论结胸 论内伤肝郁
天师曰∶解者，邪聚于一处，而分解之也。如人病结胸等症者是。伤寒初愈，五脏六腑，久不见饮
食矣，一旦饱食，则各经群起而 。无如胃经火炽，一瓯之物，不足以供其自餐，又安能分散于诸人
乎，势必群起而争，而胃经自家困乏，茹而不吐，则五脏六腑，喧哗扰攘，而胃经坚不肯出矣。然则治之
法奈何？惟有坚壁以待，枵腹以守，则敌人自散。盖原因无食，所以起争，使终无粮草，势亦难于久
待，自然仰关而攻，不战自退。乘其散亡之时，少佐师旅，声言追逐，实仍和解，彼此同归于好。方用元
参一两，麦冬一两，水二碗煎服。此方之妙，全不去顾胃中之火，亦不去消胃中之食，止厘清肺中之气，
散其心肾浮游之焰。心肾肺经既已退舍，则肝经一旅之师，又何能为难哉。脾与胃唇齿相倚，从前不过
同群共逐，大家声扬，原未尝有战攻之举，今心肝肺肾之火既已收师，则脾脏一经，亦自相安于无事矣。
倘一逢结胸，即以此方投之，则不特无功，转且有害。故一遇结胸之病，必须令其空腹数日，而后以此方
投之，万举万当，此解治之一法也。
张公曰∶真妙绝奇文，结胸之症，不意发如许奇语。非天师又乌能哉。我欲再发一言，不可得矣。非
学贯天人，
不可言医；非识通今古，不可谈医；非穷尽方书，不可注医。此得人所以最难，自古及今，代不数
人。元以前无论，明朝三百年，止得数人而已。李濒湖之博，缪仲醇之辨，薛立斋之智，近则李士材
之达，喻嘉言之明通，吾子亡弘肆，我所言者数人，皆上关星宿，钟山川之灵而生者也。今日既许
子在着书中人，愿吾子勿以菲薄自待也。着书当弘而肆∶医道尽矣至矣，化矣神矣。
解法∶更有人病内伤，而头疼目疼，心胁痛，遍身痛，手足又痛，此皆肝气郁蒸之故。或头痛
救头，脚痛救脚，治何日始能尽期。当据其要而先治之，余者不治自愈。方用白芍五钱，当归三钱，柴
胡三钱，天花粉三钱，丹皮三钱，栀子三钱，甘草三钱，川芎一钱，香附一钱，桂枝一钱，水煎服。此
方妙在白芍为君，柴胡为臣，祛风祛痰之药为佐使。一剂而胁痛失，再剂而诸痛平，三剂而一身泰，真扼
要争奇，解法之至妙者。施之内伤之症，尤多奇功。愿世人勤而用之，收功无量也。
华君曰∶未传于予。
天师说：所谓“解”，是指邪气聚集在某一处，然后将其分解消散。就像人患结胸等病症的情况一样。伤寒病刚刚痊愈时，五脏六腑长时间没有进食，一旦突然饱食，各条经络就会纷纷起来抗争。无奈胃经之火炽盛，一碗食物不足以供养它独自享用，又怎么能分散给其他经络呢？势必会群起而争，导致胃经自身困乏，只吃进去却不吐出，于是五脏六腑喧哗扰攘，而胃经却坚决不肯排出。那么治疗的方法是什么呢？只有坚守壁垒等待时机，让腹部空虚来防守，敌人自然就会散去。因为起因是没有食物才引发争斗，如果始终没有粮草，形势也难以长久对峙，敌人自然会仰攻关口，不战自退。趁其溃散逃亡之时，稍微辅以军队，声言追击，实际上仍是采取和解策略，双方最终和好。方剂用玄参一两、麦冬一两，水两碗煎服。这个方子的妙处，全在于不去顾护胃中的火，也不去消除胃中的食积，只是理清肺中的气，疏散心肾浮游的虚火。心、肾、肺三经既然已经退兵，那么肝经这一小股势力，又有什么能力为难呢？脾与胃唇齿相依，从前不过是同群追逐，大家声势浩大，原本并没有真正的战攻之举，现在心、肝、肺、肾的火势既然已经收兵，那么脾脏一经，也自然相安无事。倘若一遇到结胸证，就立即用这个方子投治，不仅没有功效，反而会有害处。所以一旦遇到结胸的病，必须让它空腹几天之后，再用这个方子投治，万无一失，这是“解”法的一种。
张公说：真是奇妙绝伦的文章，对于结胸症，没想到能发出如此奇语。如果不是天师，谁能做到呢？我想再发表一言，却已无法做到。不是学问贯通天人，不能谈论医学；不是见识通达古今，不能讨论医理；不是穷尽方书典籍，不能注释医道。因此得到这样的人才最难，从古至今，一代中不出几个人。元朝以前且不说，明朝三百年间，也只出了几个人罢了。李濒湖（李时珍）的博学，缪仲醇（缪希雍）的明辨，薛立斋（薛己）的智慧，近代李士材（李中梓）的通达，喻嘉言（喻昌）的明智通透，我儿子您更是宏大肆意，我所提到的这几位，都是上应星宿，汇聚山川灵气而生的人。今天既然允许您在书中著述，希望您不要以微薄自轻。著书应当宏大而肆意：医道已达极致，变化神奇。
解法：还有人身患内伤，出现头痛、眼痛、心胁痛、全身痛、手足痛等症状，这都是肝气郁结蒸腾的缘故。如果头痛救头，脚痛救脚，治疗哪一天才能结束？应当抓住关键先进行治疗，其余症状不治也会自愈。方剂用白芍五钱、当归三钱、柴胡三钱、天花粉三钱、丹皮三钱、栀子三钱、甘草三钱、川芎一钱、香附一钱、桂枝一钱，水煎服。这个方子的妙处在于以白芍为君药，柴胡为臣药，祛风祛痰的药物为佐使药。服用一剂后胁痛消失，两剂后诸痛平息，三剂后身体安康，真是扼要争奇，是解法中最精妙的。应用于内伤病症，尤其多有奇效。希望世人勤奋使用，收获无量功德。
华君说：这没有传授给我。
Tian Shi (Heavenly Master) said: The term "Jie" (Resolution/Dissolution) refers to the situation where pathogenic factors gather in one location, and then are decomposed and dispersed. This is similar to conditions such as Jie Xiong (Chest Binding). When a patient has just recovered from Shang Han (Cold Damage disease), the Zang-Fu organs have been without food intake for a long time. If they suddenly eat a full meal, the meridians will all rise up in contention. Unfortunately, the Fire of the Stomach Meridian is blazing; a single bowl of food is insufficient to satisfy its own consumption, let alone be distributed to other meridians. Consequently, they will inevitably contend with each other, leaving the Stomach Meridian exhausted. It retains the food without vomiting it out, causing clamor and disturbance among the Zang-Fu organs, while the Stomach Meridian stubbornly refuses to expel it. So, what is the treatment method? One must hold the fortress and wait, keeping the abdomen empty to defend, so that the enemy will naturally disperse. Since the conflict arose due to lack of food, if there is no grain or fodder, the situation cannot be sustained for long. The enemy will naturally attack the pass from below and retreat without fighting. Taking advantage of their dispersal and flight, one may slightly assist with troops, claiming to pursue them, but in reality, still employing reconciliation strategies, so that both sides return to harmony. The prescription uses Xuan Shen (Scrophulariae Radix) 1 liang, Mai Dong (Ophiopogonis Tuber) 1 liang, decocted in two bowls of water and taken orally. The brilliance of this formula lies not in attending to the Fire in the Stomach, nor