麻木 风湿热下陷入血分阴中,阳道不行。亦有痰在血分者。
人参 芍药 甘草 升麻 黄 (助阳道) 苍术 黄柏 白术 柴胡 茯苓
(除湿热) 川归(行阴) 痰加二陈汤。
痛风 血久得热,感寒冒湿不得营运,所以作痛,夜则痛甚,行于阴也,亦
有血虚痰逐经络上下作痛。
四物汤 桃仁 牛膝 陈皮 甘草 白芷 黄芩(又本是茯苓) 草龙胆
在上属风,加羌活、威灵仙二倍,桂枝一倍。
在下属湿,加牛膝、防己、木通、黄柏二倍。
血虚加芎归,佐以桃仁、红花。
气虚加参术、败龟板。
有痰加南星。
破伤风 风则生热也。
风袭于疮,传播经络,病如疟状,治同伤寒。
脉浮无力,表之太阳也,汗之而愈。
脉长有力,阳明也,下之而愈。
脉浮而弦,少阳也,和解之愈。
大便秘,小便赤,汗不止,病在里,可速下之。脉沉在里,承气下之。
背后搐者,羌活、独活、防风、甘草。
向前搐者,升麻、白芷、独活、防风、甘草。
两傍搐者,柴胡、防风、甘草。右搐者加白芷。
厉风 血热凝结,其气不清,上体先见多者,气受之,下体先见多者,血受
之。宜醉仙散、再造散、桦皮散、七圣、七宣辈大下之。
醉仙散 治在上。
栝蒌根 苦参 蔓荆子 胡麻子 牛蒡子 防风 枸杞子 白蒺藜。
右末(一钱半) 轻粉(二钱) 空心临卧茶下,如醉,下恶臭物为度。
再造散 治在下。
大黄(钱半) 皂角(一钱) 生者烧灰冷酒下,以虫尽为度。
大风方 任意加减。
威灵仙 凌霄花 防风 白芷 荆芥 何首乌 川芎 羌活 皂角 石菖蒲 苦参 川归 乌
蛇白花蛇 姜蚕 全蝎 雄黄 大黄 苏木 桃仁 苍耳子 梧桐泪 虻虫 水蛭 红花
麻木:风湿热邪下陷进入血分的阴分,导致阳气运行通道受阻。也有因痰浊存在于血分的情况。
人参、芍药、甘草、升麻、黄(辅助阳气运行)、苍术、黄柏、白术、柴胡、茯苓(清除湿热)。川当归(通行阴分)。若有痰证,加用二陈汤。
痛风:血液久留受热,又感受寒湿之气,导致气血不能正常营运,所以产生疼痛,夜间疼痛加剧,这是因为病行于阴分。也有因血虚、痰浊追逐经络上下窜动而作痛的情况。
四物汤、桃仁、牛膝、陈皮、甘草、白芷、黄芩(原本应是茯苓)、草龙胆。
若病位在上且属风邪,加羌活、威灵仙各两倍,桂枝一倍。
若病位在下且属湿邪,加牛膝、防己、木通、黄柏各两倍。
若血虚,加川芎、当归,佐以桃仁、红花。
若气虚,加人参、白术,辅以败龟板。
若有痰,加天南星。
破伤风:风邪侵袭会导致生热。
风邪袭击伤口,传播至经络,病症类似疟疾,治疗原则同伤寒病。
脉象浮而无力,是太阳经受邪,应用发汗法即可痊愈。
脉象长而有力,是阳明经受邪,应用泻下法即可痊愈。
脉象浮而弦,是少阳经受邪,应用和解法即可痊愈。
大便秘结,小便色赤,出汗不止,说明病在里,可迅速使用泻下法。脉象沉而在里,用承气汤类方剂泻下。
背部抽搐者,用羌活、独活、防风、甘草。
向前抽搐者,用升麻、白芷、独活、防风、甘草。
两侧抽搐者,用柴胡、防风、甘草。右侧抽搐者加白芷。
厉风(麻风):血热凝结,其气不清爽。上半身先出现症状多的,是气受病;下半身先出现症状多的,是血受病。宜用醉仙散、再造散、桦皮散、七圣散、七宣散等方剂大力泻下。
醉仙散:治疗病位在上者。
栝蒌根、苦参、蔓荆子、胡麻子、牛蒡子、防风、枸杞子、白蒺藜。
以上药物研为细末(一钱半),配合轻粉(二钱),空腹及睡前用茶送服,如醉酒状,以下出恶臭物质为度。
再造散:治疗病位在下者。
大黄(一钱半)、皂角(一钱),生皂角烧成灰,用冷酒送服,以虫体排尽为度。
大风方:可根据情况任意加减。
威灵仙、凌霄花、防风、白芷、荆芥、何首乌、川芎、羌活、皂角、石菖蒲、苦参、川当归、乌梢蛇、白花蛇、姜蚕、全蝎、雄黄、大黄、苏木、桃仁、苍耳子、梧桐泪、虻虫、水蛭、红花。
Numbness: Wind-damp-heat pathogens sink into the Yin aspect of the Blood level, obstructing the pathway of Yang Qi. There are also cases where Phlegm resides in the Blood level.
