治暑风猝倒法 凡人中暑,先着于心,一时昏迷,切不可与冷水饮并卧湿地。其法先以
热汤灌或童便灌,及用布蘸热汤熨脐并气海,续续令暖气透彻脐腹,俟其苏省,然后进药。
若旅途中猝然晕倒,急扶在阴凉处,掬路中热灰土作窝于脐中,令人尿其内,即苏。却灌以
人尿或搅地浆,饮之半碗,或车轮土五钱,冷水调,澄清服,皆可。
一方用大蒜三两瓣细嚼,温汤送下,禁冷水,即愈。
丹溪云∶挟火、挟痰,用二陈东加黄连,实者可用吐法。
戴氏曰∶暑风者,夏月猝倒,不省人事者是也。有因火者,有因痰者。火,君、相二火
也;暑,天、地二火也。内外合而炎烁,所以猝倒也。痰者,人身之痰饮也。因暑气入而鼓
激痰饮,塞碍心之窍道,则手足不知动蹑而猝倒也。此二者皆可吐。《内经》曰∶火郁则发
之。
疰夏属阴虚元气不足。夏初春末,头疼脚软,食少体热者是。
宜补中益气汤去柴胡、升麻,加炒柏、白芍药。挟痰者加南星、半夏、陈皮煎服。又或
用生脉汤。
补中益气汤(方见内伤门。)
天气下降,地气上腾,二气熏蒸,此即湿也。岂必水流湿而后为湿哉?且风之撼动,人
知其为风;寒之严凝,人知其为寒;暑之炎热,人知其为暑;惟湿之入人,行住坐卧,实熏
染于冥冥之中,人居、戴、履,受湿最多,况夫湿能伤脾,脾土一亏,百病根源发轫于此矣。
滞而为喘嗽,渍而为呕吐,渗而为泄泻,溢而为浮肿。湿淤热则发黄,湿遍
体则重着,湿入关节则一身尽痛,湿聚痰涎则昏不知人。至于为身热,为鼻塞,为直视,为
郑声,为虚汗,为香港脚,为腹中胀,脐下坚,为小便难,大便自利,皆其证也。湿家不可汗,
汗之则发 ,热而 者,毙。又不可下,下之则额汗,胸满微喘而哕,小便淋闭,难以有瘳。
治湿之法,通利小便为上,益脾顺气次之,半夏、茯苓、苍术、白术、官桂、干姜皆要药耳。
其若小便挟热不利,则赤茯苓、防己辈,自有奇功。大抵湿之为病,易至沉深,渐润之余,
沦肌浃髓于斯时也,须以术、附、姜、桂作大剂与之药力相接,病当渐解,不可以旦暮而责
效焉。要之,治湿莫若生附、苍术为快。
治疗暑风突然昏倒的方法:大凡人中暑,病邪首先侵犯心脏,导致一时昏迷,切不可饮用冷水或躺在潮湿的地方。治疗方法是先用热汤灌服,或者用童便(儿童尿液)灌服,并用布蘸取热汤熨烫肚脐和气海穴,持续让暖气透入脐腹,等到患者苏醒后,再给药。如果在旅途中突然晕倒,急忙扶到阴凉处,捧起路上的热灰土在肚脐周围做成窝状,让人往里面撒尿,患者即可苏醒。随后灌入人尿或搅动的地浆水,喝半碗,或者用五钱车轮土,用冷水调匀澄清后服用,都可以。
另一种方法是用三瓣大蒜细细咀嚼,用温开水送下,禁止饮用冷水,即可痊愈。
朱丹溪说:如果是夹火、夹痰的暑风,使用二陈汤加入黄连,实证者可以使用吐法。
戴氏说:暑风,就是夏季突然昏倒、不省人事的病证。有因火邪引起的,有因痰饮引起的。火,指君火和相火;暑,指天火和地火。内外之火合而炎灼,所以导致突然昏倒。痰,指人体内的痰饮。因为暑气侵入体内鼓动激惹痰饮,堵塞心窍,导致手足不能动弹而突然昏倒。这两种情况都可以使用吐法。《内经》说:火郁结则发散它。
疰夏属于阴虚、元气不足。发生在夏初春末,症状是头痛、脚软、食欲不振、身体发热。
适宜使用补中益气汤去掉柴胡、升麻,加入炒黄柏、白芍药。如果夹痰,加入胆南星、半夏、陈皮煎服。或者使用生脉散。
补中益气汤(方剂见内伤门)。
天气下降,地气上升,二气熏蒸,这就是湿。难道一定要水流向低处才叫湿吗?而且风的摇动,人们知道它是风;寒的严凝,人们知道它是寒;暑的炎热,人们知道它是暑;只有湿邪侵入人体,无论行住坐卧,都在冥冥之中熏染,人居住、穿戴、鞋履,受湿最多。况且湿能伤脾,脾土一旦亏损,百病的根源就从此发端了。湿邪停滞导致喘咳,浸渍导致呕吐,渗漏导致泄泻,溢出导致浮肿。湿与热淤积则发黄,湿遍全身则沉重,湿入关节则全身疼痛,湿聚成痰涎则昏迷不知人。至于表现为身热、鼻塞、直视、郑声(语声低微重复)、虚汗、香港脚(脚气病)、腹部胀满、脐下坚硬、小便困难、大便自利等,都是它的证候。患湿病的人不可发汗,发汗则会导致痉病,出现发热抽搐,致死。也不可用攻下法,攻下则导致额头出汗、胸满微喘、呃逆、小便淋闭,难以治愈。
治疗湿病的方法,通利小便是上策,健脾顺气次之,半夏、茯苓、苍术、白术、官桂、干姜都是重要药物。如果小便夹热不利,那么赤茯苓、防己之类,自有奇效。大抵湿邪致病,容易深入沉滞,在逐渐浸润的过程中,此时必须用白术、附子、干姜、官桂组成大方给予,使药力与病邪相接,病情应当逐渐缓解,不能指望早晚见效。总之,治疗湿邪莫过于使用生附子、苍术为快。
Method for treating sudden collapse due to Summerheat-Wind: When a person suffers from Summerheat, the pathogenic factor first affects the Heart (Zang organ governing blood and spirit), causing temporary unconsciousness. One must strictly avoid drinking cold water or lying on damp ground. The treatment method is to first administer hot water or child's urine (Tongbian) orally, and apply hot water-soaked cloths to moxibustion points Shenque (CV-8, Umbilicus) and Qihai (CV-6, Sea of Qi), continuously allowing warmth to penetrate the umbilical and abdominal regions. Wait for the patient to regain consciousness before administering medicine. If one faints suddenly while traveling, urgently move them to a cool place, scoop up hot ash/soil from the road to form a nest around the umbilicus, and have someone urinate into it; the patient will immediately recover. Subsequently, administer human urine or stirred earth slurry (Dijiang), drinking half a bowl, or use 5 qian of wheel-soil (Chelutu), mixed with cold water, clarified, and taken orally; all are acceptable.
