答曰。世言气中者。虽不见于方书。然暴喜伤阳。暴怒伤阴。亦气中之源也。况忧愁不意。
气多厥逆。往往多得此疾。便觉涎潮昏塞。牙关紧急。若概作中风候用药。非止不相当。多
致杀人。经云。无故而喑。脉不至。不治自已。谓气暴逆也。气复则已。故猝然而死。少间
复苏者。正谓此也。
苏合香丸。疗传尸骨蒸。 肺痿疰忤。鬼猝心痛。霍乱吐利时气。鬼魅瘴疟。赤白暴利。
瘀血月闭。 癖下肿。惊痫鬼忤中人。小儿吐利乳。大人狐狸等病。
苏合香油(一两入安息香膏内) 白术(二两) 丁香(二两) 朱砂(二两水飞研) 安息香(二
两另为末用无灰好酒一升熬膏) 木香(二两) 白檀香(二两) 薰陆香(另研一两) 沉香(二
两) 乌犀屑(二两) 荜茇(二两) 香附子(二两炒) 诃梨勒(煨去复选皮二两) 麝香(另研
二两) 龙脑(研一两)
上为细末研药和。用安息膏并炼白蜜和剂。每服旋丸如梧桐子大。
早朝取井华水。温冷任意。化服四丸。
答曰。风者。阳之气也。寒者。阴之邪也。阴气上升入阳中则发寒。阳气下陷入阴中则发热
。阴阳偏胜。寒热互作。经曰。夏伤于暑。秋必病疟者。是也。妇人之病。证见寒热邪非暑
气者。皆繇营卫之兆作也。且卫者气也。气为阳。阳微则恶寒。营者血也。血为阴。阴弱则
发热。故妇人寒热。多因气血之所使也。或劳伤而体弱。或经闭而寒热。若此之类。久而不
已。则成虚损之疾也。
必应散。治久寒热。如疟状。
熟地 槟榔 陈皮 草果(去皮) 当归 砂仁 甘草(炙) 柴胡(以上各等分)
上为粗末。每服三钱。水二盏。姜五片。煎八分。去滓无时温服。合药时。忌鸡犬妇人见。
赤芍 白术(各二两) 赤茯 当归 肉桂 鳖甲 川芎 枳壳 柴胡 黄 秦艽 桔梗
橘红 甘草(各一两) 木香
上为 咀。每服三钱。水二盏。姜五片。枣一枚。煎至八分。去滓温服。不拘时。
回答说:世人所说的“气中”,虽然在医方书籍中没有明确记载,但大喜会损伤阳气,大怒会损伤阴气,这也是导致气机逆乱(气中)的根源。何况那些因意外忧愁而致病的人,往往因为气机严重上逆,常常患上这种病。患者会感觉痰涎涌盛、神志昏蒙堵塞,牙关紧闭。如果一概按照中风的症状来用药,不仅不对症,还多会导致死亡。医经说:“无故失音,脉搏摸不到,不用治疗也会自愈。”这是指气机突然逆乱所致。当气机恢复正常运行后,病症就会消失。所以那种突然看似死亡,过一会儿又苏醒过来的情况,正是说的这种现象。
苏合香丸,用于治疗传尸骨蒸(一种慢性消耗性传染病)、肺痿疰忤(肺部虚损及邪气侵扰)、鬼猝心痛(突发性心绞痛)、霍乱吐利时气(流行性胃肠炎)、鬼魅瘴疟(恶性疟疾)、赤白暴利(严重的痢疾)、瘀血月闭(瘀血导致的闭经)、癖下肿(腹部积块肿胀)、惊痫鬼忤中人(小儿惊风及邪气侵扰)、小儿吐利乳(小儿呕吐腹泻及哺乳问题)、大人狐狸等病(狐惑病等疑难杂症)。
配方组成:苏合香油(一两,加入安息香膏内)、白术(二两)、丁香(二两)、朱砂(二两,水飞研磨)、安息香(二两,另研为末,用无灰好酒一升熬成膏)、木香(二两)、白檀香(二两)、薰陆香(另研,一两)、沉香(二两)、乌犀屑(二两)、荜茇(二两)、香附子(二两,炒制)、诃梨勒(煨制去复选皮,二两)、麝香(另研,二两)、龙脑(研细,一两)。
以上药材制成细末,将药物与药粉混合。用安息香膏和炼过的白蜜调和成药剂。每次服用旋丸如梧桐子大小。
早晨取井华水(清晨第一次汲取的井水),温度冷热随意,化开服用四丸。
回答说:风,属于阳性的气;寒,属于阴性的邪气。阴气上升进入阳分则发冷,阳气下陷进入阴分则发热。阴阳偏胜,寒热交替发作。医经说:“夏天被暑气所伤,秋天必定患疟疾”,说的就是这个道理。妇女的疾病,症状表现为寒热往来,但不是由暑气引起的,都是因为营卫失调所致。而且,“卫”指的是气,气属阳,阳气微弱则怕冷;“营”指的是血,血属阴,阴血虚弱则发热。所以妇女的寒热症状,多是由气血失调引起的。或者是劳累损伤导致身体虚弱,或者是月经闭止导致寒热往来。像这类情况,如果长期不愈,就会形成虚损性疾病。
配方组成:熟地黄、槟榔、陈皮、草果(去皮)、当归、砂仁、甘草(炙烤)、柴胡(以上各等分)。
以上药材制成粗末。每次服用三钱,加水两盏,生姜五片,煎至八分满,去掉药渣,随时温服。配药时,忌讳鸡、狗和妇女看见。
另一配方:赤芍、白术(各二两)、赤茯苓、当归、肉桂、鳖甲、川芎、枳壳、柴胡、黄芩、秦艽、桔梗、橘红、甘草(各一两)、木香。
以上药材切碎。每次服用三钱,加水两盏,生姜五片,大枣一枚,煎至八分满,去掉药渣,温服,不限时间。
Answer: What the world calls "Qi Zhong" (sudden collapse due to emotional Qi stagnation), although not explicitly recorded in medical formularies, stems from the fact that excessive joy damages Yang Qi and excessive anger damages Yin Qi. Furthermore, individuals suffering from unexpected sorrow often experience severe Qi reversal, frequently contracting this disease. Patients may feel a surge of phlegm-fluids, mental confusion, and obstruction, along with lockjaw. If treated generally as stroke symptoms, it is not only inappropriate but often fatal. The Classics state: "Sudden aphonia with absent pulse will resolve spontaneously." This refers to sudden Qi rebellion; once Qi returns to normal, the condition resolves. Thus, the phenomenon of sudden apparent death followed by recovery after a short while precisely describes this condition.
