半夏为末,水丸,如黄豆大。每用一丸,纳鼻中,男左、女右。
搐鼻散(见真中风。
凡刀斧损伤,跌扑打碎,敷上实时止痛止血,更不作脓,胜于他药多
矣。其伤处不可见水。予制此药普送,因路远者一时难取,故刻方广传之。今并笔之于书,
则所传益广矣。各乡有力之家,宜修合以济急也。
雄猪油(熬化去渣,一斤四两) 松香(熬化去渣,六两) 黄蜡(熬化去渣,六两) 面粉(炒,
筛,四两) 樟脑(研极细,三两) 麝香(六分) 冰片(六分) 血竭(一两) 儿茶(一两) 乳香(箬皮上烘
去油,一两) 没药(箬皮上烘去油,一两
以上药研极细,先将猪油、松香、黄蜡三味熬化,合为一处,待将冷,再入药末搅匀,
瓷瓶收贮,不可泄气,用时即知其神妙也。
又方∶用降真香为末,敷上即愈。广三七末,敷之亦效。
妇人之症,多与男子同,惟经行胎产,与男子异耳。兹特举其异者,详述于后,以备参
考。其同者,悉照前法主之,不复赘及。
经,常也,一月一行,循乎常道,以象月盈则亏也。经不行,则反常而灾 至矣。
方书以趱前为热,退后为寒,其理近似,然亦不可尽拘也。假如脏腑空虚,经水淋漓不断,
频频数见,岂可便断为热?又如内热血枯,经脉迟滞不来,岂可便断为寒?必须察其兼症,如果
脉数内热,唇焦口燥,畏热喜冷,斯为有热;如果脉迟腹冷,唇淡、口和,喜热、畏寒,斯
为有寒。阳脏、阴脏,于斯而别。再问其经来,血多色鲜者,血有余也。血少色淡者,血不
足也。将行而腹痛拒按者,气滞血凝也。既行而腹痛,喜手按者,气虚血少也。予以益母胜
金丹,及四物汤加减主之,应手取效。
将半夏研成粉末,用水泛丸,制成如黄豆大小的药丸。每次取一丸,纳入鼻孔中,男性用左鼻孔,女性用右鼻孔。
搐鼻散(参见真中风章节)。
大黄(一两) 明矾(五钱)
共研为细末。每次服用三、四钱,用冷水调服。
凡是刀斧造成的损伤,或跌打撞击导致的破碎伤,敷上此药能立即止痛止血,而且不会化脓,比其他的药物效果好得多。受伤的部位不可见水。我配制此药普遍赠送给他人,因为路途遥远的人一时难以获取,所以刻印方剂广泛传播它。现在一并记录在书中,那么流传的范围就更广了。各乡有财力的人家,应当调制保存以救济急难。
雄猪油(熬化后去渣,一斤四两) 松香(熬化后去渣,六两) 黄蜡(熬化后去渣,六两) 面粉(炒制,筛过,四两) 樟脑(研磨极细,三两) 麝香(六分) 冰片(六分) 血竭(一两) 儿茶(一两) 乳香(在箬皮上烘烤去油,一两) 没药(在箬皮上烘烤去油,一两)
以上药物研磨成极细的粉末,先将猪油、松香、黄蜡三种成分熬化,混合在一起,待温度稍降后,再放入药末搅拌均匀,装入瓷瓶中密封贮存,不可漏气,使用时就能知道它的奇妙之处。
另一个方子:用降真香研成粉末,敷在患处即可痊愈。广三七粉末,敷上也有效。
妇女的疾病,大多与男子相同,只有月经、怀孕和分娩方面的情况与男子不同。这里特别列举这些不同的情况,详细叙述在后面,以备参考。相同的情况,完全按照前面的方法主治,不再赘述。
“经”,指常道,每月来潮一次,遵循正常的规律,象征月亮满盈之后就会亏缺。月经不来,就是违背常道,灾祸就会降临。
医书认为月经提前是热证,推后是寒证,这个原理大致相近,但也不能完全拘泥于此。假如脏腑空虚,经血淋漓不断,频繁多次来潮,难道就可以断定是热证吗?又如体内血热且阴血枯竭,经脉迟滞不来,难道就可以断定是寒证吗?必须观察伴随的症状,如果脉象数而体内发热,嘴唇焦裂口干,怕热喜冷,这才是有热;如果脉象迟缓腹部寒冷,嘴唇淡白、口中调和,喜欢温暖、害怕寒冷,这才是有寒。阳脏体质和阴脏体质,由此可以区分。再询问其月经情况,血量多颜色鲜红的,是血有余。血量少颜色淡白的,是血不足。月经将要来时腹痛且拒绝按压的,是气滞血凝。月经已经来时腹痛且喜欢用手按压的,是气虚血少。我用益母胜金丹,以及加减四物汤来主治,往往能应手见效。
Powder the Rhizoma Pinelliae (Banxia, 半夏) and make water pills the size of soybeans. Use one pill at a time, insufflated into the nostril; for males, use the left nostril, and for females, the right nostril.
