湿温病状,纯系湿热郁中,致经络闭塞,故其外虽觉寒凉,而内则小便短涩赤黄也。为小便难,水气
必多归大肠,所以兼泄泻也。其肢体酸痛者,湿而兼风也。胸膈痞满者,湿气挟饮也。
欲治此症,甚属易易,用滑石两许煎汤,送服阿斯匹林一片半,
汗出即愈。盖二药一发汗,一利水,可令内蕴之湿,由汗与小便而解。且二药之性皆凉,其热亦可随之而解。
阿斯匹林又善愈关节疼痛也。余用此方,连治数人,皆一汗而愈。若热剧者,滑石
或多用,或加生石膏数钱与滑石同煎,亦莫不随手奏效也。
(附∶肝脾双理丸)
肝脾者,相助为理之脏也。人多谓肝木过盛可以克伤脾土,即不能消食。不知肝木过弱不能疏通脾土,
亦不能消食。盖肝之系下连气海,兼有相火寄生其中。为其连气海也,可代元气布化,脾胃之健运实资其
辅助。为其寄生相火也,可借火以生土,脾胃之饮食更赖之熟腐。故曰肝与脾相助为理之脏也。特是肝为
厥阴,中见少阳,其性刚果,其气条达,故《内经》灵兰秘典名为将军之官。有时调摄失宜,拂其条达之性,
恒至激发其刚果之性而近于横恣,于斯脾胃先当其冲,向之得其助者,至斯反受其
损。而其横恣所及,能排挤诸脏腑之气致失其和,故善作疼也。
于斯,欲制肝气之横恣,而平肝之议出焉。至平之犹不足制其横恣,而伐肝之议又出焉。所用之药,若
三棱、莪术、青皮、延胡、鳖甲诸品,放胆杂投,毫无顾忌,独不思肝木于时应春,为气化发生之始,若植物
之有萌芽,而竟若斯平之伐之,其萌芽有不挫折毁伤者乎?岂除此平肝伐肝之外,别无术以医肝乎?何
以本属可治之证,而竟以用药失宜者归于不治乎?愚近拟得肝脾双理丸,凡肝脾不和,饮食不消,满闷胀疼,
或呃逆嗳气呕吐,或泄泻,或痢疾,或女子月事不调,行经腹疼,关于肝脾种种诸
证,服之莫不奏效。爰录其方于下。
【肝脾双理丸】
甘草(十两细末) 生杭芍(二两细末) 广条桂(两半去粗皮细末) 川紫朴(两半细末)
薄荷冰(三钱细末) 冰片(二钱细末) 朱砂(三两细末)
上药七味。将朱砂一两与前六味和勺,水泛为丸,桐子大,晾干(忌晒),用所余二两朱砂为衣,勿
令余剩,上衣时以糯米浓汁代水,且令坚实光滑方不走气。其用量∶常时调养,每服二十粒至三十粒;急用
除病时,可服至百粒,或一百二十粒。
湿温病的症状,完全是由于湿热郁结在中焦,导致经络闭塞。所以虽然体表感觉寒凉,但体内却出现小便短少、涩痛且颜色赤黄的情况。因为小便排出不畅,水气必然多流向大肠,所以常兼有泄泻的症状。肢体酸痛,是因为湿气中夹杂了风邪。胸膈部位痞塞胀满,是湿气挟带痰饮所致。
想要治疗这种病症,其实非常容易。使用滑石约一两煎汤,送服一片半阿司匹林,出汗后即可痊愈。因为这两种药物,一种发汗,一种利水,可以使体内蕴积的湿气,通过汗液和小便排出而解除。而且这两种药物的药性都偏凉,体内的热邪也可以随之解除。阿司匹林又善于治愈关节疼痛。我使用这个方子,连续治疗了几个人,都是一次发汗就痊愈了。如果热势严重的,滑石的用量可以增多,或者加入几钱生石膏与滑石同煎,也无不随手见效。
(附:肝脾双理丸)
肝和脾,是相互辅助以维持生理功能的脏腑。人们常说肝木过盛会克制损伤脾土,从而导致不能消化食物。却不知道肝木过弱也不能疏通脾土,同样不能消化食物。大概肝脏的系带向下连接气海,其中兼有相火寄生。因为它连接气海,所以可以代替元气进行布散化生,脾胃的健运实际上依赖于它的辅助。因为它寄生相火,所以可以借火来生土,脾胃的饮食更依赖它来熟腐消化。所以说肝与脾是相互辅助的脏腑。只是肝属于厥阴经,中见少阳经,其性质刚强果断,其气机条达顺畅,所以《内经·灵兰秘典论》称它为“将军之官”。有时调养失当,违背了其条达的特性,往往会激发其刚强的本性而变得横暴恣肆。在这种情况下,脾胃首先受到冲击,之前得到它帮助的时候,此时反而受到损害。而它横暴恣肆所及之处,能排挤其他脏腑的气机使其失去和谐,所以容易引发疼痛。
在这种情况下,想要制约肝气的横暴恣肆,“平肝”的议论就出现了。至于用“平肝”的方法还不足以制约其横暴恣肆,“伐肝”的议论又出现了。所使用的药物,如三棱、莪术、青皮、延胡索、鳖甲等物品,大胆地混杂投用,毫无顾忌,唯独不想想肝木在时令上对应春季,是气化发生之初,就像植物有了萌芽,竟然如此地平抑它、砍伐它,那萌芽难道不会受到挫折毁坏吗?难道除了平肝、伐肝之外,没有其他办法来医治肝病了吗?为什么本来是可以治疗的证候,却因为用药不当而被归于无法治疗呢?我最近拟定了肝脾双理丸,凡是肝脾不和,饮食不消,痞闷胀疼,或者呃逆嗳气呕吐,或者泄泻,或者痢疾,或者女子月经不调,行经腹痛,关于肝脾的各种证候,服用此药没有不奏效的。现将方剂记录如下。
