治诸伏热,头目不清,神志昏塞,解诸大毒。以取水之精,渍于船板木中,累见风日,
久则日炙变为青色;以取太阳之气,而蒸曝中有阴阳之气,结而不散,聚而成青。服之分阴
阳,去邪热,调脏腑。圣人处治,以度物之气味,故所用如东壁墙土,取之以新水调化,取
清水服之,治腑脏不调,谓脾主于土,脾受湿濡泻,取以太阳真火,其土引入于脾,藉太阳
真火之气,以除去湿,而吐泻得止。又以鱼骨入喉中肉内不出,烧鱼网灰,新水调服,其鱼
骨实时便出。又有月蚀疮不愈者,令人烧救月鼓杖,烧灰干掺疮上立已。此圣人取其物类相
感故也。此船板青,与上同意。
船板青(五两) 酥油饼末(一两半)
上为细末,稀面糊和丸,如梧桐子大,每服四五十丸,不拘时温酒送下。
治心脏惊热至甚,不省人事。
朱砂 硼砂 烟硝(各二钱半) 金银箔(各五片) 脑子(一字) 寒水石 石膏(各
半两) 粉草(三钱)
上为细末, 每服二钱,麦门冬二十粒,去心煎汤调下。
夫痼冷者,痼为年久长固者也,冷为寒极至甚者也。《三因方》云∶人以脏腑禀赋不同
,亦有将理失宜,遂致偏冷偏热,故方中有痼冷积热之说。痼冷者,中寒也,多因真气既微
,胃气不实,复啖生冷冰雪之属,致肠胃虚寒。阴既停凝,阳不能正,大便洞泄,小便频数
,鼻多清涕,呕吐涎沫,水谷不化,肠胃绞痛,肚腹如冰冷。洒洒淅淅,皆阳虚阴盛之所为
也,张长沙有阴毒之证,虽不为痼冷,即冷寒所伤,令人为手足冷,腰背强,脐腹筑痛,咽
喉不利,呕吐不利,身如被杖,脉细欲绝。此由肾气虚寒,外伤风冷,或因冷物伤脾。盖脾
为太阴,内外皆阴,则阳气不守,遂成阴毒。四肢逆冷,额上手背冷,而汗出不止,或眼痛
不堪任,唇口手足爪甲俱青黑,气上冲心,而脉沉细伏匿者。或多烦渴者,精神如失,故曰
阴胜则身寒汗出,身必鼓栗而寒,寒则厥,宜温药以复其阳气,或于气海关元灸之。《医律
》云∶冷者阴之至盛,阳之至衰,阴过曰寒。经曰∶寒者热之,服以热剂,乃治冷之正法。
内则饮以至燥至刚之药,外则灼以数百艾炷,逐其阴而助其阳,斯又治冷夹攻之道也。大抵
人身贵乎阴阳升降,平和无偏,则无疾矣。若有偏胜,是即有沉寒痼冷之证,乃真阳耗散,
脾胃虚弱,失于调理,以致胃寒,食啖冷物粘腻难化生硬之类,经年累月,久积而成痼冷,
渐被其伤,脾肾因而渍积,脏腑以成痼疾矣,但有寒冷等邪触犯,速然而作,以臻手足厥逆
,畏冷增寒,饮食不化,或呕吐涎沫,或大便洞泄,米谷不消,或小便频数,或肚腹绞痛,
或逢寒咳嗽,或 疝大作,是其证也。《内经》曰∶寒淫所胜,平以辛热。又《内经·举痛
篇》云∶经脉流行不止,环周不休,寒气入经而稽迟,泣而不行,客于脉外则血少,客于脉
中则气不通,故卒然而痛。岐伯曰∶寒气客于脉外则脉寒,脉寒则缩蜷,缩蜷则脉绌急,绌
急则外引小络,故卒然而痛。得炅则痛立止。因重中于寒,则痛久矣。寒气客于经脉之中,
与炅气相搏则脉满,满则痛而不可按也。寒气稽留,炅气从上,则脉充大而血气聚,故痛甚
不可按也。寒气客于肠胃之间,膜原之下,血不得散,小络急引故痛。按之则血气散,故按
之痛止。寒气客于侠脊之脉则深,按之不能及,故按之无益也。寒气客于冲脉,冲脉起于关
元,随腹直上,寒气客则脉不通,脉不通则气因之,故喘动应手矣。寒气客于背俞之脉,则
血脉泣,脉泣则血虚,血虚则痛,其俞注于心,故相引而痛。按之则热气至,热气至则痛止
矣。寒气客于厥阴之脉,厥阴之脉者,络阴器,系于肝,寒气客于脉中,则血泣脉急,故胁
肋与少腹相引痛矣。厥气客于阴股,寒气上及少腹,血泣在下相引,故腹痛引阴股。寒气客
于小肠膜原之间,络血之中,血泣不得注于大经,血气稽留不得行,故宿昔而成积矣。寒气
客于五脏,厥逆上泄,阴气竭,阳气未入,故卒然痛死不知人,气复反则生矣,寒气客于肠
胃,厥逆上出,故痛而呕也。寒气客于小肠,小肠不得成聚,故后泄腹痛矣,然寒则腠理闭
,则气道不行,故气收敛,冷积于中,遂为痼冷之疾也。《直指方》云∶人之处世饮食为上
,汤药次之,惟其口腹不充,嗜欲无节,所以脏中停聚而为之沉痼也,故有沉寒痼冷之名耶
。男子遗精,女子带下,骨寒脑冷,气乏血衰,呕吐恶心,久泄暴下,皆其证耳。疗治之法
,在乎温补,不可用刚剂。惟于滋血养气之中,或佐以姜桂则可,古人所谓精不足者,补之
