治寒以温,治热以凉,但中病即止,矫枉则过正也。盖凉药频施,必至于呕恶沉冷,温
药频施,必至于烦躁烘热。所贵酌量权度,一毫无过用焉,是为活法。
人有中年以上,素挟风痰,腹中时痛,忽尔感冒,虽已发散寒邪,无复发热头疼之苦,
奈何风痰呕吐俱作,诸药罔功。但用茯苓二陈东加南木香、白豆蔻作剂,入生姜、乌梅同煎,
调
橘皮、白豆蔻、炙甘草调之。若通小便,则于内加麦门冬;若通大便,则于内加枳壳,以咽
神保丸四五丸,大小腑一通,顿遂勿药之喜。
经曰∶人迎紧盛,伤于寒;气口紧盛,伤于食。盖肝脉可以知风寒之出入,脾脉可以验
饮食之盈亏。肝亦主血,脾亦主痰,以其脉之虚实而益损之,以其病之关系而对治之。君请
择斯二者。
此病在下部也。当疏利而出之。脉洪大主热,多是大小便不通,或小腹结急,脐下蓄血;
或肾气攻刺,发作奔豚;或下焦停水,外肾虚肿;或风邪攻肾,脚痹腰疼;或肾脏风毒,身
下疮痒。当随证体认,以对病之剂主之,大概通利为第一义,临诊精思而熟审焉。
此等证候,先以青皮、陈皮、枳壳、北梗、半夏、紫苏、生姜、甘草解其寒邪,调其卫
气,然后斟酌,用十枣汤吞养正丹。轻者却只用神保丸夹青木香丸,以五灵脂入乌梅、浓蜜
煎汤咽下钱氏宣风散,亦可以疏利风毒。俟大便通快流行,其病已减,继是二陈东加当归、
川芎、木香、缩砂辈调理之。
治疗寒证用温性药物,治疗热证用凉性药物,但一旦病情好转就应停药,否则纠正偏差过度就会走向反面。因为频繁使用凉药,必然导致呕吐、恶心和体内积冷;频繁使用温药,必然导致烦躁和烘热感。可贵之处在于斟酌衡量剂量,丝毫不存在过度用药的情况,这才是灵活变通的治疗方法。
人到中年以上,平时兼夹风痰,腹部时常疼痛,忽然感冒风寒,虽然已经发散出寒邪,不再发热头痛,无奈风痰引起的呕吐同时发作,各种药物都无效。只需使用茯苓二陈汤(由茯苓、陈皮、半夏、甘草组成,加苍术、厚朴)基础上加入南木香、白豆蔻作为一剂药,加入生姜、乌梅共同煎煮,再用橘皮、白豆蔻、炙甘草调和服用。如果为了通利小便,就在方中加入麦门冬;如果为了通利大便,就在方中加入枳壳,并吞服神保丸四五丸,大小便一通,立刻就有无需服药的喜悦。
经典记载:人迎脉紧盛,是感受了寒邪;气口脉紧盛,是饮食停滞所致。肝脉可以判断风寒的侵入与排出,脾脉可以验证饮食的盈亏状况。肝也主血,脾也主痰,根据脉象的虚实来补益或泻损,根据病情的关联来进行针对性治疗。请您选择这两种方法之一。
这种病位于身体下部。应当通过疏泄通利的方法将其排出。脉象洪大主热证,大多伴有大小便不通,或者小腹拘急结聚,脐下蓄积瘀血;或者是肾气攻冲刺痛,发作奔豚病;或者是下焦停聚水饮,外现肾虚浮肿;或者是风邪侵袭肾脏,脚部麻木腰痛;或者是肾脏风毒,下身疮疡瘙痒。应当随证候仔细辨认,用针对该病的方剂主治,大抵以通利为第一要义,临诊时要精心思考并审慎审查。
这类证候,先用青皮、陈皮、枳壳、桔梗、半夏、紫苏、生姜、甘草来解散寒邪,调和卫气,然后斟酌用量,用十枣汤送服养正丹。轻症却只使用神保丸配合青木香丸,用五灵脂加入乌梅、浓蜜煎汤送服钱氏宣风散,也可以疏泄风毒。等到大便通畅流利,病情已经减轻,接着使用茯苓二陈汤基础上加入当归、川芎、木香、缩砂仁等药物进行调理。
To treat cold, use warm herbs; to treat heat, use cool herbs. However, stop medication once the disease is cured, for over-correction leads to excess. Frequent administration of cool herbs inevitably leads to vomiting, nausea, and internal accumulation of cold; frequent administration of warm herbs inevitably leads to irritability and sensations of flushing heat. The value lies in weighing and measuring the dosage, ensuring absolutely no overuse; this constitutes flexible treatment methods.
