论曰。流变在乎病。主治在乎物。制用在乎人。三者并明。然后可以举七方十剂之法也。
大
十剂
气者
中气
急昏
味有
气
精为本。故地产养形。形不足者温之以气。
生
是
津
所以为全生之术。故五谷五畜五菜五果。苦甘酸咸辛。此为补养之要也。何则。谷入于口。
而聚于胃。胃为水谷之海。喜谷而恶药。药之所入。不若谷气。此又以之先达。故制病之法
。必以谷气为先。是以圣人论真邪之气者。谓汗生于谷。不归于药石。辨死生之候者。谓安
谷则生。失谷则死。是五脏皆以胃气为本。以此知五味能养形也。虽攻毒邪。亦犹之用兵。
盖出于不得已也。是以圣人发表不远热。攻里不远寒。辛甘发散为阳。酸苦涌泄为阴。故辛
散酸收甘缓苦坚咸 。随五脏之病证。施药性之品味。然后及于奇偶大小缓急之制也。故
偶者四方四制之法。四制者小大缓急也。经谓气有多少。病有盛衰。治有缓急。方有大小。
故大小者。君一臣二。奇之制也。君二臣四。偶之制也。君二臣三。奇之制也。君二臣六。
偶之制也。而又曰。奇方云君一臣二。君二臣三。偶方云君二臣四。君二臣六。所以立方者
四制之法。奇偶四制何以明之。假令小承气调胃承气为奇之小方也。大承气抵当汤为奇之大
方也。所为因其攻下而用之者如此。桂枝麻黄为偶之小方。葛根青龙为偶之大方。所为因其
发而用之者如此。经所谓近者奇之。远者偶之。身之表者为远。身之里者为近。汗者不以奇
。下者不以偶。不以者不用也。故补上制以缓。补下制以急。急则气味浓。缓则气味薄。故
味浓者为阴。薄是阴之阳。为味不纯粹者也。故味所浓则泄之。味所薄则通气者也。王注曰
。味浓则泄。薄则通气。气浓者为阳。薄者为阳之阴。故附子干姜味大热。为纯阳之药。为
气浓者也。丁香木香味辛温。薄为阳之阴。气不纯粹者也。故气所浓则发热。气所薄则发泄
。经曰。薄则发泄。浓则发热。王注曰。阴阳润下。故曰。味薄则发。发者阳气炎上。故气
浓则发热。味薄为阴少故涌泄。气薄为阳少故汗出。是以论气味之薄浓。合奇偶之大小。故
肾肝在远。数多则其气缓。不能速达于下。必大剂而数少。取其迅急可以走下也。心肺位近
。数少则其气急。不能发散于上。必小剂而数多。取其气丛易散可以补上也。王注曰。肺服
九。心服七。脾服五。肝服三。肾服一。五脏乃生成之常数也。若奇之不效则偶之。是谓重
方也。偶之不去。则反佐以取之。所谓寒热温凉。各从其病也。王注曰。是以圣人反其佐以
同其气。令声气应合。复令寒热参合。使其终异。而使其润燥而散坚。刚强必折。柔脆自消
矣。故逆者正治。从者反治。从少从多。观其事也。张仲景曰。少阴病下痢而脉微者。与白
通
必行热物冷服。下胃之后。冷体既消。热性便发。由是病气随愈。呕哕皆除。情且不违。而
治大逆。此加人尿猪胆汁。咸苦寒物。于白通汤热剂中。要其气相从。可去 拒之寒也。经
所谓热因寒用。寒因热用。塞因塞用。通因通用。必服其所主。先其所因。其始则同。其终
则异。可使破积。可使溃坚。可使气和。可使必已。此之谓也。若病所远、而中道气味之者。
食而过之。无越其制度。王注曰。假如病在肾。而心药之气味。止于中道。须急过之。不得
漫以肾药凌之。恐心肺益衰。与上下远近相悖。是以圣人治上不
上下俱无犯。故经所谓诛罚无过。命曰大惑。此之谓也。有中外不
标本。不令失次也。故从所来者为本。其所受者为标。是以内者内
不言其治。外者治之不言其调。经所谓上淫于下。所胜平之。外淫
也。若从内之外。盛于外者。先调其内而后治其外。从外之内。而
调其内。王注曰。皆谓先除其根底。后削其枝条也。是故病发有余
故仲景曰、伤寒医下之。续得下痢清谷。身疼痛者急当救里。后身
表。救里宜四逆汤。救表宜桂枝汤。故里不足必先救之。清便自调。
桂枝汤以救表。是谓病发本而标之。先治本后治其标。此以寒为本也
当。不知标本者。是谓妄行。此之谓也。虽本草曰。上药一百二十种
十种为臣应人。下药一百二十五种为使应地。若治病者。特谓此三品之说。末也。经所谓
有毒无毒。所治为主。适其大小为制也。故主病者为之君。佐君者为
非上中下三品之谓也。王注曰。但能破积愈疼。解急脱死。则为
后毒乃非。有毒为是。无毒为非。必量病轻重大小之治也。帝曰
以明善恶之殊贯也。是以圣人有毒无毒。服自有约。故病有新
合常制。大毒治病十去其六。常毒治病十去其七。小毒治病十去
谷肉果菜。食养尽之。无使过之。伤其正也。不尽行复如法。王
不尽。后再行之。毒之小大。如约而止。必无太过。是以上古圣
衰其大半而止。故药之性味。本以药治疾。诚能处以中庸。以疾
疑于致治哉。此之谓也。故非调气而得者。治之奈何。有毒无毒
注曰。夫病生其类有四焉。一者。始因气动。而内有所成。为积
之类是也。二者。始因气动。而外有所成。谓痈肿疮疡。痂疥疽
肿痛痒之类是也。三者。不因气动而生病于内。为留饮 食。
喜怒。想慕忧结之类是也。四者。不因气动而病生于外。为瘴气
坠堕。风寒暑湿。斫射刺割。捶扑之类是也。如此四类者。有独治内而可愈。大小承气。陷
胸。抵当汤。三化。神 。藏用之类是也。有兼治内而愈者。大小柴胡。通圣。洗心。凉膈。
黄连解毒之类是也。有独治外而愈者。万应膏。拔毒散。点
外而愈者。拨云散。苦参散。千金内托散之类是也。有先治内后治外而愈者。 疹丹毒疮疡
疹麸疮之类。悉因三焦相火。热甚于内。必先疏启其中。清凉苦寒之剂。荡涤脏腑。或以砭
射敷扫涂抹于外者是也。有先治其外后治其内而愈者。伤
之内。先以发散其外。发之不已。量其浅深峻泄之。有齐毒
胎死。坚积。满胀之类是也。复有无毒而调引者。痰滞。气
通经利其气之药之类是也。凡此之类。方法所施。或胜或复
