外物惊宜镇心黄连安神丸若气动所惊宜寒水石安神丸大忌防风丸防风辛温之药必杀人何
也辛
散浮温热者火也能令母实助子之气盛皆杀人也如因惊而泻青色先镇肝以朱砂之类勿用寒凉之
气大禁凉惊丸风木旺必克脾胃当先实其土后泻其木阎孝忠编集钱氏方以益黄补土误矣其药有
丁香辛热助火火旺土愈虚矣青橘皮泻肺金丁香辛热大泻肺与大肠脾实当泻子今脾胃虚反更泻
子而助火重虚其土杀人无疑矣其风木旺证右关脉洪大掌中热腹皮热岂可以助火泻金如寒水来
乘脾土其病呕吐腹痛泻痢青白益黄散圣药也今立一方先泻火补金大补其土是为神治之法以黄
二钱人参一钱炙甘草五分加白芍药一钱此四味皆甘温能补元气甘能泻火内经云热淫于内以
甘泻之以酸收之白芍药酸寒寒能泻火酸味能泻肝而大补肺金所补得金土之位金旺火虚风木何
由而来克土然后泻风之邪夫益黄散理中丸养神之类皆治脾胃寒湿大盛神品之药也若得脾胃中
伏火劳役不足之证及服热药巴豆之类胃虚而成慢惊之证用之必伤人命夫慢惊风者皆由久泻脾
胃虚而生也钱氏以羌活膏疗慢惊风误矣脾虚者由火邪乘其土位故曰从后来者为虚邪火旺能实
其木木旺故来克土当于心经中以甘温补土之源更于脾土中泻火以甘寒更于脾土中补金以酸凉
致脾土中金旺火衰风木自虚矣
外物惊吓所致者,适宜使用镇心黄连安神丸。若因气机逆乱所致的惊风,适宜使用寒水石安神丸。大忌使用防风丸,因为防风是辛温的药物,必然导致死亡。为什么呢?辛味发散,浮热属火,能使母脏(肝)实盛,助长子脏(心)之气过盛,这都是致人死亡的原因。如果因惊吓而导致腹泻,大便呈青色,应先以朱砂之类药物镇肝,严禁使用寒凉之气。大禁使用凉惊丸,因为风木旺盛会克制脾胃,应当先充实脾胃之土,然后再泻其风木。阎孝忠编集钱乙的方子时,用益黄散来补土,这是错误的。该药中有丁香,性味辛热,会助长火势,火旺则脾土更加虚弱。青橘皮泻肺金,丁香辛热,大泻肺与大肠;脾实当泻其子(心),如今脾胃虚反而更泻其子而助火,使脾土双重虚弱,杀人无疑。那些风木旺盛的证候,右关脉洪大,手掌中发热,腹部皮肤发热,岂可以用助火、泻金的药物?如果是寒水来乘袭脾土,其病表现为呕吐、腹痛、泻痢且大便青白,益黄散是圣药。现在确立一方:先泻火、补金,大补其土,这是神妙的治疗方法。用黄芪二钱,人参一钱,炙甘草五分,加白芍药一钱。这四味药都是甘温之品,能补元气;甘味能泻火,《内经》说:“热淫于内,以甘泻之,以酸收之。”白芍药酸寒,寒能泻火,酸味能泻肝而大补肺金。这样使得金、土之位得补,金旺则火虚,风木从何而来克伐脾土?然后才能泻去风邪。至于益黄散、理中丸、养神丹之类,都是治疗脾胃寒湿大盛的神妙药物。如果得到的是脾胃中伏有火热、劳役不足之证,以及服用热药、巴豆之类导致胃虚而成的慢惊风证,使用这些药物必然会伤害人命。所谓慢惊风,都是由久泻导致脾胃虚弱而生成的。钱乙用羌活膏治疗慢惊风是错误的。脾虚是因为火邪乘袭其土位,所以说“从后来者为虚邪”。火旺能使其木实,木旺故来克土。应当在心经中以甘温药物补土之源,更在脾土中用甘寒药物泻火,更在脾土中用酸凉药物补金,致使脾土中金旺火衰,风木自然虚弱。
For fright caused by external objects, Zhenxin Huanglian Anshen Wan (Heart-Calming Coptis Spirit-Calming Pill) is appropriate. For fright caused by qi disturbance, Hanshuishi Anshen Wan (Calcitum Spirit-Calming Pill) is appropriate. Fangfeng Wan (Saposhnikovia Pill) is strictly contraindicated because Fangfeng (Saposhnikoviae Radix) is a pungent and warm herb that will inevitably cause death. Why? Pungency disperses, floating heat belongs to Fire; this can make the Mother organ (Liver) excessive and assist the Child organ (Heart) in becoming overly vigorous, all of which are fatal. If diarrhea occurs due to fright with green stool, one should first calm the Liver using substances like Zhusha (Cinnabar), and strictly avoid cold and cooling energies. Liangjing Wan (Cooling Convulsion Pill) is strictly forbidden because Wind-Wood excess will overcome Spleen-Stomach Earth; one must first strengthen the Earth before draining the Wood. Yan Xiaozhong’s compilation of Qian Yi’s formulas used Yihuang San (Benefit Yellow Powder) to tonify Earth, which was erroneous. The formula contains Dingxiang (Eugeniae Flos), which is pungent and hot, assisting Fire; when Fire is excessive, Earth becomes even more deficient. Qingjupi (Citri Reticulatae Pericarpium Viride) drains Lung Metal; combined with the