服附子后,身目红者,乃附毒之过,急用萝卜捣汁一大碗,入黄连甘草各五钱、犀角二
钱,煎至八分饮之,其毒即解。如解之迟,必然血从七孔中出,决死何待。若无生萝卜汁,
用子亦可。用生黄豆浸透,捣烂取汁一盅饮之,亦可。或用澄清泥浆水饮之,亦可。
服大黄后,泻利不止者,用乌梅二枚、炒粳米一撮、干姜二钱、土炒白术一钱、人参五
分、附子去皮钱半、甘草七分、升麻二分、灯心七根煎熟,入壁土一匙,调服即止。
服麻黄后,汗出不止者,将病患发披入水盆中,足露出外,再炒糯米半升、龙骨牡蛎
本防风各一两,研细末,周身扑之。
芩连知柏,治病者头面及手梢皮肤,略用酒炒,借酒力以升上也。治咽之下胸之上者,
略用酒浸。治脐之下者生用。熟则升、生则降也。凡用上焦药,须酒浸晒干,黄柏知母,乃
治下部之药,久弱之人,必须酒浸晒干,恐寒伤胃也。大黄酒煨,生熟地黄酒洗,皆是此意。
用附子去皮脐,先将盐水姜汁各半碗,入砂锅内煮六七沸,再入黄连甘草各五钱、童便煮六
七沸,良久捞起,以磁器盛之,伏地气一夜,晒干听用。用麻黄,须要去节,用滚醋略浸片
时晒干,恐大发汗,冬月及表实之人生用,用吴萸将盐水
药有气味浓薄不同,轻重不等,寒热相杂,阴阳相混,或气一而味殊,或味同而气异。
清阳发腠理,实四肢,清之清者也。浊阴走五脏归六腑,浊之浊者也。清中清者,养荣于神,
浊中浊者,坚强骨髓。气为阳、气浓为纯阳,气薄为阳中之阴,气薄则发泄,气浓则发热。
味为阴、味浓为纯阴,味薄为阴中之阳,味薄则通,味浓则泄。辛甘发散为阳,酸苦涌泄为
阴,淡味渗泄为阳,酸苦涌泄为阴。辛甘淡之热者,为阴中之阳,酸苦咸之寒者,为阳中之
阴。如茯苓淡,为在天之阳也,阳当上行,何为利水而泄下?内经云,气之薄者,乃阳中之
阴,所以利水而泄下,然而泄下亦不离乎阴之体,故入乎太阴也。麻黄甘、为在地之阴也,
阴当下行,何为发汗而上升?内经云,味之薄者,乃阴中之阳,所以发汗而上升,然而升上
亦不离乎阳之体,故入乎太阳也。附子气味俱浓,其性热,乃阳中之阳,故经云,发热。大
黄气味俱浓,其性寒,乃阴中之阴,故经云,泄下。淡竹乃阳中之阴,所以利小便。苦茶乃
阴中之阳,所以清头目。
药有寒热温凉平和之气,辛甘淡苦酸咸之味,升降浮沉之性,宣通补泻之能。内经曰,
补泻在味,随时换气,故升以散之,散其在表拂郁也。甘以缓之,缓其大热大寒也。淡以渗
之,渗其内湿,利小便也。苦以泄之,泄其上升之火也。酸以收之,收其精散之气也。咸以
软之,软其燥结之火也。春气温而宜用凉药,夏气热而宜用寒药,秋气凉而宜用温药,冬气
寒而宜用热药,此特四时之正耳,若病与时违,又不拘此例也。假如夏月忌发散,苟表实极
重之症,虽用麻黄一两何妨,其余可以例推。病在上而宜用升药,病在下而宜用降药,病在
外而宜用浮药,病在内而宜用沉药,故经曰,升降浮沉则顺之,谓顺其升降浮沉药味之性也。
寒
服用附子之后,如果身体和眼睛发红,这是附子毒性发作所致,应立即用一大碗捣碎的萝卜汁,加入五钱黄连、五钱甘草和二钱犀角,煎煮至剩余八分药液时饮用,其毒性即可解除。如果解毒不及时,必然会出现从七窍出血的症状,死亡是必然的结局。如果没有生萝卜汁,使用萝卜籽也可以。或者将生黄豆浸泡透彻,捣烂后取一盅汁液饮用,也可以。或者饮用澄清的泥浆水,也可以。
服用大黄之后,如果出现腹泻不止的情况,使用乌梅两枚、炒过的粳米一撮、干姜二钱、土炒白术一钱、人参五分、去皮附子钱半、甘草七分、升麻二分、灯心草七根,煎熟后,加入一匙壁土,调和服用,腹泻即可停止。
服用麻黄之后,如果出现汗出不止的情况,将病人的头发披散浸入水盆中,脚露在外面,再取炒糯米半升、龙骨、牡蛎、本防风各一两,研成细末,扑撒在病人全身。
黄芩、黄连、知母、黄柏,用于治疗头面部及手部皮肤疾病时,略用酒炒,借酒力使药性上行。治疗咽喉以下、胸部以上的疾病时,略用酒浸。治疗肚脐以下的疾病时,生用。因为熟则药性上升,生则药性下降。凡是用于上焦的药物,必须用酒浸泡后晒干;黄柏、知母本是治疗下部疾病的药物,对于久病体弱的人,也必须用酒浸泡后晒干,以免寒凉之性损伤胃气。大黄用酒煨,生地黄和熟地黄用酒洗,都是这个意思。
使用附子时,需去掉皮和脐,先将半碗盐水和半碗姜汁放入砂锅中,煮沸六七次,再加入五钱黄连、五钱甘草和童便(儿童尿液),煮沸六七次,放置较长时间后捞出,用瓷器盛装,在地面上伏置一夜以去地气,晒干后备用。使用麻黄时,必须去掉节,用滚热的醋略加浸泡片刻后晒干,以防发汗太过。冬季以及表实证的患者使用生麻黄。使用吴茱萸时用盐水……
