短剧论曰∶凡服五石散,及钟乳诸石丹药等,既瘥节度,触动多端,发状虽殊,将摄相
似,比来人遇其证,专执而疗之。或取定古法,则与本性有违,或取决庸医,则昧于时候,
皆为自忤,遂推石过,深省其理,未曰合宜,每寻古医,互相晦见。直言沐浴,实未探微,
寒温适情,盖须自度随时之义,易所通焉,故陶正白云,昔有人服寒食散。简古法以冷水淋
身满二百罐,登时疆毙,又有取汗,乃于狭室中四角安火须臾则殒,据兹将息,岂不由人,
追之昔事,守株何甚,今列篇章,幸择长而录用耳,寒食药得节度者,一月辄解,或二十日
解,堪温不堪寒,即已解之候也,其失节度者,或头痛欲裂,为服药食温作癖,宜急下之。
又若手脚卒患顽癖者,为犯热经久故也,急与冷水洗,饮热清酒,进冷食即止,一法饮
冷清酒亦止。
又若体上生疮,结气肿痛不得动者,为自劳太过也,宜服香豉饮法。
香豉(三升) 葱白(一虎口)
上二味以水三升煮三沸服之,不止乃至三四剂自止。又若腰痛欲折,两目欲脱者,为热
上肝膈,腰肾冷极故也,宜服黄连饮法。(腰痛欲折两目欲脱千金翼作二条)
黄连 甘草(炙各一两) 葳蕤(二两)
上三味切,以水三升,煮取一升,去滓内朴硝一两,顿服,得微利止。
又若眩冒欲倒者,为衣浓犯热故也,宜冷水淋头并洗之,须臾即愈。(千金翼云宜洗头)
又若脚疼欲折者,为久坐温处故也,宜常须单床行役,并以冷水洗浴即止。
又若腹胀欲裂者,为久坐下热,衣温失食故也,宜数冷食,冷洗,当风取冷,须臾即瘥
又心痛如刺者,为应食不食,应洗不洗,寒热相击,气结不通,填于心中故也,宜数饮
热酒,任性多少,酒气行。经络通达,淋以冷水,又冷淹手中搭着苦处,温复易之,须臾解
也。解后仍速与冷食,食多益善,于诸痛之中,心痛最急,宜速救之,法在下卷心痛法中。
又若发急,遍身热如汤火,或气结不识人,时倒,口噤不开不自觉知者,救之要以热饮
随其
下气
又若下痢如寒中者,为行止食饮犯热所致,宜速脱衣,冷食,冷冻饮料,冷水洗,即瘥。
又若百节酸疼者,为卧处太浓。又盖覆被衣,温不脱故也,但单床薄被单衣,或以冷水
洗,
急
又若兢颤恶寒,或发热如温疟者,为失食忍肌,失洗不行。又食臭秽故也,宜急饱冷食
,冷水洗数行即愈。
又若恶食臭如死物气者,为食温作癖故也,宜急以三黄汤下之,若不下终不瘥,法在下
卷解压法中。
又若咽中痛,鼻中塞,清涕出者,为衣温近火故也,但速脱衣,取冷当风,以冷石熨咽
鼻,当自瘥,不假洗也。
又若胸胁满,气上呕逆者,为饥而不食,药气上冲故也,速与冷水洗,食冷饭止。
又若食便吐出,不得安住者,由癖故也,宜急以甘草饮下之,不下当危人命尔,甘草饮
法。
甘草(二两炙) 大黄(三两别渍) 黄芩(二两)
上三味切,以水三升煮三两沸,去滓分服,以利为度。
又若大便难,腹中坚如盘蛇者,为犯温积久,腹中有干粪不去故也,宜销酥蜜膏服一二
升,津润腹内即下,若不,可服大黄朴硝等下之。
又若患淋者,为久坐温处,或乘鞍马,坐处大热,热入膀胱故也,但冷食,冷水洗,冷
石熨腹,不过一日即瘥止。(千金翼云若不止可下之不下杀人)
又若寒栗头掉,不自支持者,为食少,药气溢于肌肤,五脏失守,百脉摇动,与正气
相故也。宜强饮热酒以和其脉,强食冷食以定其脏,强行以调其关节,强洗以宣其壅滞,
即瘥。
又若小便稠数者,为热食及啖诸热饼肉之属故也,宜冷水洗腹,兼服栀子汤法。
栀子仁(二两) 甘草(炙) 芒硝(汤成下) 黄芩(各二两)
上四味切,以水五升,煮取二升,分温二服,取利即瘥。
又若失气不可禁止者,为犯温不时洗故也,但冷水洗之即瘥。
又若遗粪不自觉者,为热气入胃,大肠不禁故也,当冷洗,即瘥。
又若目痛如刺者,为热气冲肝上眼故也,但数冷食,清朝温小便洗之,不过三日即瘥止
又若耳鸣如风声,又有汁出者,为自劳过度,阳事不节,气上耳故也,宜数饮食补之,
节禁阳事即瘥。
又若口中伤烂,舌强而燥不得食味者,为食少,谷气不足,药气积在胃管故也,宜急作
豉汤服之,豉汤法。
香豉(二升) 葳蕤 甘草(炙各二两) 麦门冬(去心) 小 (各三两)
上五味切,以水六升,煮取二升,分温三服,能顿服益佳,再合为度。
又若关节强直不可屈伸,为久停息,不自劳泄,药气不散。渐侵筋血故也,出力使温,
冷洗即瘥止。
又若得伤寒温疟者,为犯热故也,宜以常疗药救之无咎。但勿服热药耳,其伤寒疟药等
