陈紫山曰∶古人议痫最多,大抵胎内受惊,及闻大声大惊而得。盖小儿神气尚弱,惊则神不守舍,舍空则痰
涎归之。而昏乱旋晕颠倒,口眼相引,目直上视,手足搐搦,背脊强直,或发时作牛羊猪马鸡犬之声,便致僵仆,
口吐涎沫,不省人事。凡得此症,纯属风痰郁结,上迷心窍,宜多投疏风化痰顺气镇惊之
剂,更须临症参详,乃无失也。
治法∶推三关,六腑,肺经,补脾土,天门入虎口,揉斗肘,掐板门,掐五指节,分阴阳,运八卦,赤凤摇头,按
弦搓摩,威灵穴,揉中指,掐总经,炙昆仑。
陈紫山曰∶夫咳嗽者,未有不经感冒而成也。经曰∶肺之令人咳,何也?岐伯曰∶皮毛者,肺之合也。皮毛
先受邪气,得其从合,则伤于肺,是令嗽也。乍暖脱衣,暴热遇风,汗出未干,遽尔戏水,致令伤寒咳嗽。初得时
面赤唇红,气粗发热,此是伤风,痰壅作嗽。日久津液枯耗,肺经虚矣。肺为诸脏华盖,卧开而坐合,所以卧则气
促,坐则稍宽,乃因攻肺下痰之过,名曰虚嗽。又当多补脾而益肺,藉土气以生金,则自愈矣。
治法∶推三关,六腑,肺经(往上),二扇门,二人上马,五总经(六转六掐),多揉肺愈穴,掐五指节,合
谷,运八卦,多揉大指根,天门入虎口,板门。痰壅气喘,掐向导穴,再掐板门。痰结壅塞,多运八卦。干咳推六
腑。痰咳推肺经,推脾清肾,运八卦。气喘掐飞经走气,并四横纹。
涂蔚生曰∶陈紫山此节症论,多未精透,参观第三集咳嗽条自知。
陈紫山说:古人关于癫痫的论述很多,大抵是因为胎儿在母体内受到惊吓,或者出生后听到巨大的声响、受到大惊而发病。因为小儿的神气(精神意识活动的基础)尚且虚弱,受惊后神志不能安守于内,神舍空虚则痰涎汇聚于此。于是出现神志昏乱、眩晕颠倒,口眼歪斜牵引,眼睛直视向上,手足抽搐痉挛,背部和脊柱强直僵硬,发作时发出像牛、羊、猪、马、鸡、狗一样的叫声,导致突然僵倒,口吐涎沫,不省人事。凡是得了这种病症,纯属风痰郁结,上蒙心窍,应当多使用疏风化痰、顺气镇惊的药物,并且必须结合具体症状仔细辨证,才不会出错。
治疗方法:推三关,退六腑,清肺经,补脾土,天门入虎口,揉斗肘,掐板门,掐五指节,分阴阳,运八卦,赤凤摇头,按弦搓摩,按威灵穴,揉中指,掐总经,艾灸昆仑穴。
陈紫山说:咳嗽这一病证,没有不是经过感冒而形成的。《内经》说:肺为什么会让人咳嗽呢?岐伯回答说:皮毛是肺的外合部位。皮毛先受到邪气侵袭,邪气顺着其相合的关系传入,就会伤及肺脏,这就导致了咳嗽。比如天气乍暖就脱去衣服,突然受热又遇风,出汗后未干就立刻戏水,从而导致伤寒咳嗽。刚发病时面色红赤、嘴唇发红,呼吸粗重、发热,这是伤风引起的,因痰壅盛而引发咳嗽。如果日久津液枯耗,肺经就会变得虚弱。肺是五脏六腑的华盖(覆盖在最上方的脏器),卧位时张开,坐位时闭合,所以卧位时气促,坐位时稍感宽松,这是因为之前过度使用攻伐肺气、下泄痰浊的方法所致,这种情况称为虚嗽。此时又应当多补脾土以益肺气,借助脾土之气来生养肺金,这样自然就能痊愈。
治疗方法:推三关,退六腑,清肺经(往上推),推二扇门,推二人上马,五总经(转六次掐一次),多揉肺愈穴,掐五指节,掐合谷,运八卦,多揉大指根,天门入虎口,推板门。若痰壅气喘,掐向导穴,再掐板门。若痰结壅塞,多运八卦。干咳者推六腑。痰咳者推肺经,推脾经、清肾经,运八卦。气喘者掐飞经走气穴,并掐四横纹。
Chen Zishan stated: The ancients discussed epilepsy extensively, generally attributing it to fright received in the womb or triggered by loud noises and sudden shocks after birth. Since a child's Shen Qi (vital spirit and consciousness) is still weak, fright causes the Shen to lose its residence; when the residence is empty, Phlegm-Saliva accumulates there. This leads to mental confusion, dizziness, and disorientation; pulling of the mouth and eyes; upward staring of the eyes; spasms and convulsions of the hands and feet; rigidity of the back and spine; sounds resembling those of cattle, sheep, pigs, horses, chickens, or dogs during attacks; sudden collapse; foaming at the mouth; and loss of consciousness. For any case of this syndrome, it is purely due to Wind-Phlegm stagnation confusing the Heart orifices. It is appropriate to administer numerous doses of formulas that dispel Wind, resolve Phlegm, regulate Qi, and calm fright. Furthermore, one must carefully examine the specific symptoms clinically to avoid errors.