Another prescription uses three cloves of garlic, chewed finely, and swallowed with warm water. Cold water is prohibited, and recovery follows.
Danxi stated: If accompanied by Fire or Phlegm, use Erchen Tang (Two-Aged Decoction) added with Huanglian (Coptidis Rhizoma). For excess patterns, emesis (vomiting) therapy may be used.
Dai stated: Summerheat-Wind refers to sudden collapse and loss of consciousness in summer. It can be caused by Fire or by Phlegm. Fire refers to Ministerial Fire and Sovereign Fire; Summerheat refers to Heavenly Fire and Earthly Fire. Internal and external fires combine to scorch, causing sudden collapse. Phlegm refers to phlegm-fluid retention in the body. Due to Summerheat invading and agitating phlegm-fluids, blocking the orifices of the Heart, the limbs become immobile, leading to sudden collapse. Both conditions can be treated with emesis. The *Neijing* states: "When Fire is constrained, disperse it."
Zhuxia (Staying Summerheat) belongs to Yin deficiency and insufficiency of Original Qi. It occurs at the beginning of summer and end of spring, characterized by headache, weak legs, poor appetite, and low-grade fever.
It is suitable to use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), removing Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), adding stir-fried Baicao (Phellodendri Cortex) and Baishao Yao (Paeoniae Radix Alba). If accompanied by Phlegm, add Nanting (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), and Chenpi (Citri Reticulatae Pericarpium) for decoction and administration. Alternatively, use Shengmai San (Generate the Pulse Powder).
Buzhong Yiqi Tang (Formula seen in the Internal Injury section).
Heavenly Qi descends, Earthly Qi ascends; the steaming of these two energies constitutes Dampness. Must there be flowing water to constitute Dampness? Regarding Wind shaking, people know it as Wind; regarding Cold congealing, people know it as Cold; regarding Summerheat burning, people know it as Summerheat; only when Dampness enters the person, whether walking, standing, sitting, or lying, does it熏染 (permeate/dye) in the unseen. Humans living, wearing, and walking are exposed to the most Dampness. Moreover, Dampness injures the Spleen; once Spleen Earth is deficient, the root of hundred diseases originates here. Stagnating leads to wheezing and coughing; soaking leads to vomiting; seeping leads to diarrhea; overflowing leads to edema. Dampness stagnating with Heat causes jaundice; Dampness pervading the body causes heaviness; Dampness entering joints causes whole-body pain; Dampness gathering into phlegm-saliva causes coma and unconsciousness. As for manifestations such as body heat, nasal congestion, fixed gaze, Zhengsheng (repetitive low speech), spontaneous sweating, Hongxiangjiao (Charley Horse/Foot Rot), abdominal distension, hardness below the umbilicus, difficult urination, and free stool, all are its syndromes. Patients with Dampness should not undergo sweating therapy; if sweated, they develop Jing disease (spasm), fever, and convulsions, leading to death. Nor should purgation be used; if purged, forehead sweating, chest fullness, slight wheezing, hiccups, and stranguria occur, making cure difficult.
The method for treating Dampness is prioritizing unblocking and promoting urination; tonifying the Spleen and regulating Qi is secondary. Banxia (Pinelliae Rhizoma), Fuling (Poria), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guanzi Gui (Cinnamomi Cortex), and Ganjiang (Zingiberis Rhizoma) are essential herbs. If urination is hindered by Heat, Chi Fuling (Red Poria) and Fangji (Stephaniae Tetrandrae Radix) possess miraculous efficacy. Generally, Dampness pathology easily becomes deep-seated; after gradual infiltration, penetrating muscles and marrow, one must prescribe large doses of Zhuyu (Atractylodis Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata), Jiang (Zingiberis Rhizoma), and Gui (Cinnamomi Cortex) to ensure medicinal power meets the pathogen. The illness will gradually resolve; one cannot demand effects within a day or night. In summary, nothing is faster than using Sheng Fuzi (Raw Aconite Root) and Cangzhu for treating Dampness.