皆除热破癖,不与寒食相妨,故通服也。凡服寒食,虽已热解而更病者,要先以寒食救之,
终不
又若饮酒不解,食不得下乍寒乍热,不洗便热洗之复寒,甚者数十日,轻者数日,昼夜
不得寝寐,愁悲恚怒,自惊跳悸。恍惚忘误者,为犯温积久,寝处失节,食热作癖,内热与
药并行,寒热交争,虽以法救之,终不可解也,昔皇甫氏鲁饵此散,每发即欲自刑,尊亲制
之,乃免斯祸,强令饮食。其热渐除,纵家有寒热药,发急皆忘,虽素聪明,发皆顽冥,告
令难喻,为兹毙者,不可胜数,遂简家兄士元救急之法,合三黄汤服之,大下便瘥止而录之,
法
又若脱衣便寒,着衣便热,为脱着之间失适故也,小寒自可着,小温便可脱,即止,洗
之则爽然瘥,慎勿忍之,使病成也。短剧云,洗则了然瘥矣,应洗勿忍之,忍则病成也。
又若齿龈肿,唇烂,牙齿摇痛,颊车噤,为坐犯热故也,宜时救之,可当风张口,使冷
气入咽,漱寒水即瘥。
又若脉洪实,或断绝不足似死脉,或细数弦 ,其所犯非一,此脉无医不识也,热多则
弦。有癖则洪实,急痛则断绝,凡寒食药热。率常如此,自无所苦,非死,唯勤节度为妙
。又若大便稠数,为坐久失节度,将死之候也,如此难疗矣。可与前大黄黄芩栀子芒硝汤下
之,傥十有一生耳,可为必死之疗,不可不利致死,令人恨也。
又若人已困,而脉不绝,为药气盛行于百脉,人之真气已尽,药气尚自行故不绝,非生
气也,死后体因温如生人肌。腹中雷鸣,颜色不变,一两宿乃作死人也。
又若周体患肿,不能回转者,为久坐不行,又不饮酒,药气滞在皮肤之内,血脉不通故
也。宜饮酒,冷水洗,自劳即瘥。若不能行者,遣人扶持强行,使肢节调畅乃止,亦不得令
过度,使反发热,或反热者,还当洗之。
又若食患冷不可下者,为久冷食,口中不知味故也,当作白酒糜多着苏,热食一两顿,
若小闷者,还令冷冻饮料食,即瘥止。
又若下部臭烂者,为坐荐席浓热故也。当坐冷水中即瘥,又若夜眠不得睡者,为食少热
在内故也,服栀子汤方。
栀子仁(十四枚) 大黄(三两) 黄芩(二两)
上三味切,以水五升,煮取三升,去滓分三服,微利又当数进餐食,自得眠睡。
又若呕逆,咽喉中伤清血出者,为卧温及食热故也,但饮冷水,冷石熨咽喉即瘥。
又若药发,辄安卧不与人语者,为热盛食少,失其性故也。但与热酒,冷洗,冷食,自
劳便瘥。(千金翼云药发辄尸卧不识人由热气盛食少不充邪忤正性故也)
又若四肢面目浮肿者,为饮食温久,不自劳力,药与正气相隔故也,但饮热酒,冷食。
自劳,洗浴,即瘥。(千金翼云药气与正气相并)
又若鼻中有气如孵鸡子臭者,为着衣温故也,或阴囊臭烂,为坐热故也,入冷水中即瘥
,宜脱衣洗浴即自瘥。
又若卒目暗无所见者,为饮食居处太温故也,但脱衣冷洗冷食须臾瘥止。
又若身肉痛,痛无常处如游风者,为犯热所作,非风冷也,宜冷洗,以冷石熨之自瘥。
又若服药心闷乱者,为服温药与疾争力故也,法当大吐,如或不吐,病当至死,若吐不
绝,可食冷食饮自然瘥也,若绝不识人,口复不开者,亦当斫齿以热酒灌之,入咽吐出者更
与之。但得酒气下通,不半日即便苏矣。
又若嗜寐不觉者,为久坐热闷故也,宜冷洗冷食即瘥。
又若肌肤坚如石,不可屈伸,为热食温卧作癖,五藏隔闭。血脉不通故也,急服前三黄
汤下之,食冷食。饮热酒,自劳即瘥。
又若臂脚偏急痛苦者,为久坐卧,温热不自移转,气入肺脾胃故也,宜勤以二布巾淹冷
水搭之,觉温则易,如此不过三日即瘥。(千金翼云热入腹附骨故也)
又若患腹背热,如子如杯如盘许大者,以冷石随处熨之。
又若脚趾间生疮者,为履袜大温故也,当以脚践冷地,以冷水洗足瘥。
又若口热痛烦闷者方。
生鸡子(五枚)
上一味顿服之,即便愈。
《短剧》论说:凡是服用五石散,以及钟乳石等矿物丹药的人,在病情缓解后的调摄方面,触发的症状虽然各不相同,但护理原则相似。近年来遇到这些证候的人,专门执着于某种疗法来治疗。如果拘泥于古代的方法,往往与患者的本性相违背;如果听从平庸医生的建议,则可能误判时机,这都是自我抵触的做法,反而推卸责任给石药,深入思考其中的道理,认为这并不合适。每次查阅古代医书,发现各家见解互相矛盾。直言沐浴(洗澡)并不能探求到微妙的机理,寒温的适宜程度,必须根据随时变化的情况自行判断,因此陶弘景曾说:“过去有人服用寒食散,遵循古法用冷水淋身满二百罐,立刻僵死;又有人想发汗,就在狭小的房间里四角生火,一会儿就死了。”据此调养,难道不是由人自己造成的吗?追述过去的事情,固守旧法太过严重了。现在列出这些篇章,希望选择长处加以录用罢了。
