论疏通肝邪
天师曰∶发治者,邪入皮毛腠理,将入营卫,而急发散之谓也。方用柴胡一钱,白术三钱,荆芥
一钱,苏叶一钱,
半夏一钱,甘草一钱,苍术一钱,丹皮一钱,水煎服。此方平和之中有妙理。盖木气之郁,最宜平散,
今所用之药,俱是直入肝经之圣药,自然肝木疏通,枝叶调达。无风吹动,柳叶自繁,嫩绿芳草,遍出新
青,宇宙之间,无非春气之舒畅矣。此发治之法也。
张公曰∶不意天师早已言之矣,我前方可废也。予方即发之也,可删之。远公言是,姑两存之。
华君曰∶无。
论水肿腹胀跗肿
天师曰∶夺治者,乃土气雍塞而不行,不夺则愈加阻滞,故必夺门而出,而水乃大流也。病如水肿
之疾,腹胀如鼓,两跗如浮,按之如泥,小便不利,大便反结,人以为水病,谁知皆由于土气之郁。方用
鸡屎醴一升,炒黄色为末,以黄酒一斤,先将鸡屎末盛于新布上,后将黄酒洒之,不可太骤,缓缓冲之,
则药味尽下。取汁一碗,病患服之。切不可令病患先知,则不肯信心而服,使生别病。下喉之后,腹即作雷
鸣,一饭之间,倾腹而出,两足即减大半,再饮一碗全消。盖鸡屎善能逐水,而又通土性,无微不入,将
从前所蓄之水,无不开其水口,尽归大肠而泄。此夺法之奇也。至于牵牛、甘遂,非不善于逐水,终不胜
鸡屎神效。但已用之后,必须禁用饮食,否则再发无救。行医者,切宜知之,有病者,切宜记之。
张公曰∶鸡屎醴果然神效,若言甘遂、牵牛不及鸡屎,则未然也。二方俱可酌用。
华君曰∶同。然予尚有一法未传,水肿之法,有用大麦芒二两,煎汤饮之亦消,且无后病,但须一
连数月作汤饮之,即泄水而愈。药味平常,而奏功甚奇,此类是也。天师何故不传,岂以无奇而忽之耶。
然而奏功实神,予终不敢没其奇。
天师曰∶此方止可治初起之水肿,而不可治久病之水肿也。
天师说:所谓“发治”,是指邪气侵入皮毛腠理,即将进入营卫之间,此时急需采用发散的方法治疗。方剂使用柴胡一钱,白术三钱,荆芥一钱,苏叶一钱,半夏一钱,甘草一钱,苍术一钱,丹皮一钱,用水煎服。这个方子平和之中蕴含妙理。因为木气(肝气)郁结,最适合平抑疏散,现在所用的药物,都是直接入肝经的良药,自然能使肝木疏通,枝叶调达顺畅。就像没有风吹动时,柳叶自然繁茂,嫩绿的芳草遍出新青,宇宙之间,无非是春气舒畅的景象罢了。这就是“发治”的方法。
张公说:没想到天师已经说过了,我的前方可以废除了。我的方子也是用于发散的,可以删去。远公说得对,姑且将两方都保留下来。
华君说:无意见。
天师说:“夺治”,是指土气(脾胃之气)壅塞不通,如果不采用“夺”法,阻滞会更加严重,所以必须通过“夺门而出”的方式,让水液大流排出。病症像水肿病一样,腹部胀大如鼓,双脚背浮肿,按压下去像泥一样凹陷,小便不利,大便反而干结。人们以为是水病,谁知都是因为土气郁结所致。方剂使用鸡屎醴一升,炒至黄色后研成粉末,用黄酒一斤,先将鸡屎末盛在新布上,然后将黄酒洒在上面,不可太急骤,缓缓冲洗,使药味全部滤下。取汁液一碗,让病患服用。千万不可让病患事先知道,否则不肯相信并服用,从而引发其他疾病。药液入口后,腹部立即发出雷鸣般的响声,一顿饭的功夫,腹中积水倾泻而出,双脚肿胀随即减轻大半,再喝一碗即可完全消除。因为鸡屎善于逐水,又能通达土性,无孔不入,将从前蓄积的水液,无不打开其出口,全部归入大肠而排泄出去。这就是“夺法”的神奇之处。至于牵牛、甘遂,并非不善于逐水,终究比不上鸡屎的神效。但是在使用之后,必须禁止饮食,否则再次发作就无法救治了。行医者务必知晓,有病者务必牢记。
张公说:鸡屎醴果然神效,如果说甘遂、牵牛不如鸡屎,那就不一定了。两个方子都可以酌情使用。
华君说:同意。但我还有一法未传授,治疗水肿的方法,有用大麦芒二两,煎汤饮用也能消退,而且没有后遗症,但需要连续数月作汤饮服,即使泄水而痊愈。药味平常,但功效甚为奇特,这类就是。天师为何不传授,难道是因为觉得没有奇效而忽略了吗?然而功效确实神奇,我始终不敢埋没它的奇特之处。
On Unblocking Liver Pathogens
The Heavenly Master said: "Fa Zhi" (Releasing Treatment) refers to the situation where pathogens have invaded the skin, hair, and interstices, and are about to enter the Ying (Nutritive) and Wei (Defensive) levels. At this stage, it is imperative to employ dispersing methods. The prescription consists of Chai Hu (Bupleuri Radix) 1 qian, Bai Zhu (Atractylodis Rhizoma) 3 qian, Jing Jie (Schizonepetae Herba) 1 qian, Su Ye (Perillae Folium) 1 qian, Ban Xia (Pinelliae Rhizoma Preparatum) 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Cang Zhu (Atractylodis Rhizoma) 1 qian, and Dan Pi (Moutan Cortex) 1 qian. Decoct in water and take orally. This formula contains profound principles within its mild nature. Since the stagnation of Wood Qi (Liver Qi) is best treated by soothing and dispersing, the herbs used here all directly enter the Liver Meridian, naturally unblocking the Liver Wood and allowing its branches and leaves to grow smoothly and freely. Just as willow leaves flourish without wind, and tender green grass sprouts fresh blue-green hues everywhere, the universe is filled with the free flow of Spring Qi. This is the method of Fa Zhi.
Lord Zhang said: I did not expect that the Heavenly Master had already stated this; my previous prescription can be discarded. My prescription also aims at releasing, so it may be deleted. Yuan Gong is correct; let us preserve both prescriptions for now.
Lord Hua said: No objection.
