连翘(二钱) 葛根(二钱) 柴胡(三钱) 当归(二钱) 生地(五钱) 赤芍(三钱) 桃仁
(八钱,研) 红花(五钱) 枳壳(一钱) 甘草(二钱)
水煎服。
方歌
解毒活血连翘桃,红花归壳葛赤芍,
柴胡甘草同生地,吐泻良方用水熬。
此方谓初得吐泻而言,若见汗多,肢冷,眼塌,不可用。
若吐泻一见转筋、身凉、汗多,非此方不可,莫畏病患大渴饮冷不敢用。
党参(八钱) 附子(八钱,大片) 干姜(四钱) 白术(四钱) 甘草(三钱) 桃仁(二钱
,研) 红花(二钱)
水煎服。
方歌
急救回阳参附姜,温中术草桃红方,
见真胆雄能夺命,虽有桃红气无伤。
解毒活血汤与急救回阳汤,两方界限厘清,未有不应手而愈者。慎之!慎之!
夫抽风一症,今人治之不效者,非今人错治,乃古方误人。古人不止论病立方误人,立
病名
,则名曰慢惊风。慢惊风三字,相连立名,更为可笑,不但文义不通,亦未细察病源。若真
是风,风之中人,必由皮肤入经络,亦必有由表入里之症可查。既查无外感之表症,古人何
得着书立方,总言是风。其所以言风者,因见其病发作之时,项背反张,两目天吊,口噤不
开,口流涎沫,咽喉痰声,昏沉不省人事,以为中风无疑。殊不知项背反张,四肢抽搐,手
足握固,乃气虚不固肢体也;两目天吊,口噤不开,乃气虚不上升也;口流涎沫,乃气虚不固
津液也;咽喉往来痰声,非痰也,乃气虚不归原也。如不明此理,试看高年人,久病寿终时,或
项强身重,或露晴天吊,或牙紧流涎,或痰声拽锯,或冷汗淋漓,一派气脱之症,明明显露。以
抽风之两目天吊,口噤流涎,痰声拽锯,互相参看,则抽风之症,气虚无疑。元气既虚,必不能
达于血管,血管无气,必停留而瘀。以一气虚血瘀之症,反用散风清火之方,安得不错?服散
风药,无风服之则散气;服清火药,无火服之则血凝;再服攻伐克消之方,气散血亡,岂能望
生?溯本穷源,非死于医,乃死于着书者之手。每见业小儿科阅历多者,绝不误人,因抽风古
方不效,见抽风则弃而不治。亦有高手,看小儿现下之症,知将来必抽风,虽无方调治,亦必
告知病家,此病恐将来抽风。何以知其将来必抽风?凡将欲抽风之前,必先见抽风之症,如见
顶门下陷,昏睡露睛,口中摇舌,不能啼哭,哭无眼泪,鼻孔煽动,咽喉痰声,头低不抬,口
噤无声,四肢冰冷,口吐白沫,胸高如碗,喘急气促,面色青白,汗出如水,不能裹乳,大便
绿色,腹内空鸣,下泄上嗽,肌肉跳动,俱是抽风之兆。前二十症,不必全见,但见一二症,则知将来必
抽。其中有可治者,有不可治者,并所用之方,皆开列于后。若露睛天吊,不食不哭,痰鸣
气喘,病虽沉重,乃可治之症。若天庭灰色,肾子上缩,或脉微细,或脉全无,外形虽轻,
乃不治之症。
连翘(二钱) 葛根(二钱) 柴胡(三钱) 当归(二钱) 生地(五钱) 赤芍(三钱) 桃仁(八钱,研碎) 红花(五钱) 枳壳(一钱) 甘草(二钱)
用水煎煮后服用。
方歌
解毒活血汤包含连翘、桃仁,红花、枳壳、葛根、赤芍,
配合柴胡、甘草和生地,是治疗呕吐腹泻的良方,用水熬制而成。
此方是针对初起出现呕吐腹泻的情况而言的,如果见到汗出过多、四肢冰冷、眼球凹陷的症状,则不可使用。
如果呕吐腹泻一旦出现转筋(小腿腓肠肌痉挛)、身体发凉、汗出过多,非用此方不可,不要因为患者极度口渴想喝冷水而不敢使用。
党参(八钱) 附子(八钱,大片切片) 干姜(四钱) 白术(四钱) 甘草(三钱) 桃仁(二钱,研碎) 红花(二钱)
用水煎煮后服用。
方歌
急救回阳汤由人参、附子、干姜组成,温中健脾用白术、甘草,加上桃仁、红花,
只要有真知灼见和胆识就能挽救生命,虽然用了桃仁、红花,但不会损伤正气。
解毒活血汤与急救回阳汤,将这两个方的界限厘清,没有不随手治愈的。务必谨慎!务必谨慎!
