(论一首 脉一条 方二十首 灸法一首 附寒疝骨蒸)
论曰∶凡人中寒者喜欠,其人清涕出。发热色和者善嚏,凡瞻病者,未脉望之,口燥清
涕出善嚏欠。此人中寒,其人下痢,以里虚故也。欲嚏不能,此人腹中痛。凡寒脉沉弦,脉
双弦者寒也。弦脉状如张弓弦,按之不移。脉弦数者,当下其寒。脉双弦而迟者,心下坚。
脉大而紧者,阳中有阴可下之。右手寸口脉弦者,即胁下拘急而痛,其人涩涩恶寒。师曰∶
迟者为寒,涩为无血。寸口脉微,尺中紧而涩。紧即为寒,微即为虚,涩即为血不足,故知
发汗而复下之。(大露宿丸主寒冷百病方,在第十七卷中)。
主寒冷积聚方。
石 桂心 附子 干姜(各二两)
上四味为末,蜜丸如梧子大,每服十丸,日三。后稍加之。
又方 治遇冷气,心下结紧呕逆,寒食不消,并主伤寒,晨夜触寒冷恶气方。
石 桂心 附子 乌头(各四两)
上四味为末,蜜丸如胡豆大,以酒服三丸,日三,加至十丸。药耐寒,忌热食,近火。
宜冷冻饮料食。
(方见第十七卷肺脏气极门)。
治痼冷风,眩,寒中,手足冷,胃口寒,脐下冷,百病,五劳七伤。第一令人能食,二
强盛,三益气,四有子神验方∶
大豆(三升半) 生地(十五斤取汁) 乌头(一百五十枚)
上三味,以除日 咀乌头,以酒一斗半,和生地汁浸乌头至破日绞去滓,纳豆药汁中,
至除日出曝之,有汁更浸曝之,至汁尽药成。初服从二豆起,可至二十豆,酒服之。有病空
腹服,无病食后服,四时合,并得二月三月为上时,药令人能食,益气,强盛,有子,发白
反黑,齿落重生,先病热人不可服。
治心腹痼冷,百治不瘥方∶曲末(三升) 白术(五两) 干姜 桂心(各三两) 川
椒吴
茱萸
上六味治,下筛,以米饮服方寸匕,日二。不过五剂,诸冷顿瘥,无忌,空腹服之。
治积年冷病方∶川椒(二两) 香豉(一升)
上二味,捣椒为末,和豉更捣三千杵,丸如弹丸大,食前酒服七丸,日再。
治诸冷极,医所不治方∶
马蔺子九升,净治去土,空腹服一合,日三。饮及酒下之,服讫须臾以食压之,取瘥乃
止。
论述说:大凡人感受寒邪,喜欢打哈欠,流出清稀鼻涕。如果发热但面色正常,就容易打喷嚏。凡是探望病人时,在诊脉之前观察,若见患者口燥、流清涕、善嚏且爱打哈欠,这是此人感受了寒邪。如果此人伴有下痢,是因为里气虚弱的缘故。想要打喷嚏却打不出来,这是腹中疼痛的表现。凡是寒证的脉象多沉弦,脉象双弦的属于寒证。弦脉的形状像拉开弓的弦,按压它位置不移动。脉象弦而数的,应当攻下其寒邪。脉象双弦且迟缓的,心下部坚硬。脉象大而紧的,是阳中有阴,可以攻下。右手寸口脉弦的,胁下拘急且疼痛,患者感觉瑟瑟怕冷。老师说:迟脉主寒,涩脉主无血。寸口脉微,尺中脉紧而涩。紧即为寒,微即为虚,涩即为血不足,所以知道发汗后又用了攻下法。(大露宿丸主治寒冷百病的方子,在第十七卷中)。
主治寒冷积聚的方剂。
石桂心、附子、干姜(各二两)
以上四味药研成末,用蜂蜜制成梧桐子大小的蜜丸,每次服用十丸,每日三次。之后逐渐增加剂量。
又一方,治疗因受冷气导致的心下部结硬、呕吐逆气、寒食不消化,并主治伤寒,早晚接触寒冷恶气的方剂。
石桂心、附子、乌头(各四两)
以上四味药研成末,用蜂蜜制成胡豆大小的蜜丸,用酒送服三丸,每日三次,加量至十丸。药物性质耐寒,忌食热食,远离火源。适宜饮用冷冻饮料或食用冷食。
(此方见第十七卷肺脏气极门)。
治疗久治不愈的寒邪风症,眩晕,寒气入中,手足冰冷,胃口寒,脐下冷,各种疾病,五劳七伤。第一能让人食欲好,第二增强体质,第三益气,第四有子神验方:
大豆(三升半)、生地(十五斤取汁)、乌头(一百五十枚)
以上三味药,选择除日(古代迷信认为不宜动土的日子,此处指特定日期),将乌头咬碎,用一斗半酒,混合生地汁浸泡乌头直到破日(次日),绞去渣滓,纳入豆药汁中,到除日出太阳时曝晒,有汁液就再浸泡再曝晒,直到汁液尽、药成。初次服用从两颗豆子开始,最多可到二十颗豆子,用酒送服。有病时空腹服用,无病时饭后服用,四季都可制作,但以二月三月为最佳时间。此药能让人能进食,益气,增强体质,助孕,白发变黑,落齿重生,先患热病的人不可服用。
治疗心腹久寒,各种方法治疗都不见效的方剂:
曲末(三升)、白术(五两)、干姜、桂心(各三两)、川椒、吴茱萸
以上六味药处理,过筛,用米汤送服一方寸匕,每日两次。不超过五个疗程,各种冷病顿时痊愈,无需禁忌,空腹服用。
治疗积年冷病的方剂:
川椒(二两)、香豉(一升)
以上两味药,捣碎川椒为末,与香豉混合再捣三千杵,制成弹丸大小的蜜丸,饭前用酒送服七丸,每日两次。
治疗各种极寒之症,医生无法治疗的方剂:
马蔺子九升,净选去土,空腹服用一合,每日三次。用水或酒送服,服完后不久用食物压住,直到病愈才停止。
(One treatise, one pulse description, twenty prescriptions, one moxibustion method, appended with Han-Shan and Bone-Vapor)
The treatise states: Generally, when a person is affected by cold pathogen, they tend to yawn and have clear nasal discharge. If there is fever but the complexion remains normal, they are prone to sneezing. When visiting a patient, before taking the pulse, if one observes dry mouth, clear nasal discharge, frequent sneezing, and yawning, it indicates that this person has been affected by cold pathogen. If this person also suffers from diarrhea, it is due to deficiency of interior Qi. The desire to sneeze without being able to do so indicates abdominal pain. Generally, cold patterns present with deep and wiry pulses; a double-wiry pulse indicates cold. The wiry pulse feels like the string of a drawn bow and does not shift upon pressure. A wiry and rapid pulse suggests that cold should be purged downward. A double-wiry and slow pulse indicates hardness in the epigastrium. A large and tight pulse indicates yang containing yin, which can be treated with purgation. A wiry pulse at the Cun-kou position on the right hand indicates stiffness and pain in the hypochondrium, accompanied by a sensation of shivering cold. The Master said: Slow pulse indicates cold; choppy pulse indicates lack of blood. A faint pulse at the Cun-kou position with tight and choppy pulses at the Chi position indicates that tightness signifies cold, faintness signifies deficiency, and choppy signifies insufficient blood. Thus, we know that sweating followed by purgation was performed. (The prescription Da Lu Su Wan for treating hundred diseases caused by cold is found in Volume 17).
