古今录验论曰∶饮酒则石势敷行经络,气力强溢,肾气坚王,即顿为阳事,阳事过多,
便肾虚,肾虚则上热。热盛则心下满,口干燥,饮随呕吐,胃腑不和,宜服葛根饮,安谷神
除热
又若热盛充满经络,心腹少胀,欲心下KT KT 不消,或时聚如坚,随复消者,宜服
秦艽汤
秦艽(三两细切) 以牛乳一大升煮,取一小升,去滓顿服之,得利即瘥,若老弱可量
气力
进之,其饮食亦宜清冷。不得浊热,浊热则使石势壅塞不行,喜呕吐,病坚结也,亦能发黄,
或小便赤,心坚痛者,亦宜服秦艽汤,得溏泄瘥,热气散后。黄色纵彻皮肤,是瘥候勿怪,
热
又若热解,寒不解者,可饮三合热酒使解。
又若寒解后,头重耳鸣,满眼漠漠,心下痛者,可饮二合许清酒便瘥,寒温宜依此法。
又若心下结硬,腹胀,大小便不利者,急服前胡大黄汤下之,法在下卷小便淋法中。
又若欲狂癖失常者,与白薇汤下之,法在下卷痰 干呕法中。
又若酒热歇,石热亦不复行,心下热结已消,黄纵未歇,亦无所苦,但冷冻饮料食,勿进辛
辣菜及热补食,若不欲进清冷者,可和暖饵,勿令大热。
又若饮热歇后,石势虚损,饮食入口,自觉诸脉中HT HT 如冷水入者,是酒石俱退,
经络
又若头眩,耳闻空中有人语,心怯恐惧,兼忧悸不安,四肢如痹,或起眠即辄惊,如被
虎野狼所逐,威势所摄者方。
服淡竹沥一二升,乃至三升瘥止,亦可进白薇汤下之,消息稍与令饮粥,常令有食力时
进鸡心酸枣汤。常令对偶安慰之,以美言相悦,慎不可以恶事惊之。
又鸡心酸枣汤,疗饮后阳多,肾虚发热,积日不食,胃中虚热,饮食不已,气入百脉,
心脏虚甚,令人失常法。(出古今录验)
鸡心(十枚) 酸枣(半升) 人参(一两) 茯神 芍药(各二两) 白薇 枳实(炙)
知母
上十一味切,以水一斗煮药半熟,内心煮,取三升,冷分三服。
《古今录验》论述说:饮酒后,酒石(酒精及其代谢产物)会敷布运行于经络之中,使气力强劲溢出,肾气坚固旺盛,从而导致阳事频繁。若房事过多,便会损伤肾气,肾虚则上部产生热象。热势亢盛会导致心下痞满、口舌干燥,饮水后随即呕吐,胃腑功能不和,适宜服用葛根饮,以安养谷气、消除神志烦热。
如果又出现热势亢盛充满经络,心腹部轻微胀满,想要心下痞结不消,或者有时聚集成坚硬块状,随后又消散的情况,适宜服用秦艽汤。
取秦艽(三两,细切),用一大升牛乳煎煮,浓缩至一小升,滤去药渣,一次性服下。服药后若出现腹泻症状,病即痊愈;若是年老体弱者,可根据体力酌情减量服用。饮食也应当清淡凉爽,不可食用浑浊温热之物。浑浊温热之物会使酒石壅塞阻滞而不行,容易导致呕吐,形成坚结之病,甚至可能发黄,或者小便颜色深红。若心下坚硬疼痛,也适宜服用秦艽汤,待大便溏泄,热气散尽后,病症即可痊愈。此时即使黄色遍布皮肤,也是疾病将愈的征候,不必惊慌。
如果又出现热象解除但寒象未解的情况,可以饮用三合热酒使其发散。
如果又出现寒象解除后,头部沉重、耳鸣,眼前模糊不清,心下疼痛的情况,可以饮用约二合清酒,病症即可痊愈。寒温调理应当依据此法。
如果又出现心下痞结坚硬、腹胀,大小便不通利的情况,应紧急服用前胡大黄汤攻下,具体方法见下卷“小便淋法”中。
如果又出现想要发狂、癖疾失常的情况,给予白薇汤攻下,具体方法见下卷“痰饮干呕法”中。
如果又出现酒热消退,酒石之热也不再运行,心下热结已经消除,黄疸虽未完全消退,但也无其他痛苦,只需食用冷冻饮料食物,不要进食辛辣菜肴及温热补益的食物。如果不愿进食清凉之物,可以调和温暖的食物服用,但不要过烫。
如果又出现饮用热酒后,酒石虚损,饮食入口时,自觉感觉各条经脉中有如冷水流入的感觉,这是酒石之气都已退去的表现。
如果又出现头晕目眩,耳朵听到空中有人说话,心中怯懦恐惧,兼有忧愁惊悸不安,四肢如同麻痹,或者起床睡觉时总是受惊,好像被老虎野狼追逐,受到威势摄持的情况。
服用淡竹沥一至二升,乃至三升,病愈即止。也可以服用白薇汤攻下,适当观察病情让其喝些粥,经常在有食欲时服用鸡心酸枣汤。常常让配偶陪伴安慰他,用美好的言语使他愉悦,千万不要用可怕的事情惊吓他。
另外,鸡心酸枣汤,治疗饮酒后阳气偏多,肾虚发热,多日不进食,胃中虚热,饮食不停,气入百脉,心脏极度虚弱,使人行为失常。(出自《古今录验》)
取鸡心(十个)、酸枣(半升)、人参(一两)、茯神、芍药(各二两)、白薇、枳实(炙)、知母。
以上十一味药材切碎,用水一斗煎煮药物至半熟,放入鸡心继续煎煮,取汁三升,冷却后分三次服用。
The *Gujin Luyan* states: After drinking alcohol, the "stone heat" (alcohol and its metabolites) spreads through the meridians, causing qi strength to overflow. The kidney qi becomes firm and vigorous, leading to frequent erections. Excessive sexual activity damages kidney qi; when kidney qi is deficient, heat arises in the upper body. When heat is excessive, it causes fullness below the heart, dry mouth and tongue, vomiting after drinking, and disharmony of the stomach fu. It is appropriate to take Gegen Yin (Kudzu Drink) to nourish grain qi and eliminate mental heat.