服用寒食药且掌握节度的人,一个月左右就能解除药性,或者二十天解除,表现为能耐受温暖但不能耐受寒冷,这就是已经解除药性的征候。那些失去节度的人,有的头痛欲裂,是因为服药后进食温热食物导致积滞成癖,应当紧急使用泻下法。如果手脚突然患顽疾积聚,是因为触犯热邪时间长久所致,应当紧急用冷水清洗,饮用热的清酒,进食冷食即可停止;另一种方法是饮用冷的清酒也能停止。
如果身体上生疮,气结肿痛不能活动,是因为过度劳累所致,应当服用香豉饮法。
香豉(三升) 葱白(一把)
以上两味药用水三升煮三沸,服用,如果不止,甚至服用三四剂自然会停止。如果腰痛得像要折断,两眼像要脱出,是因为热气上冲肝膈,腰肾极度寒冷所致,应当服用黄连饮法。(《千金翼方》将“腰痛欲折”和“两目欲脱”分为两条记载)
黄连 甘草(炙,各一两) 葳蕤(二两)
以上三味药切碎,用水三升,煮取一升,去渣,加入朴硝一两,一次性服用,得到轻微腹泻即止。
如果头晕眼花想要跌倒,是因为衣服太厚触犯热邪所致,应当用冷水淋头并清洗,一会儿就好了。(《千金翼方》说宜洗头)
如果脚疼得像要折断,是因为久坐温暖地方所致,应当经常睡单床劳作,并用冷水洗浴即可停止。
如果腹胀得像要裂开,是因为久坐受湿热,穿衣过暖饮食失当所致,应当多次吃冷食,冷水洗,对着风取凉,一会儿就好了。
如果心痛如针刺,是因为该吃饭时没吃,该洗澡时没洗,寒热相互搏击,气结不通,填塞在心中所致,应当多次饮用热酒,随意多少,直到酒气运行,经络通达,再用冷水淋浴,同时用冷毛巾敷在痛苦处,温热后再换,一会儿就解除了。解除后仍迅速给予冷食,吃得越多越好。在各种疼痛中,心痛最急迫,应当迅速救治,方法在下卷心痛法中。
如果发病急促,全身发热像汤火一样,或者气结神志不清,时而昏倒,口噤不开,自己不知道,救治的关键在于热饮以顺其下行之气。
如果下痢像中寒一样,是因为行走、饮食触犯热邪所致,应当迅速脱下衣服,吃冷食,喝冷冻饮料,冷水洗,就好了。
如果全身关节酸痛,是因为卧处太暖,盖被穿衣,温度不脱所致,只要睡单床,盖薄被,穿单衣,或者用冷水洗,急治。
如果战栗恶寒,或者发热像温疟一样,是因为饮食不当忍受饥饿,不洗澡不运动,又吃了腐臭食物所致,应当紧急吃饱冷食,冷水洗,走几趟就好了。
如果厌恶食物气味像死物气味一样,是因为吃温热食物导致积滞成癖所致,应当紧急用三黄汤泻下,如果不泻下终究不会好,方法在下卷解压法中。
如果咽喉痛,鼻塞,流清涕,是因为穿衣过暖靠近火源所致,只要迅速脱下衣服,取凉当风,用冷石头熨烫咽部和鼻部,自然会好,不需要洗。
如果胸胁胀满,气上逆呕吐,是因为饥饿而不吃东西,药气上冲所致,迅速用冷水洗,吃冷饭即可停止。
如果吃了就吐出来,不得安宁,是由积滞所致,应当紧急用甘草饮泻下,如果不泻下会危及生命,甘草饮法。
甘草(二两,炙) 大黄(三两,另浸泡) 黄芩(二两)
以上三味药切碎,用水三升煮两三沸,去渣分次服用,以通利为度。
如果大便困难,腹中坚硬像盘蛇一样,是因为触犯温邪积久,腹中有干粪不去所致,应当服用销酥蜜膏一二升,滋润腹内就会排出,如果不排,可以服用大黄、朴硝等泻下。
如果患淋证,是因为久坐温暖地方,或者骑马,坐处大热,热气进入膀胱所致,只要吃冷食,冷水洗,冷石头熨腹,不超过一天就会好。(《千金翼方》说如果不止可以泻下,不泻下会杀人)
如果寒战头摇,不能自主支持,是因为吃得少,药气溢于肌肤,五脏失守,百脉摇动,与正气相争所致。应当强行饮用热酒以调和经脉,强行吃冷食以安定脏腑,强行行走以调理关节,强行洗浴以宣通壅滞,就好了。
如果小便稠密频数,是因为吃热食及吃各种热饼肉类所致,应当冷水洗腹,兼服栀子汤法。
栀子仁(二两) 甘草(炙) 芒硝(汤成时下) 黄芩(各二两)
以上四味药切碎,用水五升,煮取二升,分两次温服,取得腹泻即好。
如果失气(放屁)不可禁止,是因为触犯温邪不及时清洗所致,只要冷水洗就好。
如果遗粪自己不知道,是因为热气入胃,大肠不禁所致,应当冷洗,就好了。
