天下之大,何物不有?有鸟兽草木之妖,有土石器皿之妖,有人妖,有鬼妖。妖不一种
,总由人心所致。过则伤神,神伤则魂病。魂藏于肝,则肝脉现。初当弦,后当散;弦则伤昧,
散则命亡。弦而未散之时,速用逍遥散加菖蒲、远志、枣仁服之;再用雄黄、辰砂、白芷为
末,津调搽于七窍固身。房中多烧降香,诵读《易经》,再自正其心志,而邪可祛矣。
犬感阳毒之气而邪,人身心为阳,被伤则惊气入心,心逆传于肝,肝逆传于肾。肾与膀
胱为表里,心与小肠为表里,膀胱接连小肠而属太阳,故膀胱为毒之道路。毒聚道路则成形
,最恶之候也。初伤时用蚯蚓泥、轻粉、甘草末调敷疮上,干则盐水润之,疮内生狗毛即愈
。再掘地丈余,取地浆调甘草末多服。盖甘寒之味,可解阳邪之毒也。然必三年不闻金鼓之
经行腹痛,愈痛而经愈多,至于痛死者,系火之搏击。宜行血散火,令脾能统血;然不
兼之以破,则火不散,血无由而止也。用黄芩、芍药,所以敛血;用归身、川芎、白术、茯苓,
理脾益血;益母草破气中血;延胡索行血中气;香附开郁热;虚则加人参。盖理脾则血能统
,散火则血可止。气滞加砂仁、木香,勿用生地、熟地。调理经水,莫过八珍加益母、香附
种子,夫妇可服菟丝子一斤,酒煮烂捣成饼,晒干,冻米一升,炒熟共末,空心滚汤调
逍遥治妇人潮热,惟经水适来则可,其余潮热,阳生阴长之法治之。
月经不通或不调,活经汤∶当归、赤芍、槟榔、白芷、吴萸、小茴、牛膝、丹皮、红花
各八分;如不效,加木香、木瓜、半夏、延胡索。
经水鲜红,筋急胸痛,脊骨强痛,宜柴胡调经汤,炙甘草、归身、葛根各三钱,独活、
苍术各一钱, 本、升麻、羌活各五分,柴胡七分,红花少许,空心服,取微汗。
断产永不生,山楂、芡实、莲须、熟地、茯苓等分,金樱子、莲子、杞子米糊丸,空心
盐汤下。又方∶象牙屑三分,酒调常服,三年不生,一二日服一次,永远不生。
妇人血积、血块经闭,莪茂、三棱各一两,熟大黄一两,丸如绿豆大,每服一二十丸,
验案
一妇下午寒热,气撑腹痛,恶心,盗汗,经不通行,医人作血枯治之。予诊之,乃立案
曰∶
和,窒塞于肌肤之间也。暮属阴,血亦属阴,下午热,阳气行至于阴分而热也。气撑腹痛,
饮食不进者,脾无血养,不能为胃行其津液,而中焦之气塞也;恶心,胃不消食,而邪火上
炽也;盗汗,阳气不固,当睡时而逸出也。盖气能行血,阳能生阴,此证因阳气不固以致血
滞也。用四君子以治气,气裕而血自行,加首乌、乌药以治血,则血自旺,稍用陈皮醒脾而
一妇生子五年,月水停而不来,寒热呕吐、筋骨疼痛,六脉弦,左关、尺更甚。此系肝
不藏
积不行,皆因肾不升而肺不降耳。行气中宜兼行血,肉桂行血之味断不可少。况此证系肾之
脾胃虚,若非肉桂以温肾,肾之一阳何由而生?肾不升,肺何由而降?金水不能相通,则三焦
之气不得上下,血终瘀积而诸病未能安也。
天下如此之大,什么事物没有呢?有鸟兽草木的妖异,有土石器皿的妖异,有人妖,有鬼妖。妖怪不是一种种类,总归是由人心所导致。过度(接触或沉迷)则损伤精神,精神受损则魂魄生病。魂藏于肝脏,所以肝脉会出现异常。起初脉象应当弦紧,后来应当散乱;脉弦表示神志昏昧,脉散则表示生命终结。在脉象弦紧但尚未散乱之时,迅速使用逍遥散加入石菖蒲、远志、酸枣仁服用;再用雄黄、朱砂、白芷研成粉末,用唾液调和涂抹于七窍以固护身体。房中多烧降香,诵读《易经》,再端正自己的心志,那么邪气就可以祛除。
狗感染了阳毒之气而变得邪僻伤人,人的身心属阳,被狗咬伤后惊惧之气进入心脏,心气逆传于肝脏,肝气逆传于肾脏。肾与膀胱互为表里,心与小肠互为表里,膀胱连接小肠且归属于太阳经,所以膀胱是毒邪通行的道路。毒邪聚集在道路上就会形成病灶,这是最恶劣的征候。初被咬伤时,用蚯蚓泥、轻粉、甘草末调和敷在伤口上,干了就用盐水润湿,疮内生出的狗毛脱落即痊愈。再挖掘地面一丈多深,取地浆水调和甘草末大量服用。因为甘寒的味道,可以解除阳邪的毒气。然而必须三年听不到金鼓之声(指避免惊恐刺激)。
月经来潮时腹痛,越痛月经量越多,甚至痛到死亡的,是由于火热之邪搏击所致。适宜活血散火,使脾脏能够统摄血液;然而如果不兼用破血之法,则火热不能消散,血液无从停止。使用黄芩、芍药,是为了收敛血液;使用当归身、川芎、白术、茯苓,是为了调理脾胃、补益血液;益母草破除气中的瘀血;延胡索运行血中的气机;香附开通郁结的热邪;体虚则加入人参。大概是因为调理脾胃则血液能统摄,散除火热则血液可停止。气滞则加砂仁、木香,不要用生地黄、熟地黄。调理月经,没有超过八珍汤加入益母草、香附的。备孕种子,夫妇可服用菟丝子一斤,酒煮烂捣成饼,晒干,与冻米一升炒熟共研为末,空腹用滚开水调服。
逍遥散治疗妇人潮热,只有当月经恰好来时才可以适用,其余情况的潮热,用“阳生阴长”的方法治疗。
月经不通或不调,使用活经汤:当归、赤芍、槟榔、白芷、吴茱萸、小茴香、牛膝、丹皮、红花各八分;如果无效,加入木香、木瓜、半夏、延胡索。
经血色鲜红,筋脉拘急胸痛,脊骨强直疼痛,适宜使用柴胡调经汤:炙甘草、当归身、葛根各三钱,独活、苍术各一钱,藁本、升麻、羌活各五分,柴胡七分,红花少许,空腹服用,取微汗。
