发汗法∶
凡发汗,欲令手足俱周, 然一时许为佳,不欲如水淋漓,服汤中病即已,不必尽剂。
然发汗须如常覆腰以上,浓衣覆腰以下。盖腰以上淋漓,而腰以下至足心微润,病终不解。
凡发汗病证仍在者,三日内可二三汗之。令腰脚间周遍为度。
转下法
凡转下。须体认得合下之证明白。在阳明胃经。则不拘日数。过时失下。则气血不通。
四肢便厥。不识返疑是阴厥。复进热药。祸如反掌。若少阴肾经、太阴脾经。下证悉具。汤
已更衣者。止。不须尽剂。阳明病得利瘥。慎不中服补药。热气得补复成。更复下之。是重
困也。宜消息安养之。
取吐法
凡取吐。服吐药后。不大吐。则当以手指掐之。便吐矣。不吐稍增药。以吐为度。
少。病不除。明日再服吐药。可至再三。但虚人宜少吐。药力过时不吐者。啜热汤一升。以
助药力。不必尽剂。吐讫便可食。无复余毒。若服药过多者。饮水解之。
水渍法
以叠布数重。新水渍之。稍捩去水。搭于胸上。须臾蒸热。又渍令冷,如前用之。仍数
易新水。日数十易。热甚者置病患于水中。热势才退则已。亦良法也。
葱熨法
以葱一束。以索缠如饼馅大。去根叶。惟存白三寸许。先以火 一面令通热。勿至灼人。
乃以热处着病患脐下。上以熨斗盛火熨之。令葱饼热气透入腹中。更作三四饼。遇一饼坏不
可熨。则易一饼。候病患醒。手足温。有汗乃止。
蒸法
以薪火烧地良久,扫除去火,可以水洒之。取蚕沙柏叶桃叶糠麸皆可用,相和铺烧地上。
可侧手浓。上铺草席。令病患当上卧。温覆之。夏月热。只布单覆之。汗移时立至。俟周身
至脚心自汗 。乃用温粉扑止汗。移上床。最得力者。蚕沙桃叶柏叶也。无蚕沙亦得。单
桃单柏叶亦得。蒴 叶亦可用。麸糠乃助添。令随多少。不用亦得。此极急则可。如治病得
愈。明年斯时。慎莫再作。再作或不治矣。
(凡煎煮药之法。须用银石器微火熟煮。不可太猛。表汗下之药。每服煎至八分。对病
药煎
发汗法:
凡是使用发汗法,希望让手足都均匀出汗,以持续大约一顿饭的时间为最佳,不希望像水流淋漓那样大汗出,服用汤药后病愈就停止,不必喝完所有药剂。
然而发汗时需要像平常一样覆盖腰部以上,用厚衣服覆盖腰部以下。因为如果腰部以上大汗淋漓,而腰部以下直到脚心只是微微湿润,病终究不能解除。
凡是发汗后病证仍在的,三天内可以发两三次汗。以腰脚之间周身遍身为度。
转下法(攻下法):
凡是使用攻下法,必须认清符合攻下的证候明白无误。如果在阳明胃经,则不拘泥于日数。错过时机未能及时攻下,则气血不通。
四肢就会厥冷。不要反过来怀疑是阴寒厥逆,再进服热性药物。灾祸就像翻手掌一样快。如果是少阴肾经、太阴脾经,攻下的证候全部具备,服药后大便已通者,停止用药,不需要喝完所有药剂。阳明病得利后痊愈,谨慎不要再服用补药。热气得到补益又会形成实热,再次攻下,这是使病人更加困顿。应当斟酌情况安心调养。
取吐法(催吐法):
凡是使用催吐法,服用催吐药后,如果没有剧烈呕吐,则应当用手指掐探咽喉,就会呕吐了。如果不吐稍微增加药量,以呕吐为限度。
如果吐得少,病邪不除,第二天再服用催吐药,可以重复两三次。但体虚的人适宜少吐。如果药力已过仍未呕吐,喝一升热汤,以助药力,不必喝完所有药剂。吐完后就可以进食,没有残留毒邪。如果服药过多者,饮水来解之。
水渍法:
用几层叠好的布,用新汲的水浸湿,稍微拧去水分,搭在胸部上。一会儿蒸热,又浸水使其变冷,像前面那样使用。仍然多次更换新水,一天几十次更换。热势严重的把病人放在水中,热势刚退就停止。这也是好方法。
葱熨法:
用一束葱,用绳子缠绕如饼馅大小,去掉根叶,只保留白色部分约三寸长。先在火上一面烤热,不要烫到人。
然后用热的地方贴在病人的脐下,上面用熨斗盛火熨烫。让葱饼的热气透入腹中。再做三四张葱饼。遇到一张葱饼坏了不可熨烫,就换一张葱饼。等到病人醒来,手足温暖,有汗才停止。
蒸法:
用柴火烧地很久,扫除去火灰,可以用水洒在地上。取蚕沙、柏叶、桃叶、糠麸都可以用,混合铺在烧过的地上。
厚度可侧手深。上面铺草席,让病人躺在上面,温覆之。夏天天气热,只用单被覆盖。出汗过一会儿立刻到来。等到周身直到脚心自然出汗,就用温粉扑止汗。移到床上。最得力的是蚕沙、桃叶、柏叶。没有蚕沙也可以,单用桃叶或单用柏叶也可以。蒴藋叶也可以使用。麸糠乃是辅助添加,根据多少而定,不用也可以。这在极紧急情况下可以使用。如果治病痊愈,明年这个时候,千万不要再做。再做可能就无法治愈了。
(凡是煎煮药物的方法,必须用银器或石器微火慢煮,不可太猛。表汗和攻下的药物,每剂煎至八分满,对症的药煎……
Sweating Method:
When employing the sweating method, it is desired that sweat be uniform on both hands and feet. The optimal duration is approximately the time it takes to eat a meal. Profuse sweating like flowing water should be avoided. Discontinue the decoction once the disease is resolved; there is no need to consume the entire dose.
