论解火郁
天师曰∶静治者,静以待之而不可躁也。如人病拂逆之症,躁急之状,不可一刻停留,此火郁而不得
舒,故尔如此。倘用寒凉之品急以止之,则火郁于中,而反不得出。静以待之,使其燥气稍息,而后以
汤药投之,任其性而无违其意,则功易奏而病易去矣。方用白芍、当归各三钱,茯苓五钱,柴胡五分,甘
草一钱,白芥子一钱,丹皮二钱,枣仁一钱,水煎服。方名静待汤。此方之妙,全无惊张之气,一味和解,
火郁于肝木之中,不觉渐渐自散。此静治之妙法也。
张公曰∶妙。从无医人讲至此,更欲立方而不可得。气躁,乃气中有火也,亦宜以静法待之。予酌
一方,用白术三钱,茯苓三钱,白芍三钱,陈皮五分。甘草五分,麦冬三钱,元参三钱,天花粉一钱,苏
子一钱,水煎服。名为静气汤。此方和平安静,无惊张之气,可治心烦气动,肺燥胃干之症。
血燥,乃血热之故,往往鼻衄血,心烦不寐,不能安枕,怔忡等症,亦宜以静待之。方用当归三两,
芍药三钱,熟地五钱,生地三钱,丹皮一钱,地骨皮五钱,沙参三钱,白芥子一钱,甘草三钱,炒枣仁一
钱,水煎服。(〔批〕宁血汤。)此方亦无惊张之气,又加荆芥五分,血动者最宜服之。
论治手足麻木
天师曰∶动治者,因其不动而故动之也。如双脚麻木,
不能履地,两手不能执物者是也。法当用竹筒一大个,去其中间之节,以圆木一根穿入之,以圆木两头
缚在桌脚下,病患脚心先踏竹筒而圆转之如踏车者,一日不计其数而踏之,然后以汤药与之。方用人
参一钱,黄 三钱,当归一钱,白芍三钱;茯苓三钱,薏仁五钱,白术五钱,半夏一钱,陈皮五分;
肉桂三分,水煎服。(〔批〕发机汤。)此方俱是补药之中,妙有行湿之味。盖此等病,必湿气侵之,
始成偏废,久则不仁之症成也,成则双足自然麻木。乘其尚有可动之机,因而活动之,从来足必动而治,
血始活。因湿侵之,遂不能伸缩如意,所以必使之动,而后可以药愈也。否则,徒饮前汤耳。两手之
动,又不如是,必使两人反转病患之手在背后,以木槌转棰之,棰至两臂酸麻,而后以汤药与之可愈。
方用人参一钱,茯苓三钱,黄 五钱,防风一钱,半夏一钱,羌活一钱,水煎服。(〔批〕发动汤。)此方
又妙在防风、黄 同用,而以黄 为君,人参为臣,祛痰祛湿为使,又乘其动气之时与服,则易成功。否
则,亦正不能奏效耳。
张公曰∶动治法最妙。予则更有法,于二症尤当。使人抱起坐了,以一人有力者,将其手延拳回者不
已,后服天师之药更妙,可并志之。
论解火郁
天师说:静治法,就是安静地等待病情变化,而不可急躁。比如有人患有气机逆乱的症状,表现出烦躁急迫的状态,一刻也不能停留,这是因为火邪郁结而不能舒展,所以才会这样。如果此时使用寒凉药物急于压制,那么火邪就会郁结在体内,反而无法发散出来。应当安静地等待,使患者的燥热之气稍微平息,然后再投以汤药,顺应其本性而不违背其意愿,这样疗效容易显现,疾病也容易去除。方剂用白芍、当归各三钱,茯苓五钱,柴胡五分,甘草一钱,白芥子一钱,丹皮二钱,枣仁一钱,水煎服。这个方子名叫静待汤。此方的妙处在于完全没有惊张躁动之气,只是一味地调和疏解,对于郁结在肝木中的火邪,不知不觉间便会渐渐消散。这就是静治法的妙处。
张公说:妙极了。从来没有医生讲到这一点,我还想开方却不知如何下手。气躁,是因为气中有火,也应当用静法来对待它。我斟酌出一个方子,用白术三钱,茯苓三钱,白芍三钱,陈皮五分,甘草五分,麦冬三钱,元参三钱,天花粉一钱,苏子一钱,水煎服。名为静气汤。此方和平安静,没有惊张之气,可以治疗心烦气动、肺燥胃干等症状。
血燥,是由于血热的缘故,往往出现鼻出血、心烦失眠、不能安枕、怔忡(心悸)等症状,也应当用静法来对待。方剂用当归三两,芍药三钱,熟地黄五钱,生地黄三钱,丹皮一钱,地骨皮五钱,沙参三钱,白芥子一钱,甘草三钱,炒枣仁一钱,水煎服。(批注:宁血汤。)此方也没有惊张之气,如果再加入荆芥五分,对于血妄行动的症状最为适宜服用。
论治手足麻木
天师说:动治法,就是针对肢体不动的情况,故意使其活动起来。比如双脚麻木,不能踩在地上,两手不能拿取物品,就是这样。治疗方法应当用一个大的竹筒,去掉中间的节,将一根圆木穿入其中,把圆木的两头绑在桌脚下,让病人的脚心先踩在竹筒上并像蹬车一样来回转动,一天之内不计其数地踩踏,然后给予汤药。方剂用人参一钱,黄芪三钱,当归一钱,白芍三钱,茯苓三钱,薏苡仁五钱,白术五钱,半夏一钱,陈皮五分,肉桂三分,水煎服。(批注:发机汤。)此方全是补益药中,巧妙地加入了祛湿的药物。大概这类疾病,必定是湿气侵袭所致,才形成偏废之症,时间久了就会成为不仁之症,一旦形成,双足自然会麻木。趁着还有活动的契机,因而使其活动,历来足部必须通过运动才能治愈,血液才能流通。因为被湿气侵袭,所以不能随意伸缩,因此必须使之活动,然后才能用药治愈。否则,仅仅喝前面的汤药是没有用的。两手的活动,又不像这样,必须让两个人反转病人的手在背后,用木槌敲打,敲到两臂酸麻,然后给予汤药才可以痊愈。方剂用人参一钱,茯苓三钱,黄芪五钱,防风一钱,半夏一钱,羌活一钱,水煎服。(批注:发动汤。)此方又妙在防风、黄芪同用,并以黄芪为君药,人参为臣药,祛痰祛湿为使药,又在患者有动气之时给予服用,就容易成功。否则,也无法奏效。
张公说:动治法最妙。我则有更好的方法,尤其适合这两种病症。让人抱起病人坐好,由一个有力气的人,不断将其弯曲的手拳拉直伸展,之后再服用天师的药,更加奇妙,可以一并记录下来。
On Resolving Fire Stagnation
