凡人沐头后,或犯房事,或当风取凉,致贼风客入太阳经,或风府穴,令人卒仆,口牙皆紧,四肢反张。
急服姜附汤,甚者灸石门穴三十壮。(此证若无房事之伤,焉至于此,慎之!慎之!)
凡牙齿以刀针挑之,致牙根空露,为风邪所乘,令人齿龋。急者溃烂于顷刻,急服姜附汤,甚者灸石门穴。
(肾主骨,齿乃骨之余,破伤宣露,风邪直袭肾经,致溃烂于俄顷,舍姜附而用寒凉为变,可胜道哉。)
此证由脾胃素弱,为饮食冷物所伤,或因病服攻克凉
药,损伤脾气,致不能通行水道,故流入四肢百骸,令人遍身浮肿,小便反涩,大便反泄,此病最重,世医皆
用利水消肿之药,乃速其毙也。
治法∶先灸命关二百壮,服延寿丹、金液丹,或草神丹,甚者姜附汤,五七日病减,小便长,大便实或润,
能饮食为效。唯吃白粥,一月后,吃饼面无妨,须常服金液丹,来复丹,永瘥。若曾服芫花、大戟通利之药,
损其元气或元气已脱则不可治,虽灸亦无用矣。若灸后疮中出水或虽服丹药而小便不通,皆真元已脱,不可治
也,脉弦大者易治,沉细者难痊。
治验
一人四肢皆肿,气促,食则胀闷,只吃稀粥,余令日服金液丹百粒,至四日觉大便滑,再二日,乃令吃面
食亦不妨,盖治之早也。
一妇人病面脚皆肿,饮食减少,世医皆作血虚治之,不效。余曰非血病,乃脾胃虚也,令日服延寿丹十粒、
全真丹五十粒,至十日觉大便滑病愈。
(俞翰林母七旬余,平日患咳喘痰红,常服滋阴凉润之剂,秋月忽患水肿,喘急难卧,日渐肿胀,饮食少
进,进则气急欲死,诸医用药无效,乃延予治。六脉弦大而急,按之益劲而空。予曰∶此三焦火气虚惫,不能
归根,而浮于外,水随气奔,致充郛郭而溢皮腠,必须重温以化,否则不救。彼云∶吾素内热,不服温补,片
姜入口,痰即带红,先生所论故是,第恐热药不相宜也。予曰∶有是病,服是药,成见难执。且六脉紧大,太
阳已无根,无根即脱矣,此皆平日久股寒凉所致,若再舍温补不用,恐无生理,请辞。彼云∶但不迫动血证,
敢不从命。予以附桂姜萸十味,人参三钱,不三
剂而腹有皱文,八剂全消,饮食如故,又二剂,而全愈,痰喘吐红旧证竟不发矣。)
(一妇因子远出,瓮飧不给,忧愁成病,变为水肿喘急,粥食不入者月余矣。友人见余,谈及此妇,乃谓
予曰∶肯做一好事否?予曰∶既云好事焉敢违命。遂偕往。诊见其六脉欲绝,脐突腰圆,喘难着席,脾肾之败
不可为矣。因处十味方,命服四剂,喘微定而肿渐消,觉思饮食,复诊其脉,微有起色,又四剂而肿消食进矣。
嗟!嗟!若弃而不治,虽不由我而死,而实我杀之也,友人亦大快。)
凡是人洗头之后,或者发生房事,或者对着风取凉快,导致贼风侵入太阳经(足太阳膀胱经受邪),或者风府穴,使人突然昏倒,牙关紧闭,四肢向后反张。
紧急服用姜附汤,病情严重的灸石门穴三十壮。(这种证候如果没有房事的损伤,怎么会到这一步,务必谨慎!务必谨慎!)
凡是牙齿被刀针挑破,导致牙根空虚暴露,被风邪乘虚而入,使人牙齿蛀蚀。急性的顷刻间溃烂,紧急服用姜附汤,病情严重的灸石门穴。
(肾主骨,牙齿是骨的余气,破损宣露,风邪直接袭击肾经,导致顷刻间溃烂,舍弃姜附而用寒凉药物会导致变证,这能说吗?)
