风湿,脉沉,先伤湿而后伤风也。其证肢体肿痛,不能转侧,额上微汗,恶寒不欲去衣,大便
难,小便利,热至日晡而剧,治法但微解肌。若正发汗,则风去湿在,非徒无益,而又害之,羌活
冲和汤。咽渴,小便不利者,五苓散。外不热,内不渴,小便利,术附汤。缓弱昏迷,腹满身重,
自汗失音,下利不禁,白虎汤加白术,去甘草。身肿痛,微喘恶风,杏仁汤。热而烦渴者,小柴胡
加天花粉。若误下之,小便必不利,五苓散。
中湿,小便不利,一身尽痛,身黄,大便快,茵陈五苓散。大小便俱利,无黄
者,术附汤。身痛鼻塞,小建中汤加黄芩也。
温毒者,冬月感寒毒异气,至春始发也。表证未罢,毒瓦斯未散,故有发斑之候。心下烦闷,呕
吐咳嗽,后必下利,寸脉洪数,尺脉实大,为病则重,以阳气盛故耳,通用玄参升麻汤也。
中暑,脉虚而伏,身热面垢,自汗烦躁,大渴毛耸,背恶寒,昏倦身不痛,与伤寒诸证大不同
矣。内外俱热,口燥烦渴,四肢微冷而不痛,用白虎汤。痰逆恶寒,橘皮汤。热闷不恶寒,竹叶石
膏汤。头痛,恶心烦躁,五苓散。中暑用小柴胡加香薷最良。脉迟,洒然毛耸,口齿燥,人参白虎
汤。霍乱烦躁,大渴腹痛,厥冷转筋,黄连香薷汤治为要也,须顿冷服之。如热服,反为吐泻矣。
风湿病,脉象沉,这是先感受湿邪而后感受风邪所致。其症状表现为肢体肿胀疼痛,身体不能转动侧身,额头微微出汗,怕冷不想脱去衣物,大便困难,小便通畅,发热在傍晚时分加剧,治疗方法只需轻微地解除肌表之邪。如果采用强力发汗法,则风邪虽去而湿邪仍在,这不仅无益,反而有害,可用羌活冲和汤。若出现咽喉干燥口渴、小便不利的情况,用五苓散。体表不热,体内不渴,小便通畅的,用术附汤。若见脉象缓弱、神志昏迷、腹部胀满、身体沉重、自汗、失音、下利不止的症状,用白虎汤加白术,去掉甘草。若见身体肿痛、轻微气喘、怕风,用杏仁汤。若见发热且烦躁口渴,用小柴胡汤加天花粉。如果误用攻下法,小便必然不利,用五苓散。
中湿病,小便不利,全身都痛,身体发黄,大便通畅,用茵陈五苓散。大小便都通畅,没有发黄的,用术附汤。身体疼痛伴鼻塞的,用小建中汤加黄芩。
温毒病,是冬季感受寒毒异气,到了春季才发作。表证尚未解除,毒气未散,所以有发斑疹的表现。心下部烦闷,呕吐咳嗽,随后必定出现下利,寸脉洪大数急,尺脉实大,病情较重,这是因为阳气盛的缘故,通用玄参升麻汤。
中暑,脉象虚而潜伏,身体发热面色垢浊,自汗烦躁,极度口渴毛发竖起,背部怕冷,昏沉疲倦但身体不痛,这与伤寒的各种证候大不相同。内外俱热,口燥烦躁口渴,四肢微冷但不痛,用白虎汤。痰逆伴恶寒,用橘皮汤。热闷且不恶寒,用竹叶石膏汤。头痛、恶心烦躁,用五苓散。中暑用小柴胡汤加香薷效果最好。脉迟,洒然毛耸,口齿干燥,用人参白虎汤。霍乱伴烦躁,极度口渴腹痛,四肢厥冷转筋,黄连香薷汤治疗是关键,必须顿服冷药。如果热服,反而会导致吐泻。
Wind-Dampness, with a deep pulse, indicates that dampness was injured first and then wind. The symptoms include swelling and pain in the limbs, inability to turn or move the body, slight sweating on the forehead, aversion to cold with reluctance to remove clothing, difficulty in defecation, free urination, and fever that worsens at dusk. The treatment method is merely to slightly release the muscle layer (Ji). If one induces heavy sweating, the wind will leave but the dampness will remain; this is not only useless but also harmful. Use Qianghuo Chonghe Tang (Qianghuo Harmonizing Decoction). If there is throat thirst and difficult urination, use Wuling San (Five-Ingredient Poria Powder). If there is no heat on the exterior, no thirst inside, and free urination, use Shu Fu Tang (Atractylodes and Aconite Decoction). If there is a slow and weak pulse, coma, abdominal fullness, heaviness of the body, spontaneous sweating, loss of voice, and incontinence of diarrhea, use Baihu Tang (White Tiger Decoction) added with Baizhu (Atractylodis Macrocephalae Rhizoma), removing Gancao (Glycyrrhizae Radix et Rhizoma). If there is body swelling and pain, slight wheezing, and aversion to wind, use Xingren Tang (Apricot Kernel Decoction). If there is heat with vexation and thirst, use Xiaochaihu Tang (Minor Bupleurum Decoction) added with Tianhuafen (Trichosanthis Radix). If mistakenly purged, urination will certainly be difficult; use Wuling San (Five-Ingredient Poria Powder).
Dampness Invasion, with difficult urination, whole-body pain, jaundice, and loose stools, uses Yinchen Wuling San (Artemisiae Scopariae Five-Ingredient Poria Powder). If both urine and stool are free and there is no jaundice, use Shu Fu Tang (Atractylodes and Aconite Decoction). If there is body pain and nasal congestion, use Xiao Jianzhong Tang (Minor Construct the Middle Decoction) added with Huangqin (Scutellariae Radix).
Warm-Toxin refers to contracting cold-toxic abnormal qi in winter, which manifests in spring. Since the exterior syndrome has not resolved and the toxic vapor has not dispersed, there is a manifestation of macules. There is distress and stuffiness in the epigastrium, vomiting, coughing, followed inevitably by diarrhea. The Cun (Inch) pulse is surging and rapid, and the Chi (Cubit) pulse is solid and large; the disease is severe due to the abundance of Yang Qi. Generally, use Xuanshen Shengma Tang (Scrophulariae and Cimicifugae Decoction).
Summerheat Stroke, with a deficient and hidden pulse, feverish body, greasy complexion, spontaneous sweating, vexation, extreme thirst, erect hair, aversion to cold on the back, lethargy, and absence of body pain, differs greatly from all syndromes of Cold Damage. With internal and external heat, dry mouth, vexation, and thirst, slightly cold limbs without pain, use Baihu Tang (White Tiger Decoction). With phlegm reversal and aversion to cold, use Jupi Tang (Tangerine Peel Decoction). With stifling heat and no aversion to cold, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). With headache, nausea, and vexation, use Wuling San (Five-Ingredient Poria Powder). For summerheat stroke, Xiaochaihu Tang (Minor Bupleurum Decoction) added with Xiangru (Elsholtziae Herba) is best. With a slow pulse, shivering with erect hair, and dry mouth and teeth, use Renshen Baihu Tang (Ginseng White Tiger Decoction). For Huoluan (Cholera-like disorder) with vexation, extreme thirst, abdominal pain, cold extremities, and muscle cramps, Huanglian Xiangru Tang (Coptis and Elsholtzia Decoction) is essential; it must be taken suddenly while cold. If taken hot, it will cause vomiting and diarrhea.