〔《活》〕阴证喘促者,返阴丹主之。四肢逆冷喘促,入口便佳。(方见阴毒。)
病患小渴,与水剧饮之,致停饮,心下满结者,喘死甚众,当以五苓散或陷胸丸主之。(方见渴及结胸。)
三阳合病,腹满身重,难以转侧,口不仁而面垢,谵语遗尿。发汗则谵语,下之则额上出汗,手足逆冷。
若自汗出者,白虎汤主之。
风温为病,脉浮汗出,身重多眠,鼻息鼾。(论见风温。宜《活人》葳蕤汤。)
阳明病,脉浮紧,口苦咽燥,腹满而喘,发热汗出,不恶寒,身重,忌汗,忌烧针,忌下。(论见自汗。
注云∶此证宜和解之。)
阳明病,汗出不恶寒,身重短气,腹满而喘,有潮热者,宜大承气汤。(论见不大便。)
风水脉浮身重,汗出恶风者,宜防己黄 汤。
防已(一两) 甘草(半两) 白术(七钱半) 黄 (去芦,一两一钱)
上 咀,每服五钱,生姜四片,大枣一枚,水盏半,煎八分,温服。良久再服。服后当如虫行皮中,从腰
下如冰,后坐被上,又以一被绕腰以下,温令微汗,瘥。喘者,加麻黄半两。胃中不和者,加芍药三分。气
上冲者,加桂三分。下有沉寒者,加细辛三分。
中暑病发热恶寒,身重痛,汗出足冷,脉虚而渴者,忌汗下针。(宜瓜蒂散、白虎汤。论见中暑。)
伤寒脉浮缓,身不疼,但重,无少阴但欲寐、吐利证者,宜大青龙汤。下后身重心悸者,不可发汗,当自
汗者乃解。(论见悸。)
阴阳易为病,身重少气,少腹急引,阴中拘挛,上冲胸,眼花者,烧 汤。(论见阴阳易。)
少阴病腹痛,小便不利,四肢沉重,疼痛下利者,真武汤。(论见身重。)
《活人书》记载:对于阴证引起的喘促,以返阴丹为主治方剂。若出现四肢逆冷且喘促的症状,服药入口后症状即刻缓解。(该方剂详见“阴毒”章节。)
患者感到轻微口渴,若给予大量饮水,导致水饮停滞,心下部位胀满硬结的,往往会导致死亡,应当使用五苓散或陷胸丸来治疗。(该方剂详见“渴”及“结胸”章节。)
三阳合病时,表现为腹部胀满、身体沉重、难以翻身侧卧、口舌麻木不知味且面部污垢、胡言乱语、小便失禁。若误用发汗法,会导致胡言乱语加重;若误用攻下法,则会导致额头出汗、手足逆冷。
如果患者自汗出,应以白虎汤为主治方剂。
风温病表现为脉象浮、汗出、身体沉重、嗜睡、鼻息有声如鼾。(理论详见“风温”章节。宜参考《活人书》中的葳蕤汤。)
阳明病,脉象浮紧,口苦咽干,腹部胀满而喘,发热汗出,不恶寒,身体沉重,忌用发汗法,忌用烧针疗法,忌用攻下法。(理论详见“自汗”章节。
注云:此证适宜采用和解法治疗。)
阳明病,汗出不恶寒,身体沉重、气短,腹部胀满而喘,伴有潮热的,适宜使用大承气汤。(理论详见“不大便”章节。)
风水病,脉象浮、身体沉重、汗出恶风的,适宜使用防己黄芪汤。
防己(一两) 甘草(半两) 白术(七钱半) 黄芪(去芦头,一两一钱)
以上药材切碎,每次服用五钱,加生姜四片、大枣一枚,用水一盏半,煎至八分,温服。隔一段时间后再次服用。服药后感觉皮肤中有虫爬行的感觉,腰部以下感觉像冰一样凉,随后坐在被子上,再用一条被子环绕腰部以下,使其微微出汗,疾病即可痊愈。若有喘症者,加麻黄半两。胃中不和者,加芍药三分。气上冲者,加桂枝三分。下有沉寒者,加细辛三分。
中暑病表现为发热恶寒、身体沉重疼痛、汗出足冷、脉虚且口渴的,忌用发汗、攻下和针刺疗法。(宜用瓜蒂散、白虎汤。理论详见“中暑”章节。)
伤寒脉象浮缓,身体不疼但沉重,没有少阴病那种只想睡觉、呕吐腹泻症状的,适宜使用大青龙汤。攻下后出现身体沉重、心悸的,不可发汗,待其自汗出后方可解除。(理论详见“悸”章节。)
阴阳易病表现为身体沉重、气短、小腹拘急牵引、外阴部痉挛、气上冲胸部、眼花的,适宜使用烧裈散汤。(理论详见“阴阳易”章节。)
According to the *Liu Ren Shu* (Book of Vitality): For panting and shortness of breath caused by Yin syndromes, Fan Yin Dan (Return to Yin Pill) is the primary formula. If cold extremities are accompanied by panting, symptoms improve immediately upon ingestion. (See "Yin Toxin" for the formula.)
