万病解毒丹药品具载方书，余尝见藩府所制，药味真正，构藏箧笥中，每遇奇疾莫不应手而瘥。尝谓仕宦遇美药，如猪腰子、三七、血竭、阿魏、花蕊石、蚺、蟾诸品，必谨藏之，伺一用著处，转死回生，一壶千金也。闭门著方书虽非大臣盛业，然知医岂非人子之有事哉。
养生主论云：予尝从士大夫游洛间，每闻诸公称一人善治背疮者，叹其不遇，其说神异。忽日有一人同一方士来投予之别墅，托宿数日。云：善治背疮，询之即其人也。问其方唯唯然，自言某师遇仙得传此草，虽六月间，以手探之亦如冰雪。一日至墅外，忽自咄咄而报日，门前幸有此仙草，遂郑重付祝于余。余叹而诺之，日：此即射干也。方士日：某昔货药淮西，适值官司拿医出征，远窜入八百里山场内，遇一老姥，年一二百岁。自谓金亡避兵来此，元完颜氏医姥也。传以此草并寿星散专治恶疮，救人无数。并著其方地扁竹散，射干为末。射千即俗名地扁竹也，原花园中之物，叶如良姜，根如竹鞭，其色初开，如金之状。又：一味，每用小钱抄末三字许，温酒调服。病在上即微吐，在下即微泻。予用济人其功如神。仍用膏药收口。寿星散专治恶疮痛不可当者，掺之不痛，不痛掺之即知痛。大南星一味为末。右一味，如背疮大痛者，遍掺于上即得安卧；不知痛者，掺之至于知痛即可治也。
疡医公孙知叔，赋性慈慧，记闻详博，深明百药之性味，创造丹砂、雄黄、矾石、磁石、石胆为五毒之剂。其说盖取丹砂养血而益心，雄黄长肉而补脾，矾石理脂膏而助肺，磁石通骨液而壮肾，石胆治筋而滋肝，外疗疮疡之五证，内应五脏。拘之以黄鍪，熟之以火候，药成敷疡，无不神效。一人须有疽生，一夕决溃，势甚危殆，以前药敷之，应手而瘥。此方今医书未知载否，世亦罕用，予谨识之，以俟深知医理者取焉。
医方之用有验于一方，而不验于他方；有效于一用，而不效于再用；有应于一人，而不应于他人；有行于一年而不行于他年，为南北异气，深浅异病，贵贱异位，司天异宜也。善医者明于天地之机，阴阳之变，尊卑之位，脏腑之因，其庶乎，其得之矣。虽然医一也，用于彼则验，用于我则不验，用于前则验，用于后则不验，何故?由人之德行，由人之福量，救人之真诚与不真诚耳。《推逢寤语》终
跋《寤语》后
昔华胥子既梦寤，而以其言质之天倪生也。天倪生日：若今梦耶，宁向者之非寤乎。华胥子惘然失，疑其为呓语也。此昔人蕉鹿之辨，喻真于至道者，梦与觉两忘之也。予读亭子中条所著《寤语》，该洽古今，罔罗前闻，贯穿百家，遘逢焉足起人意者，信李子寤矣。困假其言以寤世耶，予强夫世之难寤也。被懵于见闻为牛胥之徒者，安知不以李子为呓语耶。虽然启蒙发聩在李子则既寤矣，乃若真于至道而梦觉两忘得之言。诠之外者，世亦安得天倪生而质之。
云寿病童估声树跋
中医瑰宝苑
医 林 琐 语
[清] 元和 陆懋修九芝 著
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1、医之为道，莫过于不使病大，不使病大，莫过于有病即治，可以保富贵，可以别贫贱。
2、小而至于以草取嚏，真不足道矣，而此法出于《内经》。
3、《伤寒论》曰：服桂枝汤不解，先刺风池、风府。(风池二穴，在耳后陷中，按之引入耳者是。风府在项上发际大筋宛宛中者是。)否则，以三指密排，在脑后发际横擦之至两耳旁，令徉热，亦可去风。
4、喉闭不能进汤饮，以手横搦其颈皮，一手灌药。盖颈皮从横里紧，喉皮即从竖里开。此法余有所受，曾一再试之果验。
5、中风牙关紧闭，无法下药，必先以水浸乌梅肉令软，将青布包箸头蘸擦之，得涎流，牙便开。
6、上牙属胃，下牙属大肠，煎熬爆炙，蕴热于肠胃，牙必受病耳。时以石膏五钱、元明粉三钱，胆矾钱半，共末，每晨盥漱后，用牙刷蘸擦，可使齿力坚强。
7、老年人牙落，食物必吐其渣，可免停滞。
8、《内经》云：“圣人避风，如避矢石。”少壮时不信也，年老而后信之。
9、东坡一生常食茯苓，在饮酒者尤宜效之。
10、楼英曰：“饮酒而头汗出者，血证也。头汗而额上偏多者，额属心部，亦血证也。”此为的评。
11、眉棱骨痛，服白芷即解，是处即攒竹穴也。
12、张从正《儒门事亲》云：养生之与攻病，本自不同。今人以补剂疗病，宜乎不效。
13、赵养葵《医贯》云：食填太阴名曰食厥，下部有脉上部无脉，不吐即死。如肠腹绞痛，手不可按，更不可下。凡下血积必用桃仁、红花。下水积必用甘遂、牵牛。下水中之血积必用水蛭、虻虫。赵固以六味丸统治百病者，尚有此说，益可见治之不独贵补矣。
14、张从正曰：郁之成也，其初甚微，可呼吸按导而去之，若强补而留之，留即不去，遂成五积。
15、咳每由于风寒，必能尽力祛风，佐以消导，初起色白而薄，其味咸。咳甚则腹皮引痛，非水泛为痰也。渐愈则痰渐厚，色渐转黄，其咳虽至一两月，不可服滋腻药。
