五脏六腑,应五运六气,凡病微则当其本化,甚则兼其鬼贼之化,亢则害,承乃制。微则
是其本经、本腑之本化,造化之化也,病甚则如金衰不能制木,木则生火,木火者,皆阳也,
故风火多,兼化则风热相搏,贼其金也。脏腑之气,应乎三阴三阳,实则行乎本化之气,泻之
衰则行其胜己之气,泻之是为杀其鬼贼也。如诸阳蓄热,以凉膈合解毒服之,解散极热。如泻
火热,解毒、调胃承气是也。如吐法,用二仙散。如调理伤寒,白虎、凉膈合服解之。
伤寒三日以里,连进双解。如无汗,必是传变,待三四日之间,以小柴胡解表里之热,仍
间服白虎、凉膈。蕴热,七八日之间,欲下,而表证犹在,以大承气汤、大柴胡汤双行并煎,
攻里发表,最为隐当。若是温热内甚,自利者,止凉膈,却进解毒、白虎服之。或恶心、干呕、
吐者,白虎作一大剂,调解毒末五钱,服之即止。大小便不通,并有腹痛不能忍者,以无灰酒
煎朴硝三两热服,即愈,亦按从治之法也。热中伏寒,下之矣,或大承气汤加木香泻之,尤妙。
伤寒失下,始病时又误服麻黄热剂太甚,必致热极,或有阳厥极深,身冷脉微,阳极似阴
之证,庸医以为阴证是也。须当急救其阴,以白虎、凉膈,日进三服。脉气渐生,身体渐温,
然后以大承气下之。夫大承气,救急之妙剂。如咽膈吐逆不利,当令热服,开其热结,利而即
愈也。
如伤寒汗下之后,自汗虚热不止,于白虎汤内加人参、苍术,一服如神,汗止身凉。此法
至妙,无庸详尽。
如赤白痢,先服黄连阿胶丸,次服解毒汤。
伤寒疮疡、破伤风,与伤寒治法一同,但以双解教与白虎、承气、临时斟酌用之。
双解、凉膈、白虎、泻心,此理伤寒之妙剂。
孕妇临月,可服益元凉胎,产后仍服。如血不尽,则以凉膈与四物合煎,调理经血。甚者
,大承气合四物,乃泻中之有补也。凉膈同四物,名玉烛散,妇人产后之妙剂。凉膈、四物合
大承气汤,名三和汤。大承气合四物,治妇人一切血积血聚等疾,加红花尤妙。
初生儿五七日,有热证,不得已,只用益元散,时时灌之。如小儿夜啼,用凉膈调之,
肚饥。临睡服。
凡疮疡瘾疹,凉膈加当归治之。
五脏六腑,与五运六气相应。凡是病情轻微时,表现为本经的本化(即脏腑自身的正常生理特性);病情严重时,则兼夹克制它的“鬼贼”之化(即相克关系的异常亢盛)。物极必反则生害,有制约才能维持平衡。
病情轻微时,是本经、本腑的本化,属于自然造化的规律;病情严重时,就像金气衰弱不能克制木气,木气就会生火。木和火都属于阳,所以风邪和火邪较多。如果兼夹变化,风热相互搏结,就会伤害肺金(金)。
脏腑之气,与三阴三阳相应。实证时,运行的是本化的气;泻法之后,若正气衰败,运行的是胜己之气(克制自己的五行之气),这种泻法是为了杀灭克制自己的“鬼贼”之气。
例如诸阳蓄积热邪,用凉膈散合解毒汤服用,以解散极度的热邪。如果是泻火热,可用解毒汤、调胃承气汤。如果是吐法,用二仙散。如果是调理伤寒,可用白虎汤、凉膈散合服以解之。
伤寒发病三天以内,连续服用双解剂。如果没有汗出,必然是病邪传变,等待三四天之间,用小柴胡汤解除表里之热,同时间歇服用白虎汤、凉膈散。如果有蕴积的热邪,在七八天之间,想要使用下法,但表证仍然存在,就用大承气汤、大柴胡汤一起煎煮,攻里发表,最为恰当稳妥。
如果是温热内盛导致自利(腹泻),只服用凉膈散,然后进服解毒汤、白虎汤。如果出现恶心、干呕、呕吐,将白虎汤作为一大剂,调和解毒散末五钱,服用后症状立即停止。大小便不通,并有腹痛难以忍受的,用无灰酒煎煮朴硝三两,热服即可痊愈,这也是遵循“从治”的方法。
热中伏寒,已经使用了下法,或者在大承气汤中加入木香来泻下,尤其巧妙。
伤寒失于及时攻下,起初患病时又误服麻黄等热性药剂太过,必然导致热邪至极,或者有阳气厥逆极深,身体冰冷、脉象微弱,这是阳极似阴的证候,庸医往往误认为是阴证。此时应当紧急救阴,用白虎汤、凉膈散,每天进服三次。脉气逐渐恢复,身体逐渐转温,然后用大承气汤攻下。大承气汤是救急的妙方。如果咽喉膈部呕吐逆乱不利,应当令其热服,以开通热结,通利后即可痊愈。
如果在伤寒发汗或攻下之后,出现自汗、虚热不止的情况,在白虎汤中加入人参、苍术,一服如神,汗止身凉。此法极为巧妙,无需详尽解释。
伤寒引起的疮疡、破伤风,治疗方法与伤寒相同,只是根据情况斟酌使用双解剂、白虎汤、承气汤。
孕妇临产月,可以服用益元散以凉胎,产后仍继续服用。如果恶露不尽,则将凉膈散与四物汤合煎,调理经血。病情严重的,用大承气汤合四物汤,这是泻中有补的方法。凉膈散同四物汤,名为玉烛散,是妇人产后的妙方。凉膈散、四物汤合大承气汤,名为三和汤。大承气汤合四物汤,治疗妇人一切血积、血聚等疾病,加入红花尤其巧妙。
初生婴儿五到七天,如果有热证,不得已的情况下,只用益元散,时时灌服。如果小儿夜啼,用凉膈散调理,因为可能是肚饥。临睡前服用。
The five zang organs and six fu organs correspond to the Five Movements (Wu Yun) and Six Qi (Liu Qi). When a disease is mild, it manifests as its own original transformation (the inherent physiological nature of the organ or fu); when severe, it involves the transformation of its "ghostly enemy" (an abnormal excess in the controlling relationship). Extremes lead to harm; only through control can balance be maintained.
