今晨寒热又作,来势颇轻,呕亦稍松,苔
亦尖薄,所受风寒湿热却有暗化之机,似属佳兆。无如脉之弦滑都带空象,元气阳气实已内
虚。虚而有邪,不得不扶正化邪为法。盖恐邪未尽而正先尽耳。
制川朴 于术 人参 桂枝 草果仁 干姜 炙草 茯苓 川连 复花 赭石 陈皮 白芍 姜 红枣 制半夏
二爷之病,风邪外感,内蒸湿热痰浊。古人所谓夹病,此等症是也。何以见之,风入少
阳,则为寒热往来,半在表,半在里,出而与阳争则寒,寒宜不饮,入而与阴争则热,热宜发
渴。今寒时喜热饮,热时反不渴,若无湿热痰浊,何以如是耶?是以舌苔满布,面已晦滞,脉
已带滑,尽见空濡之象,欲去其风,必须化湿化痰化热,以除兼夹之邪,则风邪寻路而出,
不被兼夹所持矣。然热自痰生,痰从湿化,即欲化痰化热,先宜化尽湿邪。嘉言云∶舍助阳,
别无驱湿之法。明示人以温通为主,将来附子理中连理辈一定章程。其中损益尤须临病斟
酌,活法在诸高明公也。设使兼夹之邪日化一日,而疟机未脱,仍可用小柴胡汤和之,或寒
热渐轻,但师其意不取其方,亦未为不可然,而诸高明自有见识,不必多言。此亦因主人之
嘱,聊以应命焉。
东方生风,风生木,木生肝。肝居人左,全赖血以濡之,又为刚藏根,凭水以涵之。肾水
本亏于下,心血更耗于上。肝失养,惟横逆,有升无降,无怪乎其卧则血归于肝之候。魂不
藏,气反逆,少腹一冲直至胸膈,心为之悸,身为之摇,风从内起。始而母病及子,继以子病
及母。所谓诸风掉眩,皆属于肝,亦谓上升之气自肝而出,此等症是也。夫肝者将军之官,
非气不和。下滋肾水,上清心火,以养木,仍不
出乎专理肝经例治。舍许学士真珠母一法,而谁请政?
石决明 熟地 茯苓 党参 枣仁 归身 沉香 犀角 柏子仁 龙齿
This morning, the alternating chills and fever (alternating chills and fever) occurred again. The onset was relatively mild, vomiting has slightly eased, and the tongue coating has become thin at the tip. The wind-cold-damp-heat pathogenic factors received seem to have a mechanism of being secretly transformed, which appears to be a favorable sign. However, the pulse is wiry and slippery but carries an empty quality, indicating that the Yuan Qi (original qi) and Yang Qi (yang energy) are indeed internally deficient. With internal deficiency and existing pathogenic factors, it is imperative to adopt the method of supporting the healthy qi and resolving the pathogenic factors. This is done out of fear that the pathogenic factors will not be eliminated while the healthy qi is exhausted first.
Prepared Magnoliae Officinalis Cortex (Chuan Houpo), Atractylodis Macrocephalae Rhizoma (Yuzhu), Ginseng Radix et Rhizoma (Renshen), Cinnamomi Ramulus (Guizhi), Tsaoko Fructus Seed (Caoguoren), Zingiberis Rhizoma Recens (Ganjiang), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao), Poria (Fuling), Coptidis Rhizoma (Chuanlian), Gardeniae Fructus (Fuhua), Haematitum (Zhesi), Citri Reticulatae Pericarpium (Chenpi), Paeoniae Radix Alba (Baishao), Fresh Ginger (Jiang), Jujubae Fructus (Hongzao), Prepared Pinelliae Rhizoma (Banxia).
The Second Master's illness involves external contraction of wind pathogen, with internal steaming of damp-heat, phlegm, and turbidity. This is what the ancients referred to as "complicated disease" (diseases with mixed pathogenic factors). How do we know this? When wind enters the Shaoyang (Shaoyang syndrome/meridian), it causes alternating chills and fever, with the pathology half in the exterior and half in the interior. When the pathogen exits and contends with Yang, chills occur, and one should not feel thirsty. When it enters and contends with Yin, heat occurs, and one should feel thirsty. Currently, when feeling cold, he prefers hot drinks; when feeling hot, he does not feel thirsty. Without the presence of damp-heat and phlegm-turbidity, how could this be so? Therefore, the tongue coating is fully distributed, the complexion is dull and stagnant, the pulse is slippery, and all present an empty and soggy quality. To dispel the wind pathogen, it is necessary to resolve dampness, transform phlegm, and clear heat to eliminate the complicated pathogenic factors, so that the wind pathogen can find its way out and not be held back by the complicated factors. However, heat arises from phlegm, and phlegm transforms from dampness. Even if one wishes to transform phlegm and clear heat, it is first appropriate to completely resolve the dampness. Jiayan (Yu Chang) stated: "Apart from assisting Yang, there is no other method to drive away dampness." This clearly indicates that warming and unblocking should be the main approach. In the future, the use of formulas such as Fuzi Lizhong Tang (Aconite Root and Poria Decoction) and Lianli Tang (Coptis and Licorice Combined Decoction) will follow a set pattern. The modifications and adjustments must be carefully considered according to the specific condition; flexible application lies with the judgment of the eminent physicians. If the complicated pathogenic factors dissipate day by day, but the malarial mechanism has not yet been resolved, Xiaochaihu Tang (Minor Bupleurum Decoction) can still be used to harmonize. Or, if the chills and fever gradually lighten, following the principle without strictly adhering to the formula is also acceptable. However, the eminent physicians have their own insights, so there is no need for further words. This is merely written in response to the host's request.
The East generates Wind; Wind generates Wood; Wood generates Liver. The Liver resides on the left side of the human body and relies entirely on Blood to nourish it. It is a "Just Organ" (Gang Zang) whose root depends on Kidney Water to submerge and moisten it. Kidney Water is originally deficient below, and Heart Blood is further depleted above. The Liver loses nourishment and becomes rebellious, rising without descending. No wonder symptoms occur where blood returns to the Liver during sleep. The Hun (Ethereal Soul) fails to store, and Qi rebels instead. From the lower abdomen, it rushes directly to the chest and diaphragm, causing palpitations and bodily tremors. Wind arises from within. Initially, the Mother organ affects the Child organ (Kidney affecting Liver); subsequently, the Child organ affects the Mother organ (Liver affecting Heart). As stated, "All wind disorders involving tremors and dizziness belong to the Liver," referring to ascending Qi originating from the Liver. Such symptoms are examples of this. The Liver is called the "General Officer." Unless Qi is harmonized, it cannot descend to nourish Kidney Water or ascend to clear Heart Fire, thereby nurturing Wood. This still falls within the scope of specialized treatment of the Liver Meridian. Apart from the method of Pearl Mother (Zhenzhumu) by Academician Xu, who else can offer guidance?
Aragonia Shell (Shijueming), Prepared Rehmanniae Radix (Shudihuang), Poria (Fuling), Codonopsis Radix (Dangshen), Ziziphi Spinosae Semen (Zaoren), Angelicae Sinensis Radix (Guishen), Aquilariae Lignum Resinatum (Chenxiang), Rhinocerotis Cornu (Xijiao), Platycladi Semen (Baiziren), Dragon Bone (Longgu).