治大便燥结肠胃干涸
当归(二钱) 芍药 生地黄(各一钱) 大黄(一钱) 桃仁(去皮尖一钱) 熟地
黄(一钱)
不用引食前服
治同上
桃仁(去皮尖) 麻仁(各一两) 归梢 煨大黄 生地黄 枳壳 羌活(各五钱)
上除二
仁另研余为末炼蜜丸白汤送如风加皂角(煨去皮) 秦艽如脉涩
治血少肤燥搔之有屑作痒出血手足枯瘦
生地黄 熟地黄 川归 黄 蒌仁 天门冬 麦门冬 红花 升麻 甘草 五味子
片黄芩 水二钟煎八分不拘时服
内经曰诸热瞀螈暴喑昏昧躁扰狂越骂詈惊骇肿痛气逆冲上禁栗如丧神守嚏呕疮痒喉闭耳
聋耳鸣涌溢吐食目昧不明 螈暴病暴死皆属于火
丹溪云人具五行各一其性惟火也心为君火而又有相火焉寄乎肝肾二脏之间经所谓二火也
诸动属火五者之性感物而动经所谓五火也相火易起五火相煽则妄动矣火起于妄变化莫测无时
不有煎熬真阴阴虚则病阴绝则死
气有余便是火气从左边起者肝火也气从脐下起者阴火也气从脚下起入腹者虚极也烦而渴
者肺火也渴而能食者胃火也手心发热郁火也烦燥发热者气随火升也亦三焦火也人壮气实癫狂
者实火也人虚气衰发热烦躁者虚火也
脉浮数而无力者虚火也脉沉实而大者实火也洪数见于左寸为心火见于右寸为肺火见于左
关为肝火右关为脾火两足为肾经命门之火男子两足洪大者必遗精阴火胜也
治疗大便燥结、肠胃干涸:
当归(二钱)、芍药、生地黄(各一钱)、大黄(一钱)、桃仁(去皮尖,一钱)、熟地黄(一钱)。
不用药引,饭前服用。
治疗同上证候:
桃仁(去皮尖)、火麻仁(各一两)、当归梢、煨大黄、生地黄、枳壳、羌活(各五钱)。
以上药物除两味仁类药材另研外,其余研为细末,用炼蜜制成丸剂,用白开水送服。若兼有风邪症状,加皂角(煨制,去皮);若脉象涩滞,加秦艽。
治疗同上证候:
当归、桃仁、生地黄、熟地黄、升麻、红花、甘草。
治疗血虚皮肤干燥,搔抓后有皮屑脱落并伴有瘙痒出血,手足枯瘦:
生地黄、熟地黄、川当归、黄芩、瓜蒌仁、天门冬、麦门冬、红花、升麻、甘草、五味子、片黄芩。
用水两钟煎至八分,不拘时间服用。
《内经》说:各种热病导致的视物模糊、抽搐、突然失音、神志昏迷、烦躁不安、狂乱越礼、谩骂叫嚣、惊恐骇异、肿胀疼痛、气逆冲上、战栗发抖如同丧失神志、打喷嚏、呕吐、疮疡瘙痒、喉部闭塞、耳聋、耳鸣、涌溢不止、呕吐食物、视物不明、抽搐,以及突发疾病和猝死,都归属于火邪。
朱丹溪说:人具备五行,每一行都有其本性,唯有“火”具有变动不居的特性。心为君火,此外还有相火,寄居于肝、肾两脏之间,这就是经书所说的“二火”。凡是运动变化都属于火,这五种感官因外物刺激而发动,就是经书所说的“五火”。相火容易兴起,五火相互煽动就会妄动。火起于妄念,变化莫测,无时不在煎熬真阴,阴虚就会生病,阴绝就会死亡。
气有余便是火。气从左边发起的,是肝火;气从脐下发起的,是阴火;气从脚下发起进入腹部的,是极度虚弱;心烦且口渴的,是肺火;口渴且能进食的,是胃火;手心发热的是郁火;烦躁发热的是气随火上升,也是三焦之火。人体壮实、气盛、患癫狂病的,是实火;人体虚弱、气衰、发热烦躁的,是虚火。
脉象浮数而无力的是虚火;脉象沉实而大的是实火。洪大数脉出现在左寸,是心火;出现在右寸,是肺火;出现在左关,是肝火;出现在右关,是脾火;出现在两足,是肾经命门之火。男子两足脉象洪大的,必定遗精,这是阴火偏胜所致。
Treatment for dry and hard stools due to intestinal dryness:
Danggui (Radix Angelicae Sinensis, 2 qian), Shaoyao (Radix Paeoniae Rubra or Radix Paeoniae Alba, 1 qian each), Shengdihuang (Radix Rehmanniae Preparata, 1 qian each), Dahuang (Radix et Rhizoma Rhei, 1 qian), Taoren (Semen Persicae, peeled and removed of kernels, 1 qian), Shudihuang (Radix Rehmanniae Preparata, 1 qian).
