治风自诸疮口入,为破伤风,项强,牙关紧,欲死。
防风(去叉) 天南星(汤,各等分)
上为末。每服三钱,童子小便一大盏,煎至七分,热服。
治破伤湿,口噤强直。
牡蛎
(取末粉敷疮口,仍以末二钱煎甘草汤调下)
治破伤风,口噤强直。
鱼胶(烧七分留性)
上研细,入麝香少许。每服二钱,酒调下;不饮酒,米汤下。又一方,以苏木煎酒下。
夫脏腑合手足三阴三阳为十二经,各有所主,故为十二官。心者,君主之官,神明出焉
;肺者,相傅之官,治节出焉;肝者,将军之官,谋虑出焉;脾者,谏议之官,公正出焉;
肾者,作强之官,伎巧出焉;胆者,中正之官,决断出焉;膻中者,臣使之官,喜乐出焉;
小肠者,受盛之官;化物出焉;大肠者,传送之官,变化出焉;胃者,仓廪之官,五味出焉
;三焦者,决渎之官,水道出焉;膀胱者,州都之官,津液藏焉,气化则能出矣。故五脏为
阴,六腑为阳,此十二官不得相失者,正由阴阳消息盈虚。当随四序而调养之,不可使其偏
胜,偏胜则偏复,偏复则偏害,胜克流变,则真病生焉。夫阴阳虚实者,乃脏腑更相胜复也
。若其子母相感,则母虚能令子虚,子实能令母实。《经》曰∶实则泻其母,虚则补其子。
如肝实则泻肾,肝虚则补心,如百姓足,君孰与不足,此经之本意也,《难经》则反是,及
观《金匮》之论,其得为多。肝虚补用酸,助用焦苦,益用甘味之药,酸入肝,焦苦入心,
甘入脾,脾能制肾,肾气微弱,则水不行,水不行则心火盛,心火盛则肺金受制,肝气乃舒
,肝气舒则肝病自愈,此补子之意也。肝虚则用此,实则反之。《千金》亦云∶肝虚当补心
,心旺则感于肝,皆此类也。此正本藏十二官冷热盈虚而为病,非外感淫邪,及故为背理者
之比。然内所因惟属七情交错,爱恶相胜而为病,能推而明之,此约而不滥,学人宜留神焉。
治疗风邪从各种疮口侵入,导致破伤风,出现颈项强直、牙关紧闭,甚至危及生命。
防风(去叉) 天南星(用汤炮制,各等分)
将上述药物研为细末。每次服用三钱,加入童子小便一大盏,煎煮至七分量,趁热服用。
治疗破伤湿,出现口噤、身体强直。
牡蛎
(取牡蛎粉末外敷疮口,同时仍取二钱粉末,用甘草汤调服)
治疗破伤风,出现口噤、身体强直。
鱼胶(烧至七分熟,保留药性)
将上述药物研成细粉,加入少许麝香。每次服用二钱,用酒调服;不饮酒者,用米汤送服。另一处方,用苏木煎酒送服。
脏腑配合手足三阴经和三阳经构成十二经脉,各有其主管功能,因此被称为“十二官”。心是君主之官,神明由此产生;肺是相傅之官,治理调节由此产生;肝是将军之官,谋虑由此产生;脾是谏议之官,公正由此产生;肾是作强之官,技巧由此产生;胆是中正之官,决断由此产生;膻中是臣使之官,喜乐由此产生;小肠是受盛之官,化物由此产生;大肠是传送之官,变化由此产生;胃是仓廪之官,五味由此产生;三焦是决渎之官,水道由此产生;膀胱是州都之官,津液在此储藏,经过气化作用才能排出。所以五脏属阴,六腑属阳,这十二官的功能不能相互失调,正是由于阴阳的消长盈亏。应当随着四季的变化来调养它们,不可使某一方偏胜,如果偏胜就会导致偏复,偏复就会导致偏害,胜克流变,真正的疾病就会产生。所谓阴阳虚实,就是脏腑之间相互胜复的关系。如果是子母相生关系,那么母虚会导致子虚,子实会导致母实。《内经》说:实证泻其母,虚证补其子。例如肝实则泻肾,肝虚则补心,就像百姓富足,国君怎么会不足呢,这是经典的原本意思,《难经》的观点则相反,而观察《金匮要略》的论述,其中正确的地方很多。肝虚时用酸味药补益,用焦苦味药辅助,用甘味药增益,酸入肝,焦苦入心,甘入脾,脾能制约肾,肾气微弱,则水液不行,水液不行则心火旺盛,心火旺盛则肺金受制,肝气得以舒展,肝气舒展则肝病自愈,这就是补子的意思。肝虚时采用这种方法,肝实则相反。《千金方》也说:肝虚当补心,心旺则感应于肝,都是这类情况。这是根据本脏十二官冷热盈亏而致病的情况,不同于外感淫邪,以及故意违背常理的情况。然而内所因只属于七情交错,爱恶相胜而导致的疾病,能够推究并阐明它,这就简约而不泛滥,学习的人应该留心注意。
To treat wind pathogen entering through various wound openings, resulting in tetanus (Po Shang Feng), characterized by neck stiffness, trismus (lockjaw), and impending death.
