黄;兼伤风者,本方加桂枝;兼伤暑者,本方加黄连;兼伤湿者,本方加羌活。实万世
无穷之利,东垣特发明阳虚发热之一门也。然世间真阴虚而发热者十之六七,亦与伤寒
无异,反不及论,何哉?今之人一见发热则曰伤寒,须用发散,发散而毙,则曰先贤之
治法已穷,岂知丹溪发明之外,尚有不尽之旨乎?予尝于阴虚发热者,见其人热而亦口
渴烦躁,与六味地黄大剂,一服即愈。如见下部恶寒足冷,上部躁极渴甚,或欲饮而反
吐,即以六味汤中加肉桂、五味,甚则加附子冷冻饮料,下咽即愈,以此活人多矣。再举伤
寒口渴一症言之,邪热入于胃腑,消耗津液故渴,恐胃汁干,急下之以存津液。其次
者,但云欲饮水者,不可不与,不可多与,并无治法,纵有治者,徒知以芩、连、枝、
黄芩(黄芩):如果兼夹伤风,在本方中加入桂枝;如果兼夹伤暑,在本方中加入黄连;如果兼夹伤湿,在本方中加入羌活。这是造福万世无穷无尽的利益,李东垣特别阐发了阳虚发热这一门类。然而世间真正阴虚而发热的占十分之六七,这也与伤寒没有不同,反而没有被论述,为什么呢?现在的人一见到发热就说这是伤寒,必须使用发散法治疗,发散治疗后死亡,就说先贤的治疗方法已经穷尽了,哪里知道在朱丹溪阐发的理论之外,还有未尽的深意呢?我曾经遇到阴虚发热的人,见其人发热且口渴烦躁,给予大剂量的六味地黄丸,服用一次即痊愈。如果见到下部恶寒足冷,上部躁动极度、口渴严重,或者想喝水却反而呕吐,就在六味汤中加入肉桂、五味子,严重时加入附子制成冷冻饮料,咽下即愈,以此治愈了很多人。再举伤寒口渴这一症状来说,邪热进入胃腑,消耗津液所以口渴,担心胃汁干枯,急用攻下法以保存津液。其次的情况,只说想要喝水的,不可以不给水喝,但不可多喝,并没有具体的治疗方法,即使有治疗的,只知道用黄芩、黄连、黄柏、栀子(注:原文“枝”通“栀”,指栀子),
If accompanied by wind-stroke (Shangfeng), add Guizhi Tang (Cinnamon Twig Decoction) to the base formula; if accompanied by summerheat-stroke (Shangshu), add Huanglian (Coptidis Rhizoma); if accompanied by dampness (Shangshi), add Qianghuo (Notopterygii Rhizoma et Radix). This is indeed a benefit for ten thousand generations, infinite and endless. Li Dongyuan specifically elucidated the category of fever due to Yang deficiency. However, in the world, true Yin deficiency causing fever accounts for six or seven out of ten cases, which is no different from Taiyang disease (Shaohang), yet it is not discussed. Why? Nowadays, people see fever and immediately say it is Taiyang disease, requiring dispersing methods. If death ensues after dispersing, they claim that the treatment methods of the sages are exhausted. How could they know that beyond what Danxi elucidated, there are still profound meanings not fully expounded? I have treated patients with fever due to Yin deficiency, observing heat accompanied by thirst and irritability, and administered large doses of Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). One dose resulted in immediate cure. If one observes cold sensation in the lower body and cold feet, while the upper body is extremely restless and thirsty, or desires to drink but vomits instead, add Rougui (Cinnamomi Cortex) and Wuweizi (Schisandrae Fructus) to Liuwei Tang (Six-Ingredient Decoction). In severe cases, add Fuzi (Aconiti Lateralis Radix Praeparata) and serve as a cold beverage. Upon swallowing, the patient is cured. By this method, I have saved many people. Let us further discuss the symptom of thirst in Taiyang disease: when pathogenic heat enters the Stomach Fu organ, consuming Body Fluids (Jinye), thirst occurs. To prevent the drying up of Stomach juices, urgent purgation is required to preserve Body Fluids. In milder cases, it is merely stated that if the patient desires water, it should be given, but not in excessive amounts, without specific therapeutic methods. Even those who treat it only know to use Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), [and Zhimu (Anemarrhenae Rhizoma)],