至于抽风这一病症,现在的人治疗无效,不是现在的人治错了,而是古方误导了人。古人不仅立病立方时误导人,在确立病名时也是如此,将其命名为慢惊风。“慢惊风”三个字连在一起命名,更加可笑,不仅文义不通,也没有仔细考察病源。如果是真正的风邪,风邪侵入人体,必定从皮肤进入经络,也一定有由表入里的症状可以查证。既然查不到外感表证,古人怎么能著书立说,总说是风呢?之所以称之为风,是因为看到病人发作时,项背强直反张,两眼上翻,牙关紧闭不开,口流涎沫,咽喉有痰鸣声,昏沉不省人事,认为无疑是中风。殊不知项背强直反张、四肢抽搐、手足握固,这是气虚不能固摄肢体;两眼上翻、牙关紧闭,这是气虚不能上升;口流涎沫,这是气虚不能固摄津液;咽喉往来痰鸣声,并非真有痰,而是气虚不能归元。如果不明白这个道理,请看老年人,久病寿终时,或者项强身重,或者双目上翻露睛,或者牙关紧闭流涎,或者痰声拉锯,或者冷汗淋漓,一派气脱的症状,明明显露。将抽风的双眼上翻、牙关紧闭流涎、痰声拉锯等症状互相参照,那么抽风的病症,无疑是气虚。元气既然虚弱,必定不能到达血管,血管没有气的推动,必定停留而形成瘀血。以气虚血瘀的病症,反而使用散风清火的方剂,怎么能不错误?服用散风药,无风可散则耗散正气;服用清火药,无火可清则血液凝滞;再服用攻伐克消的方剂,气散血亡,怎么能指望生存?追根溯源,不是死于医生之手,而是死于著书立说者之手。常见从事小儿科且阅历丰富的医生,绝不误人,因为知道抽风的古方无效,见到抽风就放弃不治疗。也有高手,观察小儿当下的症状,知道将来必定会抽风,虽然没有方剂调治,也一定会告知病患家属,这个病恐怕将来会抽风。怎么知道将来必定会抽风?凡是即将发生抽风之前,必定先出现抽风的征兆,如看到囟门下陷,昏睡露睛,口中摇舌,不能啼哭,哭时无眼泪,鼻孔煽动,咽喉有痰声,头低抬不起来,牙关紧闭无声,四肢冰冷,口吐白沫,胸部高耸如碗,喘急气促,面色青白,汗出如水,不能吸吮乳汁,大便绿色,腹内空鸣,下泄上咳,肌肉跳动,都是抽风的征兆。前面二十种症状,不必全部见到,只要见到一二种症状,就知道将来必定会抽风。其中有可以治疗的,有不可以治疗的,以及所用的方剂,都开列在后面。如果出现露睛上翻,不吃不哭,痰鸣气喘,病情虽然沉重,却是可以治疗的病症。如果出现天庭灰色,睾丸上缩,或者脉象微细,或者脉象全无,外形虽然轻微,却是不治之症。
Forsythiae Fructus (Lianqiao, 连翘) [2 qian], Puerariae Radix (Gegen, 葛根) [2 qian], Bupleuri Radix (Chaihu, 柴胡) [3 qian], Angelicae Sinensis Radix (Danggui, 当归) [2 qian], Rehmanniae Radix (Shengdi, 生地) [5 qian], Paeoniae Radix Rubra (Chishao, 赤芍) [3 qian], Persicae Semen (Taoren, 桃仁) [8 qian, crushed], Carthami Flos (Honghua, 红花) [5 qian], Aurantii Fructus (Zhike, 枳壳) [1 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [2 qian].
Decoct in water and take orally.
Prescription Song:
Jiedu Huoxue contains Forsythia and Peach Seed,
Safflower, Aurantium, Kudzu, and Red Peony Root,
With Bupleurum, Licorice, and Rehmannia,
A good prescription for vomiting and diarrhea, decocted with water.
This prescription is stated for the initial stage of vomiting and diarrhea. If excessive sweating, cold limbs, or sunken eyes are observed, it should not be used.
If vomiting and diarrhea are accompanied by muscle cramps (Zhuangjin, 转筋), cool body temperature, and excessive sweating, this prescription is indispensable. Do not hesitate to use it due to the patient's intense thirst for cold drinks.
