足。故其证不能已。亏则风邪胜而真气愈消也。又经曰。月事不来者。胞脉闭也。胞脉属于心。而络于胞中。
今气上迫。心气不得下通。故月事不来。先服降心火之剂。后服局方中五补丸。后以卫生汤。治脾养血气也。
苦楝丸 治妇人赤白带下。
苦楝（碎酒浸） 茴香（炒） 当归
上等分为细末。酒糊丸。如桐子大。每服三五十丸。空心酒下。腰腿痛疼。四物四两。加羌活防风各一两。
卫生汤
当归 白芍药（各三两） 黄 （三两） 甘草（一两）
上为粗末。每服半两。水二盏。煎至一盏。去滓温服空心。如虚者。加人参一两。
夫大头病者。是阳明邪热太甚。资实少阳相火而为之也。多在少阳。或在阳明。或传太阳。视其肿势在何
部分。随经取之。湿热为肿。木盛为痛。此邪见于头。多在两耳前后先出。皆主其病也。治之大不宜药速。
速则过其病所。谓上热未除。中寒复生。必伤人命。此病是自外而之内者。是血病。况头部分受邪。见于无形
迹之部。当先缓而后急。先缓者。谓邪气在上。着无形之分部。既着无形。无所不至。若用重剂速下过其病难已。
虽用缓药。若急服之。或食前。或顿服。皆失缓体。则药不能除病。当徐徐浸渍无形之邪也。或药性味形体拟
象。皆要不离缓体是也。且后急者。谓缓剂已泻。邪气入于中。是到阴部。染于有形质之所。若不速去。则损
阴也。此终治却为客邪。当急去之。是治客以急也。且治主当缓者。谓阳邪在上。阴邪在下。各本家病也。若
急治之。不能解纷而益乱也。此故治主当缓。治客以急
者。谓阳分受阴邪。阴分受阳邪。此客气急除去之也。假令少阳阳明为病。少阳为邪。出于耳之前后也。阳
明为邪者。首大肿是也。先以黄芩黄连甘草汤。通炒过 煎。少少不住服。或剂毕。再用大黄煨。鼠粘子新瓦上
炒香。煎药成去滓。内芒硝。俱各等分。亦时时呷之。无令饮食在前。得微利。及邪气已。只服前药。如不已。
再同前次第服之。取大便利。邪气即止。如阳明渴者。加石膏。如少阳渴者。加栝蒌根。阳明行经升麻芍药葛根
甘草。太阳行经。羌活防风之类。
雷头风附
夫治雷头者。诸药不效。为与证不相对也。夫头者。震卦主之。震仰盂。故予制药内加荷叶。谓象其震之
形。其色又青。乃述类象形也。当煎局方中升麻汤。
升麻（一两） 苍术（一两） 荷叶（一个全者）
上为细末。每服五钱。水一盏。煎七分。温服食后。或烧全荷叶一个。研细调煎药服。亦妙。
耳论附
论曰。耳者盖非一也。以窍言之。是水也。以声言之。金也。以经言之。手足少阳俱会其中也。有从内不
能听者主也。有从外不能入者经也。有若蝉鸣者。有若钟声者。有若火 状者。各随经见之。其间虚实不可
不察也。假令耳聋者肾也。何谓治肺。肺主声。鼻塞者肺也。何谓治心。心主臭。如推此法。皆从受气为始。
肾受气于巳。心受气于亥。肝受气于申。肺受气于寅。脾王四季。此法皆长生之道也。
（病情）痊愈。所以这种病症不能自行停止。正气亏损则风邪亢盛，真气进一步耗损。又《内经》说：月经不来，是胞脉闭塞所致。胞脉属于心，并联络于子宫。现在气机上逆逼迫，心气不能下行通达，所以月经不来。先服用清降心火的药剂，后服用《局方》中的五补丸，最后用卫生汤，以调理脾胃、养血益气。
苦楝丸 治疗妇女赤白带下。
苦楝（捣碎，酒浸） 茴香（炒） 当归
以上药材等分研为细末，用酒调糊制成丸药，如梧桐子大小。每次服用三五十丸，空腹时送服。腰腿疼痛，用四物汤四两，加羌活、防风各一两。
卫生汤
当归 白芍药（各三两） 黄芪（三两） 甘草（一两）
以上药材切成粗末。每次服用半两，加水二盏，煎煮至一盏，去渣温服，空腹服用。如果体质虚弱者，加人参一两。
所谓大头病，是阳明经邪热太盛，资助少阳相火而形成的。病位多在少阳经，或在阳明经，或传变至太阳经。观察肿胀部位在哪个部分，就顺着该经进行治疗。湿热导致肿胀，木气过盛导致疼痛。这种邪气出现在头部，多先从两耳前后发作，都主治其相应的病症。治疗此病不宜用药过于迅猛。药力过猛会超过病所，导致上部的热邪未除，中焦的寒邪又生，必然伤害人命。此病是从外部侵入内部的，属于血分病变。况且头部受邪，发生在没有具体形迹的部位，应当先缓后急。先缓，是指邪气在上部，附着于无形的分部。既然附着于无形之处，便无所不至。如果使用重剂迅速攻下，超过了病所，疾病难以治愈。即使使用缓药，如果急于服用，无论是饭前还是顿服，都失去了“缓”的本意，那么药物就不能去除疾病。应当慢慢浸润以消除无形的邪气。或者药物的性味形体模拟象征意义，都要不离“缓”的原则。至于后急，是指缓剂已经泻下，邪气进入中部，到达阴部，沾染在有形质的地方。如果不迅速去除，就会损伤阴液。这最终是要清除客邪，应当急速去除它，这就是“治客以急”。至于说治疗主邪应当缓慢，是指阳邪在上，阴邪在下，各自是本家的病。如果急躁治疗，不能解开纷乱反而更加混乱。所以治疗主邪应当缓慢。所谓“治客以急”，是指阳分受到阴邪，阴分受到阳邪，这些客邪应当急速除去。假如少阳、阳明发病，少阳受邪，表现为耳前后肿痛；阳明受邪，表现为头面大肿。先用黄芩黄连甘草汤，全部炒过后煎煮，少量多次不停服用。或者药服完后，再用煨大黄、新瓦上炒香的鼠粘子（牛蒡子），煎好药去渣，加入芒硝，各等分，也时时呷服，不要让饮食留在前面。得到轻微腹泻，以及邪气已去，只服用前面的药。如果不好转，再按照前面的次序服用，使大便通畅，邪气即止。如果阳明经口渴，加石膏。如果少阳经口渴，加栝蒌根。阳明经行经用升麻、芍药、葛根、甘草。太阳经行经用羌活、防风之类。