Chubi San (Insufflation Powder for Nasal Stimulation) (See True Stroke).
Radix Rheomi (Dahuang, 大黄) (1 liang) Alum (Mingfan, 明矾) (5 qian)
Grind both into fine powder. Take 3 or 4 qian per dose, mixed with cold water and swallowed.
For any injuries caused by knives or axes, or crushing injuries from falls and blows, applying this medicine will immediately stop pain and bleeding, prevent suppuration (formation of pus), and is superior to other medicines. The injured area must not come into contact with water. I prepared this medicine to distribute widely, but because it was difficult for those living far away to obtain quickly, I had the prescription printed and circulated broadly. Now that it is recorded in this book, its dissemination will be even wider. Households in each township with sufficient means should prepare and store it to aid in emergencies.
Fat of male pig (Boiled until melted, dregs removed, 1 jin 4 liang) Rosin (Songxiang, 松香) (Boiled until melted, dregs removed, 6 liang) Beeswax (Huangla, 黄蜡) (Boiled until melted, dregs removed, 6 liang) Wheat flour (Fenmian, 面粉) (Stir-fried, sifted, 4 liang) Camphor (Zhangnao, 樟脑) (Ground extremely fine, 3 liang) Moschus (Shexiang, 麝香) (6 fen) Borneolum Syntheticum (Bingpian, 冰片) (6 fen) Sanguis Draconis (Xuejie, 血竭) (1 liang) Catha Unilocularis Fructus (Ercha, 儿茶) (1 liang) Resina Incense (Ruxiang, 乳香) (Roasted on bamboo leaf skin to remove oil, 1 liang) Resina Myrrhae (Moyao, 没药) (Roasted on bamboo leaf skin to remove oil, 1 liang)
Grind all the above medicines into an extremely fine powder. First, melt the pig fat, rosin, and beeswax together and mix them well. When the mixture has cooled slightly, add the powdered herbs and stir evenly. Store in a porcelain jar, ensuring it is airtight. Its efficacy will be evident when used.
Another prescription: Grind Adaptogen Root (Jiangzhenxiang, 降真香) into powder and apply to the wound for immediate healing. Powder of Panax Notoginseng (Guangsanqi, 广三七) applied to the wound is also effective.
Women's diseases are mostly the same as men's, except for menstruation, pregnancy, and childbirth, which differ from men. Here, I specifically list these differences and describe them in detail below for reference. For similarities, follow the previous methods of treatment without further elaboration.
"Jing" (Menstruation) refers to regularity; it occurs once a month, following the normal course, symbolizing the moon's cycle of fullness followed by waning. If menstruation does not occur, it deviates from the norm, and disaster ensues.
Medical texts suggest that early menstruation indicates Heat, while delayed menstruation indicates Cold. This principle is approximately correct, but one cannot adhere to it rigidly. For instance, if the Zang-Fu organs are deficient and menstrual flow is continuous and profuse, occurring frequently, can it simply be diagnosed as Heat? Similarly, if internal Blood heat leads to Blood depletion and stagnation preventing menstruation, can it simply be diagnosed as Cold? One must observe accompanying symptoms. If the pulse is rapid with internal heat, lips are cracked and dry, and there is aversion to heat and preference for cold, this indicates Heat. If the pulse is slow with a cold abdomen, lips are pale, the mouth feels neutral, and there is a preference for warmth and aversion to cold, this indicates Cold. Yang constitutions and Yin constitutions are distinguished thereby. Furthermore, inquire about the menstrual flow: abundant flow with bright red color indicates excess Blood; scanty flow with pale color indicates deficient Blood. Abdominal pain before menstruation that worsens with pressure indicates Qi stagnation and Blood coagulation. Abdominal pain during menstruation that is relieved by pressure indicates Qi deficiency and Blood deficiency. I treat these cases using Yimu Shengjin Dan (Motherwort Golden Pill) and modified Siwu Tang (Four Substance Decoction), which typically yield prompt results.