16、失血遗精，人皆谓是十成劳病矣，然必有所因，只从《内经》“先其所因，伏其所主”二语，无不愈者，一用补剂，病不去矣。
17、汗为人身之宝，夏日一闭汗即病，人每言寒则无汗，不知热甚亦无汗，凡服石膏以取汗者，即为此也。
18、附子为北方玄武真神，坐镇水邪，力能行水，用附子者，非独用以助阳，实用以破阴，故为水寒而外见热象者，先以一二剂试之，无热即当改用附子，非忽以为热而用寒药，忽以为寒而用热药也。
19、凡身骨节酸楚，一用羌活、独活，当日而止，是极有验。
20、太阳病之脉，有阳浮而阴弱者，阳谓寸脉，阴谓尺脉也，言病在上而不在下也，不可以阴弱为阴虚。
21、按摩一科，失传久矣，此法实不可少。
22、《难经》手三阳之脉，受风寒伏留而不去，名厥头痛，非厥阴头痛之谓。
23、“真头痛，手足青至节，死不治。”古人青清通用，谓清冷也。真心痛，手足青至节，亦不治，皆手足冷也。
24、三公坐而论道，圣君贤相之事也。姚际恒乃谓《素问》言多穿凿，且以黄帝与岐伯对问为荒诞。其隘甚矣。
25、姚又云：“《本草》汉志无之，汉平帝诏天下举通方术本草者，本草之名始见于此。”平帝既诏举知本草者，则汉以前之早有《本草》可知矣。而又曰：“此必东汉人作也。”则平帝乃诏举后汉时能知本草者耶？
26、《伤寒论》清谷之清，与清便之清，皆即圊字，圊即溷也。圊，《唐韵》七情切；《集韵》亲迎切，并音清。《说文》厕：清也。大徐曰：厕古谓之清，言污秽常当清除也。溷，《说文》：厕也；《唐韵》、《集韵》并胡困切；《集韵》苍经切，音青。
27、阴阳五行俱主岁远而言，十干甲丙戊庚壬为阳，乙丁巳辛癸为阴；角徵宫商羽，五太为阳，五少为阴，此言阴阳也。甲己合而化土，乙庚合而化金，丙辛合而化水，丁壬合而化木，戊癸合而化火，此言五行也。不明乎此，则云以火为丙，以水为癸者矣。
28、太阳病误下则成热实结胸；太阴病误下则成寒实结胸。误下之后，邪即内陷，陷则成实，理有固然。但在今则唯有误补而成实者，亦知误下尚可成实乎？
29、旋复代赭汤，治噫气不除。噫以声言。此不曰声而曰气者，即《论语》“出辞气”之气，谓噫出有食气也。
30、鞕，鱼孟切。音硬。
31、白虎汤治气分实热，桃仁承气汤治血分实热，亦有可用犀角地黄汤者，若以犀角代石膏用，则气血不分矣。
32、汗多亡阳，下多亡阴，皆谓亡津液也。阳明主津液所生病。
33、病之必问而后知之者，要须以不问为高。
34、少阳病用柴胡而汗出者，乃上焦得通，津液得下，胃气因和，故汗自出耳。非柴胡能发汗也。升葛亦然。
35、“吐已下断，汗出而厥，四肢拘急不解，脉微欲绝者”十九字作一句读。此时之吐已下断，可真作吐已下断观耶？
36、四逆者，冷过肘膝也。手足厥冷，何可得谓之四逆？
37、鸡子黄走血分，故心烦不卧者宜之。其白走气分，故言声不出者宜之。
38、伤寒病用白散方，不利进热粥一杯，利不止进冷粥一杯，是指巴豆言也。今则移之于大黄矣，试思服大黄而利不止，尚可吃冷粥乎？
39、读《伤寒论》须着意于治水之剂，大青龙汤清内扰之烦乱，故治表寒里热；小青龙治内蓄之水气，故治表热里寒。小青龙入太阳，治阳水之病，真武汤入少阴，治阴水之病，而五苓散、十枣汤、陷胸丸皆是。
40、古二陈汤本为六物，以治久咳，后人以之移治新嗽，乃去生姜、乌梅而为四味，此方之生姜、乌梅，即小青龙之干姜、五味子也，于四兽饮见之。
41、小柴胡汤为开通表里之剂，其旋复花汤，诸泻心汤，与夫黄连汤，干姜黄芩黄连人参汤，皆开通上下之剂。
42、都粱丸是白芷。举卿古拜散是荆芥。
43、六味丸者，本以酸苦甘辛咸淡之六味得名，非以六物为言也。
45、扁鹊玉壶丸，只用硫黄一味。
46、天王补心丹之桔梗，归脾丸之木香，七味白术散之葛根，玉屏风散之防风，俱不可少，若去之则非本方之义矣。
47、牛黄清心丸，以万氏一方为最稳。其方用西牛黄二分五厘，镜面辰砂一钱五分，黄连五钱，黄芩三钱，山栀三钱，郁金二钱，为末。丸如黍大，每服七八丸，如果温邪内陷包络，亦非此不能透入也。
48、肾者胃之关也，关门不开，故聚水而从其类，东垣所制通关丸，用黄柏、知母各一两，肉桂半之，最合。亦名滋肾丸。
49、舌为心之外候，其色当赤，而有时白如积粉者，白为肺金之色，反加心火之上，是为侮其所胜。
50、逍遥散本是八物，柴、归、三白各一钱，甘草五分，外尚有煨姜一片，薄荷五分，人皆忽之。其丹皮、山栀各一钱，则薛立斋于八物外所加也。
51、妇人临产为稳婆伤损，小水淋漓，以补脬散一方最妙。脬即妇人膀胱也。其方用生黄丝绢剪碎一尺，白丹皮连根一钱，白芨磨浓汁亦一钱，最妙。
