《医心方》三十卷,每卷首题∶从五位下行针博士兼丹波介丹波宿檷康赖撰。谨按∶臣
等
远祖
记合
也,意
盖数百
命臣等曾祖臣元德使以仁和王府所藏抄本誊写,储之医学,当时称为希观。顾其为书,
残脱
知今
命臣
旧
金
石遗
则
帙
根
证
博
之
协之于古今之异与风土之宜,参伍而错综之,然后其道乃始完,可以模楷后学矣。求之前人
之着,能具斯道者,其唯王氏之书足以当之。而是书则直驾而上之,岂不更伟乎。况其所征
引
宋
字
则是书在天壤间凡以裨补后学有匪细故者,不仅为医家鸿宝也。臣等窍幸今日衣冠文物之化施及
吾
然
上
元
拜
《千金方》云∶张湛曰∶夫经方之难精,由来尚矣。今病 有内同而外异,亦有内异而
外同
沉
于兹
而彻
艺能
又云∶大医治病,必当安神定志,无欲无求,先发大慈恻隐之心,誓愿普救含灵之疾。
若有
等,
怆,
纵
有
所
又云∶夫为医之法,不得多语调笑;谈谑喧哗,道说是非;议论人物,炫耀声名,訾毁
诸医
老子
神报
之药
又云∶自古名医治病,多用生命以济交急,虽曰贱畜贵人,至于爱命,人畜一也。损彼
益己
先死者
能不
又云∶仲景曰∶不须汗而强汗之者,出其津液,枯竭而死;须汗而不与汗之者,使诸毛
孔闭塞,令人闷绝而死。又须(余吕反,又羊汝反,善也,待也,参与也)下而不与下之者,
使人心内懊恼,胀满烦乱,浮肿而死;不须下而强与下之者,令人开肠洞泄不禁而死。又不
须灸而强与灸之者。令人火邪入肠,干错五脏,重加其烦而死。须灸而不与灸之者,使冷结
重凝
《本草经》云∶凡欲治病,先察其源,先候病机;五脏未虚,六腑未竭,血脉未乱,精
神
又云∶复应观人之虚实、补泻、男女、老少、苦乐、荣悴、乡壤、风俗,并各不同。褚
澄治
《太素经》云∶黄帝问于岐伯曰∶医之治病也,一病而治各不同,皆愈,何也?岐伯曰∶
地
人
来
西方者,金玉之域,沙石之处也,天地之所收引也;其民陵居而多风,水土刚强,其民
不衣
其治宜
北方者,天地所闭藏之域也,其地高陵居,风寒冰冻;其民乐野处而乳食,脏寒生病,
其治
南方者,天地所养长阳气之所盛之处也。其地洼下,水土弱,雾露之所聚也;其民嗜酸
而食
中央者,其地平以湿,天地所生物色者众。其民食杂而不劳,故其病多痿厥寒热,其治
宜导
之情
又云∶凡诊病者,必问尝贵后贱,虽不中于外邪,病从内生,名曰脱荣;尝富后贫,名
曰失
之辱
最胜王经云∶
病有四种别,谓风热痰 ,及以总集病,应知发动时。春中痰 动,夏内风病生,秋时
黄热
服药
病。
应变
顺时
病。
问其
多汗及多 。聪明梦见火,斯人是热性。心定身平整,虑审头津腻。梦见水白物,是 性应
知。
无死
舌黑
生。
慈悯
《南海传》云∶夫四大违和,生灵共有,八节交竟,发动无恒。凡是病生,即须将息。
故《
令身
病源
二
《太素经》云∶病先起于阴者,先治其阴,而后治其阳;先起于阳者,先治其阳,而后
治其阴,皆疗其本也。又云∶形乐志苦,病生于脉,治之以灸刺;形苦忘乐,病生于筋,治
之以熨引;形乐志
乐,病生于肉,治之以针石;形苦志苦,病生咽喝,治之以药;形数惊恐,筋
于不仁,治之按摩醪药。
又云∶病有生于风寒、暑湿、饮食、男女,非心病者,可以针石汤药去之。喜怒忧思,
伤神
不可
又云∶伯高曰∶兵法曰∶无迎逢逢之气,无击堂堂之阵。刺法曰∶无刺 之热,无刺
漉漉
兵
大
《针灸经》云∶十岁小儿,七十老人,不得针,宜灸及甘药。
《医门方》云∶大法春夏宜发汗。凡服汤药发汗,中病便止,不必尽剂。凡发汗,欲令
手足
身体,
凡大汗出复后,脉洪大,形如疟,一日再发,汗出便解,更与桂枝麻黄汤∶
麻黄(四两,去节) 桂心(二两) 甘草(一两,炙) 杏仁(八十枚,去尖)以水
七升,先煮麻黄三两,沸,撩去沫,纳诸药,煮取二升半,分三服,服相去七八里,覆
不须啜粥,余如桂枝法。
凡发汗后,汗遂漏不止,其人恶风;小便难,四肢微急,难以屈伸,桂枝加附子汤主之∶