之。散者收之。高者抑之。燥者润之。急者缓之。
之。留者攻之。客者除之。劳者温之。（温。养也）结者散之。燥者濡之。损者温之
补也）逸者行之。劳者动之。惊者平之。（平。常也。常见常闻）上之吐之。下之泄之
之。
炙之。浴之薄之。劫之。燔针劫刺其下。开之发之。适可为治。各安其气。必清
气衰去。归其所宗。此治之大体也。是以圣人法无定体。体变布施。药不执方
故论言治寒以热。治热以寒。而方士不能废绳墨而更其道也。有病热者。寒之
者。热之而寒。二者在。新病复起奈何。治诸寒而热者取之以阴。热而寒者取
求其属也。王注曰。谓治之而病不衰退。反因热寒而
以消阴翳
但益心之
呼。圣人
明也如此。
也。方有七
剂不蠲疾
不可以一二味治之
是也。小方之说有二
在上而近者。宜分两微
方者。为糖蜜甘草之类。
故也。有品味群众之缓方者。盖药味众多。各不能骋其性也。有无毒治病之缓方者。盖药性
无毒、则攻自缓也。有气
为补上治上之法也。急方
有急风荡涤之用急方者
药有毒之急方者。如上
直趋于下。而力不衰也
也。有病近而宜用奇方
说有二。有两味相配而
四臣六。数合于阴也。
越婢一汤之类是也。
方相合而用也。反复之
者。谓郁而不散为壅。必宣剂以散之。如痞满不通之
散之。如姜橘之属。攻其里则宣者上也。泄者下也。涌
同。通者。留而不行为滞。必通剂以行之。如水病痰癖
防己之属。攻其滞则通者行也。甘遂滑石茯苓芫花大戟
必补剂以扶之。如气形羸弱之类是也。本草曰。补可
经所谓言而微终日乃复言者。此夺气也。故形不足
疾。药石蠲疾。五谷五畜为能补养也。泻。有余为
本草曰。泻可去闭。即葶苈大黄之属。经所谓浊
所以葶苈大黄。味苦大寒。专能泻热去湿下气。
小便数。浮涩相搏。大便则难。其脾为约。故
而能泻胃强也。轻者。实则气壅。欲其扬也。
本草曰。轻可去实。麻黄葛根之属。经所谓
曰。阳实则发散。重者。怯则气浮。欲其镇
镇之。本草曰。重可去怯。即磁石铁粉之
故使其体重之物。则下涎而用之也。涩
必涩剂以收之。本草曰。涩可去脱。
气着。欲其利也。如便难内闭。必滑剂以利之。本草曰。滑可去着。即冬葵榆皮之
养窍。故润利也。燥者。湿气淫胜。肿满脾湿。必燥剂以除之。本草曰。燥可去湿。即桑白
皮赤小豆之属。所谓湿甚于上。以苦吐之。以淡泄之。是
荣卫涸流。必湿剂以润之。本草曰。湿可去枯。即紫石英之属。故痿弱者用之。王注曰。心
热独盛。则火光上炎，肾之脉常不行。令火盛而上炎用事。故肾脉亦随火炎烁。而逆上行也。
阴气厥逆。火复内炎。阴上隔阳。下不守位。心气通脉
相提挈。胫筋纵缓而不能任用也。可下数百行而愈。故此七方十剂者。乃太古先师。设绳墨
而取曲直。何叔世方士。出规矩以为方圆。王注曰。人之死者但曰命。不谓方士愚昧而杀之。
是以物各有性。以谓物之性有尽也。制而用之。
使之无穷。夫惟性无穷。用无穷。故施于品剂。以佐使斯人。其功用亦不可一而具也。于是
有因其性而为用者。有因其所胜为制者。有气同则相求者。有气相克则相制者。有气余而补
不足者。有气相感则以意使者。有质同而性异者。
有名异而实同者。故蛇之性窜而引药。蝉之性脱而退翳虻饮血而用以治血。鼠善穿而用
以治
因
也。麻木谷而治风。豆水谷而治水。所谓气相同则相求者也。牛土畜。乳可以止渴疾。豕水
畜。心可以镇慌惚。所谓因其气相克则相制也。熊肉振羸。兔肝明视。所谓因其气有余补不
足也。鲤之治水。 之利水。所谓因其气相感则以意使者也。蜂蜜成于蜂。蜜温而蜂寒。油
本生于麻。麻温而油寒。兹同质而异性也。蘼芜生于芎 。蓬 生于覆盆。兹名异而实同者
也。如此之类。不可胜举。故天地赋形。不离阴阳。形色自然。皆有法象。毛羽之类。生于
阳而属于阴。鳞介之类。生于阴而属于阳。空青法木色青而主肝。丹砂法火。色赤而主心。
云母法金。色白而主肺。磁石法水。色黑而主肾。黄石脂法土。色黄而主脾。故触类而长之。
莫不有自然之理也。欲为医者。上知天文。下知地理。中知人事。三者俱明。然后可以愈人
之疾病。不然则如无目夜游。无足登涉。动致颠殒。而欲愈疾者。未之有也。
医学发明论云。病有逆从。治有反治。夫曰反治者。是明四经各经之病源。一经分手足。
四
法
如
不
夫圣人立通因通用之意。谓少阳春也。生化万物之始也。金石草木。羽毛鳞介。乃阴阳
生化
之端
序则
以发
证多
可戒
阴经
在内
煎。
法也。
太阳标有阳之名。无阳之实。谓其将变阴也。其脉紧而数
而内有真寒也。故仲景以姜附汤久久热煎。不温服而顿服之。
之久久热煎。重阳之热。泻纯阴之寒。是治其本也。不温服而
治太阳标之假阳也。故为
寒之气。外显热证。然大渴引
所逐。而欲先绝其燥。欲坐井
又况内伤饮食。其物有形。亦
但脾胃有痞气。仲景治痞有五
类。亦以大黄枳实阴寒之药以下泄之。举斯二者。是塞因塞用。又为寒因寒用。可以明知之
矣
虽
正治者。以寒治热。以热治寒。直折之也。又经云。为有阳明厥阴。不从乎中也。启玄
子注
殆不
在卯
后
病
两阳合明。故曰阳明。在辰巳之间。是生化之用也。两阴交尽。故曰厥阴。在戌亥之间。是
殒杀之用也。其厥阴心包。乃包络十二经之总也。经曰。中有阳明生杀之本。足阳明为水谷
之海。又经云。万物生于土而终于土是也。标本俱阳。诸经中皆有之。故不能从标。亦不能
从其本。且手阳明喜热而恶清。足阳明喜清而恶热。足厥阴为生化之源。宜温而恶清。而手
厥阴心包不系五行。是坤元一正之土。虽主长生。阴静阳燥。禀乎少阳。元气乃能生育也。
若独阴不长。以此明之。是标本俱阴也。足厥阴肝亦标本俱阴。肝为五脏之一也。受胆之气
乃能生长。标蒂茅甲于地中。其经乃阴之尽也。阳明纯阳。厥阴纯阴。此二者标本不相及也
