卫生散 十全大补汤 托里温中汤 六味地黄丸 阳燧锭子 离宫锭子 加减八味丸 补中益
气汤(俱见首卷) 大防风汤(见股部) 蟾酥饼(见疔疮门)
肉之大会为谷。肉之小会为溪。溪谷之会。以行荣卫。以会大气。邪溢气壅。血热肉败。荣卫不行。必将为
脓。内消骨髓。外破大 。(言热也热则筋弛) 积气留舍。荣卫不养。肉缩筋挛。肘不得伸。(言寒也寒
则筋挛) 内为骨痹。外为不仁。命曰大寒留于溪谷也。(谷者臀也。溪者二肘二膝四腕也。)
五脏有邪。留于四肢节。经曰。心肺有邪。其气留于两肘。肝有邪。其气留于两股。脾有邪。其气留于两髀。
肾有邪。其气留于两膝。又曰。脾病在溪。
此系头面小疵。及眼耳口鼻喉舌等部位。因其症治多岐。不可紊乱于大毒之内。故另立之以便检阅。
头痛头疯。多由风火湿痰四气所致。或因梅毒上攻。及妇人产后当风。梳洗太早。并宜天麻饼子。新久
悉效。及鱼鳔散、无忧散。俱可选用。若头仰视深者危。里痛摇头者重。头痛连脑手足冷者死。脉则浮滑
易愈。短涩难医。再如头痛发热气喘。而左手脉大于右手者。虚也。速用参、 、归、术、陈皮、甘草。加大附子。
佐以茯苓、芍药数剂。大汗而愈。若以右大为内伤。左大为外感。宁不误耶。
天麻饼子 治头痛头风。及头目昏眩。项背拘急。肢体烦痛。肌肉蠕动。耳鸣鼻塞。皮肤顽麻。瘙痒瘾疹。
又治妇人头风。眉棱骨痛。牙齿肿痛。痰逆恶心等症。
天麻 川芎 细辛 苍术 防风 白芷 薄荷 甘松 白附子 甘草 草乌 川乌(二乌汤泡去皮各五钱)
全蝎(三钱)
食面打糊为丸。菀豆大。捻作饼子。每服二十三饼。食后细嚼。葱汤送下。火热痰痛。茶清送下。甚者日
进二服。忌诸般发物。
鱼鳔散 治八般头风。
鱼鳔(用裙带者剪碎用 麻煎碎同炒胖透去麻)
为末。每服三钱。卧时葱酒调服。日轻夜重者。血虚头痛也。用当归一两。酒二钟。煎一钟。调服。
梅毒头痛目肿者。用本门汤药内调服。
蠲痛无忧散 治偏头痛立验。(方见诸痛门)
卫生散、十全大补汤、托里温中汤、六味地黄丸、阳燧锭子、离宫锭子、加减八味丸、补中益气汤(均见于首卷)、大防风汤(见于股部章节)、蟾酥饼(见于疔疮门章节)。
肌肉丰隆汇聚之处称为“谷”。肌肉细小汇聚之处称为“溪”。“溪”与“谷”的交会处,用于运行营气与卫气,并汇聚宗气。若邪气充溢、气机壅滞,导致血热肉腐,营卫运行受阻,必然化生为脓液,向内侵蚀骨髓,向外破溃皮肤。(此处指热邪:热则筋脉弛缓)若积气停留不去,营卫无法濡养组织,导致肌肉萎缩、筋脉拘挛,肘部不能伸展。(此处指寒邪:寒则筋脉拘急)在内表现为骨痹,在外表现为麻木不仁,这被称为大寒留滞于溪谷之中。(注:“谷”指臀部,“溪”指双侧肘部、双侧膝部及双侧腕部。)
五脏若有邪气滞留,会停留在四肢关节。医经记载:心肺有邪,其气滞留于两肘;肝有邪,其气滞留于两股(大腿);脾有邪,其气滞留于两髀(大腿内侧或臀部);肾有邪,其气滞留于两膝。又说:脾病反映在“溪”。
这些属于头面部的轻微疾患,以及眼、耳、口、鼻、喉、舌等部位的病症。因为它们的症状和治疗原则多种多样,不可与使用大毒药物的重症混淆而致混乱,所以单独设立此章以便查阅。
头痛和头风,多由风、火、湿、痰四种邪气所致。也可能因梅毒上攻,或妇人产后受风、过早梳洗等原因引起。这些情况都适宜使用天麻饼子,无论新病久病均有效。此外,鱼鳔散、无忧散也可酌情选用。如果头痛时头部仰视且深陷者,病情危重;内部疼痛且摇头者,病情严重;头痛连及脑部且手足冰冷者,预后不良(死证)。脉象浮滑者易愈,脉象短涩者难治。又如头痛发热伴气喘,且左手脉大于右手脉的,属于虚证。应迅速使用人参、[缺字,推测为黄芪或白术]、当归、白术、陈皮、甘草,加大附子,佐以茯苓、芍药,服用数剂后大汗出而痊愈。如果认为右脉大为内伤,左脉大为外感,岂不是误诊吗?