以味,若执刚燥之剂,亟欲阳气顿回,犹恐肾水易涸,心火独盛,亢则害,承乃制也。《内
经》曰∶阴气有余,多汗身寒。《阴阳应象》云∶阴盛则身寒汗出,身常清数,栗而寒,寒
而厥。《调经篇》云∶阴盛生内寒。岐伯曰∶厥气上逆,寒气积于胸中而不可泻,泻则温气
去,寒独留,故为寒中。东垣解云∶此脾胃不足,劳役形体,中焦不能营运,病传为寒中,
宜补阳以附子理中汤为末,用葱白煎羊肉汤,取清汁,调进数服而愈。前人立论至详,凡为
医者深探其意,根据经用药,则无夭阏之祸也。
To treat various latent heat pathogens, causing cloudiness in the head and eyes, mental confusion and obstruction, and to resolve major toxins. By extracting the essence of water and soaking it in ship plank wood, repeatedly exposed to wind and sun, over a long period, sun exposure turns it green; this is to capture the Qi of the Sun, where during steaming and drying, Yin and Yang Qi condense and do not dissipate, gathering to form green. Taking it helps differentiate Yin and Yang, eliminate pathogenic heat, and harmonize the Zang-Fu organs. The Sages formulated treatments based on the nature and flavor of substances. For instance, earth from the east wall of a house is taken, dissolved in newly drawn water, and the clear liquid is drunk to treat disharmony of the Zang-Fu organs. Since the Spleen governs Earth, when the Spleen is dampened by dampness leading to diarrhea, one takes earth imbued with the True Fire of the Sun, introducing it into the Spleen. Relying on the Qi of the True Fire of the Sun to remove dampness stops vomiting and diarrhea. If fish bones are stuck in the throat flesh and cannot be removed, burning fish nets to ash and taking them mixed with new water causes the fish bones to pass immediately. For non-healing "moon eclipse sores," burning the stick used for the moon-saving drum, turning it to ash, and applying it dry to the sore leads to immediate healing. This utilizes the principle of sympathetic resonance between similar things. The "Ship Plank Green" follows the same logic.
