答曰。盗汗者因眠卧而身体流汗也。此繇阳虚所致。久不已令人羸瘦。心虚不足。亡津液故
也。诊其脉虚弱细微。皆盗汗脉也。
大建中汤。治热自腹中。或从背膂。渐渐蒸热。或寐而汗。日渐羸瘦。
白芍(六两) 黄 远志 当归 泽泻(各三两) 龙骨 人参 甘草(炙各二两) 吴术(一
分)
上为粗末。每服五钱。水二盏。姜三片。枣一枚擘破。入饴少许。煎一盏。食前温服。
黄 饮子。治妇人血气不足。夜间虚乏。有汗倦怠者。
黄 五味子 当归 白茯苓(各半两) 白芍 远志 麦子(一方用麦门冬) 人参 吴术(
各一分) 甘草(三铢)
上 咀。每服三钱。水盏半。姜三片。煎七分。去滓温服。不拘时。神验。加味理建汤。治
男子妇人夜多盗汗。并便浊者。此方昌国州方顺斋传到。经验。
干姜 吴术 人参 黄 白芍 肉桂 甘草 牡蛎 浮麦 当归
上件 咀。每服水二盏。姜五片。枣一枚。煎八分。食前热服。渣再煎。
答曰。肝居胁之左。以藏血。针经云。邪在肝。两胁痛。巢氏云。左胁偏痛者。繇经络偏邪
。客于旁之故也。人之经络。旋环于身。左右表里皆周遍。若血气调和。不生虚实痛证。或
偏者邪伤之也。其左胁痛如刀刺者。则知其邪偏客于左也。甚者不得喘息也。
醋煎散。治妇人血气腹胁刺痛。
良姜(一两) 当归 肉桂 白芍 陈皮 乌药(各半两)
上为细末。每服三钱。水醋各半盏。煎七分。通口服。
趁痛散。治血气刺痛。起于一边。或左或右。行环上下。或在肌肉之间。如锥刀所刺。其气
不得息。
莪术 官桂(各一两) 槟榔(半两) 芫花(醋炙) 附子(各一两) 细辛(半两)
上为饮子。每服三钱。水盏半。煎七分。去滓温服。姜枣同煎。
Answer: Dao sweat (night sweats) refers to sweating that occurs during sleep. This is caused by Yang deficiency. If it persists for a long time, it leads to emaciation, insufficiency of the Heart spirit, and loss of body fluids. Upon pulse diagnosis, if the pulse appears weak, deficient, and fine, these are all pulses associated with Dao sweat.
Da Jian Zhong Tang (Greatly Building the Middle Decoction): Treats heat sensation arising from the abdomen or gradually steaming up from the back and spine, sweating during sleep, and progressive emaciation.
Ingredients: Huangqi (Astragali Radix, 6 liang), Yuanzhi (Polygalae Radix), Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma, each 3 liang), Longgu (Fossilia Ossis Mastodi et Scapulae), Renshen (Ginseng Radix), Gancao (Licorice Radix, honey-fried, each 2 liang), Wushu (Atractylodis Macrocephalae Rhizoma, 1 fen).
Preparation and Administration: Grind the above ingredients into coarse powder. Take 5 qian per dose, add 2 zhan of water, 3 slices of fresh ginger, 1 jujube split open, and a small amount of maltose. Decoct until 1 zhan remains. Take warm before meals.
Huangqi Yinzi (Astragalus Infusion): Treats women with Qi and Blood insufficiency, feeling weak and fatigued at night, accompanied by sweating and lassitude.
Ingredients: Huangqi (Astragali Radix), Wuweizi (Schisandrae Fructus), Danggui (Angelicae Sinensis Radix), Baifuling (Poria, each half liang), Baishao (Paeoniae Radix Alba), Yuanzhi (Polygalae Radix), Maizi (Tritici Semen; one prescription uses Maidong, Ophiopogonis Radix), Renshen (Ginseng Radix), Wushu (Atractylodis Macrocephalae Rhizoma, each 1 fen), Gancao (Licorice Radix, 3 shu).
Preparation and Administration: Cut the above ingredients into small pieces. Take 3 qian per dose, add 1.5 zhan of water and 3 slices of fresh ginger. Decoct until 0.7 parts remain. Strain and take warm. No specific timing required. It is highly effective.
Jiawei Li Jian Tang (Modified Li Jian Decoction): Treats men and women with frequent night sweats and turbid urine. This formula was transmitted by Fang Shunzhai from Changguo Prefecture and has proven effective through experience.
Ingredients: Ganjiang (Zingiberis Rhizoma), Wushu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baishao (Paeoniae Radix Alba), Rougui (Cinnamomi Cortex), Gancao (Licorice Radix), Muli (Ostreae Concha), Fumai (Tritici Levigate Fructus), Danggui (Angelicae Sinensis Radix).
Preparation and Administration: Cut the above ingredients into small pieces. Use 2 zhan of water, 5 slices of fresh ginger, and 1 jujube per dose. Decoct until 0.8 parts remain. Take hot before meals. The dregs can be decocted again.
Answer: The Liver resides on the left side of the hypochondrium and stores Blood. The *Zhen Jing* (Classic of Acupuncture) states: "When pathogenic factors affect the Liver, pain occurs in both hypochondria." Chao Yuanfang stated in his work: "Pain biased to the left hypochondrium is due to pathogenic factors invading the meridians and lodging on the side." Human meridians circulate around the body, penetrating both left and right, interior and exterior. If Qi and Blood are harmonious, no excess or deficiency pain syndromes will arise. If there is bias, it is because pathogenic factors have injured it. When the left hypochondrium feels like being stabbed by a knife, it indicates that pathogenic factors are biased and lodged on the left. In severe cases, it leads to dyspnea and inability to breathe deeply.
Cu Jian San (Vinegar-Boiled Powder): Treats stabbing pain in the abdomen and hypochondrium in women due to Qi and Blood disharmony.
Ingredients: Liangjiang (Alpiniae Officinarum Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix), Rougui (Cinnamomi Cortex), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Wuyao (Linderae Radix, each half liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose, add half a zhan of water and half a zhan of vinegar. Decoct until 0.7 parts remain. Take orally in one go.
Chen Tong San (Pain-Chasing Powder): Treats stabbing pain caused by Qi and Blood disorders. The pain starts on one side, either left or right, moving up and down in circles, or within the muscles, feeling as if pierced by an awl or knife, causing breathlessness.
Ingredients: Ezhu (Curcumae Rhizoma), Guanzi Gui (Cinnamomi Cortex, each 1 liang), Binglang (Arecae Semen, half liang), Yuanhua (Genkwa Flos, vinegar-fried), Fuzi (Aconiti Lateralis Radix Praeparata, each 1 liang), Xixin (Asari Radix et Rhizoma, half liang).
Preparation and Administration: Prepare as an infusion. Take 3 qian per dose, add 1.5 zhan of water. Decoct until 0.7 parts remain. Strain and take warm. Decoct with fresh ginger and jujube.