【肝脾双理丸】
甘草(十两研成细末) 生杭芍(二两研成细末) 广条桂(一两半去粗皮研成细末) 川紫朴(一两半研成细末)
薄荷冰(三钱研成细末) 冰片(二钱研成细末) 朱砂(三两研成细末)
以上七味药。将一两朱砂与前六味药混合均匀,用水泛为丸,大小如梧桐子,晾干(忌讳日晒),用剩下的二两朱砂作为包衣,不要剩余。包衣时用糯米浓汁代替水,并且要使药丸坚实光滑以防走气。其用量:平时调养,每次服用二十粒至三十粒;急症治病时,可服用至一百粒,或一百二十粒。
The symptoms of damp-warmth disease (Shiwen Bing) are purely due to damp-heat stagnating in the middle jiao, causing blockage of the meridians and collaterals. Therefore, although the exterior feels cold, internally there is scanty, difficult urination with dark yellow urine. Because urination is difficult, water qi must largely flow into the large intestine, so it is often accompanied by diarrhea. Body aches and soreness indicate dampness combined with wind pathogen. Chest and diaphragm fullness and stuffiness indicate dampness carrying phlegm-fluids.
To treat this syndrome is very easy. Use approximately one tael of Huashi (Talcum) decocted in water, taken to swallow one and a half tablets of Aspirin. Recovery occurs upon sweating. This is because one drug induces sweating and the other promotes diuresis, allowing the internal accumulated dampness to be resolved through sweat and urine. Moreover, since both drugs have cool properties, the internal heat can also be resolved along with them. Aspirin is also effective for relieving joint pain. I used this prescription to treat several patients consecutively, all of whom recovered after a single bout of sweating. If the heat is severe, the dosage of Huashi (Talcum) may be increased, or Sheng Shigao (Raw Gypsum Fibrosum) added in amounts of a few qian and decocted together with Huashi (Talcum); in such cases, efficacy is invariably immediate.