in eliminating food stagnation in the Stomach, but solely in clarifying the Qi in the Lung, and dissipating the floating flames of the Heart and Kidney. Once the Heart, Kidney, and Lung meridians have withdrawn their forces, how can the Liver Meridian, with its small contingent, cause difficulty? The Spleen and Stomach are interdependent like lips and teeth. Previously, they merely chased together, raising a great noise, without actual combat. Now that the Fire of the Heart, Liver, Lung, and Kidney has gathered its troops, the Spleen organ will also remain at peace. However, if one encounters Jie Xiong syndrome and immediately administers this formula, it will not only be ineffective but also harmful. Therefore, upon encountering Jie Xiong disease, one must allow the patient to fast for several days before administering this formula. This ensures success every time, representing one method of "Jie" (Resolution).
Zhang Gong said: Truly a wondrous and extraordinary text. Regarding Jie Xiong syndrome, I did not expect such unique insights. Only Tian Shi could achieve this. I wish to add a word, but it is impossible. One cannot discuss medicine without knowledge penetrating Heaven and Humanity; one cannot talk about medical principles without insight spanning ancient and modern times; one cannot annotate medical texts without exhausting the study of formularies. Thus, finding such talent is the most difficult task. From ancient times to the present, few individuals emerge per generation. Let us not speak of the Yuan Dynasty; within the three hundred years of the Ming Dynasty, only a few people emerged. Li Binhu (Li Shizhen) possessed erudition, Miu Zhongchun (Miu Xi Yong) had discernment, Xue Lizhai (Xue Ji) had wisdom, and recently, Li Shicai (Li Zhong Zi) had versatility, while Yu Jiayan (Yu Chang) had clarity and penetration. You, my son, possess grandeur and freedom. Those I mentioned were born under auspicious stars, gathering the spiritual essence of mountains and rivers. Since you are now permitted to write books, do not regard yourself as insignificant. Writing should be grand and unrestrained. The Way of Medicine has reached its utmost limit, transforming into spirit and divinity.
Method of Resolution: There are also cases where patients suffer from internal injury, presenting with headache, eye pain, heart and hypochondriac pain, generalized body pain, and hand and foot pain. These are all caused by the depression and steaming of Liver Qi. If one treats the head when the head hurts, and the feet when the feet hurt, when will the treatment ever end? One must address the key aspect first, and the remaining symptoms will heal themselves without specific treatment. The prescription uses Bai Shao (Paeoniae Radix Alba) 5 qian, Dang Gui (Angelicae Sinensis Radix) 3 qian, Chai Hu (Bupleuri Radix) 3 qian, Tian Hua Fen (Trichosanthis Radix) 3 qian, Dan Pi (Moutan Cortex) 3 qian, Zhi Zi (Gardeniae Fructus) 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Xiang Fu (Cyperi Rhizoma) 1 qian, Gui Zhi (Cinnamomi Ramulus) 1 qian, decocted in water and taken orally. The brilliance of this formula lies in using Bai Shao as the Sovereign herb, Chai Hu as the Minister herb, and herbs that dispel wind and resolve phlegm as Assistant and Envoy herbs. After one dose, hypochondriac pain disappears; after two doses, all pains subside; after three doses, the whole body becomes tranquil. This truly grasps the essentials and achieves marvels, representing the most exquisite method of resolution. Applied to internal injury syndromes, it yields particularly miraculous results. I hope people diligently use it, reaping boundless merit.
Hua Jun said: This was not transmitted to me.