百脉一宗,举身皆受病,无经络之状。大抵病后虚劳,脏腑不平,变而成此。其
病似寒无寒,似热不热,欲食不食,欲卧不卧,欲行不行,似寒非寒,似热非热,默默
不知所苦,服药即吐,有如见鬼,小便赤,此为百合。但因病中失调,余证在阴则攻
阳,反下之;在阳则攻阴,反汗之,此为逆,各不得解,故成百病。
【和】通用小柴胡汤加百合、知母、粳米、生姜。
【清】凉血,百合知母汤、百合地黄汤。
【洗浴】一月不解变成渴者,用百合一升,水一斗,渍一宿,暖温洗身。
男子病新瘥,妇人与之交,曰阳易;妇人病新瘥,男子与之交,曰阴易。此则正气
将复,却被淫欲之邪动易也,故曰易。其候身重气乏,腹中绞痛,头不能举,足不
能立,四肢拘急,百节解散,热上冲胸,眼中生花。男子则阴肿,腹内攻刺;妇人则里
急,腰胯连腹内痛。若手足拳拳,其脉离经,皆不可治。或荣卫虚,精髓竭,翕翕少气,手
足不能举动者,引岁月而死。此外伤六气,又动七情,其害若此,岂不慎哉?其不易自病者,
名女劳复,谓之阳脱邪盛,亦不可治。
【通治】陶云∶其证有寒热不,若寒病,用烧 散入热药中调下;热病用烧 散入寒
药中调下。缘此
通治易证,以为切当。
【导阴气】烧 散, 鼠橘皮汤。
【利】小便不利,五苓散。
【温】当归白术扬、干姜汤。
百脉同出一源,全身都会受到病邪影响,没有明显的经络病变特征。这大多是由于大病之后身体虚弱劳损,脏腑功能失调,演变而成的疾病。其症状表现为:好像怕冷却并不真正恶寒,好像发热却并不真正发热;想吃东西却吃不下,想躺卧却躺不安稳,想行走却无法行动;似寒非寒,似热非热,默默无言不知哪里痛苦,服药后即呕吐,甚至出现幻觉如见鬼怪,小便颜色深赤,这就是百合病。这是因为在患病期间调护不当,余邪未尽,若病邪在阴分则误攻阳分,反而使用泻下法;若病邪在阳分则误攻阴分,反而使用发汗法,这些都属于逆治,导致病情无法解除,从而演变成复杂的百病。
【和法】通用小柴胡汤加入百合、知母、粳米、生姜。
【清法】凉血清热,选用百合知母汤、百合地黄汤。
【洗浴法】如果一个月未愈并出现口渴症状的,用百合一升,水一斗,浸泡一夜,温热后清洗身体。
男子大病初愈,与女性发生性行为,称为“阳易”;女性大病初愈,与男性发生性行为,称为“阴易”。这是因为正气即将恢复,却被淫欲之邪扰动,导致阴阳之气交换错乱,所以称为“易”。其证候表现为:身体沉重,气息微弱,腹部绞痛,头部不能抬起,双腿无法站立,四肢拘挛紧急,全身关节松懈散漫,热气上冲胸部,眼前眼花。男子则出现阴茎肿胀,腹内刺痛;女子则出现里急后重,腰胯连及腹内疼痛。如果出现手足蜷缩,脉象离经(异常),都属不可治愈。如果是营卫虚弱,精髓枯竭,微微气短,手足不能抬举活动的,拖延岁月会导致死亡。此外伤六淫邪气,又触动七情内伤,危害如此之大,难道不谨慎吗?那些不因性交而自发的复发,称为“女劳复”,属于阳气脱失、邪气盛实,也不可治愈。
【通治】陶华说:其证候有寒热不定的情况,如果是寒性病证,将烧裈散放入热药中调服;如果是热性病证,将烧裈散放入寒药中调服。因为这样可以通治各种阴阳易证候,认为非常恰当。
【导引阴气】烧裈散,鼠黏子橘皮汤(注:原文“鼠橘皮汤”疑为“鼠黏子橘皮汤”或类似方剂,此处依原文直译)。
【利小便】小便不利,用五苓散。
【温补】当归白术汤、干姜汤。
The hundred vessels share a single origin, so the entire body is affected by the disease without distinct meridian patterns. This condition generally arises from deficiency and consumptive disorders after a major illness, where the zang-fu organs are imbalanced, leading to this pathology. The symptoms present as: seeming cold but not truly aversion to cold, seeming hot but not true fever; desiring food but unable to eat, desiring to lie down but unable to rest comfortably, desiring to walk but unable to move; resembling cold yet not cold, resembling heat yet not heat; silent and unaware of specific suffering, vomiting immediately upon taking medication, even experiencing hallucinations such as seeing ghosts, with dark red urine. This is called Baihe Bing (Lily Disease). It occurs because of improper care during the illness, leaving residual pathogens. If the pathogen is in the Yin aspect, attacking the Yang aspect is an error, using purgation in reverse; if the pathogen is in the Yang aspect, attacking the Yin aspect is an error, using diaphoresis in reverse. These constitute contraindicated treatments, preventing resolution and thus transforming into complex multi-symptom diseases.
[Harmonizing Method] Use Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Baihe (Lily Bulb), Zhi Mu (Anemarrhena Rhizome), Jing Mi (Rice Grain), and Sheng Jiang (Fresh Ginger).
