麻出于脏，由阴而及乎阳，火毒燔灼，营血耗伤，故麻后每多遗毒之患。不可补气以助
火，
只宜养阴以退阳。此治法之大纲也。病由麻后颈生瘰 ，自春徂冬，滋蔓不已，鄙筹三法而
论治焉。盖瘰之未消，由毒之未净，然毒即火也，欲去其毒，须去其火。要知火有虚实，病
有新久，麻出之先，其火属实，药宜清凉，麻敛之后，其火属虚，药宜滋养。酌以六味地黄
汤，煎送消瘰丸，庶乎瘰消而元气不伤。且人以胃气为本，久病服药，必究脾胃。此养阴软
坚消其瘰，培补脾胃扶其元，道并行而不悖也。
安波按∶妙论侃侃，令读者口齿生香。
感证已逾两旬，胁痛依然不愈。按外感胁痛，病在少阳，内伤胁痛，病在厥阴。今外邪
解经
多日，胁痛何以不瘳。既无情志抑郁，定属动作闪力之伤，外邪引发耳。夫久痛在络，络主
血。防其蓄瘀动红，从《金匮》肝着，例用旋复花汤一法。
安波按∶病久入络，理固宜然。药内再参入搜痰涤饮，则无遗蕴矣。
病逾四载，起初呕吐，渐致经期不行，温清攻下，遍投无验，医乃视为痨瘵，弃而不治
。诊
脉不数，亦无风消息贲，寒热咳嗽兼证，似与痨瘵有间。果真损怯已成，病患膏肓，焉能久
延岁月乎?经云∶治病必求其本。又云∶先病为本，后病为标。恙由呕吐而起，自当以呕吐
为病之本也。苟能止其呕吐，则仓廪得藏，生生有赖，气血周流，诸证不治而自安矣。考诸
方书，论吐证非止一途，斯病既非真寒，又非实火，所以温清俱不投机。至于下法，乃治伤
寒暴急之方，施于内伤久病，殊属悖谬。询其饮食，下嗌停注膈间，不肯下行，旋即呕出，
冲逆不平，时时嗳噫。所以然者，乃肝为受病之源，胃为传病之所，胃宜降则和，肝气横逆
，阻胃之降，致失其和而为患也。夫脾为湿土，胃为燥土，六君异功，止可健运脾阳，今病
在胃而不在脾，湿燥异歧，不容笼统而论矣。再按肝为将军之官，脏刚性急，木喜条达，最
嫌抑郁。古人治肝病辛散酸收甘缓，与夫补水生木，培土御木，方法多端，非仅伐之泻之而
已。治宜安胃制肝，厥阴阳明两调，王道无近功，戒怒舒怀，以佐药力为要。
安波按∶灶心土温中除呕，平木制肝，此病在所必需之物。
麻毒源于内脏，由阴分波及阳分，火毒炽盛灼烧，导致营血耗损受伤，因此麻疹消退后常常遗留毒邪为患。此时不可使用补气药物以助长火势，只适宜采用滋养阴液的方法来退制阳热。这是治疗的大纲原则。
该病患因出疹后颈部生出瘰疬（淋巴结结核），从春季延续至冬季，病情蔓延不止。我筹划了三种治疗方法来论述其治疗策略。大抵瘰疬未能消散，是因为毒邪未清；然而毒邪即属火邪，想要去除毒邪，必须先清除火邪。必须知道火邪有虚证和实证之分，疾病有新病和久病之别。在麻疹发出之前，其火邪属实证，用药宜清凉；在麻疹收没之后，其火邪属虚证，用药宜滋养。斟酌使用六味地黄汤煎剂，送服消瘰丸，这样大概能使瘰疬消散而元气不致受损。况且人以胃气为根本，久病服药，必须究查脾胃状况。这是通过养阴、软坚散结来消除瘰疬，同时培补脾胃以扶持元气，两条道路并行而不冲突。
安波按语：这精妙的论述慷慨陈词，令读者读后口齿留香。
外感病症已经过了二十多天，胁痛依然没有痊愈。分析外感引起的胁痛，病位在少阳经；内伤引起的胁痛，病位在厥阴经。如今外邪解除已有多日，为何胁痛还不能治愈？既然没有情志抑郁的情况，必定属于动作闪挫或用力不当造成的损伤，被外邪诱发所致。凡是久痛多在络脉，络脉主要主管血液。为了防止瘀血蓄积导致咳血或吐血，参照《金匮要略》中“肝着”病的案例，采用旋复花汤这一治法。
安波按语：病久深入络脉，道理固然应当如此。如果在药方中再加入搜剔痰浊、涤除饮邪的药物，就没有遗留的隐患了。
患病超过四年，起初表现为呕吐，逐渐导致月经停止。温法、清法、攻下法都用过，遍投诸药均无效验，医生于是将其视为痨瘵（肺结核等慢性消耗性疾病），放弃治疗。诊察脉搏并不数急，也没有风邪侵袭、气息急促、寒热咳嗽等兼夹症状，似乎与痨瘵有所区别。如果真的是虚损怯弱已成定局，病患病入膏肓，怎么能长久拖延岁月呢？《黄帝内经》说：治病必须探求根本。又说：先发生的病为本，后发生的病为标。此病由呕吐引起，自然应当以呕吐作为疾病的根本。如果能够止住呕吐，那么饮食得以储藏，生命活动有了依赖，气血循环通畅，其他症状不用特别治疗也会自然安宁。查阅医书，论述呕吐证的途径不止一种，此病既不是真寒证，也不是实火证，所以温法和清法都不对症。至于下法，是治疗伤寒暴急之证的方剂，用于内伤久病，实在是非常荒谬。询问其饮食情况，食物咽下后停滞在膈间，不肯下行，随即呕吐出来，气机冲逆不平，时常嗳气打嗝。之所以这样，是因为肝是受病的源头，胃是传病的场所，胃气宜降则调和，肝气横逆，阻碍胃气的下降，导致失去调和而产生病患。脾属湿土，胃属燥土，六君子汤、异功散只能健运脾阳，如今病在胃而不在脾，湿与燥性质不同，不容许笼统而论。再分析肝为将军之官，脏体刚强性情急躁，木性喜欢条达舒畅，最忌讳抑郁。古人治疗肝病，有用辛散、酸收、甘缓的方法，以及补水生木、培土御木等方法，手段多样，不仅仅只有伐木泻肝而已。治疗应当安胃制肝，调理厥阴和阳明两经，王道之法没有近效，告诫患者戒怒舒怀，以辅助药力发挥为主要关键。
