治太阳中 ,其脉弦细芤迟,小便已,洒然毛耸,口开前板齿燥者。何故洒
腠理司开阖,寒则皮肤急,腠理闭,热则皮肤缓,腠理开,开则洒然寒,闭则热
见伤寒通治类。)
治中湿,脉沉而微缓,湿喜归脾,流入关节,中之多使人腹 胀,倦怠。四肢
而烦,或一身重着。久则浮肿喘满,昏不知人。挟风,头晕呕哕。兼寒则挛拳制痛
得猛发汗、灼艾、通泄,惟利小便为佳,此方主之。及治大小便皆自利。
白术(去芦) 甘草(炒,一两) 附子(炮,一两半) 赤茯苓(一两)
上锉散。每服五钱,生姜七片,枣二枚煎,日三服。才见身痹,又三服,当如冒状,勿
怪,
治中湿,口噤,不知人。
白术(半两,去芦)
上酒三盏,煎一盏,顿服。不能饮酒,以水代,日三服,夜一服。
治中湿小便不利,大便自利。
附子(炮,一个,七钱净者) 甘草(炙,一两) 辣桂(去粗皮,二两)
上锉散。每服三钱,水一盏半,姜七片煎,食前微温服。汗出,加防风;悸气,加赤茯
苓,
治五脏中风寒,手足不仁,口面 斜,昏晕,失音,眼目 动,牙车紧急,不得转
附子(炮,去皮脐) 桂心(各半两) 细辛(去苗) 防风(去叉) 人参(去芦) 干
姜(炮,各
上锉散。每服四钱,水一盏半,姜五片,枣一枚,煎七分,食前服,或为末,酒调二钱
服。
治疗中暑引起的头痛、恶心烦躁、心下(胃脘部)不适的病症。(方剂见伤暑类。)
治疗中暑引起的烦热口干。待药液极冷后服用。(方剂见伤寒阳证类。)
治疗太阳中暍(中暑),脉象弦细芤迟,小便后感到洒然毛耸(怕冷战栗),张口呼吸且前板齿干燥的病症。为何会出现洒然寒战?因为腠理(皮肤毛孔及皮下组织间隙)主管开阖,寒冷时皮肤紧缩,腠理闭合;炎热时皮肤松弛,腠理开放。腠理开放则出现洒然寒感,闭合则发热。(方剂见伤寒通治类。)
治疗中湿,脉象沉而微缓。湿气喜好归于脾脏,流入关节,中湿多使人腹部胀满,倦怠乏力,四肢沉重而烦扰,或全身重着。日久则导致浮肿喘满,神志昏迷不知人。挟带风邪则头晕呕哕。兼夹寒邪则肢体拘挛拳曲疼痛。治疗不可用猛烈的发汗法、灼艾法或通泄法,唯有通利小便为佳,此方主治此类病症。以及治疗大小便皆自利的情况。
白术(去芦头) 甘草(炒,一两) 附子(炮制,一两半) 赤茯苓(一两)
以上药材锉散。每服五钱,加生姜七片,大枣二枚煎煮,每日三次服用。刚见到身体痹阻症状,再服三剂,患者可能会产生如冒状(头昏目眩如物蒙蔽)的感觉,不要奇怪。
治疗中湿,口噤(牙关紧闭),神志昏迷不知人。
白术(半两,去芦头)
以上用酒三盏,煎至一盏,一次性服用。不能饮酒者,以水代替,每日三次,夜间一次。
治疗中湿导致的小便不利,大便自利。
附子(炮制,一个,净重七钱) 甘草(炙,一两) 辣桂(即肉桂,去粗皮,二两)
以上药材锉散。每服三钱,加水一盏半,生姜七片煎煮,饭前微温服用。若出汗,加防风;若心悸气短,加赤茯苓。
治疗五脏中风寒,手足麻木不仁,口眼歪斜,昏晕,失音,眼睑跳动,牙车(下颌关节)紧急,不能转动。
附子(炮制,去皮脐) 桂心(各半两) 细辛(去苗) 防风(去叉) 人参(去芦头) 干姜(炮制,各...[原文此处似有缺漏,依常规推测为等量])
以上药材锉散。每服四钱,加水一盏半,生姜五片,大枣一枚,煎至七分,饭前服用。也可制成粉末,用酒调服二钱。
Treats heatstroke (Zhongshu) without aversion to cold, accompanied by irritability and thirst. (Formula see previous section on General Treatment of Cold Damage.)