这种证候是因为脾胃素来虚弱,被饮食中的冷物所伤,或者因病服用攻下、寒凉的药,损伤了脾气,导致不能通行水道,所以水湿流入四肢百骸,使人全身浮肿,小便反而涩滞,大便反而泄泻,这个病最重,世间的医生都用利水消肿的药物,这是加速其死亡啊。
治疗方法:先灸命关穴二百壮,服用延寿丹、金液丹,或者草神丹,病情严重的服用姜附汤,五到七天病势减退,小便通畅,大便结实或润燥适中,能进食为有效。只吃白粥,一个月后,吃饼面没有妨碍,必须常服金液丹、来复丹,才能彻底痊愈。如果曾经服用芫花、大戟等通利药物,损伤了元气或者元气已经脱失则不可治疗,即使艾灸也没有用了。如果灸后疮口中出水或者虽然服用丹药但小便不通,都是真元已经脱失,不可治疗。脉象弦大的容易治疗,沉细的难以痊愈。
治验案例
一个人四肢都肿,气短急促,吃东西就胀闷,只吃稀粥,其余让他每天服用金液丹一百粒,到第四天感觉大便滑利,再过两天,就让他吃面食也没有妨碍,这是因为治疗得早。
一个妇人面部和脚部都肿,饮食减少,世间的医生都当作血虚来治疗,没有效果。我说这不是血病,而是脾胃虚弱,让他每天服用延寿丹十粒、全真丹五十粒,到第十天感觉大便滑利病就好了。
(俞翰林的母亲七十多岁,平时患咳嗽气喘痰中带血,常服用滋阴清凉滋润的药物,秋季忽然患水肿,喘急难以躺卧,日渐肿胀,饮食少进,进食则气急想死,各位医生用药无效,于是请我诊治。六脉弦大而急,按下去更加强劲且空虚无根。我说:这是三焦火气虚弱疲惫,不能归根,而浮越于外,水随气奔涌,导致充斥肌肤而溢出皮腠,必须重温以化气行水,否则无法救治。他说:我素来内热,不服温补,一片生姜入口,痰就带血,先生所说固然正确,只是恐怕热药不相宜。我说:有病才服对应的药,固执己见难改。况且六脉紧大,太阳经已无根,无根就是脱失,这都是平日久受寒凉所致,如果再舍弃温补不用,恐怕没有生机,请允许我告辞。他说:只要不触动血证,怎敢不从命。我用附子、肉桂、干姜、吴茱萸十味药,人参三钱,不到三剂腹部出现皱纹,八剂肿胀全消,饮食如常,又两剂,完全痊愈,咳嗽气喘吐血的旧病竟然不再发作。)
(一个妇人的儿子远出在外,连粗劣的食物都不够吃,忧愁成病,变为水肿喘急,粥食不进有一个多月了。朋友见到我,谈到这个妇人,便对我说:愿意做一件好事吗?我说:既然是好事怎敢违命。于是同行前往。诊察见她六脉欲绝,肚脐突出腰部圆大,喘促难以着床,脾肾败坏不可救治了。于是开出十味方,命令服用四剂,喘稍定而肿渐消,觉得想吃东西,再诊察她的脉,微有起色,又四剂而肿消食进了。唉!唉!如果放弃不治疗,虽然不由我而死,但实际上是我杀了她,朋友也非常痛快。)
Whenever a person washes their hair, or engages in sexual intercourse, or seeks coolness by facing the wind, it causes "thief-wind" (pathogenic wind) to invade the Taiyang Meridian (the Foot-Taiyang Bladder channel affected by pathogenic factors), or the Fengfu acupoint, causing sudden collapse, lockjaw, and opisthotonos of the four limbs.
Urgently administer Jiangfu Tang (Ginger and Aconite Decoction). For severe cases, moxa-stimulate the Shimen acupoint with thirty moxa cones. (If this syndrome were not caused by sexual injury, how could it reach such a state? Be cautious! Be cautious!)
Whenever teeth are picked with knives or needles, causing the tooth roots to become hollow and exposed, wind-pathogens take advantage of the deficiency, leading to dental caries. In acute cases, ulceration occurs within moments; urgently administer Jiangfu Tang (Ginger and Aconite Decoction). For severe cases, moxa-stimulate the Shimen acupoint.
(The Kidneys govern bones, and teeth are the surplus of bones. When broken and exposed, wind-pathogens directly attack the Kidney Meridian, causing rapid ulceration. To abandon Jiangfu Tang and use cold-cooling herbs would lead to complications; can this be spoken of lightly?)
This syndrome arises because the Spleen and Stomach have been weak since early times, injured by cold food and drink, or due to taking purgative and cold-cooling medicines for illness, which damages Spleen-Qi, rendering it unable to circulate water passages. Consequently, water-dampness flows into the four limbs and hundred vessels, causing generalized edema, while urination becomes scanty and difficult, and defecation becomes loose. This disease is most severe; physicians of the world all use diuretic and edema-resolving drugs, which merely accelerate death.
