王隐君论云痰证古今未详方书虽有五饮痰诸饮之异而莫知其为病之源或头风眩目运耳鸣
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眼蠕动眉棱耳叶俱痒或痛或四支游风肿硬而似疼非疼或为齿颊痒痛牙齿浮而痛痒不一或噫气
吞酸心下嘈杂或痛或哕或咽嗌不利咯之不出咽之不下其痰似墨有如破絮挑胶蚬肉之状或心下
如停冰铁心气冷痛或梦寐奇怪之状或足腕酸软腰肾骨节卒痛或四支筋骨疼痛难名并无常所乃
至手麻臂疼状若风湿或脊上每日一条如线之寒起者或浑身习习如卧芒刺者或眼粘湿痒口糜舌
烂喉痹等证或绕项结核状若瘰 或胸腹间如有二气交纽噎塞烦闷有如烟火上冲头面烘热或为
失志颠狂或中风瘫痪或劳瘵荏苒之疾或风毒香港脚或心下怔忡如畏人捕或喘嗽呕吐或呕冷涎绿
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汁甚为肺瘫肠毒便脓挛跛盖内外为病百般皆痰所致其状不同难以尽述盖津液既凝为痰不复周
润三焦故口燥咽干大便秘面如枯骨毛发焦槁妇人则因此月水不通若能逐去败痰自然服饵有效
余尝用一药即衮痰丸以愈诸疾不可胜数矣今特相传于世云
脉经云病患一臂不遂时复移在一臂其脉沉细非风也必有饮在上焦
活人书云中脘有痰亦令人憎寒发热恶风自汗胸膈痞满有类伤寒但头不痛项不强为异
按所叙病证患者十居八九足见痰之为病诚多也何则人血气流行无一息间断才有壅滞津液
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郁而成热痰逐生焉人于六淫七情饮食起居之际岂能一一中节而无所壅滞乎故余特叙脉经活人
二条以证隐君之说有所本也但所制衮痰丸一方难以通治诸疾
王隐君论述说:关于痰证的记载,古今医籍中尚不详尽。虽然方书中已有五饮、诸痰等分类的差异,但人们并不知晓它们是疾病的根源。有的表现为头风、眩晕、目运、耳鸣;有的表现为口眼肌肉跳动、眉棱骨及耳叶俱痒;有的疼痛,有的四肢游走性风肿,坚硬而似痛非痛;有的表现为齿颊痒痛,牙齿浮动且痛痒不一;有的嗳气吞酸,心下嘈杂或疼痛;有的呃逆;有的咽喉不利,咯之不出,咽之不下。其痰液状如墨汁,或像破絮、挑胶、蚬肉之状。有的感觉心下如停置冰铁,心气冷痛;有的梦境怪异;有的足腕酸软,腰肾及骨节突然疼痛;有的四肢筋骨疼痛难名状,且无固定部位;甚至出现手麻臂疼,状若风湿;有的脊背每日有一条如线般的寒意升起;有的浑身瘙痒,如卧芒刺之上;有的眼粘湿痒、口糜舌烂、喉痹等症状;有的颈部绕项结核,状若瘰疬;有的胸腹间如有两股气交纽,噎塞烦闷,有如烟火上冲头面烘热;有的因失志而癫狂;有的中风瘫痪;有的劳瘵缠绵难愈;有的风毒香港脚;有的心下怔忡,如畏人追捕;有的喘嗽呕吐;有的呕出冷涎、绿水、黑汁,甚则导致肺痈、肠毒、便脓、挛跛。总而言之,内外各种疾病,百般皆由痰所致,其症状不同,难以尽述。因为津液凝结为痰后,不再周流滋润三焦,所以会出现口燥咽干、大便秘结、面色如枯骨、毛发焦槁;妇女则因此月经不通。若能祛除败痰,自然服药有效。我曾使用一种名为“衮痰丸”的药方治愈了无数疾病,今特将其传授于世。
《脉经》说:患者一只手臂不能随意运动,时而转移到另一只手臂,其脉象沉细,这不是风邪所致,必定是上焦有饮邪。
《活人书》说:中脘有痰,也会使人憎寒发热、恶风自汗、胸膈痞满,症状类似伤寒,只是头痛和项强不同作为区别。
按上述叙述的病证,患者十居八九,可见痰之为病确实很多。为什么呢?人的气血流行没有一刻间断,一旦有壅滞,津液凝闭,郁积而成热,痰便随之产生。人在六淫、七情、饮食起居之间,岂能事事合乎节度而没有壅滞呢?所以我特意引述《脉经》和《活人书》的两条记载,以证明王隐君的说法有所依据。但是他所制定的衮痰丸一方,难以通治所有疾病。
Wang Yinjun discussed: Regarding phlegm syndromes, ancient and modern medical texts are not detailed. Although Fangshu (medical formularies) have distinctions such as Five Drinks (Wu Yin) and various types of phlegm, people do not know that they are the source of disease. Some manifest as Head Wind (Tou Feng), dizziness, vertigo, tinnitus; some manifest as twitching of the mouth and eyes, itching of the brow bone and ear lobes; some pain, some wandering wind swelling in the four limbs, hard and seeming painful but not truly painful; some manifest as itching and pain in the teeth and cheeks, floating teeth with varying pain and itch; some belching and acid regurgitation, epigastric restlessness or pain; some hiccups; some throat obstruction, unable to expectorate or swallow. The phlegm resembles ink, or like broken cotton wadding, glue, or clam meat. Some feel ice or iron stopped in the epigastrium, cold pain of Heart Qi; some have strange dreams; some have soreness and weakness in the ankles, sudden pain in the lower back, kidneys, and joints; some have pain in the tendons and bones of the four limbs that is indescribable