天麻饼子:治疗头痛、头风,以及头目昏眩、项背部拘急僵硬、肢体烦痛、肌肉跳动、耳鸣鼻塞、皮肤顽麻、瘙痒瘾疹等症状。又治疗妇女头风、眉棱骨痛、牙齿肿痛、痰逆恶心等症。
药材组成:天麻、川芎、细辛、苍术、防风、白芷、薄荷、甘松、白附子、甘草、草乌、川乌(二乌用汤浸泡去皮,各五钱)、全蝎(三钱)。
制法与用法:用面食打糊制成丸药,大小如菟丝子,捻成饼状。每次服用二十三饼,饭后细细咀嚼,葱汤送服。若是火热痰痛,用茶清送服。病情严重者每日进服两次。忌食各种发物。
鱼鳔散:治疗八种头风。
药材组成:鱼鳔(使用裙带部分的剪碎,用麻煎煮至碎烂同炒至膨胀透熟,去麻)。
制法与用法:研为细末。每次服用三钱,睡前用葱酒调服。若症状日轻夜重,属于血虚头痛。可用当归一两,酒二钟,煎至一钟,调服。梅毒引起的头痛目肿者,在本门汤药内调服。
Weisheng San (Hygiene Powder), Shiquan Dabu Tang (Decoction for Tenfold Tonification), Tuoli Wenzhong Tang (Decoction for Supporting the Interior and Warming the Middle), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Yangsui Dingzi (Sun-Forging Cylindrical Medicament), Ligong Dingzi (Palace-of-the-South Cylindrical Medicament), Jiaban Bawei Wan (Modified Eight-Ingredient Pill), Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) (all see Volume 1), Dafangfeng Tang (Decoction for Great Protection against Wind) (see Thigh Section), Chansu Bing (Toad Venom Cake) (see Carbuncle and Furuncle Section).
The convergence of large masses of muscle is called "Gu" (Valley). The convergence of small masses of muscle is called "Xi" (Stream). The intersection of Xi and Gu serves to circulate Ying-Qi (Nutritive Qi) and Wei-Qi (Defensive Qi), and to gather Zong-Qi (Gathering Qi). If pathogenic factors overflow and Qi becomes stagnant, blood heat causes flesh to rot, Ying-Qi and Wei-Qi fail to circulate, and pus will inevitably form. It may erode bone marrow internally and rupture the skin externally. (This refers to Heat: Heat causes sinews to relax.) If accumulated Qi remains lodged, Ying-Qi and Wei-Qi fail to nourish the tissues, leading to muscle atrophy and sinew contraction, with inability to extend the elbow. (This refers to Cold: Cold causes sinews to contract.) Internally it manifests as Bone Bi (Bone Obstruction), externally as numbness and insensitivity. This is termed "Great Cold lingering in the Xi and Gu." (Note: "Gu" refers to the buttocks; "Xi" refers to the bilateral elbows, knees, and wrists.)
