论伤风 伤食 伤暑 伤湿
天师曰∶暂治者,乃强壮之人素不服药,一朝得病,用药暂治之也。如人外感伤寒,用伤寒专门治
之,兹不再赘。
其余伤风、伤食、伤暑、伤湿,俱可以暂治而愈。伤风则用柴胡三钱,荆芥一钱五分、白芍三钱,苍术
五分,茯苓二钱,炒栀子二钱,枳壳一钱。丹皮一钱,白芥子一钱,水煎服。(〔批〕祛风散。)此方发散
之药虽重,然因其素不患病,则腠理必密,故以重剂散之。然方中有健脾之药,正不必忧散药之太重也。
如伤食作痛。胸腹饱闷填胀,欲呕而不得,方用白术三钱,枳壳二钱。山楂三十粒,麦芽三钱,半夏
一钱,甘草一钱,砂仁三粒,浓朴一钱,水煎服。(〔批〕化食汤。)此方纯是攻药,而不至消气,妙用
白术为君,故不消气而转能消食。然亦因其形壮体健而用之,倘体弱久病之人,不敢以此方投之。
伤暑者,乃暑气因其劳而感之,必非在高堂内寝之中而得之也。方用香薷二钱。青蒿五钱,石膏一钱,
干葛一钱,车前子一钱,茯苓三钱,白术一钱,浓朴一钱,陈皮一钱,甘草一钱,水煎服。(〔批〕解暑
神奇丹。)此方纯是解暑之药,亦因其气壮而用之,气虚人最忌。
伤湿之症,两足浮肿,手按之必如泥,乃湿侵于脾也。急用茯苓五钱,猪苓三钱。白术三钱,泽泻三
钱,肉桂二分治之。亦因其体壮气盛而用之,倘气虚还须斟酌。此皆暂治之法。
陈士铎说:所谓“暂治法”,是指那些身体强壮、平时很少服药的人,一旦突然患病,用药物进行短期治疗即可痊愈的方法。例如,如果人外感了伤寒,应当使用专门治疗伤寒的方法来处理,这里就不再赘述了。
其余的伤风、伤食、伤暑、伤湿,都可以通过这种暂治法而痊愈。如果是伤风,就用柴胡三钱,荆芥一钱五分,白芍三钱,苍术五分,茯苓二钱,炒栀子二钱,枳壳一钱,丹皮一钱,白芥子一钱,用水煎服。(批注:祛风散。)这个方子里的发散药虽然剂量较重,但因为患者平时不生病,腠理(皮肤毛孔及皮下组织间隙)必然致密,所以可以用重剂来发散。然而方中含有健脾的药物,完全不必担心发散药过于猛烈。
如果是伤食引起的疼痛,表现为胸腹部饱闷胀满,想呕吐却吐不出来,方药用白术三钱,枳壳二钱,山楂三十粒,麦芽三钱,半夏一钱,甘草一钱,砂仁三粒,浓朴一钱,用水煎服。(批注:化食汤。)这个方子全是攻伐消导的药物,但不会耗伤正气,其妙处在于以白术为君药,所以不仅不耗气,反而能助消化。这也是因为患者形体壮实才使用此方,如果是体弱久病的人,不敢使用这个方子。
伤暑,是因为暑气在劳累时侵袭人体所致,一定不是在室内高堂深寝中得的。方药用香薷二钱,青蒿五钱,石膏一钱,干葛一钱,车前子一钱,茯苓三钱,白术一钱,浓朴一钱,陈皮一钱,甘草一钱,用水煎服。(批注:解暑神奇丹。)这个方子全是解暑的药物,也是因为患者气血壮实才使用,气虚的人最忌讳使用。
伤湿的症状是两脚浮肿,用手按压后凹陷如泥,这是湿气侵犯脾脏的表现。急需使用茯苓五钱,猪苓三钱,白术三钱,泽泻三钱,肉桂二分来治疗。这也是因为患者体质壮实、气盛才使用此方,如果是气虚之人还需要斟酌考虑。这些都是暂治的方法。
Chen Shiduo stated: The so-called "temporary treatment method" refers to the approach of using medication for short-term therapy to cure sudden illnesses in individuals who are physically robust and rarely take medicine. For instance, if one contracts external Cold Damage (Shanghan), it should be treated with methods specifically designed for Cold Damage; this will not be elaborated upon here.
As for Wind Injury (Shangfeng), Food Injury (Shangshi), Summerheat Injury (Shangshu), and Dampness Injury (Shangshi), all can be cured through this temporary treatment method. In cases of Wind Injury, use Chaihu (Bupleuri Radix) 3 qian, Jingjie (Schizonepetae Herba) 1.5 qian, Baishao (Paeoniae Radix Alba) 3 qian, Cangzhu (Atractylodis Rhizoma) 0.5 qian, Fuling (Poria) 2 qian, Chao Zhizi (Gardeniae Fructus Praeparatus) 2 qian, Zhiqiao (Aurantii Fructus) 1 qian, Danpi (Moutan Cortex) 1 qian, Baijiezhi (Sinapis Semen) 1 qian, decocted in water and taken orally. (Annotation: Dispelling Wind Powder.) Although the dispersing herbs in this formula have heavy dosages, since the patient is usually healthy, their Couli (skin pores and interstitial spaces) must be dense; therefore, heavy doses can be used to disperse the pathogen. However, the formula contains spleen-fortifying herbs, so there is no need to worry about the dispersing agents being too strong.
In cases of Food Injury causing pain, characterized by fullness, oppression, and distension in the chest and abdomen, with an urge to vomit but inability to do so, use Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Zhiqiao (Aurantii Fructus) 2 qian, Shanzha (Crataegi Fructus) 30 grains, Maiya (Hordei Fructus Germinatus) 3 qian, Banxia (Pinelliae Rhizoma) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Sharen (Amomi Fructus) 3 grains, Nongpo (Magnoliae Officinalis Cortex) 1 qian, decocted in water and taken orally. (Annotation: Food-Dissolving Decoction.) This formula consists entirely of attacking and resolving agents but does not consume Qi. Its ingenious use lies in employing Baizhu as the sovereign herb, thereby aiding digestion without depleting Qi. This is also prescribed because the patient is physically robust; it should not be administered to those who are weak or chronically ill.
Summerheat Injury occurs when summerheat pathogens invade due to exertion; it is certainly not contracted while resting indoors in high halls or private chambers. Use Xiangru (Moslae Herba) 2 qian, Qinghao (Artemisiae Annuae Herba) 5 qian, Shigao (Gypsum Fibrosum) 1 qian, Gange (Puerariae Radix) 1 qian, Cheqianzi (Plantaginis Semen) 1 qian, Fuling (Poria) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Nongpo (Magnoliae Officinalis Cortex) 1 qian, Chenpi (Citri Reticulatae Pericarpium) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, decocted in water and taken orally. (Annotation: Divine Elixir for Resolving Summerheat.) This formula consists purely of summerheat-resolving herbs and is also used because the patient's Qi and blood are robust; it is most contraindicated for those with Qi deficiency.
The symptoms of Dampness Injury include edema in both feet, where pressing leaves an indentation like mud, indicating that dampness has invaded the Spleen. Urgently treat with Fuling (Poria) 5 qian, Zhu Ling (Polyporus) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Zexie (Alismatis Rhizoma) 3 qian, Rougui (Cinnamomi Cortex) 0.2 fen. This is also prescribed because the patient is robust and possesses abundant Qi; caution is required for those with Qi deficiency. These are all methods of temporary treatment.