论厥症 论腰疼
天师曰∶立治者，不可坐卧而立治之也。如人厥病者是。盖厥症多两手反张，两足转逆，必须立
而饮药，则顷刻立定，不可不知之也。盖厥症原是热病，热深则厥亦深。倘令其卧而服药，则药到胃，一
遇火气沸腾，冲击而不相入，反致吐出者，比比也。我今立一法，立而饮药，则断断无吐出之虞。方用黄
连三钱，柴胡一钱，茯苓三钱，白芍三钱，白芥子一钱，木瓜一钱，甘草一钱，水煎服。（〔批〕顺
性汤）。此方纯是
平肝之品，去火而又顺火之性，目宜入口不吐。然而火热炎上，吐亦常有，令人将病患抱而立之，令
一人将药与饮，俟其下口久之，然后抱卧，则药性相顺，而无吐逆之苦矣。此立治之法，人可不知之耶。尚
有腰疼之症，亦宜立而饮药。盖腰属肾，肾虚而后腰痛，久则肾宫益虚。纵然有补肾之药，不肯直入肾
宫，如浪子久不在家，反畏家如敌国。纵有缠头在手，又将别游他院。必须人扶住身子，与药服之，则药始
能直入肾经。又譬如浪子不肯还家，得人劝阻，不得已而返其家室。盖肾宫坐卧，水谷不能直达得行，
使之站立，水谷滋味始能入之，所以必得一人扶立，而药得达也。方用熟地一两，山茱四钱，北五味一钱，
麦冬二钱，白术一两，杜仲五钱，酒煎服。（〔批〕健腰丹。）此方虽妙，非立饮不能直达于肾宫。此又
立治之妙也，人知之乎。
张公曰∶立治之症无多，止此二症，不再论。
华君曰∶与余同。
陈士铎说：所谓“立治法”，是指不能躺着或坐着服药，而必须站立着服药。例如厥病（以四肢逆冷、昏厥为主要表现的病证）患者就是如此。厥症多表现为两手向后反张，两脚向内扭转，必须站立着喝药，才能立刻见效，这一点不可不知道。厥症原本属于热病，热邪越深，厥逆的症状也越严重。如果让病人躺着服药，药液到达胃部后，一旦遇到体内火气沸腾，就会冲击胃壁导致药物无法吸收，反而引起呕吐，这种情况比比皆是。我现在确立一种方法，即站立着服药，就绝对没有呕吐的担忧。方剂用黄连三钱，柴胡一钱，茯苓三钱，白芍三钱，白芥子一钱，木瓜一钱，甘草一钱，加水煎服。（批注：顺性汤）。这个方子全是平抑肝木的药物，既能清除火热，又能顺应火的性质，使药物入口后不致呕吐。然而火热之邪炎上，呕吐也是常有的事，因此让人将病患抱起来站立，由一人喂药，等药液在口中停留片刻咽下后，再将其抱卧，这样药性就能顺畅，而没有呕吐的痛苦了。这就是立治的方法，人们可以不知道吗？
还有腰痛这一病症，也适宜站立着服药。因为腰属肾，肾虚才会导致腰痛，时间久了肾宫（肾脏及其功能系统）会更加虚弱。即使有补肾的药物，也不肯直接进入肾宫，就像浪子长期不在家，反而把家当作敌国一样。纵然手里有钱，又会去别处游荡。必须有人扶住身子，让他站着服药，药物才能直接进入肾经。这又好比浪子不肯回家，得到人劝阻后，不得已才返回家中。因为肾脏在坐卧时，水谷精微不能直达并运行，使其站立，水谷的味道才能进入，所以必须得有一人扶持站立，药物才能送达。方剂用熟地黄一两，山茱萸四钱，北五味子一钱，麦冬二钱，白术一两，杜仲五钱，用酒煎服。（批注：健腰丹）。这个方子虽然巧妙，但如果不站立服用就不能直接到达肾宫。这又是立治法的妙处，人们知道吗？
Chen Shiduo said: The so-called "standing treatment method" refers to the practice of not taking medicine while lying down or sitting, but rather standing up. For example, patients with Jue disease (a syndrome characterized by cold limbs and fainting) are like this. Jue syndrome often manifests as the two hands extending backward and the two feet turning inward; one must stand while drinking the medicine to achieve immediate results, a fact that must not be ignored. Jue syndrome originally belongs to heat diseases; the deeper the heat, the deeper the Jue. If the patient is allowed to lie down and take medicine, once the medicine reaches the stomach, it will encounter boiling fire qi, causing impact and preventing absorption, leading to vomiting, which is common. I now establish a method: standing while drinking medicine absolutely eliminates the fear of vomiting. The prescription uses Huanglian (Coptidis Rhizoma) 3 qian, Chaihu (Bupleuri Radix) 1 qian, Fuling (Poria), Baishao (Paeoniae Radix Alba) 3 qian, Baijiezi (Brassicae Semen) 1 qian, Mugua (Chaenomelis Fructus) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, decocted in water and taken orally. (Comment: Shunxing Tang). This prescription consists entirely of herbs that soothe the Liver, clearing fire while accommodating its nature, ensuring the medicine enters the mouth without being vomited. However, since fire and heat flare upward, vomiting is also common; therefore, having someone hold the patient upright while another administers the medicine, waiting for the medicine to stay in the mouth for a while before swallowing, and then holding them to lie down, allows the medicinal properties to flow smoothly without the suffering of vomiting. This is the method of standing treatment; can people ignore it?
There is also the symptom of lower back pain, which is also suitable for standing while taking medicine. Because the lower back belongs to the Kidney, lower back pain arises from Kidney deficiency, and over time, the Kidney palace (Kidney system) becomes increasingly deficient. Even if there are Kidney-tonifying medicines, they are reluctant to enter the Kidney palace directly, just like a prodigal son who has been away for a long time and regards his home as an enemy state. Even with money in hand, he may wander elsewhere. One must support the body and have him stand while taking the medicine so that the medicine can enter the Kidney meridian directly. It is like a prodigal son unwilling to return home; only after being persuaded by others does he reluctantly return. When sitting or lying, water and food essence cannot reach and circulate directly to the Kidneys; standing allows the flavors of water and food to enter. Therefore, one person must support the patient in standing so that the medicine can arrive. The prescription uses Shudihuang (Rehmanniae Radix Preparata) 1 liang, Shanzhuyu (Corni Fructus) 4 qian, Bei Wuweizi (Schisandrae Chinensis Fructus) 1 qian, Maidong (Ophiopogonis Radix) 2 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Duzhong (Eucommiae Cortex) 5 qian, decocted in wine and taken orally. (Comment: Jianyao Dan). Although this prescription is excellent, it cannot reach the Kidney palace directly unless taken while standing. This is another妙处 (subtlety) of the standing treatment method; do people know it?
Master Zhang said: There are few conditions requiring standing treatment; only these two conditions, no further discussion.
Master Hua said: I agree with him.