52、败酱草一味，能化脓为水。治疡方中加入皂角刺三分，穿山甲三片，能引诸药至于病结之所。
53、脑漏、鼻渊等证，唯用白芷一两，辛夷仁、薄荷叶各五钱，苍耳仁炒去皮二钱五分，最能清风火之在巅顶者。
54、《经脉别论》曰：一阴一阳结，谓之喉痹。一阴厥阴也，一阳少阳也。厥阴之上，风气主之，少阳之上，火气主之。宗此以治，思过半矣。
55、银柴胡、胡黄连、青蒿子、左秦艽，功专骨蒸劳热。白丹皮去无汗之骨蒸，地骨皮去有汗之骨蒸。桑白皮去往来寒热之骨蒸。
56、洞泄即是水泄，用白蒺藜、野大蒜、萝卜荚、荠菜花四味，各三钱，煎服立效。以治水泄不止者最妙，此先母记得是家传方也。
57、画眉膏为小儿断乳，法极有验。方用：雄黄、雌黄、辰砂、麝香各二分，轻粉一分，山栀一个，共研为末，待小儿睡熟时，用麻油调擦两眉毛上，即不思乳，此后无憋弊。如能于伏断日如法用之犹合。
58、凡宜升之阳与宜补之阳异。凡宜补之阴与滋阴之药味，一误于不讲阳郁，一误于不讲阴气。
59、泄泻有开首即宜温中者，与痢不同。
60、东坡云：“我有病状，必尽情告医，使其胸中了然。然后诊脉，则疑似不能惑也。我本愈病，岂以困医为事哉。”今而有以不问医为高者矣。
61、王海藏曰：病人拱默，惟令切脉，试其知否。夫寒热虚实，此可以脉知之，然一脉管数十证，得病之由不可以脉知之。如伤于食，可由脉知之，可所伤何物，岂现于脉？故医者不可以不问，病者不可以不说。
62、《内经素问》无论真不真，总是秦汉以前书，《伤寒论》无论全不全，总可就其用法以治今人病。姚首源以《素问》为穿凿，以《伤寒论》为驳杂，均入诸伪书之列，不自知其与病人为仇也。
63、重病以领出死关，引入生路为事，病在关内，变端百出，一离此关，病虽未愈，无死机矣。
64、书本不载接方，以接方之无定也。然医全在接方上见本领，此必临证多而后能之。
65、病有本不是一剂可愈者，用药亦不必重。病有必恃此一剂见功者，用药则不可轻。
66、胃脘痛一证，莫神于游山方，草果、延胡索、五灵脂、没药四味，亦名手拈散。
67、茯苓一味，为治痰主药，痰之本水也，茯苓可以利水；痰之动湿也，茯苓又可以行湿。
68、陈修园曰：肝胆为发温之原，阳明为成温之薮。
69、俗云：老来身体，如历年记其逢节发病也，此何故，盖此每交大节，皆为风寒营卫交替之时，此时用药，即当因所见之病而顺以去之，若一用补，则留病不去，病即因此而甚，故逢节发病断不可补。
70、病之自汗出者，即为有汗，属之病，仍以解肌得汗，方为去病之汗。
[Main Text]
The prescription for Wanbing Jiedu Dan (Ten Thousand Diseases Detoxifying Elixir) is detailed in medical books. I have seen the version prepared by the Prince's mansion; its ingredients were authentic and pure, stored in cabinets. Whenever strange diseases were encountered, recovery was immediate. I once said that officials who encounter good medicines, such as Pig Kidney (Zhu Yaozi), Panax notoginseng root (Sanqi), Dragon's blood resin (Xuejie), Ferula gum-resin (Awei), Flower coralline stone (Huarui Shi), Rattlesnake (Ranshe), and Toad (Chansha), should carefully store them, waiting for critical moments to use them, capable of turning death into life. A single pot of this medicine is worth a thousand gold. Although compiling medical books in seclusion is not the grand undertaking of high ministers, does not understanding medicine constitute a duty for children?
