戴云∶健忘者,为事有始无终,言谈不知首尾。此以为病之名,非比生成之愚顽,不知世事者。
精神短少者多,亦有痰者。
(大段属血虚。)
有虑便动,属虚。时作时止,痰因火动。
戴云∶怔忡者,心中不安,惕惕然如人将捕者是也。
瘦人多是血少,肥人属痰,寻常者多是痰。
真觉心跳者,是血少。用四物安神之类。
(大率与痫病相似。)
多是血虚有火兼痰,人参、竹沥之类。不用兼风药。
(一名积瘕)
块在中为痰饮,在右为食积,在左为血积。
气不能作块,成聚块乃有形之物,痰与食积、死血,此理晓然。醋煮海石、三棱、莪术、桃仁,红花、五灵脂、香
附之类。
白术汤吞下瓦龙子,能消血块,次消痰。
治块,当降火消食积。食积即痰也。
行死血块去,须大补。石碱一物,有痰积,有血块,可用洗涤垢腻,又消食积。
戴云∶积聚 瘕∶有积聚成块,不能移动者是 。或有或无,或上或下,或左或右者是瘕。
用蜀葵根煎汤,煎人参、白术、陈皮、青皮、甘草梢、牛膝成汤,入细研桃仁、玄明粉各少许,热饮。
一服可见块下。
病重,补接之后,加减再行。
消块丸,即千金大硝石丸。只可磨块,不令人困,须量虚实而用可也。
硝石(六两) 大黄(八两) 人参 甘草(各三两)
上为末,以三年苦酒三斗,置铜器中,以竹片作准,每入一升作一刻,拄器中熬。先纳大黄,不住手搅,
使微沸,尽一刻,乃下余药。又尽一刻,微火熬,使可丸则取。丸如鸡子中黄大。每服一丸,米饮下。如不能
大丸,则作小丸,如梧子大。每服三十丸。后下如鸡肝、如米泔赤黑等色。下后,忌风冷。淡软粥将理。
又三圣膏
未化锻石(半斤,为末,瓦器中炒令淡红色,提出火外,候热少减,次
下大黄末) 大黄(一两,为末,就炉炒,伺热减,入桂心末) 桂心(半两,为末,略炒,入米醋熬成膏药,
浓摊,贴患处。)
贴积聚块
大黄 朴硝(各一两)
上为末,用大蒜捣膏,和匀贴之。
痞块在皮里膜外,须用补气。香附开之,兼二陈汤加补气药。先须断浓味。
茶癖∶
石膏 黄芩 升麻
上为末,砂糖水调服。
瘿气,先须断浓味。海藻(一两) 黄药(二两)
上为末,以少许置于掌中,时时舐之,津咽下。如消三分之二须止后药服。
食积一方,乃在妇人门食积条下。
戴元礼说:健忘,表现为做事有头无尾,说话不知首尾。这是作为疾病的名称,不同于天生愚笨痴呆、不通世事的人。
(大段属于血虚。)
思虑过度导致心神动摇,属于虚证;症状时发时止,是痰因火动所致。
戴元礼说:怔忡(心中悸动不安),表现为心中不安,惊恐的样子好像被人追捕一样。
(大体上与痫病相似。)
多是血虚有火兼夹痰邪,用人参、竹沥之类。不使用兼治风邪的药物。
(一名积瘕)
气不能形成肿块,结成有形之块的乃是痰、食积、死血,这个道理很明白。用醋煮海浮石、三棱、莪术、桃仁、红花、五灵脂、香附之类。
行散死血块去除后,必须大补。石碱这一味药,对于痰积、血块,可以用来洗涤垢腻,又能消食积。
戴元礼说:积聚与瘕:有积聚形成肿块,不能移动的是积聚。有时出现有时消失,或上或下,或左或右移动的是瘕。
用蜀葵根煎汤,再煎人参、白术、陈皮、青皮、甘草梢、牛膝成汤剂,加入细研的桃仁、玄明粉各少许,热饮。
一服药后可见肿块下行。
病情重的,在补益接续之后,加减再行治疗。
消块丸,即千金大硝石丸。只能磨削肿块,不使人困倦,必须衡量虚实而使用才可以。
以上研为末,用三年陈醋三斗,放入铜器中,以竹片做刻度,每加入一升醋算一刻钟,在器中熬煮。先放入大黄,不停地搅拌,使其微沸,满一刻钟后,再放入其余药物。又满一刻钟,用微火熬煮,使可以制成丸药则取出。制成如鸡蛋黄大小的丸。每次服用一丸,米汤送下。如果不能做大丸,则做成小丸,如梧桐子大。每次服用三十丸。服药后排出的东西像鸡肝、像米泔水赤黑色等颜色。服药后,忌食风冷之物。用清淡软粥调养。
又有三圣膏
未熔化的锻石(半斤,研为末,在瓦器中炒至淡红色,取出离火,待热度稍减,次下大黄末) 大黄(一两,研为末,就在炉上炒,待热度减退,入桂心末) 桂心(半两,研为末,略炒,入米醋熬成膏药,浓摊,贴于患处。)
贴敷积聚块
以上研为末,用大蒜捣成膏,和匀贴之。
痞块在皮里膜外,必须补气。香附开郁,兼用二陈汤加补气药。必须先断绝浓味饮食。
茶癖(嗜茶成癖):
石膏 黄芩 升麻
以上研为末,砂糖水调服。
瘿气(甲状腺肿大类疾病),必须先断绝浓味饮食。海藻(一两) 黄药子(二两)
以上研为末,取少许置于掌中,时时舔舐,津液咽下。如果消除了三分之二须停止后续药物服用。
Dai Yuanli stated: Forgetfulness (Jianwang) is characterized by starting tasks without finishing them, and speaking without knowing the beginning or end. This refers to a pathological condition, distinct from innate stupidity or dullness where one does not understand worldly affairs.