。故以寒治热。以热治寒。正治之法也。当临病斟酌。若热病以寒治。寒病以热治。故曰从
其中也。今明正治。假令手阳明有余。足阳明不足。当以热治寒。若足阳明有余。手阳明不
足。当以寒治热。故曰以寒治热。以热治寒。谓就正治言之。从中者。以从合宜酌中处用药
也。手足厥阴二经。以此通而算之。是手足周身十二经反正之治法也。
论曰：疾病的流变取决于病情，药物的主治功效取决于药性，而药物的炮制与运用则取决于医者。这三者都明白了，然后才可以掌握“七方”和“十剂”的法则。
大、小、缓、急、奇、偶、散，这称为“七方”。
气、血、寒、热、宣、通、补、泄、轻、重、滑、涩、燥、湿，这称为“十剂”。
气分病证方面：中气不足、气机急迫昏乱等。
味道方面：有气味的药物。
精微物质是根本，所以地产的药物能滋养形体。对于形体虚弱的人，应当用具有温煦作用的药物来补气。
生命得以保全的方法，在于五谷、五畜、五菜、五果。酸、苦、甘、辛、咸五味，这是补养的关键。为什么呢？谷物进入口中，汇聚于胃。胃是水谷之海，喜欢谷物而厌恶药物。药物进入体内，其效果不如谷气自然。这也是为什么治病的方法，必须以谷气为先导。所以圣人论述真气与邪气的关系时说：“汗液来源于谷气”，不单纯依赖药物。辨别生死征兆时说：“能安食谷物则生，失去谷物则死。”这说明五脏都以胃气为本。由此可知五味能滋养形体。虽然药物可以攻伐毒邪，但也如同用兵一样，是出于不得已的情况。所以圣人说，解表发散不避忌热性药，攻逐里实不避忌寒性药。辛味和甘味能发散，属于阳；酸味和苦味能涌吐和泄下，属于阴。因此，辛味能发散，酸味能收敛，甘味能缓和，苦味能坚阴，咸味能软坚（注：原文此处似缺字，依中医理论补全意涵）。根据五脏的病证，施用相应性味的药物，然后再考虑奇方、偶方、大方、小方、缓方、急方的制作法则。
所谓偶方，是指四方四制的法则。所谓的四制，是指小、大、缓、急。医经说：气有多少不同，病有盛衰之分，治疗有缓急之别，方剂有大小的区别。所以，君药一臣药二，是奇方的体制；君药二臣药四，是偶方的体制；君药二臣药三，是奇方的体制；君药二臣药六，是偶方的体制。又说：奇方指君一臣二、君二臣三；偶方指君二臣四、君二臣六。所以立方的法则是四制。如何理解奇、偶、大、小呢？举例来说，小承气汤、调胃承气汤属于奇方中的小方；大承气汤、抵当汤属于奇方中的大方。之所以这样使用，是因为它们用于攻下。桂枝汤、麻黄汤属于偶方中的小方；葛根汤、大青龙汤属于偶方中的大方。之所以这样使用，是因为它们用于发汗。医经说：病位近的用奇方，病位远的用偶方。身体表层为远，身体内部为近。发汗不用奇方，攻下不用偶方。“不用”的意思是不采用。所以补上部疾病，制方宜缓；补下部疾病，制方宜急。急则药气味浓厚，缓则药气味淡薄。所以气味浓厚的属于阴，气味淡薄的是阴中之阳，属于气味不纯粹的药物。因此，气味浓厚的能泄下，气味淡薄的能通气。王冰注解说：气味浓厚则泄下，淡薄则通气。气味浓厚的属于阳，气味淡薄的是阳中之阴。所以附子、干姜气味大热，属于纯阳的药物，因为气味浓厚。丁香、木香味辛温，气味淡薄，属于阳中之阴，气味不纯粹。所以气味浓厚的能发热，气味淡薄的能发泄汗液。医经说：淡薄则发泄，浓厚则发热。王冰注解说：阴阳润下，所以说：气味淡薄则发散，发散是阳气炎上的表现，所以气味浓厚则发热。气味淡薄因阴少所以涌泄，气味淡薄因阳少所以汗出。因此，讨论气味的薄浓，结合奇偶的大小。肾和肝位置在下且远，服药次数多则药气缓慢，不能迅速到达下部，必须用大剂量但次数少，取其迅急可以直达下焦。心和肺位置在上且近，服药次数少则药气急迫，不能发散于上，必须用小剂量但次数多，取其气聚而易散，可以补益上部。王冰注解说：肺服九分，心服七分，脾服五分，肝服三分，肾服一分。这是五脏生成的常数。如果奇方无效就用偶方，这叫做重方。如果偶方也治不好，就采用反佐法来取效。所谓寒、热、温、凉，各顺从病情。王冰注解说：所以圣人采用反佐药以同其气，使声气应合，再让寒热参合，使其最终性质不同，从而滋润干燥、消散坚结，刚强的必然折断，柔脆的自然消除。所以逆着病情正治的，叫正治；顺着病情治疗的，叫反治。顺从的多少，要观察具体情况。张仲景说：少阴病下痢且脉微弱的，给予白通汤。必须将热药冷服。药进入胃后，冷的性质消失，热的性质便发作，于是病气随之痊愈，呕吐哕逆都消除了，情理上不违背，却能治疗大的逆证。这是在白通汤的热剂中加入人尿、猪胆汁这些咸苦寒的药物，要求气相顺从，可以去掉格拒的寒邪。医经所说的“热因寒用，寒因热用，塞因塞用，通因通用”，必须服用主治药物，先探究病因。开始性质相同，最终性质不同，这样可以破除积滞，溃散坚结，调和气血，使疾病必愈。这就是说的这个意思。如果病位遥远，而中途药气被阻隔，可以通过进食来引导药力，不要超越制度。王冰注解说：假如病在肾，而心药的药气，只停留在中途，必须急速通过，不得随意用肾药凌驾其上，恐怕心肺更加衰弱，这与上下远近的原则相悖。所以圣人治疗上部疾病，不侵犯下部；治疗下部疾病，不侵犯上部。上下都不侵犯，所以医经说：“诛罚无过，命曰大惑”，说的就是这个意思。有内外不相干的，有标本关系的，不令失次序。所以从本源来的为本，所承受的为标。所以内部的病治内部，外部的病治外部。医经说：“上淫于下，所胜平之”，等等。如果是从内之外，且外部症状严重的，先调理内部而后治疗外部；从外之内，且内部症状严重的，先调理外部而后治疗内部。王冰注解说：都是说先去除其根本，后削剪其枝叶。所以病发有余，如张仲景所说：伤寒医生误用下法，接着出现下利清谷，身体疼痛的，应当紧急救里。