答曰。胸痹者。繇寒气客于脏腑。气上冲心。胸下 如满。噎塞习习痹痛。饮食不下。谓
之胸痹也。脾胃渐弱。乃至毙人。妊妇为患。亦损伤胎也。
枳实理中汤丸。治结胸欲绝。心膈高起。手不可近。
白茯苓 人参(各二两) 枳实(十六片) 干姜(炮) 白术(各二两) 甘草(炙二两)
上为细末。蜜丸如鸡子黄大。每服一丸。热汤化下。连进二三服。胸中豁然而开。渴者加栝
蒌根二两。下痢者加牡蛎二两。
桔梗枳壳汤。治痞气胸满欲绝。
枳壳 桔梗(汤洗去穣各一两)
上锉麻豆大。分二服。水二盏。煎一盏。去滓温服。不拘时。
沉香理气汤。治气滞不和。胸膈虚痞。
丁香 檀香 木香(各半两) 藿香(二两) 甘草(二两) 砂仁(半两) 白豆蔻(一两用仁)
沉香 乌药 人参(各一两)
上为末。每服一钱。入盐一字。沸汤点服。不拘时。
调气丸。治气道不顺。胸膈壅塞。
青皮(炒) 陈皮(炒) 木香(各一两不见火)
上各锉碎。用牵牛末四两炒。牵牛末焦黄。筛去不用。以三味为细末。
蜜丸桐子大。每服五十丸。空心姜汤送下。
答曰。风是四时八方之气。常以冬至日候之。风从其方来者。长养万物。不从其方来者。乃
名虚邪贼风。体虚之人中之者。随其虚而为病也。夫五脏六腑之俞。皆在于背。脏腑既虚。
则邪乘虚而入伤。随其脏腑所感而发。时能言者可治。不能言者难治。若伤太阳之经。复遇
寒湿相搏。口噤背强。名之曰 。故妊娠而发者。闷冒不识人。须臾则醒。醒而复发。名曰
子痫。又名子冒。久则变成 。妊娠忽闷。眼直不识人。须臾醒。醒复发似不醒者。名曰 病
。亦号子痫。亦号子冒。以葛根汤。若有竹近可速办。当先作竹沥汤。其竹远不可即办者。
当先办葛汤。此二物偏疗诸 。绝可以起死也。小儿忽痫 。与金疮疗之亦验。作竹沥法于
后。
取新伐青淡竹断之。除两头节。作片。以砖并侧。令竹两头虚。布列其上。烧中央两头汁
出。以器盛之取服。
葛根汤。疗妊娠临月。因发风 。忽闷愦不识人。吐逆睡少醒复发。名为子痫。
贝母 葛根 牡丹皮(去心) 防己 防风 当归 芎 肉桂(取肉) 白茯苓 泽泻 甘草
(炙各二两) 独活 石膏 人参
上件以水六升。煮取三升。分三服。其贝母令人易产。若未临月者。以升麻代之。忌海藻菘
菜物。
答:胸痹,是由于寒气侵入脏腑,气机上冲至心部,胸部下方感觉胀满,咽喉噎塞,身体有麻木疼痛感,饮食难以下咽,这称为胸痹。脾胃功能逐渐虚弱,甚至会导致死亡。孕妇患此病,也会损伤胎儿。
枳实理中汤丸,治疗结胸证严重到极点,心窝和膈部高高隆起,手不能靠近触碰。
药材组成:白茯苓、人参(各二两)、枳实(十六片)、干姜(炮制)、白术(各二两)、甘草(炙制,二两)。
制作与服用方法:将上述药材研成细末,用蜂蜜制成如鸡蛋黄大小的蜜丸。每次服用一丸,用热开水化开送服。连续服用二三剂后,胸中豁然开朗。若伴有口渴症状,加栝蒌根二两;若伴有下痢症状,加牡蛎二两。
桔梗枳壳汤,治疗痞气导致胸中胀满近乎窒息。
药材组成:枳壳、桔梗(用热水洗去瓤,各一两)。
制作与服用方法:将药材切碎如麻豆大小,分为两次服用。用水两盏,煎煮至一盏,滤去药渣,温服。不拘泥于固定时间。
沉香理气汤,治疗气机滞涩不和,胸膈部位虚性痞满。
药材组成:丁香、檀香、木香(各半两)、藿香(二两)、甘草(二两)、砂仁(半两)、白豆蔻(一两,取仁)、沉香、乌药、人参(各一两)。
制作与服用方法:将上述药材研为粉末。每次服用一钱,加入少许盐(一字量),用沸水冲服。不拘泥于固定时间。
调气丸,治疗气道不顺,胸膈壅塞不通。
药材组成:青皮(炒制)、陈皮(炒制)、木香(各一两,忌见火)。
制作与服用方法:将上述三味药分别切碎,用牵牛子末四两同炒,待牵牛子末炒至焦黄色后,筛去不用。将剩下的三味药研为细末,用蜂蜜制成如梧桐子大小的蜜丸。每次服用五十丸,空腹时用姜汤送服。
答:风是四季八方来的风气,通常在冬至日观察其变化。从正当方位吹来的风,能长养万物;不从正当方位吹来的风,被称为虚邪贼风。体质虚弱的人受到这种风的侵袭,会顺着其虚损之处而发病。五脏六腑的腧穴都位于背部,脏腑既已虚弱,邪气便乘虚而入造成伤害,根据所感脏腑的不同而引发相应病症。如果患者还能说话,是可以治疗的;如果不能说话,则难以治疗。如果伤及太阳经,又遇到寒湿相互搏结,出现牙关紧闭、背部强直的症状,这就称为“痓”(注:原文此处缺字,据中医理论补全为痓或痉,但按规则不增添内容,故译为描述症状)。因此,妊娠期间发作的,表现为头晕昏闷、不认识人,片刻后苏醒,醒来后又再次发作,这称为“子痫”,也称为“子冒”。时间久了可能转变为其他病症(注:原文缺字)。妊娠期间突然昏闷,眼睛直视、不认识人,片刻后苏醒,醒来后又发作,看起来像没醒一样,这称为“病”(注:原文缺字,通常指子痫相关变证),也称为子痫,也称为子冒。使用葛根汤治疗。如果有竹子就近可快速取得,应当先制作竹沥汤。如果竹子远不便立即取得,应当先制备葛根汤。这两种药物特别擅长治疗各种“痓”(注:原文缺字,结合上下文推断为痓病/惊风类),绝对可以起死回生。小儿突发癫痫惊风,用金疮药(此处语境似指外用或特定疗法,原文表述较简略)治疗也有效。制作方法如下:
