(治遍身麻痹。)
黄 (一两) 人参 白芍药(各五钱) 附子(炮,一枚) 当归(三钱)
上为末,炼蜜丸,梧桐子大。每服三五十丸,酒下。
又方 治十指疼痛,麻木不仁。用附子三钱,煎熟,广木香一钱,磨汁入内服。
又方 治皮肤麻痹、瘙痒,用莽草煎汤洗浴,效。
经曰∶诸气 郁,皆属于肺。
天有四时,以生寒暑燥湿风火;人有五脏五气,以生喜怒忧思悲恐。怒则气上,喜则气缓,
悲则气消,恐则气下,寒则气收,炅则气泄,惊则气乱,劳则气耗,思则气结,此九气之为病
也。
又曰∶喜怒伤气,寒暑伤形,暴怒伤阴,暴喜伤阳,厥气上行,满脉去形,喜怒不节,
寒暑过度,生乃不固。故重阴必阳,重阳必阴。
阳气者,烦劳则张,精绝,辟积于夏,使人煎厥。目盲不可以视,耳闭不可以闻。溃溃乎若
坏都,汨汨乎不可止。
阳气大怒,则形气绝,而血菀于上,使人煎厥。
阳气者,精则养神,柔则养筋,开阖不得,寒气从之,乃生大偻。陷脉为痿,留连肉腠。
一阳发病,少气善咳,善泄,其传为心掣,其传为鬲。
因为气,为肿,四维相代,阳气乃竭。
荣气不从,逆于肉里,乃生痈肿。
气伤痛,形伤肿。先痛而后肿者,气伤形也;先肿而后痛者,形伤气也。
清气在下,则生飧泄;浊气在上,则生 胀。
(治疗全身麻木。)
黄耆(一两) 人参 白芍药(各五钱) 附子(炮制,一枚) 当归(三钱)
以上药材研为细末,用炼蜜制成丸药,大小如梧桐子。每次服用三五十丸,用酒送服。
又一方:治疗十个手指疼痛、麻木不仁。使用附子三钱,煎煮至熟,加入广木香一钱,磨成汁液混合后服用。
又一方:治疗皮肤麻木、瘙痒,使用莽草煎汤洗浴,有效。
经典记载说:各种气机郁滞的病证,都归属于肺脏。
自然界有春、夏、秋、冬四个季节,产生寒、暑、燥、湿、风、火六种气候;人体有肝、心、脾、肺、肾五脏,产生喜、怒、忧、思、悲、恐六种情志。愤怒会使气机上逆,喜悦会使气机舒缓,悲伤会使气机消减,恐惧会使气机下陷,寒冷会使气机收敛,炎热会使气机泄越,受惊会使气机紊乱,劳累会使气机耗散,思虑会使气机结聚,这就是九种气机变化导致的病证。
又说:喜怒等情志会损伤气机,寒暑等外邪会损伤形体,暴怒会损伤阴血,暴喜会损伤阳气,厥逆之气向上冲行,会导致脉道满盈而神形离散,如果喜怒没有节制,寒暑过度侵袭,生命根基就不稳固。所以重阴必然转化为阳,重阳必然转化为阴。
人体的阳气,在烦劳过度时会亢盛外张,导致阴精枯竭,若这种状态积累到夏季,就会使人发生煎厥(因热邪煎熬精气而致的厥证)。表现为眼睛失明不能视物,耳朵闭塞不能听声。病情危急时如同都城崩塌,势不可挡。
阳气因大怒而亢逆,会导致形体与气机隔绝,血液郁积于上部,使人发生煎厥。
人体的阳气,精神专注时能滋养心神,柔和时能滋养筋脉。如果腠理开阖失常,寒气乘虚而入,就会形成严重的驼背弯曲。邪气陷入经脉,会导致痿证,滞留于肌肉纹理之间。
少阳一经发病,会出现气短、容易咳嗽、容易腹泻的症状,其传变可发展为心脏掣痛,或发展为膈塞不通。
因为气机阻滞,导致水肿,四肢交替出现症状,阳气于是衰竭。
营气运行不畅,逆乱于肌肉纹理之中,就会发生痈肿。
气受伤则疼痛,形体受伤则肿胀。先疼痛而后肿胀的,是气伤及形;先肿胀而后疼痛的,是形伤及气。
清气应当上升却反居下部,就会发生完谷不化的飧泄;浊气应当下降却反居上部,就会发生胀满。
(Treating generalized numbness.)
