内托提 二地、 、参、术、升、草、菟、芍。
外塞法 用童便 炉甘石、牡蛎粉。
属热,小便涩,气承水,寒闭热结,痰气不利。胞痹属寒。
解热 关格者分利之,凉血火府丹,木通、黄芩各一两,生地二两。不渴而小便闭
者,滋肾丸,知母、黄柏。
补 老人气虚,人参、白术,中加木通、山栀、六味丸为主。气虚不运者加升麻。虚
寒者,八味丸为要药。
灸 三阴交。
掩脐 连须葱三茎,生姜一块,豆豉二十一粒,盐一匙,同捣作饼,烘热掩之,扎
定即通。
宣 吐之以提其气,气升则水自下,以二陈吐之,吐中便有降,关格必用吐,提其气
之横络,不必在出痰也。
下 八正散之类。
捷嚏 不卧散吹之。
外迎 汤浴之。
擦 用连须葱擦周身。
降气 八正中加木香、沉香、琥珀,清气莲子饮。寒者温之,三因生附散。
补 内虚寒自汗,御药秘元丹、三因家韭子丸。内虚湿热者,六味丸。寒者,八
味丸加杜仲、骨脂、五味。
灸 阴陵泉、阳陵泉。
不通者,用以上法,或用坐药,见伤寒例。男子急甚者,令人吹吮之。妇人仍用坐药。
痰热,湿热。
宣 以桐油吐,或以射干、逆流水吐。一方,槐花,独活,醋煎吐涎。
三因雄黄丸∶
雄黄(一两) 巴豆(去油,十四个) 郁金(一钱) 醋糊丸,绿豆大,茶清下七丸。
吹药 三因玉钥匙∶焰硝(一两半) 硼砂(半两) 脑子(一字) 僵蚕(一分)
密钥匙加雄黄,或止用胆矾。
一字散∶雄黄 蝎梢 白矾(枯) 藜芦 猪牙皂角(炙) 各等分,为末,每用一豆大,
放鼻内搐之。
解阴阳之结 连翘、麦门冬、桔梗、甘草、大力子、薄荷、山豆根、半夏、牡蛎、木
通。
针 合谷、涌泉、天突、丰隆。
灸 起初傍灸之。盖亦凿窍,使外泄也。颈肿针曲池二穴。
导痰 痰不降而致,桔梗半夏汤。寒痰∶三因玉粉丸。热者∶滚痰丸。
下 脉实气盛,火甚者,凉膈散下之,气虚老人勿轻用。血热∶柴胡饮子。气热∶碧
雪。风热∶用通圣散。
疏风 大力子、桔梗、半夏、薄荷、甘草、防风、荆穗、射干、牛膝、山豆根、当归
、黄芩、竹沥。
温 有下虚阴盛格热在上,切不可用凉药,脉沉紧细小者是也,宜桂附温下之药,上
用半夏、桔梗之类。
【内托提法】使用熟地黄、生地黄、人参、白术、升麻、甘草、菟丝子、白芍。
【外塞法】使用童便(儿童尿液)配合炉甘石粉、牡蛎粉。
若属热证,表现为小便涩滞,气机承接于水液之中,寒邪闭阻导致热邪结聚,痰气运行不利。胞痹属于寒证。
【解热法】对于关格(小便不通与呕吐并见)者,采用分利之法,使用凉血火府丹,由木通、黄芩各一两,生地黄二两组成。若不口渴但小便闭塞者,使用滋肾丸,由知母、黄柏组成。
【补益法】老年人因气虚所致者,用人参、白术,方中加木通、山栀,以六味丸为主方。气虚导致运化无力者,加升麻。若属虚寒证,八味丸是主要药物。
【灸法】取穴三阴交。
【掩脐法】用带须葱三根、生姜一块、豆豉二十一粒、盐一匙,共同捣碎做成饼状,加热后敷在肚脐上,扎紧固定后即可通畅。
【宣吐法】通过催吐来提举气机,气机上升则水液自然下行。使用二陈汤进行催吐,吐的过程中即包含降逆之意。治疗关格必须使用催吐法,目的是提举横络之气,不一定非要吐出痰涎。
【下法】使用八正散之类的方剂。
【捷嚏法】使用不卧散吹入鼻中引发喷嚏。
【外迎法】用药汤洗浴。
【擦法】用带须葱擦拭全身。
【降气法】在八正散中加入木香、沉香、琥珀,或使用清气莲子饮。寒证者温之,使用三因生附散。
【补益法】体内虚寒且自汗者,使用御药秘元丹、三因家韭子丸。体内虚湿热者,使用六味丸。寒证者,使用八味丸加杜仲、骨碎补、五味子。
【灸法】取穴阴陵泉、阳陵泉。
对于不通畅的情况,使用上述方法,或使用坐药(纳入谷道或阴户的制剂),详见《伤寒例》。男子病情急重者,让人用口吸吮患处。妇人仍使用坐药。
若为痰热、湿热证。
【宣吐法】用桐油催吐,或用射干、逆流水催吐。另一偏方:槐花、独活,醋煎煮催吐涎沫。
【三因雄黄丸】配方:雄黄(一两)、巴豆(去油,十四个)、郁金(一钱)。用醋糊制成梧桐子大小的丸药,茶清送服七丸。
【吹药】三因玉钥匙:配方:焰硝(一两半)、硼砂(半两)、脑子(一字,约0.5-1克)、僵蚕(一分)。密钥匙方加雄黄,或者仅用胆矾。
【一字散】配方:雄黄、蝎梢、白矾(枯)、藜芦、猪牙皂角(炙),各等分,研为细末。每次取如豆子大小的一团,放入鼻中搐鼻取嚏。
【解阴阳之结】使用连翘、麦门冬、桔梗、甘草、牛蒡子、薄荷、山豆根、半夏、牡蛎、木通。
【针法】取穴合谷、涌泉、天突、丰隆。
【灸法】起初在旁边施灸。这也是开凿窍道,使邪气外泄的方法。颈部肿胀针刺曲池穴两个。
【导痰法】因痰不降所致者,使用桔梗半夏汤。寒痰:使用三因玉粉丸。热痰:使用滚痰丸。
【下法】脉实气盛,火邪甚者,使用凉膈散攻下,气虚老人不要轻易使用。血热:使用柴胡饮子。气热:使用碧雪。风热:使用防风通圣散。
【疏风】使用牛蒡子、桔梗、半夏、薄荷、甘草、防风、荆芥穗、射干、牛膝、山豆根、当归、黄芩、竹沥。
【温法】若下焦虚寒,阴盛格拒热邪于上,切不可使用凉药,脉象沉紧细小即是此证,宜用桂枝、附子等温下之药,上部配合使用半夏、桔梗之类。
[Internal Support and Lifting Method] Uses Shu Di Huang (Prepared Rehmannia Root), Sheng Di Huang (Rehmannia Root), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Rhizome), Sheng Ma (Cimicifugae Rhizome), Gan Cao (Licorice Root), Tu Si Zi (Cuscuta Seed), and Bai Shao (White Peony Root).
[External Occlusion Method] Uses Tong Bian (Child's Urine) combined with Lu Gan Shi (Calamina) powder and Mu Li Fen (Oyster Shell) powder.