Those with shortness of spirit (Jingshen duanshao) are mostly affected in this way; there are also cases caused by phlegm (Tan).
(The majority belong to Blood deficiency (Xue xu).)
When thoughts move easily due to overthinking, it belongs to deficiency (Xu); when symptoms come and go intermittently, it is phlegm stirred up by fire (Huo).
Dai Yuanli stated: Palpitations (Zhengchong) manifest as inner unease, with a terrified feeling as if someone were about to capture one.
Thin individuals often have little Blood (Xue shao), fat individuals tend to have Phlegm (Tan), and ordinary people mostly suffer from Phlegm (Tan).
True sensation of heart beating indicates Blood deficiency (Xue shao). Use Siwu Tang (Four Substances Decoction) combined with Spirit-calming medications.
(For Blood deficiency, use Zhusha Anshen Wan (Cinnabar Spirit-Calming Pill).)
(In general, it resembles Epilepsy (Xianbing).)
It is mostly Blood deficiency with Fire (Huo) accompanied by Phlegm (Tan), using Ren Shen (Ginseng Radix et Rhizoma) and Zhu Li (Bambusae Succus). Do not use medicines for Wind (Feng).
(Also known as Ji Jia (Accumulation and Mass).)
Masses in the center are Phlegm-fluid retention (Tan yin), on the right are Food stagnation (Shi ji), and on the left are Blood stasis (Xue ji).
Qi cannot form masses; forming tangible masses are Phlegm (Tan), Food stagnation (Shi ji), and dead Blood (Si xue). This principle is clear. Use Hai Shi (Aragonitum) boiled in vinegar, along with San Leng (Curcumae Radix), E Zhu (Curcumae Rhizoma), Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), and Wu Ling Zhi (Trogopterori Faeces), Xiang Fu (Cyperi Rhizoma), etc.
Swallow Wa Long Zi (Arionis Concha) with Baizhu Tang (Atractylodis Macrocephalae Decoction); it can dissolve Blood masses (Xue kuai) and subsequently resolve Phlegm.
To treat masses, one must descend Fire (Huo) and resolve Food stagnation (Shi ji). Food stagnation is essentially Phlegm (Tan).
After moving away dead Blood masses, one must strongly tonify (Bu). Shi Jian (Soda Natron) is useful for washing away filth in cases of Phlegm accumulation (Tan ji) and Blood masses (Xue kuai), and can also resolve Food stagnation.
