连翘(二钱) 葛根(二钱) 柴胡(三钱) 当归(二钱) 生地(五钱) 赤芍(三钱) 桃仁
(八钱,研) 红花(五钱) 枳壳(一钱) 甘草(二钱)
水煎服。
方歌
解毒活血连翘桃,红花归壳葛赤芍,
柴胡甘草同生地,吐泻良方用水熬。
此方谓初得吐泻而言,若见汗多,肢冷,眼塌,不可用。
若吐泻一见转筋、身凉、汗多,非此方不可,莫畏病患大渴饮冷不敢用。
党参(八钱) 附子(八钱,大片) 干姜(四钱) 白术(四钱) 甘草(三钱) 桃仁(二钱
,研) 红花(二钱)
水煎服。
方歌
急救回阳参附姜,温中术草桃红方,
见真胆雄能夺命,虽有桃红气无伤。
解毒活血汤与急救回阳汤,两方界限厘清,未有不应手而愈者。慎之!慎之!
夫抽风一症,今人治之不效者,非今人错治,乃古方误人。古人不止论病立方误人,立
病名
,则名曰慢惊风。慢惊风三字,相连立名,更为可笑,不但文义不通,亦未细察病源。若真
是风,风之中人,必由皮肤入经络,亦必有由表入里之症可查。既查无外感之表症,古人何
得着书立方,总言是风。其所以言风者,因见其病发作之时,项背反张,两目天吊,口噤不
开,口流涎沫,咽喉痰声,昏沉不省人事,以为中风无疑。殊不知项背反张,四肢抽搐,手
足握固,乃气虚不固肢体也;两目天吊,口噤不开,乃气虚不上升也;口流涎沫,乃气虚不固
津液也;咽喉往来痰声,非痰也,乃气虚不归原也。如不明此理,试看高年人,久病寿终时,或
项强身重,或露晴天吊,或牙紧流涎,或痰声拽锯,或冷汗淋漓,一派气脱之症,明明显露。以
抽风之两目天吊,口噤流涎,痰声拽锯,互相参看,则抽风之症,气虚无疑。元气既虚,必不能
达于血管,血管无气,必停留而瘀。以一气虚血瘀之症,反用散风清火之方,安得不错?服散
风药,无风服之则散气;服清火药,无火服之则血凝;再服攻伐克消之方,气散血亡,岂能望
生?溯本穷源,非死于医,乃死于着书者之手。每见业小儿科阅历多者,绝不误人,因抽风古
方不效,见抽风则弃而不治。亦有高手,看小儿现下之症,知将来必抽风,虽无方调治,亦必
告知病家,此病恐将来抽风。何以知其将来必抽风?凡将欲抽风之前,必先见抽风之症,如见
顶门下陷,昏睡露睛,口中摇舌,不能啼哭,哭无眼泪,鼻孔煽动,咽喉痰声,头低不抬,口
噤无声,四肢冰冷,口吐白沫,胸高如碗,喘急气促,面色青白,汗出如水,不能裹乳,大便
绿色,腹内空鸣,下泄上嗽,肌肉跳动,俱是抽风之兆。前二十症,不必全见,但见一二症,则知将来必
抽。其中有可治者,有不可治者,并所用之方,皆开列于后。若露睛天吊,不食不哭,痰鸣
气喘,病虽沉重,乃可治之症。若天庭灰色,肾子上缩,或脉微细,或脉全无,外形虽轻,
乃不治之症。
Forsythiae Fructus (Lianqiao, 连翘) [2 qian], Puerariae Radix (Gegen, 葛根) [2 qian], Bupleuri Radix (Chaihu, 柴胡) [3 qian], Angelicae Sinensis Radix (Danggui, 当归) [2 qian], Rehmanniae Radix (Shengdi, 生地) [5 qian], Paeoniae Radix Rubra (Chishao, 赤芍) [3 qian], Persicae Semen (Taoren, 桃仁) [8 qian, crushed], Carthami Flos (Honghua, 红花) [5 qian], Aurantii Fructus (Zhike, 枳壳) [1 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [2 qian].
Decoct in water and take orally.
Prescription Song:
Jiedu Huoxue contains Forsythia and Peach Seed,
Safflower, Aurantium, Kudzu, and Red Peony Root,
With Bupleurum, Licorice, and Rehmannia,
A good prescription for vomiting and diarrhea, decocted with water.
This prescription is stated for the initial stage of vomiting and diarrhea. If excessive sweating, cold limbs, or sunken eyes are observed, it should not be used.
