中寒脉紧者。阴阳俱盛。法当无汗。有汗伤命。
一论中寒卒倒。昏迷不省者。先用热酒、姜汁各半盏灌服。稍醒后。进理中汤。(方见
于后)
一论真阴症。四肢厥冷。腹痛如锥。胀急。服大附姜桂壮火。此中焦寒冷之症。宜急灸
脐上二穴。脐下一穴。脐左右两穴。每七壮。即效。
一论四肢浑身冷极。唇青。厥冷无脉。阴囊缩者。宜急用葱熨法。并艾灸脐中。与气海
开元二三十壮。
一论三阴中寒。一切虚冷厥逆。呕哕。阴盛阳虚。及阴毒伤寒。四肢厥冷。脐腹刺痛。
咽痛呕吐。下利。身背强。自汗流。脉沉细。唇青面黑。诸虚寒等症。宜用
葱熨法
葱(细切) 麦麸(各三升) 盐(二升)
上用水和匀。分作二次。炒令极热。用重绢包之。乘热熨脐上。冷更易一包。其葱包既
冷。
再用水润湿炒焦。根据前用之。至糜烂不用。别取葱麸。日夜熨之勿住。如大小便不通。用此
亦可以行其势矣。
一论五脏中寒。口噤失音。四肢强直。兼胃脘停痰。冷气刺痛。又治脏毒下寒。泄痢腹
胀。大便或黄或白。或青黑。或有清谷。宜此方。
理中汤
人参(三钱) 白术(二钱去芦炒) 干姜(一钱) 甘草(一钱炒)
上锉一剂。生姜三片。枣一枚。水煎。热服。如寒冷之甚。加大附子面裹煨去皮脐一钱
名附子理中汤。苦寒。加干姜五分。腹痛去白术。加附子一钱。
一中寒。脉虚而微细。躁热烦渴。可煎理中汤。水中浸冷服之。不可热服。用寒凉之药
服之决死。
一论中寒怕寒。身凉四肢厥冷。腹痛吐泻。无脉者。此寒中阴经也。宜服此方。
回阳急救汤
人参(三钱) 白术(二钱去芦炒) 白茯苓(三钱) 陈皮(一钱五分) 半夏(二钱) 肉桂
(八分) 大附子(八分炮去脐) 五味子(三分) 甘草(八分) 干姜(八分)
上锉。生姜煎服。无脉。加猪胆汁一匙。
一论中寒。外感寒邪。头疼身痛。内伤生冷。肚腹胀痛。表里皆中寒邪也。宜此方。
五积散
白芷 陈皮 浓朴(姜炒) 桔梗 枳壳(去穣麸炒) 川芎 白芍(酒炒) 白
茯苓(去皮) 苍术(米泔浸) 当归(酒洗) 半夏(汤泡各一钱) 干姜 官桂(各五分)
麻黄(八分) 甘草(三分)
上锉。姜、枣煎。热服。
一治阴毒伤寒。面青心硬。四肢冷。
正阳散
大附子(八分) 干姜(八分) 甘草(八分) 麝香(一厘) 皂荚(一钱) 引入厥阴经也
上锉。水煎。热服。
中寒证见脉象紧的,是阴阳之气都亢盛的表现。按照常规应当无汗,如果出汗则会损伤生命。
有一种论述关于中寒突然昏倒、昏迷不醒的情况,先用热酒和姜汁各半盏灌服。稍后清醒过来,再服用理中汤。(方剂见后文)
有一种论述关于真阴症,表现为四肢厥冷,腹痛如针刺,腹部胀满急迫。应服用大附子、干姜、肉桂等大辛大热之药以壮火。这是中焦寒冷的病症,适宜紧急灸脐上两穴、脐下一穴、脐左右两侧各一穴,每穴灸七壮,即可见效。
有一种论述关于四肢及全身极度寒冷,嘴唇发青,手足厥冷且摸不到脉搏,阴囊收缩的情况。适宜紧急使用葱熨法,并艾灸脐中穴和气海穴,各灸二三十壮。
有一种论述关于三阴经中寒,以及一切虚冷厥逆、呕吐呃逆、阴盛阳虚,还有阴毒伤寒,表现为四肢厥冷,脐腹刺痛,咽痛呕吐,腹泻,身体背部僵硬,自汗淋漓,脉象沉细,嘴唇发青面色发黑,各种虚寒等症状。适宜使用葱熨法。
材料:葱(切细)三升,麦麸三升,盐二升。
以上用水混合均匀,分作两次炒至极热,用厚丝绢包裹,趁热熨烫脐部。凉了便更换一包。那包葱凉了之后,再用水润湿炒焦,按照前面的方法继续使用,直到葱麸糜烂不再使用为止,另取新的葱麸,日夜不停地熨烫。如果大小便不通,使用此法也可以疏通气机。
有一种论述关于五脏中寒,表现为牙关紧闭、失音,四肢强直,兼有胃脘部停痰,冷气刺痛。又治疗脏毒下寒,泄泻痢疾伴腹胀,大便颜色或黄或白,或青黑,或有完谷不化。适宜使用此方。
理中汤
人参(三钱),白术(二钱,去芦头并炒),干姜(一钱),甘草(一钱,炒)。
以上锉成粗末,加生姜三片,大枣一枚,水煎煮,热服。如果寒冷特别严重,加大附子一个,用面裹住煨熟,去皮去脐,重一钱,名为附子理中汤。如果伴有苦寒症状,加干姜五分。如果腹痛,去掉白术,加附子一钱。
一种中寒情况,脉象虚而微细,出现躁热烦渴。可以煎煮理中汤,在水中浸凉后服用。不可热服。如果用寒凉药物服用,必定致死。
有一种论述关于中寒怕冷,身体凉爽,四肢厥冷,腹痛吐泻,没有脉搏。这是寒邪侵入阴经。适宜服用此方。
回阳急救汤
人参(三钱),白术(二钱,去芦头并炒),白茯苓(三钱),陈皮(一钱五分),半夏(二钱),肉桂(八分),大附子(八分,炮制去脐),五味子(三分),甘草(八分),干姜(八分)。
以上锉成粗末,加生姜煎服。如果没有脉搏,加猪胆汁一匙。
