嗳腐吞酸腹不舒,食伤平胃(散)可消除,若还拒按宜(大)承气(汤),慎勿因循反(只用神曲)致虚
(徒用山楂、麦芽之类,则所伤之物,未能自下,聚于胃中,如酿酒一般,则胃气日见其败伤
。
伤酒病,呕逆心烦,胸胀不食,小便不利,方书用葛花解酲汤取微汗而愈。《千金》云
∶大醉恐致烂肠,作汤着大器中渍之,冷复易之,酒自消,夏月亦佳。或绞茅根汁饮之,或
捣生葛汁,或粳米一升,饮之水五升,煮烂,滤去滓饮之。《张氏医通》用五苓散去桂加黄
柏、黄连、葛根,从膀胱以化之,法颇超。
解酲(汤)治酒本从时,须识《千金》渍法奇,葛汁茅根粳米汁,五苓去桂各相宜。
久服地黄暴脱证,当未脱时,其人起居如故,惟精神不旺,或微有咳嗽;或腰膝无力;
或偶然咳血,旋即自愈;或偶患肠红;或痔疮射出血线;或小便偶然变色;大便溏秘无常。
此证尽可以弗药。而过于保养者,每日延医满座。间有逢迎之辈,自言有不寒不热,王道平
补之法,遂与投机。以六味地黄丸、八仙长寿丸、七味地黄丸、大补元煎、人参养荣汤诸方
为主,加入鹿角胶、阿胶、鹿茸、海参胶、淡菜胶、紫河车之类,兼服归脾汤、逍遥散,亦
加地黄,服之良久,不见其益,亦不见其害。然满腔中俱是浊阴弥沦,大犯《周易》“履霜
坚冰至”之戒。或偶因嗔怒,或偶近房室,或偶然宴饮,偶然劳动,未避风日,遂猝然无知
,痰涎壅盛,吐泻,大喘大汗等证,与中风无异。医者归咎于前数端之自取,而不知前数端
为生人所不免之事,岂一疾遂若此之危。惟平日补水滋水,以致水邪滔天,一作不可救止。治
之之法有三∶一曰拨云见日,以大剂通脉四逆汤为加减;一曰急堤提防,以大剂术附汤加姜
汁半盏;一曰导流归海,即前二方重加茯苓。信服不疑,可救十中之二、三。苏后再加人参
,若实时用参,反不能回阳,识此勿误。此证因误补所致,故列于实证。
嗳气带有腐臭味、吞酸、腹部不适,这是食积损伤,可用平胃散来消除;如果腹部拒按(按压疼痛加剧),则适宜用大承气汤,千万不要因为拖延而只使用神曲(或徒用山楂、麦芽之类消食药),否则会导致正气虚弱。
(如果只用山楂、麦芽之类的药物,所伤的食物不能自行排出,积聚在胃中,就像酿酒一样,导致胃气日渐败坏受损。)
伤酒病,表现为呕吐逆气、心烦、胸腹胀满、食欲不振、小便不利,方书中记载使用葛花解酲汤,通过发微汗而痊愈。《千金方》说:大醉恐怕会导致肠道腐烂,制作汤剂放在大容器中浸泡(指饮酒后身体发热,用冷物渍之以散热,或指药液渍服),冷了再换,酒毒自然消散,夏季效果也很好。或者绞取茅根汁饮用,或者捣碎生葛根取汁,或者用粳米一升,加水五升,煮烂,滤去渣滓后饮用。《张氏医通》使用五苓散去桂枝,加入黄柏、黄连、葛根,从膀胱途径来化解酒毒,这种方法颇为高超。
葛花解酲汤治疗酒病本顺应时宜,必须认识《千金方》中浸泡法的奇妙,葛根汁、茅根汁、粳米汁,以及五苓散去桂枝,各自都适宜。
长期服用地黄丸导致的暴脱证,在尚未发生暴脱之前,这个人起居如常,只是精神不振,或者有轻微咳嗽;或者腰膝无力;或者偶尔咳血,随即自愈;或者偶尔患肠风下血;或者痔疮喷射出血线;或者小便偶尔变色;大便时而溏泄时而秘结无常。
这种病症完全可以不服药。但那些过于注重保养的人,每天请来的医生坐满了屋子。间或有逢迎之辈,自称有不寒不热、王道般平和补益的方法,于是投合了患者的心意。以六味地黄丸、八仙长寿丸、七味地黄丸、大补元煎、人参养荣汤等方剂为主,加入鹿角胶、阿胶、鹿茸、海参胶、淡菜胶、紫河车等药材,兼服归脾汤、逍遥散,也加入地黄,服用很长时间,既不见好处,也不见坏处。然而,满腔中都是浊阴之气弥漫沦陷,严重违反了《周易》中“履霜坚冰至”(踩到霜就知道坚冰快要来了,比喻事物发展有渐进过程)的告诫。或者偶然发怒,或者偶然接近房事,或者偶然宴饮,偶然劳累,没有避开风日,于是突然无知觉,痰涎壅盛,呕吐腹泻,大喘大汗等症状,与中风无异。医生将过错归咎于前几种情况的自取,却不知道前几种情况是普通人难免的事情,难道一种疾病就会如此危险吗?只是因为平日过度补水滋水,导致水邪滔天,一旦发作就不可救止。治疗的方法有三种:一是拨云见日,用大剂量的通脉四逆汤进行加减;二是急堤提防,用大剂量的术附汤加入半盏姜汁;三是导流归海,即在前两个方子中重加茯苓。信服并怀疑地服用,可以挽救十分之二、三。苏醒后再加入人参,如果在发病当时用人参,反而不能回阳,认清这一点不要误用。此证因误补所致,所以列在实证中。
Belching with a putrid odor, acid regurgitation, and abdominal discomfort indicate food stagnation injury; Pingwei San (Calm the Stomach Powder) can eliminate it. If there is abdominal tenderness with refusal to pressure (pain worsens upon pressing), Dachengqi Tang (Major Order the Qi Decoction) is appropriate. Do not delay or merely use Shenqu (Medicated Leaven) [or solely employ Hawthorn Seed and Malt], lest it lead to deficiency.
