腹里时时上冲也。伤寒传至厥阴,消渴,气上冲心,热证也。经云∶诸逆冲上,皆属
于火是也。病如桂枝证,头不痛,项不强,寸脉微浮,胸中痞硬,气上冲咽喉,不得息者,
此为胸有寒也,当吐之,宜瓜蒂散(按寒字,当作痰)。
瓜蒂(炒黄) 赤小豆(等分)
上研为细末,取一钱,用豉一撮,汤一碗,先渍之,须臾煎成稀糜,去渣,取汁和末药
五分,温服,药下便卧,欲吐,且忍之,良久再吐,如不吐,复如前进一服,以手指探之即
吐。如过时又不吐,饮热汤一升,以助药力。吐讫,便可食。若服药过多者,饮清水解之。
温中回阳。
干姜(三钱) 熟附子(三钱)
水煎服。
香薷饮 (见伤暑)
(即桂枝汤加附子,见太阳经证。
藿香正气散 (见伤暑)
保和汤 (见心痛。
补中益气汤 见类中。
二陈汤 (见中风。
槟榔散 (见香港脚)
四物汤 (见虚证。
泽兰汤 (见腰痛)
治风湿小便不利,大便反快。
甘草(炙) 熟附子(各一钱) 白术 桂枝(各一钱五分
水煎温服。
温经发表。
麻黄 附子(各一钱) 细辛(五分) 生姜(三片
水煎服。
八味汤 (见类中)
水停胁下,硬满而痛,不可忍,干呕,气短,自汗出,不恶寒。
芫花 甘遂 大戟(等分为末)
水一钟半,先煎大枣十枚,取八分,入药末三分,温服。若病不除,再服三分。
桂枝加芍药汤 (见太阳经证
腹部时常有气向上冲逆。伤寒病传变至厥阴经时,出现口渴多饮、气上冲心胸的症状,这属于热证。正如经典所言:“各种逆气冲上的病症,都归属于火邪。”如果病情表现类似桂枝汤证,但头部不痛、项部不强硬,寸脉微微浮起,胸中感觉痞塞坚硬,气上冲咽喉导致呼吸不畅的,这是胸中有痰饮(按:原文中的“寒”字,实际应理解为“痰”),应当采用涌吐法治疗,适宜使用瓜蒂散。
瓜蒂(炒至黄色) 赤小豆(与瓜蒂等量)
将上述药物研成细末,取一钱药粉,用淡豆豉一撮,加水一碗,先浸泡片刻,然后煎煮成稀粥状,滤去药渣,取汁液调和五分药粉,温服。服药后立即躺下,如果想呕吐,暂时忍耐一下,过很久再吐;如果还不吐,就再按前面的方法服用一剂,用手指探喉催吐。如果过了时间仍不吐,喝热汤一升,以助药力。吐完后,就可以进食了。如果服药过多,可以喝清水来解药性。
温补中焦,回阳救逆。
干姜(三钱) 熟附子(三钱)
加水煎服。
香薷饮 (参见伤暑章节)
(即桂枝汤加附子,参见太阳经证章节。)
藿香正气散 (参见伤暑章节)
保和汤 (参见心痛章节)
补中益气汤 参见类中风章节
二陈汤 (参见中风章节)
槟榔散 (参见香港脚章节)
四物汤 (参见虚证章节)
泽兰汤 (参见腰痛章节)
治疗风湿导致的小便不利,大便反而溏泄。
甘草(炙) 熟附子(各一钱) 白术 桂枝(各一钱五分)
加水煎煮,温服。
温通经脉,发表散寒。
麻黄 附子(各一钱) 细辛(五分) 生姜(三片)
加水煎服。
八味汤 (参见类中风章节)
水饮停聚在胁下,胸部胀满且疼痛剧烈,难以忍受,干呕,气短,自汗出,不怕冷。
芫花 甘遂 大戟(等分为末)
用水一钟半,先煎煮十枚大枣,取八分水,加入药末三分,温服。如果病邪未除,再服用三分。
桂枝加芍药汤 (参见太阳经证章节)
The abdomen frequently experiences upward rushing of Qi. When Shaoyin (Note: Text says Jueyin, but context implies general transmission or specific Jueyin heat pattern) syndrome transmits to the Jueyin meridian, symptoms such as excessive thirst and Qi rushing up to the heart appear; this is a Heat pattern. As the classics state: "All rebellious Qi rushing upward belongs to Fire." If the condition resembles the Guizhi Tang pattern, but there is no headache or stiffness in the neck, the cun pulse is slightly floating, there is a sensation of fullness and hardness in the chest, Qi rushes up to the throat causing difficulty in breathing, this indicates Phlegm-fluid retention in the chest (Note: The character 'Han' [Cold] in the original text should be interpreted as 'Tan' [Phlegm]). Treatment should involve emesis, and Gouti San is appropriate.
Gouti (Stir-fried until yellow) Chixiaodou (Equal parts)
Grind the above herbs into a fine powder. Take one qian of powder. Use a handful of Douchi (Prepared Soybean), add one bowl of water, soak for a moment, then decoct until it becomes a thin porridge consistency. Strain out the dregs, take the liquid, and mix with five fen of the powdered medicine. Take warm. After taking the medicine, lie down immediately. If you feel the urge to vomit, endure it for a while, then allow vomiting after some time. If vomiting does not occur, administer another dose as previously described, and induce vomiting by stimulating the throat with a finger. If vomiting does not occur even after a long time, drink one sheng of hot water to assist the medicinal power. After vomiting, food can be consumed. If too much medicine was taken, drink clear water to counteract it.
Warm the Middle and restore Yang.
Ganjiang (Dried Ginger, 3 qian) Shufuzi (Prepared Aconite Root, 3 qian)
Decoct in water and take orally.
Xiangru Yin (See Shangshu [Heatstroke])
(That is, Guizhi Tang plus Fuzi, see Taiyang Meridian Syndrome.)
Huoxiang Zhengqi San (See Shangshu [Heatstroke])
Baohe Tang (See Xintong [Heart Pain])
Buzhong Yiqi Tang See Leizhong [Stroke-like Syndromes]
Erchen Tang (See Zhongfeng [Wind Stroke])
Binglang San (See Xianggangjiao [Hong Kong Foot/Gout])
Siwu Tang (See Xu Zheng [Deficiency Syndromes])
Zelan Tang (See Yaotong [Lumbar Pain])
Treat Wind-Dampness causing difficult urination and loose stools.
Gancao (Honey-fried Licorice Root) Shufuzi (Prepared Aconite Root) (Each 1 qian) Baizhu (Atractylodes Macrocephala Rhizome) Guizhi (Cinnamon Twig) (Each 1.5 qian)
Decoct in water and take warm.
Warm the meridians and release the exterior.
Mahuang (Ephedra Stem) Fuzi (Aconite Lateral Root) (Each 1 qian) Xixin (Asarum Root) (5 fen) Shengjiang (Fresh Ginger) (3 slices)
Decoct in water and take orally.
Bawei Tang (See Leizhong [Stroke-like Syndromes])
Fluid retention under the ribs, causing distension, fullness, and unbearable pain, dry heaving, shortness of breath, spontaneous sweating, and aversion to cold is absent.
Yuanhua (Genkwa Flower) Gansui (Kansui Root) Daji (Euphorbia Pekinensis Root) (Grind equal parts into powder)
Use one and a half zhong of water. First decoct ten large dates (Dazao). Reduce to eight-tenths of the volume. Add three-tenths of the herbal powder. Take warm. If the disease persists, administer another three-tenths.
Guizhi Jia Shaoyao Tang (See Taiyang Meridian Syndrome)