The Heavenly Master said: The method of quiet treatment involves waiting quietly for the condition to change and avoiding impatience. For instance, when a patient suffers from symptoms of qi rebellion and presents with irritability and urgency, unable to remain still for even a moment, this is due to fire stagnating and failing to disperse freely. If cold and cooling herbs are used hastily to suppress it, the fire will remain trapped within and fail to exit. One should wait quietly until the dryness-heat subsides slightly, then administer decoctions, accommodating the nature of the pathogen without opposing its tendency. In this way, efficacy is achieved easily, and the disease is eliminated readily. The prescription consists of Bai Shao (Radix Paeoniae Alba) 3 qian, Dang Gui (Radix Angelicae Sinensis) 3 qian, Fu Ling (Poria) 5 qian, Chai Hu (Radix Bupleuri) 0.5 qian, Gan Cao (Radix Glycyrrhizae) 1 qian, Bai Jie Zi (Semen Sinapis Albae) 1 qian, Dan Pi (Cortex Moutan) 2 qian, and Zao Ren (Semen Ziziphi Spinosae) 1 qian, decocted in water and taken orally. This formula is named Jing Dai Tang (Quiet Waiting Decoction). The brilliance of this formula lies in its complete lack of agitated or harsh qualities; it solely harmonizes and resolves. For fire stagnating within the Liver Wood, it gradually dissipates imperceptibly. This is the subtlety of the quiet treatment method.
Master Zhang said: Excellent. No physician has ever discussed this before, and I wished to prescribe but could not determine the formulation. Irritability stems from fire within the qi; thus, it too should be treated with the quiet method. I have deliberated on a formula using Bai Zhu (Rhizoma Atractylodis Macrocephalae) 3 qian, Fu Ling (Poria) 3 qian, Bai Shao (Radix Paeoniae Alba) 3 qian, Chen Pi (Pericarpium Citri Reticulatae) 0.5 qian, Gan Cao (Radix Glycyrrhizae) 0.5 qian, Mai Dong (Radix Ophiopogonis) 3 qian, Yuan Shen (Radix Scrophulariae) 3 qian, Tian Hua Fen (Radix Trichosanthis) 1 qian, and Su Zi (Fructus Perillae) 1 qian, decocted in water and taken orally. It is named Jing Qi Tang (Quiet Qi Decoction). This formula is peaceful and calm, lacking any agitated qualities, and can treat symptoms such as mental restlessness, qi agitation, lung dryness, and stomach dryness.
