思虑太重,则成气消;
不得早起,不得劳心费力,反此则病必复。
夫伤寒感冒,但有轻重之分,重者为伤,轻者为感。必须问症以察于外,切脉以审于内,
尤当辨其阴阳,观其传变。一日至三日病在皮肤者为表,宜投药汗之,以驱散其寒邪。有汗
不得服麻黄,无汗不得服桂枝。四日五日之间病在胸膈,痰气紧满枝上,宜投药以吐之。六
日七日之间其病入腹,脏腑结燥,狂言潮热,宜投药以下之。又有初得病即胸腹闷痛,胃气
喘息,则又不可拘以日数,即宜下之。又有六七日尚或头痛恶寒,项上有汗,小便清利,乃
表症未除,仍宜汗之。若应汗而反下,则热蓄于里必致发狂而或结胸;若应下而反汗,则津
竭体虚必至亡阳而谵语;若应吐而温补,则毒瓦斯郁于内心发而为斑,色如锦纹者生,色黑者
难疗。其中变易非止一端,略举其概,以备仓卒调理。伤寒不可不谨,临症用药切宜详慎。
治头风脑中冷,面上游风,目泪涕唾 用川芎苗,细嚼,茶清送下。
治头脑风,伤风,小儿风涎 用薄荷叶,每日食后嚼三两片,大能凉上膈,去风痰,通
关膈。
治诸头风及面上游风 用排风草为末,每用一字,搐鼻中,自然头目清爽,去风清上。
治头风头旋 用九月九日采菊花,曝干。糯米一斗,蒸熟,菊花五两拌匀,多用面曲酝
酒如常法,候熟,每次暖一小盏。
治摇头风 用井底泥调大黄、芒硝末涂之。
治头目风 用荆芥穗、细辛、川芎等分为末。食后汤点二钱服。
又方 用桃仁五合去皮,以粳米饭浆研令细,以浆水绞取汁,令桃仁尽方止,微温洗面
极妙,令人光润延年。
治头风 用川芎水洗净,薄切焙干为末,炼蜜丸如弹子大。不拘时,茶清嚼下一丸。
又方 用大附子一个去皮脐,绿豆一协议煮,豆熟为度,去附子,服豆即瘥。每个附子
可煮五服,后为末服之。
治偏头风 用荜茇为末,令患者口中含。左边痛左边吸一字;右边痛右鼻吸一字,甚效。
治头风旋 用蝉壳微炒为末。每服温酒调一钱匕下。
治头风目眩 用水苏清酒煮汁一升服,及以汁洗头,令发香;白屑不生。浇灰淋汁洗亦
好
治头风 用山豆根捣为末,油调涂。
又方 用杏仁一升去皮尖,双仁水研绞汁,熬如膏,和酒或羹粥内搅二匙,食后服,十
日后汗出来,瘥。
治初得头风 用童便和葱豉作汤饮,佳。
治偏正头风及一切头疼 用香白芷二两为末,炼蜜丸如龙眼大。每服二三丸,食后细嚼,
茶
治头风 用端午日采苍耳二两,茵陈一两,甘草半两,为末。每服五钱,热酒或热茶调
下。
又方 用苍耳、川芎、当归等分为末。每服三钱,临卧茶清调服。
又方 用草乌、细辛等分,黄丹少许,为末。吹入鼻中。
又方 用川乌极大者一枚,河水煮七次、锉碎、盐炒黄,细辛四两酒浸,茶芽半斤,麝
香少许,为末。每服三钱,食后临卧茶清调下,少时更以热汤催汗出,或鼻出涕为度。
又方 用光明硫黄、硝石各一两,研细,水丸如指头大。空心茶嚼下,并治头疼不可忍。
又方 用苦丁香、川芎、藜芦等分,为末。口噙水吹入鼻内。
Excessive thinking leads to the consumption of Qi;
One should not stay up late, nor engage in mental or physical labor; violating these principles will inevitably cause the disease to relapse.
Regarding Taiyang disease (diseases caused by external pathogenic factors affecting the Taiyang channel) and common colds, there are only distinctions of severity: severe cases are termed "Shang" (injury), while mild cases are termed "Gan" (sensation). One must inquire about symptoms to observe external signs and palpate the pulse to examine internal conditions,
especially distinguishing between Yin and Yang and observing the transmission and transformation of the disease. From the first to the third day, if the pathogen is in the skin and surface, it is a Exterior Syndrome (a syndrome where the pathogen is located on the exterior of the body), and it is appropriate to administer diaphoretic herbs to disperse the Cold Evil (pathogenic cold). Patients with sweating should not take Ephedra Decoction (Mahuang Tang); patients without sweating should not take Cinnamon Twig Decoction (Guizhi Tang). Between the fourth and fifth days, if the pathogen is in the chest and diaphragm, with phlegm and Qi stagnation causing tightness and fullness, it is appropriate to administer emetic herbs. Between the sixth and seventh days, if the pathogen enters the abdomen, causing dryness and knotting in the Zang-Fu organs, accompanied by delirious speech and tidal fever, it is appropriate to administer purgative herbs. In cases where chest and abdominal stuffiness and pain occur immediately upon contracting the disease, along with stomach Qi rebellion and wheezing, one should not be bound by the number of days but should immediately use purgation. In cases where headache, aversion to cold, sweating on the nape, and clear, free urination persist after six or seven days, this indicates that the Exterior Syndrome has not been resolved, and diaphoresis is still indicated. If diaphoresis is indicated but purgation is used instead, heat will accumulate internally, likely leading to mania or Chest Binding Syndrome (Jie Xiong); if purgation is indicated but diaphoresis is used instead, fluid exhaustion and body deficiency will lead to Yang collapse and delirium; if emesis is indicated but warming tonification is used, toxic vapors will stagnate in the heart, manifesting as macules; those with colors like brocade may survive, while those with black colors are difficult to treat. The variations in condition are numerous; I have briefly outlined the general principles for emergency management. Treating Taiyang disease requires caution, and medication administration during clinical practice must be detailed and prudent.
