答曰
山芋门冬益金之气。金气胜则木自平。凝水石牙硝火中添水。使变为湿热也。湿热者。季夏
之令也。非土而何。故用朱砂以坠火下行。是巳将退与子权行湿令也。是以弦得除而土自旺
也。秋喘加人参与丹砂等。夏则不加养气者。加沉香。欲发汗者。临卧先服白粥一杯后药之
则汗也。寒热神少振摇。小便淋或多或少。大便走完谷不化。口干舌缩。唇吻有疮。心下痞
。大渴引饮。恶干喜湿。目花四肢无力。怠惰嗜卧。食不入。皮肤燥涩。面色黧黑。肌肉销
铄。胸腹中急。额上汗出。此法泄火益湿补气。脉弦浮沉同治。气不化小便不利。湿润肌
滑
。热蒸阴少气不化。气走小便自利。燥肌燥涩为迫津液不能停。（离朱丹）主之。弦数者。阳
陷于内。从外而之内也。弦则带数。甲终于甲也。紧则带洪。壬终于丙也。
若弦虚则无火。细则无水。此二脉从内之外也。不宜（离朱丹）。
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泄泻壬血 土（火令逆行而土虚土虚则长夏不至。难经曰。虚则补其母。经曰资其化源
木（并火之势。克脾侮金。当金中泻火） 侮所不胜（弦欺） 金补土是也。
（右寸显弦数脉是东方 木既乘火势而来侮金。当金中实乃乘子势也。既泻其 泻火。
退则木无所主而自退 火木自虚矣。以寒药泻 也。是实则泻其子。 火是补北方水也） 水
回答说：
山药和麦冬能够补益肺金之气。肺金之气强盛，则肝木自然平和。凝水石（滑石）与牙硝（芒硝）在火中加热，使其性质转变为湿热。湿热是长夏季节的气候特征，不属于土而是什么呢？因此使用朱砂来镇坠火势下行，这就像是即将退位的君主将湿令的权力交给子位（北方/肾）。这样弦脉得以消除，脾土自然旺盛。秋季出现气喘，加入人参和朱砂等；夏季则不加补气药，而是加入沉香。想要发汗的，临睡前先喝一杯白粥，然后再服药，就能出汗。
寒热交替，精神萎靡不振，小便淋漓不尽或多少不定，大便完谷不化，口干舌缩，嘴唇和口角生疮，心下痞满，极度口渴想喝水，厌恶干燥喜欢湿润，眼花，四肢无力，怠惰嗜睡，饮食难进，皮肤干燥涩滞，面色黧黑，肌肉消瘦，胸腹部拘急不适，额头出汗。此法旨在泄火、益湿、补气。无论脉象弦、浮还是沉，都采用同样的治疗方法。如果气不化导致小便不利，肌肤湿润光滑；如果热蒸阴分不足导致气不化，气走小便自利，肌肤干燥涩滞是因为逼迫津液不能停留。（离朱丹）主治上述症状。
脉弦数，表示阳气陷于体内，病势由外向内发展。弦脉兼见数脉，象征甲木终结于甲木（循环往复）。紧脉兼见洪脉，象征壬水终结于丙火。
如果脉弦而虚，则表示无火；如果脉细，则表示无水。这两种脉象属于从内向外发展的病机，不宜使用离朱丹。
[图表说明]
泄泻属壬血（此处指代某种病理状态或笔误，原文如此），土（火令逆行导致土虚，土虚则长夏之气不至。《难经》说：虚则补其母。《内经》说：资其化源）。
木（伴随火势，克制脾土，侮害肺金，应当在补金的同时泻火）。
侮所不胜（弦脉欺侮肺金）。
补土即是补金（右寸脉显现弦数，是东方木气乘着火势而来侮害肺金，应当在金中实之，即乘子之势。既然泻了火，木就无所主从而自然消退，火木自然虚弱。用寒凉药物泻火，这就是“实则泻其子”。泻火即是补北方之水）。
水
Answer:
Shanyao (Dioscoreae Rhizoma) and Maidong (Ophiopogonis Radix) benefit the Qi of Metal (Lung). When Metal Qi is strong, Wood (Liver) naturally becomes balanced. Ningshuishi (Talcum) and Yaxiao (Natrii Sulfas), when heated in fire, transform into Damp-Heat. Damp-Heat is the climate command of late summer; what else could it be but Earth? Therefore, Zhusha (Cinnabaris) is used to sink the Fire downward. This is like the retiring ruler handing over the authority of the Damp command to the Zi position (North/Kidney). Thus, the Wiry pulse is eliminated, and Earth naturally prospers. In autumn, if wheezing occurs, Renshen (Ginseng Radix et Rhizoma) and Zhusha are added. In summer, Qi-nourishing herbs are not added; instead, Chenxiang (Aquilariae Lignum) is added. To induce sweating, drink one cup of white rice porridge before going to bed, then take the medicine, which will cause sweating.
Alternating chills and fever, listless spirit, scanty or irregular urination, undigested food in stool, dry mouth with retracted tongue, sores on lips and corners of the mouth, epigastric fullness/stuffiness, extreme thirst with desire to drink, aversion to dryness and preference for dampness, blurred vision, weakness in four limbs, lethargy and desire to lie down, inability to eat, dry and rough skin, dark complexion, emaciation, tightness in chest and abdomen, sweating on the forehead. This method aims to drain Fire, benefit Dampness, and tonify Qi. Whether the pulse is Wiry, Floating, or Deep, the same treatment applies. If Qi fails to transform leading to difficult urination, the muscles are moist and smooth. If Heat steams Yin deficiency leading to Qi failure, and Qi flows causing spontaneous free urination, the dry and rough muscles indicate forced fluids failing to stay. (Lizhu Dan) is the main prescription.
A Wiry-Rapid pulse indicates Yang sinking internally, moving from exterior to interior. A Wiry pulse accompanied by Rapid suggests Jia ending at Jia (cycle completion). A Tight pulse accompanied by Surging suggests Ren ending at Bing.
If the pulse is Wiry and Deficient, there is no Fire. If the pulse is Fine, there is no Water. These two pulses represent pathology moving from interior to exterior, and Lizhu Dan is not suitable.
[Diagram Explanation]
Diarrhea relates to Ren Blood [Note: Textual anomaly], Earth (Fire command reverses direction causing Earth deficiency; Earth deficiency means late summer qi does not arrive. *Nan Jing* states: Tonify the mother when deficient. *Jing* states: Nourish the source of transformation).
Wood (following Fire's momentum, attacks Spleen Earth, insults Lung Metal; should drain Fire within Metal).
Insulting the invincible (Wiry pulse bullies Metal).
Tonifying Earth is also tonifying Metal. (Right Cun pulse shows Wiry-Rapid, indicating East Wood coming with Fire momentum to insult Metal. Should solidify Metal by leveraging the child's momentum. Having drained Fire, Wood has no master and retreats naturally; Fire and Wood become deficient. Use cold herbs to drain Fire. This is "Excess drains its child." Draining Fire is tonifying North Water).
Water