天有奇文，地有奇事，人有奇病，不可拘也。欲治其病，不可以常药治之。有正医，有反医，有顺
医，有逆医，有内治；有外治，有完治，有碎治，有大治，有小治，有生治，有死治，有上治，有下
治，有中治之分；有先治，有后治，有急治，有缓治，有本治，有未治之异，有一百二十八法。
论肺经生痈 论久嗽服气法 论水泻论血痢 论水肿 论两胁胀满吞酸吐酸 论腰痛 论怔忡不
寐
岐天师曰∶凡人有病气喘呕咳者，乃肺病也。肺乃金脏，又娇脏也。居于心之上，瓣如莲花，色红
蒂紫。咽管之下，即是肺经，司气之出入，不容食物。咽之上有会厌在，即小舌头也。会厌遮住咽门。饮
食之类，始能直入食管，而下通于胃。倘人饮食之时多言，会厌不及遮咽门，设或米食之类，入于气管，
则必咳不已。可见气管不容一物，可知药亦不熊直入也。治肺之法，正治甚难，当转治以脾。脾气
有养，则土自生金，咳嗽自己。故五脏之中，除肺一经之外，俱可正治，独肺经不可正治。然则肺经生
痈疡，何以治之耶。用元参一两，生甘草一两，金银花八两，当归二两，水煎服。（〔批〕清金消毒汤）。
加麦冬一两。数品中，惟麦冬乃清肺火
之品，余俱入脾、入肝、入心之药，而用之者何也？盖入肝则平木，而不必肺金用力以制之，则肺金
得养矣；入脾则脾土能生肺金，而肺金又得养矣；入心经则心火不凌肺金，而肺经又得养矣。虽前药
乃治心、治脾、治肝之药，似乎隔一隔二隔三治法，其实乃正治肺金也。（雷公曰∶我意方中加白芍三钱
更妙，平肝火，使心火弱，不来克肺也。）
长沙守仲景张公曰∶肺经固是娇脏，不可容物，然未尝不可客气。人有久嗽不已，服诸补肺之药
不效者，遵岐天师之法治之，无有不愈。但止服汤药，而不以气入咽门，则肺经终难速愈。法当用女子
十三岁者，呵其气而咽之。每日五更时，令女子以口哺口，尽力将脐下之气，尽送病患口中，病患咽下
一口，即将女子推开，不可搂抱在怀，恐动相火也。每日止可呵一口，自然服药有功。但呵气之时，
切戒不可少动欲心。一动，不特无益，而有害矣。止可一口、二口，恐女子有病也。
天师曰∶脾经之病，如水泻，乃脾气不温。血痢，乃过于燥热，而成此症也。水泻，用白术一两，
车前五钱，二味煎汤，服之立效。（〔批〕分水神丹）。血痢不同，有腹痛、不痛之分。痛者，乃火热
也。用归尾一两，黄连三钱，枳壳二钱，白芍一两，广木香二钱，甘草一钱，萝
卜子二钱，水煎服。（〔批〕神丹），不痛者，乃寒也。白芍三钱，当归三钱，萝卜子一钱，枳
壳一钱，槟榔一钱，甘草一钱，水煎服。（〔批〕神丹。）水泻者，乃一时水气侵脾，故倾
腹而出。用白术以利腰脐之气血，用车前以分消其水势，此正治之法也。
张公曰∶白术、车前利腰脐，而消水气是矣。然而白术亦能健脾，脾健水湿自分，原不必借重车前。
车前能通窍而安脏气，亦不止分消已也。脏安则水湿之气自消，各有专能。
又能分助，所以奏效如神耳。
天师曰∶血痢者，乃肝经来克脾土也。虽因脾土之湿，又加暑热暗侵，瓜果内伤所致。然终因肝木太
旺无制，凌脾土而然也。故方用白芍、当归滋肝而平木，肝木得养，不来下克脾土，则土亦得养，而血
痢自痊矣。
张公曰∶血痢虽有痛、不痛之分，其实皆火邪而挟湿气也。论理二方俱可通治，而天师分别痛、不
痛之分，乃慎之也。二方出入加减，各为神效，正不必畏首畏尾，一用之于痛，一用之于不痛也。盖火
邪带湿气，居于肠脾之际，不得奔下，未有不急而后重者。妙在用当归、白芍滑而利之，则火邪利于
直下，不止平肝木而救脾土也。
天师曰∶水肿之病，亦土不能克水也。方用牵牛三钱，甘遂三钱、水煎。一服即大泻水