*Yangsheng Zhu Lun* (Treatise on the Master of Life) states: "I once associated with scholars in the Luoyang area, often hearing gentlemen praise an individual skilled in treating back sores, lamenting his lack of opportunity. His methods were described as miraculous and strange. Suddenly, one day, a man accompanied by a Daoist practitioner came to stay at my villa for several days, claiming expertise in treating back sores. Upon inquiry, it was indeed him. When asked about his prescription, he was evasive, stating that his teacher received this herb from an immortal. Even in June, touching it felt as cold as ice and snow. One day, arriving outside the villa, he suddenly exclaimed, 'Fortunately, this immortal herb is here,' and earnestly entrusted it to me. I sighed and agreed, saying, 'This is Belamcanda chinensis rhizome (Shegan).' The Daoist practitioner said, 'I previously sold herbs in Huaixi when the government conscripted doctors for military campaigns. I fled deep into the mountains and met an old woman aged over a hundred, who claimed to be a physician of the Yuan dynasty's Wanyan clan, having fled there during the fall of the Jin dynasty. She passed down this herb and Shouxing San (Longevity Star Powder), specifically for malignant sores, saving countless lives. She also wrote down a formula called Dibianzhu San (Ground Bamboo Powder), using Belamcanda chinensis rhizome (Shegan) powdered. Belamcanda chinensis rhizome (Shegan) is commonly known as Dibianzhu, originally a garden plant with leaves resembling Galangal (Liangjiang) and roots like bamboo rhizomes. Its color when first blooming resembles gold. Another ingredient: take approximately three characters' worth of powder (using a small coin measure), mix with warm wine and ingest. If the disease is in the upper body, mild vomiting occurs; if in the lower body, mild diarrhea occurs. I used it to help people with divine efficacy. I still used plasters to close the wounds. Shouxing San (Longevity Star Powder) is specifically for malignant sores with unbearable pain. Applying it stops the pain; applying it when there is no pain restores sensation. It uses only Rhizoma Typhonii (Dan Nanxing, processed Arisaema rhizome) powdered. For severe back sores, applying it all over allows rest; for non-painful sores, applying until sensation returns indicates treatability."
Sun Gongzhishu, a surgeon, was naturally compassionate and intelligent, with extensive knowledge and a deep understanding of the properties and flavors of hundreds of herbs. He created a 'Five Poisons' preparation using Cinnabar (Dansha), Realgar (Xionghuang), Alum (Fanshi), Magnetite (Cishi), and Melanterite (Shidan). His theory likely took Cinnabar (Dansha) to nourish blood and benefit the Heart, Realgar (Xionghuang) to promote flesh growth and tonify the Spleen, Alum (Fanshi) to regulate adipose tissue and assist the Lung, Magnetite (Cishi) to unblock bone fluid and strengthen the Kidney, and Melanterite (Shidan) to treat tendons and nourish the Liver. Externally treating five types of sores corresponds internally to the Five Zang organs. Constrained with yellow copper masks and cooked with fire control, the resulting medicine applied to sores produced miraculous effects. One patient developed a carbuncle that ruptured overnight, in a critical state. Applying the aforementioned medicine led to immediate recovery. Whether this formula is recorded in current medical books is unknown, and it is rarely used in the world. I record it carefully, awaiting those who deeply understand medical principles to adopt it.
The application of medical formulas varies: some are effective in one case but not another; effective for one usage but not repeated use; effective for one person but not another; effective in one year but not another. This is due to differences in northern and southern climates, depth of disease, social status, and favorable conditions according to the ruling Qi of the year. A skilled physician understands the mechanisms of Heaven and Earth, changes of Yin and Yang, positions of rank, and causes of Zang-Fu disorders. This is perhaps the essence of acquiring medical knowledge. Nevertheless, although medicine is one, why is it effective for others but not for me, effective before but not after? It depends on a person's virtue, their fortune, and the sincerity of their intent to save others. *Tui Feng Wu Yu* ends.