如果眼痛如针刺,是因为热气冲肝上眼所致,只要多次吃冷食,清晨用温水小便洗它,不超过三天就会好。
如果耳鸣像风声,又有液体流出,是因为过度劳累,房事不节制,气上冲耳所致,应当多次饮食补益,节制房事就好了。
如果口中损伤溃烂,舌强而燥不能吃味道,是因为吃得少,谷气不足,药气积聚在胃管所致,应当紧急做豉汤服用,豉汤法。
香豉(二升) 葳蕤 甘草(炙,各二两) 麦门冬(去心) 小(各三两,原文此处疑有缺字或通假,通常指小麦或小豆,结合语境推测为滋阴清热之品,此处保留原文“小”)
以上五味药切碎,用水六升,煮取二升,分三次温服,能一次性服用更好,再合煎为度。
如果关节强直不能屈伸,是因为久停息,不自劳动泄,药气不散,逐渐侵入筋血所致,出力使其温暖,冷洗就好了。
如果得了伤寒温疟,是因为触犯热邪所致,应当用常规治疗方法救治无妨。只是不要服用热药罢了,那些治疗伤寒疟疾的药都能除热破癖,不与寒食散相妨碍,所以通用。凡是服用寒食散,虽然已经热解而再次生病的,要先用寒食散的方法来救它,最终不会……(原文此处似有残缺,意为终不解或需特殊处理)。
如果饮酒不解,食物下不去,忽冷忽热,不洗就热,洗了就复寒,严重的几十天,轻的几天,昼夜不能睡眠,忧愁悲伤愤怒,自己惊恐跳动心悸,恍惚忘事,是因为触犯温邪积久,寝居失节,吃热食成癖,内热与药并行,寒热交争,虽然用方法救治,终究不能解除。过去皇甫氏鲁国的人服用这种散,每次发作就想自杀,尊长制止他,才免于此祸,强迫让他饮食。他的热渐渐消除,即使家里有寒热药,发作时都忘记了,虽然平时聪明,发作时都愚钝,告知也难以理解,为此而死的人,不可胜数。于是简选家兄士元急救的方法,合三黄汤服用,大泻便好了,记录下来,方法……(原文此处似有残缺)。
如果脱衣就冷,穿衣就热,是因为脱穿之间不适所致,小冷自然可穿,小温便可脱,就好了,洗一下则爽快痊愈,千万不要忍耐,使病形成。《短剧》说,洗则了然痊愈,应该洗不要忍耐,忍耐则病形成。
如果齿龈肿,唇烂,牙齿摇痛,颊车牙关紧闭,是因为坐犯热邪所致,应当及时救治,可以对着风张口,使冷气入咽,漱寒水就好了。
如果脉洪实,或者断绝不足像死脉,或者细数弦,所犯的病因不一,这种脉象没有医生不认识,热多则脉弦,有积滞则脉洪实,急痛则脉断绝,凡是寒食药热,通常如此,如果没有什么痛苦,不是死症,只有勤于节度才是妙法。如果大便稠密频数,是因为久坐失节度,是将死的征候,这样难治疗了。可以与前面提到的大黄、黄芩、栀子、芒硝汤泻下,或许十分之一能活,可以说是必死的疗法,不可以不利致死,令人遗憾。
如果人已经困倦,而脉不绝,是因为药气盛行于百脉,人的真气已尽,药气尚自行所以不绝,这不是生气,死后身体因为温热像活人肌肉,腹中雷鸣,颜色不变,一两晚后才变成死人。
如果周身患肿,不能回转,是因为久坐不行,又不饮酒,药气滞在皮肤之内,血脉不通所致。应当饮酒,冷水洗,自劳动就好了。如果不能行走,让人扶持强行,使肢节调畅才停止,也不得令过度,使反发热,如果反热,还应当洗。
如果吃冷食不可下,是因为久吃冷食,口中不知味道所致,应当做白酒粥多加酥油,热吃一两顿,如果稍微闷,还让吃冷冻饮料食物,就好了。
如果下部臭烂,是因为坐席垫太热所致。应当坐在冷水中就好了。如果夜间睡觉睡不着,是因为吃得少热在内所致,服用栀子汤方。
栀子仁(十四枚) 大黄(三两) 黄芩(二两)
以上三味药切碎,用水五升,煮取三升,去渣分三次服,轻微腹泻后又应当多次进食,自然能入睡。
如果呕逆,咽喉中伤出血,是因为卧温及吃热食所致,只要饮冷水,冷石头熨咽喉就好了。
如果药发,总是安静躺着不与人说话,是因为热盛食少,失去本性所致。只给热酒,冷洗,冷食,自劳动就好了。(《千金翼方》说药发总是尸卧不识人,由热气盛食少不充邪忤正性所致)
如果四肢面目浮肿,是因为饮食温久,不自劳动,药与正气相隔所致,只给热酒,冷食,自劳动,洗浴,就好了。(《千金翼方》说药气与正气相并)
如果鼻中有气像孵鸡蛋臭,是因为穿衣过暖所致,或者阴囊臭烂,是因为坐热所致,入冷水中就好了,应当脱衣洗浴自然好。
如果突然目暗看不见,是因为饮食居处太温所致,只要脱衣冷洗冷食一会儿就好。
如果身肉痛,痛无常处像游风一样,是因为触犯热邪所作,不是风冷,应当冷洗,用冷石头熨烫自然好。
