小儿痞块,肚大青筋,始终总是血瘀为患,此方与前通窍活血汤、血府逐瘀汤,三方轮
转服之,月余,未有不成功者。
病患夜卧,腹中似有物,左卧向左边坠,右卧向右边坠,此是内有血瘀,以此方为主,
有杂症,兼以他药。
五更天泄三两次,古人名曰肾泄。言是肾虚,用二神丸、四神丸等药,治之不效,常有
三五
年不愈者。病不知源,是难事也。不知总提上有瘀血,卧则将津门挡严,水不能由津门出,
由幽门入小肠,与粪合成一处,粪稀溏,故清晨泻三五次。用此方逐总提上之瘀血,血活津
门无挡,水出泻止,三五副可痊愈。
灵脂(二钱,炒) 当归(三钱) 川芎(二钱) 桃仁(三钱,研泥) 丹皮(二钱) 赤芍(
二钱) 乌药(二钱) 元胡(一钱) 甘草(三钱) 香附(钱半) 红花(三钱) 枳壳(钱半)
水煎服。
方歌
膈下逐瘀桃牡丹,赤芍乌药元胡甘,
归芎灵脂红花壳,香附开郁血亦安。
医家立言着书,心存济世者,乃良善之心也。必须亲治其症,屡验方法,万无一失,方
可传
倘病不知源,方不对症,是以活人之心,遗作杀人之事,可不畏欤?如伤寒、瘟疫、杂症、
妇科,古人各有所长,对症用方,多半应手取效,其中稍有偏见,不过白玉微瑕。惟半身不
遂一症,古之着书者,虽有四百余家,于半身不遂立论者,仅止数人。数人中,并无一人说
明病之本源。病不知源,立方安得无错?余少时遇此症,始遵《灵枢》、《素问》、仲景之
论,治之无功。继遵河间、东垣、丹溪之论,投药罔效。辗转踌躇,几至束手。伏思张仲景
论伤寒,吴又可着《瘟疫》,皆独出心裁,并未引古经一语。余空有活人之心,而无济世之
手。凡遇是症,必细心研究,审气血之荣枯,辨经络之通滞,四十年来,颇有所得,欲公之
天下,以济后人,奈不敢以管见之学,驳前人之论,另立方法,自取其罪。友人曰∶真胸有
确见,屡验良法,补前人之缺,救后人之难,不但有功于后世,正是前代之勋臣,又何罪之
有?余闻斯议,不揣鄙陋,将男、妇、小儿半身不遂,瘫腿痿症,抽搐筋挛,得病之源,外
现之症,屡验良方,难治易治之形状,及前人所论脉理脏腑经络之错误,一一绘图,申明其
说,详述前后,以俟高明,再加补助,于医道岂无小补云尔。
Pediatric abdominal masses, characterized by a distended abdomen and prominent subcutaneous veins, are invariably caused by blood stasis. This formula, along with the Tongqiao Huoxue Tang (Tongqiao Blood-Activating Decoction) and Xuefu Zhuyu Tang (Xuefu Stasis-Removing Decoction) mentioned earlier, should be administered in rotation. Within a month, there is no case that fails to succeed.
For any abdominal pain that remains fixed in location without moving, it indicates blood stasis; treating it with this formula yields excellent results.
When patients experience a sensation of an object in the abdomen during sleep, feeling a dragging pain to the left when lying on the left side, and to the right when lying on the right side, this signifies internal blood stasis. Use this formula as the primary treatment; if accompanied by other miscellaneous symptoms, combine it with other herbs accordingly.
Diarrhea occurring two or three times during the Wugeng period (5:00–7:00 AM), traditionally named Kidney Diarrhea (Shen Xie), is often attributed to Kidney deficiency. Treatments using Ershen Wan (Two Spirits Pill) or Sishen Wan (Four Spirits Pill) often prove ineffective, with cases persisting for years. The difficulty lies in not knowing the source of the disease. In reality, the root cause is blood stasis in the "Zongti" (a term used by Wang Qingren referring to the diaphragmatic region/liver-spleen area). When lying down, this stasis blocks the "Jinmen" (gate of fluids/jointure gate), preventing normal fluid excretion. Instead, fluids enter the Small Intestine and mix with feces, resulting in loose stools and morning diarrhea. Using this formula to remove the blood stasis from the Zongti allows the Jinmen to open freely, restoring normal fluid metabolism and stopping diarrhea. Three to five doses can lead to recovery.