Postscript to *Wu Yu*
Formerly, Huaxu Zi, upon waking from a dream, questioned Tianni Sheng with his words. Tianni Sheng asked, "Is your current state a dream, or was the previous state not a waking reality?" Huaxu Zi was bewildered, suspecting it was sleep-talking. This refers to the ancient debate of the banana deer, illustrating that truth lies in the highest Dao, where both dream and waking are forgotten. Reading Tingzi Zhongtiao's *Wu Yu*, which covers past and present, gathers previous hearsay, and integrates a hundred schools, encountering passages that stir the mind, I believe Li Zi has awakened. Is he borrowing these words to awaken the world? I strive to awaken those difficult to awaken. Those blinded by sensory experience, becoming like Niu Xu, how can they know not to regard Li Zi's words as sleep-talking? Although Li Zi has achieved enlightenment to dispel ignorance, regarding the truth of the highest Dao where dream and waking are forgotten beyond words, where in the world is there a Tianni Sheng to question?
Yunshou Bingtong Gushengshu - Postscript
Chinese Medical Treasures Pavilion
*Yilin Suoyu*
By [Qing Dynasty] Yuanhe Lu Moxiu Jiuzhi
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1. The way of medicine is best defined by preventing disease from worsening. Preventing worsening is best achieved by treating disease immediately. This preserves wealth and honor, distinguishing poverty from nobility.
2. Small methods like using grass to induce sneezing may seem insignificant, but this method originates from *Neijing* (The Inner Canon).
3. *Shanghan Lun* (Treatise on Cold Damage) states: If Gui Zhi Tang (Cinnamon Twig Decoction) fails to resolve symptoms, first puncture Fengchi (GB20) and Fengfu (GV16). (Fengchi (GB20) is located in the depression behind the ear, where pressure radiates into the ear. Fengfu (GV16) is located above the nape hairline, in the depression between the large tendons.) Alternatively, press three fingers closely together and rub horizontally across the back of the head hairline towards both ears until slightly hot, which can also dispel Wind.
4. For throat closure preventing swallowing, grasp the neck skin horizontally with one hand while administering medicine with the other. Because the neck skin tightens horizontally, the throat skin opens vertically. I learned this method and tested it successfully.
5. For stroke-induced lockjaw preventing medication administration, soak dried plum meat (Wumei) in water until soft, wrap it around a chopstick tip with green cloth, and wipe. Saliva flow will open the jaw.
6. Upper teeth belong to the Stomach; lower teeth belong to the Large Intestine. Frying and roasting cause heat accumulation in the intestines and stomach, damaging teeth. Regularly mix Gypsum Fibrosum (Shigao) 5 qian, Mirabilite (Yuanmingfen) 3 qian, and Chalcanthite (Danfan) half a qian into powder. After morning washing, brush teeth with this powder to strengthen them.
7. Elderly people with lost teeth must spit out food residue to avoid stagnation.
8. *Neijing* says: "Sages avoid wind as they avoid arrows and stones." I did not believe this in youth, but believe it now in old age.
9. Dongpo ate Poria cocos sclerotium (Fuling) throughout his life; drinkers especially should emulate this.
10. Lou Ying said: "Head sweating after drinking indicates Blood pathology. Head sweating concentrated on the forehead also indicates Blood pathology, as the forehead belongs to the Heart region." This is an accurate evaluation.
11. Pain in the supraorbital ridge resolves with Bai Zhi (Angelica dahurica root); this location corresponds to the Zan Zhu (BL2) acupoint.
12. Zhang Congzheng in *Rumen Shiqin* (Intimate Conversations for Laypeople) stated: Health preservation and disease attack are fundamentally different. Using tonic formulas to treat disease explains their ineffectiveness.
13. Zhao Yangkui in *Yiguan* (Medical Classic) stated: Food stagnation in the Taiyin is called Food Syncope. Pulse present below, absent above; if not vomited, death ensues. In cases of colic and abdominal cramping where touch is intolerable, purgatives are contraindicated. For blood stasis, Peach Kernel (Taoren) and Safflower (Honghua) are essential. For water retention, Kansui Root (Gansui) and Morning Glory Seed (Qianniu) are essential. For blood stasis in water, Leech (Shuizhi) and Horsefly (Mengchong) are essential. Zhao insisted Six Flavor Rehmia Pill (Liudai Wan) could treat all diseases, yet holds this view, further proving treatment is not solely reliant on tonification.
14. Zhang Congzheng said: Stagnation begins subtly and can be resolved through breathing and massage. Forced tonification retains it, leading to the Five Accumulations.
15. Coughs often result from Wind-Cold. Must vigorously dispel Wind and assist digestion. Initially, sputum is white and thin, salty in taste. Severe coughing pulls abdominal skin; this is not water flooding transforming into phlegm. As it heals, sputum thickens and turns yellow. Even if coughing lasts one or two months, cloying/nourishing medicines are contraindicated.
