粥食汤药皆吐不停灸手间使二十壮若四肢厥脉沉绝不至者灸之便通此起死之法(千金方)
夫霍乱之起皆由起居之失宜饮食之不节露卧湿地或当风取快温凉不调清浊相犯风冷之气
归于
三焦传于脾胃真邪相干水谷不化便致吐利皆名霍乱其挥霍之间便致撩乱诊其脉来代者霍乱又
脉代而绝者是证也霍乱脉大者可治微细者不可治脉微而迟气息少不欲言者不可治养生方云七
月食蜜令人暴下(鸡峰方)
燕居暇曰何所用心善养形神周防疾患常存谨畏无失调将食饮之间最为急务安危所系智力
可分
与其畏病而求医孰若明理以自求与其有病而治以药孰若抑情而预治情斯可抑理亦渐明能任理
而不任情则所养可谓善养者矣防患却疾之要其在兹乎(食治通说)
韦绶李蟠俱以心疾废绶常疑遇毒锁井而饮李益少而疑病心亦心疾也心灵府也为外物所中
终身不痊多思虑多疑惑病之本也(国史补)
治惊气入心络喑不能语密陀僧研细服一匕许茶调服遂愈有人因伐薪山间为野狼所逐而得是
疾或授以此方亦愈又一军校采藤于谷逢恶蛇而病其状正同亦用此药疗之而愈(己志)
韩宗武侍父官洋州得异疾与神物遇颇不省人事神志恍惚或食或不食国医陈易简教服苏合
香丸后数月所遇者忽不至(类编)
明州董生患神气不宁每卧觉身在床而神离体惊悸多魇通夕无寐许为诊视询诸医作何证曰
心病
也许曰是肝经受邪非心病也肝藏魂者也游魂为变平人肝不受邪故魂宿于肝神静而得寐今肝经
因虚邪气袭之魂不归舍是以卧则扬扬若去体肝主怒故小怒辄剧董喜曰前此未之间虽未服药已
觉沉 去体矣愿求药法许曰君且持此说与众医议所治之方而徐质之阅旬日复至云医遍议古今
方书无与病相对者许乃为处真珠丸独活汤二方以赠服一月而病悉除其方大体以珠母为君龙齿
佐之珠入肝经为第一龙齿与肝同类故也龙齿虎睛今人例作镇心药而不知龙齿安魂虎睛定魄各
言其类也龙能变化故魂游而不定虎能专静故魄止而有守当随其宜而治之方载本事一卷
粥、饭、汤、药全部吐出,无法停止。艾灸手部内关穴二十壮。如果四肢厥冷,脉搏沉伏绝迹,摸不到,也灸此穴,脉气就会恢复通畅。这是起死回生的方法。(出自《千金方》)
霍乱的发作,都是由于起居作息不合时宜,饮食没有节制,露天睡在潮湿之地,或者对着风图痛快,冷热不调,导致清浊之气相互侵犯。风寒邪气归于三焦,传至脾胃,真邪相争,水谷不能消化,于是导致呕吐和腹泻,都称为霍乱。在挥霍之间就导致身心撩乱。诊察其脉象出现代脉的,是霍乱病;如果脉象代而绝断,也是这个证候。霍乱脉象大的可以治疗,脉象微细的不可治疗;脉象微细且迟,气息微弱,不想说话的,不可治疗。《养生方》说:七月吃蜂蜜会让人突然发生暴泻(出自《鸡峰方》)。
闲居无事的日子,应该用心思考什么?善于保养形体和精神,周详地防备疾病,常常保持谨慎敬畏之心,不要有失调之处。将饮食调理作为最紧急的事务,因为这与安危密切相关。凭智力可以分辨,与其害怕生病而去求医,不如明白道理来自我调养;与其已经生病再用药物治疗,不如抑制情志来预先治疗。情志是可以抑制的,道理也会逐渐明朗。能够遵循道理而不顺从情欲,那么所修养的可以说就是善于修养了。预防祸患、抵御疾病的要点,大概就在这里吧!(出自《食治通说》)
韦绶和李蟠都因为心神疾病而废弛。韦绶常常怀疑自己遇到中毒,连喝井水都锁住以防备。李益从小多疑多病,心也是心神疾病。心是神明的府邸,被外物所中伤,终身难以痊愈。多思虑、多疑惑,是病的根本所在。(出自《国史补》)
治疗惊气侵入心络,导致失音不能说话,用密陀僧研成细粉,服用一匕左右,用茶调服,随即痊愈。有人因为在山里砍柴被野狼追逐而得了这种病,也有人传授给他这个方子,也治好了。还有一个军校在山谷采集藤条时遇到毒蛇而患病,症状完全相同,也用这个药治疗而痊愈。(出自《己志》)
韩宗武在洋州侍奉父亲做官,得了怪病,与神灵之物相遇,很不省人事,神志恍惚,有时吃东西有时不吃东西。国医陈易简教导他服用苏合香丸,几个月后,所遇之神物忽然不再出现了。(出自《类编》)