救里适宜用四逆汤，救表适宜用桂枝汤。所以里气不足必须先救里。如果大小便正常，再用桂枝汤救表。这叫病发于本而治标，先治本后治标。这是因为寒是本。如果不了解标本，就是妄行。说的就是这个意思。虽然《本草》说：上药一百二十种为君，应天；中药一百二十种为臣，应人；下药一百二十五种为使，应地。但如果治病，特别强调这三品的说法，是末节。医经说：有毒无毒，以治疗为主，适合大小来制定剂量。所以主病的称为君，辅助君的称为臣，并非指上中下三品。王冰注解说：只要能破积止痛，解急脱死，就是有毒为是，无毒为非。必须衡量病情的轻重大小来治疗。黄帝问：以此明辨善恶的不同。所以圣人认为有毒无毒，服用自有节制。所以病有新久，配合常制。大毒治病，去其六分；常毒治病，去其七分；小毒治病，去其八分；无毒治病，去其九分。剩下的用谷肉果菜，饮食调养来尽除它，不要超过限度，损伤正气。如果不愈，再按此法进行。毒药的大小，按照节制停止，必定不会太过。所以上古圣人，病去大半就停止。所以药性气味，本来是用药治病，如果能处以中庸之道，以疾病... 怀疑能治愈吗？说的就是这个意思。所以不是通过调气就能好的，怎么治疗呢？有毒无毒... 王冰注解说：病产生的类别有四类。第一，开始因气动，而在内形成积聚，如癥瘕之类。第二，开始因气动，而在外形成痈肿疮疡、痂疥疽肿痛痒之类。第三，不因气动而在内生病，如留饮、宿食、喜怒、想慕忧结之类。第四，不因气动而在外生病，如瘴气、坠堕、风寒暑湿、斫射刺割、捶扑之类。这四类中，有的独治内可愈，如大小承气汤、陷胸汤、抵当汤、三化汤、神保丸、藏用丸之类。有的兼治内而愈，如大小柴胡汤、通圣散、洗心散、凉膈散、黄连解毒汤之类。有的独治外而愈，如万应膏、拔毒散、点眼药之类。有的先治内后治外而愈，如痘疹、丹毒、疮疡、麸疮之类，都因三焦相火，热甚于内，必须先疏启其中，用清凉苦寒之剂，荡涤脏腑，或以砭石、敷贴、涂抹于外。有的先治其外后治其内而愈，如伤... 在内，先用发散其外，发之不愈，量其浅深峻泄之。有齐毒... 胎死、坚积、满胀之类。还有无毒而调引的，如痰滞、气... 通经利其气的药物之类。凡此类，方法所施，或胜或复... 散者收之，高者抑之，燥者润之，急者缓之... 留者攻之，客者除之，劳者温之。（温，即养）结者散之，燥者濡之，损者温之（补也），逸者行之，劳者动之，惊者平之。（平，即常也，常见常闻），上之吐之，下之泄之... 炙之，浴之，薄之，劫之，燔针劫刺其下，开之发之，适可为治，各安其气，必清... 气衰去，归其所宗，这是治病的总纲。所以圣人法无定体，体变布施，药不执方。所以论说治寒用热，治热用寒，但方士不能废除绳墨而改变其道。有病热者的，用寒药... 有的用热药而寒，二者存在，新病又起怎么办？治诸寒而热者取之于阴，热而寒者取... 求其属也。王冰注解说：谓治疗而病不衰退，反而因热寒而... 以消阴翳... 但益心之... 呼。圣人... 明也如此。
方有七方，剂有十剂，不能蠲除疾病... 不可以一二味治之... 是小方之说有二... 在上而近者，宜分两微... 方者，如糖蜜甘草之类... 故也。有品味群众之缓方者，盖药味众多，各不能骋其性也。有无毒治病之缓方者，盖药性无毒，则攻自缓也。有气... 为补上治上之法也。急方... 有急风荡涤之用急方者... 药有毒之急方者，如上... 直趋于下，而力不衰也... 也有病近而宜用奇方... 说有二，有两味相配而... 四臣六，数合于阴也... 越婢一汤之类是也... 方相合而用也，反复之... 者，谓郁而不散为壅，必宣剂以散之，如痞满不通之... 散之，如姜橘之属。攻其里则宣者上也，泄者下也，涌... 同，通者，留而不行为滞，必通剂以行之，如水病痰癖... 防己之属，攻其滞则通者行也，甘遂滑石茯苓芫花大戟... 必补剂以扶之，如气形羸弱之类是也。本草曰：补可... 医经所谓言而微终日乃复言者，此夺气也。故形不足... 疾，药石蠲疾，五谷五畜为能补养也。泻，有余为... 本草曰：泻可去闭，即葶苈大黄之属。医经所谓浊... 所以葶苈大黄，味苦大寒，专能泻热去湿下气... 小便数，浮涩相搏，大便则难，其脾为约，故... 而能泻胃强也。轻者，实则气壅，欲其扬也... 本草曰：轻可去实，麻黄葛根之属。医经所谓... 曰：阳实则发散。重者，怯则气浮，欲其镇... 镇之。本草曰：重可去怯，即磁石铁粉之... 故使其体重之物，则下涎而用之也。涩... 必涩剂以收之。本草曰：涩可去脱... 气着，欲其利也。如便难内闭，必滑剂以利之。本草曰：滑可去着，即冬葵榆皮之... 养窍，故润利也。燥者，湿气淫胜，肿满脾湿，必燥剂以除之。本草曰：燥可去湿，即桑白... 皮赤小豆之属。所谓湿甚于上，以苦吐之，以淡泄之，是... 荣卫涸流，必湿剂以润之。本草曰：湿可去枯，即紫石英之属。故痿弱者用之。王冰注解说：心... 热独盛，则火光上炎，肾之脉常不行，令火盛而上炎用事，故肾脉亦随火炎烁，而逆上行也。... 阴气厥逆，火复内炎，阴上隔阳，下不守位，心气通脉... 相提挈，胫筋纵缓而不能任用也。可下数百行而愈。故此七方十剂者，乃太古先师，设绳墨... 而取曲直，何叔世方士，出规矩以为方圆。王冰注解说：人之死者但曰命，不谓方士愚昧而杀之。... 是以物各有性，以谓物之性有尽也。制而用之... 使之无穷。夫惟性无穷，用无穷，故施于品剂，以佐使斯人，其功用亦不可一而具也。于是... 