治中寒,卒然晕倒,或吐逆涎沫,状如暗风,手脚挛搐,口噤,四肢厥冷
,或复燥热。
干姜(炮) 附子(炮去皮脐,等分)
上为锉散。每服四钱,水盏半,煎七分,去滓,食前服。入肝,加木瓜;入肺,加桑白
皮;入脾,加术;入心,加茯苓。随证加之。
中暑,其脉阳弱而阴虚,微迟似芤。夫暑,在天为热,在地为火,在人脏为心,故暑喜
归心。中之,使人噎闷,昏不知人。入肝,则眩晕顽痹;入脾,则昏睡不觉;入肺,则喘满
痿;入肾,则消渴利小便。凡中 死,治之切不得用冷,惟宜温养,得冷则死。
道涂无汤,即以热土熨脐中,仍使更溺,概可见矣;若发其汗,则恶寒甚;加温针,则发热
甚;下之,则淋甚,治之不可不谨也。然伤暑中 ,其实一病,但轻重不同。新校正《
要略》者乃云伤寒家别有 病,非也。详论治法,见伤暑门。
治中暑眩晕,昏不知人;或身热,恶寒头痛,状如伤寒;或往来寒热,烦躁
渴甚,呕吐泄泻。常服去暑毒,分利阴阳。
硫黄 硝石(各一两) 雄黄(通明者) 滑石 白矾(各半两) 寒食面(四两)
上为末,滴水为丸,如梧子大。每服五丸至七丸,渐加至二十丸,新汲水下;昏塞不知
人,则以水化开灌之。中暑忌得冷,此药却以冷水下之,乃热因寒用,疑者释之。
治疗中寒证,突然晕倒,或者呕吐逆出涎沫,症状像暗风(中风),手脚痉挛抽搐,牙关紧闭,四肢冰冷,或者又出现燥热。
干姜(炮制) 附子(炮制,去皮去脐,与干姜等量)
以上药材切碎成散剂。每次服用四钱,用水一盏半,煎煮至七分满,滤去药渣,饭前服用。如果病邪入肝,加木瓜;入肺,加桑白皮;入脾,加白术;入心,加茯苓。根据证候加减使用。
中暑,其脉象阳部弱而阴部虚,脉率微迟且似芤脉(中空如葱管)。暑气,在天空表现为热,在地面表现为火,在人身体内归属于心脏,所以暑邪容易归于心经。受到暑邪侵袭,使人咽喉阻塞闷乱,昏迷不省人事。暑邪入肝,则出现眩晕、肢体麻木僵硬;入脾,则昏睡不醒;入肺,则气喘胸满、肌肉痿软;入肾,则消渴、小便频多。凡是中暑致死的情况,治疗时切切不可使用寒凉药物,只宜温补滋养,遇到寒凉就会死亡。
道路旁没有热水,就用热土熨烫肚脐,仍然让人排尿(利用尿液余热或引导气机),大概可以见到效果;如果发汗,则恶寒严重;加用温针,则发热严重;攻下,则淋证严重,治疗不可不谨慎。然而伤暑和中暑,实际上是同一种病,只是轻重不同。新校正《金匮要略》的人却说伤寒家另有中暍病,这是不对的。详细的论述治疗方法,见伤暑门。
治疗中暑引起的眩晕,昏迷不省人事;或者身体发热,恶寒头痛,症状像伤寒;或者忽冷忽热,烦躁极度口渴,呕吐泄泻。经常服用可去除暑毒,分清阴阳。
硫黄 硝石(各一两) 雄黄(透明优质的) 滑石 白矾(各半两) 寒食面(四两)
以上药材研为细末,滴入冷水制成丸药,大小如梧桐子大。每次服用五丸到七丸,逐渐增加到二十丸,用刚打来的冷水送服;如果昏迷堵塞不省人事,则将药丸用水化开灌服。中暑忌讳受冷,此药却用冷水送服,这是“热因寒用”的方法,有疑问者由此可释然。
Treats Cold Strike (Zhong Han), sudden fainting, or vomiting and regurgitation of saliva and foam, resembling An Feng (Dark Wind/Stroke), with spasms and convulsions of hands and feet, locked jaw, cold limbs, or alternatively, dry heat.
Gan Jiang (Pao) [Fried Rhizoma Zingiberis] Fu Zi (Pao, peeled, navel removed, equal parts) [Prepared Radix Aconiti Lateralis Preparata]
Crush the above into a powder. Take four qian per dose, with one and a half cups of water, decoct to seven-tenths volume, strain, and take before meals. If the pathogen enters the Liver, add Mugua; if it enters the Lung, add Sangbaipi; if it enters the Spleen, add Baizhu; if it enters the Heart, add Fuling. Add according to the syndrome.
In Summerheat Stroke (Zhong Shu), the pulse is weak in the Yang position and deficient in the Yin position, slightly slow and resembling a Kou pulse (hollow like a scallion). Summerheat, in the sky manifests as Heat, on the earth manifests as Fire, and in the human viscera belongs to the Heart, thus Summerheat tends to return to the Heart. Being struck by it causes throat obstruction and chest stuffiness, leading to coma and unconsciousness. If it enters the Liver, there is dizziness and numbness/stiffness; if it enters the Spleen, there is deep sleep without awareness; if it enters the Lung, there is wheezing, fullness, and flaccidity; if it enters the Kidney, there is Xiao Ke (Wasting-Thirst) and frequent urination. In cases of fatal Summerheat stroke, treatment must absolutely avoid cold substances; only warm nourishment is suitable. Encountering cold leads to death.
If there is no hot water on the road, use hot earth to moxa/warm the umbilicus, and still induce urination, which can be seen as effective; if sweating is induced, chills become severe; if warm needles are added, fever becomes severe; if purgation is used, stranguria becomes severe. Treatment must not be careless. However, Shang Shu (Summerheat Injury) and Zhong Shu (Summerheat Stroke) are essentially the same disease, differing only in severity. The New Correction of *Jin Gui Yao Lue* claims that Taiyang Disease has a separate Zhong Yue disease, which is incorrect. Detailed discussion of treatment methods can be found in the Shang Shu section.
Treats dizziness and coma due to Summerheat stroke; or body heat, aversion to cold, headache, resembling Taiyang Disease; or alternating chills and fever, extreme irritability and thirst, vomiting and diarrhea. Regular consumption removes Summerheat toxins and separates Yin and Yang.
Liu Huang [Sulfur] Xiao Shi [Niter] Xiong Huang (transparent quality) [Realgar] Hua Shi [Talcum] Bai Fan [Alumen] Han Shi Mian [Cold Food Noodle]
Grind the above into powder, mix with drops of water to form pills the size of wutong seeds. Take five to seven pills per dose, gradually increasing to twenty pills, taken with fresh drawn cold water; for coma and blockage causing unconsciousness, dissolve the pills in water and administer via gavage. Summerheat stroke contraindicates cold exposure; this medicine uses cold water for administration, which is "treating heat with cold" (Re Yin Han Yong). Doubts should be resolved by understanding this principle.