气海一穴,道家名曰丹田,在脐下一寸五分,任脉气所发。治脐下冷气上冲,心下气结
成
生
穴灸
治伤寒汗后,脾胃伤冷物,胸膈不快,寻常血气不和。宜服补脾汤。(此即治中汤也)
人参(去芦) 干姜(炮) 白术 甘草(炙) 陈皮(去白) 青皮(去白等分)
上细末,每服三钱,水一盏,煎数沸,热服,入盐点亦得。
记有人患伤寒得汗数日,忽身热自汗,脉弦数,心不得宁,真劳复也。予诊曰∶劳心之
所致
几得
子不
金
生我者也,
同义。方治
治中 。
知母(一两半) 甘草(半两,炙) 石膏(四两,碎,绵裹) 粳米(一合半)
上锉如麻豆大,每服五钱,水一盏,煮至八分,去滓温服。
有人头疼身热,心烦躁渴,诊其脉大而虚。予授以白虎汤数服愈。仲景云∶脉虚身热,
得之伤暑。又云∶其脉弦细芤迟何也?《素问》云∶寒伤形,热伤气。盖伤气不伤形,则气
消而脉虚
可知。
(方在前)
有人病伤寒。身热头痛。予诊之曰∶邪在表,此表实证也,当汗之以麻黄汤。或人问曰
∶伤
必虚
寒,
有表
景麻黄汤
四逆之类
愈也。尝
延当发汗
柴胡(二两,去苗,净洗) 黄芩(去皮) 人参(去芦) 甘草(各三分炙) 半夏
(六钱一
字,汤洗七次)
上粗末,每服五钱,水一盏半,生姜五片,枣二个,同煎至八分,去滓温,日三服。若
胸中
参
合前
加牡蛎
加桂三
有人患伤寒
又汗出满闷,
为阴。脉虽沉
愈。仲景称伤
为阳微结,必
在里。此为半
知非少阴也。
曰∶仲景云∶
出者,故知非
冷,脉沉紧
至胸而还,
矣,故仲景
肾为足少
气海穴,道家称为丹田,位于脐下一寸五分处,是任脉经气发出的部位。主治脐下冷气上冲、心下部气机郁结形成的痞块。
治疗伤寒发汗后,因脾胃受损食用生冷食物,导致胸膈部不适,以及日常气血不和的情况。适宜服用补脾汤。(此方即是治中汤)
人参(去除芦头)、干姜(炮制)、白术、甘草(炙烤)、陈皮(去除白色内层)、青皮(去除白色内层,各等分)。
将上述药材研成细末,每次服用三钱,用水一盏,煮沸数沸后热服,加入少许盐调味也可以。
曾记录有一人患伤寒,发汗数日后,突然身体发热、自汗出,脉象弦而数,心中烦躁不安,这是典型的劳复证。我诊断认为:这是由于劳心过度所致。
知母(一两半)、甘草(半两,炙烤)、石膏(四两,捣碎,用棉布包裹)、粳米(一合半)。
将药材锉如麻豆大小,每次服用五钱,用水一盏,煮至八分满,去渣温服。
有人头痛身热,心中烦躁口渴,诊察其脉象大而虚。我给予白虎汤,服用数次后痊愈。张仲景说:“脉虚身热,是由于伤暑所致。”又说:“为什么脉象会呈现弦、细、芤、迟呢?”《素问》中说:“寒邪损伤形体,热邪损伤气机。”因为热邪只伤气而不伤形,所以气机消损而脉象虚弱,这是显而易见的。
(前文已有该方)
有人患伤寒,身体发热、头痛。我诊察后说:“邪气在体表,这是表实证,应当用麻黄汤发汗。”有人问道:“伤寒必然导致虚寒,如果有表证……”(此处原文残缺,推测为质疑为何用麻黄汤而非温里药)。
柴胡(二两,去苗,洗净)、黄芩(去皮)、人参(去芦)、甘草(各三分,炙烤)、半夏(六钱一分,用汤洗七次)。
将药材捣成粗末,每次服用五钱,用水一盏半,生姜五片,大枣二个,同煎至八分满,去渣温服,每日三次。若胸中……(此处原文残缺)……结合前文……加牡蛎……加桂枝三钱……
有人患伤寒,又出现出汗、腹部胀闷……(此处原文残缺)……属阴。脉象虽然沉……(此处原文残缺)……痊愈。张仲景称此为“阳微结”,必定……(此处原文残缺)……在里。此为半……(此处原文残缺)……知道不是少阴病。
张仲景说:“……(此处原文残缺)……出汗的,所以知道不是……(此处原文残缺)……冷,脉象沉紧……(此处原文残缺)……气至胸而还……(此处原文残缺)……了,所以张仲景……(此处原文残缺)……肾为足少阴……(此处原文残缺)
The Qihai (Sea of Qi) acupoint, known in Daoism as the Dantian (Elixir Field), is located 1.5 cun below the umbilicus and is the site where the Qi of the Ren Mai (Conception Vessel) emerges. It treats cold qi rushing upward from below the umbilicus and the formation of palpable masses due to Qi stagnation in the epigastrium.