如果服药心闷乱,是因为服温药与疾病争力所致,法当大吐,如或不吐,病当至死,如果吐不绝,可以吃冷食饮自然好,如果绝不识人,口又不开,也应当砍开牙齿用热酒灌之,入咽吐出者再给之。只要得到酒气下通,不到半天就苏醒。
如果嗜睡不觉,是因为久坐热闷所致,应当冷洗冷食就好了。
如果肌肤坚如石,不可屈伸,是因为热食温卧成癖,五脏隔闭,血脉不通所致,紧急服用前三黄汤泻下,吃冷食,饮热酒,自劳动就好了。
如果臂脚偏急痛苦,是因为久坐卧,温热不自移转,气入肺脾胃所致,应当勤用两块布巾浸冷水搭在上面,觉得温则换,这样不过三天就好了。(《千金翼方》说热入腹附骨所致)
如果患腹背热,像子、杯、盘那么大,用冷石头随处熨烫。
如果脚趾间生疮,是因为鞋袜太温所致,应当用脚踩冷地,用冷水洗脚就好了。
如果口热痛烦闷的方子。
生鸡子(五个)
以上一味药一次性服用,立刻痊愈。
*Short Treatise* states: Whenever one takes Wushi San (Five Minerals Powder) or mineral drugs such as Zhongru Shi (Gossan), after the condition has subsided, the triggers for recurrence are numerous. Although the symptoms of onset vary, the nursing principles are similar. In recent times, those encountering these syndromes have exclusively adhered to specific treatments. If one rigidly follows ancient methods, it may contradict the patient's constitution; if one relies on mediocre physicians, one may miss the appropriate timing. Both approaches lead to self-harm and unjustly blame the minerals. Upon deep reflection, this is not suitable. Consulting ancient medical texts reveals conflicting views. Merely stating "bathing" fails to explore the subtle mechanisms. The appropriateness of cold and warmth must be judged by oneself according to changing circumstances. Therefore, Tao Hongjing said: "In the past, someone took Hanshi San (Cold Food Powder). Following ancient methods, they poured cold water over their body two hundred times, resulting in immediate rigidity and death. Another person sought to induce sweating by placing fires in the four corners of a narrow room, dying shortly after." Based on this, how could regulation not be determined by human action? Clinging to past events and old methods is excessive. Now, I list these chapters, hoping you will select the beneficial ones for use.
