宣可去壅。(壅,上壅也。病在膈上,如气上壅。而呕哕用姜、橘、藿香,以宣散之。痰壅上膈,用瓜蒂
等以宣吐之。中风口噤,胸膈迷闷,用通关散以嚏之皆是。)
通可去滞。(但滞耳,未至上壅也。如气滞用木香、槟榔,水滞用木通、防己,郁滞用香附、抚芎之类。
汪 以宣与通相类,改通为行水,不知宣单就上部言,通则兼中下二部言也。)
补可去弱。(精弱以熟地、苁蓉、羊肉补之。气弱以人参之属补之。)
泄可去闭。(滞,但行之滞耳。闭,则竟不行矣。如小便闭用葶苈,大便闭用硝、黄之类。)
轻可去实。(如表邪实用麻黄汤、香苏散轻扬之剂是也。)
重可去怯。(如气怯神浮,用朱砂镇之之类。)
滑可去着。(着,粘着也。因脏腑干涩,有所粘着而不行,惟滑可以去之。如大肠着,用麻仁、郁李,
小肠着,用葵子、滑石之类。)
涩可去脱。(如汗脱用牡蛎、五味,肠脱用肉果、诃皮、粟壳,津脱用五味、乌梅,精脱用莲蕊,血脱用
地榆之类。)
燥可去湿。(如湿胜用桑皮、茯苓,寒湿姜、附、胡椒,气湿苍术、白术,湿痰半夏、南星、蛤粉,湿热
黄连、黄柏、山栀之类。)
湿可去枯。(湿则润,故枯燥可去。)
急服 有通口直饮。(重剂,治下部宜之。)有趁热连饮。(轻剂、偶剂,发汗宜之。)
缓服 有趣热徐徐小饮。(治肺病宜。)有不用气随津自下。(治咽喉病宜。)
冷服 有寒剂冷服。(治大热病宦。)有热剂冷服。(治假热病宜。)
热服 有热剂热服。(治大寒病宜。)有寒剂热服。(治假寒病宜。)
温服 有补药温服。(取温补气。)有平药温服。(病不犯大寒热者宜。)
空心服 有五更空心服。(病在肾、肝,宜取其再睡一番,药入肾、肝。)有早起空心服。(补
下、治下宜。)有空心服后即压以食。(治肾恐妨心,治命门恐妨肺者宜。)
食后服 有食后即服。(病在胸膈者宜。)有食远方服。(病在中脘者宜,或病在胸膈用峻下药,恐
饮食方在胃口,下早致胸结者亦宜。)
临卧服 有服后正卧。(病在胸膈,素有积者宜。)有服后左右侧卧。(病在左右肋,使药直至病
所。)有服去枕卧。(病在肺及在膈以上者宜。)
一二滚服。(发散,治上病者宜。)百十滚服。(温补,治中脘病者宜。)浓煎服。(治下部病者宜。)已
未午初服。(于阴中引提阳气,宜补中益气汤、提疟汤皆是。)
The method of **Xuan** (Dispersing/Arousing) can eliminate **Yong** (Obstruction/Stagnation). ("Yong" refers to upper obstruction. When the pathology is above the diaphragm, such as upward stagnation of Qi causing vomiting or hiccups, herbs like Shengjiang (Zingiberis Rhizoma), JuPi (Citri Reticulatae Pericarpium), and Huoxiang (Pogostemonis Herba) are used to disperse it. For Phlegm obstructing the upper Jiao, Gouti (Cucumeritis Fructus) etc. are used to induce vomiting. For stroke with locked jaw and chest/diaphragm confusion, Tongguan San (Passing-Through Powder) is used for nasal insufflation; all these are applications of Xuan.)
The method of **Tong** (Unblocking/Promoting) can eliminate **Zhi** (Stagnation/Tenacity). (This refers merely to stagnation, not reaching the severity of upper obstruction. For Qi stagnation, Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) are used; for Water stagnation, Mutong (Akebiae Caulis) and Fangji (Stephaniae Tetrandrae Radix) are used; for constraint/stagnation, Xiangfu (Cyperi Rhizoma) and Fuxiong (Ligusticum Chuanxiong Rhizoma et Radix) etc. are used. Wang Ang considered Xuan and Tong similar and changed "Tong" to "Xing Shui" (Promoting Water Movement), failing to realize that "Xuan" applies only to the Upper Jiao, whereas "Tong" covers both Middle and Lower Jiaos.)
The method of **Bu** (Tonifying/Nourishing) can eliminate **Ruo** (Weakness). (For Essence/Blood weakness, Shudi (Rehmanniae Radix Preparata), Congrong (Cynomorii Herba), and Lamb Meat are used to tonify. For Qi weakness, Ren Shen (Ginseng Radix et Rhizoma) and similar herbs are used to tonify.)
The method of **Xie** (Draining/Purging) can eliminate **Bi** (Closure/Impaction). ("Zhi" implies slow movement, whereas "Bi" means complete cessation of flow. For closure of urination, Tingli (Descurainiae Semen seu Lepidii Semen) is used; for closure of defecation, Xiaoshi (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) etc. are used.)
The method of **Qing** (Light/Superficial) can eliminate **Shi** (Excess/Firmness). (For example, in Exterior Excess patterns, light and ascending formulas like Mahuang Tang (Ephedra Decoction) and Xiangsu San (Fragrant Su Powder) are used.)
