拙着已告竣矣!首先论证,其次立法,其次成方,又其次治案,医者能于此熟玩,自然融会贯通。弗
执定某证之常,必施某法,某证之变,必施某法,临证时随机活法可也。姑先论其常而通其用,如初起因于
风者,宜以解肌散表法;因于寒者,宜以辛温解表法;因于暑者,宜以清凉涤暑法;因于湿者,宜以
增损胃苓法;因于燥者,宜以苦温平燥法;因于火者,宜以清凉透邪法。此皆言初患六气之常证,通用之定
法也。至于反常之变证,不定之活法,则又不可不知。如春温条中,有舌绛齿燥,谵语神昏,手足螈 ,昏
愦不语之变;湿温条中,有或笑或痉,撮空理线,舌苔黄刺,或转焦黑之变。然而亦非一定之变
也,须知春温亦有湿温之变证,湿温亦有春温之变证,论中不能印定,须活法而通治之。此又不特春温、湿
温可以会通,而暑温、冬温,以及诸病,皆有等证之变,悉可以通治之。又如诸病,见有舌绛齿燥,热伤于阴
者,清热保津法可通用之。谵语神昏,热乱神明者,祛热宣窍法可通用之。手足螈 ,热极生风
者,清离定巽法可通用之。昏愦不语,痰袭心包者,宣窍导痰法可通用之。及至发笑之证,皆由邪袭于心;
发痉之证,皆系风乘虚入;或至撮空理线,循衣摸床等证,皆当审其虚实,通其活
法,则不但治时病可以融会,即治杂病亦有贯通之妙耳。
我的著作已经完成!首先进行理论论证,其次确立治疗法则,其次制定方剂,再次收录医案。医者若能对此反复研读,自然能够融会贯通。不要固执地认为某种证候的常规表现必须使用某种固定治法,某种证候的变证也必须使用某种固定治法,临证时应根据具体情况灵活运用方法。暂且先论述其常规情况以通达其应用,例如:初起因风邪所致者,适宜采用解肌散表法;因寒邪所致者,适宜采用辛温解表法;因暑邪所致者,适宜采用清凉涤暑法;因湿邪所致者,适宜采用增损胃苓法;因燥邪所致者,适宜采用苦温平燥法;因火邪所致者,适宜采用清凉透邪法。这些都是针对初患六气(风、寒、暑、湿、燥、火)常规证候的通用定法。至于反常的变证和不固定的活法,则又是不可不知的内容。如在春温(春季发生的温热病)条文中,有舌质深红、牙齿干燥、胡言乱语、神志昏迷、手足抽搐、昏沉无知不能言语等变证;在湿温(感受湿热病邪所致的疾病)条文中,有时而发笑时而痉挛、手抓空理线、舌苔黄刺或转为焦黑等变证。然而这些也并非一成不变的变证,须知春温也可能出现湿温的变证,湿温也可能出现春温的变证,书中不能刻板限定,必须运用灵活的方法通治。这不仅仅适用于春温和湿温可以融会贯通,暑温(夏季发生的温热病)、冬温(冬季发生的非时之暖引起的温热病),以及各类疾病,都有此类证候的变证,都可以通治。又如各类疾病中,见到舌质深红、牙齿干燥,属于热邪损伤阴液者,清热保津法(清除热邪、保护津液的方法)可通用。胡言乱语、神志昏迷,属于热邪扰乱心神者,祛热宣窍法(清除热邪、开通心窍的方法)可通用。手足抽搐,属于热极生风者,清离定巽法(清心火、定肝风的方法)可通用。昏沉无知不能言语,属于痰邪侵袭心包者,宣窍导痰法(开通心窍、引导排痰的方法)可通用。至于出现发笑的证候,皆由邪气侵袭心脏所致;出现痉挛的证候,皆系风邪乘虚侵入所致;甚至出现手抓空理线、抚摸衣被床沿等证候,都应当审察其虚实性质,运用灵活的方法,这样不仅能将时病(季节性流行性疾病)的治疗融会贯通,即使治疗杂病也有贯通的妙处。
My work is now completed! It first presents theoretical discussions, then establishes treatment principles, followed by the formulation of prescriptions, and finally includes medical cases. If physicians can study these thoroughly, they will naturally achieve a comprehensive understanding. One should not rigidly adhere to the notion that a specific syndrome's routine presentation must be treated with a specific method, nor that a syndrome's atypical presentation must be treated with another fixed method; rather, one should apply flexible methods according to circumstances during clinical practice. Let us first discuss the routine aspects to understand their application: for instance, if the initial onset is due to Wind (Feng), the Muscle-Relieving and Exterior-Dispersing Method (Jieji Sanbiao Fa) is appropriate; if due to Cold (Han), the Acrid-Warm Exterior-Resolving Method (Xinwen Jiebiao Fa) is suitable; if due to Summerheat (Shu), the Cooling and Clearing Summerheat Method (Qingliang Dishu Fa) is indicated; if due to Dampness (Shi), the Modified Weiling Formula (Zengsun Weiling Fa) is used; if due to Dryness (Zao), the Bitter-Warm Drying-Dampness Method (Kuwen Pingzao Fa) is applied; if due to Fire (Huo), the Cooling and Pathogen-Transmitting Method (Qingliang Touxie Fa). These all refer to the routine syndromes of the Six Qi (Wind, Cold, Summerheat, Dampness, Dryness, Fire) in the early stage, representing universal fixed methods. However, regarding atypical variable syndromes and non-fixed flexible methods, these are also indispensable knowledge. For example, in the section on Spring Warmth (Chunwen), there are variable syndromes such as crimson tongue with dry teeth, delirium, coma, convulsions of the limbs, and stupor with inability to speak; in the section on Damp-Warmth (Shiwen), there are variables such as occasional laughter or spasms, grasping at empty air and tracing lines, yellow prickly tongue coating, or coating turning scorched black. Yet, these are not necessarily fixed variations; one must realize that Spring Warmth may also present with Damp-Warmth variable syndromes, and Damp-Warmth may present with Spring Warmth variable syndromes. The text cannot rigidly define them; one must use flexible methods for general treatment. This principle of integration applies not only to Spring Warmth and Damp-Warmth but also to Summer Warmth (Shuwen), Winter Warmth (Dongwen), and various other diseases, which all have similar variable syndromes that can be treated through general principles. Furthermore, in various diseases, if symptoms such as a crimson tongue and dry teeth appear, indicating heat damaging Yin, the Heat-Clearing and Fluid-Preserving Method (Qingre Baojin Fa) can be universally applied. If delirium and coma occur, indicating heat disturbing the Spirit, the Heat-Expelling and Orifice-Opening Method (Qure Xuanqiao Fa) can be universally applied. If convulsions of the limbs occur, indicating extreme heat generating wind, the Heart-Clearing and Liver-Calming Method (Qing Li Ding Xun Fa) can be universally applied. If stupor and inability to speak occur, indicating phlegm invading the Pericardium, the Orifice-Opening and Phlegm-Guiding Method (Xuanqiao Daotan Fa) can be universally applied. As for syndromes involving laughter, they are all caused by pathogenic factors invading the Heart; syndromes involving spasms are all due to wind entering due to deficiency; even syndromes such as grasping at empty air, tracing lines, or feeling along clothes and bedrails require an assessment of deficiency and excess, and the application of flexible methods. Thus, not only can the treatment of Seasonal Diseases (Shibing) be integrated, but the treatment of Miscellaneous Diseases (Zabing) will also reveal profound insights through this approach.