暑者,六气之一,能与风湿并合为病,循经流入诸脏,但与寒不相得,故有暑湿风温之
证。暑湿者,恶寒反热,自汗,关节尽痛,头目昏眩,手足倦怠,不自胜持,此并伤暑湿所
致也。风温者,头痛身热,常汗出,体重喘息,四肢不收,嘿嘿欲眠,此由先伤风后伤暑所
致也。治之各有方法。
治冒暑毒,加以着湿;或汗未干即浴,皆成暑湿。
茯苓 干姜(炮) 甘草(炙) 白术 桂心(各一两)
上为锉末。每服四钱,水一盏,煎七分,去滓,食前服。
治风温,兼疗冬温,及春月中风伤寒,发热,头眩痛,咽喉干,舌强,胸内疼
痛痞满,腰背拘急。
葛根 麻黄(去节,汤,焙干秤) 甘草(炙) 白薇 川芎 羌活 杏仁(各半两,去皮尖)
石膏(一两,碎) 葳蕤(三分) 青木香(一分)
上锉散。每服五钱,水盏半,煎七分,去滓,食前服之。木香冬用一两,春用半两。
五行各一,唯火有二者,乃君相之不同。相火则丽于五行,人之日用者是也;至于君火
,乃二气之本源,万物之所资始。人之初生,必投生于父精母血之中而成形。精属肾,肾属
水,故天一而生水;血属心,心属火,故地二而生火;识为玄,玄属水,故天三而生木,乃
太一含三引六之义也。亦道生一,一生二,二生三之数也。则知精血乃财成于识,以识动则
暖,静则息,静息无象,暖触可知。故命此暖识以为君火,正《内典》所谓暖识息三连持寿
命者是也。然其所以谓之君者,以不行炎暑,象君之德;万物资始,象君之化;位居少阳,
象君之政;神明出入,象君之令。故君亦天也,天亦君也。干以元亨利贞而营运于其上,君
以德化政令而辅成于其下。天道顺序,则生长化收藏,不失其时;君道助顺,故进退存亡,
不失其正,其实皆一理也。成象取法,虽主配于心肾,推而明之,一点精明,无物不备。是
宜君火之用,上合昭昭,下合冥冥,与万物俱生,而无所间断也。医者苟不明此,皆堕于术
数伎艺,与夫瞽史之用易,拘拘于卜筮休咎之中。吾见其大蔽圣人之道,未闻有益于天下后
世也。悲夫!
暑是六气之一,常与风、湿结合致病,沿经络流入各个脏腑,但不会与寒邪相合,因此会出现暑湿、风温等证候。
暑湿证表现为:怕冷反而发热,自汗,全身关节都疼痛,头目昏沉眩晕,手足倦怠无力,甚至无法支撑身体,这些都是因为感受了暑湿之邪所致。
风温证表现为:头痛身热,经常出汗,身体沉重且喘息,四肢软弱无力不能收持,神情沉默想睡觉,这是因为先感受风邪后又感受暑邪所致。治疗这两种病证各有不同的方法。
治疗因冒犯暑毒并兼有湿气;或者汗水未干就洗澡,这些情况都会形成暑湿证。
处方:茯苓、干姜(炮制)、甘草(炙烤)、白术、桂心(各一两)。
将上述药材捣碎成粗末。每次服用四钱,加水一盏,煎煮至七分满,滤去药渣,饭前服用。
治疗风温,兼治冬温,以及春季中风伤寒引起的发热、头晕痛、咽喉干燥、舌体僵硬、胸内疼痛痞闷胀满、腰背部拘挛紧急。
处方:葛根、麻黄(去掉节,用水煮后焙干称量)、甘草(炙烤)、白薇、川芎、羌活、杏仁(去皮尖,各半两)、石膏(一两,打碎)、葳蕤(三分)、青木香(一分)。
将上述药材切碎成散剂。每次服用五钱,加水一盏半,煎煮至七分满,滤去药渣,饭前服用。其中木香冬季用一两,春季用半两。
五行中每一行只有一个,唯独火有两个,这是因为君火和相火不同。相火依附于五行之中,是人们日常生活中的生理之火;至于君火,则是二气的本源,万物赖以起始的根本。人刚出生时,必然依托于父亲的精液和母亲的血液之中而形成形体。精属于肾,肾属于水,所以天一而生水;血属于心,心属于火,所以地二而生火;神识为玄妙,玄属水,所以天三而生木,这正是“太一含三引六”的含义。也符合道家“道生一,一生二,二生三”的数理。由此可知,精血是由神识所成就的,以神识的动则产生温暖,静则停止息动,静止无象,温暖的感觉可以感知。因此将这种温暖的识称为君火,正是《佛经》所说的通过暖、识、息的三者连续持守来维持寿命的道理。然而之所以称之为“君”,是因为它不表现出炎暑的热象,象征君主的德行;万物依赖它而起始,象征君主的教化;位居少阳之位,象征君主的政令;神明出入其间,象征君主的命令。所以说君主也是天,天也是君主。乾卦以元、亨、利、贞在上方运行,君主以德行、教化、政令在下方辅助完成。天道按顺序运行,则生长化收藏不失其时;君道辅助顺应天道,故进退存亡不失其正道,其实道理都是一样的。取法成象,虽然主要配属于心和肾,推演阐明开来,一点精明之气,无所不具备。这适宜体现君火的作用,上合于显明的天道,下合于幽暗的地道,与万物共同生长,而没有间断。医生如果不明白这个道理,都会堕落于术数技艺之中,就像盲人乐师使用《易经》一样,拘泥于卜筮吉凶之中。我看这是大大遮蔽了圣人的大道,没听说对天下后世有什么益处。可悲啊!