有因其性而为用者，有因其所胜为制者，有气同则相求者，有气相克则相制者，有气余而补... 不足者，有气相感则以意使者，有质同而性异者... 有名异而实同者。故蛇之性窜而引药，蝉之性脱而退翳，虻饮血而用以治血，鼠善穿而用... 以治... 因... 也。麻木谷而治风，豆水谷而治水，所谓气相同则相求者也。牛土畜，乳可以止渴疾，豕水... 畜，心可以镇慌惚，所谓因其气相克则相制也。熊肉振羸，兔肝明视，所谓因其气有余补不... 足也。鲤之治水，... 之利水，所谓因其气相感则以意使者也。蜂蜜成于蜂，蜜温而蜂寒，油... 本生于麻，麻温而油寒，兹同质而异性也。蘼芜生于芎... ，蓬... 生于覆盆，兹名异而实同者... 也。如此之类，不可胜举。故天地赋形，不离阴阳，形色自然，皆有法象。毛羽之类，生于... 阳而属于阴，鳞介之类，生于阴而属于阳。空青法木色青而主肝，丹砂法火，色赤而主心... 云母法金，色白而主肺，磁石法水，色黑而主肾，黄石脂法土，色黄而主脾。故触类而长之... 莫不有自然之理也。欲为医者，上知天文，下知地理，中知人事，三者俱明，然后可以愈人... 之疾病。不然则如无目夜游，无足登涉，动致颠殒，而欲愈疾者，未之有也。
医学发明论说：病有逆从，治有反治。所谓反治，是明四经各经的病源，一经分手足... 四... 法... 如... 不... 夫圣人立通因通用之意，谓少阳春也，生化万物之始也，金石草木，羽毛鳞介，乃阴阳... 生化... 之端... 序则... 以发... 证多... 可戒... 阴经... 在内... 煎... 法也... 太阳标有阳之名，无阳之实，谓其将变阴也。其脉紧而数... 而内有真寒也。故仲景以姜附汤久久热煎，不温服而顿服之... 之久久热煎，重阳之热，泻纯阴之寒，是治其本也。不温服而... 治太阳标之假阳也。故为... 寒之气，外显热证，然大渴引... 所逐，而欲先绝其燥，欲坐井... 又况内伤饮食，其物有形，亦... 但脾胃有痞气，仲景治痞有五... 类，亦以大黄枳实阴寒之药以下泄之。举斯二者，是塞因塞用，又为寒因寒用，可以明知之... 矣... 虽... 正治者，以寒治热，以热治寒，直折之也。又经云：为有阳明厥阴，不从乎中也。启玄... 子注... 殆不... 在卯... 后... 病... 两阳合明，故曰阳明，在辰巳之间，是生化之用也。两阴交尽，故曰厥阴，在戌亥之间，是... 殒杀之用也。其厥阴心包，乃包络十二经之总也。经曰：中有阳明生杀之本，足阳明为水谷... 之海，又经云：万物生于土而终于土是也。标本俱阳，诸经中皆有之，故不能从标，亦不能... 从其本。且手阳明喜热而恶清，足阳明喜清而恶热，足厥阴为生化之源，宜温而恶清，而手... 厥阴心包不系五行，是坤元一正之土，虽主长生，阴静阳燥，禀乎少阳，元气乃能生育也。... 若独阴不长，以此明之，是标本俱阴也。足厥阴肝亦标本俱阴，肝为五脏之一也，受胆之气... 乃能生长，标蒂茅甲于地中，其经乃阴之尽也。阳明纯阳，厥阴纯阴，此二者标本不相及也... 。故以寒治热，以热治寒，正治之法也。当临病斟酌。若热病以寒治，寒病以热治，故曰从... 其中也。今明正治，假令手阳明有余，足阳明不足，当以热治寒。若足阳明有余，手阳明不... 足，当以寒治热。故曰以寒治热，以热治寒，谓就正治言之。从中者，以从合宜酌中处用药... 也。手足厥阴二经，以此通而算之，是手足周身十二经反正之治法也。
Commentary: The progression of disease depends on the pathology, the therapeutic action depends on the substances (herbs/minerals), and the preparation and application depend on the physician. When these three are clearly understood, one can then master the methods of the Seven Formulas (Qi Fang) and the Ten Categories (Shi Ji).
Large, Small, Slow, Rapid, Odd, Even, Dispersing - these are called the "Seven Formulas" (Qi Fang).
Qi, Blood, Cold, Heat, Diffusing, Unblocking, Tonifying, Draining, Light, Heavy, Slippery, Astringent, Drying, Moistening - these are called the "Ten Categories" (Shi Ji).
Regarding Qi disorders: Middle Qi deficiency, urgent and confused Qi stagnation.
Regarding Taste: Substances with specific flavors.
Essence is the root; therefore, earth-grown substances nourish the form. For those with deficient form, tonify Qi with warming agents.
