骨蒸潮热。微有不同。骨蒸则无时而不热。潮热则如潮信之来。必有定期热者。
调荣清热饮 治骨蒸屡验。
丹皮(炒) 地骨皮 当归 鳖甲(酥炙) 白术(各一钱五分) 黄 (蜜炒) 青蒿 知母
(盐水炒) 人参 柴胡(各一钱) 枣二枚。煎八分。不拘时服。
灵应饮 专治潮热。
茯神 小柴胡 人参 生地 银柴胡 黄芩(各二钱) 知母 麦门冬(各一钱) 枣五枚
。临服加童便一杯。
(附气滞 附郁)
人得天地之气以成形。形者气之所犹以寓者也。气者形之所犹于充者也。二者固相为用
。而亦有轻重之差焉。形病气不病。虽羸瘦而无害。气病形不病虽肥壮而可忧。是形在所轻。而
气在所重也。人能安养天和。使五脏之气。均得其平。则何病之有。惟内伤七情外感六气。
而五脏之气病矣。故心气盛。则烦燥不宁。口干舌燥。肺气盛。则壅塞喘急。上膈烦满。肝
气盛则暴怒时发。两胁膨胀。脾气盛。则中脘痞塞。腹满饱闷。肾气盛。则膀胱满急。水道
不通。皆气之有余者也。心气虚。则精神恍惚。梦寐不宁。肺气虚。则呼吸短浅。皮毛洒淅
。肝气虚则筋脉不和。头空少睡。脾气虚则饥不欲飧。溏泄自利。肾气虚。则腰脑不能转侧
。大便与小便。前后牵引而微痛。此皆气之不足者也。善医者调其气而已有余者泻之。不足
者补之。又岂有虚虚实实之患乎。凡本经之虚实。或宜补而宜泻。然虚则补其母。实则泻其
子。又不可不知也。
骨蒸潮热,表现上略有不同。骨蒸表现为无时无刻不在发热;潮热则像潮汐一样有定期发作的特点。
调荣清热饮:治疗骨蒸屡见疗效。
丹皮(炒制)、地骨皮、当归、鳖甲(用酥油炙烤)、白术(各一钱五分)、黄芪(蜂蜜炒制)、青蒿、知母(盐水炒制)、人参、柴胡(各一钱),大枣二枚。煎煮至药液剩余八分,不拘时间服用。
灵应饮:专门治疗潮热。
茯神、小柴胡汤、人参、生地黄、银柴胡、黄芩(各二钱)、知母、麦门冬(各一钱),大枣五枚。服药前加入童便一杯。
(附:气滞、附:郁证)
人禀受天地的精气而构成形体。形体是精气寄托的处所;精气是充盈形体的动力。二者确实相互为用,但也有轻重之分。如果是形体有病而气机无病,虽然身体消瘦虚弱但并无大害;如果是气机有病而形体无病,虽然身体肥壮但也值得忧虑。因此,形体相对较轻,而气机更为重要。人若能安养自然和谐之气,使五脏之气均等平和,那么会有什么疾病呢?只是由于内伤七情(喜、怒、忧、思、悲、恐、惊)和外感六气(风、寒、暑、湿、燥、火),导致五脏之气发生病变。所以,心气偏盛,就会出现烦躁不宁、口干舌燥;肺气偏盛,就会出现胸膈壅塞、喘促急促、上膈烦闷胀满;肝气偏盛,就会突发暴怒、两胁膨胀;脾气偏盛,就会中脘痞塞、腹部胀满饱闷;肾气偏盛,就会膀胱满急、水道不通。这些都是气有余的表现。心气不足,就会出现精神恍惚、睡眠不安;肺气不足,就会出现呼吸短浅、皮毛洒淅恶寒;肝气不足,就会筋脉不和、头部空虚感、少睡;脾气不足,就会饥饿但不想进食、大便溏泄自利;肾气不足,就会腰脑转动困难、大小便前后牵引作微痛。这些都是气不足的表现。善于治病的人调理气机即可,对于气有余的予以泻法,气不足的予以补法。这样又怎么会有虚虚实实(使虚者更虚,实者更实)的祸患呢?凡是本经的虚实病症,或者适宜补法或者适宜泻法,然而“虚则补其母,实则泻其子”的原则,又是不可不知道的。
Bone-steaming tidal fever. There are slight differences. Bone-steaming [Gu Zheng] manifests as heat present at all times; tidal fever [Chao Re] comes like the tide, occurring at regular intervals.