Miasma (miasmatic toxin) originates from the Zang organs, spreading from the Yin aspect to the Yang aspect. The fire-toxin blazes and scorches, consuming and injuring Ying blood (nutritive blood). Therefore, after the eruption of measles, there are often complications of lingering toxins. One must not use Qi-tonifying herbs to assist the fire; rather, one should only employ methods to nourish Yin to subdue Yang. This is the general principle of treatment.
The disease manifested as scrofula (tuberculous lymphadenitis) on the neck following the measles, persisting from spring to winter with unceasing progression. I have devised three therapeutic methods to discuss its management. Generally, if scrofula does not resolve, it is because the toxin has not been cleared. However, toxin is essentially fire; to remove the toxin, one must remove the fire. It must be understood that fire can be excess or deficiency, and diseases can be new or chronic. Before the measles erupt, the fire is in an excess state, so medications should be cooling. After the measles recede, the fire is in a deficiency state, so medications should be nourishing. By prescribing Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) as a decoction to swallow Xiaoluo Wan (Scrofula-Resolving Pill), it is hoped that the scrofula will dissipate without damaging the Yuan qi (original qi). Furthermore, humans rely on Stomach Qi (digestive function) as their foundation. For long-term illness requiring medication, the Spleen and Stomach must be thoroughly investigated. This approach simultaneously nourishes Yin and softens hardness to eliminate scrofula, while tonifying the Spleen and Stomach to support the Yuan qi; these two paths run parallel without contradiction.