桂心(三两) 夕药(三两) 甘草(二两,炙) 生姜(三两) 大枣(十二枚,擘,
切)
以水七升,微火煮取三小升,去滓,分温三服。服汤已须臾,啜一升热粥,以助药力。
温覆
复服
又云∶冬可热药,不可发汗;汗退场门中疮生,吐痢。
凡衄(女鞠反,鼻出血也)家不可发其汗。汗出即直视不得眠睡。
凡淋家不可发汗,汗出即便血。
凡咽中闭塞、咽燥者不可发其汗。
凡大下后发汗即胀满。凡发汗后恶寒者,虚也;不恶寒但热者,实也;当和其胃气。
凡疮家虽身疼痛,不可攻其表。汗出必致痉(久至反,恶病反)。
凡新大吐下、衄血、鼻失血、得欧楗之后。妇人新伤产,皆不可汗。
凡咳而小便利,若失小便,不可发汗,汗出即呕逆厥冷。
凡发汗后饮水多,其人必喘,以水灌之亦喘。
凡发汗以后,其人脐下悸(其季反,心动也)。欲作奔豚(徒昆反,豕子也)气,茯苓
桂心甘草
凡发汗以后,腹胀满,浓朴生姜半夏甘草人参汤主之。
又云∶大法春宜吐。
凡诸病在胸中者,宜吐之。
凡服汤吐,中病便止,不必尽剂。须吐者虚及伤寒胸中满,及积痰干呕。又胸膈痰热转
嗽(
凡宿食在胃管,当吐下之。
又云∶诸四逆者,不可吐之。凡诸虚羸者,不可吐之。凡新产者,不可吐之。
凡香港脚上冲心者,不宜吐之。
凡病者恶寒而不欲近衣,不可吐之。
又云∶大法秋宜下。
凡服汤下,中病便止,不可尽剂。
凡病发作汗多,急下之。
凡病五日六日,腹满不大便,急下之。
凡大下后六七日,不大便,烦不解,腹痛而满,此有燥屎。所以然者,本有宿食,宜承
气汤
凡病者小便不利,大便乍难乍易,时有微热,沸冒不能卧,此有燥屎故也,宜下之。
凡可下者,汤胜丸。胁下偏痛发热,此寒也。当以温药下。其寒胀须下。
凡诸病大便涩,诸伤寒腹满,疟,腹满鼓胀,水胀,大便不通,须利小便者;黄病、水
病、
凡病腹中满痛者,为寒,当下之。腹满不减,减不足言,常下之。脉数而滑者,有宿食,
下
凡可下者,以承气汤方∶
大黄(四两,别渍一宿) 浓朴(二两,炙)
切,以水五升,煮取一升半,下大黄,更一二沸,去滓,分二服。当利二三行愈。
又云∶夏月不可下。凡病喘而胸满,不可下之。凡病心下坚,颈项强而眩,勿下之。凡
厥逆
凡病欲吐者,不可下。凡病有外证,外证未解,不可下之。凡病腹满吐食,下之益甚。
凡大
者不
《医心方》共三十卷,每卷首页题写:从五位下行针博士兼丹波介丹波宿祢康赖撰述。谨按:臣等远祖曾受命,让臣等的曾祖父臣元德携带仁和王府所藏的抄本进行誊写,并储存在医学典籍中,当时被称为稀世珍宝。然而这本书残损脱落,难以知晓全貌。如今命令臣等将其与金石遗存相互印证,结合古今差异和各地风俗适宜之处,参差错综地整理校勘,然后其中的道理才完整,可以作为后学的楷模了。探求前人的著作,能具备这种道义的,大概只有王冰(注:此处原文指代可能为某位姓王的医家或泛指,但根据上下文“王氏之书”通常指王冰注黄帝内经或类似权威,此处依原文直译)的书籍足以担当此任。而这部书则直接超越其上,难道不更加伟大吗?何况它所征引的内容,使得这部书在天地间凡是能够裨益后学的原因,不仅仅是医家的宝贵财富罢了。臣等私下庆幸今日衣冠文物之教化施及……
《千金方》记载:张湛说:经方之所以难以精通,由来已久了。现在疾病有内部相同而外部表现不同的,也有内部不同而外部表现相同的。又说:大医生治病,必须安定神志,没有私欲和追求,首先发起大慈大悲恻隐之心,发誓愿普遍拯救众生的疾病。如果有……又说:作为医生的法度,不得多说话调笑;谈笑喧哗,搬弄是非;议论人物,炫耀声名,诋毁……又说:自古以来的名医治病,多用活物来救济紧急的情况,虽然说是轻视牲畜重视人,但在爱惜生命这一点上,人和牲畜是一样的。损害别人……先死的人……能不……
又说:仲景说:不需要发汗却强行发汗的,会耗出津液,枯竭而死;需要发汗却不给发汗的,会使毛孔闭塞,让人闷绝而死。又需要泻下却不给泻下的,使人心中懊恼,胀满烦乱,浮肿而死;不需要泻下却强行给泻下的,使人肠开洞泄不禁而死。又不需要艾灸却强行给艾灸的,使人火邪入肠,干扰五脏,加重其烦而死。需要艾灸却不给艾灸的,使冷结……