Ren Shen (Ginseng Radix), Shao Yao (Peony Root), Gan Cao (Licorice Root), Sheng Ma (Cimicifugae Rhizoma), Huang [missing character, likely referring to a warming herb or typo for Huangqi/Huanglian contextually but kept as is] (assists Yang pathway), Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chai Hu (Bupleuri Radix), Fu Ling (Poria). [To drain damp-heat]. Chuan Gui Dang (Angelicae Sinensis Radix) [to circulate Yin]. If there is Phlegm, add Er Chen Tang (Two-Cured Decoction).
Gout: Blood stagnates and generates heat over time; upon contracting cold and being exposed to dampness, circulation fails, resulting in pain. Pain worsens at night because the pathology moves through the Yin aspects. There are also cases where Blood deficiency and Phlegm chase each other along the meridians causing pain up and down.
Si Wu Tang (Four Substances Decoction), Tao Ren (Persicae Semen), Niu Xi (Achyranthis Bidentatae Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix) [originally should be Fu Ling], Cao Long Dan (Gentianae Radix).
If the condition is upper and wind-related, add Qiang Huo (Notopterygii Rhizoma et Radix) and Wei Ling Xian (Saposhnikoviae Radix) in double dosage, and Gui Zhi (Cinnamomi Ramulus) in single dosage.
If the condition is lower and damp-related, add Niu Xi (Achyranthis Bidentatae Radix), Fang Ji (Stephaniae Tetrandrae Radix), Mu Tong (Akebiae Caulis), and Huang Bo (Phellodendri Cortex) in double dosage.
If Blood deficient, add Xiong (Ligustici Chuanxiong Rhizoma) and Gui (Angelicae Sinensis Radix), assisted by Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos).
If Qi deficient, add Ren Shen (Ginseng Radix) and Zhu (Atractylodis Rhizoma), supplemented with Bai Gui Ban (Testudinis Carapax et Plastrum dried/fried).
If Phlegm exists, add Nan Xing (Arisaematis Rhizoma Preparatum).
Lockjaw (Tetanus): Wind generates heat.
Wind attacks the wound and spreads through the meridians; the presentation resembles malaria. Treatment follows the principles of Cold Damage (Shang Han).
If the pulse is floating and weak, it indicates Taiyang syndrome; induce sweating to cure.
If the pulse is long and forceful, it indicates Yangming syndrome; purge to cure.
If the pulse is floating and wiry, it indicates Shaoyang syndrome; harmonize to cure.
Constipation, red urine, and profuse sweating indicate interior pathology; purge rapidly. A deep pulse indicates interior pathology; use Cheng Qi Tang (Ordering the Qi Decoction) to purge.
For spasms twitching backward, use Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Licorice Root).
For spasms twitching forward, use Sheng Ma (Cimicifugae Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Licorice Root).
For spasms twitching to both sides, use Chai Hu (Bupleuri Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Licorice Root). For twitching to the right side, add Bai Zhi (Angelicae Dahuricae Radix).
Leprosy (Li Feng): Blood heat coagulates, causing turbid Qi. Predominant symptoms appearing first on the upper body indicate Qi involvement; predominant symptoms appearing first on the lower body indicate Blood involvement. Use strong purgatives such as Zui Xian San (Intoxicating Immortal Powder), Zai Zao San (Recreation Powder), Hua Pi San (Birch Bark Powder), Qi Sheng San (Seven Sages Powder), or Qi Xuan San (Seven Circulation Powders).
Zui Xian San: Treats conditions located above.
Gua Lou Gen (Trichosanthis Radix), Ku Shen (Sophorae Flavescentis Radix), Man Jing Zi (Viticis Fructus), Hu Ma Zi (Sesami Fructus), Niu Bang Zi (Arctii Fructus), Fang Feng (Saposhnikoviae Radix), Gou Qi Zi (Lycii Fructus), Bai Ji Li (Tribuli Fructus).
Grind the above into powder (1.5 qian), mix with Qing Fen (Calomel, 2 qian). Take orally on an empty stomach and before sleep with tea. Continue until intoxication-like state occurs and foul-smelling matter is discharged.
Zai Zao San: Treats conditions located below.
Da Huang (Rhei Radix et Rhizoma, 1.5 qian), Zao Jiao (Gleditsiae Sinensis Fructus, 1 qian). Burn fresh Zao Jiao to ash, take with cold wine. Continue until parasites/worms are completely expelled.
Da Feng Fang (Great Wind Prescription): Modify arbitrarily according to circumstances.
Wei Ling Xian (Saposhnikoviae Radix), Ling Xiao Hua (Campsis Grandiflorae Flos), Fang Feng (Saposhnikoviae Radix), Bai Zhi (Angelicae Dahuricae Radix), Jing Jie (Schizonepetae Spica), He Shou Wu (Polygoni Multiflori Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Zao Jiao (Gleditsiae Sinensis Fructus), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ku Shen (Sophorae Flavescentis Radix), Chuan Gui Dang (Angelicae Sinensis Radix), Wua She (Zaocys), Bai Hua She (Bungarus multicinctus), Jiang Can (Bombyx Batryticatus), Quan Xie (Scorpio), Xiong Huang (Realgar), Da Huang (Rhei Radix et Rhizoma), Su Mu (Sappan Lignum), Tao Ren (Persicae Semen), Cang Er Zi (Xanthii Fructus), Wu Tong Lei (Liquidambaris Resina), Meng Chong (Blatta Orientalis), Shui Zhi (Hirudo), Hong Hua (Carthami Flos).