断产永不生育,山楂、芡实、莲须、熟地黄、茯苓等分,金樱子、莲子、枸杞子用米糊制成丸药,空腹用盐汤送下。又一方:象牙屑三分,酒调匀常服,三年不生,一二日服一次,永远不生。
妇人血积、血块导致的经闭,莪术、三棱各一两,熟大黄一两,制成如绿豆大的丸药,每次服用一二十丸。
验案
一位妇女下午出现寒热往来,气撑腹痛,恶心,盗汗,月经不通畅,医生当作血枯证治疗。我诊察后,于是立案分析说:
(此证)和缓之气窒塞于肌肤之间。傍晚属于阴,血液也属于阴,下午发热,阳气运行到阴分而发热。气撑腹痛,饮食不进,是因为脾脏无血滋养,不能为胃输送津液,导致中焦之气堵塞;恶心,是因为胃不能消化食物,邪火上炎炽盛;盗汗,是因为阳气不固,在入睡时逸出。大概是因为气能行血,阳能生阴,此证因阳气不固导致血液停滞。使用四君子汤来治气,气充足而血自行,加入首乌、乌药来治血,则血自然旺盛,稍加陈皮醒脾而……
一位妇女生子五年,月经停闭不来,伴有寒热呕吐、筋骨疼痛,六脉皆弦,左关、尺部脉象更甚。这是肝脏不藏血,瘀积不行,都是因为肾气不升而肺气不降所致。行气之中应当兼用行血之法,肉桂这种行血的药物绝不可少。况且此证是肾脏的……脾胃虚弱,如果不是用肉桂来温补肾阳,肾中的一阳如何产生?肾气不升,肺气由何而降?金水不能相通,则三焦之气不得上下通行,血液最终瘀积而诸病不能安宁。
The world is so vast, what things are not present? There are demons of birds, beasts, plants, and trees; demons of earth, stones, vessels, and utensils; human demons; and ghost demons. Demons are not of a single kind, but all originate from the human mind. Excessive exposure or obsession damages the Shen (Spirit), and when the Shen is damaged, the Hun (Ethereal Soul) becomes diseased. The Hun resides in the Liver, so the Liver pulse manifests abnormalities. Initially, the pulse should be Wiry (Xian); later, it should become Scattered (San). A Wiry pulse indicates mental confusion, while a Scattered pulse signifies death. While the pulse is Wiry but has not yet become Scattered, quickly administer Xiaoyao San (Free and Easy Wanderer Powder) added with Shichangpu (Acorus Rhizome), Yuanzhi (Polygala Root), and Zaoren (Ziziphus Seed). Then, grind Xionghuang (Realgar), Chensha (Cinnabar), and Baizhi (Angelica Dahurica) into powder, mix with saliva, and apply to the seven orifices to protect the body. Burn Jiangxiang (Dalbergia Odorifera) frequently in the bedroom, recite the *I Ching* (Book of Changes), and rectify one's own heart and will, so that evil Qi can be dispelled.
Dogs become demonic due to infection by Yang-toxic Qi. Human body and mind belong to Yang; when injured, frightful Qi enters the Heart, Heart Qi reverses and transmits to the Liver, and Liver Qi reverses and transmits to the Kidney. The Kidney and Bladder are exterior-interior pairs; the Heart and Small Intestine are exterior-interior pairs. The Bladder connects to the Small Intestine and belongs to