补脾土
甘温属土。安中补脾,益气止渴(倒仓法,用牡黄牛肉二十斤,洗净,煮为糜,滤去渣
,熬成琥珀色。前一晚不食,至日,空腹坐密室,取汁每饮一钟。少时又饮,积数十钟,身
体觉痛。如病在上则吐,在下则利,在中则吐而利,利后必渴,即饮已溺数碗,以涤余垢。
饥倦先与米饮,二日与淡粥,次与浓粥软饭,将养一月沉 悉安矣。须断房事半年,牛
肉五年。丹溪曰∶牛坤土,黄中色,肉、胃药,液、无形之物也!积聚既久,回薄肠胃曲折
之处,岂铢两丸散所能窥犯乎!肉液充满流行,无处不到,如洪水泛涨,一切凝滞,皆顺流
而去矣。此方传于西域异人,中年后行一二次,亦却疾养寿之一助也。王纶曰∶牛肉补中,
非吐下药,借补为泻,因泻为补,亦奇方也。丹溪治林德方咳而咯血,调肺壅非吐不可,血
耗非补不可,惟倒仓二法兼备,服之而愈。又治萧伯善便浊滑精,亦用倒仓法而愈。又治许
文懿公病心痛,用燥药、灵丹、艾灸杂治,数年不效,自分为弃人。丹溪先以防风通圣散下
其积滞,而病稍起,思食。然两足难移,次年行倒仓法,节节应手,复生子,活十四年。又
临海林兄久嗽吐红,发热消瘦,众以为瘵,百方不应。丹溪脉之,两手弦数,日轻夜重,计
无所出。时冬月也,以倒仓法而安,仍次年生子)。
牛乳,味甘微寒。润肠胃,解热毒,补虚劳,治反胃噎膈(胃槁胃冷,脾不磨食,故气
逆而成反胃。气血不足,其本也;曰痰饮,曰食积,其标也。胃槁者,滋血生津;胃冷者,
温中调气。东垣曰∶上焦吐者由乎气,治在和中而降气;中焦吐者由乎积,治在行气而消积
;下焦吐者由乎寒,治在温中而散寒。丹溪曰∶反胃噎膈,大便燥结,宜牛、羊乳时时咽之
,兼服四物汤为上策。不可服人乳,人乳有五味之毒,七情之火也。昂按∶噎膈不通,服香
燥药取快一时,破气而燥血,是速其死也。不如少服药,饮牛乳加韭汁、或姜汁、或陈酒为
佳。江南臬司多患噤口痢,粒米不进,郑奠一令服牛乳,久之亦瘥)。
白水牛喉,治反胃吐食,肠结不通(除两头,去脂膜,醋浸炙末,每服二钱,陈米饮下)
。酥、酪、醍、醐,皆牛羊乳所作,滋润滑泽,宜于血热枯燥之人。牛胆,纳锻石于内,
悬挂风处百日,治金疮良。
补益脾土。
牛肉味甘、性温,归属于土行。能够安定中焦、补益脾胃、益气生津以止渴。(“倒仓法”:使用二十斤牡黄牛肉,洗净后煮成肉糜,过滤去渣,熬制成琥珀色液体。前一晚禁食,至次日清晨空腹坐在密闭房间内,每次饮用一杯汁液。过一会儿再饮,累计饮用数十杯后,身体会感到疼痛。若病邪在上部则通过呕吐排出,在下部则通过腹泻排出,在中部则既吐又泻。泻后必然口渴,此时立即饮用几碗自己的尿液,以涤荡体内残余污垢。饥饿疲倦时先给予米汤,第二天给清淡的粥,随后给浓粥和软饭,调养一个月,沉疴宿疾即可痊愈。期间需禁欲半年,五年内忌食牛肉。朱丹溪说:“牛对应坤土,黄色居中,牛肉是胃的药,牛乳则是无形之物!”积聚日久,盘踞在肠胃曲折之处,岂是少量的丸散药物所能攻伐的呢!牛肉和牛乳充满并流行全身,无处不到,如同洪水泛滥,一切凝滞之物都顺流而去。此方流传自西域异人,中年后施行一两次,也是祛病延寿的辅助手段。王纶说:“牛肉补益中气,并非直接的吐下药,而是借助补益来实现泻下的效果,因泻而达到补的目的,这也是奇方。”朱丹溪治疗林德方咳嗽咯血,认为调理肺壅塞非用吐法不可,但血液耗损又非补法不可,只有“倒仓法”兼备这两种功效,服用后痊愈。又治疗萧伯善大便浑浊滑精,也使用倒仓法而痊愈。又治疗许文懿公心痛病,此前用燥药、灵丹、艾灸等混合治疗,数年无效,患者自认为已无可救药。朱丹溪先用防风通圣散攻下其积滞,病情稍有好转,开始思食。然而双腿难以移动,次年施行倒仓法,步步见效,后来还生了儿子,存活了十四年。又治疗临海林兄长期咳嗽吐血,发热消瘦,众人认为是痨瘵(肺结核),各种方法均无效。朱丹溪诊脉,两手脉象弦数,症状日轻夜重,计无所出。当时正值冬季,用倒仓法使病情安定,次年还生了儿子。)
牛乳味甘、微寒。滋润肠胃,解除热毒,补益虚劳,治疗反胃噎膈(胃体干枯或胃寒,脾脏不能磨化食物,导致气逆形成反胃。气血不足是其根本;痰饮、食积是其标症。胃干枯者,需滋血生津;胃寒冷者,需温中调气。李东垣说:“上焦呕吐源于气机失调,治疗在于调和中气而降气;中焦呕吐源于积滞,治疗在于行气消积;下焦呕吐源于寒邪,治疗在于温中散寒。”朱丹溪说:“反胃噎膈伴有大便燥结,宜时时吞咽牛羊乳,兼服四物汤为上策。不可服用人乳,人乳含有五味之毒和七情之火。”汪昂按语:“噎膈不通,服用香燥药物虽能暂时痛快,但会破气伤血,这是加速死亡的做法。不如少服药,饮用牛乳加入韭菜汁、或姜汁、或陈年佳酿为佳。江南臬司多患噤口痢,粒米不进,郑奠一令其服用牛乳,久而久之也痊愈了)。
白水牛的喉管,治疗反胃吐食、肠道结滞不通(去除两头,去掉脂膜,用醋浸泡后炙烤研末,每次服用二钱,用陈年米汤送下)。
酥、酪、醍醐,都是牛羊乳制成的,具有滋润滑泽的功效,适宜于血热枯燥之人。牛胆,将锻石纳入其中,悬挂在通风处一百天,治疗金创(刀箭创伤)疗效良好。
Tonifying the Spleen Earth.
Beef is sweet and warm in nature, belonging to the Earth element. It stabilizes the Middle Jiao (Middle Burner), tonifies the Spleen, benefits Qi, and stops thirst. (The "Dao Cang Fa" [Reversing the Granary Method]: Use twenty jin of male yellow beef, wash it clean, boil it into a porridge-like consistency, filter out the dregs, and simmer until it becomes amber-colored. Fast on the previous night; on the day of treatment, sit in a sealed room on an empty stomach. Drink one