烧针令其汗,针处被寒,核起而赤者,必发奔豚。气从少腹上冲心者,灸其核上各一壮,与桂枝加桂汤,
(赵本有“桂枝加桂汤方”详见本书卷十)更加桂二两。(赵本有“也”字)
烧针发汗,则损阴血,而惊动心气。针处被寒,气聚而成核。心气因惊而虚,肾气乘寒气而动,发为
奔豚。《金匮要略》曰∶病有奔豚,从惊发得之。肾气欲上乘心,故其气从少腹上
冲心也。先灸核上,以散其寒,与桂枝加桂汤,以泄奔豚之气。
火逆,下之,因烧针烦躁者,桂枝甘草龙骨牡蛎汤主之。
先火为逆,复以下除之,里气因虚,又加烧针,里虚而为火热所烦,故生烦躁,与桂枝甘草龙骨牡蛎汤以散火邪。
桂枝甘草龙骨牡蛎汤方∶
桂枝(一两,赵本有“去皮”二字) 甘草(二两,赵本有“炙”字) 牡蛎(二两,熬) 龙骨(二两)
辛甘发散,桂枝、甘草之辛甘,以发散经中之火邪;涩可去脱,龙骨、牡蛎之涩,以收敛浮越之正气。
上为末,(赵本作“四味”)以水五升,煮取二升半,去滓,温服八合,日三服。
太阳伤寒者,加温针,必惊也。
寒则伤荣。荣气微者,加烧针,则血留不行。惊者温针,损荣血而动心气。《金匮要略》曰∶血气少者属于心。
太阳病,当恶寒发热,今自汗出,(赵本有“反”字)不恶寒发热,关上脉细数者,以医吐之过也。
一二日吐之者,腹中饥,口不能食;三四日吐之者,不喜糜粥,欲食冷食,朝食暮吐,以医吐之所致也,此为小逆。
恶寒发热,为太阳表病;自汗出,不恶寒发热者,阳明证。本太阳表病,医反吐之,伤动胃气,表邪乘
虚传于阳明也。以关脉细数,知医吐之所致。病一二日,为表邪尚寒而未成热,
吐之则表寒传于胃中,胃中虚寒,故腹中饥而口不能食。病三四日,则表邪已传成热,吐之,则表热乘虚
入胃,胃中虚热,故不喜糜粥,欲食冷食,朝食暮吐也。朝食暮吐者,晨食入胃,胃虚不能克化,即知,至暮
胃气行里,与邪气相搏,则胃气反逆,而以胃气尚在,故止云小逆。
太阳病吐之,但太阳病当恶寒,今反不恶寒,不欲近衣,此为吐之内烦也。
太阳表病,医反吐之,伤于胃气,邪热乘虚入胃,胃为邪热内烦,故不恶寒,不欲近衣也。
病患脉数,数为热,当消谷引食,而反吐者,此以发汗,令阳气微,膈气虚,脉乃数也。数为客热,
不能消谷,以胃中虚冷,故吐也。
阳受气于胸中,发汗外虚阳气,是令阳气微、膈气虚也。数为热本,热则合消谷,客热则不能消谷,
因发汗外损阳气,致胃中虚冷,故吐也。
太阳病,过经十余日,心下温温欲吐,而胸中痛,大便反溏,腹微满,郁郁微烦。先此时,自极吐
下者,与调胃承气汤。若不尔者,不可与。但欲呕,胸中痛,微溏者,此非柴胡(赵本有“汤”字)证,以
呕故知极吐下也。
心下温温欲吐,郁郁微烦,胸中痛,当责邪热客于胸中。大便反溏,腹微满,则邪热已下于胃也。日
数虽多,若不经吐下,止是传邪,亦未可下,当与柴胡汤,以除上中二焦之邪。若曾吐下,伤损胃气,胃虚则
邪乘虚入胃为实,非柴胡汤所能去,(医统本有“与”字)调胃承气汤下胃热。以呕,知胃气先曾伤动也。
太阳病六七日,表证仍在,脉微而沉,反不结胸,其人发狂者,以热在下焦,少腹当硬满,小便自利者,
下血乃愈。所以然者,以太阳随经,瘀热在里故也。抵当汤主之。
太阳,经也。膀胱,腑也。此太阳随经入腑者也。六七日邪气传里之时,脉微而沉,邪气在里之脉也。
表证仍在者,则邪气犹浅,当结于胸中;若不结于胸中,其人发狂者,热结在膀胱也。经曰∶热结膀胱,其
人如狂。此发狂则热又深也。少腹硬满,小便不利者,为无血也;小便自利者,血证谛也,与抵当汤以下蓄血。
抵当汤方∶
水蛭(三十个,熬。味咸,苦寒) 虻虫(三十个,熬,去翅足。味苦,微寒) 桃人(赵本作仁,二十
个,去皮尖。味苦甘,平) 大黄(三两,酒浸,赵本作洗。味苦寒)
苦走血,咸胜血,虻虫、水蛭之咸苦,以除蓄血。甘缓结,苦泄热,桃人、大黄之苦,以下结热。
上四味为末,(赵本无“为末”二字)以水五升,煮取三升,去滓,温服一升,不下再(赵本作“更”)服。
太阳病,身黄脉沉结,少腹硬,小便不利者,为无血也;小便自利,其人如狂者,血证谛也,抵当汤主之。
身黄脉沉结,少腹硬,小便不利者,胃热发黄也,可与茵陈汤。身黄,脉沉结,少腹硬,小便自利,其
人如狂者,非胃中瘀热,为热结下焦而为蓄血也,与抵当汤以下蓄血。
伤寒有热,少腹满,应小便不利;今反利者,为有血也,当下之,不可余药,宜抵当丸。