斗余，臌胀尽消。此则直夺其水势，而土得其平成矣。（〔批〕消水神方。雷公曰，此方固神奇，俱各用三钱
似太多，减去各一钱则不过猛矣，病去而不伤本。）病未尽去，可以再进，亦不失中和之道，但二味药性
峻烈，过于猛矣，人疑非正治之法。然水势滔天，必开决其水口，则水旋消。此二味之中病源，妙在于猛
也。第服此二味之后，切不可食盐，一食盐，则前病重犯，不可救矣。此乃不知禁忌，自犯死症，非药
之故也。今人一见牵牛、甘遂，视为必死之品，过矣。水肿之病，必须以手按足面如泥者，始可用此二味
正治。否则，按之不如泥，随按而皮随起者，非水也，当作气虚、肾虚治之，不可以此二味轻投以杀之
也。（〔批〕何言之当也。）
张公曰∶水肿治法甚多，独此二味奇妙通神。其次用鸡屎醴、然鸡屎醴终不若此二味之神。盖鸡屎
醴有毒，而此无毒也。牵牛性虽猛，得甘遂而迟矣；甘遂性虽缓，得牵牛而快矣。两相合而两相成，实有
妙用。此方盖余方也，天师
取之以救天下，余何可自立而自誉之，止言其相成有如此。
心经之病，怔忡不寐等症，乃心血少
也。方用人参三钱。丹参二钱，麦冬三钱，甘草一钱，茯神三钱，生枣仁五钱，
熟枣仁五钱，菖蒲一钱，当归三钱，五味子一钱，水煎服。（〔批〕安寐丹。妙。）此
方之妙，妙在生、熟枣仁各五钱，而以诸补心之药为佐使。盖枣仁乃安心上不寐之圣药，生用使其日间
不卧，熟用使其夜间不醒也。日夜既安，则怔忡自定，又何必用虎睛、琥珀、丹砂之多事哉。
肝经之病、两胁胀满，吞酸吐酸等症，乃肝木之郁也。正治之法，方用白芍五钱，柴胡二钱，
炒栀子一钱，苍术一钱，茯苓一钱，神曲五分，半夏一钱，甘草一钱，丹皮三
钱，水煎服。（〔批〕气爽丹，雷公曰∶此方尚可加当归三钱，以生肝血。此方之妙，妙在用白
芍、丹皮、柴胡也。盖三味乃肝木专经之药，而芍药尤善平肝，不去远凌脾土。土得养而木益舒，木舒而
气爽，痛自除，吐渐止也。）
肾经之病，如腰痛之症，用杜仲一两，破故纸五钱，各盐水炒，熟地三两，白术三
两，胡桃二两、各为末，蜜为丸每日饥而服之，白滚汤送下一两、服完自愈。此方之奇，奇
在白术乃脾经药也，何以为正治肾经。不知白术最利腰脐，腰脐利则水湿之气不留于肾宫，又用熟地、
杜仲，纯是补水之药；而胡桃与破故纸同用，又有相济之功，补肾火以生肾水，谓非正治得乎。岐天师不讲
者，未必非留以待我补。余所以又补心肝肾三法，愿人细思而用药也。
华君曰∶是传余文也，无方。
孙真君曰∶治肺有隔一、隔二、隔三之治，其实原正治肺经。此种议论，大开聋 。凡肺病皆宜如
此治之，勿谓天师专治肺痈立论，而不通于凡治肺病也。
按血痢症，张公概指为火邪挟湿，此特就壮实人之血痢言之也。然内伤劳倦，与中气虚寒人，脾不
摄血，往往脾湿下乘而成血痢。每以理中汤加木香、肉桂，补中益气汤加熟地、炒黑干姜治之而
愈。但火邪之血，色必鲜红，脉必洪缓。口必消渴，而喜饮冷，小便必热涩而赤浊。内伤之血，色必
鲜而紫暗，或微红淡白，脉必微细而迟，或浮涩而空，口不渴，即渴而喜饮热汤，小便不涩不亦，即
赤而不热不浊可辨。（李子永识。）
昔贤论肿症，与此不符。大概以随按而起者为水肿，按肉如泥者为气虚。附之以俟临症者之自
考。（李子永识。）
天地之间存在着奇特的文章、奇异的事件和罕见的疾病，治疗时不可拘泥于常规。想要治愈这些疾病，不能仅用普通的药物来治疗。治疗方法包括正治法、反治法、顺治法、逆治法；有内治法、外治法；有完整的治疗、局部的治疗；有大治法、小治法；有生治法（针对生机尚存者）、死治法（针对生机已绝者）；有上治法、下治法、中治法之分；有先治法、后治法；有急治法、缓治法；有本治法（治本）、未治法（治未病或标症）之异，共计一百二十八种治法。