16. Hemorrhage and spermatorrhea are considered advanced Consumption diseases. However, there must be a cause. Following *Neijing*'s "Address the primary cause first, subdue the main pathogen," all recover. Using tonics prevents cure.
17. Sweat is the treasure of the body. Closing sweat pores in summer causes illness. People say cold prevents sweating, but extreme heat also prevents sweating. Using Gypsum Fibrosum (Shigao) to induce sweat addresses this.
18. Aconite Root (Fuzi) is the true spirit of the Black Tortoise of the North, suppressing Water pathogens, powerfully moving water. Using Aconite Root (Fuzi) is not just to assist Yang, but actually to break Yin. For Water-Cold presenting with external Heat signs, test with one or two doses first. If no Heat remains, switch to Aconite Root (Fuzi). Do not arbitrarily switch between Hot and Cold medicines based on misinterpretation.
19. For body joint soreness, Qiang Huo (Notopterygium root) and Du Huo (Pubescent Angelica root) stop it on the same day; this is highly effective.
20. In Taiyang Disease pulse, floating Yang and weak Yin refer to Cun (inch) and Chi (cubit) pulses respectively, indicating disease is upper, not lower. Weak Yin should not be diagnosed as Yin Deficiency.
21. Massage therapy has been lost for a long time; this method is indispensable.
22. *Nanjing* (Classic of Difficult Issues) states: Hand Triple Burner meridians affected by Wind-Cold lingering without exiting are called Jue Headache, distinct from Jueyin Headache.
23. "True Headache, hands and feet turn blue to the joints, death, untreatable." Ancient texts used Qing (blue/green) and Qing (clear/cold) interchangeably, meaning cold/clammy. True Heart Pain, hands and feet turn blue to the joints, also untreatable, referring to cold extremities.
24. Three Dukes sitting discussing the Dao is the affair of sage kings and virtuous chancellors. Yao Jiheng claimed *Suwen* (Basic Questions) is forced and Huangdi-Qibo dialogues absurd. His narrow-mindedness is severe.
25. Yao also said: "*Bencao Jing" (Divine Farmer's Materia Medica) is absent from Han records. Emperor Ping's edict calling for experts in herbal medicine marks the first appearance of the name.* Since Emperor Ping summoned those knowing Bencao, pre-Han existence of *Bencao Jing* is evident. Yet he claims: "This must be Eastern Han fabrication." Did Emperor Ping summon Eastern Han experts?
26. In *Shanghan Lun*, "Qing" in Qinggu (clear stool) and Qingbian (clear urine) refers to the character Qing (toilet/latrine), synonymous with Hun. *Tangyun* pronounces it Qing; *Jiyun* pronounces it Qing. *Shuowen*: Toilet is Qing. Da Xu says: Toilet was anciently called Qing, implying filth should be cleared. Hun means toilet. Pronounced Qing.
27. Yin-Yang and Five Elements discuss distant years. Ten Heavenly Stems Jia, Bing, Wu, Geng, Ren are Yang; Yi, Ding, Si, Xin, Gui are Yin. Jue, Zhi, Gong, Shang, Yu; five Tai are Yang, five Shao are Yin. This is Yin-Yang. Jia-Ji transform to Earth; Yi-Geng to Metal; Bing-Xin to Water; Ding-Ren to Wood; Wu-Gui to Fire. This is Five Elements. Not understanding this leads to errors like associating Fire with Bing and Water with Gui.
28. Taiyang Disease mistreated with purgatives becomes Heat-Excess Jie Xiong (Chest Binding); Taiyin Disease mistreated becomes Cold-Excess Jie Xiong. After mistreatment, pathogen sinks inward, becoming excess, which is logical. But today, only mistreatment with tonics causes excess; do we realize mistreatment with purgatives also causes excess?
29. Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction) treats persistent belching. Belching is sound-based. Here termed Qi because, per *Analects* "words and tone," it implies food Qi escaping.
30. Ying (hard/tough) is pronounced Ying (hard).
31. Bai Hu Tang (White Tiger Decoction) treats Qi-level Excess Heat; Tao Ren Cheng Qi Tang (Peach Kernel Purging the Rectum Decoction) treats Blood-level Excess Heat. Xi Jiao Di Huang Tang (Rhinoceros Horn Rehmannia Decoction) is also usable. Substituting Rhinoceros Horn (Xijiao) for Gypsum Fibrosum (Shigao) confuses Qi and Blood levels.
32. Excessive sweating depletes Yang; excessive purging depletes Yin; both refer to loss of Body Fluids. Yangming governs diseases of Body Fluids.
33. Regarding diseases requiring inquiry to know: it is superior not to ask.
34. In Shaoyang Disease, sweating after Chai Hu (Bupleurum root) indicates Upper Jiao unblocking, fluids descending, and Stomach Qi harmonizing, causing spontaneous sweating. Chai Hu (Bupleurum root) itself does not induce sweating. Ge Gen (Kudzu root) acts similarly.
