属血热,湿热。
凉血 四物加黄芩、红花、南星。
温 筋寒者温之。
湿热,痰,无血而虚,气弱,瘀血。
燥湿 东垣健步丸。
导痰 二陈加仙术、白术、竹沥、炒黄柏之类。
补血 四物加炒柏、仙术,下补阴丸。或四斤丸、八味丸,或四物中加桃仁、红花。
补气 益气汤加仙术、炒柏。
下 显仁丸。甚者,丹车丸,行后便收拾调理。
灸 三里、肺俞。
针 须停待气至一二时或三时方可。中渎二穴,环跳二穴。
伤食有有余,有不足,伤力者,多不足。
下 食有余郁积,先下之,甚者,备急丹、承气下。伤力初得,甚者,当归承气汤。
调理 食过伤元气,东垣枳术丸、橘皮枳术丸。热物,芩连枳术丸。
补 补中益气汤。伤力用桑白皮、参、术、陈皮、当归,加降火药。
宣 食在上不得下。
消导 在中焦。
痰之为物,随气升降,无处不到,亦有脾虚而痰饮作者。有五饮。
宣 寸脉实当吐。痰在上,泻亦不去,吐中有发散之意。桔梗、参芦、瓜蒂、藜芦、
牙茶选用。
消导 食积∶瑞竹堂化痰丸、钱氏白饼子。痰在四肢,非竹沥不开。在胁下,非白
芥
子不能达。热痰∶青黛、黄连、滚痰丸,二陈加芩连。湿痰∶小胃丹、神佑丸,轻者二陈汤
。寒痰∶姜桂丸、温中丸、五套丸。风痰∶青州白丸子、玉壶丸、天南星丸。惊痰∶辰砂化
痰丸、保生锭子。
发散 风寒外感,金沸草散、三拗汤。因郁,参苏饮。
下 祛痰丸。有痰实似邪祟狂证,涤痰丸、大利膈丸、蠲饮枳实丸。有悬饮内痛,十
枣汤,或三因控涎丹。
理气 四七汤、苏子降气汤。
滋阴 半夏止能泄痰之标,不能治痰之本,肾气丸以主之。海粉,热痰能降,湿痰能
燥,结痰能软,顽痰能消,可入丸子,不可入煎药。
镇坠痰饮 升降阴阳 灵砂丹、黑锡丹、来复丹。
属于血热,以及湿热证。
凉血:四物汤加入黄芩、红花、天南星。
对于筋脉受寒者,采用温法治疗。
属于湿热、痰饮,无瘀血但体质虚弱,气虚,或有瘀血阻滞。
燥湿:使用东垣健步丸。
导痰:二陈汤加入苍术、白术、竹沥水、炒黄柏等药物。
补血:四物汤加入炒黄柏、苍术,送服补阴丸。或者使用四斤丸、八味丸,或在四物汤中加入桃仁、红花。
补气:使用益气汤加入苍术、炒黄柏。
攻下:使用显仁丸。病情严重者,使用丹车丸,待大便通畅后随即进行调理。
艾灸:足三里穴、肺俞穴。
针刺:必须等待针感(得气)出现一至两小时或三小时后才可以施针。中渎穴两个,环跳穴两个。
饮食积滞有实证(有余),也有虚证(不足),因过度用力损伤者,多属虚证。
攻下:食物积滞郁结,先采用攻下法,病情严重者,使用备急丹、承气汤攻下。因劳力受伤初起,病情严重者,使用当归承气汤。
调理:饮食过量损伤元气,使用东垣枳术丸、橘皮枳术丸。若因热食所致,使用芩连枳术丸。
补益:使用补中益气汤。因劳力损伤者,使用桑白皮、人参、白术、陈皮、当归,加入降火药。
宣吐:食物停滞在上焦,无法下行。
消食导滞:适用于中焦病变。
痰这种病理产物,随着气的升降运行,无处不到,也有因脾虚而产生痰饮的。有五类饮证。
宣吐:寸脉实大应当采用吐法。痰邪在上焦,泻法也不能去除,吐法中蕴含发散之意。可选用桔梗、人参芦头、瓜蒂、藜芦、牙茶。
消食导滞:食积引起的痰,使用瑞竹堂化痰丸、钱氏白饼子。痰在四肢,非竹沥不能开通。痰在胁下,非白芥子不能到达。热痰:青黛、黄连、滚痰丸,二陈汤加入黄芩、黄连。湿痰:小胃丹、神佑丸,轻症使用二陈汤。寒痰:姜桂丸、温中丸、五套丸。风痰:青州白丸子、玉壶丸、天南星丸。惊痰:辰砂化痰丸、保生锭子。
发散:风寒外感,使用金沸草散、三拗汤。因情志郁结所致,使用参苏饮。
攻下:祛痰丸。有痰实证类似邪祟狂乱症状的,使用涤痰丸、大利膈丸、蠲饮枳实丸。有悬饮导致内部疼痛的,使用十枣汤,或三因控涎丹。
理气:四七汤、苏子降气汤。
滋阴:半夏只能清除痰的表象,不能治疗痰的根本,应用肾气丸来主治。海粉,能降低热痰,燥化湿痰,软化结痰,消除顽痰,可制成丸药,不可入煎剂。
镇坠痰饮,调节阴阳:灵砂丹、黑锡丹、来复丹。
Belongs to Blood Heat (Xue Re) and Damp-Heat (Shi Re).