**Ship Plank Green (Wuchan / Five Liang)** **Su You Bing Mo (Crisp Oil Cake Powder) (Yi Liang Ban / One and a Half Liang)**
Grind the above into fine powder, mix with thin flour paste to make pills the size of *Wutong* seeds. Take 40-50 pills each time, at any time, swallowed with warm wine.
To treat extreme cardiac fright-heat, resulting in loss of consciousness.
**Zhusha (Cinnabar)** **Pengsha (Borax)** **Yan Xiao (Saltpeter)** (each Er Qian Ban / Two and a Half Qian) **Jin Yin Bo (Gold and Silver Leaf)** (each Wu Pian / Five Pieces) **Naozi (Borneol)** (Yi Zi / One Character weight) **Hanshuishi (Calcitum)** **Shigao (Gypsum Fibrosum)** (each Ban Liang / Half Liang) **Fengcao (Licorice Root)** (San Qian / Three Qian)
Grind the above into fine powder. Each dose is Er Qian (Two Qian), taken with decoction of twenty grains of *Maidong* (Ophiopogon Tuber), hearts removed, as a vehicle.
The term "Gu Leng" (Chronic Cold) refers to cold that has been present for years and is firmly entrenched; "Leng" refers to extreme cold. *San Yin Fang* states: People have different innate constitutions of the Zang-Fu organs, and improper care can lead to tendencies toward either cold or heat. Hence, formulas address conditions of chronic cold and accumulated heat. Gu Leng is essentially internal cold, often caused by weakened True Qi and deficient Stomach Qi, compounded by consuming raw, cold, or icy foods, leading to deficiency-cold in the intestines and stomach. When Yin stagnates and coagulates, Yang cannot circulate properly, resulting in profuse watery diarrhea, frequent urination, clear nasal discharge, vomiting of saliva and foam, undigested food, colicky abdominal pain, and an abdomen feeling like ice. Shivering is all due to Yang deficiency and Yin excess. Zhang Zhongjing described the syndrome of Yin Toxin (*Yin Du*). Although not exactly Gu Leng, it is also caused by cold injury, manifesting as cold extremities, stiffness of the waist and back, pounding pain in the umbilical and abdominal region, throat discomfort, vomiting with difficulty in defecation, a body sensation as if beaten with a club, and a fine pulse nearly imperceptible. This arises from Kidney Qi deficiency-cold, external contraction of wind-cold, or spleen injury from cold foods. Since the Spleen belongs to Taiyin, its interior and exterior are both Yin, causing Yang to fail to guard, thus forming Yin Toxin. Symptoms include cold limbs, cold forehead and dorsal hands, incessant sweating, unbearable eye pain, cyanosis of lips, mouth, fingers, toes, and nails, Qi rushing up to the heart, and a deep, fine, hidden pulse. Some may experience irritability and thirst, mental loss, stating that "Yin excess causes cold body and sweating, trembling chills, and cold leads to Jue." It is appropriate to use warming medicines to restore Yang Qi, or moxa on *Qihai* (CV6) and *Guanyuan* (CV4). *Yi Lü* states: Cold is the utmost abundance of Yin and the utmost decline of Yang; excessive Yin is called Han. The Classics say: "For cold, use heat." Taking hot agents is the correct method for treating cold. Internally, consume extremely drying and rigid/hot medicines; externally, burn hundreds of moxa cones to expel Yin and assist Yang. This is the way to treat cold attacking from multiple directions. Generally, the human body values the ascending and descending of Yin and Yang in balance without bias, thus avoiding disease. If there is excess, it constitutes symptoms of sinking cold and chronic cold, where True Yang is dissipated, Spleen and Stomach are weak, and lack of regulation leads to Stomach cold. Consuming cold, sticky, hard-to-digest, or raw foods year after year accumulates into chronic cold, gradually damaging the Spleen and Kidneys, forming chronic diseases in the Zang-Fu. Once touched by cold pathogens, it acts suddenly, leading to cold extremities, aversion to cold, indigestion, vomiting of foam, profuse