When pathogenic factors reside in the Five Zang Organs, they linger in the joints of the four limbs. The Classics state: When the Heart and Lung have pathogenic factors, their Qi lingers in the two elbows; when the Liver has pathogenic factors, its Qi lingers in the two thighs; when the Spleen has pathogenic factors, its Qi lingers in the two Pi (thighs/buttocks); when the Kidney has pathogenic factors, its Qi lingers in the two knees. It is also said: Spleen disease manifests in the Xi.
These are minor ailments of the head and face, as well as conditions affecting the eyes, ears, mouth, nose, throat, and tongue. Because their symptoms and treatments are diverse, they should not be confused with those treated using highly toxic substances. Therefore, this section is established separately for ease of reference.
Headache and Toufeng (Wind attacking the head) are mostly caused by the four pathogens of Wind, Fire, Dampness, and Phlegm. They may also result from Syphilis attacking upwards, or from women catching wind postpartum, or washing/combing hair too early. Tianma Bingzi (Gastrodia Cake) is suitable for these cases, effective for both acute and chronic conditions. Yubiao San (Fish Maw Powder) and Wuyou San (Worry-Free Powder) can also be selected. If the head looks upward deeply, the condition is critical; if there is internal pain accompanied by shaking the head, the condition is severe; if headache radiates to the brain with cold hands and feet, the prognosis is fatal. A floating and slippery pulse indicates easy recovery; a short and choppy pulse indicates difficult treatment. For example, headache with fever and panting, where the left hand pulse is larger than the right, indicates Deficiency. Quickly use Ren Shen (Ginseng), [missing character, likely Huangqi/Astragalus or Baizhu/Atractylodes], Dang Gui (Angelica Sinensis), Bai Zhu (Atractylodes Macrocephala), Chen Pi (Tangerine Peel), Gan Cao (Licorice), add Fu Zi (Aconite), and assist with Fu Ling (Poria) and Shao Yao (Peony). After several doses, profuse sweating will lead to recovery. If one assumes that a larger right pulse indicates Internal Injury and a larger left pulse indicates External Contraction, would this not be a misdiagnosis?
Tianma Bingzi (Gastrodia Cake): Treats headache, Toufeng, dizziness and vertigo of the head and eyes, stiffness and tension of the neck and back, restlessness and pain in the limbs, muscle twitching, tinnitus, nasal congestion, skin numbness, itching, and urticaria. Also treats female Toufeng, pain in the supraorbital ridge, swollen and painful teeth, rebellious Phlegm, and nausea.
Ingredients: Tian Ma (Gastrodiae Rhizoma), Chuan Xiong (Chuanxiong Rhizome), Xi Xin (Asari Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma), Fang Feng (Saposhnikoviae Radix), Bai Zhi (Angelicae Dahuricae Radix), Bo He (Menthae Haplocalycis Herba), Gan Song (Nardostachyos Radix et Rhizoma), Bai Fu Zi (Typhonii Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cao Wu (Aconiti Kusnezoffii Radix), Chuan Wu (Aconiti Carmerichaelii Radix) (Soak Cao Wu and Chuan Wu in decoction, remove skin, each 5 qian), Quan Xie (Scorpio) (3 qian).
Preparation and Administration: Make pills using wheat flour paste, size like Vicia faba seeds, shape into cakes. Take 23 cakes per dose, chew thoroughly after meals, swallow with Scallion Decoction. For Heat-Fire and Phlegm pain, swallow with Tea Clearing. Severe cases take twice daily. Avoid all triggering foods.
Yubiao San (Fish Maw Powder): Treats eight types of Toufeng.
Ingredients: Yu Biao (Ichthyosbladder Colla) (Use the skirt part, cut into pieces, boil with Hemp until broken down, stir-fry together until puffed and cooked through, remove Hemp).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mix with Scallion and Wine before sleep. If symptoms are lighter during the day and heavier at night, it is Headache due to Blood Deficiency. Use Dang Gui (Angelicae Sinensis Radix) 1 liang, Wine 2 zhong, decoct to 1 zhong, mix and take. For headache and eye swelling caused by Syphilis, take mixed within the herbal decoctions of this section.
Juan Tong Wu You San (Pain-Relieving Worry-Free Powder): Treats migraines with immediate effect. (Formula details see Pain Section)