在各种疼痛之中,心痛最为急迫,救治时如同奔赴水火之中般紧急。有的患者出现气绝的症状,自己并不知晓,此时必须依靠旁人的救助,用酒灌入口中让其含漱吞咽。如果咽喉中有寒气上逆,酒喝下去随即吐出,不要停止,吐出来后再喂进去。
腹部胀满的,服用凝水石汤;胸、心、腹中热势亢盛,咽干口燥的,饮用冷水。霍乱伴有呕吐逆气的,应当饮用冷水。胸中窒塞感,胸胁部拘急强硬的,应当饮酒。腹中拘挛紧迫且剧烈疼痛的,应当进食饮食,不适宜单纯用冷物逼迫(指不宜仅用寒凉之法)。腰痛用冷水洗涤,用冷石熨烫;大便难解且排泄不畅的,服用苏令如膏状物,服用三升即可通便,若未通利则加重剂量再次服用;大便稀薄次数多的,用水清洗小腹,服用栀子……
Among all types of pain, heart pain (Xintong) is the most acute, requiring rescue as urgently as rushing to save someone from fire or water. In cases where a patient experiences Qi collapse (Qijue), they may be unaware of their condition and require assistance from bystanders; wine should be poured into the mouth for them to hold and swallow. If there is cold counterflow in the throat causing the wine to regurgitate immediately upon ingestion, do not stop; expel it and administer again.
For abdominal distension (Fuman), consume Ningshuishi Tang (Calcitum Decoction). For excessive heat in the chest, heart, and abdomen accompanied by dryness of the throat and mouth, drink cold water. For cholera (Huoluan) with vomiting and reflux, drinking cold water is indicated. For chest obstruction (Xiongzhong Zhihai) and stiffness/tightness in the chest and hypochondrium, consuming wine is indicated. For cramping, urgency, and severe pain in the abdomen, food and drink should be taken; it is inappropriate to rely solely on cold methods. For lower back pain, wash with cold water and apply hot/cold stone compresses (Lengshi Yuntie); for difficult defecation with incomplete evacuation, take Su Ling paste-like preparation; three sheng (a traditional unit of volume) will induce bowel movement; if unrelieved, increase the dose and administer again; for frequent loose stools, wash the lower abdomen with water and take Gardenia (Zhizi)...