以下分别论述肺经生痈、久咳服气法、水泻、血痢、水肿、两胁胀满吞酸吐酸、腰痛、怔忡不寐等病症。
岐天师说：凡是人出现气喘、呕吐、咳嗽等症状的，都是肺部的疾病。肺是金脏，又是娇嫩之脏。它位于心脏之上，形状像莲花，颜色红润而蒂部呈紫色。咽管之下就是肺经，主管气的出入，不允许食物进入。咽部上方有会厌（即小舌头），会厌遮住咽门。只有当会厌盖住咽门时，饮食才能直接食管，进而通向下方的胃。如果人在饮食时多说话，会厌来不及遮住咽门，若是米食等固体食物误入气管，就必然导致持续不断的咳嗽。由此可见，气管不容许有任何异物进入，由此可知药物也不能直接灌入气管。治疗肺的方法，直接治疗非常困难，应当转而治疗脾脏。脾气得到滋养，则土能生金，咳嗽自然停止。所以在五脏之中，除了肺经之外，其他脏腑都可以直接治疗，唯独肺经不宜直接治疗。那么，肺经产生痈疡该如何治疗呢？使用元参一两，生甘草一两，金银花八两，当归二两，加水煎服。（批注：清金消毒汤）。再加麦冬一两。这几味药中，只有麦冬是清泄肺火的药物，其余都是入脾、入肝、入心的药物，为什么要这样用呢？因为入肝则能平抑肝木，就不必让肺金费力去克制肝木，这样肺金就能得到养护了；入脾则脾土能滋生肺金，肺金又得到养护了；入心经则心火不凌驾于肺金之上，肺经也就得到养护了。虽然前面的药物是治疗心、脾、肝的药物，看似采用了隔一、隔二、隔三的间接治法，其实这正是对肺金的正治法。（雷公说：我认为方中加入白芍三钱更妙，可以平抑肝火，使心火减弱，不来克制肺金。）
长沙太守张仲景先生说：肺经确实是娇脏，不容异物，但并非不能接受客气（指通过呼吸吸入的外界清气或特定的气息疗法）。人有长期咳嗽不止，服用各种补肺药物无效的，遵循岐天师的法则治疗，没有不痊愈的。但如果只服用汤药，而不将气息导入咽门，肺经终究难以迅速痊愈。方法应当选用十三岁的女子，让她呵气给患者并让其咽下。每天五更时分，让女子口对口哺喂，尽力将脐下的真气，全部送入病患口中，病患咽下一口后，立即将女子推开，不可搂抱在怀中，以免动相火。每天只能呵一口，这样服药才能见效。但在呵气时，务必戒除任何轻微的欲念。一旦动欲念，不仅无益，反而有害。每次只能一口、两口，这是担心女子生病。
岐天师说：脾经的疾病，如水泻，是因为脾气不温煦。血痢，是因为过于燥热，从而形成此症。水泻，使用白术一两，车前子五钱，这两味药煎汤，服用后立即见效。（批注：分水神丹）。血痢则不同，有腹痛和不痛的区别。痛的，是因为火热。使用归尾一两，黄连三钱，枳壳二钱，白芍一两，广木香二钱，甘草一钱，萝卜子二钱，加水煎服。（批注：神丹）。不痛的，是因为寒邪。使用白芍三钱，当归三钱，萝卜子一钱，枳壳一钱，槟榔一钱，甘草一钱，加水煎服。（批注：神丹）。水泻，是一时水气侵袭脾脏，所以倾泻而出。使用白术来利腰脐部位的气血，用车前子来分消水势，这是正治之法。
张仲景先生说：白术、车前子利腰脐，消除水气是正确的。然而白术也能健脾，脾健则水湿自然分开，原本不必依赖车前子。车前子能通窍并安定脏气，也不仅仅只是分消水湿而已。脏气安定则水湿之气自然消除，各有专长。又能相互辅助，所以奏效如神。
岐天师说：血痢，是肝经克制脾土所致。虽然因脾土之湿，又加上暑热暗中侵袭，以及瓜果内伤所致。但最终是因为肝木太旺而无制约，凌驾于脾土之上造成的。所以方中使用白芍、当归滋养肝血以平抑肝木，肝木得到滋养，不再向下克制脾土，则脾土也能得到养护，而血痢自然痊愈。
