属性:伤损之证而喘咳者:
[1]若因出血过多,面黑胸胀,胸膈痛而发喘者,乃气虚血乘于肺也,急
用二味参苏饮,缓则难救。
[2]若咳血衄血而喘者,乃气逆血蕴于肺也,只宜活血行气,不可用下法
,宜十味参苏饮治之。
按、方剂:[1]二味参苏饮
人参一两 苏木二两 水煎服。
[2]十味参苏饮
人参 紫苏 半夏 茯苓 陈皮 桔梗 前胡 葛根 枳壳各一钱
甘草五分 引用姜二片,水煎服。
注:
%
属性:[1]伤损昏愦乃伤之至重,以致昏愦不知人事,宜急灌以独参汤。
[2]虽内有瘀血,断不可下,急用花蕊石散内化之,盖恐下之,因泻而
亡阴也。
[3]若元气虚甚者,尤不可下,亦用前散以化之。
[4]凡瘀血在内,大便不通,用大黄、朴硝,血凝而不下者,须用木香、
肉桂二、三钱,以热酒调灌服之,血下乃生。
[5]怯弱之人,用硝、黄而必加木香、肉桂同煎者,乃假其热以行其寒也
按、方剂:[1]花蕊石散
石硫黄四两 花蕊石二两
以上二味合匀,用瓦罐一个,入药在内,封口,外用纸筋盐泥周围固
济,候泥干,安四方砖上,书八卦五行字,用炭十斤笼叠周匝,自午
时,从下着火渐渐上彻,直至经宿炭尽火冷,又放经宿,罐冷取出研
细,用绢罗罗过,磁盒收贮。每服三钱,以童便调服。
注:
%
属性:因外伤导致的病证中出现喘咳症状的,有以下几种情况:
[1] 如果是因为出血过多,导致面色发黑、胸部胀满,胸膈部位疼痛并引发气喘的,这是气虚导致血液上逆侵犯肺脏所致,必须紧急使用二味参苏饮(由人参和苏木组成的方剂),如果拖延则难以救治。
[2] 如果出现咳血、鼻衄(鼻出血)并伴有气喘的,这是气机逆乱导致血液郁积在肺脏所致,只适宜采用活血行气的方法治疗,不可使用泻下法,宜用十味参苏饮进行治疗。
按语及方剂组成:
[1] 二味参苏饮
人参一两,苏木二两,加水煎煮后服用。
[2] 十味参苏饮
人参、紫苏、半夏、茯苓、陈皮、桔梗、前胡、葛根、枳壳各一钱,甘草五分,引用生姜两片,加水煎煮后服用。
注:
属性:
[1] 因外伤导致的昏愦(神志昏迷、意识不清)属于伤势极重,以致神志昏迷、不知人事,应当紧急灌服独参汤(仅用人参一味药的方剂)。
[2] 即使体内有瘀血,也绝对不可使用泻下法,应紧急使用花蕊石散来化解瘀血,这是因为担心如果使用泻下法,会因腹泻而导致亡阴(阴液枯竭)。
[3] 如果元气极度虚弱的,更加不可使用泻下法,也应使用前文提到的花蕊石散来化解瘀血。
[4] 凡是体内有瘀血,导致大便不通畅的,若单用大黄、朴硝(芒硝),但血液凝固而不通下的,必须加入木香、肉桂二至三钱,用热酒调匀后灌服,待瘀血下行后患者才能生还。
[5] 对于体质怯弱的人,在使用芒硝、大黄时,必须加入木香、肉桂共同煎煮,这是借助药物的温热之性来推动寒凉药物的运行(即“假其热以行其寒”)。
按语及方剂制备:
[1] 花蕊石散
石硫黄四两,花蕊石二两。
将以上两味药混合均匀,用一个瓦罐装入药物,封口,外部用纸筋和盐泥周围加固密封,待泥干后,放置在四方砖上,在罐身书写八卦五行字样,用十斤炭火从四周层层覆盖包裹,从午时开始,从底部点火逐渐向上烧透,直到经过一夜炭火燃尽且冷却,再放置一夜,待罐体冷却后取出,研磨成细粉,用绢筛过滤,存入磁盒中备用。每次服用三钱,用童子尿调服。
注:
Attribute: For conditions resulting from trauma presenting with wheezing and coughing:
[1] If caused by excessive blood loss, manifesting as a dark complexion, chest distension, pain in the chest and diaphragm, accompanied by wheezing, this is due to Qi deficiency allowing Blood to invade the Lung. Emergency administration of Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction) is required; delay makes rescue difficult.
