阴阳易即女劳复。痛引阴中热上冲。通用烧 男女易。须知 鼠亦收功。
男病新瘥。女与之交曰阳易。女病新瘥。男与之交曰阴易。细考之即女劳复也。有谓男病愈
后。因交而女病。女病愈后。因交而男病。于理未然。古今未尝见此症也。其脉离经。其状
体重少气。小腹里急。或引阴中拘挛。热上冲胸。头重不欲举。眼中生花。膝胫拘急。古方
通用烧 散。取女人 裆近隐处。煎烧灰。水调。方寸匕。日三服。女病用男 。亦有用
鼠汤者。皆治女劳复之方也。
阳明咳逆热寒生。水饮停痰气逆行。半夏生姜皆可治。橘皮柿蒂总堪平。
咳逆者。气上逆而呃忒也。仲景作咳逆。即此症也。切勿误作咳。咳者嗽也。亦勿误
。哕者呕也。今从俗作呃逆者是也。凡伤寒呃逆。有因胃热而呃者。橘皮竹茹汤主之。有因
胃寒而呃者。丁香柿蒂汤主之。有因水饮停痰而呃者。半夏生姜汤主之。大抵呃在中焦。谷
气不运。其声短小。得食即发。呃在下焦。真气不足。其声长大。不食亦然。若咳逆不止者。不
橘皮竹茹治呕咳。参甘半夏枇杷麦。赤茯再加姜枣煎。方由金匮此方 。丁香柿蒂人参
姜。呃逆因寒中气戕。济生香蒂仅二味。或加橘竹用皆良。
心悸三阳证自详。水停苓甘小柴汤。冒旋甘桂 真武。小建中建炙甘方。
悸者。心中筑筑动。怔忡不安也。凡伤寒动悸。有因太阳水停心下。厥而悸者。火
。故悸也。经曰先治其水。后治其厥。宜茯苓甘草汤主之。有因太阳发汗过汗。冒旋而悸者
。宜桂枝甘草汤主之。有因发汗过多。 动而悸者。宜真武汤主之。有因阳明壮热往来而悸
者。宜小柴胡汤主之。有因少阳发汗。谵语而动悸者。亦宜小柴胡汤主之。有因伤寒三四日
心悸而烦者。此阳气虚也。宜小建中汤主之。有因伤寒脉结代而心动悸者。宜炙甘草汤主之。
小建中汤芍药多。桂姜甘草大枣和。更加饴糖和中脏。虚劳腹痛效无过。炙甘草汤参姜
桂。麦冬生地火麻仁。大枣阿胶加酒服。虚劳肺痿效如神。
阴阳易,也就是女劳复。症状表现为疼痛牵引至阴部,热气上冲。通用的方剂是烧裈散(将内裤近隐处部分烧灰),但需知道鼠矢汤也能收效。
男子病初愈时,若与女子交合称为阳易;女子病初愈时,若与男子交合称为阴易。仔细考证,这其实就是女劳复。有人认为是男子病愈后因性交导致女子生病,女子病愈后因性交导致男子生病,这在道理上讲不通,古今也未曾见过这种病症。其脉象偏离常经,症状表现为身体沉重、气短,小腹里急,或者牵引阴部拘挛,热气上冲胸部,头部沉重不想抬起,眼中生花,膝胫拘急。古方通用烧裈散,取女人内裤近隐处部分,煎煮后烧成灰,用水调服,每次一方寸匕,每日三次服用。女子患病用男子的内裤,也有使用鼠矢汤的,这些都是治疗女劳复的方子。
阳明病出现咳逆(呃逆),伴有寒热感,是因为水饮停滞、痰阻导致气机逆行。半夏和生姜都可以治疗,橘皮和柿蒂总能够平抑。
咳逆,是指气机上逆而发出呃忒声。张仲景称之为咳逆,就是此症。切勿误认为是咳嗽,咳嗽是指嗽。也不要误认为是哕,哕是指呕吐。现在依从俗称为呃逆是正确的。凡是伤寒引起的呃逆,有因胃热导致的,主用橘皮竹茹汤;有因胃寒导致的,主用丁香柿蒂汤;有因水饮停痰导致的,主用半夏生姜汤。大抵呃逆在中焦,是由于谷气不运,声音短小,进食后即发作;呃逆在下焦,是由于真气不足,声音长大,不吃东西也会发作。如果咳逆不止,可用橘皮竹茹汤治疗呕咳,该方由人参、甘草、半夏、枇杷叶、麦冬组成,再加赤茯苓、生姜、大枣煎煮。丁香柿蒂汤含有人参、生姜,用于呃逆因寒邪损伤中气的情况。济生香蒂散仅有两味药,也可以加入橘皮、竹茹,效果都很好。
心悸在三阳证中的表现自有详细说明。若是水饮停留,可用茯苓甘草汤或小柴胡汤。若有冒眩、干呕等症状伴随心悸,可用真武汤;若用小建中汤或炙甘草汤亦可。
悸,是指心中筑筑跳动,怔忡不安。凡是伤寒引起的心悸,有因太阳病水饮停聚心下,厥冷而心悸的,这是火邪所致,所以心悸。经文说先治其水,后治其厥,宜用茯苓甘草汤主治。有因太阳病发汗过多,冒眩而心悸的,宜用桂枝甘草汤主治。有因发汗过多,导致心动悸的,宜用真武汤主治。有因阳明病壮热往来而心悸的,宜用小柴胡汤主治。有因少阳病发汗后,谵语而动悸的,也宜用小柴胡汤主治。有因伤寒三四日后心悸且烦躁的,这是阳气虚弱,宜用小建中汤主治。有因伤寒脉结代而心动悸的,宜用炙甘草汤主治。
小建中汤中芍药用量较多,配合桂枝、生姜、甘草、大枣调和,再加上饴糖以和中补脏,治疗虚劳腹痛效果无与伦比。炙甘草汤含有人参、生姜、桂枝、麦冬、生地、火麻仁,加大枣、阿胶并用酒煎服,治疗虚劳肺痿效果如神。