Those who take Hanshi medicine with proper regulation will resolve the drug effects within a month, or twenty days. They can tolerate warmth but not cold; this indicates the drug effects have resolved. Those who lose regulation may experience splitting headaches due to consuming warm foods after taking the drug, leading to accumulation (Pi). Immediate purgation is required. If hands and feet suddenly develop stubborn accumulations due to prolonged heat exposure, immediately wash with cold water, drink hot clear wine, and consume cold food to stop it. Alternatively, drinking cold clear wine also stops it.
If sores appear on the body with Qi stagnation, swelling, pain, and immobility, it is due to excessive labor. One should take Xiangchi Yin (Fermented Soybean Drink).
Xiangchi (3 Sheng) Congbai (Green Onion White, one handful)
Boil the above two ingredients in 3 Sheng of water for three boils. Take orally. If symptoms persist, up to three or four doses will naturally stop them. If lower back pain feels like breaking and eyes feel like protruding, it is due to heat rushing to the Liver and Diaphragm while the waist and Kidneys are extremely cold. One should take Huanglian Yin (Coptis Decoction).
Huanglian (Coptidis Rhizoma) Gancao (Licorice Root, roasted, 1 Liang each) Weirui (Polygonati Odorati Rhizoma, 2 Liang)
Chop the above three ingredients, boil in 3 Sheng of water until 1 Sheng remains. Remove dregs, add Puxiao (Mirabilite, 1 Liang), and take in one dose. Stop when mild diarrhea occurs.
If dizzy and about to faint, it is due to thick clothing causing heat exposure. Wash and pour cold water over the head; recovery is swift. (*Qianjin Yifang* suggests washing the head).
If foot pain feels like breaking, it is due to sitting in warm places for long periods. Sleep on a single bed, engage in light labor, and wash with cold water to stop it.
If abdominal distension feels like bursting, it is due to long-term sitting in damp-heat, wearing warm clothes, and improper diet. Eat cold food frequently, wash with cold water, expose to wind to cool down, and recover quickly.
If heart pain feels like stabbing, it is due to skipping meals and bathing, causing cold and heat to clash, Qi stagnation, and blockage in the heart. Drink hot wine frequently in any amount until the Qi moves and meridians unblock. Then shower with cold water and apply cold compresses to the painful area, replacing with warm ones as needed. Recovery is swift. After resolution, quickly consume cold food; more is better. Among all pains, heart pain is the most urgent and requires immediate rescue. See the Heart Pain section in the lower volume.
If acute onset with whole-body heat like boiling water, Qi stagnation, unconsciousness, occasional collapse, locked jaw, and lack of awareness, the key to rescue is hot drinks to guide Qi downward.
If dysentery resembles cold invasion, it is caused by walking, eating, or drinking while exposed to heat. Quickly remove clothes, eat cold food, drink chilled beverages, and wash with cold water to recover.
If joints ache throughout the body, it is due to sleeping in warm conditions and covering with heavy blankets without removing them. Use a single bed, thin blanket, and single-layer clothing, or wash with cold water. Treat urgently.
If trembling and aversion to cold, or fever resembling Warm Malaria, occur due to irregular eating, enduring hunger, lack of bathing, and consumption of spoiled food, urgently eat full portions of cold food, wash with cold water, and walk several times to recover.
If there is an aversion to food smells resembling dead matter, it is due to warm foods causing accumulation. Urgently purge with Sanhuang Tang (Three-Yellow Decoction). If not purged, recovery is impossible. See the Pressure Release section in the lower volume.
If throat pain, nasal congestion, and clear runny nose occur, it is due to warm clothing near fire sources. Quickly remove clothes, seek coolness in the wind, and press cold stones against the throat and nose. Recovery will be spontaneous; washing is unnecessary.
If chest and hypochondriac fullness with upward Qi reversal and vomiting occur, it is due to hunger without eating, causing drug Qi to rush upward. Quickly wash with cold water and eat cold rice to stop it.
