黄 建中汤(见第二十一)
仲景小青龙汤(见第十六)
仲景炙甘草汤 《伤寒论》云∶伤寒脉结代,心动悸,炙甘草汤主之。
甘草(炙,四两) 生姜(切,三两) 桂枝(去皮,三两) 人参(二两) 生地黄(一斤)
阿胶(二两) 麦门冬(去心,半升) 麻子仁(半升) 大枣(擘,十二枚)
上九味,以清酒七升,水八升,先煮八味,取三升。去滓,内胶烊消尽。温服
一升,日三服。一名复脉汤。《圣济经》曰∶津耗散为枯。五脏痿弱,营卫涸流,
湿剂所以润之。麻仁、阿胶、麦门冬、地黄之甘,润经益血,复脉通心也。
脉之主病,有宜不宜。阴阳顺逆,吉凶可推。
有是病,则有是脉,如影之随形也。与病相宜则顺,不相宜则逆。逆之与顺,何从
区别,是又在阴阳耳。如表病见表脉、里病见里脉、实病见实脉、虚病见虚脉、阳病见阳
脉、阴病见阴脉之类,皆顺而相宜者也。反此则逆。逆顺一分,而病之吉凶,从可推矣。
中风浮缓,急实则忌。浮滑中痰,沉迟中气。
尸厥沉滑,卒不知人。入脏身冷,入腑身温。
风性空疏,中之于表,浮缓是其宜也。(宜千金小续命汤,轻则仲景桂枝汤加减用之。)急强而
实,略无柔和,邪气太甚,正气何堪?故忌。若浮而滑,带有物象,非浮缓比,此
则中痰之如中风者。(宜二陈汤、防风、竹沥、生姜之类。甚则探吐。)若沉而迟,则不在表而在里,
亦非中风,名曰中风,七情之所为也。(宜和剂四七汤、易简星香汤、苏合香丸之类。)尸厥亦类中
风,卒然僵仆,昏不知人。其脉沉滑者,沉为里,滑为邪。邪入于里,与血气相并。
邪入正虚,搏入脏腑。入脏则邪干神舍,气陷从阴,故身冷。脏不受邪,仅入于腑,
气出从阳,故身温。即《金匮要略》所谓唇口青,身冷,为入脏即死;如身和汗自
出,为入腑即愈者是也。(宜苏合香丸、仲景备急丸、本事胜金丸、千金返魂汤之类,并万氏灸百会法。)
Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) (See Chapter 21)
Zhang Zhongjing's Xiao Qinglong Tang (Minor Blue Dragon Decoction) (See Chapter 16)
Zhang Zhongjing's Zhigancao Tang (Roasted Licorice Decoction) The *Shanghan Lun* (Treatise on Cold Damage Disorders) states: In cold damage disorders, if the pulse is knotted and intermittent (Jiedai Mai), accompanied by palpitations of the heart, Zhigancao Tang should be administered.
Gancao (Licorizia Radix et Rhizoma Praeparata cum Melle, four liang) Shengjiang (Zingiberis Rhizoma Recens, sliced, three liang) Guizhi (Cinnamomi Ramulus, bark removed, three liang) Renshen (Ginseng Radix, two liang) Shengdihuang (Rehmanniae Radix, one jin)
Ejiao (Asini Corii Colla, two liang) Maimendong (Ophiopogonis Radix, core removed, half sheng) Maziren (Cannabis Semen, half sheng) Dazao (Ziziphi Jujubae Fructus, broken open, twelve pieces)
The above nine ingredients are decocted with seven sheng of clear wine and eight sheng of water. First, boil the first eight ingredients to obtain three sheng of liquid. Strain out the dregs, add Ejiao, and heat until completely dissolved. Take one sheng warm, three times a day. Also known as Fumai Tang (Pulse-Restoring Decoction). The *Shengji Jing* (Classic of Holy Healing) states: When body fluids are consumed and scattered, dryness ensues. With atrophy and weakness of the five zang organs, and depletion and stagnation of Ying (Nutritive) and Wei (Defensive) qi, moistening agents (Shi Ji) are used to lubricate. The sweetness of Maziren, Ejiao, Maimendong, and Dihuang nourishes the meridians, benefits blood, restores the pulse, and unblocks the heart.
The pulse indicates diseases, having both suitable and unsuitable presentations. Through the smoothness or reversal of Yin and Yang, auspiciousness or inauspiciousness can be deduced.
Where there is a disease pattern, there is a corresponding pulse, just as a shadow follows the form. If the pulse suits the disease, it is "Shun" (Smooth/Favorable); if not, it is "Ni" (Reversed/Unfavorable). How to distinguish between Ni and Shun? This lies again in Yin and Yang. For example, exterior patterns presenting with exterior pulses, interior patterns with interior pulses, excess patterns with excess pulses, deficiency patterns with deficiency pulses, Yang patterns with Yang pulses, and Yin patterns with Yin pulses are all considered Shun and suitable. The opposite constitutes Ni. Once this distinction between Ni and Shun is made, the prognosis of the disease can be deduced.
In Wind-Stroke (Zhongfeng), floating and moderate pulses are favorable; rapid, forceful, and full pulses are contraindicated. Floating and slippery pulses indicate Phlegm-Stroke; deep and slow pulses indicate Qi-Stroke.
In Corpse-like Coma (Shijue), the pulse is deep and slippery, with sudden loss of consciousness. If pathogens enter the Zang organs, the body becomes cold; if they enter the Fu organs, the body remains warm.
Wind has an empty and loose nature; when it attacks the exterior, a floating and moderate pulse is appropriate. (Qianjin Xiaoxuming Tang from *Qianjin Fang* is suitable; for mild cases, Zhang Zhongjing's Guizhi Tang modified may be used.) If the pulse is rapid, forceful, and full, lacking any softness, the pathogenic factor is too severe, and how can the healthy Qi endure? Hence, it is contraindicated. If the pulse is floating and slippery, carrying a tangible quality, it differs from the floating-moderate type; this indicates Phlegm-Stroke resembling Wind-Stroke. (Erchen Tang, Fangfeng, Zhuli, and Shengjiang are suitable. In severe cases, emesis-inducing methods may be used.) If the pulse is deep and slow, the pathology is interior rather than exterior, and it is not true Wind-Stroke but named so due to being caused by the Seven Emotions. (Siji Tang from *Heji Juzheng Fang*, Yijian Xingxiang Tang, and Suhexiang Wan are suitable.) Shijue also resembles Wind-Stroke, characterized by sudden collapse and unconsciousness. A deep and slippery pulse indicates that deep signifies interior and slippery signifies pathogen. The pathogen enters the interior, merging with Blood and Qi. Entering where Healthy Qi is deficient, it clashes with the Zang-Fu organs. Entering the Zang organs disrupts the residence of the Spirit, causing Qi to sink via Yin, resulting in a cold body. If the Zang organs do not receive the pathogen and it only enters the Fu organs, Qi exits via Yang, resulting in a warm body. This corresponds to what is stated in *Jinkui Yaolue*: blue lips and mouth with a cold body indicate entry into the Zang organs, which is fatal; a harmonious body with spontaneous sweating indicates entry into the Fu organs, which leads to recovery. (Suhexiang Wan, Zhang Zhongjing's Beiji Wan, Benshi Shengjin Wan, Qianjin Hunhun Tang, and Wan Quan's moxibustion method for Baihui [DU20] are suitable.)