别法。非通法也。我独用之。聊记以备一格焉。予脾肺气弱。久困湿邪。平时常苦体重气短而脉迟。及患感冒
如伤寒疟疾之类。即心气迫塞难堪。急用防风浮萍二活威灵仙水荭子苦杏仁牛膝。甚者加麻黄川芎炒白芷。因有便
血证。不敢犯细辛桂枝。又加炒白芥子石菖蒲焦山楂以开痰。桃仁茜草以和血。贯众老鹳草以化湿。虑中气之不充
也。酌加山药龙骨荠 菟丝子以助脾肺。虑元气之不固也。又加桑螵蛸冬虫夏草龟版以安下元。邪气渐退。即加牡
蛎鳖甲以和肝。而防虚阳上越。屡试辄效。且无病后虚弱。久待调理之患。又尝治木匠某。感冒发热。根据常力作
不休。数日困极求诊。呼吸喘促。腊槁无汗。身热如焚。久抚反凉。六脉浮散。仅在皮毛。不分起伏。一息不知十
几至也。若以正汗法发之。必汗出而气脱。破故纸益智仁并盐水炒菟丝子淮山药巴戟天狗脊牛膝木瓜山萸肉。加羌
防麻辛一剂。天明得汗。脉息匀调矣。汗漏不止。以附子桂枝汤与之。遂愈。此劳力伤寒重证也。带病力作劳。伤
筋骨。元气外越。不能归窟。故不仅助脾肺。而必注意肝肾。大凡汗出。不彻以致邪浮正结。相搏于皮毛之间。必
先敛之。而后发之何者。阴阳开合之机。必先一 。而后能一嘘也。此中微妙。全在会心。
其他治法。并非通用的常规方法。我独自使用它。姑且记录下来以备一种特殊的格律。我脾肺之气虚弱，长期受湿邪困扰。平时常常苦于身体沉重、气短且脉象迟缓。等到患上感冒如伤寒、疟疾之类的疾病时，就会感到心气迫塞难受。急忙使用防风、浮萍、二活（羌活、独活）、威灵仙、水荭子、苦杏仁、牛膝。病情严重的加用麻黄、川芎、炒白芷。因为我有便血的病症，不敢使用细辛、桂枝。又加入炒白芥子、石菖蒲、焦山楂以化痰开结。桃仁、茜草以调和血液。贯众、老鹳草以化除湿邪。顾虑中气不足。酌情加入山药、龙骨、荠（此处疑为荠菜或类似补益药，依原文保留）、菟丝子以辅助脾肺。顾虑元气不固。又加入桑螵蛸、冬虫夏草、龟版以安定下元。邪气逐渐消退后，就加入牡蛎、鳖甲以调和肝脏。从而防止虚阳上越。多次尝试都有效。并且没有病后虚弱、需要长时间调理的隐患。又曾治疗一名木匠，感冒发热。根据常理不停劳作。数日后极度困倦求诊。呼吸喘促，面色枯槁无汗。身体热如火烧。长时间抚摸反而感觉凉意。六脉浮散。仅在皮毛层面。不分起伏。一息之间不知跳了几十次。如果用常规的发汗法来发汗，必然会导致汗出而气脱。使用破故纸（补骨脂）、益智仁并盐水炒制的菟丝子、淮山药、巴戟天、狗脊、牛膝、木瓜、山萸肉。加入羌活、防风、麻黄、细辛。服用一剂。天亮时得到汗出。脉息变得匀调了。汗漏不止。给予附子桂枝汤。于是痊愈。这是劳力所致伤寒的重证。带病强行劳作劳累。损伤筋骨。元气外越。不能回归本源。所以不仅辅助脾肺。而且必须注意肝肾。大凡出汗不透彻导致邪气浮越正气郁结。相互搏结在皮毛之间。必须先收敛正气。而后发散邪气。为什么呢？阴阳开合的机制。必须先有一致的收敛。然后才能有一致的呼气发散。其中的微妙之处。全在于用心领会。
Alternative Methods. These are not universal standard methods. I employ them exclusively. I record them here merely to preserve a specific approach. My Spleen and Lung Qi (Vital Energy of the Spleen and Lungs) are weak, and I have long been troubled by Dampness pathogen (a pathological factor characterized by heaviness and stagnation). Ordinarily, I often suffer from heavy body sensation, shortness of breath, and a slow pulse (Chi Mai). When contracting colds such as Shanghan disease (Cold Damage syndrome) or malaria, I experience severe oppression and blockage in the Heart Qi (Vital Energy of the Heart), which is unbearable. I urgently use Fangfeng (Saposhnikoviae Radix), Pingping (Urticae Herba), Erhuo (Qianghuo and Duhuo, i.e., Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix), Weilingxian (Akebiae Caulis), Shuihongzi (Polygoni Hydropiperis Fructus), Ku Xingren (Armeniacae Semen Amarum), and Niuxi (Achyranthis Bidentatae Radix). In severe cases, I add Mahuang (Ephedrae Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Chao Baizhi (Stir-fried Angelicae Dahuricae Radix). Because I have a history of hematochezia (blood in stool), I dare not use Xixin (Asari Radix et Rhizoma) or Guizhi (Cinnamomi Ramulus). I additionally add Chao Baijiezi (Stir-fried Sinapis Semen), Shichangpu (Acori Tatarinowii Rhizoma), and Jiao Shanzha (Charred Crataegi Fructus) to resolve phlegm; Taoren (Persicae Semen) and Qiancao (Rubiae Cordifoliae Radix et Rhizoma) to harmonize blood; Guanzhong (Cyathulae Rhizoma) and Laoguancao (Oldenlandiae Herba) to transform dampness. Worrying about insufficient Middle Qi (Vital Energy of