药物的气味有浓薄不同,轻重不等,寒热性质混杂,阴阳属性交错,有的气味相同但味道不同,有的味道相同但气味不同。清阳之气发散于腠理,充实四肢,这是清中之清的部分。浊阴之气走注五脏,归入六腑,这是浊中之浊的部分。清中之清者,滋养神气;浊中之浊者,坚固骨髓。气属于阳,气浓者为纯阳,气薄者为阳中之阴;气薄则能发泄,气浓则能发热。味属于阴,味浓者为纯阴,味薄者为阴中之阳;味薄则能通利,味浓则能泄下。辛、甘、淡味具有发散作用,属于阳;酸、苦味具有涌吐和泄下的作用,属于阴。(注:原文此处重复“酸苦涌泄为阴”,且前文已列淡味渗泄为阳,此处依原文逻辑整理)。辛、甘、淡味的热性药物,属于阴中之阳;酸、苦、咸味的寒性药物,属于阳中之阴。例如茯苓味淡,属于天之阳,阳气应当上行,为何却能利水而泄下?《内经》说,气薄的药物,是阳中之阴,所以能利水而泄下,然而泄下也不脱离阴的本质,所以归属于太阴经。麻黄味甘,属于地之阴,阴气应当下行,为何却能发汗而上升?《内经》说,味薄的药物,是阴中之阳,所以能发汗而上升,然而上升也不脱离阳的本质,所以归属于太阳经。附子的气味都浓厚,性质大热,属于阳中之阳,所以经典说它能发热。大黄的气味都浓厚,性质大寒,属于阴中之阴,所以经典说它能泄下。淡竹属于阳中之阴,所以能利小便。苦茶属于阴中之阳,所以能清头目。
药物具有寒、热、温、凉、平和的气,辛、甘、淡、苦、酸、咸的味,升、降、浮、沉的性质,宣、通、补、泻的功能。《内经》说,补泻取决于药味,随季节变化而调整气机,所以升散是为了疏散在表的郁结。甘味是为了缓和,缓解大热大寒之邪。淡味是为了渗湿,通过利小便来排除体内的湿气。苦味是为了泄降,清除上逆的火气。酸味是为了收敛,收摄耗散的精气。咸味是为了软坚,软化燥结的火邪。春季气温回升,适宜使用凉药;夏季气候炎热,适宜使用寒药;秋季气候凉爽,适宜使用温药;冬季气候寒冷,适宜使用热药,这是四季用药的正法。但如果病情与季节相反,就不拘泥于此例。例如夏季通常忌用发散药,但如果遇到表实证极重的病症,即使使用一两麻黄又有什么妨碍呢?其余情况可以以此类推。病位在上方的宜用升提药,病位在下方的宜用沉降药,病位在体表的宜用浮散药,病位在体内的宜用沉潜药。所以经典说,“升降浮沉则顺之”,意思是顺应药物升降浮沉的特性。寒
After consuming *Fuzi* (Aconite Lateralis Radix Praeparata), if the body and eyes turn red, it is due to the toxicity of Aconite. Immediately use a large bowl of juice from crushed raw radish (*Raphani Semen*, though context implies root juice, text says "luobo", usually Radix Raphani or similar, here interpreted as Radish Juice), add five qian of *Huanglian* (Coptidis Rhizoma), five qian of *Gancao* (Glycyrrhizae Radix et Rhizoma), and two qian of *Xijiao* (Rhino Ceratops Horn). Decoct until eight-tenths remains, then drink; the toxicity will be resolved. If treatment is delayed, blood will inevitably flow from the seven orifices, and death is certain. If fresh radish juice is unavailable, radish seeds may be used. Alternatively, soak raw soybeans (*Sojae Semen Album*) thoroughly, crush them, extract one cup of juice, and drink it; this also works. Or drink clarified muddy water; this also works.