On Edema, Abdominal Distension, and Dorsal Foot Swelling
The Heavenly Master said: "Duo Zhi" (Plundering Treatment) refers to the obstruction and stagnation of Earth Qi (Spleen/Stomach Qi). If one does not employ the 'plundering' method, the blockage will only worsen. Therefore, one must force the exit through a 'plundered gate,' causing the water to flow profusely. The symptoms resemble edema, with the abdomen distended like a drum, swelling on the dorsum of both feet, indentation upon pressure resembling mud, difficulty in urination, and constipation. People assume it is a water disease, but who knows that it actually stems from the stagnation of Earth Qi? The prescription uses Ji Shi Li (Chicken Dropping Wine Preparation) 1 sheng. It should be stir-fried until yellow, ground into powder, and mixed with 1 jin of yellow wine. First, place the chicken dropping powder on new cloth, then sprinkle the yellow wine over it. Do not do this too rapidly; rinse slowly so that the medicinal essence fully filters through. Take one bowl of the juice and administer to the patient. It is crucial that the patient is not informed beforehand; otherwise, they may lack faith and refuse to take it, potentially causing other ailments. After ingestion, thunderous sounds will immediately arise in the abdomen. Within the time it takes to eat one meal, the abdominal fluid will be expelled. The swelling in both feet will reduce by more than half after one dose, and completely resolve after drinking another bowl. Chicken droppings are excellent at expelling water and unblocking Earth Qi, penetrating every nook and cranny. They open all outlets for previously accumulated water, directing it entirely into the Large Intestine for excretion. This is the marvel of the Duo method. Although Qian Niu (Pharbitidis Semen) and Gan Sui (Kansui Radix) are not ineffective at expelling water, they ultimately cannot match the divine efficacy of chicken droppings. However, after using this treatment, dietary intake must be strictly prohibited; otherwise, recurrence will be incurable. Practitioners must be aware of this, and patients must remember it.
Lord Zhang said: Ji Shi Li is indeed efficacious. However, stating that Gan Sui and Qian Niu are inferior to chicken droppings is not necessarily true. Both prescriptions can be used酌情ly (at discretion).
Lord Hua said: I agree. Yet I have another method that has not been transmitted. For treating edema, decocting 2 liang of Da Mai Mang (Hordei Fructus Germinatus Arista) in water and drinking it can also resolve the condition, without sequelae. However, it requires continuous administration as a decoction for several months to expel water and achieve cure. The herbs are ordinary, yet the effect is remarkable. Why did the Heavenly Master not transmit this? Did he overlook it due to its perceived lack of uniqueness? Nevertheless, the efficacy is truly miraculous, and I dare not suppress its uniqueness.
The Heavenly Master said: This prescription is only suitable for treating initial-stage edema and is not applicable to chronic edema.