pungent-heat of Dingxiang, it heavily drains Lung and Large Intestine. When Spleen is Excess, one should drain its Child (Heart); now, with Spleen Deficiency, draining the Child further assists Fire, doubly weakening Earth, undoubtedly leading to death. In cases of Wind-Wood excess, the pulse at the right Guan position is surging and large, the palms are hot, and the abdominal skin is hot; how can one use herbs that assist Fire and drain Metal? If Cold Water attacks Spleen Earth, the disease manifests as vomiting, abdominal pain, and dysentery with greenish-white stools; in such cases, Yihuang San is a sacred medicine. Now, I establish a formula: first drain Fire, tonify Metal, and greatly tonify Earth, which is a divine treatment method. Use Huangqi (Astragali Radix) 2 qian, Renshen (Ginseng Radix) 1 qian, Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) 5 fen, plus Baishao Yao (Paeoniae Radix Alba) 1 qian. These four ingredients are sweet and warm, capable of tonifying Yuan Qi; Sweetness can drain Fire. As stated in the *Neijing*: "When Heat invades internally, drain it with Sweetness, gather it with Sourness." Baishao Yao is sour and cold; Cold can drain Fire, and Sourness can drain Liver Wood while greatly tonifying Lung Metal. By doing so, Metal and Earth positions are supplemented; when Metal is strong, Fire becomes weak, from where would Wind-Wood come to attack Earth? Only then can Wind pathogens be drained. As for Yihuang San, Lizhong Wan (Regulate the Middle Pill), and Yangshen Dan (Nourish Spirit Pill), these are all divine medicines treating severe Cold-Dampness in Spleen and Stomach. However, if the condition involves latent Fire in Spleen and Stomach, insufficiency due to overwork, or slow convulsions resulting from Stomach deficiency after taking hot herbs or Croton Fructus (Badou), using these medicines will certainly harm life. Slow convulsions arise from prolonged diarrhea causing Spleen and Stomach deficiency. Qian Yi’s use of Qianghuo Gao (Notopterygii Rhizoma Extract) to treat slow convulsions was erroneous. Spleen deficiency occurs because Fire pathogen attacks the Earth position; thus it is said, "coming from behind is Deficient Pathogen." Excessive Fire makes Wood excessive, and excessive Wood attacks Earth. One should tonify the source of Earth with Sweet-Warm herbs in the Heart Meridian, drain Fire with Sweet-Cold herbs in the Spleen Earth, and tonify Metal with Acid-Cool herbs in the Spleen Earth, thereby making Metal strong and Fire weak in the Spleen Earth, causing Wind-Wood to become naturally deficient.