惊传三搐后成痫。嚼沫牙关目上翻。明辨阴阳参色脉。不拘轻重总风痰。
古人议痫最多。大抵胎内受惊。及闻大声大惊而得。盖小儿神气尚弱。惊则神不守舍。舍空则痰涎归之而昏
乱。旋晕颠倒。口眼相引。目直上视。手足搐搦。背脊强直。或发时作牛马猪羊鸡犬之声。便致僵仆。口吐涎沫。
不省人事。凡得此症。大属风痰郁结。上迷心包。宜多投疏风化痰。顺气镇惊之剂。更须临症参详。乃无失也。
治宜推三关 六腑 肺经 补脾土 天门入虎口 揉 肘 掏 门 精宁 窝风 运天心 掏五
指节 分阴阳 运八卦 赤凤摇头 按弦搓摩 威灵穴 揉中指 掏总筋 灸昆仑
咳嗽虽然分冷热。连声因肺感风寒。眼浮痰盛喉中响。戏水多因汗未干。
夫咳嗽者。未有不因感冒而成也。经曰。肺之令人咳何也。岐伯曰。皮毛者肺之合也。皮毛先受邪气。邪气得从
其合。则伤于肺。是令嗽也。乍暖脱衣。暴热遇风。汗出未干。遽尔戏水。致令伤风咳嗽。初得时面赤唇红。气粗
发热。此是伤风。痰壅作嗽。若嗽日久。津液枯耗。肺经虚矣。肺为诸脏华盖。卧开而坐合。所以卧则气促。坐则
稍宽。乃因攻肺下痰之过。名曰虚嗽。又当补脾而益肺。藉土气以生金。则自愈矣。
治宜推三关 六腑 肺经(往上一百二十) 二扇门 二人上马 五总(六转六掏) 多揉肺俞穴 掏
五指节 合谷 运八卦 多揉大指根 掏精宁穴 涌泉 天门入虎口 门 痰壅气喘。掏向导穴 再掏 门
痰结壅塞多运八卦 干咳。退六腑 痰咳。退肺经 推脾 清肾 运八卦 气喘掏飞经走气 并四横纹
惊风发作三次抽搐后便形成痫病。患者口中嚼出泡沫,牙关紧闭,双眼向上翻。必须明辨阴阳属性,参考面色和脉象。无论病情轻重,总归是风痰作祟。
古人关于痫病的议论很多。大抵是因为胎儿在母体内受到惊吓,或者出生后听到巨大的声响、受到大惊而得病。因为小儿的神气尚且虚弱,受惊则神志不能安守于舍(心),神舍空虚则痰涎乘虚而入导致昏乱。出现眩晕颠倒,口眼歪斜牵引,眼睛直视向上,手足抽搐痉挛,背脊强直。有时发病时发出像牛、马、猪、羊、鸡、狗一样的叫声,随即僵倒仆地,口吐涎沫,不省人事。凡是得了这种病症,大多属于风痰郁结,上蒙心包络。适宜多使用疏风化痰、顺气镇惊的药剂。更须根据具体症状详细诊察,才不会失误。
治疗适宜推拿:推三关、推六腑、推肺经、补脾土、天门入虎口、揉肘窝、掏门、精宁穴、窝风穴、运天心、掏五指节、分阴阳、运八卦、赤凤摇头、按弦搓摩、威灵穴、揉中指、掏总筋、灸昆仑穴。
咳嗽虽然分为冷咳和热咳,但连续不断的咳嗽多因肺部感受风寒所致。眼睑浮肿、痰多、喉中有响声,多是因为出汗后立刻戏水引起。
至于咳嗽,没有不是因为感冒引起的。《内经》说:“为什么肺会导致人咳嗽呢?”岐伯回答说:“皮毛是肺的外合关系。皮毛先受到邪气侵袭,邪气就会顺着这种合应关系内传于肺,从而损伤肺脏,这就导致了咳嗽。”天气乍暖就脱衣,突然受热又遇风,出汗未干时立刻戏水,导致伤风咳嗽。刚患病时面红唇赤,呼吸粗重,发热,这是伤风导致的痰壅作嗽。如果咳嗽日久,津液枯耗,肺经就虚弱了。肺为五脏六腑之华盖,其生理特性是卧时张开、坐时闭合。所以卧位时气促,坐位时稍感舒缓,这是因为过度使用攻伐肺气、降下痰浊的方法造成的,名叫虚嗽。此时应当补脾益肺,借助脾土之气来生肺金,这样自然痊愈。
治疗适宜推拿:推三关、推六腑、推肺经(向上推一百二十次)、推二扇门、推二人上马、五总(旋转六次并掏取)、多揉肺俞穴、掏五指节、合谷穴、运八卦、多揉大拇指根部、掏精宁穴、涌泉穴、天门入虎口、门。若痰壅气喘,掏向导穴,再掏门;若痰结壅塞,多运八卦;若是干咳,退六腑;若是痰咳,退肺经、推脾、清肾、运八卦;若气喘,掏飞经走气及四横纹。
After three convulsions from fright, epilepsy (Xian Zheng) develops. The patient chews foam, the jaw is locked, and the eyes roll upward. One must clearly distinguish between Yin and Yang patterns and examine the complexion and pulse. Regardless of severity, it is fundamentally caused by Wind-Phlegm.
