论曰∶经言脉有阴跷阳跷,有阴搏阳搏,此在三阴位也,脉足太阴,脾脉也。脾为中州
,含藏阳气,压本脉者矣,若人之和平,则脾能行阳气,暖其三阴。三阴暖则足能舒适,若
脾虚不能含藏,则地气渐泄,阳上腾则三阴坚塞,足便冷也。或有踵缓急不仁者,则加之
以肾肝之气不足,使少阴厥阴之阙也。所以足无载运之功,而不能跷捷其力,是阴搏其阳,
此由脏虚所生,阳气伤狂,而阴不能独理,有因发热口噤,及腋下热不可近者。即三阳伤盛
之所致也,况服石增热,餐HT 失度,在阴为疹,可外温其足,内置阳气于三阴则愈也。
在阳
疗两脚卒冷方。
以醋浆温置盆中以浸脚,即瘥。
又疗口噤,气上欲绝方。
蔓菁子(二升) 茯苓(三两) 蓼蓝子 人参 荠 甘草(炙) 黄芩 白术(各
一两)
上八味切,以水二斗煮蔓菁子,取八升,去滓内余药煮,分服,若口噤以物 之,即瘥。
又疗两腋热不得相近方。
滑石(一斤) 寒水石(三斤) 芒硝(一斤)
上三味捣散,取绢一尺,分作袋盛散药,结口,更互于腋下夹之勿住,取凉冷止。
论曰∶五形之人,其性各别,则土形之人,骨耸气清,水形之人,体薄气长,木形之人,
筋
必速应也,凡土火二形人,性躁气高,而肥盛多火气,若更服石。益之于炎,物盛必衰,自
焚之名也,若觉祸发,速宜下之,只如固疾之人服石者,病气久强,石热尚薄,不能破其病
。但增其热,亦能损人,若热不济者,亦可速下,自余形人服之者,如有发动,但以石投之
,自然而瘥,不可见小热即求大冷,为山九仞,终亏一篑,医者,意也。详而行之。(臣亿
等按论中五形少金别无本校今阙)
蜂房饮,解石余方。
露蜂房(三两)
上一味,以水三升,煮取一升,去滓,顿服,不定,三五日更服,如热闷服后方。(千
金翼疗石发热困苦宜下石方露蜂房一升切以水二升煮取一升一服五六合日三服石从小便下如
细沙尽停无所忌)
又下石方。
葛根 紫草(各八两) 犀牛角(十二两屑) 露蜂房(十两炙) 芒硝 大黄(各二
两) 荠
人参(各七两) 玄参 甘草(炙) 银屑 (细研各四两) 猪脂(十二两腊月者)
上十二味,以无灰酒渍经十日,其猪脂用酒一升,煎取脂三两,取银屑和研,内药中,
每日
有升
三两
又疗散发不可堪忍,欲下之方。
肥猪肉(五斤) 葱白 薤白(各半斤)
上三味并捣研,合器中蒸之,令熟,早朝啖之,尽为度。
又疗虽服乳石等,而常患冷,此由不先服泻汤,而服石等。以其病药各在一处,丹石不
行则病,所以依旧患冷,宜依此法泻之,冷自瘥,石势行方。
人参 茯苓 干地黄 当归 桔梗 甘草(炙) 芍药(各二两) 大黄(四两)
上八味切,以水三升,煮取一升二合,去滓分服之。
论说:医经中提到脉象有阴跷、阳跷之分,有阴搏、阳搏之候,这些脉象变化主要反映在三阴经的部位。足太阴脉属于脾脉。脾位居中焦,如同大地之中,负责含藏和输布阳气。如果人体处于平和状态,脾就能运行阳气,温暖三阴经。三阴经得到温暖,双足就会感到舒适;若脾气虚弱,不能含藏阳气,则地气(阴寒之气)逐渐外泄,阳气上浮导致三阴经阻滞不通,双脚便会发冷。有的人脚跟松弛或拘急、感觉迟钝麻木,这是因为兼有肾气和肝气不足,导致少阴经和厥阴经的功能阙如。因此,双足失去承载和运化的功能,无法表现出轻捷有力的能力,这就是“阴搏其阳”的现象,这是由于内脏虚损所致。阳气受损而紊乱,阴气又不能独自调理,从而出现发热、牙关紧闭(口噤),以及腋下热得让人无法靠近的症状。这是三阳经邪气盛实所导致的。况且,服用石药会增加体内热势,饮食起居失于节制,病邪在阴分表现为疹块等症。此时可以外部温熨双足,内部补益三阴经的阳气,疾病即可痊愈。
治疗两脚突然发冷的方剂。
用醋浆水温热后放入盆中浸泡双脚,病即痊愈。
又治疗牙关紧闭,气逆欲绝的方剂。
蔓菁子(二升)、茯苓(三两)、蓼蓝子、人参、荠苨、甘草(炙)、黄芩、白术(各一两)。
以上八味药切碎,用水二斗煮蔓菁子,取汁八升,滤去药渣,加入其余药物继续煎煮,分次服用。若牙关紧闭,可用器具撬开灌服,病即痊愈。
又治疗双侧腋下发热、令人难以靠近的方剂。
滑石(一斤)、寒水石(三斤)、芒硝(一斤)。
以上三味药捣碎成散剂,取一尺长的绢布,分成小袋装入散药,扎紧袋口,交替夹在腋下,不要取下,直到感到凉冷为止。
论说:五种体质类型的人,其性情各不相同。土形之人,骨骼高耸,气息清朗;水形之人,身体单薄,气息绵长;木形之人,筋脉必然迅速反应。凡是土形和火形的人,性情急躁,气息高亢,且肥胖多火气。如果再服用石药,犹如火上浇油,物极必衰,这被称为“自焚”。如果觉得祸患即将发作,应当迅速使用下法攻逐。就像原本患有痼疾的人服用石药,病气长久强盛,石药的燥热尚浅,不能破除痼疾,只会增加热势,也能损害人体。如果热势不严重,也可以迅速使用下法。其他体质类型的人服用石药后,如果病情发动,只需投以石药解毒之法,自然痊愈。不可见到轻微的热象就追求大寒之药,因为堆九仞高的山,只差一筐土就会失败。医者,在于意会。详细地施行这种方法。(臣亿等按:论述中的五形缺少金形,别无他本可校,今已缺漏。)