When mild, it is the original transformation of the respective meridian and fu organ, representing the transformation of natural creation. When severe, it is like Metal being too weak to control Wood; Wood then generates Fire. Both Wood and Fire belong to Yang, so Wind and Fire pathogens are prevalent. If transformations combine, Wind-Heat fights together, damaging Metal (the Lung).
The Qi of the zang and fu organs corresponds to the Three Yin and Three Yang. In excess conditions, the Qi of the original transformation circulates; after purgation, if the body's Qi declines, the Qi that overcomes it circulates. This type of purgation aims to eliminate the "ghostly enemy" Qi.
For example, when Yang heat accumulates, Liangge San (Cooling the Chest Powder) combined with Jiedu Tang (Detoxifying Decoction) is taken to dissipate extreme heat. To purge fire-heat, Jiedu Tang or Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction) are used. For emetic therapy, Erxian San (Two Immortals Powder) is employed. For regulating cold damage, Baihu Tang (White Tiger Decoction) and Liangge San are taken together to resolve the condition.
Within three days of cold damage onset, Shuangjie agents (Dual-resolving formulas) are administered continuously. If there is no sweating, it indicates pathogen transmission; waiting until the third or fourth day, Xiaochaihu Tang (Minor Bupleurum Decoction) is used to resolve interior-exterior heat, while Baihu Tang and Liangge San are taken intermittently. If latent heat persists, between the seventh and eighth days, if purgation is desired but exterior signs remain, Dachengqi Tang (Major Order the Qi Decoction) and Da Chaihu Tang (Major Bupleurum Decoction) are decocted together to attack the interior and release the exterior, which is most appropriate.
If internal heat is severe causing spontaneous diarrhea, only Liangge San is used, followed by Jiedu Tang and Baihu Tang. If nausea, dry retching, or vomiting occur, a large dose of Baihu Tang is prepared, mixed with five qian of Jiedu San powder; taking this stops symptoms immediately. For blockage of both urination and defecation accompanied by unbearable abdominal pain, 3 liang of Puxiao (Natrii Sulfas) is decocted in wine without ash and taken hot; this cures the condition, following the method of "treating according to the disease" (Cong Zhi).
For cold trapped within heat, after purgation, adding Muxiang (Aucklandiae Radix) to Dachengqi Tang for purgation is particularly effective.
If cold damage fails to receive timely purgation, and initially mistaken administration of Mahuang (Ephedrae Herba) and other hot agents was excessive, extreme heat will result. There may be deep Yang collapse with cold limbs and faint pulse, a syndrome where extreme Yang mimics Yin. Quack doctors often mistake this for a Yin syndrome. One must urgently rescue Yin by administering Baihu Tang and Liangge San, three doses daily. As the pulse gradually returns and the body warms, then Dachengqi Tang is used for purgation. Dachengqi Tang is a miraculous emergency formula. If there is regurgitation and obstruction in the throat and diaphragm, it should be taken hot to open heat knots; once unblocked, recovery follows.
After sweating or purging in cold damage, if spontaneous sweating and deficiency-heat persist, adding Renshen (Ginseng Radix et Rhizoma) and Cangzhu (Atractylodis Rhizoma) to Baihu Tang works miraculously in one dose, stopping sweat and cooling the body. This method is excellent and needs no further elaboration.
For red and white dysentery, first administer Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill), then Jiedu Tang.
Cold damage-induced sores, ulcers, and tetanus are treated similarly to cold damage, but Shuangjie agents, Baihu Tang, and Chengqi Tangs are used according to circumstances.
Shuangjie San, Liangge San, Baihu Tang, and Xiexin Tang are miraculous formulas for treating cold damage.
Pregnant women near term may take Yiyuan San (Benefit Origin Powder) to cool the fetus, continuing postpartum. If lochia is not fully expelled, Liangge San is decocted with Siwu Tang (Four Substances Decoction) to regulate menstrual blood. In severe cases, Dachengqi Tang is combined with Siwu Tang, representing purgation with tonification. Liangge San combined with Siwu Tang is called Yuzhu San (Jade Candle Powder), a miraculous formula for postpartum women. Liangge San, Siwu Tang, and Dachengqi Tang combined are called Sanhe Tang (Three Harmonies Decoction). Dachengqi Tang combined with Siwu Tang treats all blood accumulation and mass disorders in women; adding Honghua (Carthami Flos) is particularly effective.
Newborns aged five to seven days with heat signs, if unavoidable, should only be given Yiyuan San frequently via gavage. For infant night crying due to hunger, Liangge San is used for regulation, taken before sleep.
For all sores, ulcers, and urticaria, Liangge San added with Danggui (Angelicae Sinensis Radix) is used for treatment.