葱白(一握如臂大)
主阴症。厥逆沉昏。 以索缠缚。切去根及青。约浓二寸。先于火上烘热。着病患脐上
。更以熨斗。贮火熨之。令热气透入。别作三四饼。坏则易之。良久。病患当渐苏。汗出手足温
。续以四逆汤温之。若熨而手足不温。不可治也。
气海穴(在脐下一寸五分) 丹田穴(在脐下二寸) 关元穴(在脐下三寸)
主阴症。面如刀刮。四逆。爪甲青黑。身体如冰。上以艾炷灸五十壮。甚者灸二百壮。
以手足渐温。人事稍省。为可治也。
黄连 巴豆
上二味和匀捏作饼子。装脐中。以艾炷如龙眼核大。灸之。轻者一炷。重者不过二三炷
。热气透入。腹中作声。泄下恶物。立愈。
主服药不得汗。故天寒汗不得出。宜行此法。 以薪火烧地良久。令极热。扫去灰以沸
汤洒
移时汗出。俟周身至脚心热。乃用温粉扑之。 南史载范云病伤寒。恐不得与武帝九锡之庆
。召徐文伯诊视。以实告之曰。可得便愈乎。文伯曰。便愈甚易。但恐二年后。不复起耳。
云曰。朝闻道。夕死犹可。况二年乎。文伯乃以是法取汗。翼日果愈。后二年果卒。取汗先
期。尚促寿限。况罔顾表里。不待时日。便欲速效乎。
叠布数重。新汲水渍之。稍捩去水。搭于患人胸上。须臾布温。又以别渍冷布易之。频
换新水。热势稍减续以寒剂清之。
主阳症大热。或狂烦昏乱。
葱白(取一握,粗细如手臂)
主治阴证。症状见四肢厥冷、神志沉昏。用绳索捆绑固定,切去根部及青色部分,保留约两寸粗度。先在火上烘热,放置在患者肚脐上。再用熨斗装满火炭在葱白上熨烫,使热气透入体内。另外制作三四个这样的葱饼,变坏后更换。过一段时间后,患者应当逐渐苏醒,出汗且手足转温。随后服用四逆汤进行温补调理。如果熨烫后手足仍然不温暖,则属于不可治之症。
气海穴(位于脐下1.5寸)、丹田穴(位于脐下2寸)、关元穴(位于脐下3寸)
主治阴证。症状见面部苍白如刀刮般无血色、四肢厥冷、指甲青黑、身体冰冷。在上述穴位上用艾炷灸五十壮,重症者灸二百壮。待手足逐渐转温,人事稍清醒,即为可治之症。
黄连、巴豆
将上述两味药材混合均匀,捏成饼状,填入肚脐中。用如龙眼核大小的艾炷进行艾灸。轻症者灸一壮,重症者不超过二至三壮。热气透入后,腹中发出声响,排泄出污秽之物,病立愈。
主治因服药后未能发汗,故在天寒时汗液无法排出。适宜施行此法。用柴火烧地较长时间,使地面极热,扫去灰烬后用沸水喷洒。过一会儿汗出,待周身直至脚心都感到发热时,再用温粉扑在身上。《南史》记载范云患伤寒,担心不能赶上给武帝加九锡的喜庆时刻,召徐文伯诊治。如实告知病情后问:“能立刻痊愈吗?”徐文伯说:“立刻痊愈很容易,但恐怕两年后不能再起来。”范云说:“早上得知真理,晚上死去也可以,何况是两年呢?”徐文伯于是用这种方法让他发汗,第二天果然痊愈。两年后果然去世。提前取汗尚且缩短寿命,何况不顾表里虚实,不等待适当时机,就想要速效呢?
叠放多层布,用新汲取的冷水浸湿,稍微拧干水分,搭在患者胸前。片刻后布变温,又用另外浸过冷水的布替换。频繁更换新水,热势稍减后,再服用寒凉药剂清热。
主治阳证大热,或狂躁烦乱、神志昏乱。
Scallion White (a handful, thickness like an arm)
Mainly treats Yin syndrome (syndrome characterized by deficiency of Yang and excess of Yin). Symptoms include cold limbs (Jue Ni, reversal coldness), deep lethargy. Bind with a rope, cut off the root and green parts, retaining a thickness of about two cun. First, heat it over fire, place it on the patient's navel. Then use an ironing pot filled with hot coals to press/iron over the scallion white, allowing the heat to penetrate into the body. Prepare three or four more such cakes; replace them when they deteriorate. After a while, the patient should gradually revive, sweat, and have warm hands and feet. Subsequently, administer Sini Tang (Frigid Extremities Decoction) for warming and tonification. If the hands and feet remain cold after ironing, it is considered intractable.
Qihai (CV6, Sea of Qi, 1.5 cun below the umbilicus), Dantian (CV12, Elixir Field, 2 cun below the umbilicus), Guanyuan (CV4, Gate of Origin, 3 cun below the umbilicus)
Mainly treats Yin syndrome. Symptoms include a face as pale as if scraped by a knife, cold limbs, cyanotic black fingernails, and a body cold as ice. Moxibustion with moxa cones (Moxa Cone) is applied to these acupoints: fifty burns (Zhuang) for standard cases, up to two hundred burns for severe cases. When the hands and feet gradually become warm and consciousness slightly returns, the condition is considered treatable.
Coptidis Rhizoma (Huanglian, Coptis Rhizome), Crotonis Fructus (Badou, Croton Seed)
Mix the above two herbs evenly, knead into cake shapes, and fill into the navel. Apply moxibustion using moxa cones the size of a longan seed. For mild cases, one burn; for severe cases, no more than two or three burns. After the heat penetrates, sounds will be heard in the abdomen, foul matter will be discharged, and the illness will be cured immediately.
Mainly indicated for cases where sweating fails to occur after taking medicine, thus preventing sweat discharge due to cold weather. This method is suitable. Burn firewood on the ground for a long time until it is extremely hot, sweep away the ashes, and sprinkle boiling water. After some time, sweat will appear. Wait until the entire body, down to the soles of the feet, feels hot, then apply warm powder (Wen Fen) to the skin. The History of the Southern Dynasties records that Fan Yun suffered from Shanghan (Cold Damage disease) and feared he would not survive to celebrate the Emperor Wu's bestowal of the Nine Bestowals. He summoned Xu Wenbo for diagnosis. Upon being told the situation, Fan Yun asked, "Can I recover immediately?" Wenbo replied, "Recovering immediately is easy, but I fear you will not rise again after two years." Fan Yun said, "If I can hear the Dao in the morning, I am content to die in the evening, let alone two years." Wenbo then used this method to induce sweating. The next day, he indeed recovered. Two years later, he indeed passed away. Inducing sweating prematurely still shortens the lifespan; how much more so to disregard the exterior and interior conditions, ignore the appropriate timing, and seek immediate results?
Stack several layers of cloth, soak them in freshly drawn cold water, wring out slightly, and place on the patient's chest. After a moment, when the cloth becomes warm, replace it with another piece soaked in cold water. Frequently change with fresh water. Once the heat intensity slightly decreases, subsequently clear the heat with cold-natured herbal agents.
Mainly treats Yang syndrome (syndrome characterized by excess of Yang and heat) with high fever, or mania, irritability, and confusion.