Treatment methods: Push San Guan (Three Gates), Tui Liu Fu (Six Stars/Clear Six Bowels), Qing Fei Jing (Clear Lung Meridian), Bu Pi Tu (Tonify Spleen Earth), Tian Men Ru Hu Kou (Heavenly Gate into Tiger's Mouth), Rou Dou Zhou (Knead Elbow Bowl), Qia Ban Men (Pinch Palm Gate), Qia Wu Zhi Jie (Pinch Five Finger Joints), Fen Yin Yang (Divide Yin and Yang), Yun Ba Gua (Move Eight Trigrams), Chi Feng Yao Tou (Red Phoenix Shaking Head), An Xian Cuo Mo (Press String and Rub), press Wei Ling acupoint, Rou Zhong Zhi (Knead Middle Finger), Qia Zong Jing (Pinch Main Meridian), moisturize Kun Lun (Moxibustion on Kunlun).
Chen Zishan stated: Coughing is a condition that invariably arises from catching a cold. The Classic states: "Why does the Lung cause coughing?" Qibo replied: "The skin and hair are the external correspondence of the Lung." When the skin and hair first receive pathogenic factors, and these factors follow their correspondence, they injure the Lung, resulting in cough. For instance, removing clothes when the weather suddenly warms up, encountering wind after sudden heat, or playing in water while sweat is still wet can lead to Cold injury and cough. At the initial stage, the face is red, lips are crimson, breathing is coarse, and there is fever; this is Wind injury causing cough due to Phlegm obstruction. If prolonged, body fluids are depleted, and the Lung Meridian becomes deficient. The Lung is the canopy of all Zang organs; it opens when lying down and closes when sitting upright. Therefore, breathlessness occurs when lying down, while sitting provides slight relief. This is caused by excessive use of methods that attack the Lung and drain Phlegm, a condition named Deficient Cough. In such cases, one should tonify the Spleen to benefit the Lung, utilizing the Qi of Earth to generate Metal, so that recovery will occur naturally.
Treatment methods: Push San Guan (Three Gates), Tui Liu Fu (Six Stars/Clear Six Bowels), Qing Fei Jing (Clear Lung Meridian - pushing upwards), Tui Er Feng Men (Push Two Doors), Tui Er Ren Shang Ma (Push Two People Mounting Horse), Wu Zong Jing (Five Main Meridians - rotate six times, pinch once), frequently Rou Fei Yu Xue (Knead Lung Healing Point), Qia Wu Zhi Jie (Pinch Five Finger Joints), Qia He Gu (Pinch Hegu), Yun Ba Gua (Move Eight Trigrams), frequently Rou Da Zhi Gen (Knead Base of Thumb), Tian Men Ru Hu Kou (Heavenly Gate into Tiger's Mouth), Ban Men (Palm Gate). If there is Phlegm obstruction with panting, Qia Xiang Dao Xue (Pinch Guide Point), then Qia Ban Men (Pinch Palm Gate). If Phlegm knots and obstructs, frequently Yun Ba Gua (Move Eight Trigrams). For dry cough, push Liu Fu (Six Stars/Clear Six Bowels). For Phlegm cough, push Fei Jing (Lung Meridian), push Pi Jing (Spleen Meridian), clear Shen Jing (Kidney Meridian), and Yun Ba Gua (Move Eight Trigrams). For panting, Qia Fei Jing Zou Qi (Pinch Flying Meridian Moving Qi) and Si Heng Wen (Four Horizontal Lines).
Tu Weisheng stated: Chen Zishan's discussion of symptoms in this section is largely not precise enough; referring to the Cough entries in Volume 3 will make this clear.