An Bo's commentary: This brilliant discussion is delivered with clarity, leaving the reader with a refreshing sensation.
The exogenous syndrome has persisted for over twenty days, yet the hypochondriac pain remains unresolved. Analyzing hypochondriac pain caused by external pathogens, the pathology lies in the Shaoyang channel; hypochondriac pain caused by internal injury lies in the Jueyin channel. Now that the external pathogen has been resolved for many days, why does the hypochondriac pain not heal? Since there is no emotional depression, it must be an injury caused by physical strain or sudden movement, triggered by the residual external pathogen. Chronic pain typically resides in the collaterals, which govern blood. To prevent the accumulation of blood stasis leading to hematemesis or epistaxis, we follow the example of "Liver Fixation" (Gan Zhuo) from *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), using Xuanfu Dahong Huaxia Tang (Inula and Bighead-Kikery Flower Decoction).
An Bo's commentary: When a disease lingers and enters the collaterals, this reasoning is indeed appropriate. If phlegm-searching and fluid-draining herbs were added to the prescription, no hidden pathogens would remain.
The illness has lasted over four years, beginning with vomiting and gradually progressing to amenorrhea (cessation of menstruation). Warming, clearing, and purging methods were all attempted without effect. Physicians then diagnosed it as Laozai (consumptive disease, such as tuberculosis) and abandoned treatment. The pulse was not rapid, and there were no accompanying symptoms of wind invasion, shortness of breath, alternating chills and fever, or cough, suggesting a distinction from consumptive disease. If it were truly a case of advanced deficiency and weakness, with the disease entrenched in the Gaohuang acupoints (deep-seated vital areas), how could it prolong life for so long? The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "Treating disease requires seeking its root." It also states: "The primary disease is the root; the secondary disease is the branch." This illness originated from vomiting, so vomiting must be considered the root of the disease. If vomiting can be stopped, food intake will be preserved, providing sustenance for life. With the free circulation of Qi and blood, other symptoms will resolve spontaneously without specific treatment. Reviewing medical texts, the discussion of vomiting syndromes covers various pathways. This patient suffers neither from true cold nor excess fire, which explains why warming and clearing methods were ineffective. As for purgative methods, they are indicated for acute exogenous febrile diseases; applying them to chronic internal injuries is fundamentally erroneous. Inquiry into dietary habits revealed that food stagnates in the diaphragm after swallowing, refusing to descend, and is immediately vomited up. There is rebellious upward movement and frequent belching. The reason for this is that the Liver is the source of the pathology, and the Stomach is the site of transmission. Stomach Qi should descend to maintain harmony; however, rebellious Liver Qi obstructs the descent of Stomach Qi, causing disharmony and pathology. The Spleen belongs to damp earth, while the Stomach belongs to dry earth. Liujunzi Tang (Six Gentlemen Decoction) and Yigong San (Extraordinary Efficacy Powder) can only strengthen Spleen Yang. Here, the pathology is in the Stomach, not the Spleen; since dampness and dryness differ significantly, they cannot be treated indiscriminately. Furthermore, the Liver is the "General," possessing a rigid nature and impatience. Wood energy prefers smooth flow and detests depression. Ancient physicians treated Liver diseases using pungent dispersants, sour astringents, and sweet relaxants, as well as methods to nourish Water to generate Wood, or fortify Earth to control Wood. There are diverse methods, not merely attacking or purging. Treatment should focus on calming the Stomach and restraining the Liver, harmonizing both the Jueyin and Yangming channels. The royal way (gentle regulation) yields no immediate results; therefore, advising the patient to avoid anger and relax the mind is essential to assist the medicinal efficacy.
An Bo's commentary: Zaoshintu (Fried Longan Aril / Dragon Brain Earth, specifically Fulonggan) warms the middle and stops vomiting while pacifying the Liver; this substance is indispensable for this condition.