论瘦人多火
天师曰∶瘦人多火，人尽知之。然而火之有余，水之不足也，不补水以镇阳光，又安能去火而消其
烈焰哉。方用熟地三两，元参八两，生地四两，麦冬三两，白芍五两，丹皮三两，沙参二两，地骨皮五
两，天门冬三两，陈皮五钱，各为末，蜜为丸。加桑叶六两，亦为末，同捣为丸。每日白滚水送下五钱。
（〔批〕添阴汤。）妙在元参去浮游之火，而又能调停五脏之阳。各品之药，阴多于阳，则阴气胜于阳
气，自然阴胜阳消，又何必石膏、知母之纷纷哉。虽石膏，知母原是去火神剂，不可偏废，然而用之于
火腾热极之初，可以救阴水之熬干，不可用之于火微热退之后，减阳光之转运。此瘦人之治法又如此。
张公曰∶妙。瘦人多火，予亦定一煎方。方用元参一两，麦冬三钱，天冬三钱，生地三钱，熟
地三钱，山茱一钱，北五味五分，白芍三钱，丹皮二钱，白芥子一钱，甘草五分，
水煎服。（〔批〕去薪汤。）此方皆滋阴之药，而又不凝滞于胃中，瘦人常服，必无火症之侵矣。
华君曰∶同，无可谈。
论手足疼痛 论脏腑 结 论颈项强直 论口眼歪斜
天师曰∶摩治者，抚摩以治之也。譬如手足疼痛、脏腑 结、颈项强直、口眼歪斜是也。法当以人
手为之按摩，则气血流通，痰病易愈。手足疼痛者，以一人抱住身子，以两人两腿，夹住左右各足一
条，轻轻捶之千数，觉两足少快，然后以手执其三里之间，少为伸之者七次，放足，执其两手，捻之者千
下而后已，左右手各如是，一日之间，而手足之疼痛可已。脏腑 结之法，以一人按其小腹揉之，不可
缓，不可急，不可重，不可轻，最难之事，总以中和为主。揉之数千下乃止，觉腹中滚热，乃自家心中
注定病，口微微嗽津，送下丹田气海，七次乃止。如是七日， 结可消。颈项强直，乃风也。以一人抱住
下体，以一人手拳而摇之，至数千下放手，深按其风门之穴，久之，则其中酸痛乃止。病患乃自坐起，口
中微微咽津，送下丹田者，七次而后己，一日即痊。口眼歪斜之法，令一人抱住身子，又一人桅住不歪
斜之耳叶，又令一人摩其歪斜之处者，至数百下，面上火热而后已，少顷，口眼如故矣。此皆摩之之法也。
张公曰∶妙，予不能增一词。
华君曰∶无。
On the Predisposition of Thin Individuals to Fire
The Heavenly Master said: "It is widely known that thin individuals are prone to excessive fire. However, the excess of fire stems from the insufficiency of water. Without replenishing water to subdue the hyperactive yang (yang light), how can one extinguish the fierce flames? The prescription consists of Prepared Rehmannia Root (Shu Di Huang) 3 liang, Scrophularia Root (Xuan Shen) 8 liang, Raw Rehmannia Root (Sheng Di Huang) 4 liang, Ophiopogon Tuber (Mai Dong) 3 liang, White Peony Root (Bai Shao) 5 liang, Moutan Cortex (Dan Pi) 3 liang, Glehnia Root (Sha Shen) 2 liang, Groundcherry Root Bark (Di Gu Pi) 5 liang, Asparagus Tuber (Tian Dong) 3 liang, and Tangerine Peel (Chen Pi) 5 qian. Each ingredient is ground into powder, mixed with honey, and formed into pills. Additionally, Mulberry Leaf (Sang Ye) 6 liang is ground into powder and incorporated into the mixture. Take 5 qian daily with warm boiled water. (Annotation: Tian Yin Tang / Add-Yin Decoction.) The brilliance of this formula lies in Xuan Shen's ability to clear floating fire while harmonizing the yang of the five zang organs. Since the yin nature predominates over the yang nature in these herbs, yin qi will surpass yang qi, naturally achieving a state where yin prevails and yang declines. Thus, there is no need to indiscriminately use Gypsum Fibrosum (Shi Gao) or Anemarrhenae Rhizoma (Zhi Mu). Although Gypsum and Anemarrhenae Rhizoma are potent agents for clearing heat and purging fire and should not be entirely discarded, they are suitable only at the initial stage when fire is rampant and heat is extreme, to rescue yin fluids from being scorched dry. They should not be used after the fire has subsided and heat has receded, as doing so would impair the transformative function of yang qi. This is the method for treating thin individuals."