If food is vomited immediately upon ingestion with no peace, it is due to accumulation. Urgently purge with Gancao Yin (Licorice Decoction). Failure to purge may endanger life. Gancao Yin Method:
Gancao (Licorice Root, roasted, 2 Liang) Dahuang (Rhubarb Root, soaked separately, 3 Liang) Huangqin (Scutellaria Root, 2 Liang)
Chop the above three ingredients, boil in 3 Sheng of water for two or three boils. Remove dregs and divide into doses. Stop when bowel movement becomes loose.
If difficult defecation and abdomen hard like a coiled snake occur, it is due to prolonged exposure to warmth causing dry feces retention. Consume Su Mi Gao (Butter and Honey Paste) 1-2 Sheng to moisten the intestines and promote evacuation. If ineffective, purge with Dahuang and Puxiao.
If strangury (Lin syndrome) occurs, it is due to long sitting in warm places, riding horses, or excessive heat entering the Bladder. Eat cold food, wash with cold water, and press cold stones on the abdomen. Recovery within one day. (*Qianjin Yifang*: If unresolved, purge; failure to purge may be fatal).
If chills and head tremors with loss of support occur, it is due to insufficient food, drug Qi overflowing into skin/muscles, Five Zang organs losing control, and Hundred Vessels shaking, clashing with Healthy Qi. Forcefully drink hot wine to harmonize vessels, force cold food to settle organs, force walking to regulate joints, and force bathing to unblock stagnation. Recovery ensues.
If urine is thick and frequent, it is due to eating hot foods and meats/biscuits. Wash abdomen with cold water and take Zhizi Tang (Gardenia Decoction).
Zhizi Ren (Gardenia Seed, 2 Liang) Gancao (Licorice Root, roasted) Mangxiao (Mirabilite, added when decoction is ready) Huangqin (Scutellaria Root, 2 Liang each)
Chop the above four ingredients, boil in 5 Sheng of water until 2 Sheng remain. Divide into two warm doses. Stop when purged.
If involuntary flatulence occurs, it is due to heat exposure without timely washing. Cold water washing resolves it.
If involuntary defecation with unawareness occurs, it is due to heat entering the Stomach and Large Intestine failing to retain. Cold washing resolves it.
If eye pain feels like stabbing, it is due to heat rushing to the Liver and eyes. Eat cold food frequently and wash with warm morning urine. Recovery within three days.
If tinnitus sounds like wind and discharge occurs, it is due to excessive labor and unregulated sexual activity, causing Qi to rush to the ears. Nourish with frequent meals and regulate sexual activity to recover.
If mouth ulcers, stiff dry tongue, and inability to taste occur, it is due to insufficient food, Grain Qi deficiency, and drug Qi accumulation in the Stomach tube. Urgently make Chi Tang (Bean Decoction).
Xiangchi (Fermented Soybean, 2 Sheng) Weirui (Polygonati Odorati Rhizoma) Gancao (Licorice Root, roasted, 2 Liang each) Maidong (Ophiopogon Tuber, de-core) Xiao [Mai/Bean] (Wheat/Bean, 3 Liang each)
Chop the above five ingredients, boil in 6 Sheng of water until 2 Sheng remain. Divide into three warm doses. Single large dose is better. Repeat preparation as needed.
If joint stiffness preventing flexion/extension occurs, it is due to prolonged rest, lack of labor/excretion, stagnant drug Qi gradually invading sinews and blood. Engage in exertion to warm up, then wash with cold water to recover.
If Wind-Cold or Warm Malaria occurs due to heat exposure, treat with standard remedies without fault. Do not use hot medicines. These formulas clear heat and break accumulations, compatible with Hanshi San. For those taking Hanshi San who suffer relapse after heat resolution, first rescue with Hanshi methods.
If alcohol intoxication is unresolved, food cannot go down, alternating chills and fever, heating causes fever while washing causes chill, lasting days to months, insomnia, sorrow, anger, palpitations, confusion, and forgetfulness occur, it is due to prolonged heat exposure, irregular living, warm food accumulation, internal heat clashing with drug Qi. Rescue methods fail. Historically, Lu from Huanfu family suffered suicide attempts during attacks despite restraint. Forced feeding helped reduce heat. Even with home remedies, patients forgot them during attacks, becoming dull and unresponsive. Many died. Thus, I selected my brother Shi Yuan's emergency method: combine Sanhuang Tang (Three-Yellow Decoction) and purge. Recovery follows. Record the method... [Text fragment].
