内托提 二地、 、参、术、升、草、菟、芍。
外塞法 用童便 炉甘石、牡蛎粉。
属热,小便涩,气承水,寒闭热结,痰气不利。胞痹属寒。
解热 关格者分利之,凉血火府丹,木通、黄芩各一两,生地二两。不渴而小便闭
者,滋肾丸,知母、黄柏。
补 老人气虚,人参、白术,中加木通、山栀、六味丸为主。气虚不运者加升麻。虚
寒者,八味丸为要药。
灸 三阴交。
掩脐 连须葱三茎,生姜一块,豆豉二十一粒,盐一匙,同捣作饼,烘热掩之,扎
定即通。
宣 吐之以提其气,气升则水自下,以二陈吐之,吐中便有降,关格必用吐,提其气
之横络,不必在出痰也。
下 八正散之类。
捷嚏 不卧散吹之。
外迎 汤浴之。
擦 用连须葱擦周身。
降气 八正中加木香、沉香、琥珀,清气莲子饮。寒者温之,三因生附散。
补 内虚寒自汗,御药秘元丹、三因家韭子丸。内虚湿热者,六味丸。寒者,八
味丸加杜仲、骨脂、五味。
灸 阴陵泉、阳陵泉。
不通者,用以上法,或用坐药,见伤寒例。男子急甚者,令人吹吮之。妇人仍用坐药。
痰热,湿热。
宣 以桐油吐,或以射干、逆流水吐。一方,槐花,独活,醋煎吐涎。
三因雄黄丸∶
雄黄(一两) 巴豆(去油,十四个) 郁金(一钱) 醋糊丸,绿豆大,茶清下七丸。
吹药 三因玉钥匙∶焰硝(一两半) 硼砂(半两) 脑子(一字) 僵蚕(一分)
密钥匙加雄黄,或止用胆矾。
一字散∶雄黄 蝎梢 白矾(枯) 藜芦 猪牙皂角(炙) 各等分,为末,每用一豆大,
放鼻内搐之。
解阴阳之结 连翘、麦门冬、桔梗、甘草、大力子、薄荷、山豆根、半夏、牡蛎、木
通。
针 合谷、涌泉、天突、丰隆。
灸 起初傍灸之。盖亦凿窍,使外泄也。颈肿针曲池二穴。
导痰 痰不降而致,桔梗半夏汤。寒痰∶三因玉粉丸。热者∶滚痰丸。
下 脉实气盛,火甚者,凉膈散下之,气虚老人勿轻用。血热∶柴胡饮子。气热∶碧
雪。风热∶用通圣散。
疏风 大力子、桔梗、半夏、薄荷、甘草、防风、荆穗、射干、牛膝、山豆根、当归
、黄芩、竹沥。
温 有下虚阴盛格热在上,切不可用凉药,脉沉紧细小者是也,宜桂附温下之药,上
用半夏、桔梗之类。
[Internal Support and Lifting Method] Uses Shu Di Huang (Prepared Rehmannia Root), Sheng Di Huang (Rehmannia Root), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Rhizome), Sheng Ma (Cimicifugae Rhizome), Gan Cao (Licorice Root), Tu Si Zi (Cuscuta Seed), and Bai Shao (White Peony Root).
[External Occlusion Method] Uses Tong Bian (Child's Urine) combined with Lu Gan Shi (Calamina) powder and Mu Li Fen (Oyster Shell) powder.
If it belongs to Heat Syndrome, presenting with astringent urination, Qi connecting with Water, Cold obstruction causing Heat accumulation, and unfavorable Phlegm-Qi movement. Bao Bi (Bladder Bi-syndrome) belongs to Cold Syndrome.
[Resolving Heat Method] For Guan Ge (Obstruction and Rejection, characterized by inability to urinate accompanied by vomiting), use the method of separating and draining. Use Liang Xue Huo Fu Dan (Cooling Blood Fire Palace Pill), composed of Mu Tong (Akebia Stem), Huang Qin (Scutellaria Root) each 1 liang, and Sheng Di Huang (Rehmannia Root) 2 liang. If there is no thirst but urinary retention, use Zi Shen Wan (Nourishing Kidney Pill), composed of Zhi Mu (Anemarrhenae Rhizome) and Huang Bo (Phellodendri Cortex).
[Nourishing Method] For elderly people due to Qi Deficiency, use Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Rhizome), adding Mu Tong (Akebia Stem) and Shan Zhi (Gardeniae Fructus) to the formula, with Liu Wei Wan (Six-Ingredient Pill with Rehmannia) as the main prescription. For those with Qi Deficiency leading to poor transportation, add Sheng Ma (Cimicifugae Rhizome). For Deficiency-Cold syndrome, Ba Wei Wan (Eight-Ingredient Pill) is the essential medicine.
[Moxibustion Method] Acupoint: San Yin Jiao (SP6).
[Umbilical Covering Method] Use three stalks of scallion with roots, one piece of fresh ginger, twenty-one grains of fermented soybean (Dou Chi), and one spoonful of salt. Pound them together into a cake, heat it, apply it to the umbilicus, secure it tightly, and patency will be achieved immediately.
[Inducing Vomiting Method] Induce vomiting to lift the Qi; when Qi ascends, water naturally descends. Use Er Chen Tang (Two-Cured Decoction) to induce vomiting; within vomiting lies the action of descending. Guan Ge must be treated with vomiting to lift the Qi in the horizontal collaterals; it is not necessary to expel Phlegm.
[Purgative Method] Use formulas similar to Ba Zheng San (Eight-Herb Powder for Rectification).