Lord Zhang said: "Excellent. I also prescribe a decoction for thin individuals prone to fire. The prescription consists of Scrophularia Root (Xuan Shen) 1 liang, Ophiopogon Tuber (Mai Dong) 3 qian, Asparagus Tuber (Tian Dong) 3 qian, Raw Rehmannia Root (Sheng Di Huang) 3 qian, Prepared Rehmannia Root (Shu Di Huang) 3 qian, Cornus Fruit (Shan Zhu Yu) 1 qian, Schisandra Berry (Bei Wu Wei Zi) 5 fen, White Peony Root (Bai Shao) 3 qian, Moutan Cortex (Dan Pi) 2 qian, White Mustard Seed (Bai Jie Zi) 1 qian, and Licorice Root (Gan Cao) 5 fen. Decoct in water and take orally. (Annotation: Qu Xin Tang / Remove-Firewood Decoction.) This formula consists entirely of yin-nourishing herbs but does not cause stagnation in the stomach. Regular consumption by thin individuals will prevent invasion by fire syndromes."
Lord Hua said: "Agreed; nothing further to add."
On Pain in Hands and Feet, Visceral Knots, Stiffness of the Neck, and Facial Paralysis
The Heavenly Master said: "Moxibustion-massage therapy (Mo Zhi) refers to treating diseases through stroking and massage. Examples include pain in the hands and feet, visceral knots (Jie), stiffness of the neck, and facial paralysis (Kou Yan Wai Xie). The method requires manual massage to promote the circulation of qi and blood, facilitating the resolution of phlegm and disease. For pain in the hands and feet: One person holds the patient's body, while two others use their legs to clamp each of the patient's feet. Gently beat each foot several thousand times until the feet feel slightly relieved. Then, grasp the area around the Zusanli acupoint (ST-36) on the lower leg, gently extend it seven times. Release the feet, then grasp both hands of the patient and knead them for a thousand strokes before stopping. Perform this on both left and right sides. Within one day, the pain in the hands and feet can be resolved. For visceral knots: One person presses and rubs the patient's lower abdomen. The pressure must not be slow, nor fast; not heavy, nor light. This is the most difficult technique, requiring a balance of moderation. Rub for several thousand times until the abdomen feels rollingly hot. At this point, the patient should mentally focus on the illness, swallow saliva gently, and guide it down to the Qi Hai acupoint (CV-6) in the dantian, repeating seven times. Continue this for seven days, and the knots will dissipate. Stiffness of the neck is caused by wind. One person holds the patient's lower body, while another uses a clenched fist to shake the neck for several thousand times, then releases. Deeply press the Fengmen acupoint (BL-12); after a while, the soreness and pain within will cease. The patient then sits up independently, swallows saliva gently, guides it to the dantian seven times, and recovers fully within one day. For facial paralysis: One person holds the patient's body, another pinches the earlobe on the unaffected side, and a third massages the paralyzed side of the face for several hundred times until the face feels hot. After a short while, the mouth and eyes return to normal. These are all methods of massage therapy."
Lord Zhang said: "Excellent; I cannot add a single word."
Lord Hua said: "None."