Chronic diarrhea unresponsive to various treatments is due to excessive blood stasis in the Zongti; this formula should also be used.
Hong Qu (Dang Shen's Parthenium Fruit, fried, 2 qian), Dang Gui (Angelica Sinensis Root, 3 qian), Chuan Xiong (Ligusticum Chuanxiong Rhizome, 2 qian), Tao Ren (Prunus Persica Seed, pounded into paste, 3 qian), Dan Pi (Moutan Cortex, 2 qian), Chi Shao (Paeonia Lactiflora Root, 2 qian), Wu Yao (Lindera Root, 2 qian), Yuan Hu (Corydalis Rhizome, 1 qian), Gan Cao (Glycyrrhiza Uralensis Root, 3 qian), Xiang Fu (Cyperus Rotundus Rhizome, 1.5 qian), Hong Hua (Carthamus Tinctorius Flower, 3 qian), Zhi Ke (Aurantii Fructus Immaturus, 1.5 qian).
Decoct in water and take orally.
Formula Verse:
Ge Xia Zhu Yu uses Peach Kernel, Moutan,
Red Peony, Lindera, Corydalis, Licorice too.
Angelica, Ligusticum, Parthenium, Safflower, and Bitter Orange,
Cyperus resolves stagnation, calming the blood.
Physicians who write books with the intention of saving lives possess a benevolent heart. They must personally treat conditions and possess methods that have proven effective repeatedly, ensuring no mistakes, before passing them on. If one does not know the source of the disease and prescribes formulas that do not match the syndrome, a heart intended to save lives becomes an instrument of death. Is this not something to fear? Regarding Cold Damage (Shang Han), Epidemic Febrile Diseases (Wen Yi), miscellaneous diseases, and gynecology, ancient masters each had their strengths; prescribing formulas according to symptoms usually yielded immediate results. Any biases they held were merely minor flaws in white jade. However, regarding Hemiplegia (Ban Shen Bu Sui), although over four hundred books were written by ancients, only a few specifically discussed this condition. Among those few, none explained the true origin of the disease. Without knowing the source, how could the prescribed formulas be correct? In my youth, when encountering this condition, I initially followed the theories of *Ling Shu*, *Su Wen*, and Zhang Zhongjing, but treatment was ineffective. Subsequently, I followed the theories of Liu Hejian, Li Dongyuan, and Zhu Danxi, yet medications still failed. After much hesitation and near-despair, I reflected that Zhang Zhongjing’s discussion on Cold Damage and Wu Youke’s *Wenyi Lun* (Treatise on Pestilential Diseases) were original insights, citing no ancient classics. I possessed the heart to save lives but lacked the means to practice medicine effectively. For every case of this condition, I studied meticulously, examining the flourishing or withering of Qi and Blood, and distinguishing the patency or obstruction of meridians. Over forty years, I gained considerable insight. I wished to share this with the world to aid future generations, but I dared not use my limited views to refute predecessors’ theories or establish new methods to incur blame. A friend said, “If you truly have firm convictions and repeatedly verified effective methods, compensating for predecessors’ omissions and relieving future difficulties, you will merit praise from posterity and be a hero of your era. What crime is there?” Hearing this, disregarding my own modesty, I illustrated and explained the origins, external symptoms, effective formulas, and prognoses (difficult vs. easy cases) of hemiplegia, leg paralysis, flaccidity, convulsions, and tendon spasms in men, women, and children. I also detailed the errors in pulse diagnosis, zang-fu theory, and meridian concepts proposed by predecessors. I present these findings in detail, awaiting contributions from experts, hoping to make even a small contribution to medical science.