[Rapid Sneezing Method] Blow Bu Wo San (Do Not Sleep Powder) into the nose.
[External Welcoming Method] Bathe with medicinal decoction.
[Rubbing Method] Rub the whole body with scallions with roots.
[Descending Qi Method] Add Mu Xiang (Aucklandiae Radix), Chen Xiang (Aquilariae Wood), and Hu Po (Amber) to Ba Zheng San (Eight-Herb Powder for Rectification), or use Qing Qi Lian Zi Yin (Clear Qi Lotus Seed Decoction). For Cold, warm it using San Yin Sheng Fu San (Three Causes Raw Aconite Powder).
[Nourishing Method] For internal Deficiency-Cold with spontaneous sweating, use Yu Mi Mi Yuan Dan (Imperial Secret Origin Pill) and San Yin Jia Jiu Zi Wan (Three Causes Leek Seed Pill). For internal Deficiency-Damp-Heat, use Liu Wei Wan (Six-Ingredient Pill with Rehmannia). For Cold, use Ba Wei Wan (Eight-Ingredient Pill) added with Du Zhong (Eucommia Bark), Gu Zhi (Drynaria Rhizome), and Wu Wei Zi (Schisandra Fruit).
[Moxibustion Method] Acupoints: Yin Ling Quan (SP9), Yang Ling Quan (GB34).
For cases of obstruction, use the above methods, or use Zuo Yao (Suppository/Insert). See Shang Han Li (Examples from Treatise on Cold Damage). For men with severe acute conditions, have someone suck the affected area. For women, continue to use Zuo Yao (Suppositories/Inserts).
If it is Tan Re (Phlegm-Heat) or Shi Re (Damp-Heat).
[Inducing Vomiting Method] Use Tong You (Tung Oil) to induce vomiting, or use She Gan (Belamcandae Rhizome) or Ni Liu Shui (Reverse Flowing Water) to induce vomiting. Another prescription: Huai Hua (Sophorae Flos) and Du Huo (Angelicae Pubescentis Radix), decocted in vinegar to induce vomiting of saliva.
[San Yin Xiong Huang Wan (Three Causes Realgar Pill): Formula: Xiong Huang (Realgar) (1 liang), Ba Dou (Croton Seed) (de-oiled, 14 seeds), Yu Jin (Curcumae Radix) (1 qian). Make pills with vinegar paste, size of mung beans, take 7 pills with clear tea.]
[Blowing Medicine] San Yin Yu Yao Chi (Three Causes Jade Key): Formula: Yan Xiao (Saltpeter) (1.5 liang), Peng Sha (Borax) (0.5 liang), Nao Zi (Camphor) (1 zi, approx. 0.5-1g), Jiang Can (Bombyx Batryticatus) (1 fen). Mi Mi Yao adds Xiong Huang (Realgar), or uses only Dan Fan (Chalcanthite).
[Yi Zi San (One-Zi Powder): Formula: Xiong Huang (Realgar), Xie Shao (Scorpion Tail), Bai Fan (Alumen Calcined), Li Lu (Veratrum Root), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit Spine roasted). Equal parts, powdered. Each time use an amount the size of a bean, insert into the nose to induce sneezing.]
[Resolving Yin-Yang Knot] Use Lian Qiao (Forsythiae Fructus), Mai Men Dong (Ophiopogonis Tuber), Jie Geng (Platycodon Root), Gan Cao (Licorice Root), Da Li Zi (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Shan Dou Gen (Sophorae Tonkinensis Radix), Ban Xia (Pinelliae Tuber), Mu Li (Oyster Shell), Mu Tong (Akebia Stem).
[Acupuncture Method] Acupoints: He Gu (LI4), Yong Quan (KI1), Tian Tu (CV22), Feng Long (ST40).
[Moxibustion Method] Initially moxa around the affected area. This is also opening apertures to allow external discharge. For neck swelling, needle Qu Chi (LI11) at two points.
[Guiding Out Phlegm] Caused by Phlegm failing to descend, use Jie Geng Ban Xia Tang (Platycodon and Pinellia Decoction). Cold Phlegm: San Yin Yu Fen Wan (Three Causes Jade Powder Pill). Heat: Gun Tan Wan (Rolling Phlegm Pill).
[Purgative Method] If pulse is excess and Qi is abundant, with severe Fire, use Liang Ge San (Cooling the Diaphragm Powder) to purge. Do not use lightly for elderly with Qi Deficiency. Blood Heat: Chai Hu Yin Zi (Bupleurum Decoction). Qi Heat: Bi Xue (Green Snow). Wind-Heat: Use Fang Tong Sheng San (Wind-Release and Purity Powder).
[Dispersing Wind] Use Da Li Zi (Arctii Fructus), Jie Geng (Platycodon Root), Ban Xia (Pinelliae Tuber), Bo He (Menthae Haplocalycis Herba), Gan Cao (Licorice Root), Fang Feng (Saposhnikoviae Radix), Jing Sui (Schizonepeta Spike), She Gan (Belamcandae Rhizome), Niu Xi (Achyranthis Bidentatae Radix), Shan Dou Gen (Sophorae Tonkinensis Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellaria Root), Zhu Li (Bambusa Textilis Sap).
[Warming Method] If there is Lower Deficiency with Yin Excess repelling Heat to the Upper, do not use Cooling medicines at all. The pulse being deep, tight, and fine/small indicates this condition. It is appropriate to use Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Lateral Root) warming lower-jiao medicines, while using Ban Xia (Pinelliae Tuber) and Jie Geng (Platycodon Root) for the upper part.