伤寒有热,少腹满,是蓄血于下焦;若热蓄津液不通,则小便不利,其热不蓄津液而蓄血不行,小便自
利者,乃为蓄血,当与桃人承气汤、抵当汤下之。然此无身黄屎黑,又无喜忘发
狂,是未至于甚,故不可余快峻之药也,可与抵当丸,小可下之也。
抵当丸方∶
水蛭(二十个,赵本有“熬”字。味苦寒) 虻虫(二十五个,赵本作二十个,去翅足,熬。味苦,
微寒) 桃人(人赵本作仁,二十个,赵本有“五”字,去皮尖) 大黄(三两)
上四味,杵(赵本作“捣”)分为(赵本无“为”字)四丸,以水一升,煮一丸,取七合服之, 时,
当下血;若不下者,更服。
太阳病,小便利者,以饮水多,必心下悸。小便少者,必苦里急也。
饮水多而小便自利者,则水不内蓄,但腹中水多,令心下悸。《金匮要略》曰∶食少饮多,水停心下,
甚者则悸。饮水多而小便不利,则水蓄于内而不行,必苦里急也。
用烧针(一种温热疗法,通过加热针具)来发汗,如果针刺部位受寒,出现红肿硬结,必然引发奔豚病。症状表现为气从少腹向上冲至心胸,此时应在红肿硬结处各灸一壮,并服用桂枝加桂汤,(赵本中有“桂枝加桂汤方”,详见本书卷十)增加桂二两。(赵本中多一个“也”字)。
烧针发汗,会损伤阴血,并惊动心气。针刺部位受寒,寒气凝聚形成硬结。心气因受惊而虚弱,肾气乘寒气之虚而动,从而引发奔豚。《金匮要略》说:奔豚病,是由于受惊引发的。肾气想要上乘于心,所以气从少腹上冲心胸。先灸硬结处,以散除寒气;给予桂枝加桂汤,以泄除奔豚之气。
若用火法治疗导致逆证,又误用下法,随后因烧针而出现烦躁的,主治方为桂枝甘草龙骨牡蛎汤。
先前用火法是逆治,再用下法清除邪气,导致里气虚弱,再加上烧针的刺激,里虚且被火热所扰,因而产生烦躁,给予桂枝甘草龙骨牡蛎汤以散除火邪。
桂枝甘草龙骨牡蛎汤方:
桂枝(一两,赵本有“去皮”二字) 甘草(二两,赵本有“炙”字) 牡蛎(二两,熬制) 龙骨(二两)
辛甘发散,利用桂枝、甘草的辛甘之性,以发散经络中的火邪;涩能固脱,利用龙骨、牡蛎的涩味,以收敛浮越的正气。
以上四味药研为末,(赵本作“四味”)用水五升,煮取二升半,去渣,温服八合,每日三次。
寒邪伤及营气。营气微弱者,若加用烧针,则血液凝滞不行。惊恐是因为温针损伤了营血并动摇了心气。《金匮要略》说:血气少者归属于心。
太阳病,应当恶寒发热,如今反而自汗出,不恶寒也不发热,关上脉细数,这是医生误用吐法的过错。
患病一二日时误用吐法,患者感到腹中饥饿,但嘴里吃不下东西;患病三四日时误用吐法,患者不喜欢喝稀粥,想吃冷食,早晨吃的食物晚上吐出来,这是医生误用吐法导致的,这属于小逆证。
恶寒发热,是太阳表证;自汗出,不恶寒发热,是阳明证。原本是太阳表证,医生反而用吐法,损伤了胃气,表邪乘虚传入阳明。根据关脉细数,可知这是医生误用吐法所致。患病一二日,表邪尚属寒邪而未化热,误吐则表寒传入胃中,导致胃中虚寒,所以腹中感觉饥饿但口不能食。患病三四日,表邪已传变化热,误吐则表热乘虚入胃,导致胃中虚热,所以不喜欢喝稀粥,想吃冷食,早晨吃的食物晚上吐出来。早晨吃的食物晚上吐出,是因为晨食入胃,胃气虚弱不能消化,到了傍晚,胃气行于里,与邪气相搏,导致胃气上逆,但因为胃气尚存,所以只称为小逆。
太阳病误用吐法,原本太阳病应当恶寒,现在反而不恶寒,不想穿衣,这是误吐导致内热烦闷。
太阳表证,医生反而用吐法,损伤胃气,邪热乘虚入胃,胃被邪热内扰而烦闷,所以不恶寒,不想穿衣。
患者脉数,数脉主热,应当能消化食物并食欲旺盛,却反而呕吐,这是因为发汗导致阳气微弱,膈间气虚,脉才表现为数。这种数是客热,不能消化食物,是因为胃中虚冷,所以呕吐。
阳气在胸中受气,发汗导致体表阳气虚弱,这就是使阳气微弱、膈气虚的原因。数脉本是热象,热则能消谷,客热则不能消谷,因为发汗外损阳气,导致胃中虚冷,所以呕吐。
太阳病,经过十余日,心下温温欲吐,且胸中痛,大便反而溏薄,腹部微满。如果在这些症状出现之前,患者曾经剧烈地用过吐法或下法,应给予调胃承气汤。如果不是这种情况,不可给予此方。如果只是轻微想呕,胸中痛,大便微溏,这不是柴胡汤证,因为呕吐可知患者曾经剧烈地用过吐下法。
心下温温欲吐,郁郁微烦,胸中痛,应当责问是否为邪热客居胸中。大便反而溏薄,腹部微满,说明邪热已下行至胃。虽然病程天数较多,如果没有经过吐下,仅仅是传经之邪,也不可攻下,应当给予柴胡汤,以清除上、中二焦的邪气。如果曾经吐下,损伤了胃气,胃虚则邪气乘虚入胃成为实证,这不是柴胡汤所能去除的,(医统本有“与”字)应用调胃承气汤攻下胃热。因为有呕吐,可知胃气先前曾受损伤。
太阳病六七日,表证仍在,脉象微而沉,反而没有形成结胸,其人发狂,这是因为热在下焦,少腹应当硬满,小便自利的,必须下血才能痊愈。之所以这样,是因为太阳随经入腑,瘀热在里的缘故。主治方为抵当汤。
太阳,指经络。膀胱,指脏腑。这是太阳随经入腑的病证。六七日邪气传里的时期,脉微而沉,是邪气在里的脉象。表证仍在,说明邪气尚浅,应当结于胸中;如果不结于胸中,其人发狂,说明热结在膀胱。经文说:热结膀胱,其人如狂。这里发狂,说明热势更深。少腹硬满,小便不利,是无血证;小便自利,才是血证的确凿证据,给予抵当汤以攻下蓄血。
抵当汤方:
水蛭(三十个,熬制。味咸,苦寒) 虻虫(三十个,熬制,去翅足。味苦,微寒) 桃仁(赵本作仁,二十个,去皮尖。味苦甘,平) 大黄(三两,酒浸,赵本作洗。味苦寒)
苦能走血,咸能胜血,虻虫、水蛭的咸苦之性,以除蓄血。甘能缓结,苦能泄热,桃仁、大黄的苦味,以下结热。
以上四味药研为末,(赵本无“为末”二字)用水五升,煮取三升,去渣,温服一升,若未下血,再服。
太阳病,身体发黄,脉沉结,少腹硬,小便不利的,是无血证;小便自利,其人如狂的,是血证的确凿证据,主治方为抵当汤。
身体发黄,脉沉结,少腹硬,小便不利的,是胃热发黄,可与茵陈汤。身体发黄,脉沉结,少腹硬,小便自利,其人如狂的,不是胃中瘀热,而是热结下焦形成的蓄血,给予抵当汤以攻下蓄血。
伤寒有发热,少腹胀满,应当小便不利;现在反而小便通利,是有蓄血,应当攻下,不可用其他药物,宜用抵当丸。
伤寒有发热,少腹胀满,是蓄血于下焦;如果热蓄积导致津液不通,则小便不利;如果热不蓄积津液而蓄积血液不行,小便自利的,才是蓄血,应当给予桃仁承气汤、抵当汤攻下。然而此证没有身黄、大便黑,也没有喜忘、发狂的症状,说明病情尚未达到严重程度,所以不能用过于峻猛的药剂,可给予抵当丸,轻微攻下。
抵当丸方:
水蛭(二十个,赵本有“熬”字。味苦寒) 虻虫(二十五个,赵本作二十个,去翅足,熬制。味苦,微寒) 桃仁(赵本作仁,二十个,赵本有“五”字,去皮尖) 大黄(三两)
以上四味药,捣碎,分为四丸,用水一升,煮一丸,取七合服用,当时,应当下血;如果未下,再服。
太阳病,小便通利的,因为饮水过多,必然心下悸动。小便少的,必然苦于里急。
饮水多而小便自利的,则水不内蓄,只是腹中水多,导致心下悸动。《金匮要略》说:吃得少喝得多,水停心下,严重时则心悸。饮水多而小便不利,则水蓄积于内而不运行,必然苦于里急。
If moxibustion needles (a heat therapy method involving heating the needle) are used to induce sweating, and the puncture site is exposed to cold, resulting in nodular redness and swelling, Ben Tun (Rushing Pig Disease) will inevitably occur. The symptom manifests as Qi rushing from the lower abdomen up to the heart and chest. In this case, apply one moxa cone on each nodule, and administer Guizhi Jia Gui Tang (Cinnamon Twig Decoction with Added Cinnamon Twig). (The Zhao edition contains "Guizhi Jia Gui Tang Formula," see Volume 10 of this book), adding two liang of Guizhi (Cinnamon Twig). (The Zhao edition has an additional character "ye" [also]).