Tiao Rong Qing Re Yin (Regulate Ying and Clear Heat Decoction): Proven effective for treating bone-steaming.
Mu Dan Pi (Cortex Moutan, fried), Gu Ben Pi (Cortex Lycii, processed with su oil), Dang Gui (Radix Angelicae Sinensis), Bie Jia (Carapax Trionycis, fried with su oil), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (each 1.5 qian), Huang Qi (Radix Astragali, honey-fried), Qing Hao (Herba Artemisiae Annuae), Zhi Mu (Rhizoma Anemarrhenae, salt-water fried), Ren Shen (Radix Ginseng), Chai Hu (Radix Bupleuri) (each 1 qian), Da Zao (Fructus Jujubae) two pieces. Decoct until one-eighth remains. Take at any time.
Ling Ying Yin (Miraculously Effective Decoction): Specifically treats tidal fever.
Fu Shen (Poria Cum Radix Pini), Xiao Chai Hu Tang (Minor Bupleurum Decoction), Ren Shen (Radix Ginseng), Sheng Di Huang (Radix Rehmanniae Preparata), Yin Chai Hu (Radix Stemonae), Huang Qin (Scutellariae Radix) (each 2 qian), Zhi Mu (Rhizoma Anemarrhenae), Mai Men Dong (Radix Ophiopogonis) (each 1 qian), Da Zao (Fructus Jujubae) five pieces. Add a cup of Tong Bian (Child's Urine) just before taking.
(Attached: Qi Stagnation, Attached: Depression)
Humans acquire the Qi of Heaven and Earth to form their physical body. The physical body is where Qi resides; Qi is what fills and energizes the physical body. The two indeed function mutually, yet there are differences in weight/importance. If the physical body is diseased but Qi is not, although emaciated, it is harmless. If Qi is diseased but the physical body appears healthy, although robust, it is worrisome. Thus, the physical body is considered lighter, while Qi is heavier/more critical. If humans can nurture Tian He (Natural Harmony), ensuring the Qi of the Five Zang Organs is balanced and even, what disease would there be? However, internal injury from Seven Emotions [Qi Qing] and external contraction of Six Qi [Liu Qi] cause the Qi of the Five Zang Organs to become diseased. Therefore, if Heart Qi is excessive, restlessness and irritability occur, along with dry mouth and tongue. If Lung Qi is excessive, congestion, wheezing, and urgency occur, with upper diaphragm vexation and fullness. If Liver Qi is excessive, sudden anger erupts, and both hypochondriac regions expand. If Spleen Qi is excessive, epigastric stuffiness occurs, with abdominal fullness and bloating. If Kidney Qi is excessive, bladder fullness and urgency occur, with obstruction of the water passages. These are all manifestations of Excess Qi. If Heart Qi is deficient, spirit becomes vague and sleep is restless. If Lung Qi is deficient, breathing is short and shallow, and skin/hair feels chilly. If Liver Qi is deficient, sinews and vessels are unharmonious, head feels empty, and sleep is scant. If Spleen Qi is deficient, hunger exists but appetite is lacking, with loose stools and spontaneous diarrhea. If Kidney Qi is deficient, waist and brain cannot turn easily, and urination/defecation involves pulling pain in the front and rear. These are all manifestations of Deficient Qi. Skilled physicians regulate Qi; for excess, they use draining methods; for deficiency, they use tonifying methods. How then could there be the disaster of "depleting the deficient and reinforcing the excess"? For deficiency or excess in the respective meridians, whether tonification or draining is appropriate, one must know that "tonify the mother when deficient, drain the child when excess."