(Attachment: Ganpi Shuangli Wan / Liver-Spleen Dual Regulating Pill)
The Liver and Spleen are zang-fu organs that assist each other in maintaining physiological functions. It is commonly said that excessive Liver Wood can overact upon and damage Spleen Earth, leading to an inability to digest food. However, it is unknown that insufficient Liver Wood also fails to dredge Spleen Earth, resulting in an inability to digest food. Generally, the ligaments of the Liver connect downward to Qihai (Sea of Qi), where Xianghuo (Ministerial Fire) resides parasitically. Because it connects to Qihai (Sea of Qi), it can substitute for Yuanqi (Original Qi) in distribution and transformation; the robust transportation and transformation of the Spleen and Stomach actually rely on its assistance. Because Ministerial Fire resides within it, it can borrow fire to generate earth; the digestion and ripening of food in the Spleen and Stomach further depend on it. Thus, it is said that the Liver and Spleen are organs that mutually assist each other. Nevertheless, the Liver belongs to Jueyin, manifesting Shaoyang, possessing a firm and decisive nature, and its qi flows smoothly and freely. Therefore, the *Neijing* (*Linglan Midian Lun*) names it the "General Officer." Sometimes, improper regulation violates its smooth-flowing nature, often stimulating its firm nature to become unbridled and tyrannical. In such instances, the Spleen and Stomach bear the brunt of the attack; what was previously assisted now suffers damage. Its unbridled excess can displace the qi of other zang-fu organs, causing them to lose harmony, which is why it easily causes pain.
In such situations, to restrain the unbridled nature of Liver qi, the proposal of "Pacifying the Liver" arises. Since pacifying is still insufficient to restrain its unbridled nature, the proposal of "Attacking the Liver" emerges. The drugs used, such as Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Qingpi (Aurantii Fructus Immaturus Pericarpium), Yanhu (Corydalis Rhizoma), and Biejia (Trionycis Carapax et Plastrum), are boldly and indiscriminately administered without scruples. One fails to consider that Liver Wood corresponds to Spring in the seasonal cycle, representing the beginning of qi generation and emergence, akin to the sprouting of plants. To pacify and attack it in this manner, would not the sprouts suffer挫折 (frustration) and destruction? Is there no other method to treat Liver diseases besides pacifying and attacking the Liver? Why should originally treatable syndromes be deemed incurable due to inappropriate medication? I have recently formulated Ganpi Shuangli Wan (Liver-Spleen Dual Regulating Pill). For any syndromes related to the Liver and Spleen, including Liver-Spleen disharmony, indigestion, chest/abdominal distension and pain, hiccups, belching, vomiting, diarrhea, dysentery, irregular menstruation in women, or abdominal pain during menstruation, administration of this pill yields invariably effective results. The prescription is recorded below.
[Ganpi Shuangli Wan / Liver-Spleen Dual Regulating Pill]
Gancao (Licorice Root) - 10 taels, finely powdered
Sheng Hangshao (Raw Paeoniae Radix Alba from Hangzhou) - 2 taels, finely powdered
Guang Tiaogui (Cinnamon Twig from Guangxi) - 1.5 taels, coarse bark removed, finely powdered
Chuan Zipu (Magnolia Bark from Sichuan) - 1.5 taels, finely powdered
Bohebing (Menthol) - 3 qian, finely powdered
Bingpian (Borneol) - 2 qian, finely powdered
Zhusha (Cinnabar) - 3 taels, finely powdered
Take the above seven ingredients. Mix one tael of Zhusha (Cinnabar) evenly with the previous six ingredients. Form pills using water as a binder, sized like tung tree seeds, and dry them (avoid sun exposure). Use the remaining two taels of Zhusha (Cinnabar) as a coating agent, ensuring none is wasted. When applying the coating, use thick rice gruel instead of water, and ensure the pills are solid and smooth to prevent loss of volatile components. Dosage: For routine maintenance, take 20 to 30 pills per dose; for acute treatment of disease, take up to 100 or 120 pills per dose.