Fangfeng (Saposhnikoviae Radix, de-awned) Tian nansxing (Arisaematis Rhizoma Praeparatum, prepared with decoction, equal parts)
Grind the above into powder. Take three qian per dose, add one large cup of urine from an uncircumcised boy, decoct until reduced to seventy percent, and take hot.
To treat wetness injury (Po Shang Shi), characterized by trismus and body rigidity.
Muli (Ostreae Concha)
(Take Muli powder to apply externally to the wound; simultaneously, take two qian of powder mixed with Gancao Tang [Glycyrrhizae Decoction] to swallow.)
To treat tetanus (Po Shang Feng), characterized by trismus and body rigidity.
Yujiao (Colla Corii Asini, roasted to seventy percent doneness while retaining efficacy)
Grind the above into fine powder, add a small amount of Shexiang (Moschus). Take two qian per dose, mixed with wine; for those who do not drink alcohol, mix with rice soup. Another prescription uses Sumu (Sappan Lignum) decocted in wine for administration.
The Zang-Fu organs combine with the Hand and Foot Three Yin and Three Yang meridians to form the Twelve Meridians, each having its specific governance, thus they are called the "Twelve Officials." The Heart is the Official of the Sovereign, from whom Shenming (Spiritual Consciousness) arises; the Lung is the Official of the Chancellor, from whom Zhijie (Governance and Regulation) arises; the Liver is the Official of the General, from whom Moulv (Strategizing) arises; the Spleen is the Official of Remonstrance, from whom Gongzheng (Impartiality) arises; the Kidney is the Official of Strength, from whom Jiqiao (Skill and Craftsmanship) arises; the Gallbladder is the Official of Integrity, from whom Jueduan (Decision-making) arises; the Danzhong (Chest Center/Pericardium) is the Official of Envoy, from whom Xile (Joy and Pleasure) arises; the Small Intestine is the Official of Reception, from whom Huawa (Transformation of substances) arises; the Large Intestine is the Official of Transmission, from whom Bianhua (Changes) arise; the Stomach is the Official of Granaries, from whom Wuwei (Five Flavors) arise; the Sanjiao (Triple Burner) is the Official of Ditches, from whom Shuidao (Water passages) arise; the Bladder is the Official of the Prefecture, where Jin Ye (Body Fluids) are stored, and only through Qihua (Qi transformation) can they be excreted. Therefore, the Five Zang organs belong to Yin, and the Six Fu organs belong to Yang. The functions of these Twelve Officials must not fail each other; this is precisely due to the waxing and waning of Yin and Yang. One should nourish them according to the four seasons, avoiding excessive dominance of any one aspect. If there is excessive dominance, it leads to compensatory reversal; if there is compensatory reversal, it leads to partial harm. Through winning and overcoming transformations, true disease arises. The concepts of Yin-Xu (Deficiency) and Yang-Shi (Excess) refer to the mutual winning and reversing among Zang-Fu organs. If there is a mother-son relationship, Mother deficiency causes Son deficiency, and Son excess causes Mother excess. The Classic states: For excess conditions, drain the Mother; for deficiency conditions, tonify the Son. For example, if the Liver is in excess, drain the Kidney; if the Liver is deficient, tonify the Heart. Just as when the people are sufficient, how could the ruler be insufficient? This is the original intent of the Classic. The Nan Jing offers the opposite view, but observing the discussions in the Jin Gui Yao Lue, the correct aspects are numerous. For Liver deficiency, use sour flavors to tonify, assist with scorched bitter flavors, and benefit with sweet flavors. Sour enters the Liver, scorched bitter enters the Heart, and sweet enters the Spleen. The Spleen can control the Kidney; if Kidney Qi is weak, water does not flow; if water does not flow, Heart Fire becomes abundant; if Heart Fire is abundant, Lung Metal is controlled, allowing Liver Qi to relax. When Liver Qi relaxes, Liver disease heals itself. This is the meaning of tonifying the Son. This method is used for Liver deficiency, whereas for Liver excess, it is reversed. The Qian Jin Fang also states: For Liver deficiency, tonify the Heart; when Heart is prosperous, it influences the Liver. All such cases follow this pattern. This addresses diseases arising from the cold, heat, excess, and deficiency of the Twelve Officials of the respective Zang organs, which is different from external pathogenic influences or deliberate violations of principles. However, internal causes belong solely to the interplay of the Seven Emotions, where love and aversion compete, leading to disease. By deducing and clarifying this, the theory remains concise and not excessive; students should pay close attention.