If a patient feels slightly thirsty and is given excessive water, leading to fluid retention and fullness/stiffness in the epigastrium, death often ensues; Wu Ling San (Five-Ingredient Powder with Poria) or Xian Xiong Wan (Trap-the-Chest Pill) should be used. (See "Thirst" and "Chest Binding" for formulas.)
In combined diseases of the Three Yang, symptoms include abdominal fullness, heaviness of the body, difficulty in turning over, numbness of the mouth and face with facial grime, delirium, and urinary incontinence. If sweating methods are misused, delirium worsens; if purgative methods are misused, sweating on the forehead and cold extremities occur.
If there is spontaneous sweating, Bai Hu Tang (White Tiger Decoction) is the primary formula.
Wind-Warmth disease presents with floating pulse, sweating, heaviness of the body, somnolence, and snoring nasal breathing. (Theory see "Wind-Warmth". It is advisable to use Wei Rui Tang from the *Liu Ren Shu*.)
Yangming disease presents with floating-tight pulse, bitter taste in the mouth, dry throat, abdominal fullness with panting, fever with sweating, aversion to cold absent, and heaviness of the body. Sweating methods, burning needle therapy, and purgative methods are contraindicated. (Theory see "Spontaneous Sweating."
Note: This syndrome is suitable for harmonizing treatment.)
Yangming disease with sweating, absence of aversion to cold, heaviness of the body, shortness of breath, abdominal fullness with panting, and tidal fever is suitable for Da Cheng Qi Tang (Major Order the Qi Decoction). (Theory see "Infrequent Stool.")
Water-wind disease with floating pulse, heaviness of the body, sweating, and aversion to wind is suitable for Fang Ji Huang Qi Tang (Stephania and Astragalus Decoction).
Fang Ji (Stephaniae Tetrandrae Radix, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 7 qian 5 fen), Huang Qi (Astragali Radix, de-rooted, 1 liang 1 qian).
All ingredients are chopped. Take 5 qian per dose, add 4 slices of fresh ginger and one jujube, decoct in 1.5 cups of water until 0.8 cup remains, and take warm. Repeat after some time. After ingestion, a sensation like insects crawling under the skin may occur, and the lower waist may feel cold as ice. Sit on a quilt afterwards, wrap another quilt around the waist and below, to induce slight sweating, which will cure the disease. Add Ma Huang (Ephedrae Herba, 0.5 liang) if panting occurs. Add Bai Shao (Paeoniae Radix Alba, 3 fen) if the stomach is disharmonious. Add Gui Zhi (Cinnamomi Ramulus, 3 fen) if qi rushes upward. Add Xi Xin (Asari Radix et Rhizoma, 3 fen) if deep cold exists below.
Heat-stroke disease presenting with fever, aversion to cold, heavy and painful body, sweating with cold feet, empty pulse, and thirst is contraindicated for sweating, purging, and acupuncture. (Suitable for Gua Di San and Bai Hu Tang. Theory see "Heat-Stroke.")
Cold damage with floating-slow pulse, no body pain but heaviness, and absence of Shaoyin symptoms such as desire to sleep or vomiting/diarrhea, is suitable for Da Qing Long Tang (Major Green Dragon Decoction). If heaviness of the body and palpitations occur after purging, sweating methods are contraindicated; resolution occurs when spontaneous sweating happens. (Theory see "Palpitations.")
Yin-Yang Exchange disease presenting with heaviness of the body, shortness of breath, acute pulling sensation in the lower abdomen, spasm in the genitalia, qi rushing to the chest, and blurred vision is suitable for Shao Kun Tang (Burnt Underwear Decoction). (Theory see "Yin-Yang Exchange.")
Shaoyin disease with abdominal pain, difficulty in urination, heavy and painful limbs, and diarrhea is suitable for Zhen Wu Tang (True Warrior Decoction). (Theory see "Heaviness of Body.")