张仲景先生说：血痢虽然有痛和不痛的区别，其实都是火邪挟带湿气。按理说这两个方子都可以通用治疗，而天师区分痛与不痛，是为了谨慎起见。两个方子的加减变化，各自都有神效，确实不必畏首畏尾，一个用于痛证，一个用于不痛证。因为火邪带着湿气，居于肠脾之间，不能顺畅下行，没有不急迫且伴有里急后重的。妙在用当归、白芍滑利之性，使火邪利于直下，这不仅平抑肝木，也救助了脾土。
岐天师说：水肿的病，也是土不能克制水所致。方中使用牵牛子三钱，甘遂三钱，加水煎服。服用一次即可大泻水斗余，鼓胀完全消退。这是直接夺取水势，使土得以恢复其平定功能。（批注：消水神方。雷公说：这个方子固然神奇，但各用三钱似乎太多，减去各一钱则不过于猛烈，病去而不伤根本。）病未尽去，可以再进服，也不失中和之道，只是这两味药性峻烈，过于猛烈，人们怀疑这不是正治之法。然而水势滔天，必须开决水口，水才能随即消退。这两味药击中病源，妙处就在于猛烈。只是服用这两味药之后，切不可吃盐，一旦吃盐，则前病复发，不可救治。这是不知禁忌，自犯死症，不是药物的过错。现在的人一见牵牛、甘遂，就视为必死之品，这是错误的。水肿的病，必须以手按压足面如泥般凹陷不起的，才可用这两味药正治。否则，按之不像泥，随手按随手皮起的，不是水邪，应当当作气虚、肾虚来治疗，不可以轻率投用这两味药来杀伤病人。（批注：说得多么恰当啊！）
张仲景先生说：水肿的治疗方法很多，唯独这两味药奇妙通神。其次是用鸡屎醴，然而鸡屎醴终究不如这两味药的神效。因为鸡屎醴有毒，而这方无毒。牵牛性子虽猛，得甘遂配合则变得迟缓；甘遂性子虽缓，得牵牛配合则变得迅快。两者结合而互相成就，实有妙用。这个方子原本是我的方子，天师取出来救天下人，我怎么能自立门户自我赞誉呢，只说它们相辅相成有如此功效。
心经的疾病，如怔忡（心慌）、不寐（失眠）等症状，是心血不足所致。方用人参三钱，丹参二钱，麦冬三钱，甘草一钱，茯神三钱，生枣仁五钱，熟枣仁五钱，菖蒲一钱，当归三钱，五味子一钱，加水煎服。（批注：安寐丹。精妙。）这个方子的妙处，妙在生枣仁、熟枣仁各用五钱，而以各种补心药物为佐使。因为枣仁是安心治疗失眠的圣药，生用使其白天不嗜睡，熟用使其夜间不惊醒。日夜既安宁，则怔忡自然安定，又何必用虎睛、琥珀、丹砂等多事之举呢。
肝经的疾病，如两胁胀满，吞酸吐酸等症状，是肝木郁结所致。正治之法，方用白芍五钱，柴胡二钱，炒栀子一钱，苍术一钱，茯苓一钱，神曲五分，半夏一钱，甘草一钱，丹皮三钱，加水煎服。（批注：气爽丹。雷公说：此方尚可加当归三钱，以生肝血。此方之妙，妙在用白芍、丹皮、柴胡也。盖三味乃肝木专经之药，而芍药尤善平肝，不去远凌脾土。土得养而木益舒，木舒而气爽，痛自除，吐渐止也。）
肾经的疾病，如腰痛症状，使用杜仲一两，破故纸五钱，各用盐水炒，熟地三两，白术三两，胡桃二两，各研为末，蜂蜜制成丸药，每日饥饿时服用，白开水送服一两，服完自愈。这个方子的奇特之处，在于白术本是脾经药，为何作为肾经的正治法？不知道白术最利于腰脐，腰脐利则水湿之气不留于肾宫，又用熟地、杜仲，纯是补水之药；而胡桃与破故纸同用，又有相济之功，补肾火以生肾水，这难道不是正治吗？岐天师不讲这一点，未必不是留待我来补充。所以我又补充心肝肾三法，希望人们仔细思考而用药。
华君说：这是传给我的文字，没有方剂。
孙真君说：治疗肺有隔一、隔二、隔三的治法，其实原本是正治肺经。这种议论，大开耳目。凡肺病都适宜这样治疗，不要认为天师专门针对肺痈立论，而不通用于所有肺病的治疗。