Take without a guiding agent, before meals.
Treatment for the same condition:
Taoren (Semen Persicae, peeled and removed of kernels), Haren (Semen Cannabis, 1 liang each), Guishao (Radix Angelicae Sinensis tip), Wei Dahuang (Radix et Rhizoma Rhei, stir-baked), Shengdihuang (Radix Rehmanniae Preparata), Zhike (Fructus Aurantii, 5 qian each).
Grind all ingredients except the two types of seeds into powder; grind the seeds separately. Mix with refined honey to make pills. Take with warm water. If wind symptoms are present, add Zaojiao (Fructus Gleditsiae Sinensis, baked and peeled); if the pulse is choppy (se), add Qinjiao (Radix Gentianae Macrophyllae).
Treatment for the same condition:
Danggui (Radix Angelicae Sinensis), Taoren (Semen Persicae), Shengdihuang (Radix Rehmanniae Preparata), Shudihuang (Radix Rehmanniae Preparata), Shengma (Rhizoma Cimicifugae), Honghua (Flos Carthami), Gancao (Radix Glycyrrhizae).
Treatment for blood deficiency causing dry skin, itching with scaling and bleeding upon scratching, and emaciated hands and feet:
Shengdihuang (Radix Rehmanniae Preparata), Shudihuang (Radix Rehmanniae Preparata), Chuan Gui (Radix Angelicae Sinensis), Huangqin (Radix Scutellariae), Gulouren (Semen Benincasae), Tiandong (Herba Asparagi), Maidong (Radix Ophiopogonis), Honghua (Flos Carthami), Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae), Wuweizi (Fructus Schisandrae), Pian Huangqin (Radix Scutellariae, sliced).
Decoct in two zhong of water until one-eighth remains. Take at any time.
The *Neijing* states: Various heat diseases leading to visual confusion (*mao*), convulsions (*yong*), sudden aphonia (*yin*), coma, restlessness, mania, cursing, fright, swelling and pain, rebellious qi rushing upward, trembling as if losing spiritual control, sneezing, vomiting, sores and itching, throat closure, deafness, tinnitus, overflow, vomiting food, blurred vision, convulsions, sudden illness, and sudden death all belong to Fire.
Zhu Danxi said: Humans possess the Five Elements, each with its own nature, but only Fire is characterized by movement. The Heart is the Minister Fire (*Jun Huo*), and there is also the Ministerial Fire (*Xiang Huo*) residing between the Liver and Kidney. This is what the classics refer to as the "Two Fires." All movements belong to Fire; the five senses moving in response to external stimuli constitute the "Five Fires" mentioned in the classics. The Ministerial Fire arises easily; when the Five Fires fan each other, they move recklessly. Fire originates from delusion, changes unpredictably, and constantly boils down the True Yin. Yin deficiency leads to disease; Yin exhaustion leads to death.
Excess Qi becomes Fire. Qi arising from the left side indicates Liver Fire; Qi arising from below the navel indicates Yin Fire; Qi rising from the feet into the abdomen indicates extreme deficiency. Restlessness with thirst indicates Lung Fire; thirst with ability to eat indicates Stomach Fire; heat in the palms indicates Stagnant Fire; restlessness and fever indicate Qi ascending with Fire, which is also Sanjiao Fire. Robust constitution with excess Qi and mania indicates Excess Fire; weak constitution with deficient Qi, fever, and restlessness indicates Deficient Fire.
A floating, rapid, and forceless pulse indicates Deficient Fire; a deep, solid, and large pulse indicates Excess Fire. A surging, rapid pulse at the Left Cun position indicates Heart Fire; at the Right Cun, Lung Fire; at the Left Guan, Liver Fire; at the Right Guan, Spleen Fire; at both feet, Kidney and Mingmen Fire. In men, a surging pulse at both feet indicates seminal emission due to excessive Yin Fire.