and has no fixed location; even hand numbness and arm pain resembling Wind-Dampness; some have a line-like cold sensation rising daily along the spine; some have whole-body pruritus as if lying on thorns; some have sticky wet itchy eyes, oral ulcers, tongue sores, throat bi (obstruction); some have cervical lymphadenopathy resembling Scrofula (Luo Li); some have two qi streams knotting in the chest and abdomen, causing dysphagia, oppression, and heat rushing to the head and face like smoke and fire; some become manic due to loss of will; some suffer from stroke and paralysis; some have chronic consumption diseases; some have Hongxiangjiao (gouty arthritis); some have palpitations in the epigastrium as if fearing capture; some have wheezing, coughing, and vomiting; some vomit cold saliva, green water, black juice, leading to Lung Abscess (Fei Yong), intestinal toxicity, pus in stool, contracture, and lameness. In short, internal and external diseases, in all their varieties, are caused by phlegm. Their manifestations differ and cannot be fully described. Since body fluids congeal into phlegm and no longer circulate to moisten the Triple Burner (San Jiao), symptoms such as dry mouth and throat, constipation, a face like withered bone, and brittle hair appear. Women may experience amenorrhea due to this. If the stale phlegm is expelled, natural medication will be effective. I once used a formula called Gun Tan Wan (Rolling Phlegm Pill) to cure countless diseases, which I now specially transmit to the world.
Mai Jing (Pulse Classic) states: When a patient's one arm is paralyzed and the condition shifts to the other arm, and the pulse is deep and fine, it is not Wind (Feng). There must be Fluid Retention (Yin) in the Upper Jiao.
Huo Ren Shu (Book of Vitality) states: Phlegm in Zhongwan (CV12) can also cause aversion to cold, fever, aversion to wind, spontaneous sweating, and fullness in the chest and diaphragm. These symptoms resemble Taiyang Disease (Shanghan), differing only in the absence of headache and neck stiffness.
According to the described syndromes, eight or nine out of ten patients exhibit them, showing that phlegm causes many diseases. Why? Human Qi and Blood flow without a moment's interruption. Once there is stagnation, body fluids condense and close off,郁 (stagnate) and generate Heat, causing Phlegm to arise. Can people always adhere to proper measures regarding the Six Evils (Liu Yin), Seven Emotions (Qi Qing), diet, and daily life without any stagnation? Therefore, I specifically cite two passages from Mai Jing and Huo Ren Shu to prove that Wang Yinjun's theory has a basis. However, his single formula, Gun Tan Wan, cannot universally treat all diseases.