Treats heatstroke causing headache, nausea, irritability, and discomfort in the epigastrium (Xin Xia). (Formula see section on Heatstroke/Shangshu.)
Treats heatstroke causing cholera-like vomiting and diarrhea. (Formula see section on Heatstroke/Shangshu.)
Treats heatstroke causing irritability, fever, and dry mouth. Administer when the decoction is extremely cold. (Formula see section on Yang Syndromes of Cold Damage.)
Treats Taiyang Zhongyue (Heatstroke affecting the Taiyang channel), characterized by a wiry, thin, knotted, and slow pulse; after urination, feeling chilly with goosebumps (Sha Ran Mao Song); opening the mouth to breathe and dryness of the anterior teeth. Why does one feel chilly? The Couli (pores and interstitial spaces) govern opening and closing. When cold, the skin tightens and Couli close; when hot, the skin relaxes and Couli open. Opening leads to a chilly sensation; closing leads to heat. (Formula see section on General Treatment of Cold Damage.)
Treats dampness invasion (Zhongshi), characterized by a deep and slightly slow pulse. Dampness tends to accumulate in the Spleen and flow into the joints. Dampness invasion often causes abdominal distension, fatigue, heaviness and irritability in the four limbs, or general body heaviness. Prolonged cases may lead to edema, wheezing, fullness, and unconsciousness. If complicated by Wind, symptoms include dizziness, vomiting, and retching. If complicated by Cold, symptoms include limb spasms, curling, and pain. Treatment should avoid vigorous sweating, moxibustion burning, or purgation; promoting diuresis is best. This formula primarily treats such conditions, as well as cases where both urine and stool are uncontrolled.
Baizhu (Atractylodis Macrocephalae Rhizoma, de-gorged) Gancao (Licorice Root, stir-fried, 1 liang) Fuzi (Prepared Aconite Lateralis Radix, processed, 1.5 liang) Chifuling (Red Poria, 1 liang)
Crush the above herbs into coarse powder. Take 5 qian per dose, decoct with 7 slices of fresh ginger and 2 jujubes, three times daily. If physical numbness/bi-syndrome is observed initially, take three more doses; the patient may experience a sensation of being covered or dizzy (Mao Zhuang), do not be alarmed.
Treats dampness invasion causing trismus (Jin Kou) and unconsciousness.
Baizhu (Atractylodis Macrocephalae Rhizoma, half liang, de-gorged)
Decoct in 3 cups of wine until reduced to 1 cup, take in one dose. For those who cannot drink alcohol, use water instead. Three times daily, once at night.
Treats dampness invasion causing difficult urination but normal/uncontrolled defecation.
Fuzi (Prepared Aconite Lateralis Radix, processed, one piece, net weight 7 qian) Gancao (Licorice Root, honey-fried, 1 liang) Lagui (Cinnamon Bark, remove rough bark, 2 liang)
Crush the above herbs into coarse powder. Take 3 qian per dose, decoct with 1.5 cups of water and 7 slices of fresh ginger, take warm before meals. If sweating occurs, add Fangfeng; if palpitations occur, add Chifuling.
Treats Wind-Cold invading the five Zang organs, causing numbness in the hands and feet, facial paralysis (deviation of mouth and eyes), dizziness, aphonia, eye twitching, stiffness of the mandible (Yache), and inability to turn the head.
Fuzi (Prepared Aconite Lateralis Radix, processed, remove skin and navel) Guixin (Cinnamon Twig Heart, each half liang) Xixin (Asari Root, remove seedlings) Fangfeng (Saposhnikoviae Radix, remove forked roots) Renshen (Ginseng Radix, de-gorged) Ganjiang (Dried Ginger, processed, each [amount missing in text])
Crush the above herbs into coarse powder. Take 4 qian per dose, decoct with 1.5 cups of water, 5 slices of fresh ginger, and 1 jujube until reduced to 0.7 parts, take before meals. Alternatively, make into powder, mix with wine, and take 2 qian.