Prescription for Cold Accumulation and Masses.
Shi Gui Xin (Cinnamon Heart), Fu Zi (Prepared Aconite Root), Gan Jiang (Dried Ginger) (each two liang).
Grind the above four ingredients into powder, make honey pills the size of mulberry seeds. Take ten pills each time, three times a day. Gradually increase the dose later.
Another prescription for treating cold qi invasion causing epigastric stiffness, vomiting, indigestion of cold food, and also for treating Shang-Han (Cold Damage), especially when exposed to cold evil qi morning and night.
Shi Gui Xin (Cinnamon Heart), Fu Zi (Prepared Aconite Root), Wu Tou (Aconite Lateral Root) (each four liang).
Grind the above four ingredients into powder, make honey pills the size of broad beans. Take three pills with wine, three times a day, increasing up to ten pills. The medicine is cold-resistant; avoid hot food and proximity to fire. It is suitable to consume chilled drinks or cold food.
(This prescription is seen in Volume 17, under the section Lung Organ Qi Extreme Gate).
Prescription for treating chronic cold wind syndrome, dizziness, cold invading the center, cold hands and feet, cold stomach, cold below the umbilicus, various diseases, and five labors and seven injuries. This prescription first enhances appetite, second strengthens the body, third tonifies Qi, fourth ensures miraculous efficacy for conception:
Da Dou (Soybean) (three sheng half), Sheng Di (Rehmannia Root) (fifteen jin, extract juice), Wu Tou (Aconite Lateral Root) (one hundred fifty pieces).
On the designated "Chu Ri" (a specific auspicious/inauspicious day), crush the Wu Tou. Soak the crushed Wu Tou in one dan and a half of wine mixed with Sheng Di juice until the next day ("Po Ri"). Strain out the residue, add the soybean decoction/juice, and sun-dry. Repeat soaking and drying until the liquid is exhausted and the medicine is prepared. Start with two soybeans, increasing up to twenty soybeans, taken with wine. Take on an empty stomach if sick, after meals if healthy. Can be prepared in all seasons, but February and March are the best months. This medicine improves appetite, tonifies Qi, strengthens the body, aids conception, turns white hair black, and regrows fallen teeth. It must not be taken by those who previously suffered from heat diseases.
Prescription for chronic cold in the heart and abdomen that has resisted all treatments:
Qu Mo (Medicated Leaven Powder) (three sheng), Bai Zhu (Atractylodes Macrocephala Rhizome) (five liang), Gan Jiang (Dried Ginger), Gui Xin (Cinnamon Heart) (each three liang), Chuan Jiao (Sichuan Pepper), Wu Zhu Yu (Evodia Fruit).
Process the above six ingredients, sift them, and take one fang cun bi (a measure approx. 2-3 grams) with rice water, twice a day. Within five courses of treatment, all cold ailments will suddenly heal. No dietary restrictions apply; take on an empty stomach.
Prescription for chronic cold disease lasting years:
Chuan Jiao (Sichuan Pepper) (two liang), Xiang Chi (Prepared Soybean Curd) (one sheng).
Crush the Chuan Jiao into powder, mix with Xiang Chi, and pound three thousand times. Make pills the size of marbles. Take seven pills with wine before meals, twice a day.
Prescription for extreme cold conditions where physicians fail to treat:
Ma Lin Zi (Iris Tectorum Seed) (nine sheng), cleaned and free of soil. Take one ge on an empty stomach, three times a day. Take with water or wine. Shortly after ingestion, eat food to suppress it. Continue until cured.