After consuming *Dahuang* (Rhei Radix et Rhizoma), if diarrhea persists, use two *Wumei* (Mume Fructus), a pinch of stir-fried *Jingmi* (Oryza Sativa Var. Glutinosa), two qian of *Ganjiang* (Zingiberis Rhizoma), one qian of earth-stir-fried *Baizhu* (Atractylodis Macrocephalae Rhizoma), five fen of *Renshen* (Ginseng Radix), half a qian of peeled *Fuzi* (Aconiti Lateralis Radix Praeparata), seven fen of *Gancao* (Glycyrrhizae Radix et Rhizoma), two fen of *Shengma* (Cimicifugae Rhizoma), and seven roots of *Dengxin* (Junci Medulla). Decoct until cooked, add one spoonful of wall soil (*Bitu*), mix well, and take orally; the diarrhea will stop.
After consuming *Mahuang* (Ephedrae Herba), if sweating continues uncontrollably, spread the patient's hair into a basin of water, leaving the feet exposed outside. Then, take half a sheng of stir-fried glutinous rice (*Oryza Sativa Var. Glutinosa*), one liang of *Longgu* (Fossilia Ossis Mastodi et Humeri), one liang of *Muli* (Concha Ostreae), and one liang of *Bifengfeng* (Saposhnikoviae Radix - note: text says "Ben Fangfeng", likely referring to Saposhnikoviae Radix or similar aromatic wind-dispelling herb, standard is Fangfeng). Grind into fine powder and dust over the entire body.
*Qin* (Scutellariae Radix), *Lian* (Coptidis Rhizoma), *Zhi Mu* (Anemarrhenae Rhizoma), and *Bai Pi* (Phellodendri Cortex) are used for diseases of the head, face, and skin of the hands. Slightly stir-fry with wine to borrow the wine's power to ascend the medicinal action. For diseases below the throat but above the chest, slightly soak in wine. For diseases below the navel, use raw. Cooked herbs ascend; raw herbs descend. For all upper-jiao medicines, must soak in wine and dry in the sun. *Huang Bo* (Phellodendri Cortex) and *Zhi Mu* (Anemarrhenae Rhizoma) are originally medicines for the lower part. For people with chronic weakness, they must be soaked in wine and dried in the sun to prevent cold nature from damaging the stomach. *Da Huang* (Rhei Radix et Rhizoma) is stir-fried with wine; *Sheng Di Huang* (Rehmanniae Radix) and *Shu Di Huang* (Rehmanniae Radix Preparata) are washed with wine; all follow this principle.