Summerheat is one of the Six Qi (Six Climatic Factors), which often combines with Wind and Dampness to cause disease, flowing along the meridians into various Zang-Fu organs. However, it does not combine with Cold; therefore, syndromes such as Summerheat-Dampness and Wind-Warmth occur.
The Summerheat-Dampness syndrome manifests as aversion to cold accompanied by fever, spontaneous sweating, pain throughout all joints, dizziness and vertigo of the head and eyes, fatigue and weakness in the hands and feet, to the point where the body cannot support itself. These are caused by injury from Summerheat-Dampness pathogens.
The Wind-Warmth syndrome manifests as headache and bodily heat, frequent sweating, heaviness of the body with panting, flaccidity and inability to control the four limbs, silence and a desire to sleep. This results from first being injured by Wind and subsequently by Summerheat. Each condition has its own specific treatment methods.
To treat exposure to Summerheat toxicity compounded by dampness; or bathing immediately while sweat is still wet, both can result in Summerheat-Dampness.
Prescription: Poria (Fuling), Prepared Ginger Root (Ganjiang - processed), Honey-fried Licorice Root (Gancao - roasted), Atractylodes Rhizome (Baizhu), Cinnamon Heart (Guixin) (each 1 liang).
Grind the above herbs into coarse powder. Take 4 qian per dose, add one cup of water, decoct until reduced to 70%, strain off the dregs, and take before meals.
To treat Wind-Warmth, also treating Winter-Warmth, as well as Wind-Cold and Warmth contracted in Spring causing fever, dizziness and headache, dry throat, stiff tongue, chest pain, fullness and distension, and stiffness/tightness in the lower back and back.
Prescription: Kudzu Root (Gegen), Ephedra Herb (Mahuang - nodes removed, boiled then dried and weighed), Honey-fried Licorice Root (Gancao - roasted), Anemone Root (Baiwei), Szechuan Lovage Rhizome (Chuanxiong), Notopterygium Rhizome (Qianghuo), Apricot Seed (Xingren - skin and tips removed, each 0.5 liang), Gypsum (Shigao - 1 liang, crushed), Polygonatum Rhizome (Weirui - 3 fen), Blue Sandalwood Wood (Qingmuxiang - 1 fen).
Cut the above herbs into fragments for decoction. Take 5 qian per dose, add one and a half cups of water, decoct until reduced to 70%, strain off the dregs, and take before meals. For Mugwort/Aromatic Woody Plants (Muxiang), use 1 liang in winter and 0.5 liang in spring.
Among the Five Elements, each element appears once, but Fire appears twice due to the distinction between Ministerial Fire (Xiang Huo) and Sovereign Fire (Jun Huo). Ministerial Fire attaches to the Five Elements and refers to the physiological fire used in daily human activities. Sovereign Fire, however, is the source of the Two Qi (Yin and Yang) and the origin upon which all things depend for their beginning. At the time of initial human formation, one must be conceived within the father's essence and mother's blood. Essence belongs to the Kidney, and the Kidney belongs to Water; thus, Heavenly One generates Water. Blood belongs to the Heart, and the Heart belongs to Fire; thus, Earthly Two generates Fire. Consciousness (Shi) is profound (Xuan), and Xuan belongs to Water; thus, Heavenly Three generates Wood. This embodies the principle of "Taiyi containing three and leading six." It also aligns with the Daoist numerical sequence: "Dao produces One, One produces Two, Two produces Three." From this, we know that essence and blood are accomplished through consciousness. When consciousness moves, warmth arises; when it is still, activity ceases. Stillness has no form, but warmth can be perceived. Therefore, this warm consciousness is named Sovereign Fire, which corresponds to what the Buddhist scriptures describe as maintaining life through the continuous holding of warmth, consciousness, and breath. The reason it is called "Sovereign" is because it does not exhibit the scorching heat of summer, symbolizing the virtue of a ruler; all things rely on it to begin, symbolizing the transformation of a ruler; it resides in the Shaoyang position, symbolizing the governance of a ruler; the emergence and entry of spiritual clarity symbolize the decrees of a ruler. Thus, the Sovereign is Heaven, and Heaven is the Sovereign. The Qian Trigram operates above with Yuan, Heng, Li, and Zhen; the Sovereign assists below with virtue, transformation, and decrees. When the Way of Heaven follows its order, growth, flourishing, transformation, gathering, and storage occur without missing their times; when the Way of the Sovereign assists in compliance, advancement, retreat, existence, and destruction remain upright. In essence, they share the same principle. Taking forms and models, although primarily associated with the Heart and Kidney, when extended and clarified, a single point of spiritual clarity contains everything. This aptly demonstrates the function of Sovereign Fire, harmonizing above with the manifest heavens and below with the hidden earth, growing together with all things without interruption. If physicians do not understand this, they will fall into the realm of technical arts and numerology, similar to blind musicians using the I Ching, confined within divination and omens. I see this as greatly obscuring the Great Way of the Sages, with no heard benefit to the world or future generations. How sad!