The method of **Zhong** (Heavy/Sinking) can eliminate **Que** (Timidity/Fear). (For instance, when Qi is timid and Spirit floats, Zhusha (Cinnabar) is used to settle and anchor the Spirit.)
The method of **Hua** (Slippery/Smooth) can eliminate **Zhuo** (Adhesion/Clinging). ("Zhuo" means sticking or adhering. Due to dryness and astringency of the Zang-Fu organs, substances adhere and fail to move; only slippery agents can remove this. For Large Intestine adhesion, Horen (Kermes Seed) and Yuziren (Prunus Semen) are used; for Small Intestine adhesion, Kuizi (Abelmoschi Semen) and Huashi (Talcum) are used.)
The method of **Se** (Astringent/Consolidating) can eliminate **Tuo** (Collapse/Emission). (For collapse due to sweating, Mumuli Concha (Concha Ostreae) and Wuweizi (Schisandrae Chinensis Fructus) are used; for intestinal collapse/prolapse, Rougu (Myristicae Semen), Heqi (Terminaliae Chebulae Fructus) and Susu Qiao (Pericarpium Citri Reticulatae Viride - *Note: Text says 粟壳 which usually refers to Poppy Shell Sangpi Xiao, but context suggests astringents for prolapse, often He Huan Pi or similar, here strictly translating text as Susu Qiao/Millet Husk or potentially typo for Sangpi Xiao* - *Correction*: Text says 粟壳 (Susu Qiao), likely referring to Poppy Shell (Papaveris Pericarpium) commonly used for diarrhea/collapse, though literally millet husk. In TCM context for "Tuō", Sangpi Xiao is standard. I will translate as Poppy Shell based on clinical context of "Se Ke Qu Tuo"). For fluid collapse, Wuweizi and Wumei (Mume Fructus) are used; for Essence collapse, Lianrui (Nelumbinis Plumula) is used; for Blood collapse, Diyü (Sanguisorbae Radix) is used.)
The method of **Zao** (Drying) can eliminate **Shi** (Dampness). (For excess Dampness, Sangpi (Mori Cortex) and Fuling (Poria) are used; for Cold-Damp, Jiang (Zingiberis Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata), and Hujiao (Piperis Longi Fructus) are used; for Qi-Damp, Cangzhu (Atractylodis Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) are used; for Damp-Phlegm, Banxia (Pinelliae Rhizoma), Nanting (Arisaematis Rhizoma Preparatum), and Ha Fen (Concha Meretricis et Cyclinae) are used; for Damp-Heat, Huanglian (Coptidis Rhizoma), Huangbo (Phellodendri Cortex), and Shanzhi (Gardeniae Fructus) are used.)
The method of **Shi** (Moistening/Wetting) can eliminate **Ku** (Wither/Dryness). (Moisture provides lubrication, thus dryness/withered conditions can be resolved by this method.)
**Urgent Administration**: There is direct rapid drinking through the mouth. (Suitable for heavy doses treating lower body pathologies.) There is continuous drinking while hot. (Suitable for light doses or occasional doses for inducing sweating.)
**Slow Administration**: There is waiting until warm and then slowly sipping small amounts. (Suitable for treating Lung diseases.) There is drinking without letting the heat rise with the fluids. (Suitable for treating throat diseases.)
**Cold Administration**: There is cold administration of cold-natured drugs. (Suitable for treating severe Heat diseases.) There is cold administration of hot-natured drugs. (Suitable for treating False Heat diseases.)
**Hot Administration**: There is hot administration of hot-natured drugs. (Suitable for treating severe Cold diseases.) There is hot administration of cold-natured drugs. (Suitable for treating False Cold diseases.)
**Warm Administration**: There is warm administration of tonifying medicines. (To utilize warmth to boost Qi.) There is warm administration of neutral medicines. (Suitable when the disease does not involve extreme Cold or Heat.)
**Empty Stomach Administration**: There is administration at the fifth watch (3-5 AM) on an empty stomach. (When the pathology is in the Kidney or Liver, it is suitable to take advantage of sleeping again so the medicine reaches the Kidney and Liver.) There is administration early in the morning on an empty stomach. (Suitable for tonifying the Lower Jiao or treating Lower Jiao diseases.) There is administration followed immediately by food to suppress the drug's action. (Suitable when treating the Kidney fears interfering with the Heart, or treating Mingmen fears interfering with the Lung.)
**Postprandial Administration**: There is administration immediately after eating. (Suitable when the pathology is in the Chest and Diaphragm.) There is administration long after eating. (Suitable when the pathology is in the Zhongwan [Middle Jiao], or when the pathology is in the Chest/Diaphragm but strong purgatives are needed, fearing that if taken too early while food is still in the stomach, it causes chest binding.)
**Pre-sleep Administration**: There is lying flat after taking the medicine. (Suitable when the pathology is in the Chest/Diaphragm and there is pre-existing accumulation.) There is lying on left or right side after taking the medicine. (Suitable when the pathology is in the left or right hypochondrium, directing the medicine precisely to the diseased area.) There is lying without a pillow after taking the medicine. (Suitable when the pathology is in the Lung or above the Diaphragm.)
**One or Two Boils**: (Suitable for dispersing agents treating upper body diseases.) **Many Boils**: (Suitable for warming and tonifying agents treating Zhongwan/Middle Jiao diseases.) **Strong Decoction**: (Suitable for treating lower body diseases.) **Si, Wei, or Wu Chu Hours**: (To draw up Yang Qi from Yin; Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) and Ti Nue Tang (Raise Malaria Decoction) are examples.)