If removing clothes causes chill and wearing clothes causes heat, it is due to discomfort in dressing/undressing. Wear lightly if slightly cold, remove if slightly warm. Washing brings refreshing recovery. Do not endure; endurance leads to disease formation. *Short Treatise* says: Washing brings clear recovery; do not endure washing, or disease forms.
If gum swelling, lip ulceration, loose painful teeth, and trismus occur, it is due to sitting in heat. Rescue promptly: open mouth facing wind to let cold air enter throat, rinse with cold water to recover.
If pulse is surging and solid, or absent/weak resembling death pulse, or fine, rapid, and wiry, the causes vary. Physicians recognize these pulses: Heat excess causes wiry pulse; Accumulation causes surging/solid pulse; Acute pain causes absent pulse. Generally, Hanshi drug heat presents thus. Without suffering, it is not fatal. Diligent regulation is key. If stool is thick/frequent due to prolonged sitting and loss of regulation, it is a sign of impending death. Difficult to treat. Purge with previous Dahuang, Huangqin, Zhizi, Mangxiao decoction. Only 1 in 10 might survive. This is a desperate measure; failure to purge leads to death, causing regret.
If the patient is exhausted but pulse persists, it is because drug Qi dominates the vessels while True Qi is exhausted. Drug Qi still circulates, so pulse continues. This is not vital energy. After death, body remains warm like living muscle, borborygmus occurs, complexion unchanged, turning corpse-like after 1-2 nights.
If whole-body edema prevents turning, it is due to prolonged sitting, lack of alcohol/drug metabolism, drug Qi stagnating in skin, blocking blood vessels. Drink alcohol, wash with cold water, and labor to recover. If unable to walk, assist forced movement until joints relax. Avoid overexertion causing rebound heat; if heat returns, wash again.
If cold food cannot be digested due to prolonged cold intake and loss of taste, make Baijiu Mi (White Wine Porridge) with lots of butter, eat hot in 1-2 meals. If slightly stuffy, consume chilled beverages/food to recover.
If lower body odor and rotting occur due to hot bedding, sit in cold water to recover. If insomnia at night due to insufficient food and internal heat, take Zhizi Tang formula.
Zhizi Ren (Gardenia Seed, 14 pieces) Dahuang (Rhubarb Root, 3 Liang) Huangqin (Scutellaria Root, 2 Liang)
Chop, boil in 5 Sheng water until 3 Sheng remain. Remove dregs, divide into 3 doses. Mild diarrhea followed by frequent meals ensures sleep.
If vomiting/regurgitation with bloody injury in throat occurs due to warm sleeping and hot food, drink cold water and press cold stones on throat to recover.
If drug effect causes lying quiet and refusing speech, it is due to excess heat and insufficient food, losing nature. Give hot wine, cold wash, cold food, and self-labor to recover. (*Qianjin Yifang*: Drug effect causes corpse-like lying/unconsciousness due to heat excess, insufficient food, evil clashing with healthy nature).
If limbs and face swell due to prolonged warm diet/lack of labor, separating drug Qi from Healthy Qi, give hot wine, cold food, self-labor, and bathing to recover. (*Qianjin Yifang*: Drug Qi merges with Healthy Qi).
If breath smells like hatching eggs due to warm clothing, or scrotal rot due to sitting in heat, enter cold water or undress/wash to recover spontaneously.
If sudden blindness occurs due to warm diet/living, undress, cold wash, and eat cold food for quick recovery.
If wandering muscle pain occurs due to heat exposure (not wind-cold), cold wash and cold stone pressing bring recovery.
If medication causes mental confusion due to warm drugs clashing with disease, induce vomiting. If vomiting fails, death ensues. If vomiting continues, eat cold food/drink to recover. If unconscious with locked jaw, cut teeth and灌 hot wine. Swallow and vomit repeatedly. Once wine Qi descends, recovery within half a day.
If lethargy/unawareness occurs due to prolonged sitting in heat/stuffiness, cold wash and cold food bring recovery.
If skin hard as stone, immobile, due to warm food/sleep accumulation, Five Zang blockage, and vessel obstruction, urgently purge with previous Sanhuang Tang. Eat cold food, drink hot wine, and labor to recover.
If arm/leg spasm/pain occurs due to prolonged warm sitting/sleeping, Qi entering Lung/Spleen/Stomach, frequently apply cloth towels soaked in cold water. Replace when warm. Recovery within three days. (*Qianjin Yifang*: Heat enters abdomen attaching to bone).
If abdominal/back heat lumps (size of nut/cup/dish) occur, press with cold stones locally.
If toe webbing sores occur due to warm shoes/socks, walk on cold ground and wash feet with cold water to recover.
Formula for oral heat/pain/restlessness:
Sheng Jizi (Raw Chicken Egg, 5 pieces)
Take all at once. Immediate cure.