治气虚阳脱,体冷无脉,气息欲绝,不省人事,及伤寒阴厥,百药不效者。
上用葱一束,以索缠如饼 大,去根叶,唯存白长二寸许,先以火烧,一面令通热,
勿至灼人,乃以热处着病患脐下,上以熨斗盛火熨之,令葱饼热气透入腹中,更作三四饼,
遇一饼坏不可熨,即易一饼。候病醒,手足温,有汗乃瘥,更服四逆汤,以温其中。昔曾有
患伤寒,冥冥不知人,四肢坚冷如石,药不可入,用此遂瘥。一方用酽醋拌麸炒热,注布袋
中蒸熨,比上法尤佳。
治阴胜隔阳伤寒,其人必躁热而不欲饮水是也。
上用附子一枚,烧为灰,存性为末,作一服,蜜水调下而愈,此逼散寒气,然后热气上
行,而汗出乃愈。
解利两感神方。天之邪气,感则害人五脏,以是知内外两感,腑脏俱病,欲表之则有里,
欲下之则有表,表里既不能一治,故云两感者不治,然所禀有虚实,所感有浅深,虚而感之
深者必死,实而感之浅者尤或可治,治之而不救者有矣,未有不治而获生者也。予尝用此,
间有生者,十得二三,故立此方,以待好生君子用之。
羌活 独活 防己 防风 黄芩 黄连 苍术(制) 白术 甘草(炒) 川芎 细辛
(各
上 咀,每服秤半两,水二大盏,煎至一盏半,去滓,得清药一大盏,热饮之,不解
再服,三四解之亦可,病愈则止。若有余证,并根据仲景随经法。
治疗气虚阳气外脱,身体冰冷无脉象,气息微弱似将断绝,神志昏迷不省人事,以及伤寒阴厥证,服用各种药物无效的患者。
取葱一束,用绳子捆扎成如饼状大小,去掉根部和叶片,只保留长约二寸的白色部分,先在火上烧,使一面完全变热,但不要烫伤人,然后将发热的一面贴在患者肚脐下方,上面用熨斗盛火熨烫,使葱饼的热气透入腹中,再制作三四张葱饼,遇到一张葱饼损坏无法继续熨烫时,就换一张新的。等到病人苏醒,手足变暖,出汗后病就好了,再服用四逆汤,以温补中焦。过去曾有患伤寒症,昏迷不知人事,四肢坚硬冰冷如石头,药物无法服下的情况,使用此法随即痊愈。另一方法是用浓醋拌麦麸炒热,装入布袋中蒸熨,比上述方法更好。
治疗阴寒过盛格拒阳气的伤寒症,这类患者必定表现为躁热但不想喝水。
取附子一枚,烧成灰,保留药性研为细末,作为一服的量,用蜂蜜水调服即可痊愈,这是为了逼迫散寒气,然后热气上行,出汗后病愈。
解除并治疗两感证的特效方。天的邪气,侵入则伤害五脏,因此可知内外同时受邪,脏腑都患病,想要解表则有里证阻碍,想要攻下则有表证未除,表里既不能同时治疗,所以说两感证是不治之症。然而,人的禀赋有虚实之分,感受邪气有深浅之别,体质虚弱而感受邪气深的必然死亡,体质充实而感受邪气浅的或许还可以治疗,虽然治疗了但未能救活的也有,但没有不治疗而能存活的。我曾使用此方,偶尔有存活者,十人中能救活两三人,所以制定此方,以待喜爱救人的君子使用。
羌活、独活、防己、防风、黄芩、黄连、苍术(炮制)、白术、甘草(炒)、川芎、细辛(各等份)
以上药材切碎,每次称取半两,加水两大盏,煎煮至一盏半,滤去药渣,取得澄清药液一大盏,趁热饮用,若症状未解再服,服用三四次解表也可,病愈即止。若有其他兼证,均根据张仲景随经论治的方法处理。
Treats conditions of Qi deficiency and Yang collapse, characterized by cold body, absence of pulse, faint breath as if about to cease, unconsciousness, as well as Yin-cold Jue (cold extremities) in Shanghan (Cold Damage), where various medicines have failed.
Take a bundle of green onions, tie them with a rope into a cake-like shape, remove roots and leaves, keeping only the white parts approximately two cun long. First, heat one side over fire until thoroughly hot, but not scalding. Place the heated side on the patient's lower abdomen (below the umbilicus), and use an ironing device filled with fire to press over it, allowing the heat from the onion cake to penetrate into the abdomen. Prepare three or four such cakes; replace a cake when it becomes damaged or ineffective. Wait until the patient regains consciousness, hands and feet become warm, and sweating occurs, indicating recovery. Subsequently, administer Sini Tang (Four Reversal Decoction) to warm the Middle Jiao. Previously, there was a case of Shanghan where the patient was unconscious, limbs were hard and cold as stone, and medicines could not be taken; this method resulted in immediate recovery. Another method involves mixing bran with strong vinegar, stir-frying until hot, placing it in a cloth bag, and steaming/ironing; this is superior to the above method.
Treats Shanghan caused by excessive Yin overcoming and repelling Yang, where the patient exhibits restlessness and heat sensation but no desire to drink water.
Take one Fuzi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*), burn it to ash while preserving its medicinal properties, grind into powder, and take as a single dose, mixed with honey water for administration. This expels and disperses cold pathogenic factors, allowing warm Qi to ascend, leading to sweating and recovery.
An efficacious formula for resolving and treating Lianggan (Double Exposure/Simultaneous Taiyang and Shaoyin involvement). Heavenly pathogenic qi, when invading, harms the Five Zang organs. Thus, it is known that simultaneous external and internal invasion results in disease of both Fu and Zang organs. If one attempts to release the exterior, the interior condition obstructs; if one attempts to purge the interior, the exterior condition remains. Since the exterior and interior cannot be treated simultaneously, it is said that Lianggan is incurable. However, constitution varies between deficiency and excess, and pathogenic depth varies. Those who are deficient and deeply affected will surely die; those who are solid and lightly affected may still be treatable. Although some cases treated fail to recover, none survive without treatment. I have used this formula occasionally with survival rates of two or three out of ten. Therefore, this formula is established for benevolent physicians to use.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangji (Stephaniae Tetrandrae Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Cangzhu (Atractylodis Rhizoma, processed), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma) [Equal parts].
Chop the above herbs. For each dose, weigh half liang, add two large zhen of water, decoct until one and a half zhen remains. Strain the dregs, obtain one large zhen of clear liquid, and drink it hot. If symptoms do not resolve, take another dose. Three or four doses to resolve the exterior are acceptable. Stop when the illness is cured. If there are residual symptoms, follow Zhongjing's methods of treating according to the meridians.