此乃伤寒之变〔症〕也。伤寒邪火正炽，不可急与饮食，饮食而成此症者，急须用栝蒌
一枚
病患服之，不畏其虚乎！不知结胸之症，是食在胸中，非大黄、枳壳、槟榔、浓朴所能祛逐，
必
心乃神明之君，一毫邪气不可干犯，犯则立死。经年累月而痛，邪犯心包络也，但邪有
寒热
苍术（二钱） 白术（五钱） 当归（一两） 肉桂（一钱） 良姜（一钱）〔水煎服〕
此方治寒邪犯包络也。
如热邪犯包络，见水喜悦，手按之而转痛也。方用∶
白芍（一两） 黑栀子（三钱） 当归（三钱） 生地（五钱） 陈皮（八分） 甘草
（一钱） 水煎服
寒热二症，皆责之于肝也。盖肝属木，心属火，木衰不能生火，则包络寒矣，是宜补肝
而邪
人病不能饮食，或饮食而不消化，作痛作满，或兼吐泻，此肝木来克脾土也。方用∶
白芍（二钱） 当归（二钱） 茯苓（二钱） 柴胡（二钱） 白芥子（一钱） 甘草
（一钱）
有火加栀子二钱，无火加肉桂二钱，水煎〔服〕。此方再加白术三钱（《傅青主男科》无
此句），有食加山楂三钱，伤米食加枳壳一钱，有痰加半夏一钱，有火能散，有寒能驱，此
右病而左治之一法也。
有腹痛不可忍，按之愈痛，口渴饮凉水则痛止。少倾依然大痛，此火结在大小肠，若不
急治
栀子（三钱） 茯苓（一两） 白芍（五钱） 苍术（三钱） 大黄（一钱） 浓朴（一
钱） 甘草（一
此方舒肝经之气，泻火逐瘀。
This is a variation of the Shanghan (Cold Damage) disease. When the pathogenic fire of Shanghan is at its peak, one must not hastily provide food and drink; if this condition arises due to improper diet, it is urgent to administer one Gualou Fruit (Trichosanthis Fructus) for the patient to take. Would one not fear that this might weaken the patient? One fails to realize that in the syndrome of Jie Xiong (Chest Binding), where food is stuck in the chest, herbs such as Dahuang (Rhei Radix et Rhizoma), Zhike (Aurantii Fructus), Binglang (Arecae Semen), and Houpo (Magnoliae Officinalis Cortex) cannot expel it. It is necessary...
The Heart is the sovereign ruler of the Spirit (Shen). Not even a trace of pathogenic factor should invade it; if invaded, death occurs immediately. Pain persisting for years indicates that the pathogen has invaded the Pericardium (Xin Bao Luo). However, pathogens can be either cold or hot.
Cangzhu (2 qian) Baizhu (5 qian) Danggui (1 liang) Rougui (1 qian) Liangjiang (1 qian) [Decoct in water and take orally]
This formula treats Cold Pathogen invading the Pericardium.
If Heat Pathogen invades the Pericardium, symptoms include joy upon seeing water and increased pain upon palpation. The formula used is:
Baishao (1 liang) Hei Zhizi (3 qian) Danggui (3 qian) Shengdi (5 qian) Chenpi (8 fen) Gancao (1 qian) [Decoct in water and take orally]
Both the cold and heat syndromes are attributed to the Liver. Since the Liver belongs to Wood and the Heart to Fire, when Wood Qi is deficient and fails to generate Fire, the Pericardium becomes cold. Therefore, one should tonify the Liver to dispel the pathogen.
When a patient suffers from inability to eat, or indigestion after eating, leading to pain and fullness, or accompanied by vomiting and diarrhea, this is Liver Wood overacting on Spleen Earth. The formula used is:
Baishao (2 qian) Danggui (2 qian) Fuling (2 qian) Chaihu (2 qian) Baijiezi (1 qian) Gancao (1 qian)
Add Zhizi (2 qian) if there is internal heat; add Rougui (2 qian) if there is no heat. Decoct in water and take orally. Add Baizhu (3 qian) to this formula (omitted in *Fu Qingzhu's Andrology*); add Shanzha (3 qian) for food stagnation; add Zhike (1 qian) for rice food injury; add Banxia (1 qian) for phlegm. This formula can disperse heat and drive out cold. This is a method of "treating the right pathology by addressing the left."
If abdominal pain is unbearable, worsens with pressure, and thirst is relieved by drinking cold water which stops the pain, but severe pain returns shortly after, this is Fire Pathogen binding in the Large Intestine and Small Intestine. If not treated urgently...
Zhizi (3 qian) Fuling (1 liang) Baishao (5 qian) Cangzhu (3 qian) Dahuang (1 qian) Houpo (1 qian) Gancao (1 qian)
This formula soothes the Qi of the Liver Meridian, clears heat, and expels stasis.