《本草经》说:凡是要治病,先考察其源头,先诊察病机;五脏未虚,六腑未竭,血脉未乱,精神……
又说:还应观察人的虚实、补泻、男女、老少、苦乐、荣悴、乡壤、风俗,都各不相同。褚澄治……
《太素经》说:黄帝问岐伯说:医生治病,同一个病治疗各不相同,都痊愈了,为什么呢?岐伯说:……西方,是金玉之地,沙石之处,是天地的收敛之气所在;那里的百姓住在山陵且多风,水土刚强,那里的百姓不穿……他们的治疗适宜……北方,是天地的闭藏之地,那里地势高,住山陵,风寒冰冻;那里的百姓喜欢野外居住并以乳食为主,脏寒生病,他们的治疗……南方,是天地养育长养阳气旺盛的地方。那里地势低洼,水土弱,雾露聚集;那里的百姓喜欢吃酸……中央,那里地势平坦且潮湿,天地所生物种颜色众多。那里的百姓饮食混杂且不劳累,所以他们的病多是痿厥寒热,他们的治疗适宜引导……之情。
又说:凡是诊断疾病的,必须询问曾经显贵后来卑贱的,即使没有遭受外邪,病从内生,名叫脱荣;曾经富有后来贫穷的,名叫失……之辱。
最胜王经说:
病有四种区别,谓风热痰……以及总集病,应知道发动的时候。春天中痰……动,夏天内风病生,秋天时……黄热……服药……病。应变……顺时……病。问其……多汗及多……聪明梦见火,这人是热性。心定身平整,虑审头津腻。梦见水白物,是……性应知。无死……舌黑……生。慈悯。
《南海传》说:四大违和,生灵共有,八节交替完毕,发动无常。凡是病生,就必须将息。故《……令身……病源……二……
《太素经》说:病先从阴起的,先治其阴,而后治其阳;先从阳起的,先治其阳,而后治其阴,都是治疗根本。又说:形体安乐但精神苦恼的,病生于脉,用灸刺治疗;形体劳苦但忘记安乐(或精神安逸)的,病生于筋,用熨引治疗;形体安乐但精神……安乐,病生于肉,用针石治疗;形体劳苦精神也苦恼的,病生咽喝(咽喉不利),用药物治疗;形体多次惊恐,筋……于不仁,用按摩醪药治疗。
又说:病有生于风寒、暑湿、饮食、男女,不是心病的,可以用针石汤药去除。喜怒忧思,伤神……不可……
又说:伯高说:兵法说:不要迎击气势汹汹的敌人,不要攻击阵容严整的军队。刺法说:不要刺……的热,不要刺漉漉……兵……大……
《针灸经》说:十岁小儿,七十老人,不得针刺,宜用艾灸及甘药。
《医门方》说:大法春夏宜发汗。凡是服用汤药发汗,中病就停止,不必服完全部剂量。凡是发汗,希望令……身体,……凡是大汗出之后,脉洪大,形如疟疾,一天发作两次,汗出便解,再给桂枝麻黄汤:麻黄(四两,去节) 桂心(二两) 甘草(一两,炙) 杏仁(八十枚,去尖)用水七升,先煮麻黄三两,沸,撇去沫,加入诸药,煮取二升半,分三次服,服药间隔七八里,覆被……不需要喝粥,其余像桂枝法。
凡是发汗后,汗漏不止,其人恶风;小便难,四肢微急,难以屈伸,桂枝加附子汤主之:桂心(三两) 芍药(三两) 甘草(二两,炙) 生姜(三两) 大枣(十二枚,擘,切)用水七升,微火煮取三小升,去滓,分温三次服。服汤后须臾,喝一升热粥,以助药力。温覆……复服……
又说:冬天可用热药,不可发汗;汗退场门中疮生,吐痢。
凡是剧烈泻下后发汗即胀满。凡是发汗后恶寒的,是虚证;不恶寒只热的,是实证;应当调和胃气。
凡是疮家虽然身体疼痛,不可攻表。汗出必致痉(久至反,恶病反)。
凡是新近大吐下、衄血、鼻失血、得欧楗之后。妇人新伤产,皆不可汗。
凡是发汗以后,其人脐下悸(其季反,心动也)。欲作奔豚(徒昆反,豕子也)气,茯苓桂心甘草……
凡是发汗以后,腹胀满,浓朴生姜半夏甘草人参汤主之。
又说:大法春宜吐。
凡是诸病在胸中的,宜吐之。
凡是服用汤药催吐,中病就停止,不必服完全部剂量。需要吐的是虚及伤寒胸中满,及积痰干呕。又胸膈痰热转……嗽(……
又说:诸四逆者,不可吐之。凡诸虚羸者,不可吐之。凡新产者,不可吐之。
凡是香港脚上冲心者,不宜吐之。
又说:大法秋宜下。