Ancient scholars have discussed epilepsy extensively. Generally, it arises from fright received in utero, or from hearing loud noises or experiencing sudden fright after birth. Since a child's Shen (Spirit) is still weak, fright causes the Spirit to lose its residence (in the Heart). When the residence is empty, Phlegm-fluids enter and cause confusion. Symptoms include dizziness and disorientation, pulling of the mouth and eyes, staring upward with fixed eyes, spasms and convulsions of the hands and feet, and rigidity of the back. Sometimes, during an attack, sounds resembling those of cattle, horses, pigs, sheep, chickens, or dogs are emitted, followed by stiff collapse, foaming at the mouth, and loss of consciousness. For this condition, it is generally due to the stagnation and knotting of Wind-Phlegm, clouding the Pericardium. It is appropriate to frequently administer formulas that dispel Wind and resolve Phlegm, regulate Qi, and calm Fright. Clinical observation must be detailed to avoid error.
Treatment should involve pushing San Guan (Three Passes), Liu Fu (Six Limbs), Fei Jing (Lung Meridian), tonifying Pi Tu (Spleen Earth), Tian Men Ru Hu Kou (Heaven's Gate into Tiger's Mouth), rubbing the elbow pit, digging the "Men" point, Jing Ning acupoint, Wo Feng acupoint, Yun Tian Xin (Moving Heavenly Heart), digging the five finger joints, dividing Yin and Yang, Yun Ba Gua (Moving Eight Trigrams), Chi Feng Yao Tou (Red Phoenix Shaking Head), An Xuan Cuo Mo (Pressing Strings and Rubbing), Wei Ling acupoint, rubbing the middle finger, digging Zong Jin (Total Tendon), and moxibustion on Kun Lun acupoint.
Although cough can be classified as cold or hot, continuous coughing is usually due to the Lung being affected by Wind-Cold. Eyelid edema, abundant phlegm, and rattling in the throat often result from playing in water while sweat is not yet dry.
Regarding cough, there is none that does not arise from a common cold. The Classic states: "Why does the Lung cause people to cough?" Qibo replied: "The skin and hair are the exterior correspondence of the Lung. If the skin and hair are first invaded by pathogenic factors, the pathogens follow this correspondence and injure the Lung, causing cough." Taking off clothes when the weather suddenly warms, encountering wind after sudden heat, or playing in water before sweat has dried leads to Wind-cold cough. Initially, the face is red, lips are crimson, breathing is coarse, and fever occurs; this is Wind-cold causing Phlegm obstruction and cough. If cough persists for a long time, body fluids are depleted, and the Lung Meridian becomes deficient. The Lung is the canopy of all viscera; its physiological characteristic is opening when lying down and closing when sitting upright. Therefore, breathlessness occurs when lying down, and relief is felt when sitting up. This is due to excessive use of methods that attack the Lung and descend Phlegm, named Deficient Cough (Xu Sou). At this stage, one should tonify the Spleen and benefit the Lung, utilizing the Qi of Earth to generate Metal (Lung), which will lead to spontaneous recovery.
Treatment should involve pushing San Guan, Liu Fu, Fei Jing (push upward 120 times), Tui Er Shan Men (Push Two Doors), Er Ren Shang Ma (Two People Mounting a Horse), Wu Zong (rotate six times and dig), frequently rubbing Fei Shu acupoint, digging the five finger joints, He Gu acupoint, Yun Ba Gua, frequently rubbing the base of the thumb, digging Jing Ning acupoint, Yong Quan acupoint, Tian Men Ru Hu Kou, Men. For Phlegm obstruction and wheezing, dig Dao Xiang acupoint, then dig Men again. For Phlegm knotting and obstruction, frequently move Ba Gua. For dry cough, clear Liu Fu. For Phlegm cough, clear Fei Jing, push Pi, clear Shen, move Ba Gua. For wheezing, dig Fei Jing Zou Qi and Si Heng Wen.