If heat is excessive and fills the meridians, with slight distension in the heart and abdomen, a sensation of persistent fullness below the heart that sometimes gathers into a hard mass and then dissipates, Qinjiao Tang (Gentian Decoction) is appropriate.
Take Qinjiao (3 liang, finely cut), boil in one sheng of beef milk until reduced to one sheng, strain, and take at once. If diarrhea occurs, the disease will heal. For the elderly or weak, adjust the dose according to physical strength. Diet should be clear and cool; turbid and hot foods must be avoided, as they cause the "stone heat" to become obstructed and stagnant, leading to vomiting and hard accumulations. This may also cause jaundice or dark red urine. If there is hardness and pain below the heart, Qinjiao Tang is also appropriate. Once loose stools occur and the pathogenic heat dissipates, the illness heals. Even if yellow discoloration covers the skin, this is a sign of recovery; do not be alarmed.
If the heat resolves but the cold remains, drink three he of warm wine to resolve it.
If after the cold resolves, there is heavy head, tinnitus, blurred vision, and pain below the heart, drink about two he of clear wine for recovery. Cold and warm conditions should be managed according to these methods.
If there is hardness and fullness below the heart, abdominal distension, and difficulty in urination and defecation, urgently administer Qianhu Dahuang Tang (Peucedanum and Rhubarb Decoction) to purge. See the lower volume under "Methods for Strangury."
If there is a tendency toward mania or abnormal behavior due to phlegm-heat, administer Baiwei Tang (Cynanchum Atratum Decoction) to purge. See the lower volume under "Methods for Phlegm-Dry Vomiting."
If the wine-heat subsides and the "stone heat" no longer circulates, and the heat accumulation below the heart has dissipated, even if jaundice persists without discomfort, one should consume chilled drinks and foods. Avoid spicy dishes and warming tonics. If one does not wish to eat cool foods, warm them slightly, but do not make them too hot.
If after drinking hot wine, the "stone heat" becomes deficient, and upon swallowing food, one feels as if cold water is entering the meridians, this indicates that both the wine and stone heat have retreated.
If there is dizziness, auditory hallucinations (hearing voices in the air), timidity, fear, anxiety, palpitations, limb numbness, or sudden fright upon waking or sleeping, feeling as if chased by tigers or wolves, or oppressed by a menacing aura:
Administer Danzhuli Ye (Bamboo Sap) one to two sheng, up to three sheng, until the illness ceases. Alternatively, administer Baiwei Tang to purge. Observe the condition and allow porridge consumption. Frequently administer Jixin Suanzao Tang (Chicken Heart and Sour Jujube Decoction) when appetite returns. Ensure companionship and comfort from a spouse, using pleasant words to soothe. Do not startle with frightening events.
Furthermore, Jixin Suanzao Tang treats post-drinking excess yang, kidney deficiency with fever, prolonged anorexia, empty heat in the stomach, constant desire for food, qi entering the hundred vessels, extreme heart deficiency, and resulting behavioral abnormalities. (From *Gujin Luyan*)
Ingredients: Chicken hearts (10 pieces), Suanzaoren (Semen Ziziphi Spinosae, half sheng), Renshen (Radix Ginseng, 1 liang), Fushen (Poria Cum Radix), Shaoyao (Radix Paeoniae Alba, 2 liang each), Baiwei (Radix Cynanchi Atrati), Zhishi (Fructus Aurantii Immaturus, roasted), Zhimu (Radix Anemarrhenae).
Cut the above eleven ingredients. Boil in ten dou of water until half-cooked, add chicken hearts, and continue boiling until three sheng of liquid remain. Cool and divide into three doses.