Suhe Xiang Wan (Styrax Pill) treats transmissive consumption with bone-steaming fever, lung wasting with parasitic invasion, sudden heart pain caused by malevolent spirits, cholera with vomiting and diarrhea, seasonal epidemic pathogens, miasmic malaria, severe dysentery with red and white discharge, blood stasis causing amenorrhea, abdominal masses with swelling, fright epilepsy caused by malevolent invasion, pediatric vomiting and diarrhea related to breastfeeding, and adult conditions such as Huoxuan disease (fox-spirit disease).
Ingredients: Suhe Xiang You (Styrax Oil, 1 liang, added to Anxi Xiang Gao); Baizhu (Atractylodis Rhizoma, 2 liang); Dingxiang (Caryophylli Flos, 2 liang); Zhusha (Cinnabar, 2 liang, washed with water and ground); Anxi Xiang (Styrax Resin, 2 liang, ground separately into powder, decocted with 1 sheng of pure wine without ash into a paste); Muxiang (Aucklandiae Radix, 2 liang); Baitan Xiang (Santalum Album Lignum, 2 liang); Xunlu Xiang (Olibanum, 1 liang, ground separately); Chenxiang (Aquilariae Lignum Resinatum, 2 liang); Wuxi Xie (Rhinocerotis Cornu, 2 liang); Bibo (Piperis Longi Fructus, 2 liang); Xiangfuzi (Cyperi Rhizoma, 2 liang, stir-fried); Helile (Terminalia Chebula Retz., 2 liang, baked and peeled); Shexiang (Moschus, 2 liang, ground separately); Longnao (Borneolum Syntheticum, 1 liang, ground).
Grind all ingredients into fine powder and mix thoroughly. Combine with Styrax paste and refined white honey to form pills. Roll into pills the size of Sophora japonica seeds.
In the morning, take Jinghua Water (first-drawn well water at dawn), at any temperature suitable, and dissolve four pills for administration.
Answer: Wind is Yang Qi; Cold is Yin pathogen. When Yin Qi rises into the Yang aspect, chills occur; when Yang Qi sinks into the Yin aspect, fever occurs. Yin-Yang imbalance leads to alternating chills and fever. The Classics state: "Summer injury by heat causes autumn malaria," which illustrates this principle. In women, symptoms of alternating chills and fever not caused by summer heat are due to disharmony of Ying (Nutritive) and Wei (Defensive) mechanisms. Wei corresponds to Qi, which is Yang; weak Yang results in aversion to cold. Ying corresponds to Blood, which is Yin; deficient Yin results in fever. Therefore, women's alternating chills and fever are mostly caused by Qi and Blood disorders. Whether due to labor-induced weakness or amenorrhea leading to chills and fever, if prolonged, these conditions develop into deficiency consumptive diseases.
Biying San (Must-Respond Powder) treats chronic alternating chills and fever resembling malaria.
Ingredients: Shudi (Rehmanniae Radix Preparata), Binglang (Arecae Semen), Chenpi (Citri Reticulatae Pericarpium), Caoguo (Tsaoko Fructus, peeled), Danggui (Angelicae Sinensis Radix), Sharen (Amomi Fructus Rotundus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chaihu (Bupleuri Radix) — all in equal proportions.
Grind into coarse powder. Take 3 qian per dose, add 2 zhan of water and 5 slices of ginger, decoct until reduced to 8 fen. Strain and take warm at any time. During preparation, avoid exposure to chickens, dogs, and women.
Another formula: Chishao (Paeoniae Radix Rubra), Baizhu (Atractylodis Rhizoma, each 2 liang), Chifu (Poria Cocos), Danggui (Angelicae Sinensis Radix), Rougui (Cinnamomi Cortex), Biejia (Testudinis Carapax et Plastrum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhiqiao (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Jiegeng (Platycodonis Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 liang), Muxiang (Aucklandiae Radix).
Cut into pieces. Take 3 qian per dose, add 2 zhan of water, 5 slices of ginger, and 1 jujube, decoct until reduced to 8 fen. Strain and take warm, without restriction on timing.