It is indicated for cases following Shanghan (Cold Damage) where sweating has damaged the Spleen and Stomach by exposure to cold foods, resulting in discomfort in the chest and diaphragm, as well as general disharmony of Blood and Qi. The appropriate prescription is Bupi Tang (Spleen-Supplementing Decoction). (This is identical to Zhizhong Tang).
Renshen (Ginseng Radix et Rhizoma, remove the rhizome), Ganjiang (Zingiberis Rhizoma, processed), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root, honey-fried), Chenpi (Citri Reticulatae Pericarpium, remove the white pith), Qingpi (Citri Reticulatae Pericarpium Viride, remove the white pith), all in equal parts.
Grind into a fine powder. Take 3 qian per dose with one cup of water, boil briefly, and take warm. Adding salt is also acceptable.
I once recorded a case of a patient who, several days after sweating out a Shanghan condition, suddenly developed fever and spontaneous sweating. The pulse was wiry and rapid, and the heart felt restless. This was a true case of Laofu (Relapse due to overexertion). I diagnosed it as caused by mental overexertion.
Zhimu (Anemarrhenae Rhizoma, 1 liang 5 qian), Gancao (Licorice Root, half a liang, honey-fried), Shigao (Gypsum Fibrosum, 4 liang, crushed and wrapped in cotton), Jingmi (Oryza Sativa, 1 he 5 sheng).
Cut into pieces the size of hemp seeds. Take 5 qian per dose with one cup of water, boil until reduced to 80%, strain, and take warm.
A patient presented with headache, fever, restlessness, and thirst. Upon examination, the pulse was large but empty. I prescribed Baihu Tang (White Tiger Decoction), which cured him after several doses. Zhang Zhongjing stated: "Empty pulse with body heat indicates injury from Summerheat." He further asked: "Why would the pulse be wiry, thin, knotted, or slow?" The *Suwen* states: "Cold injures the form; Heat injures the Qi." Since Heat injures the Qi without injuring the form, the depletion of Qi leads to an empty pulse, which is evident.
(The formula is mentioned earlier.)
A patient suffered from Shanghan with fever and headache. I examined him and said: "The pathogen is in the exterior; this is an Exterior Excess pattern, and should be treated with Mahuang Tang (Ephedra Decoction) to induce sweating." Someone asked: "Shanghan inevitably leads to deficiency-cold..." (Text fragmentary).
Chaihu (Bupleuri Radix, 2 liang, remove sprouts, wash clean), Huangqin (Scutellariae Radix, remove skin), Renshen (Ginseng Radix et Rhizoma, remove rhizome), Gancao (Licorice Root, each 3 fen, honey-fried), Banxia (Pinelliae Rhizoma, 6 qian 1 zi, washed seven times in decoction).
Crush into coarse particles. Take 5 qian per dose with 1.5 cups of water, five slices of fresh ginger, and two dates. Boil until reduced to 80%, strain, and take warm. Three times daily. If... (Text fragmentary)... combine with previous... add Muli (Ostreae Concha)... add Guizhi (Cinnamomi Ramulus) 3 qian...
A patient suffered from Shanghan and subsequently experienced sweating and abdominal fullness... (Text fragmentary)... indicating Yin. Although the pulse was deep... (Text fragmentary)... recovered. Zhang Zhongjing refers to this as Yangwei Jie (Yang slight knotting), which must be... (Text fragmentary)... interior. This is semi-... (Text fragmentary)... knowing it is not Shaoyin disease.
Zhang Zhongjing said: "... (Text fragmentary)... sweating, therefore knowing it is not... (Text fragmentary)... cold, pulse deep and tight... (Text fragmentary)... Qi returns to the chest... (Text fragmentary)... thus Zhang Zhongjing... (Text fragmentary)... Kidney is Foot-Shaoyin..." (Text fragmentary)