凡人忽患胸背、手脚、颈项、腰胯隐痛不可忍,连筋骨牵引钓痛,坐卧不宁,
时时走易不定。俗医不晓,谓之走注,便用风药及针灸,皆无益;又疑是风毒结聚,欲为痈
疽,乱以药贴,亦非也。此乃是痰涎伏在心鬲上下,变为此疾,或令人头痛不可举,或神意
昏倦多睡,或饮食无味,痰唾稠粘,夜间喉中如锯声,多流睡涎,手脚重,腿冷痹,气脉不
通,误认为瘫痪,亦非也。凡有此疾,但以是药,不过数服,其疾如失。
甘遂(去心) 紫大戟(去皮) 白芥子(真者,各等分)
上为末,煮糊丸,如梧子大,晒干。食后临卧淡姜汤或熟水下五七丸至十丸;如疾猛气
实,加丸数不妨,其效如神。
治胃脘虚寒,冷痰留滞,痞塞不通,气不升降,口苦无味,不思饮食。
高良姜 干姜(炮) 陈皮 青皮(各一两) 半夏(汤洗去滑,二两,)一法上件并不持择)
上为末,用生姜自然汁煮面糊为丸,如梧子大。每服二十丸至三十丸,生姜汤下。凡中
满气痞,服之甚妙。
前证用药,多出汉方,但古科剂,与今不同,已详酌改从今用。其如校定,备见前说。
唯外所因证候难明,风燥寒凝,暑烁湿滞,皆能闭诸络,郁而生涎,不待饮水流入四肢,而
致支溢疼痛也。当以理推,无胶轨辙。
凡是有人突然患上胸背、手脚、颈项、腰胯部位隐隐作痛,疼痛剧烈难以忍受,牵连筋骨产生牵引样或钩拉样的疼痛,坐卧不安,疼痛位置时时游走不定。世俗医生不懂此病机理,称之为“走注”(一种以疼痛游走为特征的病症),便使用祛风药物及针灸治疗,都没有益处;又怀疑是风毒结聚,想要形成痈疽(化脓性感染),胡乱用药贴敷,也不对。这其实是痰涎潜伏在心鬲(心脏与横膈膜之间)上下,由此引发疾病,有时让人头痛得无法抬头,有时神志昏沉疲倦嗜睡,有时饮食无味,痰唾粘稠,夜间喉咙中发出如拉锯般的声音,流很多睡时唾液,手脚沉重,腿部寒冷麻木,气脉不通,被误认为是瘫痪(肢体运动功能障碍),也不对。凡是有这种疾病的,只要服用这个药,不过几服,疾病就会消失。
甘遂(去除心部) 紫大戟(去除皮) 白芥子(真品,各等分)
以上药材研为细末,用煮好的面糊制作成丸剂,大小如梧桐子,晒干。饭后临睡前用淡姜汤或温开水送服五至七丸到十丸;如果病情猛烈且体质壮实,增加丸数无妨,其效果神奇。
治疗胃脘虚寒,冷痰停留阻滞,痞塞不通,气机升降失常,口苦无味,不想吃东西。
高良姜 干姜(炮制) 陈皮 青皮(各一两) 半夏(热水洗去滑腻,二两,另一种说法是上述药材都不需特别挑选处理)
以上药材研为细末,用生姜自然汁煮面糊制成丸剂,大小如梧桐子。每次服用二十丸到三十丸,用生姜汤送下。凡是中焦胀满气痞,服用此药非常妙。
前文所述证候所用的药物,大多出自汉代方书,但古代的科剂(制剂方法/分类),与现在不同,已经详细斟酌修改以符合当今用法。至于校订工作,详见前面的说明。唯有外所因(外部致病因素)的证候难以明确,风燥、寒凝、暑热灼烁、湿邪停滞,都能闭塞各种络脉,郁结而生出痰涎,不等待饮水流入四肢,就会导致支溢(水液停聚)疼痛。应当以医理推究,不要拘泥于固定的模式。
Whenever a person suddenly suffers from dull pain in the chest, back, limbs, neck, waist, and hips that is unbearable, radiating to the bones and tendons with a pulling or hooking sensation, causing restlessness in sitting and lying down, with the pain migrating unpredictably. Unskilled physicians do not understand this condition, calling it "Zou Zhu" (a syndrome characterized by wandering pain), and proceed to use wind-dispelling medicines and acupuncture, which are of no benefit; they may also suspect wind-toxin accumulation leading to carbuncles or sores (Yong Ju), and indiscriminately apply medicinal plasters, which is also incorrect. This is actually caused by phlegm-fluids lurking above and below the Xin Ge (the area between the heart and diaphragm), manifesting as this disease. It may cause severe headache preventing the head from being lifted, mental confusion and fatigue with excessive sleepiness, loss of taste in food, thick and sticky sputum, a sawing sound in the throat at night, excessive salivation during sleep, heaviness in the limbs, coldness and numbness in the legs, obstruction of Qi and pulse, and may be mistakenly diagnosed as Paralysis (Tan Huan). None of these previous assumptions are correct. For anyone suffering from this condition, simply taking this medicine for a few doses will make the disease disappear.
Gansui (Evodiae Radix, processed to remove the core) Zidaji (Euphorbiae Pekinensis Radix, peeled) Baijiezhi (Sinapis Semen, authentic, equal parts)
Grind the above ingredients into fine powder, mix with cooked paste to form pills the size of a wu zi (seed of Cercis chinensis), and dry them in the sun. Take five to seven pills up to ten pills after meals and before bed, washed down with light ginger soup or warm water. If the disease is severe and the Qi is robust, increasing the number of pills is acceptable; its efficacy is miraculous.
Treats deficiency-cold in the Wei Wan (epigastrium), retention of stagnant cold-phlegm, obstruction and fullness, dysfunction of ascending and descending Qi, bitter taste in the mouth, lack of appetite.
Gaoliangjiang (Alpiniae Officinarum Rhizoma) Ganjiang (Zingiberis Rhizoma Praeparatum, processed) Chenpi (Citri Reticulatae Pericarpium) Qingpi (Citri Reticulatae Pericarpium Viride) (each one liang) Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness, two liang; another method states that the above ingredients need not be specially selected)
Grind the above ingredients into fine powder, mix with natural juice of fresh ginger and flour paste to form pills the size of a wu zi. Take twenty to thirty pills each time, washed down with ginger soup. It is highly effective for middle-jiao distension and Qi stagnation.
The medications used for the aforementioned syndromes mostly originate from Han dynasty formulas, but the ancient classification and preparation methods differ from current practices; these have been carefully revised to align with contemporary usage. Regarding the collation, details are provided in the preceding sections. Only the manifestations of external causes are difficult to clarify; wind-dryness, cold-coagulation, summer-heat scorching, and damp-stagnation can all block the Luo vessels (collaterals), leading to Qi constraint and the generation of phlegm-fluids. This results in pain due to fluid overflow without necessarily waiting for ingested water to flow into the limbs. One should deduce based on medical principles rather than adhering rigidly to fixed patterns.