蜂房饮,解除石药余毒的方剂。
露蜂房(三两)。
以上一味药,用水三升,煎取一升,滤去药渣,一次性服下。若不愈,三五日后再服。如果感到烦热闷乱,服用后面的方剂。(《千金翼方》治疗石药发热困苦适宜下石的方剂:露蜂房一升切碎,用水二升煎取一升,每次服五六合,每日三次。石药从大小便排出,如细沙一样,完全停止后无所禁忌。)
又一下石方。
葛根、紫草(各八两)、犀牛角(十二两,锉屑)、露蜂房(十两,炙)、芒硝、大黄(各二两)、荠苨、人参(各七两)、玄参、甘草(炙)、银屑(细研)、猪脂(十二两,腊月者)。
以上十二味药,用无灰酒浸泡十天。其中猪脂用酒一升,煎取脂液三两,将银屑混合研磨,加入药液中。每日服用……(原文此处有残缺,推测为剂量或用法描述,依文意译为:每日适量服用)。
又治疗散发石毒难以忍受,想要下石的方剂。
肥猪肉(五斤)、葱白、薤白(各半斤)。
以上三味药一起捣烂研磨,放入容器中蒸熟,早晨食用,以吃完为度。
又治疗虽然服用了乳石等药,但常患寒冷之症。这是由于没有先服用泻汤,就直接服用了石药。因为病邪与药力各在一处,丹石药力不行,所以依然患冷。应当依照此法泻下,寒冷自然痊愈,石势才能通行。
人参、茯苓、干地黄、当归、桔梗、甘草(炙)、芍药(各二两)、大黄(四两)。
以上八味药切碎,用水三升,煎取一升二合,滤去药渣,分次服用。
Commentary: The classics state that there are pulses of Yin Qiao and Yang Qiao, and pulses of Yin Bo and Yang Bo; these occur in the positions of the Three Yin meridians. The pulse of the foot Taiyin belongs to the Spleen meridian. The Spleen resides in the Central Region (Zhongzhou), containing and storing Yang Qi. If a person is in a state of harmony, the Spleen can circulate Yang Qi and warm the Three Yin meridians. When the Three Yin meridians are warm, the feet feel comfortable. If the Spleen is deficient and cannot contain Yang Qi, Earth Qi (Yin-Cold) gradually leaks out, Yang Qi floats upward causing blockage in the Three Yin meridians, and the feet become cold. Some individuals have heels that are loose or stiff, lacking sensation, which is compounded by insufficiency of Kidney and Liver Qi, creating a deficiency in the Shaoyin and Jueyin meridians. Therefore, the feet lose their function of bearing and transporting, and cannot exhibit agility; this is "Yin Bo affecting Yang," arising from visceral deficiency. Yang Qi is injured and chaotic, while Yin Qi cannot regulate alone, leading to fever, trismus (lockjaw), and heat in the axillae that makes them intolerable to touch. This is caused by the excess of the Three Yang meridians. Moreover, taking mineral drugs increases internal heat, and improper diet exacerbates the condition. Pathogens in the Yin aspect manifest as rashes. One may externally warm the feet and internally tonify Yang Qi in the Three Yin meridians for recovery.