明州的董生患有神气不宁的症状,每次睡觉醒来,感觉身体在床上但神魂离开了身体,惊恐心悸,多梦魇,整夜无法入睡。许叔微为他诊视,询问其他医生这是什么证候,都说心病。许叔微说:“这是肝经受邪,不是心病。肝藏魂。游魂发生变化,普通人肝不受邪,所以魂居住在肝,神静而能入睡。现在肝经因虚,邪气侵袭,魂不归舍,所以躺下时神魂飞扬好像离开身体。肝主怒,所以稍微发怒病情就加重。”董生高兴地说:“在此之前我没见过您,虽然没服药,已经觉得神魂离体了。希望您提供药方。”许叔微说:“您先持这个说法与其他医生商议,再慢慢验证。过了十天他又来了,说医生们遍议古今方书,没有与病症相对的方子。”许叔微于是开了真珠丸和独活汤两个方子赠送给他,服用一个月后病全愈。这两个方子大体以珠母为君药,龙齿为佐药。珍珠入肝经为第一,龙齿与肝同类的原因。龙齿和虎睛,现代人通常用作镇心安神的药物,却不知道龙齿安魂,虎睛定魄,各自对应其类别。龙能变化,所以魂游动而不定;虎能专静,所以魄静止而有守。应当随其适宜而治疗。方剂记载在《本事方》一卷中。
All porridge, food, soup, and medicine are vomited out without stopping. Moxibustion is applied to the Neiguan (PC6) acupoint on the hand for twenty moxa cones. If the four limbs are cold and the pulse is deep, faint, or absent, moxibustion is also applied to this point, and the pulse will become unblocked. This is a method of bringing back the dead from death (from *Qianjin Fang*).
The onset of Huoluan (cholera-like syndrome with sudden vomiting and diarrhea) is caused by improper daily routine, unregulated diet, sleeping exposed in damp places, seeking pleasure by facing the wind, and imbalance of warmth and cold. The clear and turbid Qi interfere with each other. Wind-cold pathogenic factors return to the Sanjiao (Triple Burner) and transmit to the Spleen and Stomach. True pathogens and evil pathogens clash, causing water and grain to fail to digest, resulting in vomiting and diarrhea. All such conditions are named Huoluan. In a moment of turmoil, chaos ensues. Upon diagnosis, if the pulse presents as Dai (intermittent) pulse, it is Huoluan; if the Dai pulse is severed, it is also this syndrome. Huoluan with a large pulse can be treated; one with a fine and minute pulse cannot be treated. One with a minute and slow pulse, weak respiration, and reluctance to speak cannot be treated. *Yangsheng Fang* states: Eating honey in the seventh month causes sudden severe diarrhea (from *Jifeng Fang*).