The method for preserving life lies in the five grains, five livestock, five vegetables, and five fruits. Sour, Bitter, Sweet, Pungent, and Salty flavors are the essentials of tonification and nourishment. Why? Grain enters the mouth and gathers in the Stomach. The Stomach is the sea of water and grain; it favors grain and dislikes medicine. Medicine entering the body does not compare to the natural Qi of grain. This is why the method of treating disease must prioritize grain Qi first. Thus, the Sages discuss True Qi and Pathogenic Qi, saying: "Sweat is generated from grain," relying not merely on medicinal stones. To distinguish signs of life and death, they say: "If one can eat grain, there is life; if one loses grain, there is death." This shows that all five Zang organs rely on Stomach Qi as their foundation. From this, we know that the five flavors can nourish the form. Although drugs can attack toxic pathogens, it is like using soldiers—done out of necessity. Therefore, the Sages say: To release the exterior, do not avoid hot-natured herbs; to attack the interior, do not avoid cold-natured herbs. Pungent and Sweet flavors disperse and belong to Yang; Sour and Bitter flavors induce vomiting and draining and belong to Yin. Thus, Pungent disperses, Sour astringes, Sweet moderates, Bitter solidifies, and Salty softens hardness. According to the pathologies of the five Zang organs, apply the corresponding flavors of herbs, and then consider the systems of Odd/Even and Large/Small, Slow/Rapid formulas.
The Even Formula refers to the method of four sides and four systems. The so-called "four systems" refer to Small, Large, Slow, and Rapid. The Classics state: Qi has varying amounts, diseases have excess and deficiency, treatments have slow and rapid approaches, and formulas have large and small sizes. Therefore, One Sovereign (Jun) herb and two Ministers (Chen) herbs constitute an Odd system; Two Sovereigns and four Ministers constitute an Even system; Two Sovereigns and three Ministers constitute an Odd system; Two Sovereigns and six Ministers constitute an Even system. It is also said: Odd formulas include One Sovereign/Two Ministers and Two Sovereigns/Three Ministers; Even formulas include Two Sovereigns/Four Ministers and Two Sovereigns/Six Ministers. Thus, the method of establishing formulas involves these four systems. How to understand Odd, Even, Large, and Small? For example, Xiao Cheng Qi Tang and Tiao Wei Cheng Qi Tang are Odd Small formulas; Da Cheng Qi Tang and Di Dang Tang are Odd Large formulas. They are used for purging because of their purgative nature. Gui Zhi Tang and Ma Huang Tang are Even Small formulas; Ge Gen Tang and Da Qing Long Tang are Even Large formulas. They are used for diaphoresis because of their releasing nature. The Classics say: For close (interior) conditions, use Odd formulas; for distant (exterior) conditions, use Even formulas. The body's surface is distant; the body's interior is close. Diaphoresis does not use Odd formulas; purgation does not use Even formulas. "Not using" means not adopting. Therefore, tonifying the upper part requires a Slow formula; tonifying the lower part requires a Rapid formula. Rapid implies strong flavor and aroma; Slow implies weak flavor and aroma. Thus, strong flavors belong to Yin; weak flavors are Yang within Yin, representing impure flavors. Strong flavors drain; weak flavors promote Qi circulation. Wang Bing commented: Strong flavors drain; weak flavors promote Qi circulation. Strong aromas belong to Yang; weak aromas are Yin within Yang. Fuzi (Aconiti Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) have intense heat and are pure Yang substances due to their strong aroma. Dingxiang (Caryophylli Flos) and Muxiang (Aucklandiae Radix) are pungent and warm but have weak aromas, representing Yin within Yang with impure aromas. Strong aromas generate heat; weak aromas cause sweating. The Classics say: Weak causes sweating, strong generates heat. Wang Bing commented: Yin and Yang descend; thus, weak flavors diffuse, which is the rising of Yang Qi, so strong aromas generate heat. Weak flavors, having less Yin, induce vomiting/draining; weak aromas, having less Yang, cause sweating. Therefore, discussing the weakness or strength of aroma/flavor combines with the odd/even and large/small nature of formulas. Kidney and Liver are distant and low; frequent dosing makes the Qi slow, unable to reach quickly; thus, large doses with few administrations are taken for swift action to reach the lower jiao. Heart and Lung are near and high; infrequent dosing makes the Qi urgent, unable to diffuse upward; thus, small doses with frequent administrations are taken for aggregated Qi to disperse easily and tonify the upper jiao. Wang Bing commented: Lung takes 9 parts, Heart 7, Spleen 5, Liver 3, Kidney 1. These are the constant numbers of the five Zang organs. If an Odd formula fails, use an Even formula; this is called a Repeated Formula (Zhong Fang). If an Even formula fails, use counter-assistance (Fan Zuo); meaning Cold, Heat, Warm, Cool should follow the disease. Wang Bing commented: Thus, the Sages use counter-assistants to harmonize the Qi, making sounds and Qi correspond, mixing cold and heat, so they ultimately differ, moistening dryness and dissipating hardness, breaking rigidity, and eliminating fragility. Contrary treatment is Standard Treatment (Zheng Zhi); following treatment is Counter-Treatment (Fan Zhi). Follow more or less depending on the situation. Zhang Zhongjing said: In Shaoyin disease with diarrhea and faint pulse, give Bai Tong Tang. Hot medicines must be taken cold. After entering the stomach, the cold nature disappears, and the hot nature activates, curing the disease and stopping vomiting/hiccups without violating sentiment, thereby treating major reversal. This involves adding Ren