Individuals aged middle age or above, who habitually harbor wind-phlegm, experience intermittent abdominal pain. Upon sudden contraction of a cold pathogen, although the cold evil has been dispersed and the suffering of fever and headache has ceased, why do wind-phlegm-induced vomiting all arise simultaneously, rendering various medicines ineffective? Simply use Erchen Tang (Two-Cured Decoction) with Fuling (Poria), adding Nanmuxiang (Aucklandiae Radix) and Baidoukou (Cardamomi Fructus) as one dose. Add Shengjiang (Zingiberis Rhizoma Recens) and Wumei (Mume Fructus) to decoct together, then regulate with Chuanpi (Citri Reticulatae Pericarpium), Baidoukou (Cardamomi Fructus), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata). If promoting urination is desired, add Maidong (Ophiopogonis Radix); if promoting defecation is desired, add Zhike (Aurantii Fructus). Swallow 4-5 pills of Shenbao Wan (Divine Protection Pill). Once both large and small bowels are unblocked, there is an immediate joy of being free from medication.
The Classics state: A tight and full Renying pulse indicates injury by cold; a tight and full Qikou pulse indicates injury by food. The Liver pulse can discern the entry and exit of wind-cold; the Spleen pulse can verify the surplus or deficit of dietary intake. The Liver also governs blood; the Spleen also governs phlegm. Based on the deficiency or excess of the pulse, tonify or reduce accordingly; based on the relationship of the disease, apply targeted treatment. Please choose between these two approaches.
This disease is located in the lower part of the body. It should be drained and expelled through dispersing and purging methods. A洪大 (Hongda, surging and large) pulse indicates heat, often accompanied by obstruction of urination and defecation, or cramping and binding in the lower abdomen, with blood stasis accumulating below the umbilicus; or Kidney Qi attacking with stabbing pain, manifesting as Ben Tun (Running Piglet syndrome); or water retention in the Lower Jiao, presenting as external deficiency-type edema; or Wind Evil attacking the Kidneys, causing numbness in the legs and lower back pain; or Kidney Wind-Toxin, causing itching of sores below the body. One must recognize the syndrome pattern according to symptoms and prescribe formulas targeting the specific disease. Generally, promoting unblocking and draining is the primary principle; one must think carefully and examine thoroughly during clinical diagnosis.
For such syndromes, first use Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Banxia (Pinelliae Rhizoma), Zisu (Perillae Folium), Shengjiang (Zingiberis Rhizoma Recens), and Gancao (Glycyrrhizae Radix et Rhizoma) to resolve the cold evil and harmonize the Wei Qi (Defensive Qi). Then, after careful consideration, swallow Yangzheng Dan (Nourishing Righteousness Elixir) with Shizao Tang (Ten-Jujube Decoction). For mild cases, simply use Shenbao Wan (Divine Protection Pill) combined with Qingmuxiang Wan (Green Aucklandia Pill). Take Qianshi Xuanfeng San (Master Qian's Wind-Dispersing Powder) swallowed with a decoction made of Wulingzhi (Trogopterori Faeces), Wumei (Mume Fructus), and thick honey. This can also disperse and drain wind-toxin. Wait until the stool flows freely and smoothly, and the illness has subsided; subsequently, regulate with Erchen Tang (Two-Cured Decoction) added with Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Muxiang (Aucklandiae Radix), and Suosha (Amomi Fructus Rotundus).