Huangqi (Radix Astragali) (1 liang), Renshen (Radix Ginseng), Baishao (Radix Paeoniae Alba) (each 5 qian), Fuzi (Radix Aconiti Lateralis Preparata, processed, 1 piece), Danggui (Radix Angelicae Sinensis) (3 qian).
Grind the above ingredients into fine powder, mix with refined honey to make pills, sized like Sophora japonica seeds. Take 30-50 pills per dose, swallowed with wine.
Another prescription: For treating pain and numbness in all ten fingers. Use 3 qian of Fuzi (Radix Aconiti Lateralis Preparata), boil until cooked, add 1 qian of Guangmuxiang (Lignum Aquilariae Resinatum), grind into juice, mix and take orally.
Another prescription: For treating skin numbness and itching, use Mangcao (Herba Siegesbeckiae) decoction for bathing; effective.
The Classics state: All disorders of Qi stagnation belong to the Lung.
Heaven and Earth have four seasons, generating Cold, Heat, Dryness, Dampness, Wind, and Fire; Humans have five Zang organs and five Qi aspects, generating Joy, Anger, Worry, Thought, Sorrow, and Fear. Anger causes Qi to rise upward, Joy causes Qi to relax and slow down, Sorrow causes Qi to dissipate, Fear causes Qi to sink downward, Cold causes Qi to contract, Heat causes Qi to leak out, Shock causes Qi to become chaotic, Labor causes Qi to be consumed, Thought causes Qi to knot and bind. These are the diseases caused by these nine changes in Qi.
It is also said: Joy and Anger damage Qi, Cold and Heat damage the Form. Violent anger damages Yin Blood, violent joy damages Yang Qi. When rebellious Qi ascends, it fills the vessels and separates spirit from form. If Joy and Anger are not regulated, and Cold and Heat are excessive, life's foundation becomes unstable. Therefore, extreme Yin must transform into Yang, and extreme Yang must transform into Yin.
When Human Yang Qi is subjected to excessive mental labor, it expands and flares up, leading to exhaustion of Essence. If this accumulates into summer, it causes Jian Jue (Fever-induced Syncope). The eyes may go blind and cannot see, the ears may close and cannot hear. It is critical, like a collapsing city wall, unstoppable and turbulent.
If Yang Qi flares up due to great anger, the Form and Qi become severed, and Blood stagnates at the upper part of the body, causing Jian Jue (Fever-induced Syncope).
Yang Qi nourishes the Spirit when focused and pure, and nourishes the Tendons when soft and flexible. If the opening and closing of the pores fails, Cold Qi enters, resulting in severe kyphosis (large curvature of the spine). If pathogens sink into the vessels, they cause Wei Syndrome (flaccidity syndrome), lingering in the muscle layers.
When Shaoyang disease occurs, there is shortness of breath, frequent coughing, and frequent diarrhea. Its transmission can lead to Heart palpitations/tugging (Xin Che) or Diaphragm obstruction (Ge).
Due to Qi stagnation, edema arises. When the four limbs alternate in symptoms, Yang Qi is exhausted.
When Ying Qi (Nutritive Qi) does not flow smoothly and reverses into the muscle tissue, Carbuncles and Swellings arise.
Qi injury causes pain; Form injury causes swelling. If pain precedes swelling, Qi has damaged the Form; if swelling precedes pain, Form has damaged Qi.
Clear Qi that should ascend but remains below leads to Sund Xie (undigested food diarrhea); Turbid Qi that should descend but remains above leads to Zhang Man (distension and fullness).