Blood dryness arises from blood heat, often manifesting as epistaxis (nosebleed), mental restlessness, insomnia, inability to rest peacefully, and palpitations. These conditions also require the quiet treatment approach. The prescription uses Dang Gui (Radix Angelicae Sinensis) 3 liang, Shao Yao (Radix Paeoniae) 3 qian, Shu Di Huang (Prepared Rhizoma Rehmanniae) 5 qian, Sheng Di Huang (Raw Rhizoma Rehmanniae) 3 qian, Dan Pi (Cortex Moutan) 1 qian, Di Gu Pi (Cortex Lycii) 5 qian, Sha Shen (Radix Glehniae seu Adenophorae) 3 qian, Bai Jie Zi (Semen Sinapis Albae) 1 qian, Gan Cao (Radix Glycyrrhizae) 3 qian, and Chao Zao Ren (Fried Semen Ziziphi Spinosae) 1 qian, decocted in water and taken orally. (Annotation: Ning Xue Tang [Stabilize Blood Decoction].) This formula also lacks agitated qualities; adding Jing Jie (Herba Schizonepetae) 0.5 qian makes it most suitable for cases where blood moves recklessly.
On Treating Numbness of Hands and Feet
The Heavenly Master said: The method of active treatment involves intentionally inducing movement in limbs that are immobile. For example, numbness in both feet preventing walking, and numbness in both hands preventing grasping objects, falls into this category. The treatment method requires using a large bamboo tube, removing the nodes in the middle, inserting a round wooden rod through it, and tying the ends of the rod to the legs of a table. The patient places their soles on the bamboo tube and rolls it back and forth as if pedaling a bicycle, performing this action countless times throughout the day. Afterward, administer a decoction. The prescription consists of Ren Shen (Radix Ginseng) 1 qian, Huang Qi (Radix Astragali) 3 qian, Dang Gui (Radix Angelicae Sinensis) 1 qian, Bai Shao (Radix Paeoniae Alba) 3 qian, Fu Ling (Poria) 3 qian, Yi Yi Ren (Semen Coicis) 5 qian, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 5 qian, Ban Xia (Rhizoma Pinelliae) 1 qian, Chen Pi (Pericarpium Citri Reticulatae) 0.5 qian, and Rou Gui (Cortex Cinnamomi) 0.3 qian, decocted in water and taken orally. (Annotation: Fa Ji Tang [Activate Mechanism Decoction].) This formula primarily contains tonifying herbs but cleverly incorporates damp-draining agents. Such diseases are invariably caused by dampness invasion, leading to hemiplegia or partial paralysis; over time, this develops into insensibility. Once established, both feet naturally become numb. Taking advantage of any remaining potential for movement, one should facilitate activity. Historically, foot conditions must be treated through movement to activate blood circulation. Because dampness invades and restricts flexion and extension, movement is essential before medication can effect a cure. Otherwise, merely drinking the aforementioned decoction is futile.
For the hands, the method differs. Two people should reverse the patient's hands behind their backs and strike them with a wooden mallet until the arms feel sore and numb. Then, administer a decoction to achieve a cure. The prescription uses Ren Shen (Radix Ginseng) 1 qian, Fu Ling (Poria) 3 qian, Huang Qi (Radix Astragali) 5 qian, Fang Feng (Radix Saposhnikoviae) 1 qian, Ban Xia (Rhizoma Pinelliae) 1 qian, and Qiang Huo (Rhizoma et Radix Notopterygii) 1 qian, decocted in water and taken orally. (Annotation: Fa Dong Tang [Activate Movement Decoction].) This formula is ingenious in combining Fang Feng (Radix Saposhnikoviae) and Huang Qi (Radix Astragali), with Huang Qi (Radix Astragali) as the sovereign herb, Ren Shen (Radix Ginseng) as the minister herb, and damp-resolving and phlegm-dispersing herbs as the guides. Administering it while the patient possesses "moving qi" facilitates success. Otherwise, it would likewise fail to produce results.
Master Zhang said: The active treatment method is excellent. I have an even better method, particularly suitable for these two conditions. Have someone lift the patient and sit them up. Let a strong person continuously extend and straighten the patient's clenched fists. Following this, administering the Heavenly Master's medicine yields even better results. This may be recorded together.