大吐大泻。或房欲过度。大耗真元。阳气既去。阴血不能固守。亦随而脱去也。如丈夫
交媾过度。脱在妇人身上须妇人紧紧抱住。用气嘘入口内。少顷自省。若就放开必死。
回阳汤
大附子(三钱) 人参(二钱) 白术 干姜(各一钱) 广木香(一钱五分)
水煎热服。
蒸脐法
葱叶一大把。以线扎紧。两面切平。半寸浓。内用麝香三分掺入葱内。外加艾圆灸之以
蒸热气入腹神妙。
熨气海穴(在脐下)
食盐一斤炒热。先慰气海。再服回阳汤。
(附注夏)
暑者夏月炎蒸之气也。丙丁当权。祝融用事。炎威酷烈。铄石流金。柔脆之躯。不堪燔
灸。
而中暑之病有不免矣。病之初起。身热自汗。口渴面垢而已。其余杂症皆后传变。然昔人有
中热。中暑之分。岂暑之外别有所谓热耶。盖暑与热本无所异。而人感之则有异耳。富贵之
人。避暑于凉亭水阁之中。修竹绕栏而成荫。清泉漱玉而生寒。偃簟以取凉。挥羽扇以祛热
。浮瓜沉李以消渴。鲜菱脆藕以解烦。自谓可以无暑矣。不知富贵必生骄奢。骄奢必生淫欲
元气日消。肌里必疏。坐谈之顷。卒然为暑风所伤。邪气直入。霎时昏 迷不知人。此所谓
静而得之为中暑是也。贫穷劳苦之人。竭力于亩亩而汗血成浆。驱驰于道途。而咽喉似炙。
赤日方为魃。而清风不来。热地已成炉。而寒泉难觅。精神疲而欲绝。筋力困而不知。卒然
倾仆不省人事。此所谓动而得之为中热是也。然暑初入。自口鼻牙颊达于心胞络。以火从火
。故古法当暑取冷水灌溉勿咽。入肝则眩晕顽麻。入脾则昏睡不觉。入肺则喘咳痿 。入肾
则消渴。中暑归心。神昏卒倒。此症之重者。缓则为伤浅。急则为冒深。又为伏暑又何以辨
之。盖伤暑在肉分。周身烦躁。或如针刺。或有赤肿。盖天气浮于地表。故人气亦浮于肌表
也。冒暑或腹痛水泻者。胃与大肠受之。恶心者。胃口有痰饮也。伏暑即冒暑。久而藏伏三
焦
肠胃之间热伤气而不伤形。旬月莫觉。变出寒热不定。霍乱吐泻。膨胀中满疟痢烦渴。腹痛
下血等症。但暑气病多不身痛。间有痛者。或为热浴水湿相搏耳。又有暑风厥。手足搐搦为
风。手足逆冷为厥。治此病者。当视其所处贫富。所为劳逸。所禀虚实。所感轻重。而斟酌
用药。斯得之矣。
剧烈呕吐和腹泻,或者房事过度,会大量消耗人体的真元之气。阳气一旦耗散,阴血就无法固守,也会随之脱失。例如男子因交媾过度导致阳气外脱,若发生在女性身上,必须由女性紧紧抱住他,用气息吹入他的口中,片刻后患者若能自行苏醒则生还;如果此时松开手,患者必死无疑。
回阳汤
大附子(三钱) 人参(二钱) 白术 干姜(各一钱) 广木香(一钱五分)
用水煎煮,趁热服用。
蒸脐法
取一大把葱叶,用线扎紧,将两端切平,厚度约半寸,在葱叶内部掺入三分麝香,外部再用艾绒团进行艾灸,利用蒸腾的热气进入腹部,效果神妙。
熨烫气海穴(位于肚脐下方)
取一斤食盐炒热,先用来熨烫气海穴,然后再服用回阳汤。
(附录夏季病症)
暑,是夏季炎热蒸腾的气候。丙丁日当权,祝融(火神)主事,炎威酷烈,足以熔化金石。柔弱脆嫩的躯体,承受不住这种焚烧般的炙烤,因此中暑的病症便不可避免了。疾病初起时,仅表现为身体发热、自然出汗、口渴、面色污垢而已。其余各种杂症都是后来传变而来的。然而古人有中热和中暑的区别,难道暑之外还有所谓的“热”吗?其实暑与热本无不同,只是人体感受后表现各异罢了。富贵之人,在凉亭水阁中避暑,修竹环绕栏杆形成树荫,清泉如玉般流淌带来寒意,躺在竹席上取凉,挥动羽扇驱散热气,浮瓜沉李以解渴,鲜菱角和脆藕以解烦闷,自以为可以不受暑邪侵害。却不知道富贵容易滋生骄奢,骄奢必然导致淫欲,元气日渐消损,肌肉腠理必然疏松。在闲谈之间,突然被暑风所伤,邪气直入体内,瞬间昏迷不省人事,这就是所说的“静而得之”的中暑。贫穷劳苦之人,在田地里竭尽全力劳作,汗水如浆液般流出,奔波于道路途中,咽喉像被烧烤一样难受。烈日当空如同旱魃作祟,清风不来,热地已成火炉,却难以找到寒泉。