To treat Head Wind (cold in the brain), wandering wind on the face, excessive tearing, rhinorrhea, and salivation, use the seedlings of Ligusticum Chuanxiong Rhizome (Chuanxiong Miao), chew them thoroughly, and swallow with clear tea.
To treat Brain Wind, common cold, and pediatric Phlegm-Wind, use Mint Leaves (Bohe Ye), chewing three or two slices daily after meals; this greatly cools the Upper Jiao Diaphragm, dispels Wind-Phlegm, and unblocks the Guan Ge (obstruction at the diaphragm).
To treat various Head Winds and wandering wind on the face, use Paimeng Grass (Paifeng Cao) ground into powder, insert a measure of "one character" into the nose, naturally refreshing the head and eyes, dispelling Wind and clearing the upper burner.
To treat Head Wind with vertigo, collect Chrysanthemum flowers on the ninth day of the ninth lunar month, dry them in the sun. Take one dou of glutinous rice, steam until cooked, mix with five liang of dried chrysanthemum, add ample yeast starter, and brew wine according to standard methods. Once mature, warm and drink a small cup each time.
To treat Shaking Head Wind, mix mud from the bottom of a well with powders of Rhubarb Root (Dahuang) and Mirabilite (Mangxiao), and apply topically.
To treat Head and Eye Wind, equal parts of Schizonepeta Spike (Jingjie Sui), Asarum Root (Xixin), and Ligusticum Chuanxiong Rhizome (Chuanxiong) are ground into powder. Take two qian with hot water after meals.
Another prescription: Take five he of Peach Kernels (Taoren), remove the skin, grind finely using rice water from japonica rice, squeeze out the juice using Jiangshui (fermented rice water), continuing until all essence from the kernels is extracted. Wash the face with this slightly warm liquid; it is excellent for making the skin lustrous and promoting longevity.
To treat Head Wind, wash Ligusticum Chuanxiong Rhizome (Chuanxiong) with water, slice thinly, dry by baking, and grind into powder. Form pills the size of bullet seeds using refined honey. Chew one pill at any time with clear tea.
Another prescription: Take one large Aconite Lateral Root (Fuzi), remove skin and navel, boil together with mung beans until the beans are cooked. Remove the Fuzai, consume the beans to cure the condition. Each Fuzi can be used for five doses; the remaining Fuzi can be ground into powder and taken.
To treat Hemicephalic Head Wind (Hemicrania), grind Piper Longum Fruit (Bibo) into powder. Have the patient hold it in the mouth. If the pain is on the left, inhale one character through the left nostril; if on the right, inhale through the right nostril. This is very effective.
To treat Head Wind with vertigo, lightly stir-fry Cicada Slough (Chanqiao), grind into powder. Take one qianbi mixed with warm wine per dose.
To treat Head Wind with dizziness, decoct Perilla Leaf (Shuisu) in clear wine to obtain one sheng of juice. Drink it, and also use the juice to wash the hair to make it fragrant and prevent dandruff. Washing with ash-leached water is also good.
To treat Head Wind, grind Velvet Bean Seed (Shandougen) into powder, mix with oil, and apply topically.
Another prescription: Take one sheng of Apricot Kernels (Xingren), remove skin and tips. Grind double-kernel kernels in water and squeeze out the juice. Boil down to a paste consistency. Mix two spoons into wine or gruel, and take after meals. After ten days, sweating will occur, and the condition will resolve.
To treat newly contracted Head Wind, decoct child's urine with Scallion and Fermented Soybean (Congchi) and drink the soup; this is beneficial.
To treat Hemicrania and General Headache, grind Angelica Dahurica Root (Baizhi) two liang into powder. Form pills the size of longan seeds using refined honey. Take two or three pills, chew thoroughly after meals, and swallow with tea.
To treat Head Wind, collect Xanthium Fruit (Cangerzi) two liang, Artemisia Capillaris Herb (Yinchen) one liang, and Licorice Root (Gancao) half liang on the Dragon Boat Festival (Duanwu). Grind into powder. Take five qian per dose, mixed with hot wine or hot tea.
Another prescription: Equal parts of Xanthium Fruit (Cangerzi), Ligusticum Chuanxiong Rhizome (Chuanxiong), and Angelica Sinensis Root (Danggui) are ground into powder. Take three qian per dose, mixed with clear tea before bed.
Another prescription: Equal parts of Aconitum Carleilii Root (Caowu) and Asarum Root (Xixin), with a small amount of Red Lead (Huandan), are ground into powder. Snuff into the nose.
Another prescription: Take one very large Aconitum Carmichaelii Root (Chuanwu), boil seven times in river water, chop finely, stir-fry with salt until yellow. Soak four liang of Asarum Root (Xixin) in wine, take half jin of Tea Buds (Chaye), and a little Musk (Shexiang). Grind all into powder. Take three qian per dose, mixed with clear tea after meals and before bed. Shortly after, induce sweating with hot water, or until nasal discharge occurs.
Another prescription: Use Bright Sulfur (Guangming Huhuang) and Niter (Xiaoshi), one liang each, grind finely, and form water pills the size of a finger. Chew with tea on an empty stomach; this also treats unbearable headaches.
Another prescription: Equal parts of Bitter Clove (Kuding Ding), Ligusticum Chuanxiong Rhizome (Chuanxiong), and Veratrum Root (Lilu) are ground into powder. Hold water in the mouth and snuff the powder into the nose.