治中风暴仆,痰涎壅盛,气闭不通,先开其关,令微吐稀涎,续进他药(不可令大吐,
醒
皂角(四挺去皮弦,炙) 白矾(一两。为末。)温水调下五分。或加藜芦(藜芦能吐
风痰,
此足太阴、厥阴药也。吴鹤皋曰∶清阳在上,浊阴在下,天冠地履,无暴仆也;若浊邪
逆上,则清阳失位而倒置矣,故令人暴仆。所以痰涎壅塞者,风盛气涌使然也。经曰∶病发
于不
泄,
也。
挛急
攻尽
张子和加藜芦、常山、甘草,名常山散∶吐疟痰(甘草合常山必吐)。本方加雄黄、藜
芦,
(《三因》)
治干霍乱欲吐不得吐,欲泻不得泻,腹中大痛者(霍乱,挥霍撩乱也。外有所感,内有
所伤,阴阳乖隔,邪正交争,故上吐下泻,而中绞痛也。邪在上焦则吐,在下焦则泻,在中
焦则吐泻交作,此湿霍乱,证轻易治;若不能吐利,邪不得出,壅遏正气,关格阴阳,其死
甚速,
烧盐 热童便。三饮而三吐之。
此足太阴、阳明药也。吐泻不得,邪结中焦,咸能软坚,可破顽痰宿食,炒之则苦,故
能涌吐。童便本人身下降之气,引火下行,乃归旧路,味又咸寒,故降火甚速(此由脾土郁
极而不得发,以致火热内扰,阴阳不交之患);盐涌于上,溺泄于下,则中通矣。方极简易,
而有回生之功,不可忽视(《准绳》曰∶盐调童便,非独用以降阴之不通也,阴既不通,血
亦不行,兼用行血药也)。
本方单用烧盐熟水调饮,以指探吐,名烧盐探吐法∶治伤食痛连胸膈,痞闷不通、手足
逆冷,尺脉全无(食填太阴,抑遏肝胆之气,不得上升,两实相搏,故痛连胸膈;阳气不舒,
故手
从上而
不能举
经曰∶
事,今
地之用
本于
下流
气(且
治疗中风突然昏倒,痰涎壅盛,气机闭塞不通,先开通其关窍,令患者微微吐出稀薄的涎沫,随后再服用其他药物(不可令其剧烈呕吐)。
皂角(四挺,去皮和弦,炙烤) 白矾(一两,研为粉末)。用温水调服五分。或者加入藜芦(藜芦能涌吐风痰),这是足太阴脾经、足厥阴肝经的药物。吴鹤皋说:清阳之气在上,浊阴之气在下,如同天冠地履,不会发生突然昏倒;如果浊邪逆乱上行,则清阳失去位置而颠倒错乱,所以导致人突然昏倒。因此痰涎壅塞的原因,是风气盛、气机上涌所致。经文说:病发于……(原文此处有缺漏或断句不清,依文意推测为论述发病机理),不泄……也。痉挛拘急,攻逐邪气尽除。
张子和在方中加入藜芦、常山、甘草,名为常山散:用于涌吐疟疾痰饮(甘草配合常山必然引起呕吐)。本方加入雄黄、藜芦……(《三因极一病证方论》)
治疗干霍乱,想吐却吐不出来,想泻却泻不出来,腹部剧烈疼痛的病证(霍乱,指病情变化迅速、扰乱不安。外感邪气,内伤饮食,阴阳乖隔,邪正交争,所以上吐下泻,中间绞痛。邪气在上焦则吐,在下焦则泻,在中焦则吐泻并作,这是湿霍乱,证候轻浅容易治疗;如果不能吐利,邪气无法排出,壅遏正气,阴阳格拒,死亡速度很快)。
烧盐 热童便(儿童尿液)。分三次饮用,每次饮用后引发呕吐。
这是足太阴脾经、足阳明胃经的药物。吐泻不得,邪气结聚在中焦,咸味能软化坚积,可以破除顽痰和宿食,炒制后变苦,所以能涌吐。童便是人身下降的气,引导火气下行,回归旧路,味道又咸寒,所以降火非常迅速(这是由于脾土郁结至极而不能发泄,导致火热内扰,阴阳不交通的病患);盐涌吐于上,溺排泄于下,则中焦通道得以通畅。此方极其简易,却有起死回生的功效,不可忽视(《医学纲目》说:盐调童便,并非单独用来降阴气的不通,阴气既然不通,血液也不运行,需兼用行血药)。
本方单用烧盐,用熟水调匀饮用,用手指探喉催吐,名为烧盐探吐法:治疗伤食疼痛牵连胸膈,痞闷不通、手足逆冷,尺脉完全摸不到的病证(食物填塞太阴脾经,抑制肝胆之气,使其不能上升,两实邪气相搏,所以疼痛牵连胸膈;阳气不能舒展,所以手……从上而……不能举……经文说:事,今……地之用……本于……下流……气(且……(原文此处似乎有残缺或排版错乱)
Treats sudden collapse due to wind-stroke (Zhong Feng), with excessive phlegm-saliva, and blocked Qi mechanism. First open the orifices to induce slight vomiting of thin saliva, then administer other medicines (do not induce severe vomiting).