按语：关于血痢症，张公一概指为火邪挟湿，这是特指壮实人的血痢而言。然而内伤劳倦，与中气虚寒之人，脾不摄血，往往因脾湿下乘而成血痢。常用理中汤加木香、肉桂，补中益气汤加熟地、炒黑干姜治疗而痊愈。但是火邪导致的血，血色必鲜红，脉象必洪缓，口必消渴而喜饮冷，小便必热涩而赤浊。内伤导致的血，血色必鲜而紫暗，或微红淡白，脉象必微细而迟，或浮涩而空，口不渴，即使渴也喜饮热汤，小便不涩不利，即使赤也不热不浊，可以辨别。（李子永识。）
Heaven possesses wondrous texts, earth holds extraordinary events, and humans suffer from rare diseases; one must not be constrained by conventions. To treat these illnesses, ordinary medicines are insufficient. There are orthodox treatments (Zhengzhi), contrary treatments (Fan Zhi), compliant treatments (Shun Zhi), and opposing treatments (Ni Zhi); there are internal treatments (Nei Zhi) and external treatments (Wai Zhi); there are complete treatments (Wan Zhi) and fragmented treatments (Sui Zhi); there are major treatments (Da Zhi) and minor treatments (Xiao Zhi); there are life-preserving treatments (Sheng Zhi) for those with vitality, and death-related treatments (Si Zhi) for those without; there are upper treatments (Shang Zhi), lower treatments (Xia Zhi), and middle treatments (Zhong Zhi); there are prior treatments (Xian Zhi) and posterior treatments (Hou Zhi); there are urgent treatments (Ji Zhi) and slow treatments (Huan Zhi); there are root treatments (Ben Zhi) and branch/untreated aspects (Wei Zhi). In total, there are 128 methods.
The following discusses lung abscess, the method of swallowing qi for chronic cough, watery diarrhea, bloody dysentery, edema, distension and acid regurgitation in both hypochondria, lumbar pain, palpitations, and insomnia.