During leisure time, what should one focus on? One should diligently cultivate the body and spirit, vigilantly prevent diseases, and always maintain caution and reverence, avoiding any imbalance. Regulating diet and drink is the most urgent task, as it determines safety and danger. With intelligence, one can discern that rather than fearing illness and seeking medical help, it is better to understand principles and self-cultivate; rather than treating illness with medicine after it occurs, it is better to restrain emotions for preventive treatment. Emotions can be restrained, and principles gradually clarified. To follow principles rather than desires means one’s cultivation can be called excellent. The key to preventing disasters and resisting diseases lies here (from *Shizhi Tongshuo*).
Wei Shou and Li Pan both suffered from Xinji (Heart Spirit Disease) and became incapacitated. Wei Shou often suspected he was poisoned and even locked his well before drinking. Li Yi was suspicious and ill since childhood; his Heart was also afflicted by Xinji. The Heart is the mansion of Shen (Spirit). Once invaded by external factors, it remains incurable throughout life. Excessive thinking and suspicion are the root of the disease (from *Guoshi Bu*).
To treat Jingqi (Startling Qi) entering the Heart collaterals, causing aphasia (loss of speech), grind Mituoseng (Arsenic Sulfide Ore) into fine powder. Take approximately one bi (a small spoonful), mixed with tea. The patient recovered. Another person contracted this illness after being chased by a wild wolf while cutting firewood in the mountains; using this prescription also cured him. A military officer contracting an illness after encountering a venomous snake while gathering vines in a valley presented identical symptoms and was also cured with this medication (from *Ji Zhi*).
Han Zongwu, serving his father who was an official in Yangzhou, contracted a strange illness after encountering a divine entity. He lost consciousness, his mind was confused, and he ate intermittently. Chen Yijian, a national physician, instructed him to take Suhexiang Wan (Styrax Pills). After several months, the encountered entity suddenly ceased appearing (from *Leibian*).
Dong Sheng from Mingzhou suffered from Shenqi Buning (Restlessness of Spirit and Qi). Upon waking from sleep, he felt his body remained in bed but his spirit had left it. He experienced palpitations and frequent nightmares, unable to sleep all night. Xu Shuwei examined him and asked other physicians about the syndrome; they said it was a Heart disease. Xu Shuwei said, “This is Liver Channel pathogen invasion, not a Heart disease. The Liver stores Hun (Ethereal Soul). Wandering Hun undergoes transformation. In healthy individuals, the Liver is free from pathogens, so Hun resides in the Liver, Shen is calm, and sleep is achieved. Now, due to deficiency, pathogenic factors invade the Liver Channel; Hun does not return to its residence. Thus, when lying down, Hun floats away as if leaving the body. The Liver governs anger, so slight anger exacerbates the condition.” Dong Sheng rejoiced, saying, “Before meeting you, although I took no medicine, I already felt my spirit leaving my body. I request your prescription.” Xu Shuwei said, “Hold this theory and discuss it with other physicians, then verify slowly.” Ten days later, Dong returned, saying physicians had consulted ancient and modern texts but found no matching formula. Xu Shuwei then prescribed two formulas: Zhenzhu Wan (Pearl Pill) and Duhuo Tang (Angelica Pubescens Decoction). After one month of administration, the illness was completely eradicated. These formulas generally use Zhumu (Mother-of-Pearl) as the Sovereign herb and Longchi (Dragon Bone) as the Assistant herb. Pearl enters the Liver Channel primarily; Dragon Bone is similar to the Liver. Modern people typically use Dragon Bone and Tiger Eye Stone as calming agents for the Heart, unaware that Dragon Bone calms Hun, while Tiger Eye Stone stabilizes Po (Corporeal Soul), corresponding to their respective categories. Dragons can transform, so Hun wanders and is unstable; Tigers are steadfastly quiet, so Po stops and has control. Treatment should follow their suitability. The formulas are recorded in one volume of *Benshi Fang*.