吕祖择,阳症甚多,不能概举,姑举一二症大者言之。伤寒发斑,身热心如火,口渴呼
水,
日
芩
桑白皮五钱。一剂消大半,二剂痊愈。此方妙在元参去其浮游之火、胃中之热,且性湿润,
斑虽火热,不能外越,少润即可出也。黄芩凉其胸膈,麻、防引散其火,更佐之麦冬、生地
清肺热,清肃下行而中焦之火尽化为乌有也。
至于中暑之病,亦阳火邪炽也。青蒿五钱 石膏五钱 麦冬五钱 半夏一钱 黄连一钱
人
钱
华真人曰∶妙论,出奇不穷。阳症固多,二症最急。吕仙特举之,予再择之一则,伤暑
中之
阴者
当清
服。
剂,
一阳症之火,泻也。完谷不化,饮食下喉即出。一日或泻十余次,或数十次数百次,人
以为
乎宜
茱萸
昴日星君曰∶无一论不奇妙。
吕祖择,如肾水虚寒又感寒者,或肾水亏竭夜热昼寒,此等若认作阳症治之,则口渴热
益炽
足而
三钱
乃治
茱
得
况
于
故表而出之。倘只用附、桂祛寒,未尝不效,邪去而阴消必然枯渴,或治之不得必有亡阳之
症,愿人加意,水中补火更于水中去邪也。
葛真人曰∶妙绝之论,发千古所未发,何以再赞高深。然尚有一方,参之前症乃阴虚火
动也
阴之
吕祖选择(列举)阳症中病情较重的几种情况来讲述。伤寒发斑,身体发热如火烧,口渴想喝水,(方用:元参五钱 麦冬三钱 甘草一钱 天花粉三钱 连翘二钱 荆芥穗二钱 玄参去其浮游之火、胃中之热,且性湿润,斑虽火热,不能外越,少润即可出也。黄芩凉其胸膈,麻、防引散其火,更佐之麦冬、生地清肺热,清肃下行而中焦之火尽化为乌有也。
至于中暑的病,也是阳火邪气炽盛。青蒿五钱 石膏五钱 麦冬五钱 半夏一钱 黄连一钱 人参一钱 茯苓三钱 陈皮一钱 神曲二钱 泽泻二钱 炒白术三钱 一剂即愈。此方妙在青蒿、石膏清暑热,麦冬、人参补气生津,半夏、陈皮化痰湿,黄连清热燥湿,茯苓、泽泻利水渗湿,神曲、白术健脾和胃。
华真人说:议论精妙,变化无穷。阳症固然多,但这两种病最紧急。吕仙特意举出这两种,我再补充一则,伤暑中的阴证者,应当清补兼施服用。
昴日星君说:没有哪一篇论述不奇妙。
吕祖选择,如果是肾水虚寒又感受寒邪的,或者肾水亏竭导致夜间发热白天畏寒的,这些如果误认为是阳症来治疗,那么口渴和热势会更加炽盛,脚部发冷,(方用:熟地五钱 山茱萸三钱 山药三钱 茯苓三钱 泽泻二钱 丹皮二钱 肉桂一钱 附子一钱 一剂热退,二剂痊愈。此方妙在熟地滋补肾阴,山茱萸、山药补益肝脾,茯苓、泽泻、丹皮泄浊清热,肉桂、附子温补肾阳,引火归元。这是治本的方法。如果用附子、肉桂单纯祛寒,未尝不有效,但邪气去除后阴液必然枯竭导致严重口渴,或者治疗不当必有亡阳的症状,希望大家多加注意,要在补肾水中补火,同时在水中祛除邪气。
葛真人说:议论绝妙,阐发了千古以来未曾发表的观点,我还有什么可以再称赞高深的呢?然而还有一方,结合之前的症状,那是阴虚火动引起的,应当滋阴降火。
Lu Zu (Master Lu) selected several major cases of Yang syndromes to illustrate, as there are too many to list comprehensively. In erythema caused by cold damage, the body feels hot as if on fire, and the patient is thirsty and calls for water. The prescription consists of: Sheng Di Huang (Rehmanniae Radix Preparata) 5 qian, Mai Dong (Ophiopogonis Tuber) 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Tian Hua Fen (Trichosanthis Radix) 3 qian, Lian Qiao (Forsythiae Fructus) 2 qian, Jing Jie Sui (Schizonepetae Spica) 2 qian. This formula's brilliance lies in Yuan Shen (Scrophulariae Radix) clearing floating fire and stomach heat; its moist nature ensures that although the eruption is fiery, it does not overstep boundaries, and slight moistening allows it to emerge properly. Huang Qin (Scutellariae Radix) cools the chest and diaphragm, Ma Huang (Ephedrae Herba) and Fang Feng (Saposhnikoviae Radix) guide and disperse the fire, assisted by Mai Dong and Sheng Di Huang to clear lung heat, allowing the heat in the middle jiao to be completely eliminated through descending purification.