Treatment method: First, moxa-stimulate the Mingguan acupoint with two hundred moxa cones, then administer Yanshou Dan (Longevity Pill), Jinye Dan (Golden Fluid Pill), or Caoshen Dan (Grass Spirit Pill). For severe cases, administer Jiangfu Tang (Ginger and Aconite Decoction). After five to seven days, if the disease subsides, urination increases, stool becomes firm or moist, and appetite returns, this indicates efficacy. Consume only white rice porridge; after one month, consuming wheat cakes and noodles is permissible. One must continuously take Jinye Dan (Golden Fluid Pill) and Laifu Dan (Returning Life Pill) for a permanent cure. If one has previously taken diuretic drugs like Yuanhua (Kadua Root) or Daji (Euphorbia Lathyris) that damaged Yuan-Qi (Primal Qi) or caused its collapse, treatment is impossible, and even moxibustion will be useless. If water oozes from the moxibustion sores after application, or if urination remains blocked despite taking alchemical pills, it signifies the collapse of True-Yuan (True Primal Qi), and treatment is impossible. A wiry and large pulse is easy to treat; a deep and fine pulse is difficult to cure.
Clinical Cases
One patient had swelling in all four limbs, shortness of breath, and abdominal distension upon eating, consuming only thin porridge. I instructed him to take one hundred grains of Jinye Dan (Golden Fluid Pill) daily. By the fourth day, he felt his bowels moving smoothly. Two days later, I allowed him to eat noodles without issue, as the treatment was initiated early.
A female patient suffered from facial and foot edema with reduced appetite. Physicians of the world treated her as Blood Deficiency without effect. I stated this was not a Blood disease but Spleen-Stomach Deficiency, prescribing ten grains of Yanshou Dan (Longevity Pill) and fifty grains of Quanzhen Dan (Complete Truth Pill) daily. By the tenth day, her bowels moved smoothly, and the disease resolved.
(The mother of Academician Yu, over seventy years old, usually suffered from cough, asthma, and blood-tinged sputum, frequently taking Yin-nourishing and cooling-moistening agents. In autumn, she suddenly developed edema, severe asthma making lying down difficult, progressive swelling, and poor intake; upon eating, she gasped as if dying. Various physicians' medications failed, so they invited me to treat her. The six pulses were wiry, large, and rapid, feeling even more vigorous yet empty upon pressure. I said: This is deficiency and exhaustion of Fire-Qi in the Triple Burner, failing to root itself and floating outward. Water follows Qi rushing, filling the flesh and overflowing the skin pores. It requires warming to transform; otherwise, rescue is impossible. She said: I naturally have internal heat and do not take warming-tonics; even a slice of ginger causes blood in my sputum. Although your theory is correct, I fear hot medicines are unsuitable. I said: With this disease, take this medicine; holding to preconceptions is difficult. Moreover, the six pulses are tight and large, indicating the Taiyang channel has lost its root; loss of root means collapse. This results from long-term exposure to cold and coolness. If we again abandon warming-tonics, there may be no life left. Please allow me to decline. She said: As long as you do not trigger bleeding syndromes, how dare I disobey? I prescribed a ten-ingredient formula containing Fuzi (Aconite Lateralis Radix Preparata), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger), and Wuzhuyu (Evodia Fruit), along with Renshen (Ginseng Radix) 3 qian. In less than three doses, wrinkles appeared on her abdomen; in eight doses, the swelling completely subsided, and her diet returned to normal. After two more doses, she was fully cured, and her old symptoms of cough, asthma, and bloody sputum never recurred.)
(A woman’s son traveled far away, leaving them unable to afford even coarse meals. Grief-stricken, she fell ill, developing edema and asthma with inability to consume porridge for over a month. A friend saw me and mentioned this woman, saying: Would you be willing to do a good deed? I said: Since it is called a good deed, how dare I disobey? We went together. Upon diagnosis, her six pulses were nearly imperceptible, her umbilicus protruded, her waist was round, and she panted too severely to lie flat. The failure of Spleen and Kidney seemed irrecoverable. Therefore, I prescribed the Ten-Ingredient Formula, ordering four doses. Her panting slightly stabilized, and swelling gradually decreased; she began craving food. On re-examination, her pulse showed slight improvement. After another four doses, the swelling disappeared, and food intake increased. Alas! Alas! If abandoned untreated, although she might not die by my hand, I would truly be responsible for her death. My friend was greatly pleased.)