[Cooling Method] To cool blood and clear heat, use Baihe Zhi Mu Tang (Lily and Anemarrhena Decoction) or Baihe Dihuang Tang (Lily and Rehmannia Decoction).
[Bathing Method] If unresolved for one month and thirst develops, use one sheng of Baihe (Lily Bulb) soaked in ten dou of water overnight, then bathe the body with the warm liquid.
When a man recovers from a new illness and engages in sexual intercourse with a woman, it is called Yang Yi (Yang Exchange); when a woman recovers from a new illness and engages in sexual intercourse with a man, it is called Yin Yi (Yin Exchange). This occurs because the righteous qi is about to recover but is disturbed by the evil of lust, causing the exchange of yin and yang energies, hence termed "Exchange." The manifestations include: heavy body, deficient qi, colicky abdominal pain, inability to lift the head, inability to stand on legs, spasm and tightness of the four limbs, dissolution of all joints, heat rushing up to the chest, and visual disturbances like seeing flowers before the eyes. In men, there is swelling of the penis and stabbing pain inside the abdomen; in women, there is tenesmus and pain connecting the waist, hips, and abdomen. If the hands and feet are curled up and the pulse is off-meridian (abnormal), both are incurable. If Ying and Wei (Defensive and Nutritive Qi) are deficient, essence and marrow are exhausted, with slight shortness of breath and inability to move the hands and feet, death will occur after dragging out the years. Furthermore, external injury from the six qi evils combined with internal disturbance from the seven emotions causes such harm; how can one not be cautious? Those who suffer relapse without sexual contact are named Nu Lao Fu (Female Labor Relapse), attributed to Yang collapse and excess evil, which is also incurable.
[General Treatment] Tao Hua stated: If the symptoms involve alternating chills and fever without regularity, for cold-type conditions, mix Shao Kun San (Scorched Underwear Powder) into hot decoctions for administration; for heat-type conditions, mix Shao Kun San into cold decoctions for administration. This approach is considered appropriate for treating various types of Yi syndromes.
[Guiding Yin Qi] Shao Kun San (Scorched Underwear Powder), Shu Ju Pi Tang (Mouse Citrus Peel Decoction - *Note: Likely refers to Arctii Fructus and Tangerine Peel formula*).
[Promoting Urination] For difficulty in urination, use Wu Ling San (Five-Ingredient Powder with Poria).
[Warming] Dang Gui Bai Zhu Tang (Angelica and Atractylodes Macrocephala Decoction), Gan Jiang Tang (Dried Ginger Decoction).