When using *Fuzi* (Aconiti Lateralis Radix Praeparata), remove the skin and umbilicus. First, put half a bowl of salt water and half a bowl of ginger juice into a clay pot, boil six or seven times. Then add five qian of *Huanglian* (Coptidis Rhizoma), five qian of *Gancao* (Glycyrrhizae Radix et Rhizoma), and *Tongbian* (Child's Urine). Boil six or seven times, let stand for a long time, then remove. Store in a porcelain vessel, place on the ground overnight to eliminate earth qi, dry in the sun, and set aside for use. When using *Mahuang* (Ephedrae Herba), remove the nodes. Soak briefly in boiling vinegar and dry in the sun to prevent excessive sweating. In winter, or for patients with exterior excess syndrome, use raw *Mahuang*. When using *Wuyu* (Evodiae Fructus)... [Text cuts off]
Medicines have different densities of aroma and taste, varying weights, mixed cold and hot properties, and intermingled yin and yang attributes. Some have the same aroma but different tastes, or the same taste but different aromas. Clear yang emanates from the couli (interstices) and fills the four limbs; this is the clearest of the clear. Turbid yin travels to the five zang organs and returns to the six fu organs; this is the turbiddest of the turbid. The clearest of the clear nourishes the spirit; the turbiddest of the turbid strengthens the bone marrow. Qi belongs to Yang; dense qi is Pure Yang, thin qi is Yin within Yang. Thin qi causes dispersal and emission; dense qi causes fever. Taste belongs to Yin; dense taste is Pure Yin, thin taste is Yang within Yin. Thin taste promotes circulation; dense taste causes purgation. Pungent, sweet, and bland flavors disperse and are Yang; sour and bitter flavors induce vomiting and purgation and are Yin. Bland flavor permeates and drains and is Yang; sour and bitter flavors induce vomiting and purgation and are Yin. Pungent, sweet, and bland hot medicines are Yang within Yin; sour, bitter, and salty cold medicines are Yin within Yang. For example, *Fuling* (Poria) is bland and belongs to Heaven's Yang. Yang should ascend, so why does it promote urination and drain downward? The *Neijing* states that thin qi is Yin within Yang, thus it promotes urination and drains downward. However, draining downward still adheres to the nature of Yin, so it enters the Taiyin channel. *Mahuang* (Ephedrae Herba) is sweet and belongs to Earth's Yin. Yin should descend, so why does it induce sweating and ascend? The *Neijing* states that thin taste is Yang within Yin, thus it induces sweating and ascends. However, ascending still adheres to the nature of Yang, so it enters the Taiyang channel. *Fuzi* (Aconiti Lateralis Radix Praeparata) has both dense aroma and taste, its nature is hot, and it is Yang within Yang, hence the classics say it causes fever. *Da Huang* (Rhei Radix et Rhizoma) has both dense aroma and taste, its nature is cold, and it is Yin within Yin, hence the classics say it causes purgation. *Dan Zhu* (Bambusa Textilis Caulis) is Yang within Yin, so it benefits urination. *Ku Cha* (Camellia Sinensis Folium) is Yin within Yang, so it clears the head and eyes.
Medicines possess the qi of Cold, Heat, Warm, Cool, and Neutral; the flavors of Pungent, Sweet, Bland, Bitter, Sour, and Salty; the properties of Ascending, Descending, Floating, and Sinking; and the functions of Diffusing, Unblocking, Tonifying, and Draining. The *Neijing* says, tonification and drainage depend on the taste, and qi changes with the seasons. Therefore, ascending and dispersing is used to scatter pathogenic factors trapped in the exterior. Sweet flavors are used to moderate, alleviating extreme heat or cold. Bland flavors are used to percolate, draining internal dampness and benefiting urination. Bitter flavors are used to purge, clearing upward-flaring fire. Sour flavors are used to astringe, consolidating scattered essence. Salty flavors are used to soften, resolving dryness and congealed fire. In spring, when qi is warm, cool medicines are appropriate. In summer, when qi is hot, cold medicines are appropriate. In autumn, when qi is cool, warm medicines are appropriate. In winter, when qi is cold, hot medicines are appropriate. This is the standard practice for the four seasons. However, if the disease contradicts the season, these rules do not strictly apply. For instance, although dispersing is contraindicated in summer, if there is an extremely severe exterior excess syndrome, what harm is there in using one liang of *Mahuang* (Ephedrae Herba)? Other cases can be deduced by analogy. If the disease is in the upper part, ascending medicines should be used. If the disease is in the lower part, descending medicines should be used. If the disease is in the exterior, floating medicines should be used. If the disease is in the interior, sinking medicines should be used. Hence, the classics say, "Follow the ascending, descending, floating, and sinking," meaning to conform to the natural properties of the medicinal flavors' movement. Cold