nest of essence is the eye itself. The essence of bone manifests as the pupil; the essence of sinews manifests as the black part of the eye (iris/cornea); the essence of blood manifests as the white part of the eye (sclera); the essence of flesh manifests as the eyelids; the essence of qi manifests as the vessels around the white part. Later emerging from the middle of the neck, this indicates that the eye embodies the functions of the Five Zang and Six Fu organs. Therefore, eye disorders are numerous, and prescriptions are extensive. Due to space limitations here, only a few prescriptions specifically treating eye diseases are briefly recorded for reference. Prescriptions for dispersing wind, drying dampness, purging fire, and nourishing blood, which can be used generally, are scattered across various categories.
The Eye has Five Wheels theory: The white sclera is the Qi Wheel, belonging to Lung Metal, hence it is the hardest; the blue/green iris is the Wind Wheel, belonging to Liver Wood, internally containing fluid essence to nourish the pupil; the inner and outer canthi are collectively the Blood Wheel, where the large canthus belongs to Heart Sovereign Fire (redness indicates Excess Fire), and the small canthus belongs to Pericardium Ministerial Fire (redness indicates Deficiency Fire); the upper and lower eyelids are the Flesh Wheel, belonging to Spleen Earth. Earth contains all things, thus enveloping the other four wheels. Opening and movement belong to Yang, serving application; closing and stillness belong to Yin, representing sleep. Within the eye, there is a substance called Shen Gao (Divine Paste), formed by the accumulation of fluid essence seeping from the Gallbladder, which nourishes the pupil. There is Shen Shui (Divine Water), transformed from innate true qi, a moistening water. There is Shen Guang (Divine Light), originating from the Mingmen (Gate of Life), connecting to the Gallbladder, issuing from the Heart, representing the function of Fire. There is Zhen Xue (True Blood), ascending from the Liver to nourish the ocular collaterals. There is Zhen Qi (True Qi), the vital energy circulating within the ocular collaterals, which is the innate Yuan Yang. There is Zhen Jing (True Essence), fluid essence transformed from pre- and post-natal yuan qi, arising from the Kidney, applied to the Gallbladder, and reaching the pupil. The eye has several layers of hard shell. True blood nourishes Divine Water; Divine Water envelopes Divine Paste. A point of clear, greenish transparency within the paste is the essence gathered by the Gallbladder and Kidney. Only this point can reflect all things, boundless and vast. This is called the Water Wheel, belonging to Kidney Water. One’s righteousness or wickedness, longevity or short life, nobility or baseness can all be verified through the eyes. Is this not the greatest treasure of the human body?