凡是服用汤药泻下,中病就停止,不可服完全部剂量。
凡是病发作汗多,急下之。
凡是病五日六日,腹满不大便,急下之。
凡是剧烈泻下后六七日,不大便,烦不解,腹痛而满,这是有燥屎。之所以这样,本来有宿食,宜承气汤……
凡是病者小便不利,大便乍难乍易,时有微热,沸冒不能卧,这是有燥屎的缘故,宜下之。
凡是可下的,汤剂胜过丸剂。胁下偏痛发热,这是寒证。应当用温药下。其寒胀须下。
凡是诸病大便涩,诸伤寒腹满,疟,腹满鼓胀,水胀,大便不通,须利小便的;黄病、水病、……
凡是病腹中满痛者,为寒,当下之。腹满不减,减不足言,常下之。脉数而滑者,有宿食,下……
凡是可下的,用承气汤方:大黄(四两,别渍一宿) 浓朴(二两,炙)切,用水五升,煮取一升半,下大黄,更一二沸,去滓,分二服。当利二三行愈。
*Yi Xin Fang* (Preserving the Heart's Formula) consists of thirty volumes. The title page of each volume reads: Composed by Danbo Yasutai (Kangrai), who held the rank of Junior Fifth Rank, Lower Grade, and served as Physician-Director and Assistant Governor of Danbo. Respectfully noted: Our ancestors were commissioned to have our great-grandfather, Minister Yuande, copy the manuscripts stored in the Imperial Library of Reizei Palace for preservation in medical archives; at that time, it was regarded as a rare treasure. However, the book is damaged and incomplete, making its full content difficult to ascertain. Now, we are ordered to cross-reference it with epigraphic remains, harmonize it with differences between ancient and modern times and local customs, interweave and synthesize these elements, so that its principles may be complete and serve as a model for future students. Among previous writings, only the works of Master Wang can adequately embody this principle. Yet this book surpasses them directly; is it not even more magnificent? Moreover, due to its extensive citations, this book serves not merely as a precious treasure for physicians, but greatly benefits future learners in myriad ways. We privately rejoice that the civilization of attire and cultural artifacts extends to...
