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师曰:病跌蹶,其人但能前,不能却,刺□入二寸,此太阳经伤也。
【按】
证刺俱未详,必有缺文,不释。
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病人常以手指臂肿动,此人身体□□者,藜芦甘草汤主之。
【按】
证未详,方亦缺,不释。
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转筋之为病,其人臂脚直,脉上下行,微弦,转筋入腹者,鸡屎白散主之。
【注】
臂同背,古通用。臂脚直,谓足背强直不能屈伸,是转筋之证也。脉上下行,谓迢迢
长直,微弦不和,是转筋之脉也。中寒之人,外寒盛则手足拘急转筋,痛不能忍,甚
者入腹,则牵连少腹拘急而痛也。主之鸡屎白散,以治风寒痹气之在筋也。
鸡屎白
右一味为散,取方寸匕,以水六合和,温服。
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阴狐疝气者,偏有大小,时时上下,蜘蛛散主之。
【注】
偏有大小,谓睾丸左右有大小也。时时上下,谓睾丸入腹,时出时入也。疝,厥阴之
病也,以与狐情状相类,故名之也。主之蜘蛛散,入肝以治少腹拘急而痛也。
【集注】
赵良曰:睾丸上下,有若狐之出入无时也,故曰狐疝。
李□曰:偏有大小,以睾丸言。时时上下,以睾丸入小腹出囊中言。
尤怡曰:阴狐疝气者,寒湿袭阴而睾丸受病,或左或右,大小不同;或上或下,出没
无时,故名狐疝。
老师说道:患跌蹶病的人,只能向前行走,不能向后倒退,针刺部位在腘窝(委中穴),进针深度为二寸,这是太阳经受损所致。
【按语】
症状和刺法记载都不详细,必然有缺漏的文字,故不作解释。
病人经常手指和手臂肿胀跳动,如果此人身体出现抽搐僵直的症状,用藜芦甘草汤主治。
【按语】
症状记载不详,方剂也缺失,故不作解释。
转筋这种病,患者手臂和脚背强直,脉象长而直且微带弦象,如果转筋蔓延至腹部,用鸡屎白散主治。
【注释】
“臂”同“背”,古文中通用。“臂脚直”,是指足背强直,不能屈伸,这就是转筋的症状。脉象上下行,是指脉象长而直,微微弦急而不调和,这是转筋的脉象。素体中寒的人,外感寒邪盛则手足拘急转筋,疼痛难以忍受,严重的会牵连至腹部,导致少腹拘急疼痛。主治用鸡屎白散,以治疗风寒痹阻之气停留在筋脉之中。
鸡屎白
以上一味药研成散剂,取一方寸匕的量,用六合水调和,温服。
阴狐疝气病,表现为睾丸左右大小不一,时时上下移动,用蜘蛛散主治。
【注释】
“偏有大小”,是指睾丸左右两侧大小不同。“时时上下”,是指睾丸进入腹腔,时而出来时而进去。疝病,是厥阴肝经的病证,因为其表现与狐狸的情状相似,所以命名为狐疝。主治用蜘蛛散,入肝经以治疗少腹拘急疼痛。
【集注】
赵良说:睾丸上下移动,像狐狸出入没有定时一样,所以叫狐疝。
李□说:“偏有大小”,是指睾丸而言;“时时上下”,是指睾丸进入小腹又出于囊中而言。
尤怡说:阴狐疝气,是寒湿侵袭阴部导致睾丸受病,或左或右,大小不同;或上或下,出没无常,所以名叫狐疝。
The Master said: In cases of Diejue (falling and stiffening disease), the patient can only move forward but not backward. The acupuncture point is located in the popliteal fossa (Weizhong, BL-40), with a needling depth of two cun. This indicates an injury to the Taiyang meridian (the Bladder channel).
[Commentary]
Both the symptoms and the acupuncture method are not detailed; there must be missing text, so no explanation is provided.
When a patient frequently experiences swelling and tremors in the fingers and arms, and if this person also exhibits body convulsions or stiffness, Lili Gancao Tang (Celandine and Licorice Decoction) should be administered.
[Commentary]
The symptoms are not detailed, and the formula is missing, so no explanation is provided.
Regarding the disease of Zhuanjin (muscle cramp/twisting spasm), the patient's arms and dorsum of the feet are straight and rigid. The pulse runs long and straight from top to bottom with a slight wiry quality. If the cramps extend into the abdomen, Jishi Bai San (Chicken Dropping White Powder) should be administered.
[Annotation]
"Bi" (arm) is interchangeable with "Bei" (back) in ancient texts. "Bi jiao zhi" refers to the rigidity of the dorsum of the foot, preventing flexion and extension, which characterizes the symptom of Zhuanjin. "Mai shang xia xing" describes a pulse that is long, straight, slightly wiry, and unharmonious, representing the pulse of Zhuanjin. Individuals with internal cold, when subjected to excessive external cold, experience contraction and cramping of the hands and feet, with unbearable pain. In severe cases, it extends to the abdomen, causing tension and pain in the lower abdomen. Jishi Bai San is prescribed to treat wind-cold bi syndrome affecting the sinews.
Jishi Bai (White excrement of Gallus gallus domesticus)
Process the single ingredient into a powder. Take one fangcun bi (a square-inch measure) and mix with six he of water. Administer warm.
Yinhu Shanqi (Yin Fox Hernia Qi) presents as asymmetry in size, with intermittent movement up and down. Zhizhu San (Spider Powder) should be administered.
[Annotation]
"Pian you da xiao" refers to the difference in size between the left and right testicles. "Shi shi shang xia" refers to the testicles retracting into the abdomen and protruding out intermittently. Shan (hernia) is a disease of the Jueyin liver channel. It is named "Fox Hernia" because its presentation resembles the behavior of a fox. Zhizhu San is prescribed to enter the Liver channel to treat tension and pain in the lower abdomen.
[Collected Annotations]
Zhao Liang stated: The testicles moving up and down resemble the unpredictable entry and exit of a fox, hence the name Fox Hernia.
Li [Name Missing] stated: "Asymmetry in size" refers to the testicles. "Intermittent movement up and down" refers to the testicles entering the lower abdomen and emerging from the scrotum.
You Yi stated: Yinhu Shanqi results from cold-dampness invading the yin region, affecting the testicles. They may differ in size on the left or right, and move up or down unpredictably, hence the name Fox Hernia.