Use Hei Xi (Meliloti Herba processed with lead? Note: Text says Hei Xi, likely referring to a specific processed mineral or herb contextually, but literally Black Tin/Lead oxide in some contexts, here likely a specific preparation) calcined to ash, mixed with Bing Lang (Arecae Semen) powder, and taken with Rice Drink (Mi Yin).
Dai Yuanli stated: Accumulation (Ju) and Mass (Jia): Those that form masses and cannot move are Accumulations (Ju). Those that appear and disappear, or move up and down, left and right, are Masses (Jia).
Use Shu Kui Gen (Malvae Root) decocted in water, then add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Gan Cao Gao (Glycyrrhizae Radix et Rhizoma tip), and Niu Xi (Achyranthis Bidentatae Radix) to make a decoction. Add finely ground Tao Ren (Persicae Semen) and Xuan Ming Fen (Mirabilite) in small amounts, and drink hot.
One dose may result in the mass descending.
For severe cases, after tonifying and connecting the Qi/Blood, adjust and proceed with treatment.
Xiao Kuai Wan (Mass-Dissolving Pill) is the same as Qianjin Da Xiao Shi Wan (Thousand Gold Major Saltpeter Pill). It only grinds down masses without exhausting the patient; it must be used according to the assessment of deficiency and excess (Xu Shi).
Xiao Shi (Salpetra / Natrii Nitras) (6 liang), Da Huang (Rhei Radix et Rhizoma) (8 liang), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 liang each).
Grind the above into powder. Place three dou of three-year-old Ku Jiu (Vinegar) in a copper vessel. Use a bamboo strip as a measure; every time one sheng of vinegar is added, mark one ke (quarter hour). Boil in the vessel. First add Da Huang (Rhei Radix et Rhizoma), stirring constantly until it simmers slightly. After one ke, add the remaining medicines. After another ke, simmer on low heat until it can be formed into pills. Take out and form into pills the size of a chicken egg yolk. Take one pill per dose with Rice Drink (Mi Yin). If large pills cannot be made, form small pills the size of a wutong seed. Take thirty pills per dose. Afterward, passages resembling chicken liver or rice wash water in red-black colors will appear. After taking the medicine, avoid wind and cold. Manage recovery with light, soft congee.
There is also Sansheng Gao (Three Sages Ointment).
Wei Hua Duan Shi (Unfused Calcined Stone) (0.5 jin, ground into powder, stir-fried in a clay vessel until pale red, removed from fire, wait for heat to decrease slightly, then add Da Huang powder). Da Huang (Rhei Radix et Rhizoma) (1 liang, ground into powder, stir-fried on the stove, wait for heat to decrease, then add Gui Xin powder). Gui Xin (Cinnamomi Cortex) (0.5 liang, ground into powder, lightly stir-fried, added to Rice Vinegar and boiled into an ointment, spread thickly, applied to the affected area.)
Apply to Accumulation and Mass.
Da Huang (Rhei Radix et Rhizoma), Pu Xiao (Natrii Sulfas) (1 liang each).
Grind the above into powder, mix with garlic paste, and apply.
For Pi Kuai (Stagnant Masses) located between skin and fascia, Qi tonification is necessary. Use Xiang Fu (Cyperi Rhizoma) to open stagnation, combined with Er Chen Tang (Two Aged Medicines Decoction) plus Qi-tonifying herbs. One must first cease consuming rich flavors.
Cha Pi (Tea Addiction):
Shi Gao (Gypsum Fibrosum), Huang Qin (Scutellariae Radix), Sheng Ma (Cimicifugae Rhizoma).
Grind into powder, take with sugar water.
Ying Qi (Goiter-related Qi disorder): One must first cease consuming rich flavors. Hai Zao (Sargassum Herba) (1 liang), Huang Yao (Dioscoreae Hypoglaucae Rhizoma) (2 liang).
Grind into powder, place a small amount in the palm, lick occasionally, and swallow with saliva. If two-thirds of the condition resolves, stop subsequent medication.
One prescription for Food Stagnation (Shi ji) is found under the Food Stagnation section in the Women's Diseases chapter.