有一种论述关于中寒,外感寒邪导致头痛身痛,内伤生冷导致肚腹胀痛。这是表里都中了寒邪。适宜使用此方。
五积散
白芷,陈皮,浓朴(姜炒),桔梗,枳壳(去瓤麸炒),川芎,白芍(酒炒),白茯苓(去皮),苍术(米泔水浸泡),当归(酒洗),半夏(汤泡,各一钱),干姜,官桂(各五分),麻黄(八分),甘草(三分)。
以上锉成粗末,加生姜、大枣煎煮,热服。
一种治疗阴毒伤寒的方法,表现为面色青紫,心下硬满,四肢冰冷。
正阳散
大附子(八分),干姜(八分),甘草(八分),麝香(一厘),皂荚(一钱)。此方引入厥阴经。
以上锉成粗末,水煎煮,热服。
In cases of Cold Invasion (Zhong Han) with a tight pulse, both Yin and Yang Qi are in an excess state. According to the method, there should be no sweating; if sweating occurs, it damages life.
Regarding sudden collapse and unconsciousness due to Cold Invasion, first administer half a cup each of hot wine and ginger juice by force-feeding. After slight recovery, administer Lizhong Tang (Regulate the Middle Decoction). (Formula seen later)
Regarding True Yin Syndrome, characterized by cold limbs, abdominal pain like needle pricking, and abdominal distension and urgency, administer Da Fu Zi (Aconite Root), Gan Jiang (Dried Ginger), and Rou Gui (Cinnamon Bark) to strengthen Fire. This is a syndrome of cold in the Middle Jiao, suitable for urgent moxibustion on two points above the navel, one point below the navel, and two points on either side of the navel, seven moxa cones per point, which will be effective immediately.
Regarding extreme cold in the four limbs and whole body, cyanotic lips, cold limbs without a palpable pulse, and retracted scrotum, urgently apply Cong Yi Fa (Scallion Moxibustion/Warming Method) and moxibustion on Shenque (CV 8) and Qihai (CV 6), thirty moxa cones each.
Regarding Cold Invasion of the Three Yin channels, and all deficiency-cold厥逆 (reversal cold), vomiting and hiccupping, Yin excess and Yang deficiency, as well as Yin Toxin Shaoyin Disease, characterized by cold limbs, stabbing pain in the umbilical and abdominal region, sore throat, vomiting, diarrhea, stiffness of the back, spontaneous sweating, deep and fine pulse, cyanotic lips and black face, and various deficiency-cold syndromes, apply Cong Yi Fa.
