凡药能升动其气者,皆能吐。如防风、山栀、川芎、桔梗、芽茶,以生姜汁少许
,醋少许,入齑汁捣服,以鹅翎勾引之。附子尖、桔梗芦、人参芦、瓜蒂
、藜芦、砒
茶,此皆自吐之法,不用手探,但药但汤皆可吐。吐时先以布答膊勒腰腹
,于不通风处行
此法。一法,用萝卜子五合擂,入浆水滤过,入清油白蜜少许,旋半温,用帛紧束肚皮然
服,以鹅翎探吐。其鹅翎,平时用桐油浸,皂角水洗,晒干待用。又法,用虾带壳半斤,
酱葱姜等料物煮汁,先吃 ,后饮汁,以鹅翎勾引即吐,必须紧勒肚腹。又法,苦参末、赤
小豆末,各一钱,齑汁调,重则宜用三钱。吐法取逆流水。益元散吐湿痰
。白汤入盐,方可吐
。人参芦煎汤,吐虚病。凡吐,先饮二碗,隔宿煎桔梗半两,陈皮二钱,甘草二钱。凡吐
不止,麝香解藜芦瓜蒂;葱白汤亦解瓜蒂;甘草总解诸药;白水总解。
充按∶三法中惟涌剂为难用,有轻重卷舒之机;汗下,则一定法也。故先生特注吐为详者,
恐人不深造其理,徒仓皇颠倒,反有害于病耳。今总列诸法于此,使临病随机应变,披卷了
然,不必搜检而便于施治也。
鱼骨鲠 用砂糖、白炭皮末、紫苏叶、滑石末和丸,含口中,津液咽下,骨自下
蕈毒 用木香、青皮等分,作汤饮之。
众药毒 用五倍子二两重研细,用无灰酒调服。毒在上即吐,在下即泻。
解一切毒 用粉草五两重细切,微炒捣细,量病患吃得多少酒,取无灰酒一处研,去
渣,温服。须臾,大吐泻,毒亦随去。虽十分渴,不可饮水,
解九里蜂 用皂角钻孔,贴在蜂叮处,就皂荚孔上,用艾灸三五壮,即安。
天蛇头 用落苏即金丝草、金银花藤、五叶紫葛、天荞麦切碎,用十分好醋浓煎,先熏
后洗。
又方 用人粪杂黄泥捣之,裹在患处,即安。
又方 用扑蛇烧为炭存性,地上出火毒,研为细末,用香油调敷。如洗,只用井花水。
天火带 用白鲜泥炒研细,香油敷之。
又方 雉鸡毛及鹅毛烧灰敷之,用香油调。
治蜈蚣全蝎伤 方同九里蜂灸法。
治一切蛇咬 用金线重楼,水磨少许敷咬处。又为细末
,酒调饮。
又方 树叶、鱼胎草、皱面草、草决明,一处研细,敷咬处佳。
中牛马肉毒 方同解一切毒法。
狗咬 以紫苏口嚼碎涂之。
风狗咬 取小儿胎发、炒新香附、野菊花,研细,酒调服,尽醉。
凡是药物能够升动人体气机的,都能引起呕吐。例如防风、山栀、川芎、桔梗、芽茶,配合少许生姜汁、少许醋,调入齑汁(腌菜汁)捣碎后服用,并用鹅翎(鹅毛)刺激咽喉以引导呕吐。附子尖、桔梗芦、人参芦、瓜蒂、藜芦、砒茶,这些都属于自然引发呕吐的方法,不需要用手探喉,无论是药末还是汤剂都可以催吐。呕吐时,先用布带勒紧腰腹部,在通风不好的地方施行此法。另一种方法,用萝卜子五合研磨,加入浆水过滤,再加入少量清油和白蜜,趁半温时服用,用布帛紧紧束住肚皮,然后用鹅翎探喉催吐。这鹅翎平时要用桐油浸泡,用皂角水洗过,晒干备用。又一种方法,用带壳虾半斤,加酱、葱、姜等调料煮取汁液,先吃虾肉,再喝汤汁,用鹅翎引导即可呕吐,必须紧紧勒住肚腹。又一种方法,用苦参末、赤小豆末各一钱,用齑汁调服,病情重者宜用三钱。使用吐法要取逆流水(回旋之水)。益元散可用来吐除湿痰。白开水加盐,才能用于催吐。人参芦煎汤,适用于虚证病人的催吐。凡是用吐法,先喝两碗水,隔宿煎煮桔梗半两、陈皮二钱、甘草二钱。如果呕吐不止,可用麝香解藜芦和瓜蒂之毒;葱白汤也能解瓜蒂之毒;甘草能总解各种药物之毒;白水也能总解诸毒。
充按:这三种治法中只有涌吐剂最难掌握,其中有轻重缓急的变化机制;而发汗和解下法,则是固定的法则。所以先生特别详细注释吐法,是担心人们不能深入理解其原理,只是仓皇失措、颠倒错乱,反而对病情有害。现在将这些方法总列于此,使面对疾病时能随机应变,翻阅书卷就能了然于心,不必到处搜寻检查,便于施治。
鱼骨卡喉:用砂糖、白炭皮末、紫苏叶、滑石末混合制成丸药,含在口中,让津液慢慢咽下,骨头自然下行。
多种药物中毒:用五倍子二两重研细,用无灰酒调服。毒邪在上部则通过呕吐排出,在下部则通过腹泻排出。
解除一切毒素:用粉草(甘草)五两重细细切碎,微炒后捣细,根据病人能喝多少酒,取无灰酒一处研磨,去掉渣滓,温服。不久后,会出现剧烈的呕吐和腹泻,毒素也随之排出。虽然极度口渴,也不可饮水。
解除九里蜂蜇伤:用皂角钻孔,贴在蜂叮咬处,就在皂荚孔上,用艾灸三五壮,即可安宁。
天蛇头(一种毒蛇或毒虫):用落苏(即金丝草)、金银花藤、五叶紫葛、天荞麦切碎,用好醋浓煎,先熏蒸患处,然后清洗。
又一方:用人粪混合黄泥捣烂,包裹在患处,即可安宁。
又一方:用扑蛇烧成炭保留药性,地上出的火毒,研为细末,用香油调敷。如果是清洗伤口,只用井花水。
又一方:用雉鸡毛及鹅毛烧成灰敷之,用香油调和。
治疗蜈蚣、全蝎螫伤:方子同九里蜂灸法。
治疗一切蛇咬伤:用金线重楼,用水磨出少许汁液敷在咬伤处。又研为细末,用酒调服。
又一方:用树叶、鱼胎草、皱面草、草决明,一起研细,敷在咬伤处效果佳。
狗咬伤:用紫苏口嚼碎涂在伤口上。
