若饮食减少,四肢倦怠,午后热者,胃气虚也。若起居如常,但发烦热,乃胃实心气盛也。服茜草汤五日愈。
此由真气虚脱,冲任之血不行,化为脓水,或从脐中,或从阴中,淋沥而下,不治即死。灸石门穴二百壮,
服金液丹、姜附汤愈。(脐为神阙穴,上脾下肾,不可有伤,若出脓水,先后天之气泄矣,焉得不死。)
凡无故昏倒,乃胃气闭也,灸中脘即愈。(贪食多欲之妇,多有此证。)
生产出血过多,或早于房事,或早作劳动,致损真气,乃成虚劳。脉弦而紧,咳嗽发热,四肢常冷,或咯
血吐血,灸石门穴三百壮,服延寿丹、金液丹,或钟乳粉,十日减,一月安。(凡虚劳而其脉弦紧者,病已剧
矣,况在生产而出血过多者乎!急投温补,唯恐已迟,苟或昧此,尚欲滋阴,愈无日矣。)
小儿纯阳,其脉行疾,一息六七至为率,迟冷数热与大人脉同。但小儿之病,为乳食所伤者,十居其半,
发热用平胃散,吐泻用珍珠散,头痛发热,恐是外感,用荜澄茄散,谷食不化,用丁香丸,泄泻用金液丹。
(小儿之脉较之大人固是行疾,第略差半至一至为率,若六七至,非平脉也。平脉而六七至,则数脉将八至矣,
脉至八至非脱而何。)
风木太过,令人发搐,又积热蓄于胃脘,胃气瞀闭,亦令卒仆,不知人事。先服碧霞散吐痰,次进知母黄
芩汤,或青饼子、朱砂丸皆可。若脾虚发搐,或吐泻后发搐乃慢惊风也,灸中脘三十壮,服姜附汤而愈。(小
儿之急惊、慢惊,犹大人中风之闭证、脱证,温清补泻,审病当而用药
确,自无差讹。)
If dietary intake decreases, limbs feel fatigued and weak, and fever occurs in the afternoon, this is due to deficiency of Stomach Qi (Stomach Energy). If daily activities remain normal but there is only a sensation of irritability and heat, this indicates excess heat in the Stomach and abundance of Heart Qi. Taking Qiancao Tang (Madder Root Decoction) will result in recovery within five days.
This condition arises from the depletion of True Qi (Vital Energy), causing blood in the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) to fail to circulate, transforming into pus and water. It may discharge from the umbilicus or from the vagina, dripping continuously; without treatment, it leads to death. Moxibustion on Shimen (CV5) for two hundred moxa cones, combined with administration of Jinye Dan (Golden Fluid Pill) and Jiangfu Tang (Ginger and Aconite Decoction), will lead to recovery. (The umbilicus is Shenque (CV8), connecting above to the Spleen and below to the Kidney; it must not be injured. If pus and water discharge, the Qi of both the Pre-Heaven and Post-Heaven sources will leak out, how can one avoid death?)
Whenever one faints suddenly without an obvious cause, it is due to closure of Stomach Qi; moxibustion on Zhongwan (CV12) will lead to recovery. (Women who are gluttonous and have excessive desires often suffer from this syndrome.)
Excessive bleeding during childbirth, early resumption of sexual intercourse, or premature physical labor can damage True Qi, resulting in Xu Lao (Deficiency Consumption Disease). The pulse is wiry and tight, accompanied by coughing, fever, cold limbs, hemoptysis, or hematemesis. Moxibustion on Shimen (CV5) for three hundred moxa cones, followed by administration of Yanshou Dan (Longevity Pill), Jinye Dan (Golden Fluid Pill), or Zhuru Fen (Semen Siliphii [Milk Thistle Seed] Powder), will reduce symptoms within ten days and bring stability within one month. (For those suffering from Xu Lao with a wiry and tight pulse, the disease is already severe; how much more so for those with excessive bleeding after childbirth! Urgent warm tonification is required, lest it be too late. If one fails to understand this and attempts Yin-nourishing methods, there will be no hope left.)
Children possess Pure Yang (Pure Yang Constitution); their pulses move rapidly, with six to seven beats per respiratory cycle as the standard. A slow pulse indicates cold, and a rapid pulse indicates heat, consistent with adult pulse theory. However, half of pediatric diseases are caused by damage from milk and food. For fever, use Pingwei San (Peaceful Stomach Powder); for vomiting and diarrhea, use Zhenzhu San (Pearl Powder); for headache and fever, suspecting external contraction, use Bichengqie San (Cubeb Powder); for undigested food, use Dingxiang Wan (Clove Pill); for diarrhea, use Jinye Dan (Golden Fluid Pill). (Although children's pulses are indeed faster than adults', the standard should be slightly faster by half to one beat. Six to seven beats per cycle is not a balanced pulse. If a balanced pulse reaches six to seven beats, a rapid pulse would reach eight beats; a pulse reaching eight beats indicates collapse of Qi.)
Excess Wind-Wood energy causes convulsions. Additionally, accumulated heat stored in the epigastrium, causing the Stomach Qi to become muddled and closed, can also lead to sudden collapse and loss of consciousness. First, administer Bixia San (Green Cloud Powder) to induce vomiting of phlegm; subsequently, give Zhimu Huangqin Tang (Anemarrhena and Scutellaria Decoction), or Qingbingzi (Green Cake Pill) or Zhusha Wan (Cinnabar Pill) are all acceptable. If convulsions arise from Spleen deficiency, or occur after vomiting and diarrhea, this is Man Jing Feng (Slow Convulsive Disorder). Moxibustion on Zhongwan (CV12) for thirty moxa cones, followed by Jiangfu Tang (Ginger and Aconite Decoction), will lead to recovery. (Pediatric Ji Jing Feng [Acute Convulsion] and Man Jing Feng [Slow Convulsion] are analogous to Bi Zheng [Closed Syndrome] and Tuo Zheng [Collapse Syndrome] in adult stroke; applying warming, clearing, tonifying, and draining methods appropriately based on accurate diagnosis ensures no errors.)