Ingredients: Scallion (finely cut) three sheng, Wheat bran three sheng, Salt two sheng.
Mix evenly with water, divide into two portions, stir-fry until extremely hot, wrap in heavy silk, and apply hot compress to the umbilicus. Replace when cool. When the scallion pack cools, moisten with water and stir-fry until charred, continuing as before until the ingredients disintegrate, then take new scallions and bran. Apply day and night without stopping. If urination and defecation are blocked, this method can also promote their movement.
Regarding Cold Invasion of the Five Zang organs, characterized by locked jaw and loss of voice, stiff limbs, combined with phlegm retention in the epigastrium, stabbing pain from cold qi. Also treats lower cold from Zang Toxin, dysentery with abdominal distension, stool varying in color yellow, white, green, or black, or containing undigested food. This formula is suitable.
Lizhong Tang (Regulate the Middle Decoction)
Renshen (Ginseng Radix et Rhizoma) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian, remove rhizome base and stir-fry), Ganjiang (Zingiberis Rhizoma) (1 qian), Gancao (Licorice Radix et Rhizoma) (1 qian, stir-fry).
Crush into coarse powder, add three slices of Shengjiang (Fresh Ginger Rhizome) and one date, decoct in water, and take warm. If cold is severe, add Fuzi (Aconiti Lateralis Radix Praeparata) wrapped in flour, baked, skin and umbilicus removed, 1 qian, named Fuzi Lizhong Tang. If bitter cold is present, add 0.5 qian of Ganjiang. If abdominal pain, remove Baizhu and add 1 qian of Fuzi.
In a case of Cold Invasion with deficient, faint, and fine pulse, accompanied by restlessness, heat, vexation, and thirst, decoct Lizhong Tang, cool it in water, and take it cold. Do not take it warm. Administering cold-natured drugs will certainly lead to death.
Regarding Cold Invasion with aversion to cold, cool body, cold limbs, abdominal pain, vomiting, diarrhea, and absence of pulse, this indicates Cold invading the Yin meridians. This formula is suitable.
Huiyang Jiuji Tang (Restore Yang Emergency Rescue Decoction)
Renshen (Ginseng Radix et Rhizoma) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian, remove rhizome base and stir-fry), Baifuling (Poria) (3 qian), Chenpi (Citri Reticulatae Pericarpium) (1.5 qian), Banxia (Pinelliae Rhizoma) (2 qian), Rougui (Cinnamomi Cortex) (0.8 fen), Dafuzi (Prepared Aconite Root) (0.8 fen, processed and umbilicus removed), Wuweizi (Schisandrae Chinensis Fructus) (0.3 fen), Gancao (Licorice Radix et Rhizoma) (0.8 fen), Ganjiang (Zingiberis Rhizoma) (0.8 fen).
Crush into coarse powder, decoct with Shengjiang (Fresh Ginger Rhizome). If no pulse, add one spoonful of Zhudanshui (Porci Bile).
Regarding Cold Invasion, external contraction of Cold Evil causing headache and body pain, internal injury from raw/cold food causing abdominal distension and pain. This is Cold Evil invading both exterior and interior. This formula is suitable.
Wuji San (Five Accumulations Powder)
Baizhi (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus, remove pith and stir-fried with bran), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, stir-fried with wine), Baifuling (Poria, remove skin), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water), Danggui (Angelicae Sinensis Radix, washed with wine), Banxia (Pinelliae Rhizoma, soaked in boiling water, each 1 qian), Ganjiang (Zingiberis Rhizoma), Guanzi Gui (Cinnamomi Cortex, each 0.5 fen), Mahuang (Ephedrae Herba) (0.8 fen), Gancao (Licorice Radix et Rhizoma) (0.3 fen).
Crush into coarse powder, decoct with Shengjiang (Fresh Ginger Rhizome) and dates, take warm.
Treating Yin Toxin Shaoyin Disease, characterized by blue-green face, hardness in the heart region, and cold limbs.
Zhengyang San (Upright Yang Powder)
Dafuzi (Prepared Aconite Root) (0.8 fen), Ganjiang (Zingiberis Rhizoma) (0.8 fen), Gancao (Licorice Radix et Rhizoma) (0.8 fen), Shexiang (Moschus) (0.01 li), Zaojiao (Gleditsiae Sinensis Fructus) (1 qian). This formula guides into the Jueyin Meridian.
Crush into coarse powder, decoct in water, take warm.