35. "Vomiting and diarrhea have ceased, sweating with cold limbs, limb spasms unresolved, pulse faint and near extinction" – read these nineteen characters as one sentence. Does "vomiting and diarrhea ceased" truly mean cessation here?
36. Si Ni (Four Reverse/Cold) refers to cold extending past elbows and knees. Can cold hands and feet alone be called Si Ni?
37. Egg yolk enters Blood level, suitable for irritability and insomnia. Egg white enters Qi level, suitable for voice loss.
38. In Shanghan Disease using Bai San (White Powder), if no diarrhea, drink hot porridge; if diarrhea persists, drink cold porridge. This refers to Croton Seed (Badou). Today transferred to Radix Polygoni Multiflori Preparata (Zhi Da Huang)? Consider: if Da Huang causes persistent diarrhea, can one eat cold porridge?
39. Reading *Shanghan Lun*, focus on water-regulating formulas. Da Qing Long Tang (Major Blue Green Dragon Decoction) clears internal disturbance, treating Exterior Cold Interior Heat. Xiao Qing Long Tang (Minor Blue Green Dragon Decoction) treats internal water retention, treating Exterior Heat Interior Cold. Xiao Qing Long Tang enters Taiyang, treating Yang Water disease. Zhen Wu Tang (True Warrior Decoction) enters Shaoyin, treating Yin Water disease. Wu Ling San (Five-Ling Powder), Shi Zao Tang (Ten Date Decoction), and Xian Xiong Wan (Chest-Penetrating Pill) are related.
40. Ancient Er Chen Tang had six ingredients for chronic cough. Later used for new cough, removing Ginger and Smoked Plum, leaving four. The Ginger and Smoked Plum in this formula correspond to Dried Ginger and Schisandra Berry in Xiao Qing Long Tang, seen in Si Shou Yin (Four Beast Drink).
41. Xiao Chai Hu Tang (Minor Bupleurum Decoction) opens Exterior and Interior. Xuan Fu Hua Tang, various Xie Xin Tang (Drain the Epigastrium Decoctions), Huang Lian Tang, and Gan Jiang Huang Qin Huang Lian Ren Shen Tang all open Upper and Lower.
42. Dou Liang Wan is Bai Zhi (Angelica dahurica root). Ju Qing Gu Bai San is Jing Jie (Schizonepeta spike).
43. Liu Wei Di Huang Wan (Six Flavor Rehmannia Pill) gets its name from Sour, Bitter, Sweet, Pungent, Salty, and Bland flavors, not six ingredients.
45. Bian Que Yu Hu Wan (Bianque Jade Pot Pill) uses only Sulfur.
46. Jie Geng (Platycodon root) in Tian Wang Bu Xin Dan, Mu Xiang (Aucklandia root) in Gui Pi Wan, Ge Gen (Kudzu root) in Qi Wei Bai Zhu San, Fang Feng (Saposhnikovia root) in Yu Ping Feng San are indispensable. Removing them violates the formula's intent.
47. Niu Huang Qing Xin Wan (Calculus Bovis Clearing Heart Pill): Wan family formula is most stable. Uses Western Calculus Bovis (Niuhuang) 2.5 fen, Mirror-grade Cinnabar (Chensha) 1.5 qian, Coptis Rhizome (Huanglian) 5 qian, Scutellaria Root (Huangqin) 3 qian, Gardenia Fruit (Shanzhi) 3 qian, Curcuma Tuber (Yujin) 2 qian. Powdered, pill-sized as millet seeds. Take 7-8 pills. If Warm Pathogen traps Pericardium, only this can penetrate.
48. Kidney is the gate of the Stomach. If the gate doesn't open, water accumulates. Dongyuan's Tong Guan Wan (Pass the Gate Pill) uses Phellodendron Bark (Huangbai) and Anemarrhena Rhizome (Zhimu) 1 liang each, Cinnamon Bark (Rougui) half that amount. Highly suitable. Also named Zi Shen Wan (Nourish Kidney Pill).
49. Tongue is the external manifestation of the Heart, should be red. Sometimes white like accumulated powder. White is Lung Metal color, added to Heart Fire, representing insulting the conquered element.
50. Xiao Yao San (Free and Easy Wanderer Powder) originally had eight ingredients: Chai Hu (Bupleurum root), Dang Gui (Angelica sinensis root), Bai Shao (White Peony root), Bai Zhu (Atractylodes macrocephala rhizome), Fu Ling (Poria cocos), Gan Cao (Licorice root), each 1 qian; Gan Cao 5 fen. Plus roasted Ginger slice and Bohe (Mint leaf) 5 fen, often ignored. Dan Pi (Moutan bark) and Shanzhi (Gardenia fruit) 1 qian each were additions by Xue Lizhai.