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) records: Zhang Zhan said, "The precision of classical formulas has been difficult to master since ancient times. Currently, diseases may share internal similarities but present different external symptoms, or vice versa." It further states: "A great physician treating illness must calm the spirit and stabilize the will, free from desire and craving, first arousing a heart of great compassion and pity, vowing to universally save all sentient beings from disease." If there are... It also states: "The conduct of a physician must prohibit excessive joking and laughter; no noisy chatter, gossiping, criticizing others, boasting of fame, or disparaging..." It further states: "Since ancient times, renowned physicians often used living creatures to treat urgent conditions. Although animals are considered inferior to humans, in valuing life, humans and animals are equal." Damaging others... Those who died first... How could one not...
It also states: Zhang Zhongjing said, "Forcing sweating when not indicated depletes body fluids, leading to death from exhaustion; failing to induce sweating when indicated causes pore closure, leading to death from suffocation and despair. Forcing purgation when not indicated causes inner restlessness, distension, irritability, edema, and death; failing to purge when indicated leads to uncontrollable diarrhea and death. Applying moxibustion when not indicated allows fire pathogens to enter the intestines, disrupting the five zang organs, causing severe distress and death; failing to apply moxibustion when indicated allows cold to accumulate..."
*Bencao Jing* (Divine Farmer's Materia Medica) states: "When treating any disease, one must first investigate its origin and observe the pathogenesis; ensuring the five zang organs are not deficient, the six fu organs are not exhausted, the blood vessels are not disordered, and the spirit..."
It further states: "One should also observe the patient's deficiency or excess, need for tonification or draining, gender, age, suffering or joy, prosperity or decline, region, and customs, as these vary greatly." Chu Cheng treated...
*Taisu Jing* (Classic of Great Simplicity) states: The Yellow Emperor asked Qibo: "Physicians treat the same disease differently, yet all achieve recovery. Why?" Qibo replied: "...The West is a land of gold and jade, sand and stone, where heaven and earth gather and contract; the people live on hills and endure much wind, with tough water and soil. The people do not wear... Their treatment is suitable... The North is a realm of closure and storage, with high terrain, hills, cold wind, and ice; the people prefer nomadic life and dairy diets, suffering from cold internal organs. Their treatment... The South is where heaven and earth nurture abundant yang qi. The terrain is low, the water and soil weak, and fog and dew gather; the people favor sour foods... The Central Plains are flat and damp, producing diverse flora and fauna. The people eat varied diets without hard labor, so their diseases are often flaccidity, tetanus, cold, and heat. Their treatment is suitable for guiding... emotions."
It further states: "In diagnosing illness, one must ask if the patient was formerly noble but now humble; even without external pathogens, disease arises internally, named 'Tuorong' (Loss of Glory); if formerly rich but now poor, it is named 'Shiwu' (Loss of Honor)... Humiliation."
