暴患眼疾,皆受风邪,蕴而化热,上扰清窍。若食肉味,助火生痰,壅滞邪路。风
乘火威,消耗目中膏脂,或起白膜红丝,或 肉牵攀,使目无全光,或至失明。先服决
明消翳散数帖,后继服羚羊角汤。(二方见后。)久患目疾,不在此论。
男女大小诸症,数日间舌底滑润,舌面罩满姜黄色,或大便时下蛔虫,此胃土欲绝,
虫无所附,乘便时而出。土乃黄色,舌因土之败,气上冲故黄,四五日当亡。
胸腹串痛,按之有跳跃之处,肌肉似铁石,针刺不得入,此真气已竭,血不流行,则
肌肉呆板,速死之象。
足底初有一点顶痛,渐若坚石,日久亦或化脓,或五六月,或一二年,行走顶疼,按
之僵硬似铁。从旁边以刀刺开,或以火针当顶烙之,插降药条,拔去老根。收功后忌荤
腥两月,以免复发。医书未载此症。
时疫病,浑身每有肿痛处,暖性膏药贴之,虽用于外,亦能引动内火,劫阴助阳,致
肢体色紫肤冷,脉伏神脱气喘,不旋踵而危者。
向来体虚,再加劳动太过,真气多为不足,每乳下浮肿如杯,初时不觉,渐因动作,
及咳喘引痛,消之不去,易延痨怯不治。
温邪发即神昏不语,毫不发热,或手足抽搐,或一二日后,稍明能言,渐转神烦,微
热无汗不渴,此邪直犯心胞,未传肺胃,先宜看胸背有红斑否?并舌苔干燥否?(小儿亦有此
症。)
温邪一起,遂妄躁狂奔,语言烦乱,坐卧不安,或舌苔燥裂生刺。此热势炎甚,扰动心
胞,阴亏无以上济,进救阴方,得脉静神安,舌润可治。如狂暴依然,乃心神散越,
阳离阴竭,治之何功?
突发眼疾,都是由于感受风邪,郁结而化热,向上扰乱清窍。如果食用肉类食物,会助长火气并生成痰湿,阻滞病邪排出的通路。风邪借助火势的威势,消耗眼中的膏脂,或者形成白膜和红丝,或者出现肉状物牵拉攀附,导致眼睛视力受损,甚至失明。先服用决明消翳散数剂,随后继服羚羊角汤。(这两个方剂见后文。)长期患有眼疾的情况,不在此讨论范围内。
无论男女老少,各种病症中,如果在几天内舌底滑润,舌面覆盖满姜黄色,或者大便时排出蛔虫,这是胃土之气即将断绝,寄生虫无处依附,趁着排便时而出。土对应黄色,舌头因为土气的败坏,加上气机上冲所以变黄,四五天后可能会死亡。
胸腹部串痛,按压时有跳动感,肌肉坚硬如铁石,针刺无法进入,这是真气已经枯竭,血液运行不畅,导致肌肉僵硬呆板,是迅速死亡的征象。
脚底起初有一点顶撞般的疼痛,逐渐变得像坚硬的石头,时间久了也可能化脓,经过五六个月或一两年,行走时顶撞疼痛,按压时僵硬如铁。从旁边用刀刺开,或者用火针在顶部烙烫,插入降药条,拔除老根。治疗结束后忌食荤腥两个月,以免复发。医书中未记载此症。
时行疫病,全身常有肿痛之处,贴敷温性膏药,虽然用于外部,也能引动内部火气,劫耗阴液、助长阳热,导致肢体颜色紫暗、皮肤冰冷,脉象伏匿、神志涣散、气喘,不久就会危及生命。
向来体质虚弱,再加上过度劳累,真气大多不足,每当下乳处浮肿如杯状,起初没有感觉,逐渐因动作及咳嗽气喘引发疼痛,消肿不去,容易拖延成痨怯之症而不治。
温邪发作即出现神志昏迷、不能言语,完全不发热,或者手足抽搐,或者一两天后稍微清醒能说话,逐渐转为心神烦躁,微热无汗且不口渴,这是邪气直接侵犯心包,尚未传至肺胃,应先查看胸背是否有红斑?以及舌苔是否干燥?(小儿也有此症。)
温邪一起,随即妄动躁狂、奔跑乱叫,语言烦乱,坐卧不安,或者舌苔燥裂生刺。这是热势非常猛烈,扰动心包,阴液亏虚无法上济,应进服救阴方剂,若得脉象平静、神志安宁、舌面润泽则可治愈。如果狂暴依旧,则是心神散失越出,阳气离决、阴液枯竭,治疗还有什么功效?