51. Women injured by midwives during labor, with dribbling urine, are best treated with Bu Pao San (Bladder-Nourishing Powder). Pao is the female bladder. Formula: Raw yellow silk cut 1 chi, Moutan bark with roots 1 qian, Bletilla Rhizome (Baiji) paste 1 qian. Most excellent.
52. Patrinia Herb (Baijiangcao) transforms pus into water. Adding Soap Pod Spine (Zaoyaoci) 3 fen and Pangolin Scales (Chuanshanjia) 3 slices to ulcer formulas guides herbs to the lesion.
53. For sinusitis and nasal discharge, Bai Zhi (Angelica dahurica root) 1 liang, Xin Yi Ren (Magnolia bud) 5 qian, Bohe (Mint leaf) 5 qian, Cang Er Ren (Xanthium fruit) fried peeled 2.5 qian best clear Wind-Fire at the vertex.
54. *Jingmai Bielun* states: One Yin and One Yang knotting is called Hou Bi (Throat Bi). One Yin is Jueyin, One Yang is Shaoyang. Above Jueyin, Wind Qi dominates; above Shaoyang, Fire Qi dominates. Treating based on this covers more than half the problem.
55. Yin Chai Hu (Stellaria root), Hu Huang Lian (Picrorhiza root), Qing Hao Zi (Artemisia seed), Zuo Qin Jiao (Gentiana root) specialize in Bone-steaming fever. Bai Dan Pi (Moutan bark) removes Bone-steaming without sweat; Di Gu Pi (Lycium bark) removes Bone-steaming with sweat. Sang Bai Pi (Mulberry root bark) removes alternating chills and fever Bone-steaming.
56. Dong Xie (Cavity Diarrhea) is Watery Diarrhea. Use Bai Ji Li (Tribulus fruit), Ye Da Suan (Wild garlic), Luo Bo Jia (Radish pod), Ji Cai Hua (Shepherd's purse flower), each 3 qian. Decoct and drink for immediate effect. Best for persistent watery diarrhea. My late mother remembered this as a family recipe.
57. Hua Mei Gao (Eyebrow Paste) for weaning infants is very effective. Formula: Xiong Huang (Realgar), Ci Huang (Orpiment), Chensha (Cinnabar), Shexiang (Musk), each 2 fen; Qing Fen (Calomel) 1 fen; Shanzhi (Gardenia fruit) 1. Powder together. When infant sleeps, mix with sesame oil and rub on eyebrows. Infant loses desire for milk, avoiding suffocation. Effective on Weaning Day.
58. Yang suitable for ascending differs from Yang suitable for tonifying. Yin suitable for tonifying differs from Yin-nourishing herbs. Errors arise from ignoring Yang stagnation and ignoring Yin Qi.
59. Diarrhea sometimes requires warming the Middle from the start, differing from Dysentery.
60. Dongpo said: "I must fully inform the doctor of my symptoms, making him clearly understand. Then pulse diagnosis cannot confuse suspicion. I seek cure, not to trouble the doctor." Now, some consider not asking the doctor superior.
61. Wang Haicang said: Patients remain silent, allowing only pulse taking to test knowledge. Cold/Heat/Deficiency/Excess can be known by pulse, but one pulse manages dozens of syndromes; the cause of disease cannot be known by pulse. Food injury can be known by pulse, but what was eaten? Thus, doctors must ask, patients must speak.
62. *Suwen* whether true or not, is pre-Qin/Han. *Shanghan Lun* whether complete or not, its methods treat modern diseases. Yao Shouyuan calls *Suwen* forced and *Shanghan Lun* mixed, classifying them as fake, unknowingly enmity with patients.
63. Critical illness aims to lead out of the death gate into life. Disease inside the gate produces myriad changes. Once out, even if uncured, death is avoided.
64. Books don't record follow-up prescriptions because they are indefinite. However, a doctor's skill is shown in follow-ups, achievable only with much clinical experience.
65. Some diseases require more than one dose; medication need not be heavy. Some diseases rely on one dose for effect; medication must not be light.
66. For Stomach pain, You Shan Fang is miraculous: Ca Guo (Tsaoko cardamom fruit), Yan Hu Suo (Corydalis tuber), Wu Ling Zhi (Trogopterus dung), Moyao (Myrrh). Also named Shou Nian San (Hand-Picking Powder).
67. Fu Ling (Poria cocos) is the main herb for Phlegm. Phlegm's root is Water; Fu Ling promotes urination. Phlegm's movement is Dampness; Fu Ling moves Dampness.
68. Chen Xiuyuan said: Liver and Gallbladder are the origin of Fever generation; Yangming is the gathering place of Fever completion.
69. Folk saying: Old bodies remember festivals by发病 (getting sick). Why? Major festivals mark Wind-Cold and Ying-Wei alternation times. Medication should follow the observed disease to remove it. Tonification retains disease, worsening it. Festival-related sickness must not be tonified.
70. Spontaneous sweating in disease is existing sweat. For disease removal, sweating via Muscle-Relaxing method is required.