[2] If hemoptysis (coughing up blood) or epistaxis (nosebleed) occurs with wheezing, this is due to rebellious Qi causing Blood to stagnate in the Lung. Only methods promoting Blood circulation and moving Qi are suitable; purgative methods must be avoided. Shiyi Rensu Yin (Ten-Ingredient Ginseng and Perilla Decoction) should be used for treatment.
Note on Formulas:
[1] Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction)
Renshen (Ginseng Radix et Rhizoma) 1 liang, Sumu (Sappan Lignum) 2 liang. Decoct in water and take orally.
[2] Shiyi Rensu Yin (Ten-Ingredient Ginseng and Perilla Decoction)
Renshen (Ginseng Radix et Rhizoma), Zisu (Perillae Folium), Banxia (Pinelliae Rhizoma Preparatum), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix), Gegen (Puerariae Lobatae Radix), Zhike (Aurantii Fructus Immaturus) each 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Add 2 slices of fresh ginger as an adjuvant. Decoct in water and take orally.
Note:
Attribute:
[1] Trauma-induced Hunkui (coma and confusion) indicates severe injury leading to unconsciousness and loss of awareness. Emergency administration of Dushen Tang (Single-Ginseng Decoction) is indicated.
[2] Even if intra-abdominal stasis of Blood is present, purgative methods must absolutely not be used. Emergency administration of Huaruishi San (Huaruishi Powder) is required to resolve the stasis. This is because purgatives may cause diarrhea, leading to Wangyin (collapse of Yin fluids).
[3) In cases of extreme deficiency of Yuanqi (Original Qi), purgatives are even more contraindicated. The aforementioned Huaruishi San should also be used to resolve the stasis.
[4) For any case where intra-abdominal stasis of Blood causes constipation, if Da Huang (Rhei Radix et Rhizoma) and Puxiao (Natrii Sulfas) alone fail to move the coagulated Blood, Muxiang (Aucklandiae Radix) and Rougui (Cinnamomi Cortex) 2–3 qian should be added. Administer orally mixed with hot wine. Survival depends on the passage of the stasis.
[5) For individuals with weak constitutions, when using Puxiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma), Muxiang (Aucklandiae Radix) and Rougui (Cinnamomi Cortex) must be added for simultaneous decoction. This utilizes their heat properties to facilitate the action of the cold-natured drugs (borrowing heat to promote the movement of cold).
Note on Formula Preparation:
[1] Huaruishi San (Huaruishi Powder)
Shiliuhuang (Sulfur) 4 liang, Huaruishi (Flower-bearing Ochre) 2 liang.
Mix the above two ingredients evenly. Place them in one earthenware jar, seal the mouth, and reinforce the exterior with paper fibers and salt mud around the jar. Wait for the mud to dry, place the jar on four square bricks, inscribe Bagua (Eight Trigrams) and Wuxing (Five Phases) characters on it. Surround the jar completely with 10 jin of charcoal. Ignite the fire from the bottom starting at Wu hour (11:00 AM–1:00 PM), heating gradually upwards until the charcoal is consumed after one night and has cooled. Leave it for another night. Once the jar is cool, remove it, grind into fine powder, sieve through silk gauze, and store in a porcelain box. Take 3 qian per dose, mixed with Tongbian (Child’s Urine).
Note: