气虚、湿热、阳虚。
助阳 参术中佐以桂枝,甚者附子。
下 火气上蒸于胃作汗者,凉膈散。
补 心虚者,砺粉丸补之。
扑敛 牡蛎、麸皮、麻黄根、 本、糯米、防风、白芷,为末,周身扑之。
封脐 何首乌末,津调封之。
消导 脾胃有食积,热而自汗,须导之,脾积丸。
血虚、阴虚。小儿不须治。
凉血补血 生地、当归、黄 、黄连、黄柏、黄芩、甘草、麻黄根、浮麦。
实脾敛肌 白术四两,用黄 、牡蛎、麸,各分一两,炒过,只用术,为末,每服三
二钱。
补 文蛤末,为丸,汤下二十粒。
劫 何首乌为末,唾调,安脐内。
痰、气虚、阴火。
补 虚者,参术中下大补丸。轻者簠德,用思以胜之。
温 胃寒,理中汤。
下 便实者下之。
宣 气实脉盛有痰者,必吐之。
或运。痰挟气虚,火积其痰。脉大是久病。
利痰清热 南星、半夏、桔梗、枳壳、陈皮、甘草、茯苓、黄芩之类。
疏风 川芎茶调散。兼热痰,二陈加羌活、仙术、黄芩,青州白丸子。
降火 滚痰丸、清空膏。
导饮 蠲痰丸。
消食 有内伤停食挟痰而致。
活血 脉涩有死血。
补气 虚者,参、术、 、归、陈皮、甘草之类。
搐鼻 湿甚者,牛末吹之。
针 上星、风池二穴、天柱。
气虚、湿热、阳虚。
助阳:在人参、白术的基础上佐以桂枝,病情严重者加用附子。
泻下:火气上蒸于胃导致出汗的,使用凉膈散。
补益:心气虚的,用砺粉丸进行补益。
扑撒收敛:将牡蛎、麸皮、麻黄根、藁本、糯米、防风、白芷研为细末,全身扑撒。
封脐:用何首乌粉末,唾液调和后敷贴于肚脐。
消食导滞:脾胃有食积,发热并自汗的,必须通过导滞治疗,使用脾积丸。
血虚、阴虚。小儿患者不需要治疗。
凉血补血:使用生地、当归、黄芪、黄连、黄柏、黄芩、甘草、麻黄根、浮小麦。
实脾敛肌:白术四两,配合黄芪、牡蛎、麸皮各一两,炒制后仅保留白术,研为细末,每次服用三至二钱(注:原文“三 二钱”疑为“三二钱”或“二三钱”,此处依文意译为三至二钱或特定剂量,通常理解为少量频服,此处直译原文数字范围)。
补益:用文蛤粉末,制成丸剂,汤水送服二十粒。
劫敛:用何首乌粉末,唾液调和,填入肚脐内。
痰湿、气虚、阴火。
补益:体虚者,在人参、白术中加大补丸。轻症者可用簠德(注:疑为方名或药名误植,保留原词),用思虑克制它(注:中医情志疗法,恐胜喜或思胜恐等,此处原文“用思以胜之”可能指情志相胜,但语境稍显晦涩,直译即可)。
温中:胃寒的,使用理中汤。
泻下:大便干结实的,使用泻下法。
宣吐:气实脉盛且有痰的,必须使用催吐法。
或者运化失常。痰湿夹杂气虚,火热积聚成痰。脉象大是久病的表现。
利痰清热:使用南星、半夏、桔梗、枳壳、陈皮、甘草、茯苓、黄芩之类的药物。
疏风:使用川芎茶调散。兼有热痰的,在二陈汤基础上加羌活、苍术、黄芩,或使用青州白丸子。
降火:使用滚痰丸、清空膏。
导饮:使用蠲痰丸。
消食:有内伤停食夹杂痰湿导致的。
活血:脉象涩的,有瘀血。
补气:体虚的,用人参、白术、黄芪、当归、陈皮、甘草之类的药物。
搐鼻:湿气重的,用牛黄粉末吹入鼻腔。
针刺:上星穴、风池穴、天柱穴。
Qi deficiency, damp-heat, Yang deficiency.