cup of the juice at a time. After a short while, drink again, accumulating dozens of cups. The body will feel painful. If the pathogen is in the upper part, vomiting occurs; if in the lower part, diarrhea occurs; if in the middle, both vomiting and diarrhea occur. After diarrhea, thirst must arise; immediately drink several bowls of one's own urine to cleanse residual impurities. When hungry and fatigued, first give rice water; on the second day, give light congee; then thick congee and soft rice. Nourish and recuperate for one month, and chronic ailments will be completely resolved. Sexual intercourse must be abstained from for half a year, and beef consumption avoided for five years. Zhu Danxi said: "The Ox corresponds to Kun Earth, with yellow as the central color. Beef is medicine for the Stomach, while milk is formless substance!" Accumulations that have persisted for a long time lodge in the winding parts of the intestines and stomach; how could small amounts of pills or powders invade them? Beef and milk fill and circulate throughout the body, reaching everywhere, like a flood rising, carrying away all stagnation along the current. This prescription was transmitted by a foreigner from the Western Regions. Performing it once or twice after middle age is also an aid to dispelling disease and nurturing longevity. Wang Lun said: "Beef tonifies the Middle Qi; it is not a direct emetic or purgative, but uses tonification to achieve purgation, and through purgation achieves tonification. It is indeed a miraculous prescription." Zhu Danxi treated Lin Defang who suffered from coughing and hemoptysis. He reasoned that resolving Lung obstruction required emesis, but blood depletion required tonification. Only the Dao Cang Fa combined both methods, and the patient recovered after taking it. He also treated Xiao Boshan for turbid stool and seminal emission using the Dao Cang Fa, resulting in recovery. He also treated Duke Xu Wen Yi for heart pain. Previous treatments with drying herbs, spiritual elixirs, and moxibustion had failed for years, leading the patient to consider himself hopeless. Zhu Danxi first used Fangfeng Tongsheng San to purge accumulations, slightly improving the condition and restoring appetite. However, the legs were difficult to move. The following year, he performed the Dao Cang Fa, with effects appearing step by step. The patient later fathered a son and lived for fourteen more years. He also treated Brother Lin from Linhai who suffered from chronic cough and hemoptysis, fever, and emaciation. Others diagnosed it as Tuberculosis (Lao Zai), but various remedies failed. Zhu Danxi palpated the pulse, finding both hands wiry and rapid, with symptoms lighter during the day and heavier at night. At a loss for ideas, and noting it was winter, he used the Dao Cang Fa to stabilize the condition. The patient subsequently fathered a son the following year.)