Sudden onset of eye diseases is caused by the invasion of wind pathogen, which stagnates and transforms into heat, disturbing the clear orifices upwards. If meat is consumed, it aids fire and generates phlegm, obstructing the pathway for the expulsion of pathogens. Wind takes advantage of the power of fire to consume the essence (gaozhi) in the eyes, resulting in white membranes and red filaments, or fleshy growths that pull and adhere, causing impaired vision or even blindness. First, administer Jueming Xiaoyi San (Clear Brightness Decoction to Eliminate Opacity) for several doses, followed by Lingyangjiao Tang (Antelope Horn Decoction). (These two formulas are presented later.) Cases of chronic eye disease are not discussed here.
In men, women, adults, and children with various conditions, if within a few days the underside of the tongue is slippery and moist, while the surface is covered with a ginger-yellow coating, or if roundworms are passed during defecation, this indicates that the Qi of the Stomach Earth is about to perish. The parasites have no place to attach and emerge during bowel movements. Earth corresponds to yellow; the tongue turns yellow due to the decay of Earth Qi and the upward rushing of Qi. Death may occur within four to five days.
Stabbing pain traversing the chest and abdomen, where pressing reveals a pulsating sensation, and muscles feel hard as iron or stone, unyielding to needle insertion, signifies that True Qi has been exhausted and blood circulation is stagnant. This results in stiff, rigid muscles, which is a sign of imminent death.
Initially, there is a pinpoint stabbing pain on the sole of the foot, which gradually becomes hard as stone. After a long time, it may suppurate. Over five to six months or one to two years, walking causes stabbing pain, and pressure feels rigid like iron. It can be incised from the side with a knife, or cauterized at the apex with a fire needle, followed by inserting a medicinal strip to draw out the deep root. After recovery, avoid meat and fish for two months to prevent recurrence. This condition is not recorded in medical texts.
In epidemic febrile diseases, swelling and pain often appear on the body. Applying warm-natured plaster externally can inadvertently stir up internal fire, consuming Yin and assisting Yang. This leads to purple discoloration of the limbs, cold skin, hidden pulse, scattered spirit, and panting, leading to critical danger shortly thereafter.
Individuals with inherent deficiency, exacerbated by excessive labor, often suffer from insufficient True Qi. Swelling resembling a cup may appear below the breasts. Initially unnoticed, it gradually causes pain upon movement, coughing, or panting. If the swelling does not resolve, it may progress into consumptive weakness (Laoqie), which is difficult to treat.
When Warm Pathogen strikes, it immediately causes coma and muteness without fever, or convulsions of the hands and feet. After one or two days, the patient may briefly regain consciousness and speech, but then becomes increasingly irritable and restless, with slight fever, absence of sweat, and no thirst. This indicates the pathogen directly attacking the Pericardium (Xinbao) without yet transmitting to the Lung or Stomach. One should first check for red macules on the chest and back, and whether the tongue coating is dry. (Children may also present this condition.)
Upon the emergence of Warm Pathogen, the patient may exhibit wild agitation, running wildly, confused speech, restlessness in sitting and lying, or a dry, cracked tongue coating with prickles. This reflects intense heat disturbing the Pericardium, with Yin deficiency failing to nourish upwards. Administer a formula to rescue Yin. If the pulse becomes calm, the spirit settles, and the tongue becomes moist, the condition is treatable. If the mania persists, it indicates the scattering of the Heart Spirit, separation of Yang, and exhaustion of Yin; treatment will be futile.