the Taiyang (Greater Yang) channel, thus the Bladder serves as the pathway for toxic Qi. When toxic Qi gathers in the pathway, it forms lesions, which is the most malignant manifestation. At the initial stage of injury, apply a mixture of Earthworm Mud, Qingfen (Calomel), and Gancao (Licorice) powder to the wound. When dry, moisten with salt water. Healing occurs when dog hairs grow out from within the sore. Additionally, dig more than one zhang deep into the ground, take Di Jiang (Earth Slurry), mix with Gancao powder, and consume in large amounts. This is because the sweet and cold flavor can resolve Yang-evil toxicity. However, one must avoid hearing metal and drum sounds for three years.
Abdominal pain during menstruation, where increased pain leads to heavier flow, even resulting in death from pain, is caused by the combat of Fire pathogen. It is appropriate to invigorate blood and dissipate fire, allowing the Spleen to control blood. However, without using methods to break stasis, fire will not dissipate, and blood cannot stop. Huangqin (Scutellaria Root) and Shaoyao (Peony Root) are used to astringe blood; Danggui Shen (Angelica Sinensis Root Body), Chuanxiong (Ligusticum Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), and Fuling (Poria) are used to regulate the Spleen and benefit blood; Yimucao (Motherwort Herb) breaks blood stasis within Qi; Yanhusuo (Corydalis Rhizome) moves Qi within blood; Xiangfu (Cyperus Rhizome) opens stagnant heat; if deficient, add Renshen (Ginseng Root). Generally, regulating the Spleen allows blood to be controlled, and dissipating fire allows blood to stop. For Qi stagnation, add Renchen (Amomum Fruit) and Muxiang (Vladimiria Root), avoiding Shengdi (Rehmannia Root) and Shudi (Prepared Rehmannia Root). To regulate menstruation, nothing surpasses Bazhen Tang (Eight Treasures Decoction) added with Yimucao and Xiangfu. For conception, husband and wife may consume 1 jin of Tusizi (Dodder Seed), boiled in wine until soft, pounded into cakes, dried, and mixed with 1 sheng of frozen rice (cooked and roasted) into powder, taken with boiling water on an empty stomach.
