治咳而胸满振寒,脉数滑,咽干不渴,时出浊唾腥臭,久久吐脓若粥者,为肺痈。
桔梗(一两) 甘草(炙,二两)
上为锉散。每服四钱,水一盏,煎七分,去滓,不以时服。兼治喉痹咽痛。
治肺痈。
薏苡仁 瓜瓣仁 桃仁(去皮尖,各一两)
上为锉散。每服四大钱,水二盏,先以苇叶一握,煎取一盏,去滓入药,煎六分,食后
服。或吐脓血,勿怪。
夫腰痛,虽属肾虚,亦涉三因所致。在外则脏腑经络受邪,在内则忧思恐怒,以至房劳
坠堕,皆能致之。方书五种之说,未为详论,但去圣逾远,文籍简脱,难以讨论,虽是缺文
,不可弃置,随其有无,提其纲目,庶几后学以类推寻,为治疗之典据耳。
太阳腰痛,引项脊尻背如重状;阳明腰痛,不可以顾,顾则如有所见,善悲;少阳腰痛
,如针刺其皮,循循然,不可俯仰,不可以顾;太阴腰痛,烦热,腰下如有横木居其中,甚
则遗溲;少阴腰痛,痛引脊内;厥阴腰痛,腰中强急,如张弩弦状。此举六经以为外因治备
。大抵太阳少阴多中寒,少阳厥阴多中风热,太阴阳明多燥湿。以类推之,当随脉别,其如
经中有解脉、散脉,同阴会、阴阳维、衡络、直阳、飞阳、肉里、尻交等穴,皆不出
六经流注,但别行,各有所主,不欲繁引,请寻《内经·刺腰痛论》以备明之,准此,从所
因汗下施治。
治疗咳嗽且胸部胀满、寒战、脉搏数而滑利、咽喉干燥但不想喝水、时常吐出浑浊且带有腥臭味的痰液,长时间后吐出如粥状的脓液,这属于肺痈(肺部化脓性疾病)。
将上述药材切碎成散剂。每次服用四钱,用水一盏,煎煮至七分满,滤去药渣,不拘时间服用。同时也可治疗喉痹(咽喉肿痛闭塞)和咽痛。
治疗肺痈。
将上述药材切碎成散剂。每次服用四大钱,用水二盏,先用芦苇叶一把,煎取一盏水,滤去芦叶渣,加入药物,再煎煮至六分满,饭后服用。如果吐出脓血,不要感到奇怪。
腰痛虽然归属于肾虚,但也涉及三种病因所致。在外则脏腑经络受邪气侵袭,在内则因忧思恐惧愤怒,以及房事过度或坠落损伤,都能导致腰痛。医书中的五种腰痛说法,并未详细论述,只是距离圣人时代越远,文献简略脱漏,难以深入讨论。虽然存在缺漏之处,但不可丢弃放置一边,根据有无情况,提取其纲目,希望后来的学者能以此类推寻找依据,作为治疗的典据罢了。
太阳经腰痛,牵引颈部、脊柱、臀部及背部感觉沉重;阳明经腰痛,不能回头看,回头时好像看到了什么幻象,容易悲伤;少阳经腰痛,像针刺皮肤一样疼痛,持续不断,不能弯腰仰身,也不能回头看;太阴经腰痛,烦热,腰部以下好像有横木卡在中间,严重时会出现小便失禁;少阴经腰痛,疼痛牵引至脊柱内部;厥阴经腰痛,腰部僵硬紧急,像拉开的弓弦一样紧绷。这里列举了六经作为外因治疗备查。大抵太阳经和少阴经多中寒邪,少阳经和厥阴经多中风热邪,太阴经和阳明经多燥湿邪。以此类推,应当随脉象辨别,如果经中有解脉、散脉,以及同阴会穴、阴阳维脉、衡络、直阳、飞阳、肉里、尻交等穴位,都不在六经流注范围内,而是别行经脉,各有主治,不想过多引用,请查阅《内经·刺腰痛论》以便明白,据此,根据病因采用发汗或攻下法进行治疗。
Treating cough with chest fullness, chills, rapid and slippery pulse, dry throat without thirst, occasional expectoration of turbid sputum with a foul odor, and long-term expectoration of pus resembling porridge, this is Lung Abscess (Fei Yong).
Jiegeng (Platycodonis Radix) (one liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (two liang)
Grind the above into a coarse powder. Take four qian per dose, with one sheng of water, decoct to seven-tenths, remove dregs, and take at any time. Also treats Hou Bi (throat obstruction/pain) and sore throat.
Treating Lung Abscess.
Yiyiren (Coicis Semen) Guabanren (Benincasae Semen) Taoren (Persicae Semen, skin and tip removed, one liang each)
Grind the above into a coarse powder. Take four large qian per dose, with two sheng of water. First, decoct a handful of reed leaves in the water until one sheng remains, remove the leaf residue, add the medicine, and decoct to six-tenths. Take after meals. If pus and blood are vomited or expectorated, do not be surprised.
Lumbago, although belonging to Kidney deficiency, is also caused by the Three Causes. Externally, it involves pathogenic invasion of the Zang-Fu organs and meridians; internally, it involves sorrow, worry, fear, and anger, as well as sexual exhaustion or falls, all of which can cause lumbago. The five types of lumbago described in medical texts have not been discussed in detail. As time has passed since the Sages, literature has become sparse and difficult to discuss. Although there are missing texts, they should not be discarded. By extracting their outlines based on availability, future students may infer and seek them out, serving as a canonical basis for treatment.
Taiyang lumbago pulls the neck, spine, buttocks, and back, feeling heavy; Yangming lumbago prevents looking back; when looking back, one sees hallucinations and feels prone to sadness; Shaoyang lumbago feels like needle pricks in the skin, continuous and unrelenting, preventing bending and stretching or looking back; Taiyin lumbago involves irritability and heat, with a sensation of a horizontal blockage below the waist, and severe cases involve urinary incontinence; Shaoyin lumbago pain radiates into the interior of the spine; Jueyin lumbago involves stiffness and tension in the waist, resembling a drawn bowstring. This lists the Six Channels as preparations for treating external causes. Generally, Taiyang and Shaoyin channels often suffer from Cold pathogens, Shaoyang and Jueyin channels often suffer from Wind-Heat pathogens, while Taiyin and Yangming channels often suffer from Dryness-Dampness pathogens. Inferring from this, differentiation should follow the pulse. If there are Jie Mai (Resolving Pulse), San Mai (Scattered Pulse), and acupoints such as Tongyinhui, Yin-Yang Wei, Hengluo, Zhiyang, Feiyang, Roulai, and Kaojiao, these do not belong to the flow and distribution of the Six Channels but are separate pathways with specific dominions. To avoid excessive citation, please consult "Stimulating Lumbago Discussion" in Neijing for clarification. Based on this, treatment should be administered via sweating or purging methods according to the cause.