Cow's milk is sweet and slightly cold. It moistens the intestines and stomach, resolves heat toxicity, tonifies deficiency and fatigue, and treats regurgitation and dysphagia (Gastric dryness or coldness, where the Spleen fails to grind food, leads to rebellious Qi causing regurgitation. Insufficiency of Qi and Blood is the root cause; Phlegm-Fluids and Food Retention are the branch manifestations. For gastric dryness, nourish Blood and generate fluids; for gastric coldness, warm the Middle and regulate Qi. Li Dongyuan said: "Vomiting from the Upper Jiao stems from Qi disorders; treatment lies in harmonizing the Middle and descending Qi. Vomiting from the Middle Jiao stems from retention; treatment lies in moving Qi and resolving retention. Vomiting from the Lower Jiao stems from Cold; treatment lies in warming the Middle and dispersing Cold." Zhu Danxi said: "For regurgitation and dysphagia accompanied by dry constipation, it is advisable to swallow cow or sheep milk frequently, combined with Siwu Tang (Four Substance Decoction) as the best strategy. Human milk should not be taken, as it contains the toxicity of the Five Flavors and the fire of the Seven Emotions." Ang notes: "For dysphagia with obstruction, taking aromatic-drying herbs may provide temporary relief, but this breaks Qi and dries Blood, hastening death. It is better to take less medicine and drink cow's milk mixed with chive juice, or ginger juice, or aged wine. Officials in Jiangnan often suffered from aphagic dysentery, unable to eat even a grain of rice. Zheng Dianyi prescribed cow's milk, which cured them after prolonged use)."
Water buffalo throat treats regurgitation with vomiting of food and intestinal obstruction (Remove both ends, discard the fatty membrane, soak in vinegar, roast, and powder. Take two qian per dose, washed down with aged rice water).
Su (Clarified Butter), Lao (Yogurt/Curd), Ti (Cream), and Hu (Ghee) are all made from cow or sheep milk. They are nourishing, moistening, and lubricating, suitable for individuals with Blood Heat and dryness. Ox gallbladder: Insert Duan Shi (Calcined Stone/Alum) inside, hang in a ventilated place for one hundred days. It is excellent for treating traumatic injuries (Jin Chuang).