Any medicine that can ascend and move the Qi has the effect of inducing vomiting. For example, Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), and Yacha (Sprouted Tea Leaves), mixed with a small amount of Shengjiang Zhi (Ginger Juice) and Cu (Vinegar), pounded into a paste with Qizhi (Pickled Vegetable Juice) and taken orally. The throat is stimulated with an Ealing (Goose Feather) to guide the vomiting process. Fuzi Jian (Tip of Aconiti Lateralis Radix Preparata), Jiegeng Lu (Radix Platycodonis Stolon), Renshen Lu (Radix Ginseng Stolon), Gudi (Cucumeris Fructus), Lilu (Veratri Rhizoma), and Pi Cha (Arsenic Tea) are all methods that induce vomiting naturally without manual probing. Both powder and decoction can be used. During vomiting, the waist and abdomen should be tightly bound with a cloth strip, and the procedure should be performed in a place with poor ventilation. Another method: grind Luobozhong (Brassicae Napus Semen) five he, filter through Jiangshui (Fermented Rice Water), add a small amount of Qingyou (Clear Sesame Oil) and Baimi (White Honey). Take it while lukewarm, tightly bind the abdomen with a silk cloth, and stimulate the throat with a goose feather to induce vomiting. The goose feathers should normally be soaked in Tongyou (Tung Oil), washed with Zaojiao Shui (Gleditsia Sinensis Water), dried, and kept for use. Another method: take half a jin of shrimp with shells, boil with sauce, scallions, ginger, and other seasonings to extract the juice. Eat the shrimp first, then drink the juice, and stimulate the throat with a goose feather to induce vomiting; the abdomen must be tightly bound. Another method: mix Kuscan Mo (Sophorae Flavescentis Radix Powder) and Chixiaodou Mo (Adzuki Bean Powder), one qian each, mixed with Qizhi. For severe cases, use three qian. When using emetic therapy, use Ni Liushui (Revolving Water). Yi Yuan San (Benefit and Primordial Powder) can be used to vomit out Damp-Phlegm. White boiled water with salt added is required for vomiting. Renshen Lu Decoction is suitable for vomiting in patients with Deficiency syndromes. Before any emetic treatment, drink two bowls of water. Prepare a decoction overnight with Jiegeng (Platycodonis Radix) half liang, Chenpi (Citri Reticulatae Pericarpium) two qian, and Gancao (Glycyrrhizae Radix et Rhizoma) two qian. If vomiting does not stop, Shexiang (Musk) can resolve the toxicity of Lilu and Gudi; Congbai Tang (Scallion White Decoction) can also resolve Gudi toxicity; Gancao (Glycyrrhizae Radix et Rhizoma) generally resolves the toxicity of various medicines; plain white water generally resolves all toxins.