Grand Master Qi said: Whenever a person suffers from asthma, vomiting, or coughing, it is a disease of the Lung. The Lung is the Metal Zang organ and is also a delicate organ. It resides above the Heart, shaped like a lotus flower, with red coloration and a purple stalk. Below the pharynx lies the Lung Meridian, which governs the entry and exit of Qi and does not allow food to pass. Above the pharynx is the epiglottis (the uvula/small tongue), which covers the entrance to the throat. Only when the epiglottis covers the pharyngeal opening can food and drink enter the esophagus directly and descend to the Stomach. If a person speaks excessively while eating, the epiglottis may fail to cover the pharyngeal opening in time; if solid food such as rice enters the trachea, it will inevitably cause incessant coughing. Thus, the trachea cannot tolerate any foreign object, indicating that medicine cannot be poured directly into the trachea either. Treating the Lung directly is very difficult; one should instead treat the Spleen. When the Spleen Qi is nourished, Earth generates Metal, and the cough will cease naturally. Among the Five Zang organs, all except the Lung can be treated directly; only the Lung Meridian should not be treated directly. Then, how should an abscess in the Lung Meridian be treated? Use Yuan Shen (Scrophulariae Radix) 1 liang, Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) 1 liang, Jin Yin Hua (Lonicerae Japonicae Flos) 8 liang, and Dang Gui (Angelicae Sinensis Radix) 2 liang, decocted in water and taken orally. [Comment: Qing Jin Xiao Du Tang (Clear Metal and Eliminate Toxin Decoction)]. Add Mai Dong (Ophiopogonis Tuber) 1 liang. Among these herbs, only Mai Dong clears Lung Fire; the others enter the Spleen, Liver, and Heart. Why use them? Entering the Liver calms Wood, so the Lung Metal need not exert effort to control it, thereby nourishing the Lung Metal; entering the Spleen allows Spleen Earth to generate Lung Metal, thus nourishing the Lung Metal; entering the Heart Meridian prevents Heart Fire from harassing Lung Metal, thus nourishing the Lung Meridian. Although these herbs treat the Heart, Spleen, and Liver, seemingly employing indirect methods (treating the organ separated by one, two, or three positions), this is actually the orthodox treatment for Lung Metal. [Lei Gong said: I believe adding Bai Shao (Paeoniae Radix Alba) 3 qian would be even better, to calm Liver Fire, weaken Heart Fire, and prevent it from controlling the Lung.]
Zhang Zhong Jing, Grand Master of Changsha, said: The Lung Meridian is indeed a delicate organ that tolerates no foreign matter, yet it is not immune to receiving "guest Qi" (external breath therapy). For those suffering from chronic cough unresponsive to various Lung-tonifying medicines, following Grand Master Qi’s method ensures recovery. However, if one only takes herbal decoctions without guiding Qi into the pharynx, the Lung Meridian will hardly heal quickly. The method involves using a thirteen-year-old girl to exhale into the patient's mouth for them to swallow. At dawn (Wu Geng time), have the girl feed breath mouth-to-mouth, forcefully sending the Qi from below the navel entirely into the patient's mouth. After the patient swallows once, push the girl away immediately; do not embrace her, to avoid stirring the Ministerial Fire. Only one exhalation per day is allowed, ensuring the herbal medicine takes effect. During exhalation, strictly forbid any sexual desire. Moving desire brings harm rather than benefit. Limit to one or two exhalations to protect the girl’s health.
Grand Master Qi said: Diseases of the Spleen Meridian, such as watery diarrhea, result from Spleen Qi lacking warmth. Bloody dysentery results from excessive dryness and heat. For watery diarrhea, use Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang and Che Qian Zi (Plantaginis Semen) 5 qian, decocted in water for immediate effect. [Comment: Fen Shui Shen Dan (Water-Separating Divine Pill)]. Bloody dysentery differs, presenting with or without abdominal pain. Pain indicates Heat-Fire. Use Gui Wei (Angelicae Sinensis Radix Caulis) 1 liang, Huang Lian (Coptidis Rhizoma) 3 qian, Zhi Ke (Aurantii Fructus Immaturus) 2 qian, Bai Shao (Paeoniae Radix Alba) 1 liang, Guang Mu Xiang (Costi Radix) 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, and Luo Bo Zi (Raphani Semen) 2 qian, decocted in water. [Comment: Shen Dan]. Non-painful cases indicate Cold. Use Bai Shao 3 qian, Dang Gui 3 qian, Luo Bo Zi 1 qian, Zhi Ke 1 qian, Bing Lang (Arecae Semen) 1 qian, and Gan Cao 1 qian, decocted in water. [Comment: Shen Dan]. Watery diarrhea is caused by sudden Water-Qi invading the Spleen, leading to profuse discharge. Bai Zhu benefits the Qi and Blood of the waist and umbilicus, while Che Qian Zi disperses the Water-Qi; this is the orthodox treatment.