Yin-Yang Exchange (Yin Yang Yi), also known as post-coital relapse due to female labor (Nü Lao Fu). The symptoms include pain radiating to the genitalia and a sensation of heat rushing upward. The commonly used formula is Shao Kun San (Ash from Underwear Powder), but it should be noted that Shu Shi Tang (Rat Feces Decoction) can also be effective.
When a man has just recovered from an illness and engages in sexual intercourse with a woman, it is called Yang Exchange (Yang Yi); when a woman has just recovered and engages in sexual intercourse with a man, it is called Yin Exchange (Yin Yi). Upon careful examination, this is essentially Nü Lao Fu (post-coital relapse due to female labor). Some argue that after a man recovers, intercourse causes the woman to become ill, and after a woman recovers, intercourse causes the man to become ill. This reasoning is untenable, and such cases have never been recorded in ancient or modern times. The pulse deviates from the normal channel pattern. The manifestations include heavy body, shortness of breath, urgency and tightness in the lower abdomen, possibly radiating to the genitalia with spasms, heat rushing up to the chest, heaviness in the head making one reluctant to lift it, visual disturbances (seeing spots), and stiffness/spasms in the knees and calves. Ancient formulas generally use Shao Kun San: take the part of a woman's underwear near the genitals, boil it, burn it to ash, mix with water, and administer one Fang Cun Bi (a measure equivalent to a square inch spoonful) per dose, three times daily. For women suffering from this, a man's underwear is used; alternatively, Shu Shi Tang (Rat Feces Decoction) may be used. These are all formulas for treating Nü Lao Fu (post-coital relapse due to female labor).
In Yang Ming disease, hiccups (Ke Ni) arise with sensations of cold and heat, caused by fluid retention and phlegm obstructing the reversal of Qi flow. Ban Xia (Pinelliae Rhizoma) and Sheng Jiang (Zingiberis Rhizoma Recens) can both treat this condition; Ju Pi (Citri Reticulatae Pericarpium) and Shi Di (Diospyri Fructus Calyx) are always capable of calming it.