Nao (Hominis Urina) and Zhu Dan Huang (Suis Fel) – salty, bitter, cold substances – to the hot Bai Tong Tang to ensure Qi compatibility and remove rejecting cold. The Classics say: "Treat heat with cold usage, treat cold with heat usage, treat obstruction with obstruction, treat flow with flow." One must take the governing medicine, address the cause first. Initially similar, finally different; this breaks accumulation, dissolves hardness, harmonizes Qi, and ensures cure. If the disease is distant and mid-body Qi blocks it, use food to guide it, without exceeding regulations. Wang Bing commented: If the disease is in the Kidney, but the Heart's medicine Qi stops midway, it must pass quickly, not letting Kidney medicine dominate, lest Heart and Lung decline further, contradicting up/down/near/far principles. Thus, the Sages treat the upper without offending the lower, and the lower without offending the upper. Neither offends both. The Classics say: "Punishing the innocent is called great confusion." There are internal-external non-interferences and root-branch relationships, maintaining order. What comes from the source is Root (Ben); what is received is Branch (Biao). Internal diseases are treated internally; external diseases are treated externally. The Classics say: "Upper overflowing downward, pacify with what overcomes it..." If internal causes external symptoms severe externally, regulate internal first, then treat external. If external causes internal symptoms severe internally, regulate external first, then treat internal. Wang Bing commented: Both mean removing the root first, then pruning the branches. Thus, excess disease onset, as Zhang Zhongjing said: After mistaken purgation in Cold Damage, leading to clear diarrhea and body pain, urgently save the Interior. Save Interior with Si Ni Tang; save Exterior with Gui Zhi Tang. Interior deficiency must be saved first. If bowels/bladder are normal, use Gui Zhi Tang for Exterior. This is treating the Branch when disease originates from Root; treat Root first, then Branch. Here, Cold is Root. Not knowing Root/Branch is reckless action. Although Ben Cao says: Top 120 herbs are Sovereigns (Heaven), Middle 120 are Ministers (Human), Bottom 125 are Assistants (Earth). But for treating disease, emphasizing these three grades is secondary. The Classics say: Toxic or non-toxic, focus on treatment, adjust size/dosage accordingly. Governing disease is Sovereign; assisting Sovereign is Minister, not referring to Top/Middle/Bottom grades. Wang Bing commented: If it breaks accumulation, relieves pain, solves emergencies, saves from death, toxicity is correct, non-toxicity is incorrect. Measure disease severity. Yellow Emperor asked: To clarify good and evil distinctions. Thus, Sages say toxic/non-toxic medicines have limits. Disease is new or old; combine with standard regimen. Great toxicity treats disease, remove 60%; common toxicity, remove 70%; slight toxicity, remove 80%; non-toxicity, remove 90%. Remaining nourishment via grains, meats, fruits, vegetables. Do not exceed limits, damaging Zheng Qi. If not cured, repeat method. Stop according to toxicity degree, avoiding excess. Ancient Sages stopped when disease was half gone. Drug properties/flavors are for treating illness; if applied moderately, doubt healing? This is the principle. If not cured by regulating Qi, how to treat? Toxic/non-toxic... Wang Bing commented: Four categories of disease origin. 1. Qi movement causing internal formation, e.g., accumulations. 2. Qi movement causing external formation, e.g., abscesses, sores, scabies, ulcers, swelling, itching. 3. Non-Qi movement causing internal disease, e.g., retained fluid, food retention, emotions, obsession, worry. 4. Non-Qi movement causing external disease, e.g., miasma, falls, wind/cold/heat/dampness, cuts, stabs, blows. Among these, some cured by internal treatment alone: Da/Xiao Cheng Qi Tang, Xian Xiong Tang, Di Dang Tang, San Hua Tang, Shen Bao Wan, Cang Yong Wan. Some cured by combined internal/external: Da/Xiao Chai Hu Tang, Tong Sheng San, Xi Xin San, Liang Ge San, Huang Lian Jie Du Tang. Some cured by external treatment alone: Wan Ying Gao, Ba Du San, eye drops. Some cured by internal then external: Measles, erysipelas, sores, fungal infections due to Triple Burner ministerial fire, heat inside. First open middle with cool/bitter-cold agents to cleanse organs, then apply external treatments like scarification, poultices, smearing. Some cured by external then internal: Trauma... Inside, first disperse exterior. If dispersion fails, judge depth and purge severely. With toxicity... fetal death, hard accumulations, distension. Also non-toxic regulators for phlegm/stagnation, Qi... unblocking meridians/regulating Qi herbs. Methods vary: scatter/astringe, suppress/high, moisten/dry, relax/tense, attack/stagnant, remove/pathogenic, warm/laborious. (Warm = nourish). Dissolve knots, moisten dryness, tonify deficiency. (Tonify = nourish). Move leisure, activate labor, calm shock. (Calm = normalize, familiar sights/sounds). Induce vomiting for upper, drain for lower... Moxibustion, bathing, thinning, seizing, burning needle puncture below, opening, releasing. Treat appropriately, settle Qi, clear... Qi declines, return to source. This is the general principle of treatment. Sages' laws have no fixed form; forms change with administration; medicines do not stick to one prescription. Hence, treat cold with heat, heat with cold, but physicians cannot abandon rules. For heat disease, use cold... Some use heat for cold, resulting in cold; both exist, new disease arises. How to treat cold turning heat? Take Yin. Heat turning cold? Take... Seek the affiliation. Wang Bing commented: If treatment fails and disease worsens with heat/cold... eliminate Yin shadows... benefit Heart... Call. Sages... Understand thus.