diarrhea, undigested rice/grains, frequent urination, colicky abdominal pain, cough triggered by cold, or severe hernia attacks. These are its manifestations. *Neijing* says: "When cold dominates, soothe with pungent-hot." Also, *Neijing · Ju Tong Pian* states: "Meridian Qi flows endlessly, circling without rest. When cold enters the meridians, flow slows, blood stasis occurs. If lodged outside the vessels, blood is scant; if inside, Qi is blocked, causing sudden pain." Qibo said: "Cold lodging outside vessels causes vessel cold; vessel cold causes contraction and curling; contraction causes tension; tension pulls small collaterals, causing sudden pain. Heat stops pain immediately. Repeated cold injury makes pain last." Cold lodging in meridians, clashing with heat, causes fullness, pain, and tenderness to pressure. Cold lingering with rising heat causes vessel enlargement and blood/Qi aggregation, making severe pain unpressable. Cold lodging between intestines/stomach and membrane origins prevents blood dispersion, pulling small collaterals painfully. Pressing disperses blood/Qi, stopping pain. Cold lodging in paravertebral vessels is deep; pressing is ineffective. Cold lodging in Chong Mai, originating at *Guanyuan* and rising straight up the abdomen, blocks vessels, causing Qi stagnation and palpable pulsation. Cold lodging in Back-Shu vessels causes blood stasis and deficiency, leading to pain radiating to the heart; pressing brings heat, stopping pain. Cold lodging in Jueyin vessels (connecting genitalia to Liver) causes blood stasis and vessel tension, leading to radiating pain in hypochondrium and lower abdomen. Jue Qi lodging in inner thighs, with cold reaching lower abdomen, causes blood stasis and radiating abdominal pain to inner thighs. Cold lodging in Small Intestine membrane/collaterals causes blood stasis, preventing flow into large vessels, leading to accumulation over time. Cold lodging in five Zang organs causes rebellious Qi leakage, exhaustion of Yin, failure of Yang entry, sudden death-like pain; recovery of Qi brings life. Cold lodging in intestines/stomach causes rebellious Qi upward, leading to painful vomiting. Cold lodging in Small Intestine prevents proper digestion/accumulation, causing diarrhea and abdominal pain. Cold closes pores, blocks airways, causes Qi convergence, and cold accumulation becomes chronic cold. *Zhi Shi Fang* states: Diet is primary, medicine secondary. Lack of dietary control and unchecked desires cause stagnation in organs, forming chronic ailments, hence "sinking cold and chronic cold." Symptoms include seminal emission in men, leukorrhea in women, cold bones and brain, Qi/Blood deficiency, nausea/vomiting, chronic or acute diarrhea. Treatment lies in warming and tonifying, avoiding rigid/drying agents. Nourish Blood and Qi, perhaps assisting with Ginger (*Shengjiang*) and Cinnamon Twig (*Guizhi*). As ancients said: "Deficiency of Essence requires tonification with flavor." Clinging to rigid/drying agents to quickly restore Yang risks depleting Kidney Water and allowing Heart Fire to blaze alone. Excess leads to harm; control restores balance. *Neijing* says: "Excess Yin causes excessive sweating and cold body." *Yin Yang Ying Xiang Da Lun* says: "Yin excess causes cold body, sweating, shivering, and Jue." *Tiao Jing Pian* says: "Yin excess generates internal cold." Qibo said: "Rebellious Qi rises, cold accumulates in chest, cannot be purged as purging removes warmth, leaving only cold, causing 'Han Zhong'." Li Dongyuan explained: "This is Spleen/Stomach insufficiency, physical labor impairing Middle Jiao transport, transmitting to Han Zhong. Tonify Yang using *Fuzi Lizhong Tang* powder, mixed with clear broth from mutton boiled with scallions. Several doses cure it." Predecessors' theories are detailed. Physicians who explore their meaning and follow classics in prescribing will avoid premature death.