(又名单鼓。其详在格致论中。)
大补中气行湿,此乃脾虚之甚。须必远音乐、断浓味。
以大剂人参、白术,佐以陈皮、茯苓、苍术之类。
有血虚,当以四物汤行血。
脉实兼人壮盛者,或可用攻药,便用收拾白术为主。浓朴治腹胀,因味辛,以散其气在中焦故也。
(属气虚、湿热、阳虚。)
东垣有法有方
人参、黄 少佐桂枝。
阳虚,附子亦可用。
扑法∶
牡蛎、麸皮、 本、糯米、防风、白芷、麻黄根为末,周身扑之。
火气上蒸,胃中之湿,亦能作汗。凉膈散主之。
痰证亦有汗者。
(血虚、阴虚。)
戴云∶盗汗者,睡则汗自出,觉则无矣。非若自汗而自出也。小儿不须治。
东垣有法有方,当归大黄汤。
盗汗方
白术(四两。一两用黄 同炒;一两用石斛同炒;一两用牡蛎末同炒;一两用麸皮同炒。各微黄色。余药
不用,只用白术。)
上为细末。每服三钱,用粟米汤调下,尽四两效。
(有痰、气虚、阴火。视其有余、不足治之。)
戴云∶吃逆者,因痰与热,胃火者极多。
不足者,人参、白术汤下大补丸。
有余并痰者,吐之。人参芦之属。
(有痰者多。)
左属风。荆芥、薄荷。
属血虚。川芎、当归、芍药。
右属痰。苍术、半夏。
属热。黄芩。
搐药有用荜茇、猪胆。
(鼓胀又名单鼓。其详细论述在《格致余论》中。)
大补中气并运行湿气,这是脾虚极其严重的表现。必须远离音乐娱乐、断绝浓腻厚味的食物。
使用大剂量的人参、白术,佐以陈皮、茯苓、苍术之类的药物。
如果有血虚的情况,应当用四物汤来调和血液。
脉象实且患者身体壮盛的,或许可以使用攻下药物,但随后必须以白术为主进行调理恢复。厚朴治疗腹胀,是因为它味道辛散,能够疏散中焦的气滞。
(属于气虚、湿热、阳虚证型。)
李东垣有相关治法和方剂。
用人参、黄芪,少量佐以桂枝。
如果是阳虚,附子也可以使用。
扑粉法:
将牡蛎、麦麸、藁本、糯米、防风、白芷、麻黄根研成细末,扑洒于全身。
火气向上蒸腾,胃中的湿气也能化作汗液排出。以凉膈散为主治疗。
痰证也有出汗的情况。
(属于血虚、阴虚证型。)
戴元礼说:盗汗是指睡着时汗液自动流出,醒来后汗就停止了。这不同于自汗那样自然流出。小儿出现这种情况不需要治疗。
李东垣有相关治法和方剂,即当归大黄汤。
治疗盗汗的方剂:
白术(四两。其中一两与黄芪同炒;一两与石斛同炒;一两与牡蛎粉同炒;一两与麦麸同炒。各炒至微黄色。其余药渣不用,只取白术。)
以上研为细末。每次服用三钱,用粟米汤调服,服完四两即可见效。
(有痰、气虚、阴火。根据有余或不足的情况进行治疗。)
戴元礼说:呃逆(打嗝),多因痰与热,以及胃火引起。
属于不足的,用人参、白术汤送服大补丸。
属于有余并伴有痰的,采用催吐法。如用人参芦等药物。
(多有痰湿阻滞。)
左侧属风邪。用荆芥、薄荷。
属血虚。用川芎、当归、芍药。
右侧属痰湿。用苍术、半夏。
属热。用黄芩。
搐鼻药有用到荜茇、猪胆汁的。
(Gu Zhang, also known as Dan Gu. Its detailed discussion is in *Ge Zhi Yu Lun*.)
Greatly tonifying Middle Qi and promoting the movement of Dampness addresses this condition of extreme Spleen deficiency (Spleen deficiency). One must stay away from music and entertainment, and cut off rich and greasy foods.
Use a large dose of Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), assisted by Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Cangzhu (Atractylodis Rhizoma) and similar herbs.
If there is Blood deficiency, Siwu Tang (Four Substances Decoction) should be used to nourish and move Blood.
If the pulse is Excess and the patient is robust, purgative drugs may possibly be used, but subsequently, recovery must be managed primarily with Baizhu (Atractylodis Rhizoma). Houpo (Magnoliae Officinalis Cortex) treats abdominal distension because its pungent flavor disperses Qi stagnation in the Middle Jiao (Middle Burner).
(Attributed to Qi deficiency, Damp-Heat, and Yang deficiency.)
Li Dongyuan has methods and formulas.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), with a small amount of Guizhi (Cinnamomi Ramulus) as an assistant.
For Yang deficiency, Fuzi (Aconiti Lateralis Radix Praeparata) can also be used.
Powder-pasting method:
Muli (Ostreae Concha), wheat bran, Bencao (Ligustici Rhizoma), glutinous rice, Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Mahuanggen (Ephedrae Radix et Rhizoma) are ground into powder and dusted over the whole body.
When Fire Qi steams upward, Dampness in the Stomach can also transform into sweat. Liangge San (Cool the Upper Jiao Powder) is the primary treatment.
Phlegm syndromes can also present with sweating.
(Attributed to Blood deficiency and Yin deficiency.)
Dai Yun said: Dao Han (Night Sweating) refers to spontaneous sweating during sleep, which ceases upon waking. This is not like Zi Han (Spontaneous Sweating) which occurs naturally while awake. In infants, this does not require treatment.
Li Dongyuan has methods and formulas, specifically Danggui Dahuang Tang (Angelica and Rheum Decoction).
Formula for Night Sweating:
Baizhu (Atractylodis Rhizoma) (4 liang [approx. 120g]. One liang is stir-fried with Huangqi; one liang with Shihu [Dendrobii Caulis]; one liang with Muli powder; one liang with wheat bran. Each is stir-fried until slightly yellow. The remaining dregs are discarded, using only the Baizhu.)
Grind into fine powder. Take 3 qian [approx. 9g] each time, mixed with millet soup. After consuming the full 4 liang, the condition will resolve.
(Present with Phlegm, Qi deficiency, and Deficient Fire. Treat according to Excess or Deficiency patterns.)
Dai Yun said: Ni Chu (Hiccups) are caused by Phlegm and Heat, or excessive Stomach Fire.
For Deficiency patterns, Da Bu Wan (Great Tonification Pill) is taken with Renshen and Baizhu decoction.
For Excess patterns accompanied by Phlegm, induce vomiting. Use substances such as Ren Shen Lu (Ginseng Stem).
(Mostly due to Phlegm-Dampness obstruction.)
Left side indicates Wind pathogen. Use Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba).
Indicates Blood deficiency. Use Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba).
Right side indicates Phlegm-Dampness. Use Cangzhu (Atractylodis Rhizoma), Banxia (Pinelliae Rhizoma).
Indicates Heat. Use Huangqin (Scutellariae Radix).
Nasal insufflation medicines may include Bibo (Piperis Longi Fructus) and Pig Gallbladder bile.