精神疲惫欲绝,筋力困乏无知觉,突然跌倒昏迷不省人事,这就是所说的“动而得之”的中热。然而暑邪初入,从口鼻牙颊到达心包络,以火同气相求,所以古法主张中暑时取冷水浇灌但不要咽下。暑邪进入肝脏则出现眩晕、麻木僵硬;进入脾脏则昏睡不醒;进入肺脏则气喘咳嗽、肢体痿软;进入肾脏则消渴。中暑归于心,导致神志昏迷、突然倒地。这是重症,病情缓慢说明邪气浅,病情急骤说明邪气深。又有伏暑,又该如何辨别呢?伤暑在肉分,周身烦躁,或如针刺感,或有红肿,因为天气浮于地表,所以人气也浮于肌表。冒暑如果出现腹痛、水样腹泻,是胃与大肠受邪;恶心是因为胃口有痰饮。伏暑即冒暑,潜伏日久藏匿于三焦肠胃之间,热邪伤气而不伤形,旬月之内可能没有察觉,随后变出寒热不定、霍乱吐泻、腹胀中满、疟疾痢疾、烦渴、腹痛下血等症状。但暑气病大多不身痛,间或有痛的,或是因为热浴与水湿相互搏结所致。又有暑风厥证,手足抽搐称为风,手足逆冷称为厥。治疗此病的人,应当根据患者的贫富处境、劳逸情况、禀赋虚实以及感受邪气的轻重,来斟酌用药,这样才能得当。
Severe vomiting and diarrhea, or excessive sexual intercourse, can severely deplete the body's True Yuan Qi (Original Qi). Once Yang Qi is dissipated, Yin Blood cannot remain secure and will also escape with it. For instance, if a man suffers from Yang Qi collapse due to excessive intercourse, and this occurs while he is with a woman, she must hold him tightly and blow breath into his mouth. After a short while, if he regains consciousness spontaneously, he may survive; if they let go immediately, he will certainly die.
Huayang Decoction (Return Yang Soup)
Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian) Renshen (Ginseng Radix, 2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Zingiberis Rhizoma Recens, each 1 qian) Guangmuxiang (Costi Root, 1.5 qian)
Decoct in water and take hot.
Steaming Navel Method
Take a large bunch of green onion leaves, tie them tightly with thread, cut both ends flat to a thickness of about half an inch. Mix 3 fen of Shexiang (Musk) inside the onions. Apply Aiye (Artemisiae Argyi Folium) moxibustion on the outside to steam the heat into the abdomen; this is miraculous.