Using burning needles to induce sweating damages Yin Blood and startles Heart Qi. Cold at the puncture site causes Qi to gather and form nodules. Because Heart Qi is weakened by the startle, Kidney Qi takes advantage of the cold pathogen to move, triggering Ben Tun. *Jingui Yaolue* states: Ben Tun arises from being startled. Since Kidney Qi desires to ascend to the Heart, Qi rushes from the lower abdomen to the heart and chest. First, moxa the nodules to disperse the cold; administer Guizhi Jia Gui Tang to drain the Qi of Ben Tun.
If fire therapy leads to adverse reactions, followed by erroneous purgation, and subsequent restlessness due to burning needles, the primary treatment is Guizhi Gancao Longgu Muli Tang (Cinnamon Twig, Licorice, Dragon Bone, and Oyster Shell Decoction).
Fire therapy was previously an adverse treatment; using purgation afterward depleted Interior Qi. Adding burning needles further depletes the Interior, causing restlessness due to Heat disturbing the deficiency. Administer Guizhi Gancao Longgu Muli Tang to dissipate the Fire pathogen.
Formula for Guizhi Gancao Longgu Muli Tang:
Guizhi (Cinnamon Twig) (one liang, Zhao edition specifies "remove bark") Gancao (Licorice Root) (two liang, Zhao edition specifies "honey-fried") Muli (Oyster Shell) (two liang, cooked/roasted) Longgu (Dragon Bone/Fossilized Bone) (two liang)
Pungent and Sweet flavors disperse outward. The pungent and sweet properties of Guizhi and Gancao dissipate Fire pathogens within the channels. Astringency prevents collapse. The astringent nature of Longgu and Muli converges floating and hyperactive Zheng Qi (Upright Qi).
Grind the above four ingredients into powder. (Zhao edition says "four ingredients"). Boil in five sheng of water until reduced to two and a half sheng. Remove dregs. Warm dose eight he. Take three times daily.