雷头风附
治疗雷头风，各种药物无效，是因为与证候不对应。头，由震卦主宰。震卦的象是仰盂（开口向上的容器），所以我制药中加入荷叶，说是象征震卦的形状。它的颜色又是青色，这是取类比象的方法。应当煎煮《局方》中的升麻汤。
升麻（一两） 苍术（一两） 荷叶（一个完整的）
以上研为细末。每次服用五钱，加水一盏，煎至七分，饭后温服。或者烧全荷叶一个，研细后调拌煎好的药服用，也很好。
耳论附
论述说：耳朵并不单一。从孔窍来说，属水。从声音来说，属金。从经络来说，手足少阳经都汇聚其中。有从内部不能听见的，主责于肾。有从外部不能传入的，主责于经。有的像蝉鸣，有的像钟声，有的像火烧状，都随经络表现不同。其中的虚实不可不仔细辨别。假如耳聋，责之于肾。为什么治肺？肺主声音。鼻塞，责之于肺。为什么治心？心主嗅觉。推演这种方法，都是从受气的开始说起。肾受气于巳时，心受气于亥时，肝受气于申时，肺受气于寅时。脾旺于四季。这种方法都是长生的道理。
(Condition) Cured. Therefore, this syndrome cannot resolve on its own. When deficiency occurs, wind-pathogen prevails, and the true Qi is further depleted. As the Classics state: "When menstruation does not come, it is due to the closure of the Bao Mai (Uterine Vessels)." The Bao Mai belongs to the Heart and connects to the Bao Zhong (Uterus). Now, with Qi rushing upward and pressing, the Heart Qi cannot descend and communicate smoothly, hence menstruation does not come. First, administer agents that descend and clear Heart Fire; subsequently, administer Wu Bu Wan (Five Tonics Pill) from the *Ju Fang* (Prescriptions of the Imperial Medical Bureau); finally, use Weisheng Tang (Health Preservation Decoction) to regulate the Spleen, nourish Blood, and tonify Qi.
Kelian Wan (Toosendan Fruit Pill) treats leukorrhea (red and white vaginal discharge) in women.
*Kelian* (Toosendan Fructus, crushed and soaked in wine), *Huixiang* (Foeniculum Vulgare Fruit, stir-fried), *Danggui* (Angelica Sinensis Radix).
Grind the above herbs into fine powder, mix with wine paste to make pills, size of *Tongzi* (Chinese toon seeds). Take 30-50 pills per dose, with warm wine on an empty stomach. For pain in the lower back and legs, use Siwu Tang (Four Substances Decoction) 4 liang, add *Qianghuo* (Notopterygii Rhizoma et Radix) and *Fangfeng* (Saposhnikoviae Radix) 1 liang each.
Weisheng Tang (Health Preservation Decoction)
*Danggui* (Angelica Sinensis Radix), *Baishaoyao* (Paeoniae Radix Alba, each 3 liang), *Huangqi* (Astragali Radix, 3 liang), *Gancao* (Glycyrrhizae Radix et Rhizoma, 1 liang).
Cut the above herbs into coarse pieces. Take 0.5 liang per dose, add 2 cups of water, decoct until 1 cup remains, remove dregs, and take warm on an empty stomach. If the patient is deficient, add *Renshen* (Ginseng Radix) 1 liang.