If it belongs to Heat Syndrome, presenting with astringent urination, Qi connecting with Water, Cold obstruction causing Heat accumulation, and unfavorable Phlegm-Qi movement. Bao Bi (Bladder Bi-syndrome) belongs to Cold Syndrome.
[Resolving Heat Method] For Guan Ge (Obstruction and Rejection, characterized by inability to urinate accompanied by vomiting), use the method of separating and draining. Use Liang Xue Huo Fu Dan (Cooling Blood Fire Palace Pill), composed of Mu Tong (Akebia Stem), Huang Qin (Scutellaria Root) each 1 liang, and Sheng Di Huang (Rehmannia Root) 2 liang. If there is no thirst but urinary retention, use Zi Shen Wan (Nourishing Kidney Pill), composed of Zhi Mu (Anemarrhenae Rhizome) and Huang Bo (Phellodendri Cortex).
[Nourishing Method] For elderly people due to Qi Deficiency, use Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Rhizome), adding Mu Tong (Akebia Stem) and Shan Zhi (Gardeniae Fructus) to the formula, with Liu Wei Wan (Six-Ingredient Pill with Rehmannia) as the main prescription. For those with Qi Deficiency leading to poor transportation, add Sheng Ma (Cimicifugae Rhizome). For Deficiency-Cold syndrome, Ba Wei Wan (Eight-Ingredient Pill) is the essential medicine.
[Moxibustion Method] Acupoint: San Yin Jiao (SP6).
[Umbilical Covering Method] Use three stalks of scallion with roots, one piece of fresh ginger, twenty-one grains of fermented soybean (Dou Chi), and one spoonful of salt. Pound them together into a cake, heat it, apply it to the umbilicus, secure it tightly, and patency will be achieved immediately.
[Inducing Vomiting Method] Induce vomiting to lift the Qi; when Qi ascends, water naturally descends. Use Er Chen Tang (Two-Cured Decoction) to induce vomiting; within vomiting lies the action of descending. Guan Ge must be treated with vomiting to lift the Qi in the horizontal collaterals; it is not necessary to expel Phlegm.
[Purgative Method] Use formulas similar to Ba Zheng San (Eight-Herb Powder for Rectification).
[Rapid Sneezing Method] Blow Bu Wo San (Do Not Sleep Powder) into the nose.
[External Welcoming Method] Bathe with medicinal decoction.
[Rubbing Method] Rub the whole body with scallions with roots.
[Descending Qi Method] Add Mu Xiang (Aucklandiae Radix), Chen Xiang (Aquilariae Wood), and Hu Po (Amber) to Ba Zheng San (Eight-Herb Powder for Rectification), or use Qing Qi Lian Zi Yin (Clear Qi Lotus Seed Decoction). For Cold, warm it using San Yin Sheng Fu San (Three Causes Raw Aconite Powder).
