齐王中子诸婴儿小子病,召臣意诊,切其脉,告曰∶“气隔病,病使人烦懑,食不下,
时呕沫,病得之少忧,数乞食饮。”臣意即为之作下气汤以饮之。一日气下,二日能食,三
日即病愈。
此病主在心,周身热,宜养心,不得专下气。下气虽效,强制力耳。意之言曰∶“烦懑
食不下,则络脉有过,络脉有过,则血上出,血上出者死,此悲心所生也。”既知心病而治
气,未免自相矛盾,且不惧其强制之后而有反抗力乎?世以香散下降治肝气,终至愈发剧,
亦犹此耳。(华佗注)
齐郎中令循病,众医皆以为蹶中而刺之。臣意诊之,曰∶“涌疝也,令人不得前后溲。”
循曰∶“不得前后溲三日矣。”臣意饮以火齐汤,一饮得前溲,再饮大溲,三饮而疾愈。
意之言曰∶“右口脉大而数,数者中下热而涌。”既知其热,投以火齐汤,以热攻热虽
得法,若热加增,由中下而上涌将奈如?其得溲也,亦幸矣哉!(华佗注)
齐中御府长信,冬时为王使于楚。至莒县阳周水,而莒桥梁颇坏,信则揽车辕,未欲渡
也,马惊,即堕信身入水中几死。吏即来救信,出之水中,衣尽濡,有间而身寒,已热如火。
至
此水气入腠理,针天柱骨可愈。意不用针而用汤,幸汗出,否则必成紫云疯。若谓失
治一时,即转为寒热。殆漠视耳。若根据脉法∶"热病阴阳交者死。"则信万不致此,因信汗,
肌
齐王的次子(众幼子之一)患病,召请臣意(淳于意)诊治。切按其脉象后,告知说:“这是气隔病,病症使人烦闷躁扰,饮食难下,时常呕吐涎沫。此病得自少年时多忧思,且频繁乞求饮食所致。”臣意随即为他配制“下气汤”让他服用。一日后气机下行,二日后能进食,三日后疾病痊愈。
此病主要病位在心,周身发热,适宜调养心脏,不能单纯使用降气之法。降气法虽然见效,但属于强制性的手段。臣意曾说:“烦闷且饮食不下,说明络脉有病变;络脉有病变,则血液上溢;血液上溢者死,这是由悲忧伤心所引发的。”既然已知是心病却治疗气分,未免自相矛盾,且不担心在强制性治疗之后产生反抗之力吗?世人用香燥发散、下降之药治疗肝气郁结,最终导致病情愈发剧烈,也与此类似。(华佗注)
齐国郎中令循患病,众医生都认为是蹶中病而进行针刺治疗。臣意诊察后说:“这是涌疝病,使人大小便不通。”循说:“大小便不通已经三天了。”臣意给他服用“火齐汤”,一次饮用后能排出小便,两次饮用后大便通畅,三次饮用后疾病痊愈。
臣意解释说:“右口脉(人迎脉或特定诊脉部位)大而数,数脉代表中下焦有热且气机上涌。”既然知道是热证,投以火齐汤,以热攻热虽然符合治法,但如果热势增加,气从中下焦向上涌逆该怎么办呢?他能排出大小便,也是侥幸罢了!(华佗注)
齐国中御府长信,在冬天为齐王出使楚国。到达莒县阳周水时,因莒县的桥梁损坏严重,信拉住车辕,不想渡河,马受惊,导致信落入水中,几乎淹死。官吏前来救援,将他从水中救出,衣服全部湿透,过了一会儿身体发冷,随后高热如火。至此,水气侵入腠理,针刺天柱穴可治愈。臣意未用针而用汤药,幸好出汗,否则必成紫云疯(一种皮肤病)。若说是因为一时失治,就会转为寒热往来。这几乎是漠视病情。如果依据脉法:“热病阴阳交者死。”那么信万不至于此,因为信出汗,肌……
The second son (one of the young children) of the King of Qi fell ill and summoned Chen Yi (Chunyu Yi) for diagnosis. After palpating his pulse, Chen Yi informed him, "This is Qi Ge disease (Qi obstruction disease). The illness causes vexation and fullness, difficulty in eating and drinking, and occasional vomiting of frothy saliva. This illness arises from excessive worry in youth and frequent begging for food and drink." Chen Yi then prepared Xiaqi Tang (Descending Qi Decoction) for him to drink. After one day, the qi descended; after two days, he could eat; and after three days, the illness was cured.
The primary site of this disease is the Heart. The whole body is hot, so it is appropriate to nourish the Heart rather than solely using methods to descend qi. Although descending qi is effective, it is a forced measure. Chen Yi once said, "Vexation and inability to eat indicate pathology in the collaterals. Pathology in the collaterals leads to upward bleeding. Upward bleeding results in death; this is generated by sorrow affecting the Heart." Knowing that the disease resides in the Heart but treating the qi is somewhat contradictory. Is there not fear of a reactive force arising after such forced treatment? In the world, people use aromatic, dispersing, and descending herbs to treat Liver qi stagnation, only to find the condition worsening eventually, which is similar to this case. (Hua Tuo's Note)
Xun, the Langzhong Ling (Attendant Gentleman Director) of Qi, fell ill. Most physicians believed it was Juezhong disease (Jue collapse in the middle) and treated it with acupuncture. Chen Yi diagnosed it, saying, "This is Yong Shan disease (Surging Hernia), causing an inability to urinate or defecate." Xun replied, "I have been unable to urinate or defecate for three days." Chen Yi gave him Huoji Tang (Fire Harmony Decoction). After one dose, he was able to urinate; after two doses, he had a large bowel movement; and after three doses, the illness was cured.
Chen Yi explained, "The pulse at the right mouth area (Renying or specific diagnostic site) is large and rapid. A rapid pulse indicates heat in the middle and lower jiao with surging qi." Since the heat was known, administering Huoji Tang to attack heat with heat, although methodologically sound, poses a risk: if the heat increases and qi surges upward from the middle and lower jiao, what then? His ability to urinate and defecate was merely fortunate! (Hua Tuo's Note)
Xin, the Zhongyufu Zhang (Director of the Imperial Household Department) of Qi, served as an envoy for the King of Qi to Chu during winter. Upon reaching Yangzhou Water in Ju County, he found the bridge in poor repair. Xin held onto the carriage shafts, unwilling to cross. The horse was startled, causing Xin to fall into the water and nearly drown. Officials came to rescue him, pulling him out of the water. His clothes were completely soaked. After a while, his body became cold, followed by a fever as hot as fire. At this point, water qi had invaded the couli (interstices/acupoints). Needling Tianzhu (BL10) could cure it. Chen Yi did not use needles but used decoctions. Fortunately, sweat was produced; otherwise, Ziyun Feng (Purple Cloud Wind, a skin disease) would certainly have developed. If one claims that temporary mismanagement led to alternating chills and fever, it is almost negligence. According to pulse methodology: "In Heat diseases, if Yin and Yang intersect/cross, death ensues." Thus, Xin would never have reached this state because he sweated, and the muscle...