If vomiting and diarrhea are accompanied by muscle cramps (Zhuangjin, 转筋), cool body temperature, and excessive sweating, this prescription is indispensable. Do not hesitate to use it due to the patient's intense thirst for cold drinks.
Codonopsis Radix (Dangshen, 党参) [8 qian], Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [8 qian, large slices], Zingiberis Rhizoma (Ganjiang, 干姜) [4 qian], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [4 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [3 qian], Persicae Semen (Taoren, 桃仁) [2 qian, crushed], Carthami Flos (Honghua, 红花) [2 qian].
Decoct in water and take orally.
Prescription Song:
Jijiu Huiyang uses Codonopsis, Aconite, and Ginger,
Warming the middle with Atractylodes and Licorice, plus Peach Seed and Safflower.
With true courage and insight, life can be snatched back;
Although Peach Seed and Safflower are used, they do not harm the Qi.
Clarifying the boundaries between Jiedu Huoxue Tang (Antidote and Blood-Activating Decoction) and Jijiu Huiyang Tang (Emergency Rescue and Yang-Recovery Decoction), there is no case that does not heal readily. Be cautious! Be cautious!
Regarding the syndrome of convulsions (Choufeng, 抽风), the ineffectiveness of current treatments is not due to errors by contemporary physicians, but because ancient prescriptions mislead people. The ancients not only misled people with their disease-based prescriptions, but also with their disease names, such as "Slow Convulsion" (Man Jingfeng, 慢惊风). Naming it "Slow Convulsion" is even more absurd; not only is the meaning illogical, but the source of the disease was not carefully examined. If it were truly wind pathogen, wind entering the human body must enter through the skin into the meridians, and there must be symptoms showing progression from the exterior to the interior. Since no exterior symptoms of exogenous pathogens can be found, how could the ancients write books and prescribe medications, always attributing it to wind? The reason for calling it wind is that during an attack, the neck and back are stiff and arched backward, the eyes roll upward, the jaw is clenched shut, saliva flows from the mouth, there is phlegm sound in the throat, and the patient is comatose and unconscious, leading to the assumption that it is undoubtedly stroke. Little do they know that stiff neck and back, arching backward, limb convulsions, and clenched hands and feet are due to Qi deficiency failing to secure the limbs; upward rolling eyes and clenched jaw are due to Qi deficiency failing to ascend; flowing saliva is due to Qi deficiency failing to secure body fluids; and the phlegm sound in the throat is not actual phlegm, but Qi deficiency failing to return to its origin. If one does not understand this principle, observe elderly people at the end of a long illness or natural death: they may have stiff neck and heavy body, eyes rolled up and exposed, clenched teeth and flowing saliva, sawing-like phlegm sounds, or profuse cold sweat—a clear manifestation of Qi collapse. Comparing these with the upward rolling eyes, clenched jaw, flowing saliva, and sawing-like phlegm sounds of convulsions, it is evident that convulsions are undoubtedly caused by Qi deficiency. Since Yuan Qi (Original Qi, 元气) is deficient, it cannot reach the blood vessels; without Qi propulsion, blood stagnates and forms stasis. Treating Qi deficiency and blood stasis with wind-dispersing and fire-clearing formulas is erroneous. Taking wind-dispersing herbs when there is no wind scatters Qi; taking fire-clearing herbs when there is no fire causes blood coagulation; further using attacking and reducing formulas leads to scattered Qi and lost blood, making survival impossible. Tracing to the root, death is not caused by doctors, but by those who wrote misleading books. It is common to see experienced pediatricians who never make mistakes; knowing ancient prescriptions for convulsions are ineffective, they abandon treatment upon seeing convulsions. Some experts, observing the child's current symptoms, predict future convulsions. Even without a specific formula for treatment, they inform the family that the child will likely suffer convulsions. How do they know? Before convulsions occur, signs appear: depressed fontanelle, lethargy with exposed eyes, tongue trembling in the mouth, inability to cry, crying without tears, flaring nostrils, phlegm sounds in the throat, head drooping and unable to lift, silent clenched jaw, cold limbs, foaming at the mouth, chest elevated like a bowl, rapid breathing, cyanotic-pale complexion, profuse sweating like water, inability to suckle milk, green stool, empty rumbling in the abdomen, diarrhea with upper cough, and muscle twitching. These are all precursors to convulsions. Among the twenty preceding symptoms, not all need to be present; seeing one or two indicates inevitable future convulsions. Some cases are treatable, others are not. The applicable formulas are listed below. If exposed eyes and upward rolling, anorexia, silence, phlegmonous wheezing, and severe condition are present, it is treatable. If the forehead is gray, testicles retract, pulse is faint and fine, or pulse is absent, although external appearance seems mild, it is incurable.