In Taiyang Shanghan (Cold Damage Syndrome of the Taiyang Channel), applying warm needles will inevitably cause fright.
Cold injures Ying Qi (Nutritive Qi). If Ying Qi is weak and burning needles are applied, blood stasis occurs. Fright results because warm needles damage Ying Blood and disturb Heart Qi. *Jingui Yaolue* states: Deficiency of Blood and Qi belongs to the Heart.
Taiyang disease should present with aversion to cold and fever. Now, if there is spontaneous sweating, without aversion to cold or fever, and the Guan pulse is fine and rapid, this is the fault of the physician using emesis.
If emesis is used on days one or two of illness, the patient feels hungry in the abdomen but cannot eat. If emesis is used on days three or four, the patient dislikes congee, desires cold food, and vomits what was eaten in the morning by evening. This is caused by the physician's erroneous use of emesis, constituting a minor adverse reaction (Xiao Ni).
Aversion to cold and fever indicates Taiyang Exterior syndrome. Spontaneous sweating without aversion to cold or fever indicates Yangming syndrome. Originally a Taiyang Exterior syndrome, the physician erroneously used emesis, damaging Stomach Qi, allowing Exterior pathogens to transmit into Yangming due to deficiency. The fine and rapid Guan pulse indicates this was caused by erroneous emesis. On days one or two, the Exterior pathogen is still cold and not yet transformed into heat. Emesis transmits Exterior cold into the Stomach, causing Stomach deficiency-cold, hence hunger but inability to eat. By days three or four, the Exterior pathogen has transmitted and transformed into heat. Emesis allows Exterior heat to enter the Stomach due to deficiency, causing Stomach deficiency-heat, hence dislike of congee, desire for cold food, and vomiting morning food by evening. Morning food vomited by evening occurs because morning food enters the Stomach, which is too weak to digest it. By evening, Stomach Qi moves inward and clashes with the pathogen, causing Stomach Qi to rebel upward. However, since Stomach Qi remains, it is called only a minor adverse reaction.
If emesis is used for Taiyang disease, although Taiyang disease typically involves aversion to cold, now there is no aversion to cold and a desire not to wear clothes. This is internal vexation caused by erroneous emesis.
Taiyang Exterior syndrome treated erroneously with emesis damages Stomach Qi. Pathogenic heat enters the Stomach due to deficiency, causing internal vexation in the Stomach. Thus, there is no aversion to cold and a desire not to wear clothes.
If the patient has a rapid pulse, rapidity indicates heat, which should promote digestion and appetite, yet vomiting occurs instead. This is because sweating induced slight Yang Qi and emptiness of Diaphragm Qi, resulting in a rapid pulse. This rapidity represents guest heat, which cannot digest food, due to Stomach deficiency-cold, hence vomiting.
Yang Qi receives Qi in the chest. Sweating causes exterior deficiency of Yang Qi, leading to slight Yang Qi and empty Diaphragm Qi. Rapidity is originally a sign of heat, which promotes digestion. Guest heat cannot digest food. Due to sweating damaging exterior Yang Qi, Stomach deficiency-cold results, causing vomiting.
After more than ten days of Taiyang disease, if the patient feels nauseous with warmth in the epigastrium, suffers chest pain, has loose stools, and mild abdominal fullness, along with slight depression and vexation: if prior to these symptoms the patient had undergone severe emesis or purgation, administer Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction). If not, do not administer it. If there is only slight desire to vomit, chest pain, and loose stools, this is not Chaihu syndrome. The vomiting indicates severe prior emesis or purgation.
Nausea with warmth in the epigastrium, slight depression and vexation, and chest pain suggest pathogenic heat lodged in the chest. Loose stools and mild abdominal fullness indicate pathogenic heat has moved downward to the Stomach. Although many days have passed, if no emesis or purgation occurred, it is merely transmitted pathogen, and purgation is not indicated. Chaihu Tang should be given to clear pathogens in the Upper and Middle Jiao. If emesis or purgation occurred, Stomach Qi was damaged. Stomach deficiency allows pathogens to enter and become excess. Chaihu Tang cannot remove this; Tiaowei Chengqi Tang is needed to purge Stomach heat. Vomiting indicates prior damage to Stomach Qi.
