(七症图说)
\r双乳蛾\p05-c14a15.bmp\r
此症感冒时邪而发,生于关口上部,两边如樱桃大,
肺胃之症也。身发寒热,六脉弦数。先针∶少商、商阳
(两手四穴),或挑破患上出血亦妙,先用六味汤加∶陈皮 海
浮石 苏叶 羌活(各钱半) 两服可愈。如肿不退,六脉
有力可加生大黄(三钱)。
\r单乳蛾\p05-c14a16.bmp\r
此症因伤寒后发散未尽,身热恶心,恐见痧疹,六脉
浮数,生于双蛾之旁,或左或右,用六味汤加∶苏叶(一钱)
羌活(二钱) 鲜新芫荽(五钱) 如无新者用子(三钱) 一服退半,
明日再加∶黄芩(酒炒三钱) 花粉(二钱) 山栀(一钱) 赤芍(一钱)
木通(一钱)全愈。
\r烂乳蛾\p05-c14a17.bmp\r
此症因肺胃郁热、红肿烂斑大痛,难于饮食,六脉
弦紧,急针∶少商、商阳左右四穴。用六味汤加∶葛
根(二钱) 苏叶(一钱) 盐水炒玄参(一钱) 酒炒黄芩(二钱) 冲柏
枝汁一钟,漱喉间咽下。再用八仙散一服,津化咽之,明日去苏、葛二味,加∶
山栀 木通 生地 丹皮 浮石 花粉(各二钱) 如脉大
有力加∶生大黄(三钱),脉虚用八仙散同柏枝汁照前吃
法,三四日可愈。如声哑背寒,六味汤加,苏叶(二钱)
羌活(二钱) 细辛(三分)
(七症图说)
双乳蛾
此病证因感受时令邪气而发作,病灶位于咽喉关口上部,两侧肿胀大小如樱桃,属于肺胃的病变。患者身体出现恶寒发热,六部脉象弦而数。治疗先针刺:少商、商阳(左右手共四个穴位),或者挑破患处使其出血也很好。先用六味汤加入:陈皮、海浮石、苏叶、羌活(各一钱半),服用两剂即可痊愈。如果肿胀不退,且六部脉象有力,可以加用生大黄(三钱)。
单乳蛾
此病证因伤寒之后发散不彻底所致,表现为身热恶心,担心出现痧疹,六部脉象浮而数,病灶生于双侧乳蛾的一侧,或左或右。使用六味汤加入:苏叶(一钱)、羌活(二钱)、鲜新芫荽(五钱),如果没有新鲜的可用种子(三钱),服用一剂后症状减半,第二天再加:黄芩(酒炒三钱)、花粉(二钱)、山栀(一钱)、赤芍(一钱)、木通(一钱),可完全治愈。
烂乳蛾
此病证因肺胃郁积热气,导致红肿、溃烂、斑痕及剧烈疼痛,难以进食,六部脉象弦紧。紧急针刺:少商、商阳左右共四个穴位。使用六味汤加入:葛根(二钱)、苏叶(一钱)、盐水炒玄参(一钱)、酒炒黄芩(二钱),冲入柏枝汁一杯,漱口后咽下。再用八仙散一剂,含化后咽下。第二天去掉苏叶、葛根两味药,加入:山栀、木通、生地、丹皮、浮石、花粉(各二钱)。如果脉象大而有力,加用生大黄(三钱);如果脉象虚弱,则用八仙散配合柏枝汁按前述方法服用,三四天可愈。如果出现声音嘶哑、背部发冷,在六味汤中加入:苏叶(二钱)、羌活(二钱)、细辛(三分)。
(Explanation of Seven Symptoms with Diagrams)
Bilateral Tonsillitis (Shuang Rume)
This condition arises from contracting pathogenic factors of the season. The lesions are located in the upper part of the throat gate, with bilateral swellings the size of cherries, representing a disease of the Lung and Stomach. The patient presents with aversion to cold and fever, and the pulse at all six positions is wiry and rapid. Treatment begins with acupuncture at: Shaoshang (LU11), Shangyang (LI11) (four acupoints on both hands). Alternatively, pricking the affected area to induce bleeding is also effective. First, administer Liuwei Tang (Six-Ingredient Decoction) added with: Chenpi (Exocarpium Citri Reticulatae), Haifushi (Pumex), Ziye (Perilla Folium), Qianghuo (Notopterygii Rhizoma et Radix) (each 1.5 qian). Two doses can lead to recovery. If the swelling does not subside and the pulse at all six positions is forceful, Raw Dahuang (Radix et Rhizoma Rhei) (3 qian) may be added.
Unilateral Tonsillitis (Dan Rume)
This condition results from incomplete dispersal following Taiyang Cold Damage (Shanghan). It manifests as body heat, nausea, and fear of appearing sand-rash (shazhen). The pulse at all six positions is floating and rapid. The lesion occurs beside the bilateral tonsils, either on the left or right. Use Liuwei Tang (Six-Ingredient Decoction) added with: Ziye (Perilla Folium) (1 qian), Qianghuo (Notopterygii Rhizoma et Radix) (2 qian), Xianxin Yuansu (Fresh Coriandrum Fructus) (5 qian). If fresh fruit is unavailable, use seeds (3 qian). One dose reduces symptoms by half. On the next day, add: Huangqin (Scutellariae Radix) (wine-fried, 3 qian), Huafen (Trichosanthis Radix) (2 qian), Shanzhi (Gardeniae Fructus) (1 qian), Chishao (Paeoniae Radix Rubra) (1 qian), Mutong (Akebiae Caulis) (1 qian). Full recovery will follow.
Ulcerative Tonsillitis (Lan Rume)
This condition is caused by stagnant heat in the Lung and Stomach, leading to redness, swelling, ulceration, macules, and severe pain, making swallowing difficult. The pulse at all six positions is wiry and tight. Urgently needle: Shaoshang (LU11), Shangyang (LI11) (four acupoints on both sides). Use Liuwei Tang (Six-Ingredient Decoction) added with: Gegen (Puerariae Lobatae Radix) (2 qian), Ziye (Perilla Folium) (1 qian), Xuanshen (Scrophulariae Radix) (salt-water fried, 1 qian), Huangqin (Scutellariae Radix) (wine-fried, 2 qian). Mix with Baizhi Zhi (Cupressi Cacumen Juice) one cup, gargle the throat, and swallow. Then, take one dose of Baxian San (Eight-Immortal Powder), dissolve it in saliva, and swallow. On the next day, remove Ziye (Perilla Folium) and Gegen (Puerariae Lobatae Radix), and add: Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), Shengdi (Rehmanniae Radix), Danpi (Moutan Cortex), Fushi (Pumex), Huafen (Trichosanthis Radix) (each 2 qian). If the pulse is large and forceful, add Raw Dahuang (Radix et Rhizoma Rhei) (3 qian). If the pulse is deficient, use Baxian San (Eight-Immortal Powder) combined with Baizhi Zhi (Cupressi Cacumen Juice) administered as previously described; recovery can be expected in three to four days. If hoarseness and chills in the back occur, add to Liuwei Tang (Six-Ingredient Decoction): Ziye (Perilla Folium) (2 qian), Qianghuo (Notopterygii Rhizoma et Radix) (2 qian), Xixin (Asari Radix et Rhizoma) (0.3 qian).