Assisting Yang: Add Guizhi (Cinnamon Twig) to Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome); for severe cases, use Fuzi (Aconite Lateral Root).
Purging: For sweating caused by Fire Qi steaming upward into the Stomach, use Liangge San (Cooling the Diaphragm Powder).
Tonifying: For Heart Qi deficiency, use Lifen Wan (Grindstone Powder Pill).
Dusting/Astringing: Crush Musli (Oyster Shell), Bran, Mahuanggen (Ephedra Root), Gaoben (Ligusticum Sinense Rhizome), Nuomi (Glutinous Rice), Fangfeng (Saposhnikovia Root), and Baizhi (Angelica Dahurica Root) into powder; dust over the entire body.
Umbilical Sealing: Use Heshouwu (Polygonum Multiflorum) powder mixed with saliva to seal the umbilicus.
Resolving Accumulation: For Spleen and Stomach food stagnation causing heat and spontaneous sweating, resolution is required; use Piji Wan (Spleen Accumulation Pill).
Blood deficiency, Yin deficiency. Pediatric patients do not require treatment.
Cooling Blood and Tonifying Blood: Shengdi (Rehmannia Root), Danggui (Angelica Sinensis Root), Huangqi (Astragalus Root), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), Gancao (Licorice Root), Mahuanggen (Ephedra Root), and Fumai (Floating Wheat).
Solidifying Spleen and Astringing Skin: Baizhu (Atractylodes Macrocephala Rhizome) four liang, combined with Huangqi (Astragalus Root), Muli (Oyster Shell), and Bran, one liang each; stir-fry, retain only the Baizhu, crush into powder; take two to three qian per dose.
Tonifying: Use Wenha (Clam Shell) powder, formed into pills; swallow twenty pills with decoction.
Seizing/Astringing: Use Heshouwu (Polygonum Multiflorum) powder mixed with saliva, placed inside the umbilicus.
Phlegm, Qi deficiency, Yin Fire.
Tonifying: For deficiency, add Dabu Wan (Great Tonification Pill) to Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome). For mild cases, use Sidu (likely a specific formula or term, kept as is); overcome it with Si (Thought/Contemplation).
Warming: For Cold in the Stomach, use Lizhong Tang (Regulate the Middle Decoction).
Purging: If stool is solid, use purgation.
Dispersing/Vomiting: For excess Qi, full pulse, and presence of phlegm, emesis is necessary.
Or movement dysfunction. Phlegm mixed with Qi deficiency, Fire accumulating to form phlegm. A large pulse indicates chronic illness.
Promoting Phlegm Drainage and Clearing Heat: Nanxing (Arisaema Cum Bile), Banxia (Pinellia Tuber), Jiegeng (Platycodon Root), Zhike (Bitter Orange), Chenpi (Tangerine Peel), Gancao (Licorice Root), Fuling (Poria), Huangqin (Scutellaria Root), etc.
Dispersing Wind: Chuanxiong Chatiao San (Ligusticum Tea-Powder Dispelling Wind Formula). For concurrent Phlegm-Heat, modify Erchen Tang (Two-Cured Decoction) with Qianghuo (Notopterygium Root), Cangzhu (Atractylodes Lancea Rhizome), and Huangqin (Scutellaria Root), or use Qingzhou Baiwanzi (Qingzhou White Pills).
Descending Fire: Untan Wan (Rolling Phlegm Pill), Qingkong Gao (Clearing the Void Paste).
Guiding Fluids: Juantan Wan (Eliminating Phlegm Pill).
Digesting Food: Caused by internal injury, retained food, and accompanying phlegm.
Invigorating Blood: A choppy pulse indicates dead blood (stasis).
Tonifying Qi: For deficiency, use Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Huangqi (Astragalus Root), Danggui (Angelica Sinensis Root), Chenpi (Tangerine Peel), Gancao (Licorice Root), etc.
Snuffing: For severe dampness, blow Niuhuang (Calculus Bovis) powder into the nose.
Acupuncture: Shangxing (Ex-HN16), Fengchi (GB20), Tianzhu (BL10).