Gleditsiae Sinensis Fructus (Zao Jiao) (four stalks, remove skin and strings, roast) and Alum (Bai Fan) (one liang, powdered). Mix with warm water and take 5 fen. Alternatively, add Veratrum Nigrum Rhizoma (Li Lu) (Veratrum can induce vomiting of wind-phlegm). This is a medicine for the Foot-Taiyin Spleen channel and Foot-Jueyin Liver channel. Wu Hegao stated: Clear Yang is above, turbid Yin is below, like a crown on the head and shoes on the feet; there should be no sudden collapse. If turbid pathogenic factors reverse and ascend, Clear Yang loses its position and becomes inverted, causing sudden collapse. Therefore, the obstruction by phlegm-saliva is caused by excess wind and surging Qi. The Classics state: Disease originates from... [text incomplete] ...not draining... Spasm and stiffness, attacking until pathogens are exhausted.
Zhang Hezi added Veratrum Nigrum Rhizoma (Li Lu), Dichroa Root (Chang Shan), and Licorice Root (Gan Cao), naming it Dichora Powder (Chang Shan San): used to induce vomiting of malaria phlegm (Licorice combined with Dichora inevitably causes vomiting). Adding Realgar (Xiong Huang) and Veratrum Nigrum Rhizoma (Li Lu) to this formula... (from *San Yin Fang*)
Treats dry Huoluan (acute gastroenteritis with vomiting and diarrhea), where one wishes to vomit but cannot, wishes to defecate but cannot, accompanied by severe abdominal pain (Huoluan refers to sudden disorder and chaos. External contraction and internal injury cause Yin-Yang separation and struggle between righteous Qi and pathogens, leading to upper vomiting and lower diarrhea, with central cramping pain. Pathogens in the Upper Jiao cause vomiting; in the Lower Jiao, diarrhea; in the Middle Jiao, both occur. This is damp Huoluan, which is mild and easy to treat. If vomiting and defecation are impossible, pathogens cannot exit, obstructing righteous Qi and causing Yin-Yang blockage, leading to rapid death).
Burnt Salt (Shao Yan) and Hot Child's Urine (Tong Bian). Drink three times, inducing vomiting each time.
This is a medicine for the Foot-Taiyin Spleen and Foot-Yangming Stomach channels. When vomiting and defecation are blocked, pathogens knot in the Middle Jiao. Salty flavors can soften hardness, breaking stubborn phlegm and retained food. Roasting makes it bitter, thus enabling emesis. Child's urine is the descending Qi of the human body, guiding fire downward to return to its original path; its salty-cold flavor descends fire very rapidly (this condition arises from extreme stagnation of Spleen Earth unable to vent, causing internal disturbance of fire and failure of Yin-Yang interaction); salt induces vomiting upwards, urine excretes downwards, thus unblocking the center. This formula is extremely simple yet has life-saving power; do not neglect it (*Yi Zong Jin Jian* states: Salt mixed with child's urine is not solely used to descend blocked Yin; since Yin is blocked, blood also fails to circulate, so blood-invigorating medicines should be added).
Using only burnt salt mixed with boiled water and drinking it, then stimulating the throat with fingers to induce vomiting, named the Burnt Salt Throat-Stimulation Method: treats food retention pain radiating to the chest and diaphragm, stuffiness and blockage, cold extremities, and absent radial pulse at the cun position (Food fills the Taiyin, suppressing Liver-Gallbladder Qi, preventing it from ascending. Two excess pathogens contend, causing pain radiating to the chest/diaphragm; Yang Qi cannot diffuse, causing hands... from above... cannot lift... The Classics state: Matters, now... Earth's function... based on... flowing down... Qi (and... [text incomplete])