Xiaoyao San treats tidal fever in women only when menstruation happens to occur at that time. For other cases of tidal fever, treat according to the method of "Yang generates Yin, Yin grows."
For amenorrhea or irregular menstruation, use Huojing Tang (Revive Menstruation Decoction): Danggui, Chishao (Red Peony Root), Binglang (Areca Nut), Baizhi, Wuyu (Evodia Fruit), Xiaohui (Fennel Fruit), Niuxi (Achyranthes Root), Danpi (Moutan Bark), Honghua (Safflower) each 8 fen; if ineffective, add Muxiang, Mugua (Chaenomeles Fruit), Banxia (Pinellia Tuber), and Yanhusuo.
For bright red menstrual blood, tense sinews with chest pain, and stiff back pain, use Chaihu Tiaojing Tang (Bupleurum Regulating Menstruation Decoction): Zhi Gancao (Honey-fried Licorice), Danggui Shen, Gegen (Kudzu Root) each 3 qian; Duhuo (Angelica Pubescens Root), Cangzhu (Atractylodes Lancea Rhizome) each 1 qian; Gaoben (Ligusticum Wallichii Rhizome), Shengma (Cimicifuga Rhizome), Qianghuo (Notopterygium Rhizome) each 5 fen; Chaihu (Bupleurum Root) 7 fen; Honghua a small amount. Take on an empty stomach to induce slight sweating.
To permanently prevent childbirth: Hawthorn, Qianshi (Euryale Seed), Lianxu (Lotus Stamen), Shudi, Fuling in equal parts; Jinyingzi (Cherokee Rose Hip), Lianzi (Lotus Seed), Qizi (Goji Berry) made into pills with rice paste, taken with salt water on an empty stomach. Another prescription: Ivory Dust 3 fen, mixed with wine for regular consumption. After three years, no pregnancy; take once every one or two days for permanent sterility.
For uterine blood accumulation and blood masses causing amenorrhea: Ezhu (Curcuma Rhizome) and Sanleng (Sparganium Rhizome) each 1 liang, Shu Dahuang (Prepared Rhubarb) 1 liang. Make pills the size of mung beans, take 10-20 pills per dose.
Case Record
A woman experienced alternating chills and fever in the afternoon, abdominal distension and pain, nausea, night sweats, and obstructed menstruation. The physician treated her as Blood Deficiency (Blood Dryness). Upon diagnosis, I recorded the following analysis:
The harmonious Qi is blocked between the skin and muscles. Evening belongs to Yin, and blood also belongs to Yin. Fever in the afternoon occurs because Yang Qi travels to the Yin aspect and causes heat. Abdominal distension and pain, along with loss of appetite, indicate that the Spleen lacks blood nourishment and cannot transport fluids for the Stomach, leading to blockage of Qi in the Middle Jiao. Nausea results from the Stomach's inability to digest food and the blazing of Evil Fire. Night sweats occur because Yang Qi is not secure and escapes during sleep. Generally, Qi moves blood, and Yang generates Yin. This condition arises because insecure Yang Qi leads to blood stasis. Use Sijunzi Tang (Four Gentlemen Decoction) to treat Qi; when Qi is sufficient, blood moves naturally. Add Shouwu (Polygonum Multiflorum) and Wuyao (Lindera Root) to treat blood, so blood becomes vigorous. Add a little Chenpi (Tangerine Peel) to awaken the Spleen...
A woman who had given birth five years ago had stopped menstruating, accompanied by chills, fever, vomiting, and bone/joint pain. Her six pulses were Wiry, especially at the Left Guan and Chi positions. This is due to the Liver failing to store blood, leading to blood accumulation and stagnation, caused by the failure of Kidney Qi to ascend and Lung Qi to descend. In moving Qi, one must simultaneously move blood; Rougui (Cinnamon Bark), a herb that moves blood, is indispensable. Moreover, this condition involves Kidney... and Spleen/Stomach deficiency. If Rougui is not used to warm the Kidney, how can the One Yang of the Kidney arise? If Kidney Qi does not ascend, how can Lung Qi descend? If Metal and Water do not communicate, the Qi of the Triple Burner cannot move up and down, leading to final blood stasis and unrelieved diseases.