Ke Ni (Hiccups) refers to the upward reversal of Qi resulting in hiccuping sounds. Zhang Zhongjing referred to this condition as Ke Ni. Do not mistake it for Ke (Cough); Ke refers to Sao (phlegmatic cough). Also do not mistake it for Yue (retching/vomiting sound); Yue refers to Ou (vomiting). Following common usage, calling it E Ni (Hiccups) is correct. In general, hiccups caused by Shang Han (Cold Damage) can be categorized: those due to Stomach Heat are primarily treated with Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shave Decoction); those due to Stomach Cold are primarily treated with Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction); those due to fluid retention and phlegm are primarily treated with Ban Xia Sheng Jiang Tang (Pinellia and Fresh Ginger Decoction). Generally, hiccups originating in the Middle Jiao are due to the failure of Grain Qi to circulate; the sound is short and small, triggered by eating. Hiccups originating in the Lower Jiao are due to insufficiency of True Qi; the sound is long and loud, occurring even without eating. If hiccups persist, Ju Pi Zhu Ru Tang can be used to treat vomiting and hiccups. This formula consists of Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma), Pi Pa Ye (Loquat Leaf), and Mai Dong (Ophiopogonis Radix), added with Chi Fu Ling (Poria with Red Core), Sheng Jiang (Zingiberis Rhizoma Recens), and Da Zao (Jujubae Fructus), decocted together. Ding Xiang Shi Di Tang contains Ren Shen (Ginseng Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), and is indicated for hiccups where Cold damages Middle Qi. Ji Sheng Xiang Di San (Aucklandia and Persimmon Calyx Powder) from *Ji Sheng Fang* contains only two ingredients, but adding Ju Pi (Citri Reticulatae Pericarpium) and Zhu Ru (Bambusae Caulis in Taenia) is also beneficial.
Palpitations (Xin Ji) in the Three Yang syndromes are detailed in their respective contexts. If caused by fluid retention, Ling Gan Xiao Chai Tang (Poria and Licorice or Minor Bupleurum Decoction) may be used. If accompanied by dizziness/vertigo (Mao Xuan) and dry retching, Zhen Wu Tang (True Warrior Decoction) is appropriate; alternatively, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) or Zhi Gan Cao Tang (Honey-Fried Licorice Decoction) may be used.
Ji (Palpitation) refers to the palpable beating of the heart, feeling restless and uneasy. In general, palpitations caused by Shang Han (Cold Damage) can be categorized: those due to Water Retention in the Heart area from Tai Yang syndrome, accompanied by cold extremities and palpitations, are caused by Fire pathogenic factors affecting the Heart, hence palpitations. The classic text states to first treat the Water, then treat the Cold Extremities; Ling Gan Tang (Poria and Licorice Decoction) is indicated. Those due to excessive sweating in Tai Yang syndrome, leading to dizziness/vertigo and palpitations, should be treated with Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction). Those due to excessive sweating leading to Heart Palpitations should be treated with Zhen Wu Tang (True Warrior Decoction). Those due to high fever and alternating chills/heat in Yang Ming syndrome leading to palpitations should be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). Those due to sweating in Sha Yang syndrome, leading to delirious speech and palpitations, should also be treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). Those who experience palpitations and irritability on the third or fourth day of Shang Han (Cold Damage) suffer from Yang Qi deficiency; Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is indicated. Those with a knotted or intermittent pulse and Heart Palpitations due to Shang Han (Cold Damage) should be treated with Zhi Gan Cao Tang (Honey-Fried Licorice Decoction).
Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) uses a large amount of Shao Yao (Paeoniae Radix Alba), harmonized with Gui Zhi (Cinnamomi Ramulus), Sheng Jiang (Zingiberis Rhizoma Recens), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Da Zao (Jujubae Fructus), plus Yi Tang (Maltose) to tonify the Middle Jiao and viscera; it is unparalleled in efficacy for treating deficiency-cold abdominal pain. Zhi Gan Cao Tang (Honey-Fried Licorice Decoction) contains Ren Shen (Ginseng Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), Gui Zhi (Cinnamomi Ramulus), Mai Dong (Ophiopogonis Radix), Sheng Di Huang (Rehmanniae Radix), Huo Ma Ren (Cannabis Semen), Da Zao (Jujubae Fructus), and E Jiao (Colla Corii Asini), decocted with wine; it is miraculous in efficacy for treating deficiency-wasting Lung萎 (Fei Wei).