人病中风偏枯。其脉数。而面干黑黧。手足不遂。语言謇涩。治之奈何。在上则吐之。在中则泻之。在下则补
之。在外则发之。在内则温之按之熨之也。吐谓出其涎也。泻谓通其塞也。补谓益其不足也。发谓发其汗
也。温谓驱其湿也。按谓散其气也。熨谓助其阳也。治之各合其宜。安可一揆。在求其本。脉浮则发之。脉滑
则吐之。脉伏而涩则泻之。脉紧则温之。脉迟则熨之。脉闭则按之。要察其可否。故不可一揆而治者也。
五丁者。皆由喜怒忧思。冲寒冒热。恣饮醇酒。多嗜甘肥。毒鱼 。色欲过度之所为也。蓄其毒邪。浸渍脏
腑。久不摅散。始变为丁。其名有五。一曰白丁。二曰赤丁。三曰黄丁。四曰黑丁。五曰青丁。白丁者起于右鼻
下。初起如粟米。根赤头白。或顽麻。或痛痒。使人憎寒头重。状若伤寒。不欲食。胸膈满闷。喘促昏冒者死。未
者可治。此疾不过五日。祸必至矣。宜急治之。赤丁在舌下。根头俱赤。发痛。舌本硬不能言。多惊。烦闷。恍惚。
多渴。引(一作饮。)水不休。小便不通。发狂者死。未者可治。此疾不过七日。祸必至也。不可治矣。大人小儿皆能
患也。黄丁者。起于唇齿龈边。其色黄。中有黄水。发则令人多(一作能。)食而还(一作复。)出。手足麻木。涎出不
止。腹胀而烦。多睡。不寐者死。未者可治。黑丁者。起于耳前。状如瘢痕。其色黑。长减不定。使人牙关急。腰脊脚
膝不仁。不然即痛。亦不出三岁。祸必至矣。不可治也。此由肾气渐绝故也。宜慎欲事。青丁者起于目下。始如
瘤瘢。其色青。硬如石。使人目昏昏然无所见。多恐。悸。惕。睡不安宁。久不已。则令人目盲。或脱精。有此则不
出一年。祸必至矣。白丁者其根在肺。赤丁者其根在心。黄丁者其根在脾。黑丁者其根在肾。青丁者其根
在肝。五丁之候(一作疾。)最为巨疾。(一作病。)不可不察也。治疗之法。一一如下。(陆本。有方八道在此后。印本
无之。今附下卷之末。)
人患中风偏枯之症。其脉象数,面色干枯黑黧,手足不能随意运动,言语謇涩。如何治疗?病位在上者用涌吐法,在中者用泻下法,在下者用补益法,在表者用发汗法,在里者用温熨按揉法。所谓吐,是排出体内的涎沫;所谓泻,是通导闭塞;所谓补,是增益不足;所谓发,是发散汗液;所谓温,是驱散湿气;所谓按,是疏散气滞;所谓熨,是助长阳气。治疗需根据具体情况适宜选用,岂能一概而论?关键在于探求病本。脉浮则用发汗法,脉滑则用涌吐法,脉伏而涩则用泻下法,脉紧则用温法,脉迟则用熨法,脉闭则用按法。务必审察病情是否适用,因此不可单一方法治之。
五丁(一种毒疮),皆因喜怒忧思过度,冒犯寒热,恣意饮用美酒,多嗜甘肥之物,食用毒鱼,以及房事过度所致。蓄积毒邪,浸渍脏腑,日久不散,始变为丁。其名有五:一曰白丁,二曰赤丁,三曰黄丁,四曰黑丁,五曰青丁。白丁生于右鼻下方,初起如粟米,根红头白,或麻木,或痛痒,使人恶寒头重,状似伤寒,不欲饮食,胸膈满闷,若出现喘促昏冒则死,未出现者尚可治疗。此疾不过五日,灾祸必至,宜急治之。赤丁生于舌下,根头俱红,发作疼痛,舌根僵硬不能言语,易受惊,烦闷恍惚,口渴引饮不止,小便不通,若发狂则死,未发者尚可治疗。此疾不过七日,灾祸必至,不可治愈了。大人小儿皆可患病。黄丁生于唇齿牙龈边缘,色黄,中有黄水,发作时令人多食而复吐出,手足麻木,涎出不止,腹胀烦躁,嗜睡,若不寐则死,未出现者尚可治疗。黑丁生于耳前,状如瘢痕,色黑,长短不定,使人牙关紧急,腰脊脚膝麻木不仁,否则即疼痛,也不出三年,灾祸必至,不可治愈。这是由于肾气逐渐衰竭的缘故。宜慎戒房事。青丁生于眼下,始如瘤瘢,色青,硬如石头,使人目昏不明,多恐惧,心悸惕惧,睡眠不安宁,久不愈则令人目盲,或精气脱失,有此症则不出一年,灾祸必至。白丁的病根在肺,赤丁的病根在心,黄丁的病根在脾,黑丁的病根在肾,青丁的病根在肝。五丁的症状最为严重的大病,不可不仔细考察。治疗方法,一一如下。(陆氏本在此后有八个方剂,印本没有,现附于下卷之末。)
When a person suffers from wind-stroke with hemiplegia (stroke with paralysis on one side of the body), their pulse is rapid, their complexion is dry and dark/blackish, their hands and feet are immobile, and their speech is slurred. How should it be treated? If the pathogen is located in the upper part, use emesis (inducing vomiting); if in the middle, use purgation; if in the lower part, use tonification; if in the exterior, use diaphoresis (sweating method); if in the interior, use warming, pressing, and hot compresses. "Emesis" refers to expelling phlegm-saliva; "purgation" refers to unblocking obstructions; "tonification" refers to replenishing deficiencies; "diaphoresis" refers to inducing sweating; "warming" refers to dispelling dampness; "pressing" refers to dispersing qi stagnation; "hot compresses" refer to assisting yang qi. Treatment must be tailored to suitability; how can it be uniform? The key lies in seeking the root. If the pulse is floating, use diaphoresis; if slippery, use emesis; if deep and choppy, use purgation; if tight, use warming; if slow, use hot compresses; if closed/stagnant, use pressing. One must carefully examine whether these methods are applicable; thus, treatment cannot be uniform.
