服发表药。汗不得出。用薪火烧地。长久扫去。以热水洒之。取蚕沙柏叶桃叶。少加糠
麸。
。(白术 本川芎白芷米粉各等分为细末)扑之。汗止上床。最得力者。蚕沙桃柏叶也。糠麸
乃助其浓耳。
水七碗。烧锅令赤。投水待沸。取起。再烧锅赤。又以水投之。如此七次。取汤一碗。
乘热饮
。或浸手足。或漱口。表未解。及阴症似阳者忌之。
发狂难制。醋炭气入鼻即定。方可察其阴阳。以脉之有力无力为辨。腹痛有阴有阳。将
凉水半碗与病患饮之。痛减者属热。痛增者属寒。更参脉来有力无力。
寒症脉伏。或吐泻脱而无脉。以姜汁好酒各半盏。与病患服。脉出者生。不出者死。更
覆手取之而无脉。则绝矣。
鼻衄不止。山栀炒黑为末。吹入鼻中。外用湿纸搭于鼻冲。其血自止。吐血不止。韭汁
磨墨呷之。如无韭汁。鸡子清亦可。赤属火。黑属水。有相制之理。
阴毒昏愦。唇青。肢冷。甲黑。药不得入。将葱一握束紧。切去根叶。留白三寸如饼。
将麝半分填脐内。后加葱饼。以火熨之。烂即易。约三饼可醒。先灌姜汁。后服姜附汤。未醒。
灸关元穴三十壮。不醒者必死。
服药即吐者。生姜汁半盏热饮。吐即止。大抵寒药热饮。热药冷冻饮料。中和之剂温饮。补
汤须用熟。(慢火久煎)利药不嫌生。(猛火急煎)
服用发表药物后,汗液仍无法排出。此时用柴草燃烧地面,长时间清扫干净后,用热水喷洒地面。采集蚕沙、柏叶、桃叶,少量加入糠麸。将白术、苍术、川芎、白芷、米粉各等分研为细末,扑撒在患者身上。待汗止后让患者上床休息。其中最为得力的是蚕沙、桃叶和柏叶;糠麸则是为了增加湿度以助发汗。
取水七碗,烧锅至通红,投入水中待其沸腾后取出。再次将锅烧红,又投入水。如此重复七次,取出一碗汤药。趁热饮用,或用于浸泡手足,或用于漱口。若表证未解,以及阴证似阳者忌用此法。
出现发狂且难以控制的症状时,让醋炭的气味进入鼻腔即可使症状安定,之后方可辨别阴阳,以脉象的有力或无力作为判断依据。腹痛有阴证和阳证之分,给病患喝半碗凉水。疼痛减轻的属于热证,疼痛加剧的属于寒证。再参考脉象的有力或无力。
寒证脉伏,或者因吐泻脱症而无脉象。用姜汁和好酒各半盏,给病患服用。脉象恢复的能生,不恢复的会死。如果翻转手掌查看仍无脉象,则已断气。
鼻出血不止,将山栀炒黑研为细末,吹入鼻中。外用湿纸敷在鼻孔处,血液自然会停止。吐血不止,用韭汁磨墨小口啜饮。如果没有韭汁,鸡蛋清也可以。红色属火,黑色属水,二者有相互制约的道理。
阴毒导致神志昏乱,嘴唇发青,四肢冰冷,指甲发黑,药物无法服下。取一把葱束紧,切去根部和叶子,保留白色部分三寸厚如饼状。将半分麝香填入肚脐内,上面覆盖葱饼,用火熨烫。葱饼烂了就更换。大约三个葱饼后即可苏醒。先灌服姜汁,然后服用姜附汤。若未苏醒,灸关元穴三十壮。若不苏醒则必死无疑。
服药后立即呕吐的,用半盏生姜汁热饮,呕吐即止。大抵寒性药物宜热饮,热性药物宜冷饮,平和之剂宜温饮,补益汤剂需用慢火久煎(熟)。利下药物不嫌快煎(生),宜猛火急煎。
After administering exterior-releasing medicines, if sweat does not emerge, burn firewood on the ground, sweep it clean for a long time, and sprinkle with hot water. Collect Bombyx Batryticatus (Can Sha), Biota Orientalis Folium (Bai Ye), and Persicae Semen (Tao Ye), adding a small amount of bran and chaff. Prepare a fine powder from equal parts of Atractylodis Macrocephalae Rhizoma (Baizhu), Cyperi Rhizoma (Ben), Chuanxiong Rhizome (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), and Rice Flour. Dust this powder onto the patient. Once sweating stops, have the patient lie in bed. The most effective agents are Can Sha, Tao Ye, and Bai Ye; bran and chaff serve to increase humidity and assist in inducing sweat.
Take seven bowls of water. Heat a pot until red-hot, pour in the water, wait for it to boil, then remove. Reheat the pot until red-hot, and pour in water again. Repeat this process seven times. Take one bowl of the resulting decoction. Drink it while hot, or use it to soak hands and feet, or to rinse the mouth. This method is contraindicated for those with unresolved exterior syndromes and those presenting with Yin syndromes mimicking Yang.
For manic delirium that is difficult to control, allow the fumes of vinegar-heated charcoal to enter the nostrils to calm the condition. Only then can Yin and Yang be assessed, distinguishing them by whether the pulse is forceful or feeble. Abdominal pain may stem from either Yin or Yang patterns. Give the patient half a bowl of cold water to drink. If pain decreases, it belongs to Heat; if pain increases, it belongs to Cold. Further reference should be made to whether the pulse is forceful or feeble.
In Cold syndromes where the pulse is hidden, or in cases of vomiting and diarrhea leading to collapse without a palpable pulse, administer half a cup each of Zingiberis Recens Juice (Jiang Zhi) and good wine to the patient. Survival is indicated if the pulse returns; death ensues if it does not. If no pulse is found even upon turning the hand over, life has ceased.
For persistent epistaxis, stir-fry Gardeniae Fructus (Shanzhizi) until charred black, grind into powder, and insufflate into the nose. Externally, apply wet paper over the nasal passage; bleeding will stop naturally. For persistent hematemesis, grind ink using Allii Tuberosi Juice (Jiu Zhi) and sip slowly. If Jiu Zhi is unavailable, Albumen Ovi (Jizi Qing) may be used. Red corresponds to Fire, and Black corresponds to Water; there is a principle of mutual restriction between them.
In Yin Toxin causing coma, cyanosis of lips, cold limbs, and blackening of nails, where medications cannot be retained, bind a handful of Allii Fistulosi Bulbus (Cong) tightly, cut off roots and leaves, leaving only the white part three cun thick like a cake. Place half a fen of Moschus (She Xiang) inside the umbilicus, then cover with the Cong cake. Apply heat via moxibustion or ironing; replace the cake when it rots. Approximately three cakes may restore consciousness. First, instill Jiang Zhi, then administer Jiang Fu Tang (Ginger and Aconite Decoction). If unconsciousness persists, moxa thirty cones at Guanyuan CV-4. If still unresponsive, death is certain.
For immediate vomiting after taking medicine, drink half a cup of hot Shengjiang Zhi (Fresh Ginger Juice); vomiting will cease. Generally, Cold-natured drugs should be taken hot, Heat-natured drugs cold, neutral formulas warm, and tonifying soups must be well-cooked (simmered slowly over low heat for a long time). Purgative drugs need not be well-cooked (boiled quickly over high heat).