暴患眼疾,皆受风邪,蕴而化热,上扰清窍。若食肉味,助火生痰,壅滞邪路。风
乘火威,消耗目中膏脂,或起白膜红丝,或 肉牵攀,使目无全光,或至失明。先服决
明消翳散数帖,后继服羚羊角汤。(二方见后。)久患目疾,不在此论。
男女大小诸症,数日间舌底滑润,舌面罩满姜黄色,或大便时下蛔虫,此胃土欲绝,
虫无所附,乘便时而出。土乃黄色,舌因土之败,气上冲故黄,四五日当亡。
胸腹串痛,按之有跳跃之处,肌肉似铁石,针刺不得入,此真气已竭,血不流行,则
肌肉呆板,速死之象。
足底初有一点顶痛,渐若坚石,日久亦或化脓,或五六月,或一二年,行走顶疼,按
之僵硬似铁。从旁边以刀刺开,或以火针当顶烙之,插降药条,拔去老根。收功后忌荤
腥两月,以免复发。医书未载此症。
时疫病,浑身每有肿痛处,暖性膏药贴之,虽用于外,亦能引动内火,劫阴助阳,致
肢体色紫肤冷,脉伏神脱气喘,不旋踵而危者。
向来体虚,再加劳动太过,真气多为不足,每乳下浮肿如杯,初时不觉,渐因动作,
及咳喘引痛,消之不去,易延痨怯不治。
温邪发即神昏不语,毫不发热,或手足抽搐,或一二日后,稍明能言,渐转神烦,微
热无汗不渴,此邪直犯心胞,未传肺胃,先宜看胸背有红斑否?并舌苔干燥否?(小儿亦有此
症。)
温邪一起,遂妄躁狂奔,语言烦乱,坐卧不安,或舌苔燥裂生刺。此热势炎甚,扰动心
胞,阴亏无以上济,进救阴方,得脉静神安,舌润可治。如狂暴依然,乃心神散越,
阳离阴竭,治之何功?
Sudden onset of eye diseases is caused by the invasion of wind pathogen, which stagnates and transforms into heat, disturbing the clear orifices upwards. If meat is consumed, it aids fire and generates phlegm, obstructing the pathway for the expulsion of pathogens. Wind takes advantage of the power of fire to consume the essence (gaozhi) in the eyes, resulting in white membranes and red filaments, or fleshy growths that pull and adhere, causing impaired vision or even blindness. First, administer Jueming Xiaoyi San (Clear Brightness Decoction to Eliminate Opacity) for several doses, followed by Lingyangjiao Tang (Antelope Horn Decoction). (These two formulas are presented later.) Cases of chronic eye disease are not discussed here.
In men, women, adults, and children with various conditions, if within a few days the underside of the tongue is slippery and moist, while the surface is covered with a ginger-yellow coating, or if roundworms are passed during defecation, this indicates that the Qi of the Stomach Earth is about to perish. The parasites have no place to attach and emerge during bowel movements. Earth corresponds to yellow; the tongue turns yellow due to the decay of Earth Qi and the upward rushing of Qi. Death may occur within four to five days.
Stabbing pain traversing the chest and abdomen, where pressing reveals a pulsating sensation, and muscles feel hard as iron or stone, unyielding to needle insertion, signifies that True Qi has been exhausted and blood circulation is stagnant. This results in stiff, rigid muscles, which is a sign of imminent death.
Initially, there is a pinpoint stabbing pain on the sole of the foot, which gradually becomes hard as stone. After a long time, it may suppurate. Over five to six months or one to two years, walking causes stabbing pain, and pressure feels rigid like iron. It can be incised from the side with a knife, or cauterized at the apex with a fire needle, followed by inserting a medicinal strip to draw out the deep root. After recovery, avoid meat and fish for two months to prevent recurrence. This condition is not recorded in medical texts.
In epidemic febrile diseases, swelling and pain often appear on the body. Applying warm-natured plaster externally can inadvertently stir up internal fire, consuming Yin and assisting Yang. This leads to purple discoloration of the limbs, cold skin, hidden pulse, scattered spirit, and panting, leading to critical danger shortly thereafter.
Individuals with inherent deficiency, exacerbated by excessive labor, often suffer from insufficient True Qi. Swelling resembling a cup may appear below the breasts. Initially unnoticed, it gradually causes pain upon movement, coughing, or panting. If the swelling does not resolve, it may progress into consumptive weakness (Laoqie), which is difficult to treat.
When Warm Pathogen strikes, it immediately causes coma and muteness without fever, or convulsions of the hands and feet. After one or two days, the patient may briefly regain consciousness and speech, but then becomes increasingly irritable and restless, with slight fever, absence of sweat, and no thirst. This indicates the pathogen directly attacking the Pericardium (Xinbao) without yet transmitting to the Lung or Stomach. One should first check for red macules on the chest and back, and whether the tongue coating is dry. (Children may also present this condition.)
Upon the emergence of Warm Pathogen, the patient may exhibit wild agitation, running wildly, confused speech, restlessness in sitting and lying, or a dry, cracked tongue coating with prickles. This reflects intense heat disturbing the Pericardium, with Yin deficiency failing to nourish upwards. Administer a formula to rescue Yin. If the pulse becomes calm, the spirit settles, and the tongue becomes moist, the condition is treatable. If the mania persists, it indicates the scattering of the Heart Spirit, separation of Yang, and exhaustion of Yin; treatment will be futile.