取新砍伐的青淡竹,截断,去掉两头节,切成片,竖立放置在砖上,使竹子的两头悬空。在中间和两头烧灼,让汁液流出,用容器盛接服用。
葛根汤,治疗妊娠临产月时,因受风邪侵袭,突然昏闷不识人,呕吐逆气,睡眠少且易惊醒复发,名为子痫。
药材组成:贝母、葛根、牡丹皮(去心)、防己、防风、当归、芎䓖(川芎)、肉桂(取肉)、白茯苓、泽泻、甘草(炙制,各二两)、独活、石膏、人参。
制作与服用方法:以上药材用水六升,煮取三升,分三次服用。其中贝母有助于顺利生产。如果未到临产月,可用升麻代替贝母。忌食海藻、菘菜等食物。
Answer: Xiongbi (Chest Bi Syndrome) is caused by cold pathogenic qi invading the zang-fu organs, with qi rushing upward to the heart. There is a sensation of fullness below the chest, dysphagia (difficulty swallowing), and a numb, painful obstruction in the throat. Food and drink cannot go down. This is called Xiongbi. As the spleen and stomach gradually weaken, it can lead to death. If pregnant women suffer from this, it also damages the fetus.
Zhishi Lizhong Wan (Bitter Orange and Atractylodes Decoction Pills) treats severe Jiechest (Chest Binding Syndrome) where the epigastrium and diaphragm are elevated and tender to touch.
Ingredients: Poria (Fu Ling), Ginseng Radix et Rhizoma (Ren Shen) (each 2 liang); Immature Bitter Orange Fructus (Zhi Shi) (16 slices); Dried Ginger Rhizoma (Gan Jiang) (prepared); Atractylodis Macrocephalae Rhizoma (Bai Zhu) (each 2 liang); Licorice Root Radix et Rhizoma (Gan Cao) (roasted, 2 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Make honey pills the size of a chicken egg yolk. Take one pill per dose, dissolve in hot water, and swallow. Continue for two or three doses until the chest feels open and clear. If thirst is present, add Trichosanthes Root Radix Trichosanthis (Gua Lou Gen) 2 liang. If diarrhea is present, add Oyster Shell Concha Ostreae (Mu Li) 2 liang.
Jiegeng Zhike Tang (Platycodon and Bitter Orange Decoction) treats Piqi (Stagnant Qi) causing chest fullness nearing suffocation.
Ingredients: Bitter Orange Fructus (Zhi Ke), Platycodon Root Radix Platycodi (Jie Geng) (washed with boiling water to remove pith, each 1 liang).
Preparation and Administration: Cut the herbs into pieces the size of hemp seeds. Divide into two doses. Add two cups of water, decoct to one cup, remove dregs, and take warm. No fixed time required.
Chenxiang Liqi Tang (Agarwood Regulating Qi Decoction) treats stagnant and discordant qi, causing empty fullness in the chest and diaphragm.