Zhang Zhong Jing said: Bai Zhu and Che Qian Zi benefiting the waist/umbilicus and eliminating Water-Qi is correct. However, Bai Zhu also strengthens the Spleen; a strong Spleen naturally separates Water-Dampness, originally not requiring reliance on Che Qian Zi. Che Qian Zi opens orifices and stabilizes Zang Qi, doing more than just dispersing Water-Dampness. When Zang Qi is stable, Water-Dampness dissipates naturally. Each has its specific function, yet they assist each other, yielding miraculous effects.
Grand Master Qi said: Bloody dysentery is caused by the Liver Meridian overcoming Spleen Earth. Although due to Spleen Earth Dampness combined with insidious Summer-Heat invasion and internal injury from melons/fruits, it ultimately stems from excessive Liver Wood without restraint, harassing Spleen Earth. Thus, the formula uses Bai Shao and Dang Gui to nourish the Liver and calm Wood. When Liver Wood is nourished, it stops overcoming Spleen Earth, allowing Spleen Earth to be nourished, and bloody dysentery heals itself.
Zhang Zhong Jing said: Although bloody dysentery presents with or without pain, it essentially involves Fire-Evil carrying Dampness. Theoretically, both formulas could treat it generally, but Grand Master Qi distinguishes between pain and non-pain out of caution. Both formulas, with modifications, are miraculous. One need not hesitate to use one for pain and the other for non-pain. Fire-Evil with Dampness resides at the junction of Intestines and Spleen, unable to rush downward, inevitably causing urgency and tenesmus. The brilliance lies in using Dang Gui and Bai Shao for their slippery, purgative nature, facilitating the direct expulsion of Fire-Evil, thereby calming Liver Wood and saving Spleen Earth.
Grand Master Qi said: Edema arises because Earth fails to control Water. The formula uses Qian Niu Zi (Pharbitidis Semen) 3 qian and Gan Sui (Kansui Radix) 3 qian, decocted in water. One dose causes massive diarrhea of over a dou of water, completely resolving the distension. This directly seizes the Water-Qi, allowing Earth to regain its level function. [Comment: Xiao Shui Shen Fang (Water-Eliminating Divine Formula). Lei Gong said: This formula is miraculous, but 3 qian each seems too much; reducing each by 1 qian makes it less harsh, eliminating disease without damaging the root.] If the disease persists, another dose may be given, maintaining balance. However, these two herbs are harsh and fierce; people doubt this is orthodox treatment. Yet, when Water-Qi floods like a river, one must open the floodgates for the water to subside. The miracle of these two herbs lies in their fierceness, hitting the disease source. After taking these, absolutely no salt should be consumed; consuming salt causes relapse, which is incurable. This is self-inflicted death due to ignoring taboos, not the fault of the medicine. Modern people view Qian Niu Zi and Gan Sui as fatal poisons, which is wrong. Edema must present with pitting edema (pressing the foot leaves a dent like mud) before these two herbs can be used for orthodox treatment. Otherwise, if the skin rebounds immediately upon pressing, it is not Water-Qi but Qi Deficiency or Kidney Deficiency, and these two herbs should not be lightly administered to kill the patient. [Comment: How appropriate!]
Zhang Zhong Jing said: There are many treatments for edema, but these two herbs are uniquely miraculous. Next best is Ji Shi Li (Chicken Manure Wine), but it is inferior because Ji Shi Li is toxic, whereas this formula is non-toxic. Qian Niu Zi is fierce, but becomes slower with Gan Sui; Gan Sui is mild, but becomes faster with Qian Niu Zi. Together, they complement each other effectively. This formula was originally mine; Grand Master took it to save the world. I cannot claim credit, only noting their synergistic effect.
Diseases of the Heart Meridian, such as palpitations (Zheng Tong) and insomnia (Bu Mei), stem from Heart Blood deficiency. The formula uses Ren Shen (Ginseng Radix) 3 qian, Dan Shen (Salviae Miltiorrhizae Radix) 2 qian, Mai Dong 3 qian, Gan Cao 1 qian, Fu Shen (Poria with Hostwood) 3 qian, Sheng Zao Ren (Ziziphi Spinosomi Semen - Raw) 5 qian, Shu Zao Ren (Ziziphi Spinosomi Semen - Cooked) 5 qian, Chang Pu (Acori Tatarinowii Rhizoma) 1 qian, Dang Gui 3 qian, and Wu Wei Zi (Schisandrae Chinensis Fructus) 1 qian, decocted in water. [Comment: An Mei Dan (Calming Sleep Pill). Wonderful.] The brilliance lies in using equal parts raw and cooked Zao Ren (5 qian each), assisted by other Heart-nourishing herbs. Zao Ren is the holy herb for calming the mind and treating insomnia: raw keeps one awake during the day, cooked prevents waking at night. With day and night stabilized, palpitations settle naturally, making unnecessary the use of Tiger Eye, Amber, or Cinnabar.