(If only Hawthorn Seed and Malt are used, the injured food cannot be expelled naturally, accumulating in the stomach like fermenting wine, causing the Stomach Qi to deteriorate day by day.)
Alcohol injury disease presents with vomiting and reflux, vexation, chest fullness, anorexia, and dysuria. Medical texts recommend Ge Hua Jie Cheng Tang (Kudzu Flower Decoction to Relieve Intoxication) to achieve recovery through mild sweating. *Qianjin Fang* states: Extreme drunkenness may cause intestinal rot. Prepare a decoction in a large vessel and soak (the patient or apply cold compresses); when cold, replace it, and the alcohol toxin will dissipate. This is also effective in summer. Alternatively, drink juice extracted from Imperata Rhizome (Mao Gen), or crushed fresh Kudzu Root (Sheng Ge). Or, take one sheng of Oryza sativa var. japonica (Jing Mi), add five sheng of water, boil until soft, filter out the dregs, and drink the liquid. *Zhang Shi Yi Tong* uses Wuling San (Five-Ingredient Powder with Poria) minus Cinnamon Twig, adding Phellodendri Cortex (Huang Bo), Coptidis Rhizoma (Huang Lian), and Kudzu Root (Ge Gen), resolving the alcohol toxin via the Bladder pathway; this method is quite superior.
Ge Hua Jie Cheng Tang treats alcohol injury according to the season; one must recognize the unique soaking method from *Qianjin Fang*. Kudzu juice, Imperata Rhizome juice, and Jing Mi juice, as well as Wuling San minus Cinnamon Twig, are each suitable.
Sudden collapse syndrome caused by long-term consumption of Rehmanniae Radix preparations: Before the sudden collapse occurs, the person’s daily life remains normal, but spirit is lacking. There may be slight coughing; or weakness in the waist and knees; or occasional hemoptysis that heals spontaneously; or occasional hematochezia due to wind-heat in the intestines; or hemorrhoidal bleeding in jets; or occasional discoloration of urine; and irregular bowel movements alternating between loose stools and constipation.
This condition can be left without medication. However, those who over-emphasize preservation invite doctors to fill their homes daily. Occasionally, flatterers claim to have a non-hot, non-cold, kingly-style gentle tonification method, which appeals to the patient. They prescribe formulas such as Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), Baxian Changshou Wan (Eight Immortals Longevity Pill), Qiwei Dihuang Wan (Seven-Ingredient Pill with Rehmannia), Dabu Yuanjian (Great Tonify Origin Decoction), and Renshen Yangrong Tang (Ginseng Nourish Heart Blood Decoction) as main bases, adding Deer Antler Glue, Donkey-Hide Gelatin, Deer Antler, Sea Cucumber Glue, Mussel Glue, and Placenta Humana (Zi He Che). Concurrently taking Guipi Tang (Restore the Spleen Decoction) and Xiaoyao San (Free and Easy Wanderer Powder), also adding Rehmannia, for a long time yields neither benefit nor harm. Yet, the entire chest cavity becomes filled with turbid yin qi, severely violating the warning in the *I Ching*: "Treading on frost, solid ice arrives soon" (indicating gradual progression). Occasional anger, sexual activity, banquets, or labor without avoiding wind and sun may lead to sudden unconsciousness, profuse phlegm-saliva, vomiting and diarrhea, severe panting, and profuse sweating, resembling stroke. Physicians blame these outcomes on self-inflicted causes, failing to realize that such behaviors are inevitable for ordinary people; how can one disease become so critical? It is precisely because of daily excessive nourishment of water (yin), leading to overwhelming pathogenic water, that once it erupts, it is incurable. There are three treatment methods: First, "clearing clouds to see the sun," using a large dose of Tongmai Sini Tang (Pulse-Unblocking Four-Reversal Decoction) with modifications; Second, "urgent dike defense," using a large dose of Shu Fu Tang (Atractylodes and Aconite Decoction) plus half a cup of Ginger Juice; Third, "diverting flow to the sea," which is the previous two formulas with heavy additions of Poria (Fuling). With faith and no doubt, two or three out of ten cases can be saved. After regaining consciousness, add Ginseng. If Ginseng is used immediately during the acute phase, it fails to restore yang. Recognize this and do not err. This syndrome results from mistaken tonification, thus it is classified under excess syndromes.