肝中寒者,人迎与左关上脉紧而弦。肝虚中寒,乃母子相因,弦多则吉;但紧不弦,舌
卷囊缩,为不利,故使本部脉,紧如切绳。肝中寒之状,其人洒洒恶寒,翕翕发热,熏然面
赤, 如有汗,胸中烦热,胁下挛急,足不得伸。
心中寒者,人迎与左寸口脉紧而洪。心虚中寒,贼邪相克,脉应本部,洪滑则吉;但紧
,舌干焦,为不利。心中寒之状,其人如啖韭齑状;剧则心痛掣背,背痛掣心,犹如蛊疰,
恶寒,四肢厥,自吐,少间顷时复发,休作不已,昏塞不知人。
脾中寒者,人迎与右关上脉紧而沉细。脾虚中寒,寒邪乘克,脉应本部,长则吉;沉紧
,唇揭,为不利。脾中寒之状,心腹 胀,四肢挛急,嗳噫不通,脏气不传,或秘或泄。
肺中寒者,人迎与右寸口脉紧而涩。肺虚中寒,母子相感,脉应本部,浮者为吉;但紧
而涩,鼻干燥,为不利。肺中寒之状,喜吐浊涎,气短不能报息,洒洒而寒,吸吸而咳。
肾中寒者,人迎与左尺中脉沉紧而滑,肾虚中寒,寒喜中肾,以类相从,脉应本部,沉
滑者吉;紧涩,耳叶黑,目睛 ,为不利。肾中寒之状,色黑气弱,吸吸少气,耳聋腰
痛,膝下清,拘挛而疼,昏不知人。余例见伤寒门。
治五脏中寒,口噤,四肢强直,失音不语。昔有武士守边,大雪,出帐外
观瞻,忽然晕倒,时林继作随行医官,灌以此药两剂遂醒。
大附子(炮去皮脐) 人参 干姜(炮) 甘草(炙) 白术(各等分)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,不以时服;口噤,则斡开灌之。
肝经受寒邪侵袭,人迎脉与左手关部脉象表现为紧而弦。若肝脏本虚又受寒邪,是因母子相生关系相互影响,脉象以弦为主则预后较好;若仅见紧脉而不见弦脉,且出现舌体卷缩、阴囊收缩的症状,则预后不良,因此本部脉象应如切绳般紧绷。肝中寒的表现:患者感到阵阵恶寒,微微发热,面色红赤如被熏蒸,似乎有汗出,胸中烦闷燥热,胁肋部位拘挛急迫,双腿无法伸展。
心经受寒邪侵袭,人迎脉与左手寸口脉象表现为紧而洪大。若心脏本虚又受寒邪,是贼邪相克的关系,脉象反映在本部,若见洪滑之脉则预后较好;若仅见紧脉,且舌干焦枯,则预后不良。心中寒的表现:患者感觉口中像吃了韭菜碎末一样难受;病情严重时,心痛牵引背部,背痛牵引心脏,如同蛊毒注病一般,伴有恶寒,四肢厥冷,自行呕吐,片刻之后再次发作,时好时坏,反复发作,意识昏沉闭塞,不省人事。
脾经受寒邪侵袭,人迎脉与右手关部脉象表现为紧而沉细。若脾脏本虚又受寒邪,是寒邪乘虚克制,脉象反映在本部,若见长脉则预后较好;若见沉紧之脉,且嘴唇外翻(唇揭),则预后不良。脾中寒的表现:心腹部胀满,四肢拘挛急迫,嗳气噫气不通畅,脏腑之气不能传输,或者便秘或者泄泻。
肺经受寒邪侵袭,人迎脉与右手寸口脉象表现为紧而涩。若肺脏本虚又受寒邪,是因母子相生关系相互感应,脉象反映在本部,若见浮脉则预后较好;若见紧而涩的脉象,且鼻干燥,则预后不良。肺中寒的表现:喜欢吐出浑浊的涎液,气短不足以深呼吸,阵阵发冷,吸气时咳嗽。
肾经受寒邪侵袭,人迎脉与左手尺部脉象表现为沉紧而滑。若肾脏本虚又受寒邪,寒邪容易侵犯肾脏,同类相从,脉象反映在本部,若见沉滑之脉则预后较好;若见紧涩之脉,且耳廓发黑,眼球转动不利(目睛[动]),则预后不良。肾中寒的表现:面色黑,气息微弱,呼吸浅短,耳聋腰痛,膝盖以下清冷,肢体拘挛疼痛,意识昏沉不省人事。其余情况参见伤寒门。
治疗五脏中寒,以及牙关紧闭、四肢强直、失音不语等症状。过去有一位武士驻守边疆,在大雪天走出帐篷观察,突然晕倒,当时林继担任随行医官,给他灌服此药两剂后便苏醒过来。
大附子(炮制,去皮脐) 人参 干姜(炮制) 甘草(炙) 白术(各等分)
以上药材锉成散剂。每次服用四大钱,用水一盏半,煎至七分,去渣,不拘时候服用;若牙关紧闭,则撬开嘴巴灌服。
When the Liver is affected by Cold, the Renying pulse and the left Guan position pulse are tight and wiry. If the Liver is deficient and affected by Cold, it is due to the mutual influence of the Mother-Child relationship; a wiry-dominant pulse indicates a favorable prognosis. However, if there is only a tight pulse without wiriness, accompanied by tongue retraction and testicular contraction, the prognosis is unfavorable. Thus, the pulse in the Liver's own position should be as tight as a cut rope. The manifestations of Cold affecting the Liver include: the patient feels chilly aversion to cold, slight fever, a flushed face as if steamed, apparent sweating, irritability and heat in the chest, spasm and urgency in the hypochondrium, and inability to extend the legs.