Formulas have Seven Categories; Agents have Ten Categories; cannot cure disease... Cannot be treated with one or two herbs... Small formula theory has two aspects... Near and upper, light dosage... Formulas like sugar, honey, licorice... Reason. Slow formulas with many ingredients: many herbs cannot exert individual potency. Non-toxic slow formulas: non-toxic attacks are naturally slow. Qi... Method for tonifying upper/upper. Rapid formulas... Rapid formulas for urgent wind/purging... Toxic rapid formulas, e.g., above... Directly descending, power undiminished... Also, near disease suitable for Odd formulas... Theory has two: two herbs paired... Four ministers six, number matches Yin... Yue Bi Tang etc. Formulas combined, repeated... Oppression not dispersed is congestion; must use Diffusing Category (Xuan Ji) to disperse, e.g., fullness/blockage. Disperse like ginger/orange. Attacking interior, diffusing acts upward; draining acts downward, surging... Same. Unblocking: stagnation is blockage; must use Unblocking Category (Tong Ji) to move, e.g., water disease, phlegm癖. Fangji etc. Attacking stagnation, unblocking moves. Kansui, Shi Gao, Fu Ling, Yuan Hua, Da Ji... Must tonify to support, e.g., Qi/form emaciation. Ben Cao says: Tonify can... Classics say: Speaking faintly all day then repeating indicates Qi depletion. Thus, form deficiency... Illness, medicine cures, grains/meats nourish. Drain, excess is... Ben Cao says: Drain can remove closure, e.g., Ting Li, Da Huang. Classics say turbid... Thus Ting Li/Da Huang, bitter/cold, specifically drains heat, removes dampness, directs Qi down... Frequent urination, floating/choppy pulse conflict, difficult stool, Spleen constrained, thus... Drains Stomach excess. Light: Excess Qi congestion, desire to raise. Ben Cao says: Light can remove excess, e.g., Ma Huang, Ge Gen. Classics say... Yang excess disperses. Heavy: Timidity Qi floats, desire to sedate... Sedate. Ben Cao says: Heavy can remove timidity, e.g., Ci Shi, Tie Fen... Use heavy substances to descend saliva/astringe. Astringent... Must use Astringent Category (Se Ji) to collect. Ben Cao says: Astringent can remove collapse... Qi sticking, desire to lubricate. Constipation/internal closure, must use Slippery Category (Hua Ji) to lubricate. Ben Cao says: Slippery can remove sticking, e.g., Dong Kui, Yu Pi... Nourish orifices, thus moisten/lubricate. Dryness: Dampness excessive, edema, Spleen damp, must use Drying Category (Zao Ji) to remove. Ben Cao says: Drying can remove dampness, e.g., Sang Bai Pi, Chi Xiao Dou. So dampness high, vomit with bitter, drain with bland. Ying/Wei dried flow, must use Moistening Category (Shi Ji) to moisten. Ben Cao says: Moistening can remove withered, e.g., Zi Shi Ying. Thus used for flaccidity. Wang Bing commented: Heart... Heat alone excessive, fire flares up, Kidney meridian often inactive. Fire flares up, Kidney meridian follows fire, reverses upward... Yin Qi rebellion, fire flares internally, Yin blocks Yang above, Lower fails to hold position, Heart Qi connects to vessels... Lift together, calf tendons relaxed unable to function. Can drain hundreds of times to cure. Thus Seven Formulas and Ten Categories are ancient masters setting rulers for straightness/crookedness. Later physicians create squares/circles from compasses. Wang Bing commented: Death is called fate, not blaming ignorant physicians for killing. ... Thus things have natures, finite. Prepared and used... Made infinite. Since nature infinite, use infinite, applied to grades/agents to assist humans, functions cannot be complete in one. Thus... Use based on nature, use based on overcoming, same Qi seeks same, opposing Qi controls, excess Qi tonifies deficiency, sensing Qi directs by intent, same substance different nature... Different name same reality. Snake nature creeping guides herbs; Cicada nature shedding removes nebula; Horseleech drinks blood treats blood; Rat good at drilling treats... Cause... Also. Hemp/grain treats wind; Bean/water treats water, so Qi same seeks same. Ox Earth animal, milk quenches thirst; Pig Water animal, heart calms panic, so opposing Qi controls. Bear meat strengthens weakness; Rabbit liver improves vision, so excess Qi tonifies deficiency. Carp treats water... treats water, so sensing Qi directs by intent. Honey made by bee, honey warm/bee cold; Oil born from hemp, hemp warm/oil cold, same substance different nature. Mi Wu born from Xiong Qiong... Peng... born from Fu Pen, different name same reality... Such examples endless. Heaven/Earth shape,不离 Yin/Yang, color/form natural, all have images. Fur/feathers born Yang belong Yin; scales/shells born Yin belong Yang. Kong Qing mimics Wood green governs Liver; Cinnabar mimics Fire red governs Heart; Cloud Mother mimics Metal white governs Lung; Magnet Stone mimics Water black governs Kidney; Yellow Earth mimics Soil yellow governs Spleen. Thus touch category grow... All have natural logic. Healer must know Astronomy above, Geography below, Human affairs middle. Three clear, then cure disease. Else blind night walk, footless travel, fall die, wanting to cure disease, never happens.
Medical Invention Theory says: Disease has contrary/following, Treatment has counter-treatment. Counter-treatment clarifies Four Meridians sources, one divides Hand/Foot... Four... Method... Like... No... Sage established "Treat flow with flow" meaning Shaoyang Spring, beginning of generating transforming all things, metals/stones/plants/feathers/scales are Yin/Yang... Generating Transforming... End... Order then... To emit... Symptoms many... Caution... Yin Meridian... Inside... Decoct... Method... Taiyang Mark has Yang name, no Yang reality, means changing to Yin. Pulse tight/rapid... Inside true cold. Thus Zhongjing uses Jiang Fu Tang long hot decoction, not warm take but sudden take... Long hot decoction, double Yang heat, drains pure Yin cold, treats Root. Not warm take... Treats Taiyang Mark fake Yang. Thus... Cold Qi, exterior heat signs, but great thirst pull... Pursued, want to stop dryness, sit well... Moreover internal injury diet, material has form, also... But Spleen/Stomach has Pi Qi, Zhongjing treats Pi has five... Types, also use Da Huang/Zhi Shi Yin Han drugs to drain downward. These two, are "Treat obstruction with obstruction", also "Treat cold with cold", clearly known... Though... Standard treatment: Treat heat with cold, cold with heat, direct reduction. Also Classics: Yangming/Jueyin not from Middle. Qi Xuanzi comment... Almost not... At Mao... After... Disease... Two Yangs combine bright, hence Yangming, between Chen/Si, generation transformation use. Two Yins exhaust, hence Jueyin, between Xu/Hai, destruction use. Jueyin Pericardium, total cover twelve meridians. Classics: Middle has Yangming life/death root, Foot Yangming sea of water/grain. Also Classics: All things born Earth end Earth. Root/Branch both Yang, all meridians have, thus cannot follow Mark, nor... Follow Root. Hand Yangming likes heat hates cool, Foot Yangming likes cool hates heat, Foot Jueyin generation source, warm hates cool, Hand Jueyin Pericardium not Five Elements, Kun Yuan correct Earth, though main longevity, Yin quiet Yang dry, inherit Shaoyang, Yuan Qi can generate... If lone Yin not grow, clarify this, is Root/Branch both Yin. Foot Jueyin Liver also Root/Branch both Yin, Liver one of five Zang, receives Gallbladder Qi... Can grow, mark stem grass shell in ground, meridian Yin exhaust. Yangming Pure Yang, Jueyin Pure Yin, these two Root/Branch not related... Thus treat heat with cold, cold with heat, standard treatment. Should judge disease. If heat disease treat cold, cold disease treat heat, hence follow... Middle. Now clarify standard treatment, suppose Hand Yangming excess, Foot Yangming deficiency, should treat cold with heat. If Foot Yangming excess, Hand Yangming deficiency, should treat heat with cold. Hence treat heat with cold, cold with heat, speaking standard treatment. From Middle, follow harmony appropriate medium medication... Hand/Foot Jueyin two meridians, through calculate, is Hand/Foot whole body twelve meridians reverse standard treatment method.