[Nourishing Method] For internal Deficiency-Cold with spontaneous sweating, use Yu Mi Mi Yuan Dan (Imperial Secret Origin Pill) and San Yin Jia Jiu Zi Wan (Three Causes Leek Seed Pill). For internal Deficiency-Damp-Heat, use Liu Wei Wan (Six-Ingredient Pill with Rehmannia). For Cold, use Ba Wei Wan (Eight-Ingredient Pill) added with Du Zhong (Eucommia Bark), Gu Zhi (Drynaria Rhizome), and Wu Wei Zi (Schisandra Fruit).
[Moxibustion Method] Acupoints: Yin Ling Quan (SP9), Yang Ling Quan (GB34).
For cases of obstruction, use the above methods, or use Zuo Yao (Suppository/Insert). See Shang Han Li (Examples from Treatise on Cold Damage). For men with severe acute conditions, have someone suck the affected area. For women, continue to use Zuo Yao (Suppositories/Inserts).
If it is Tan Re (Phlegm-Heat) or Shi Re (Damp-Heat).
[Inducing Vomiting Method] Use Tong You (Tung Oil) to induce vomiting, or use She Gan (Belamcandae Rhizome) or Ni Liu Shui (Reverse Flowing Water) to induce vomiting. Another prescription: Huai Hua (Sophorae Flos) and Du Huo (Angelicae Pubescentis Radix), decocted in vinegar to induce vomiting of saliva.
[San Yin Xiong Huang Wan (Three Causes Realgar Pill): Formula: Xiong Huang (Realgar) (1 liang), Ba Dou (Croton Seed) (de-oiled, 14 seeds), Yu Jin (Curcumae Radix) (1 qian). Make pills with vinegar paste, size of mung beans, take 7 pills with clear tea.]
[Blowing Medicine] San Yin Yu Yao Chi (Three Causes Jade Key): Formula: Yan Xiao (Saltpeter) (1.5 liang), Peng Sha (Borax) (0.5 liang), Nao Zi (Camphor) (1 zi, approx. 0.5-1g), Jiang Can (Bombyx Batryticatus) (1 fen). Mi Mi Yao adds Xiong Huang (Realgar), or uses only Dan Fan (Chalcanthite).
[Yi Zi San (One-Zi Powder): Formula: Xiong Huang (Realgar), Xie Shao (Scorpion Tail), Bai Fan (Alumen Calcined), Li Lu (Veratrum Root), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit Spine roasted). Equal parts, powdered. Each time use an amount the size of a bean, insert into the nose to induce sneezing.]
[Resolving Yin-Yang Knot] Use Lian Qiao (Forsythiae Fructus), Mai Men Dong (Ophiopogonis Tuber), Jie Geng (Platycodon Root), Gan Cao (Licorice Root), Da Li Zi (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Shan Dou Gen (Sophorae Tonkinensis Radix), Ban Xia (Pinelliae Tuber), Mu Li (Oyster Shell), Mu Tong (Akebia Stem).
[Acupuncture Method] Acupoints: He Gu (LI4), Yong Quan (KI1), Tian Tu (CV22), Feng Long (ST40).
[Moxibustion Method] Initially moxa around the affected area. This is also opening apertures to allow external discharge. For neck swelling, needle Qu Chi (LI11) at two points.
[Guiding Out Phlegm] Caused by Phlegm failing to descend, use Jie Geng Ban Xia Tang (Platycodon and Pinellia Decoction). Cold Phlegm: San Yin Yu Fen Wan (Three Causes Jade Powder Pill). Heat: Gun Tan Wan (Rolling Phlegm Pill).
[Purgative Method] If pulse is excess and Qi is abundant, with severe Fire, use Liang Ge San (Cooling the Diaphragm Powder) to purge. Do not use lightly for elderly with Qi Deficiency. Blood Heat: Chai Hu Yin Zi (Bupleurum Decoction). Qi Heat: Bi Xue (Green Snow). Wind-Heat: Use Fang Tong Sheng San (Wind-Release and Purity Powder).
[Dispersing Wind] Use Da Li Zi (Arctii Fructus), Jie Geng (Platycodon Root), Ban Xia (Pinelliae Tuber), Bo He (Menthae Haplocalycis Herba), Gan Cao (Licorice Root), Fang Feng (Saposhnikoviae Radix), Jing Sui (Schizonepeta Spike), She Gan (Belamcandae Rhizome), Niu Xi (Achyranthis Bidentatae Radix), Shan Dou Gen (Sophorae Tonkinensis Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellaria Root), Zhu Li (Bambusa Textilis Sap).
[Warming Method] If there is Lower Deficiency with Yin Excess repelling Heat to the Upper, do not use Cooling medicines at all. The pulse being deep, tight, and fine/small indicates this condition. It is appropriate to use Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Lateral Root) warming lower-jiao medicines, while using Ban Xia (Pinelliae Tuber) and Jie Geng (Platycodon Root) for the upper part.