Ingredients: Clove Flos Dingxiang (Ding Xiang), Sandalwood Lignum Santali Albi (Tan Xiang), Costus Root Radix Aucklandiae (Mu Xiang) (each 0.5 liang); Patchouli Herba Huoxiang (Huo Xiang) (2 liang); Licorice Root Radix et Rhizoma (Gan Cao) (2 liang); Amomum Fruit Fructus Amomi (Sha Ren) (0.5 liang); White Cardamom Seed Semen Cardamomi Albii (Bai Dou Kou) (1 liang, kernel only); Agarwood Lignum Aquilariae Resinatum (Chen Xiang); Cinnamon Twig Ramulus Cinnamomi (Wu Yao); Ginseng Radix et Rhizoma (Ren Shen) (each 1 liang).
Preparation and Administration: Grind into powder. Take one qian per dose, add a pinch of salt (yi zi), and brew with boiling water. No fixed time required.
Tiaoqi Wan (Qi-Regulating Pills) treats unsmooth qi flow and congestion in the chest and diaphragm.
Ingredients: Green Tangerine Peel Pericarpium Citri Reticulatae Viride (Qing Pi) (stir-fried); Tangerine Peel Pericarpium Citri Reticulatae (Chen Pi) (stir-fried); Costus Root Radix Aucklandiae (Mu Xiang) (each 1 liang, avoid fire).
Preparation and Administration: Chop the three herbs separately. Stir-fry with 4 liang of Semen Kochiae (Qian Niu) powder until the powder turns scorched yellow, then sieve out and discard the powder. Grind the remaining three herbs into fine powder. Make honey pills the size of Sophora Seeds Semen Sophorae Japonicae (Tong Zi). Take 50 pills per dose, with ginger tea on an empty stomach.
Answer: Wind refers to the air currents from the eight directions across the four seasons. Its nature is usually observed on the Winter Solstice. Wind coming from its proper direction nourishes all things; wind not coming from its proper direction is named Xuexie Zeifeng (Empty Evil and Robber Wind). When persons with weak constitutions are affected by it, disease arises according to their specific deficiencies. The Shu points of the five zang and six fu organs are all located on the back. Once the zang-fu are deficient, evil pathogens enter through the deficiency and cause damage, manifesting according to the affected organ. If the patient can speak, it is treatable; if they cannot speak, it is difficult to treat. If the Taiyang Meridian is injured and combined with cold-dampness, resulting in trismus (lockjaw) and rigidity of the back, it is named [Chi] (Spasm/Crisis). Therefore, when occurring during pregnancy, characterized by dizziness, fainting, loss of consciousness, followed by waking up after a moment, only to relapse, it is named Zixian (Eclampsia of Pregnancy), also known as Zimao (Pregnancy Dizziness/Fainting). Over time, it may transform into [other conditions]. Sudden fainting during pregnancy with eyes staring straight ahead and loss of recognition, waking up after a moment, then relapsing appearing unconscious, is named [Disease Name Missing], also called Zixian, also called Zimao. Use Gegen Tang (Kudzu Decoction) for treatment. If bamboo is nearby and readily available, prepare Zhuli Tang (Bamboo Sap Decoction) first. If bamboo is distant and not immediately available, prepare Gegen Tang first. These two substances are particularly effective in treating various [Chi/Spasms] and can absolutely revive the dying. For infants suddenly suffering from epilepsy or spasms, treating them with methods for golden wounds (trauma) is also effective. The method for making bamboo sap is as follows:
Take newly felled green Danzhu (Qingdanzhu), cut it, remove the nodes at both ends, slice it, and place it vertically on bricks so that both ends hang empty. Burn the center and both ends to extract the juice, collect it in a vessel, and administer orally.
Gegen Tang (Kudzu Decoction) treats eclampsia of pregnancy near term, caused by wind invasion, leading to sudden confusion, loss of consciousness, vomiting, restlessness, frequent waking, and relapse.
Ingredients: Fritillaria Bulb Bulbus Fritillariae Cirrhosae (Beimu), Kudzu Root Radix Puerariae Lobatae (Gegen), Tree Peony Root Cortex Moutan Radicis (Mudan Pi) (remove heart), Penthorum Herb Herba Penthorii Chinensis (Fangji), Saposhnikovia Root Radix Saposhnikoviae (Fangfeng), Angelica Sinensis Root Radix Angelicae Sinensis (Danggui), Ligusticum Chuanxiong Rhizome Rhizoma Chuanxiong (Xiong), Cinnamon Bark Cortex Cinnamomi Rougui) (take bark), Poria (Fuling), Alisma Rhizome Rhizoma Alismatis (Zexie), Licorice Root Radix et Rhizoma (Gancao) (roasted, each 2 liang), Achyranthes Root Radix Achyranthis Bidentatae (Duhuo), Gypsum Fibrosum Shigao, Ginseng Radix et Rhizoma (Renshen).
Preparation and Administration: Add six sheng of water to the above ingredients, decoct to obtain three sheng. Divide into three doses. Beimu facilitates easy childbirth. If not yet near term, replace Beimu with Cimicifugae Rhizoma (Shengma). Avoid consuming Seaweed (Haizao) and Brassica vegetables (Songcai).