Formula for treating sudden coldness in both feet.
Place vinegar slurry in a basin, warm it, and soak the feet until cured.
Another formula for treating trismus with Qi rebellion approaching exhaustion.
Brassica rapa var. nipposinica seeds (2 sheng), Poria (3 liang), Polygonum tinctorium seeds, Ginseng, Rhizoma Coptidis (Note: Text says 'Qi', likely referring to 荠苨 Rhizoma Adenophorae or similar, but literal translation used here as per text constraint, though context implies medicinal herb), Prepared Licorice Root, Scutellaria Root, Atractylodes Macrocephala Rhizome (1 liang each).
Cut the above eight herbs. Decoct the Brassica rapa var. nipposinica seeds in 2 dou of water to obtain 8 sheng of liquid. Remove the dregs, add the remaining herbs, and decoct further. Divide into doses. If trismus occurs, pry open the mouth with an instrument and administer the medicine; the patient will recover.
Another formula for treating heat in both axillae that is intolerable.
Talcum (1 jin), Halloysitum Rubrum (3 jin), Mirabilite (1 jin).
Pulverize the above three substances. Take one chi length of silk cloth, divide it into bags, fill with the powder, tie the mouths, and alternately clamp between the axillae without removing, until coolness is achieved.
Commentary: People of the five elemental constitutions have distinct natures. Those of the Earth constitution have prominent bones and clear Qi; those of the Water constitution have thin bodies and long Qi; those of the Wood constitution have tendons that respond rapidly. Generally, people of the Earth and Fire constitutions are irritable with high Qi, and being obese, they possess excessive Fire Qi. If they take mineral drugs, it adds fire to flame, leading to decline when things reach extremity, a condition named "self-burning." If one feels disaster striking, one should quickly use purgation. For those with chronic diseases who take mineral drugs, the pathogenic Qi has been strong for a long time, and the heat of the minerals is superficial, unable to break the disease but only increasing heat and harming the body. If the heat is not severe, quick purgation is also suitable. For other constitutions taking these drugs, if symptoms arise, simply administering mineral-drug antidotes will naturally lead to recovery. Do not seek extreme cold remedies for slight heat, for building a mountain nine ren high fails if one basket of earth is missing. Medicine lies in understanding. Practice this carefully. (Min Yi et al. note: The discussion on five constitutions lacks Metal; no other editions exist for collation, so it is currently omitted.)
Beehive Drink, a formula to resolve residual effects of mineral drugs.
Wild Bee's Nest (3 liang).
Decoct the single herb in 3 sheng of water to obtain 1 sheng. Remove dregs and take in one dose. If not cured, take again after three to five days. If feeling hot and stifled, take the following formula. (Qianjin Yifang treats distressing fever from mineral drugs suitable for purging minerals: Wild Bee's Nest 1 sheng, cut. Decoct in 2 sheng of water to obtain 1 sheng. Take 5-6 he per dose, three times daily. Minerals pass through urine like fine sand. Stop when complete; no dietary restrictions.)
Another formula for purging minerals.
Pueraria Root, Arnebia Root (8 liang each), Rhinoceros Horn (12 liang, shaved), Wild Bee's Nest (10 liang, prepared), Mirabilite, Rhubarb (2 liang each), Rhizoma Adenophorae, Ginseng (7 liang each), Scrophularia Root, Prepared Licorice Root, Silver Shavings (finely ground), Pig Fat (12 liang, from December).
Soak the above twelve herbs in non-grain alcohol for ten days. Use 1 sheng of alcohol to decoct the pig fat to obtain 3 liang of fat. Mix with silver shavings and grind, then add to the medicinal mixture. Take daily... [Text fragment].
Another formula for unbearable scattered mineral toxicity requiring purgation.
Fatty Pork (5 jin), White Part of Green Onion, Allium macrostemon Bulb (0.5 jin each).
Pound and grind the above three ingredients together. Steam in a vessel until cooked. Eat in the morning until finished.
Another treatment for those who have taken milk stones etc., but constantly suffer from cold. This is because laxative decoctions were not taken first before taking stones. Since the disease and medicine are separated, the Dan-Shi (mineral drug) power does not circulate, hence the persistent cold. One should purge according to this method; the cold will heal, and the mineral power will circulate.
Ginseng, Poria, Rehmannia Root (Dried), Angelica Sinensis, Platycodon Root, Prepared Licorice Root, Peony Root (2 liang each), Rhubarb (4 liang).
Cut the above eight herbs. Decoct in 3 sheng of water to obtain 1.2 sheng. Remove dregs and divide into doses.