The so-called "Big Head Disease" (Plague-like swelling of the head) arises because the pathogenic heat in the Yangming channel is excessive, assisting the Ministerial Fire of the Shaoyin channel. The pathology mostly resides in the Shaoyang or Yangming channels, or may transmit to the Taiyang channel. Observe which part exhibits swelling and treat according to the affected channel. Damp-heat causes swelling; excess Wood causes pain. This pathogen manifests in the head, often appearing first around both ears, all of which are treated according to their respective diseases. Treatment should not employ drugs too rapidly. Rapid action may overshoot the disease site, leading to upper heat not being cleared while middle cold arises, inevitably harming life. This disease enters from the exterior to the interior and involves blood pathology. Moreover, since the head is affected by pathogens in a formless region, treatment should be slow initially and rapid later. "Slow initially" means the pathogen is in the upper jiao, adhering to formless regions. Once adhering to the formless, it can go anywhere. If heavy purgatives are used to rapidly evacuate, overshooting the disease site, the illness will not resolve. Even if mild drugs are used, if taken hastily—whether before meals or as a single large dose—the "slowness" principle is lost, and the medicine cannot eliminate the disease. One must slowly soak and permeate the formless pathogen. Alternatively, the nature, flavor, and form of the drugs should mimic symbolic meanings, always adhering to the principle of "slowness." "Rapid later" refers to when the mild agent has purged, and the pathogen has entered the middle, reaching the Yin regions and infecting substantial/form-giving areas. If not removed quickly, Yin fluids will be damaged. Ultimately, one must expel the guest pathogen, requiring rapid removal; this is "treating the guest with speed." Regarding "treating the host with slowness," it means Yang pathogens are in the upper Jiao and Yin pathogens are in the lower Jiao, each belonging to their home organ. If treated hastily, chaos cannot be resolved but will increase. Thus, treating the host requires slowness. "Treating the guest with speed" refers to Yin pathogens invading Yang regions and Yang pathogens invading Yin regions; these guest pathogens must be removed rapidly. For example, in Shaoyang-Yangming disease: Shaoyang pathogen manifests as swelling/pain around the ears; Yangming pathogen manifests as massive head/face swelling. First, use Huangqin Huanglian Gancao Tang (Scutellaria, Coptis, and Licorice Decoction), all stir-fried, decocted, and taken in small, frequent doses continuously. After finishing this dose, use Wei Dahuang (Baked Rheum Palmatum Radix) and Shuniuzi (Arctii Fructus, stir-fried on a new tile until fragrant), decoct, remove dregs, add Mangxiao (Natrii Sulfas), equal parts, and sip occasionally. Do not let food remain in the stomach. Aim for slight diarrhea. Once the pathogen is gone, resume the previous medication. If unresolved, repeat the sequence to achieve thorough bowel movement, at which point the pathogen ceases. If Yangming channel thirst occurs, add Shigao (Gypsum Fibrosum). If Shaoyang channel thirst occurs, add Gualougen (Trichosanthis Radix). For Yangming channel meridian circulation, use Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix), Gegen (Puerariae Lobatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma). For Taiyang channel meridian circulation, use Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), etc.
Appendix on Leitou Feng (Thunderhead Wind)
Various medicines fail to treat Leitou Feng because they do not correspond to the syndrome. The head is governed by the Zhen Trigram. Zhen represents an open vessel facing upward. Therefore, I add He Ye (Nelumbinis Folium) to my prescriptions to symbolize the shape of Zhen. Its color is green, following the method of analogical imagery. One should decoct Shengma Tang (Cimicifuga Decoction) from the *Ju Fang*.
*Shengma* (Cimicifugae Rhizoma, 1 liang), *Cangzhu* (Atractylodis Rhizoma, 1 liang), *He Ye* (Nelumbinis Folium, one whole leaf).
Grind into fine powder. Take 5 qian per dose, add 1 cup of water, decoct to 70%, and take warm after meals. Alternatively, burn one whole He Ye, grind finely, and mix with the decocted medicine; this is also excellent.
Appendix on Ear Theory
It is said that the ear is not singular. In terms of orifices, it corresponds to Water. In terms of sound, it corresponds to Metal. In terms of meridians, the Hand-Shaoyang and Foot-Shaoyang converge there. Deafness originating internally is primarily related to the Kidney. Impediment to sound entering from externally is related to the Meridians. Sounds may resemble cicadas, bells, or fire burning, each manifesting differently according to the channel. One must carefully distinguish deficiency and excess. For instance, deafness is attributed to the Kidney. Why treat the Lung? The Lung governs sound. Nasal congestion is attributed to the Lung. Why treat the Heart? The Heart governs smell. Extending this logic, all originate from the reception of Qi. The Kidney receives Qi at Si hour, the Heart at Hai hour, the Liver at Shen hour, and the Lung at Yin hour. The Spleen prospers during the four seasons. This method constitutes the Way of Longevity.