Hot Compress Qihai Acupoint (located below the navel)
Stir-fry one jin of salt until hot. First apply the hot salt to compress the Qihai acupoint, then administer Huayang Decoction.
(Appendix on Summer Diseases)
Shu (Summerheat) refers to the scorching and steaming qi of summer. When Bing-Ding days prevail, Zhurong (the Fire God) takes charge. The heat is fierce and cruel, capable of melting stones and flowing gold. Fragile bodies cannot withstand such burning and roasting, thus diseases of Zhongshu (Summerheat Stroke) are inevitable. At the onset of the disease, there is only fever, spontaneous sweating, thirst, and a dirty complexion. All other miscellaneous symptoms are later developments. However, ancients distinguished between Zhongre (Heatstroke) and Zhongshu. Is there truly "Re" (Heat) distinct from "Shu" (Summerheat)? In essence, Shu and Re are not different; the difference lies in how the person contracts them.
People of wealth avoid summerheat in cool pavilions and water towers, where bamboo surrounds the railings providing shade, and clear springs flow like jade bringing coldness. They lie on bamboo mats for coolness, wave feather fans to dispel heat, float melons and plums in water to quench thirst, and eat fresh water caltrops and crisp lotus roots to relieve vexation. They believe they can avoid summerheat. Unknowingly, wealth breeds arrogance and extravagance, which leads to lust. True Yuan Qi is consumed daily, and the muscle layers become loose. During idle conversation, they are suddenly injured by Summerwind. Pathogenic qi enters directly, causing instant coma and unconsciousness. This is called "Zhongshu obtained in stillness."
Poor and laborious people exert themselves in the fields, their sweat turning like paste, galloping on roads with throats feeling as if roasted. The red sun acts like a drought demon, no cool breeze comes, the hot ground becomes a furnace, yet cold springs are hard to find. Spirit is exhausted and near death, muscles and strength are fatigued and unaware. Suddenly they collapse and lose consciousness. This is called "Zhongre obtained through movement."
However, when Summerheat first enters, it travels from the mouth, nose, teeth, and cheeks to the Pericardium Collateral (Xinbao Luo), following the principle that fire seeks fire. Therefore, ancient methods suggest irrigating with cold water without swallowing upon contracting summerheat. If it enters the Liver, dizziness and numbness occur. If it enters the Spleen, deep sleep and unconsciousness result. If it enters the Lung, wheezing, coughing, and flaccidity appear. If it enters the Kidney, wasting-thirst develops. Zhongshu returns to the Heart, causing divine confusion and sudden collapse. This is a severe condition; a slow progression indicates shallow pathogen, while rapid progression indicates deep penetration. How to distinguish Fushu (Latent Summerheat)? Shangshu (Injured Summerheat) affects the flesh layer, causing whole-body restlessness, needle-like pain, or red swelling, because heavenly qi floats on the earth's surface, so human qi also floats on the muscular surface. Maoshu (Covered Summerheat) may present with abdominal pain and watery diarrhea, affecting the Stomach and Large Intestine; nausea indicates phlegm-fluid in the stomach opening. Fushu is essentially Maoshu that has lain dormant for a long time within the Sanjiao (Triple Burner) and intestines. Heat injures Qi but not Form, remaining unnoticed for weeks or months, later manifesting as alternating chills and fever, cholera-like vomiting and diarrhea, abdominal distension and fullness, malaria and dysentery, vexation and thirst, abdominal pain, and bloody stool. Generally, summerheat diseases do not cause body pain; if pain occurs, it is often due to the interaction of heat bathing and water-dampness. There is also Shufeng Jue (Summerwind Jue Syndrome): hand and foot spasms are termed Feng (Wind), while cold hands and feet are termed Jue (Jue). To treat this disease, one must consider the patient's social status (rich or poor), activity level (labor or rest), constitutional deficiency or excess, and the severity of the contracted pathogen to carefully adjust the medication. Only then will the treatment be appropriate.