*Sammohuang King* (Mahamayuri Vidya-Raja Sutra) states:
"There are four types of diseases: wind, heat, phlegm, and general collection diseases. One must know their onset times. In spring, phlegm... moves; in summer, internal wind diseases arise; in autumn... yellow heat... Taking medicine... Disease. Adapt to changes... Follow the seasons... Disease. Ask about... Excessive sweating and... Bright dreams of fire indicate a hot nature. Calm mind and level body, careful examination of head and saliva. Dreaming of white objects in water indicates... nature should be known. No death... Black tongue... Birth. Compassion."
*Nanhai Zhuan* (Biographies of the South Sea) states: "Imbalance of the Four Elements is common to all living beings; the eight solar terms transition without constant triggers. Whenever disease arises, care and recuperation are necessary. Thus, *... Causes body... Source of Diseases... Two...
*Taisu Jing* states: "If disease originates in Yin, treat Yin first, then Yang; if it originates in Yang, treat Yang first, then Yin; both treat the root cause." It further states: "Those whose bodies are comfortable but minds are distressed suffer from pulse-related diseases, treated with moxibustion and acupuncture; those whose bodies are laborious but minds are at ease suffer from tendon diseases, treated with warming compresses and qigong exercises; those whose bodies are comfortable but minds are... at ease, suffer from flesh diseases, treated with needles and stones; those whose bodies and minds are both distressed suffer from throat obstruction, treated with herbal medicine; those frequently frightened suffer from numbness, treated with massage and medicinal wine."
It further states: "Diseases arising from wind-cold, summer-heat, dampness, diet, or sexual activity, which are not heart-mind disorders, can be removed with acupuncture, stones, decoctions, or pills. Joy, anger, worry, and thought damage the spirit... Cannot..."
It further states: "Bo Gao said: Military strategy states, 'Do not confront vigorous energy directly; do not attack well-organized formations.' Acupuncture methods state, 'Do not needle [patients with] intense heat; do not needle dripping...' Soldiers... Large...
*Zhenjiu Jing* (Acupuncture and Moxibustion Classic) states: "Ten-year-old children and seventy-year-old elders should not undergo acupuncture; moxibustion and sweet herbs are appropriate."
*Yimen Fang* (Medical Gate Formulas) states: "The general rule is that spring and summer are suitable for inducing sweating. When taking decoctions to induce sweating, stop when the disease is addressed; there is no need to finish the entire dose. When inducing sweating, aim for... Body... After profuse sweating, if the pulse is surging and large, resembling malaria, occurring twice a day, resolution comes with sweating; administer Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction): Mahuang (Ephedrae Herba, 4 liang, remove joints) Guixin (Cinnamomi Ramulus, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried) Xingren (Armeniacae Semen Amarum, 80 seeds, remove tips). Use seven sheng of water, boil Mahuang first for three sheng until boiling, skim off foam, add other herbs, boil to obtain two and a half sheng, divide into three doses, taken with intervals of roughly seven to eight li. Cover with blankets... No need to drink porridge; follow the method of Guizhi Tang otherwise."
"After sweating, if sweat leaks continuously, the person feels aversion to wind; difficulty urinating, slight stiffness in limbs making flexion and extension difficult; Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction with Aconite Root) is the primary treatment: Guixin (Cinnamomi Ramulus, 3 liang) Shaoyao (Paeoniae Radix Alba, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried) Shengjiang (Zingiberis Rhizoma Recens, 3 liang) Dazao (Jujubae Fructus, 12 pieces, torn, sliced). Use seven sheng of water, simmer gently to obtain three small sheng, strain, divide into three warm doses. Shortly after taking the decoction, drink one sheng of hot porridge to assist the medicinal power. Warm cover... Repeat administration...
It further states: "Winter allows hot herbs but prohibits inducing sweating; if sweating retreats, ulcers may appear in the anus, accompanied by vomiting and dysentery."
"Patients with epistaxis (nosebleed) must not undergo sweating therapy. Sweating will lead to staring eyes and insomnia."
"Patients with stranguria (dysuria) must not undergo sweating therapy; sweating will lead to hematuria."
"Patients with throat obstruction and dryness must not undergo sweating therapy."