Chong's Note: Among these three methods, only the purgative/emetic agents are difficult to use, as they involve mechanisms of severity and flexibility. Sweating and purgation methods are fixed protocols. Therefore, Mr. Zhu specifically annotated the emetic method in detail, fearing that people might not deeply understand its principles, leading to panic and disorder, which could harm the patient. Now, all these methods are listed here so that when facing diseases, one can adapt flexibly, understand clearly by consulting the text, and facilitate treatment without needing to search extensively.
Fish bone stuck in the throat: Mix Baitang (White Sugar), Baitanpi Mo (Endocuticle of Carbonized Bamboo Charcoal), Zisu Ye (Perillae Folium), and Huashi Mo (Talcum Powder) into pills. Hold in the mouth, swallow saliva gradually, and the bone will descend naturally.
Mushroom poisoning: Use Muxiang (Aucklandiae Radix) and Qingpi (Citri Reticulatae Pericarpium) in equal parts, decoct and drink.
Poisoning from multiple drugs: Grind Wubeizi (Galae Chinensis) weighing two liang finely, mix with Wuhui Jiu (Unadulterated Wine) and take orally. If the toxin is in the upper part, induce vomiting; if in the lower part, induce diarrhea.
Resolving all toxins: Cut Fugan (Glycyrrhizae Radix et Rhizoma) weighing five liang finely, stir-fry lightly until fragrant, and pound finely. Based on how much wine the patient can tolerate, mix with Wuhui Jiu (Unadulterated Wine), grind together, strain off the dregs, and take warm. Soon after, severe vomiting and diarrhea will occur, and the toxins will be expelled. Even if extremely thirsty, do not drink water.
Resolving Nine-Mile Bee stings: Drill holes in Zaoguo (Gleditsiae Fructus), apply it to the sting site, and moxa-burn three to five moxa cones directly on the holes of the Gleditsia fruit. This will bring relief.
Tianshe Tou (Hebius amurensis or similar venomous snake): Chop Luosuo (Solanum melongena / Golden Thread Grass), Jinyinhua Teng (Lonicerae Japonicae Caulis), Wu Ye Zi Ge (Pentapanax Notoginseng Stem), and Tianqiaomai (Fagopyrum dibotrys Herb). Decoct strongly with high-quality vinegar. First fumigate the affected area, then wash.
Another prescription: Pound Renfen (Human Feces) mixed with Huangni (Yellow Clay), wrap around the affected area for relief.
Another prescription: Burn Pushe (Agkistrodon acutus) to charcoal retaining its properties. For fire toxins from the ground, grind into fine powder and apply with Xiangyou (Sesame Oil). For washing wounds, use Jinghua Shui (Well Water).
Tianhuo Dai (Erysipelas or burn): Stir-fry Baixian Ni (Dictamni Cortex Mud), grind finely, and apply with Xiangyou (Sesame Oil).
Another prescription: Burn Zhijimao (Pheasant Feather) and Emao (Goose Feather) to ash, apply with Xiangyou (Sesame Oil).
Treating Centipede and Quanxie (Scorpio) stings: Use the same method as for Nine-Mile Bee moxibustion.
Treating all snake bites: Grind Jinxiian Chonglou (Paris polyphylla) with water to make a paste, apply to the bite site. Also, grind into fine powder, mix with wine, and drink.
Another prescription: Crush Shuye (Tree Leaves), Yutai Cao (Hydrocotyle javanica), Zhoumian Cao (Plantago asiatica), and Caojueming (Cassiae Semen) together, apply finely crushed mixture to the bite site for best results.
Poisoning from eating beef or horse meat: Use the same method as resolving all toxins.
Dog bite: Chew Zisu (Perilla Leaf) thoroughly and apply to the wound.
Mad dog bite: Take Erhai Tai Fa (Neonatal Hair), Chao Xin Xiangfu (Cyperi Rhizoma stir-fried), and Ye Juhua (Wild Chrysanthemum Flower), grind finely, mix with wine, and take until drunk.