On the sixth or seventh day of Taiyang disease, if Exterior signs remain, the pulse is faint and deep, there is no Jie Xiong (Chest Binding), but the patient goes mad, this is because Heat is in the Lower Jiao. The lower abdomen should be hard and full. If urination is normal, blood must be evacuated for recovery. This is because Taiyang pathogens followed the channels into the Fu organs, causing stasis-heat in the interior. Didang Tang (Mantis Egg Case Decoction) is the primary treatment.
Taiyang refers to the channels; Bladder refers to the Fu organ. This is Taiyang pathogens entering the Fu organ via the channels. On days six or seven, when pathogens transmit to the interior, a faint and deep pulse indicates interior pathogens. If Exterior signs remain, pathogens are still shallow and should bind in the chest. If they do not bind in the chest but the patient goes mad, Heat binds in the Bladder. The classic states: Heat binding in the Bladder causes the patient to act like a madman. Here, going mad indicates deeper heat. Lower abdominal hardness and fullness with difficulty urinating indicate no blood stasis; normal urination confirms blood stasis. Didang Tang is administered to purge accumulated blood.
Formula for Didang Tang:
Shuizhi (Leech) (thirty pieces, roasted. Salty, bitter, cold) Mengchong (Dragonfly Larva) (thirty pieces, roasted, wings and feet removed. Bitter, slightly cold) Taoren (Peach Seed) (twenty pieces, Zhao edition writes Ren, skin and tips removed. Bitter, sweet, neutral) Dahuang (Rhubarb Root) (three liang, soaked in wine, Zhao edition writes washed. Bitter, cold)
Bitter enters Blood; Salty overcomes Blood. The salty and bitter nature of Mengchong and Shuizhi removes accumulated blood. Sweet moderates binding; Bitter drains heat. The bitter nature of Taoren and Dahuang purges bound heat.
Grind the above four ingredients. (Zhao edition lacks "grind into powder"). Boil in five sheng of water until reduced to three sheng. Remove dregs. Warm dose one sheng. If blood is not evacuated, take again.
In Taiyang disease, if the body is yellow, pulse is deep and knotted, lower abdomen is hard, and urination is difficult, there is no blood stasis. If urination is normal and the patient acts like a madman, blood stasis is confirmed. Didang Tang is the primary treatment.
Body yellow, deep and knotted pulse, hard lower abdomen, and difficult urination indicate Yellowing due to Stomach Heat. Yinchen Tang may be given. Body yellow, deep and knotted pulse, hard lower abdomen, normal urination, and acting like a madman indicate not Stomach stasis-heat, but Heat binding in the Lower Jiao causing accumulated blood. Didang Tang is given to purge accumulated blood.
In Shanghan with fever and lower abdominal fullness, urination should be difficult. If urination is now normal, there is blood stasis. It must be purged. Do not use other medicines; Didang Wan (Mantis Egg Case Pill) is appropriate.
Fever and lower abdominal fullness in Shanghan indicate accumulated blood in the Lower Jiao. If heat accumulates fluids preventing flow, urination is difficult. If heat does not accumulate fluids but accumulates blood preventing flow, and urination is normal, it is accumulated blood. Tao Ren Cheng Qi Tang or Didang Tang should be used to purge. However, this case lacks body yellow, black stool, forgetfulness, or madness, indicating the condition is not severe. Therefore, overly harsh drugs are contraindicated. Didang Wan is given for mild purgation.
Formula for Didang Wan:
Shuizhi (Leech) (twenty pieces, Zhao edition has "roasted". Bitter, cold) Mengchong (Dragonfly Larva) (twenty-five pieces, Zhao edition twenty pieces, wings and feet removed, roasted. Bitter, slightly cold) Taoren (Peach Seed) (Zhao edition writes Ren, twenty pieces, Zhao edition has "five", skin and tips removed) Dahuang (Rhubarb Root) (three liang)
Grind the above four ingredients. (Zhao edition writes "pound"). Divide into four pills. Boil one pill in one sheng of water until reduced to seven she. Take. At that time, blood should be evacuated. If not, take again.
In Taiyang disease, if urination is free, excessive drinking will likely cause palpitations in the epigastrium. If urination is scanty, there will be distressing urgency in the interior.
If drinking is excessive and urination is free, water does not accumulate internally. Excess water in the abdomen causes palpitations in the epigastrium. *Jingui Yaolue* states: Eating little and drinking much causes water to stop in the epigastrium; severely, it causes palpitations. If drinking is excessive and urination is difficult, water accumulates internally and does not circulate, causing distressing urgency in the interior.