Cool Blood (Liang Xue): Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Honghua (Carthami Flos), and Nanting (Arisaematis Rhizoma Praeparatum).
For Cold in the Sinews (Jin Han), apply Warming methods.
Involves Damp-Heat, Phlegm, deficiency without Blood Stasis, Qi Deficiency, or Blood Stasis.
Dry Dampness: Dongyuan Jianbu Wan (Dongyuan’s Stride-Enhancing Pill).
Guide out Phlegm: Erchen Tang (Two Aged Decoction) added with Xianzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhuli (Bambusae Caulis in Taenia Succus), and Chao Huangbai (Phellodendri Cortex Praeparata).
Nourish Blood: Siwu Tang added with Chao Huangbai and Xianzhu, taken with Buyin Wan (Nourish Yin Pill). Alternatively, use Sijin Wan (Four Jin Pills), Bawei Wan (Eight Ingredients Pill), or add Taoren (Persicae Semen) and Honghua to Siwu Tang.
Tonify Qi: Yiqi Tang (Benefit Qi Decoction) added with Xianzhu and Chao Huangbai.
Purge: Xianren Wan. For severe cases, Danche Wan; after bowel movement is cleared, proceed with regulation and conditioning.
Moxibustion: Zusanli (ST36), Feishu (BL13).
Acupuncture: One must wait for Deqi (arrival of Qi sensation) for one to two hours, or three hours, before proceeding. Zhongdu (GB38) x2, Huantiao (GB30) x2.
Food retention involves Excess (You Yu) and Deficiency (Bu Zu). Injuries from overexertion are mostly Deficient.
Purge: For food excess with stagnation, first purge. For severe cases, use Beiji Dan or Chengqi Tang. For initial injury from exertion, severe cases use Danggui Chengqi Tang.
Regulate: Food overconsumption damaging Yuan Qi (Original Qi), use Dongyuan Zhizhu Wan or Jupi Zhizhu Wan. For heat-inducing foods, use Qinlian Zhizhu Wan.
Tonify: Buzhong Yiqi Tang. For exertion injuries, use Sangbaipi (Morus Albae Cortex), Renshen (Ginseng Radix et Rhizoma), Baizhu, Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), added with Fire-descending herbs.
Vomit/Disperse: When food is stuck in the Upper Jiao and cannot descend.
Digest and Guide out: For Middle Jiao issues.
Phlegm as a pathogenic factor ascends and descends with Qi, reaching everywhere. It can also be produced due to Spleen Deficiency leading to Phlegm-Fluids (Tan Yin). There are five types of Fluid retention.
Vomit/Disperse: If Cun (Inch) pulse is Excessive, vomiting should be induced. Phlegm in the Upper Jiao cannot be removed by purging; vomiting contains dispersing intent. Use Jiegeng (Platycodonis Radix), Shenlu (Ginseng Radix et Rhizoma Caulis), Gudi (Cocculus Trichocarpus), Lili (Veratrum Radix), or Yacha.
Digest and Guide out: Food accumulation causing phlegm: Ruizhutang Huatan Wan, Qianshi Baibingzi. Phlegm in the four limbs requires Zhuli to open it. Phlegm in the hypochondrium requires Baijiezi (Sinapis Semen) to reach it. Heat Phlegm: Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Untan Wan, Erchen Tang added with Qinlian. Damp Phlegm: Xiaowei Dan, Shenyao Wan, mild cases Erchen Tang. Cold Phlegm: Jianggui Wan, Wenzhong Wan, Wutao Wan. Wind Phlegm: Qingzhou Baiwanzi, Yuhu Wan, Tiantanxing Wan. Shock Phlegm: Chensha Huatan Wan, Baosheng Dingzi.
Disperse Exterior: Wind-Cold external contraction, use Jinfeicao San or San'ao Tang. Due to constraint, use Renshen Su Yin.
Purge: Qutan Wan. For Phlegm Excess resembling demonic madness, use Ditang Wan, Dali Ge Wan, Juan Yin Zhishi Wan. For Huan Yin (Suspension Fluid) with internal pain, use Shizao Tang or Sanyin Kongyan Dan.
Regulate Qi: Siqi Tang, Suzi Jiangqi Tang.
Nourish Yin: Banxia (Pinelliae Rhizoma) only clears the branch of Phlegm, not the root; treat the root with Shenqi Wan. Haifen (Sargassum Herba) can reduce Heat Phlegm, dry Damp Phlegm, soften Knotted Phlegm, and eliminate Stubborn Phlegm; suitable for pills, not for decoctions.
Suppress and Sink Phlegm-Fluids, Regulate Yin and Yang: Lingsha Dan, Heixi Dan, Laifu Dan.