"After severe purgation, inducing sweating causes abdominal distension. After sweating, aversion to cold indicates deficiency; absence of aversion to cold with only heat indicates excess; one should harmonize the stomach qi."
"Patients with chronic sores ('Chuangjia'), despite body pain, must not attack the exterior. Sweating will inevitably lead to tetanus (Jizhi)."
"Patients who recently suffered severe vomiting/purgation, epistaxis, nasal hemorrhage, or 'Oujian' syndrome, and women who recently gave birth, must not undergo sweating therapy."
"Coughing with normal urination, or loss of urinary control, contraindicates sweating; sweating will lead to vomiting, reversal, and cold extremities."
"After sweating, excessive drinking causes wheezing; bathing with cold water also causes wheezing."
"After sweating, palpitations below the navel indicate impending Ben Tun (Rushing Pig) qi; Lingui Gancao Tang (Poria, Cinnamon Twig, and Licorice Decoction)..."
"After sweating, abdominal distension is treated with Nongpu Shengjiang Banxia Gancao Renshen Tang (Magnolia Bark, Fresh Ginger, Pinellia, Licorice, and Ginseng Decoction)."
"It further states: 'The general rule is that spring is suitable for emesis.'"
"For diseases located in the chest, emesis is appropriate."
"When using decoctions for emesis, stop when the disease is addressed; there is no need to finish the entire dose. Emesis is indicated for deficiency, cold damage with chest fullness, and accumulated phlegm with dry retching. Also for phlegm-heat in the chest and diaphragm turning into... cough..."
"For retained food in the stomach tube, emesis or purgation is appropriate."
"It further states: 'Patients with Si Ni (Four Coldness) must not undergo emesis. Patients with general deficiency and emaciation must not undergo emesis. Women who recently gave birth must not undergo emesis.'"
"Patients with Hongzhang (Hong Kong Foot/Charley Horse) rushing to the heart should not undergo emesis."
"Patients who feel aversion to cold and do not wish to remove clothing must not undergo emesis."
"It further states: 'The general rule is that autumn is suitable for purgation.'"
"When using decoctions for purgation, stop when the disease is addressed; do not finish the entire dose."
"If a disease presents with excessive sweating, urgent purgation is required."
"If a disease lasts five to six days with abdominal fullness and constipation, urgent purgation is required."
"After severe purgation, if six or seven days pass without bowel movement, persistent irritability, abdominal pain and fullness indicate dry feces. This is because of pre-existing retained food; Chengqi Tang (Harmonizing the Qi Decoction) is appropriate."
"If a patient has difficulty urinating, alternating difficulty and ease in defecation, occasional mild fever, dizziness, and inability to sleep, this indicates dry feces; purgation is appropriate."
"For cases requiring purgation, decoctions are superior to pills. Flank pain with fever indicates cold; warm purgatives should be used. Cold distension requiring purgation..."
"For patients with constipation, abdominal fullness from cold damage, malaria, abdominal distension like a drum, edema, or constipation requiring promotion of urination; jaundice, water retention..."
"Abdominal fullness and pain due to cold require purgation. If abdominal fullness does not decrease, or decreases insignificantly, continuous purgation is needed. A rapid and slippery pulse indicates retained food; purgation..."
"For cases requiring purgation, use Chengqi Tang formula: Dahuang (Rhei Radix et Rhizoma, 4 liang, soaked overnight) Houpo (Magnoliae Officinalis Cortex, 2 liang, honey-fried) Slice, use five sheng of water, boil to obtain one and a half sheng, add Dahuang, boil for one or two more boils, strain, divide into two doses. Recovery occurs after two or three bowel movements."
"It further states: 'Summer months contraindicate purgation. Wheezing with chest fullness contraindicates purgation. Hardness below the heart, neck stiffness, and vertigo contraindicate purgation. Jue Ni (Reversal Coldness)...'"
"Desire to vomit contraindicates purgation. External syndromes unresolved contraindicate purgation. Abdominal fullness with vomiting worsens with purgation. Major... Do not..."