When the Heart is affected by Cold, the Renying pulse and the left Cun Kou position pulse are tight and surging. If the Heart is deficient and affected by Cold, it is due to the clashing of the Zai (Thief) pathogen; the pulse reflects in its own position, where a surging and slippery pulse indicates a favorable prognosis. However, if there is only a tight pulse, accompanied by a dry and scorched tongue, the prognosis is unfavorable. The manifestations of Cold affecting the Heart include: the patient feels as if chewing chopped leeks; in severe cases, heart pain radiates to the back, and back pain radiates to the heart, resembling Gu Zhu disease (a parasitic or toxic condition), with aversion to cold, cold extremities, spontaneous vomiting, recurrence after a short interval, ceaseless episodes of remission and exacerbation, stupor, obstruction of consciousness, and loss of awareness.
When the Spleen is affected by Cold, the Renying pulse and the right Guan position pulse are tight, deep, and fine. If the Spleen is deficient and affected by Cold, the Cold pathogen takes advantage of the deficiency to attack; the pulse reflects in its own position, where a long pulse indicates a favorable prognosis. However, if there is a deep and tight pulse, accompanied by everted lips (Chun Jie), the prognosis is unfavorable. The manifestations of Cold affecting the Spleen include: distension of the heart and abdomen, spasm and urgency of the four limbs, failure of belching and sighing, lack of transmission of Zang Qi, either constipation or diarrhea.
When the Lung is affected by Cold, the Renying pulse and the right Cun Kou position pulse are tight and choppy. If the Lung is deficient and affected by Cold, it is due to the mutual induction of the Mother-Child relationship; the pulse reflects in its own position, where a floating pulse indicates a favorable prognosis. However, if there is a tight and choppy pulse, accompanied by dry nose, the prognosis is unfavorable. The manifestations of Cold affecting the Lung include: frequent expectoration of turbid saliva, shortness of breath with inability to complete inhalation, chilly aversion to cold, and coughing upon inhalation.
When the Kidney is affected by Cold, the Renying pulse and the left Chi position pulse are deep, tight, and slippery. If the Kidney is deficient and affected by Cold, Cold tends to invade the Kidney, following similar categories; the pulse reflects in its own position, where a deep and slippery pulse indicates a favorable prognosis. However, if there is a tight and choppy pulse, accompanied by black earlobes and impaired eye movement (Mu Jing [Dong]), the prognosis is unfavorable. The manifestations of Cold affecting the Kidney include: dark complexion, weak Qi, shallow breathing, deafness, lower back pain, coldness below the knees, limb spasm and pain, stupor, and loss of consciousness. For other cases, refer to the Shang Han Men section.
This formula treats Cold affecting the Five Zang organs, trismus (lockjaw), rigidity of the four limbs, aphonia, and inability to speak. In the past, a warrior guarding the border went out of his tent to observe during heavy snow and suddenly fainted. Lin Ji, serving as the accompanying medical officer at that time, administered two doses of this medicine, after which he regained consciousness.
Da Fuzi (Processed, skin and umbilicus removed) Renshen Ganjiang (Processed) Gancao (Honey-fried) Baizhu (Equal parts)
Grind the above ingredients into a powder. Take four Qian per dose, boil in one and a half cups of water until reduced to seven-tenths, remove the dregs, and take at any time. If trismus occurs, pry open the mouth and administer the medicine.