However, when inducing sweat, cover the upper body (above the waist) as usual, and cover the lower body (below the waist) with thick clothing. If the upper body sweats profusely while the area from the waist down to the soles of the feet remains only slightly moist, the disease will ultimately not be resolved.
If the symptoms persist after sweating, two or three sweating treatments may be administered within three days. The treatment should continue until sweat is produced uniformly throughout the waist and legs.
Purgative Method:
When employing purgation, one must clearly identify the indications for purging. If the pathogen is in the Yangming Stomach Channel, do not be constrained by the number of days since onset. Failure to purge at the appropriate time leads to obstruction of Qi and Blood.
This results in cold extremities (Jue). One must not mistakenly suspect Yin Cold Jue and administer hot-natured herbs, as disaster can occur swiftly. If the indications for purging are fully present in the Shaoyin Kidney Channel or Taiyin Spleen Channel, and defecation has occurred after taking the decoction, stop medication; there is no need to finish the dose. If Yangming disease resolves with bowel movement, be cautious against administering tonifying herbs. Heat accumulated from tonification may lead to re-accumulation of excess heat, requiring further purging, which would severely debilitate the patient. One should assess the situation and provide rest and nourishment.
Emetic Method:
When employing emesis, if the patient does not vomit vigorously after taking the emetic medicine, stimulate the throat with fingers to induce vomiting. If vomiting does not occur, slightly increase the dosage until vomiting is achieved.
If the amount vomited is small and the pathogen is not expelled, administer the emetic again the next day, repeating up to two or three times. However, patients with deficiency should undergo mild emesis. If the medicinal force has passed but vomiting has not occurred, drink one Sheng of hot soup to assist the medicinal action; there is no need to finish the entire dose. After vomiting, food may be consumed immediately, as there will be no residual toxic pathogens. If too much medicine was taken, drink water to counteract it.
Water Soaking Method:
Use several layers of folded cloth, soak them in fresh water, wring out slightly, and apply to the chest. It will soon become steaming hot. Re-soak in water to cool it down, and repeat as before. Change to fresh water frequently, dozens of times a day. For severe heat cases, place the patient in water until the heat subsides. This is also an effective method.
Scallion Moxibustion/Ironing Method:
Take a bundle of scallions, tie them tightly into a shape resembling a pie filling disc, remove roots and green leaves, retaining only the white part for about 3 cun. Heat one side over fire until warm, ensuring it does not burn the patient.
Place the heated side on the patient's abdomen below the umbilicus. Use a moxibustion iron filled with fire to iron over the scallion pack, allowing the heat to penetrate into the abdomen. Prepare three or four such packs. Replace a pack if it becomes damaged or ineffective. Continue until the patient awakens, extremities become warm, and sweat appears, then stop.
Steaming Method:
Burn firewood on the ground for a long time, sweep away the ashes, and sprinkle water on the ground. Mulberry leaf, cypress leaf, peach leaf, silkworm excrement (Can Sha), and bran are all usable. Mix these materials and spread them on the scorched ground.
The thickness should be sufficient to accommodate a hand sideways. Place a grass mat on top and have the patient lie on it, covering them warmly. In summer, use only a thin sheet due to the heat. Sweat will appear shortly. Wait until sweat occurs uniformly from the whole body down to the soles of the feet, then apply warm powder to stop sweating. Move the patient to the bed. The most effective materials are silkworm excrement, peach leaves, and cypress leaves. Silkworm excrement is optional; using only peach leaves or only cypress leaves is also acceptable. Foliage of *Astragalus propinquus* (Shuo Yu Ye) can also be used. Bran serves as an additive; adjust quantity as needed, though it is optional. This method is suitable for extreme emergencies. If the disease is cured, do not repeat this practice at the same time next year, as doing so might render the condition untreatable.
(Regarding the method of decocting medicines: Silver or ceramic vessels should be used, and slow fire should be applied for thorough cooking. Do not use high heat. For exterior-releasing or purgative formulas, decoct each dose to eight-tenths full. For symptomatic prescriptions, decoct...)