The "Wu Ding" (Five Types of Ding Sores) are all caused by excessive anger, joy, worry, or thought; exposure to cold or heat; indulgence in strong wine; overconsumption of sweet and fatty foods; eating poisonous fish; and excessive sexual activity. These factors accumulate toxic pathogens that infiltrate the zang-fu organs. If not dispersed for a long time, they transform into Ding sores. There are five types: first, Bai Ding (White Ding); second, Chi Ding (Red Ding); third, Huang Ding (Yellow Ding); fourth, Hei Ding (Black Ding); fifth, Qing Ding (Green/Blue Ding). Bai Ding arises below the right nostril. Initially, it resembles a millet grain, with a red root and white head. It may cause numbness or itching/pain, leading to aversion to cold and heavy head, resembling wind-cold syndrome (Taiyang disease), loss of appetite, chest and diaphragm fullness/distension. Death occurs if panting and dizziness/confusion appear; otherwise, it is treatable. This illness will inevitably bring disaster within five days; urgent treatment is required. Chi Ding appears under the tongue. Both root and head are red. Upon onset, pain occurs, the tongue base becomes stiff making speech impossible, frequent fright, irritability, mental confusion, excessive thirst with continuous drinking, and urinary obstruction occur. Death occurs if mania develops; otherwise, it is treatable. This illness will inevitably bring disaster within seven days and becomes incurable. Both adults and children can suffer from it. Huang Ding arises at the edge of the lips and gums. Its color is yellow, containing yellow fluid. Upon onset, it causes polyphagia followed by regurgitation, numbness of hands and feet, uncontrollable salivation, abdominal distension with irritability, hypersomnia. Death occurs if insomnia develops; otherwise, it is treatable. Hei Ding arises in front of the ear, resembling a scar, black in color, with variable length. It causes trismus (lockjaw), insensibility of the waist, spine, legs, and knees, or pain. Disaster will inevitably occur within three years, and it is incurable. This is due to the gradual exhaustion of Kidney Qi. Sexual activities should be strictly moderated. Qing Ding arises below the eyes. Initially resembling a tumor or scar, it is green/blue in color and hard as stone. It causes blurred vision, excessive fear, palpitations, startle, and restless sleep. If prolonged without resolution, it leads to blindness or essence depletion. Disaster will inevitably occur within one year. The root of Bai Ding is in the Lung; the root of Chi Ding is in the Heart; the root of Huang Ding is in the Spleen; the root of Hei Ding is in the Kidney; the root of Qing Ding is in the Liver. The manifestations of the Five Ding sores represent major diseases and must be carefully examined. The treatment methods are detailed below. (In Lu's edition, eight prescriptions follow here; printed editions lack them, so they are appended at the end of Volume II.)