Diseases of the Liver Meridian, such as hypochondriac distension and acid regurgitation, stem from Liver Wood stagnation. The orthodox treatment uses Bai Shao 5 qian, Chai Hu (Bupleuri Radix) 2 qian, Chao Zhi Zi (Gardeniae Fructus - Stir-fried) 1 qian, Cang Zhu (Atractylodis Rhizoma) 1 qian, Fu Ling (Poria) 1 qian, Shen Qu (Massa Medicata Fermentata) 5 fen, Ban Xia (Pinelliae Tuber) 1 qian, Gan Cao 1 qian, and Dan Pi (Moutan Cortex) 3 qian, decocted in water. [Comment: Qi Shuang Dan (Qi-Freshening Pill). Lei Gong said: Adding Dang Gui 3 qian to generate Liver Blood is advisable. The brilliance lies in Bai Shao, Dan Pi, and Chai Hu. These three are specific to the Liver Meridian; Bai Shao especially calms Liver, preventing it from harassing Spleen Earth. Nourished Earth allows Wood to舒展 (relax); relaxed Wood freshens Qi, removing pain and stopping regurgitation.]
Diseases of the Kidney Meridian, such as lumbar pain, use Du Zhong (Eucommiae Cortex) 1 liang, Po Gu Zhi (Psoraleae Fructus) 5 qian (both stir-fried with salt water), Shu Di Huang (Rehmanniae Radix Praeparata) 3 liang, Bai Zhu 3 liang, and Hu Tao Ren (Juglandis Semen) 2 liang. All are powdered and made into pills with honey. Take 1 liang when hungry, washed down with plain boiled water. Self-healing occurs after completion. The uniqueness lies in Bai Zhu, a Spleen herb, being used for Kidney treatment. Bai Zhu benefits the waist and umbilicus; if clear, Water-Dampness does not stay in the Kidney Palace. Combined with Shu Di and Du Zhong (pure Water-nourishing herbs), and Hu Tao Ren with Po Gu Zhi (mutually assisting, tonifying Kidney Fire to generate Kidney Water), this is indeed orthodox treatment. Grand Master Qi omitted this, perhaps leaving it for me to supplement. I thus supplement the methods for Heart, Liver, and Kidney, urging careful consideration in medication.
Master Hua said: This is the text transmitted to me, without formulas.
Sun Simiao said: Treating the Lung involves indirect methods (separated by one, two, three organs), which are actually orthodox Lung treatments. This discussion enlightens the deaf. All Lung diseases should be treated thus; do not assume Grand Master Qi only discussed Lung Abscess and that it doesn't apply to general Lung diseases.
Note: Regarding bloody dysentery, Master Zhang attributes it generally to Fire-Evil carrying Dampness, specifically referring to robust individuals. However, in cases of internal injury from overwork or Middle Qi Deficiency-Cold, where the Spleen fails to control blood, Spleen Dampness descending can cause bloody dysentery. These are often cured with Lizhong Tang added with Mu Xiang and Rou Gui, or Buzhong Yiqi Tang added with Shu Di and Charred Gan Jiang. However, Fire-Evil blood is bright red with a surging-slow pulse, thirst preferring cold drinks, and hot, turbid red urine. Internal injury blood is bright but purple-dark or pale red, with a fine-slow or floating-empty pulse, no thirst (or preferring hot drinks), and non-astringent, non-turbid urine. (Recorded by Li Ziyong.)
Ancient experts' discussions on swelling differ. Generally, rebounding pressure indicates Edema, while mud-like indentation indicates Qi Deficiency. Attached here for clinical verification. (Recorded by Li Ziyong.)