As for heatstroke, it is also a condition of blazing Yang fire pathogen. Qing Hao (Artemisiae Annuae Herba) 5 qian, Shi Gao (Gypsi Fibrum) 5 qian, Mai Dong 5 qian, Ban Xia (Pinelliae Rhizoma Preparatum) 1 qian, Huang Lian (Coptidis Rhizoma) 1 qian, Ren Shen (Ginseng Radix) 1 qian, Fu Ling (Poria) 3 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Shen Qu (Massa Medicata Fermentata) 2 qian, Ze Xie (Alismatis Rhizoma) 2 qian, Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 qian. One dose brings recovery. This formula works by using Qing Hao and Shi Gao to clear summerheat heat, Mai Dong and Ren Shen to tonify qi and generate fluids, Ban Xia and Chen Pi to resolve phlegm-dampness, Huang Lian to clear heat and dry dampness, Fu Ling and Ze Xie to promote urination and leach out dampness, and Shen Qu and Bai Zhu to strengthen the spleen and harmonize the stomach.
Zhenren Hua stated: "An exquisite discussion, inexhaustible in its variations. Although Yang syndromes are numerous, these two conditions are the most urgent. Immortal Lu specifically highlighted them, and I will add one more case regarding Yin-type injury from summerheat, which should be treated with simultaneous clearing and tonification."
Xingjun Mao Ri stated: "Not a single argument is not wondrous."
Regarding Kidney Water deficiency-cold combined with external cold contraction, or Kidney Water exhaustion causing night fever and daytime chills, if these are mistaken for Yang syndromes and treated as such, thirst and heat will intensify further, accompanied by cold feet. The prescription includes: Shu Di Huang (Rehmanniae Radix Preparata) 5 qian, Shan Zhu Yu (Corni Fructus) 3 qian, Shan Yao (Dioscoreae Rhizoma) 3 qian, Fu Ling 3 qian, Ze Xie 2 qian, Dan Pi (Moutan Cortex) 2 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Fu Zi (Aconiti Lateralis Radix Preparata) 1 qian. One dose reduces fever, two doses bring cure. This formula's brilliance lies in Shu Di Huang nourishing Kidney Yin, Shan Zhu Yu and Shan Yao tonifying Liver and Spleen, Fu Ling, Ze Xie, and Dan Pi draining turbidity and clearing heat, while Rou Gui and Fu Zi warm Kidney Yang and guide fire back to its source. This treats the root. If only Fu Zi and Rou Gui are used to dispel cold, it may indeed be effective, but after the pathogen is removed, Yin fluids will inevitably be depleted leading to severe thirst, or improper treatment may result in symptoms of collapse of Yang. Everyone should pay close attention to treating by supplementing fire within water and eliminating pathogens within water.
Zhenren Ge stated: "An absolutely brilliant discussion, revealing insights never before expressed in millennia. What more could I say to praise its profundity? However, there is another prescription for cases where previous symptoms indicate hyperactivity of fire due to Yin deficiency, which requires nourishing Yin and descending fire."