Codonopsis Radix (Dangshen, 党参) [8 qian], Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [8 qian, large slices], Zingiberis Rhizoma (Ganjiang, 干姜) [4 qian], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [4 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [3 qian], Persicae Semen (Taoren, 桃仁) [2 qian, crushed], Carthami Flos (Honghua, 红花) [2 qian].
Decoct in water and take orally.
Prescription Song:
Jijiu Huiyang uses Codonopsis, Aconite, and Ginger,
Warming the middle with Atractylodes and Licorice, plus Peach Seed and Safflower.
With true courage and insight, life can be snatched back;
Although Peach Seed and Safflower are used, they do not harm the Qi.
Clarifying the boundaries between Jiedu Huoxue Tang (Antidote and Blood-Activating Decoction) and Jijiu Huiyang Tang (Emergency Rescue and Yang-Recovery Decoction), there is no case that does not heal readily. Be cautious! Be cautious!
Regarding the syndrome of convulsions (Choufeng, 抽风), the ineffectiveness of current treatments is not due to errors by contemporary physicians, but because ancient prescriptions mislead people. The ancients not only misled people with their disease-based prescriptions, but also with their disease names, such as "Slow Convulsion" (Man Jingfeng, 慢惊风). Naming it "Slow Convulsion" is even more absurd; not only is the meaning illogical, but the source of the disease was not carefully examined. If it were truly wind pathogen, wind entering the human body must enter through the skin into the meridians, and there must be symptoms showing progression from the exterior to the interior. Since no exterior symptoms of exogenous pathogens can be found, how could the ancients write books and prescribe medications, always attributing it to wind? The reason for calling it wind is that during an attack, the neck and back are stiff and arched backward, the eyes roll upward, the jaw is clenched shut, saliva flows from the mouth, there is phlegm sound in the throat, and the patient is comatose and unconscious, leading to the assumption that it is undoubtedly stroke. Little do they know that stiff neck and back, arching backward, limb convulsions, and clenched hands and feet are due to Qi deficiency failing to secure the limbs; upward rolling eyes and clenched jaw are due to Qi deficiency failing to ascend; flowing saliva is due to Qi deficiency failing to secure body fluids; and the phlegm sound in the throat is not actual phlegm, but Qi deficiency failing to return to its origin. If one does not understand this principle, observe elderly people at the end of a long illness or natural death: they may have stiff neck and heavy body, eyes rolled up and exposed, clenched teeth and flowing saliva, sawing-like phlegm sounds, or profuse cold sweat—a clear manifestation of Qi collapse. Comparing these with the upward rolling eyes, clenched jaw, flowing saliva, and sawing-like phlegm sounds of convulsions, it is evident that convulsions are undoubtedly caused by Qi deficiency. Since Yuan Qi (Original Qi, 元气) is deficient, it cannot reach the blood vessels; without Qi propulsion, blood stagnates and forms stasis. Treating Qi deficiency and blood stasis with wind-dispersing and fire-clearing formulas is erroneous. Taking wind-dispersing herbs when there is no wind scatters Qi; taking fire-clearing herbs when there is no fire causes blood coagulation; further using attacking and reducing formulas leads to scattered Qi and lost blood, making survival impossible. Tracing to the root, death is not caused by doctors, but by those who wrote misleading books. It is common to see experienced pediatricians who never make mistakes; knowing ancient prescriptions for convulsions are ineffective, they abandon treatment upon seeing convulsions. Some experts, observing the child's current symptoms, predict future convulsions. Even without a specific formula for treatment, they inform the family that the child will likely suffer convulsions. How do they know? Before convulsions occur, signs appear: depressed fontanelle, lethargy with exposed eyes, tongue trembling in the mouth, inability to cry, crying without tears, flaring nostrils, phlegm sounds in the throat, head drooping and unable to lift, silent clenched jaw, cold limbs, foaming at the mouth, chest elevated like a bowl, rapid breathing, cyanotic-pale complexion, profuse sweating like water, inability to suckle milk, green stool, empty rumbling in the abdomen, diarrhea with upper cough, and muscle twitching. These are all precursors to convulsions. Among the twenty preceding symptoms, not all need to be present; seeing one or two indicates inevitable future convulsions. Some cases are treatable, others are not. The applicable formulas are listed below. If exposed eyes and upward rolling, anorexia, silence, phlegmonous wheezing, and severe condition are present, it is treatable. If the forehead is gray, testicles retract, pulse is faint and fine, or pulse is absent, although external appearance seems mild, it is incurable.