此乃伤寒之变〔症〕也。伤寒邪火正炽，不可急与饮食，饮食而成此症者，急须用栝蒌
一枚
病患服之，不畏其虚乎！不知结胸之症，是食在胸中，非大黄、枳壳、槟榔、浓朴所能祛逐，
必
心乃神明之君，一毫邪气不可干犯，犯则立死。经年累月而痛，邪犯心包络也，但邪有
寒热
苍术（二钱） 白术（五钱） 当归（一两） 肉桂（一钱） 良姜（一钱）〔水煎服〕
此方治寒邪犯包络也。
如热邪犯包络，见水喜悦，手按之而转痛也。方用∶
白芍（一两） 黑栀子（三钱） 当归（三钱） 生地（五钱） 陈皮（八分） 甘草
（一钱） 水煎服
寒热二症，皆责之于肝也。盖肝属木，心属火，木衰不能生火，则包络寒矣，是宜补肝
而邪
人病不能饮食，或饮食而不消化，作痛作满，或兼吐泻，此肝木来克脾土也。方用∶
白芍（二钱） 当归（二钱） 茯苓（二钱） 柴胡（二钱） 白芥子（一钱） 甘草
（一钱）
有火加栀子二钱，无火加肉桂二钱，水煎〔服〕。此方再加白术三钱（《傅青主男科》无
此句），有食加山楂三钱，伤米食加枳壳一钱，有痰加半夏一钱，有火能散，有寒能驱，此
右病而左治之一法也。
有腹痛不可忍，按之愈痛，口渴饮凉水则痛止。少倾依然大痛，此火结在大小肠，若不
急治
栀子（三钱） 茯苓（一两） 白芍（五钱） 苍术（三钱） 大黄（一钱） 浓朴（一
钱） 甘草（一
此方舒肝经之气，泻火逐瘀。
这是伤寒病演变而来的病症。当伤寒的邪火正旺盛时，不能急于给予饮食，若因饮食不当而引发此症，必须急用一枚栝蒌让病患服用，难道还担心其体虚吗？不知道结胸这一病症，是因为食物停滞在胸中，并非大黄、枳壳、槟榔、厚朴所能祛除，必定要……
心是神明之君主，一丝一毫的邪气都不可侵犯，一旦侵犯就会立即死亡。疼痛经年累月，是因为邪气侵犯了心包络，但邪气有寒热之分。
苍术（二钱） 白术（五钱） 当归（一两） 肉桂（一钱） 良姜（一钱）〔水煎服〕
此方治疗寒邪侵犯心包络。
如果是热邪侵犯心包络，表现为见到水就高兴，用手按压反而更痛。方剂用：
白芍（一两） 黑栀子（三钱） 当归（三钱） 生地（五钱） 陈皮（八分） 甘草（一钱） 水煎服
寒证和热证这两种症状，都要归责于肝。因为肝属木，心属火，木气衰弱不能生助心火，则心包络就会受寒，因此应当补肝以驱散邪气。
人患病后不能进食，或者进食后不消化，出现疼痛和胀满，或者兼有呕吐腹泻，这是肝木来克制脾土。方剂用：
白芍（二钱） 当归（二钱） 茯苓（二钱） 柴胡（二钱） 白芥子（一钱） 甘草（一钱）
体内有火加栀子二钱，无火加肉桂二钱，水煎服。此方再加白术三钱（《傅青主男科》中没有这句话），有积食加山楂三钱，伤米食加枳壳一钱，有痰加半夏一钱，此方能散火驱寒，这是“治右病而左治”的一种方法。
如果有腹痛剧烈难以忍受，按压时疼痛加剧，口渴喝凉水则疼痛停止。过了一会儿依然剧烈疼痛，这是因为火邪结聚在大肠和小肠，如果不紧急治疗……
栀子（三钱） 茯苓（一两） 白芍（五钱） 苍术（三钱） 大黄（一钱） 厚朴（一钱） 甘草（一钱）
此方舒展肝经之气，泻火逐瘀。
This is a variation of the Shanghan (Cold Damage) disease. When the pathogenic fire of Shanghan is at its peak, one must not hastily provide food and drink; if this condition arises due to improper diet, it is urgent to administer one Gualou Fruit (Trichosanthis Fructus) for the patient to take. Would one not fear that this might weaken the patient? One fails to realize that in the syndrome of Jie Xiong (Chest Binding), where food is stuck in the chest, herbs such as Dahuang (Rhei Radix et Rhizoma), Zhike (Aurantii Fructus), Binglang (Arecae Semen), and Houpo (Magnoliae Officinalis Cortex) cannot expel it. It is necessary...
The Heart is the sovereign ruler of the Spirit (Shen). Not even a trace of pathogenic factor should invade it; if invaded, death occurs immediately. Pain persisting for years indicates that the pathogen has invaded the Pericardium (Xin Bao Luo). However, pathogens can be either cold or hot.
Cangzhu (2 qian) Baizhu (5 qian) Danggui (1 liang) Rougui (1 qian) Liangjiang (1 qian) [Decoct in water and take orally]
This formula treats Cold Pathogen invading the Pericardium.
If Heat Pathogen invades the Pericardium, symptoms include joy upon seeing water and increased pain upon palpation. The formula used is:
Baishao (1 liang) Hei Zhizi (3 qian) Danggui (3 qian) Shengdi (5 qian) Chenpi (8 fen) Gancao (1 qian) [Decoct in water and take orally]
Both the cold and heat syndromes are attributed to the Liver. Since the Liver belongs to Wood and the Heart to Fire, when Wood Qi is deficient and fails to generate Fire, the Pericardium becomes cold. Therefore, one should tonify the Liver to dispel the pathogen.
When a patient suffers from inability to eat, or indigestion after eating, leading to pain and fullness, or accompanied by vomiting and diarrhea, this is Liver Wood overacting on Spleen Earth. The formula used is:
Baishao (2 qian) Danggui (2 qian) Fuling (2 qian) Chaihu (2 qian) Baijiezi (1 qian) Gancao (1 qian)
Add Zhizi (2 qian) if there is internal heat; add Rougui (2 qian) if there is no heat. Decoct in water and take orally. Add Baizhu (3 qian) to this formula (omitted in *Fu Qingzhu's Andrology*); add Shanzha (3 qian) for food stagnation; add Zhike (1 qian) for rice food injury; add Banxia (1 qian) for phlegm. This formula can disperse heat and drive out cold. This is a method of "treating the right pathology by addressing the left."
If abdominal pain is unbearable, worsens with pressure, and thirst is relieved by drinking cold water which stops the pain, but severe pain returns shortly after, this is Fire Pathogen binding in the Large Intestine and Small Intestine. If not treated urgently...
Zhizi (3 qian) Fuling (1 liang) Baishao (5 qian) Cangzhu (3 qian) Dahuang (1 qian) Houpo (1 qian) Gancao (1 qian)
This formula soothes the Qi of the Liver Meridian, clears heat, and expels stasis.