the Middle Jiao), I prudently add Shanyao (Dioscoreae Rhizoma), Longgu (Fossilia Ossis Mastodi et Osseum), Ji (likely referring to a tonifying herb, retained as per source), and Tusizi (Cuscutae Semen) to assist the Spleen and Lungs. Worrying about insecure Yuan Qi (Original Vital Energy), I further add Sangpiaoxiao (Mantidis Oötheca), Dongchongxiacao (Cordyceps), and Gui Ban (Testudinis Carapax et Plastrum) to stabilize the Lower Origin (Kidney essence). As the pathogenic factors gradually recede, I add Muli (Ostreae Concha) and Biejia (Trionycis Carapax) to harmonize the Liver. This prevents the upward floating of Deficient Yang (Deficient Fire). Multiple trials have proven effective, avoiding post-illness weakness and the need for prolonged convalescence.
I once treated a carpenter who had a cold with fever. Ignoring conventional advice, he continued working tirelessly. After several days, he was exhausted and sought medical attention. He presented with panting and rapid breathing, a withered complexion, anhidrosis (absence of sweating), and body heat like burning fire. However, prolonged palpation revealed coolness. His six pulses were floating and scattered, located superficially in the skin and hair layer, without distinct rising and falling rhythms, beating dozens of times per respiration. If I used standard diaphoretic methods to induce sweat, it would inevitably lead to sweating out with Qi collapse (Qi exhaustion due to excessive sweating). I prescribed Poguzhi (Psoraleae Fructus), Yizhiren (Alpiniae Oxymatanae Semen), Salt-stir-fried Tusizi (Cuscutae Semen), Huaishanyao (Dioscoreae Rhizoma), Bajitian (Morindae Officinalis Radix), Gouji (Cynanchi Stauntonii Radix), Niuxi (Achyranthis Bidentatae Radix), Mugua (Chaenomelis Fructus), and Shanzhuyurou (Corni Fructus). I added Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Mahuang (Ephedrae Herba), and Xixin (Asari Radix et Rhizoma). After one dose, he sweated at dawn, and his pulse became regular and harmonious. When sweating persisted uncontrollably, I administered Fuzi Guizhi Tang (Aconite and Cinnamon Twig Decoction), and he recovered. This is a severe case of Labor-induced Shanghan (Cold Damage due to exertion). Working while ill causes labor fatigue, damaging sinews and bones, causing Yuan Qi (Original Vital Energy) to escape outward and fail to return to its root. Therefore, treatment must not only assist the Spleen and Lungs but also focus on the Liver and Kidneys. Generally, when sweating is incomplete, leading to floating pathogens and constrained healthy Qi struggling between the skin and hair, one must first consolidate (astringe) the Qi, then release the exterior. Why? The mechanism of Yin-Yang opening and closing requires initial consolidation before proper exhalation/release can occur. The subtlety lies in mental comprehension.