〔补小肠猛将〕生地
〔泻小肠猛将〕木通〔次将〕瞿麦、海金沙、川楝子、苡仁、赤芍、赤茯苓、灯草
生地黄汤 六味地黄丸 五苓散 止嗽散(俱见卷一) 导赤散(见心部) 橘核丸(见肝部)
(手少阳属腑)
三焦者。人生三元之气。脏腑空处是也。上焦心肺居之。中焦脾胃居之。下焦肝肾膀胱大小
肠居之。其气总领脏腑营卫经络。内外左右上下之气。三焦通则竟体调和。斯其职已。
三焦之病。属于脏腑。并无另立病名。
〔补三焦猛将〕淫羊藿、黄
〔泻三焦猛将〕青皮、木香〔次将〕柴胡、香附
〔温三焦次将〕乌药、白豆蔻、胡桃
〔凉三焦次将〕山栀、麦冬、黄柏、地骨、青蒿、连翘
(手厥阴属腑)
心包络者。即膻中。与心相附。居膈上。代君行事。臣使之官。喜乐出焉。其见证有手中热。心中
大热。面黄目赤。心中动诸端。而要之包络之病。即心部之病也。言心不必更言包络矣。
小儿之病。百倍难于方脉。其疾痛 痒不能自言。旁人又不能代言。全恃医家以意揣之。揣
之不合。杀人易于反掌。即揣得其当。而小儿纯阳之体。易虚易实。药一过分。变幻百端。此非
绝顶聪明。好学深思。心知其意者。未易胜任也。至于护惜之深。姑息之至。则饱暖失宜。果物
恣食。畏苦废药。或求速杂投。则又非医家之咎矣。然揣之之法。不过辨其表里虚实寒热。其
法与方脉无异。其症亦与方脉同。方脉中之病。小儿亦无不有也。故不能儿科者。或能治方
脉。不能方脉者。必不能治儿科。
【清泻小肠的猛将药物】木通;【次将药物】瞿麦、海金沙、川楝子、薏苡仁、赤芍、赤茯苓、灯心草
生地黄汤、六味地黄丸、五苓散、止嗽散(均见于卷一)、导赤散(见心部章节)、橘核丸(见肝部章节)
(手少阳三焦经属于腑)
三焦,是人体元气的运行通道,也是脏腑之间的空隙所在。上焦位于心肺所在之处,中焦位于脾胃所在之处,下焦位于肝肾、膀胱及大小肠所在之处。三焦之气统领全身脏腑、营卫、经络以及内外、左右、上下各部分的气机。三焦通畅,则全身调和,这就是它的职能。
三焦的疾病,归属于相关脏腑,并没有单独设立病名。
【补益三焦的猛将药物】淫羊藿
【清泻三焦的猛将药物】青皮、木香;【次将药物】柴胡、香附
【温煦三焦的次将药物】乌药、白豆蔻、胡桃
【凉润三焦的次将药物】山栀、麦冬、黄柏、地骨皮、青蒿、连翘
(手厥阴心包经属于腑)
心包络,就是膻中穴所在区域,与心脏相连,位于膈肌之上,代替君主(心脏)行使职权,是臣使之官,喜乐之情由此发出。其临床表现有手心发热、心中大热、面色发黄、眼睛发红、心中悸动等各种症状。但归根结底,心包络的疾病,就是心部的疾病。既然说了心脏,就不必再单独说心包络了。
小儿的疾病,比成人脉诊治疗要困难百倍。因为患儿因疼痛或瘙痒无法自己表达,旁人又无法代为转述,完全依赖医生凭经验推测。如果推测不当,杀人就像翻手掌一样容易;即使推测得当,由于小儿是“纯阳”之体,病情容易由虚转实或由实转虚,用药一旦过分,病情就会变幻莫测。这不是绝顶聪明、好学深思、内心领悟医理的人,是不容易胜任的。至于家长过度呵护、姑息纵容,导致饮食冷暖失调、恣意食用水果、因怕苦而拒绝服药,或者求快乱投药物,这又不是医生的过错。然而,推测诊断的方法,不过是辨别表里、虚实、寒热,其方法与成人脉诊无异,症状也与成人相同。成人方脉中的疾病,小儿也无不具备。所以,不能治疗儿科疾病的医生,或许能治成人病;但不能治成人病的医生,一定不能治儿科疾病。
[Military General for Tonifying the Small Intestine] Shengdi Huang (Rehmanniae Radix Preparata)
[Military General for Draining the Small Intestine] Mutong (Akebiae Caulis); [Secondary Generals] Qumai (Dianthi Herba), Haijinsha (Lygodii Spora), Chuanlianzi (Toosendan Fructus), Yiren (Coicis Semen), Chi Shao (Paeoniae Radix Rubra), Chi Fuling (Poria with Red Hosta), Dengcao (Junci Medulla)
Shengdi Huang Tang (Rehmannia Decoction), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Wuling San (Five-Ingredient Powder), Zhisou San (Cough-Stoping Powder) (all see Volume 1), Daochi San (Guide Out Redness Powder) (see Heart section), Juhe Wan (Tangerine Seed Pill) (see Liver section)
(The Hand-Shaoyang Sanjiao Belongs to the Fu Organs)
The Sanjiao (Triple Burner) is the pathway of the Yuan Qi (Original Qi) in human life and refers to the empty spaces among the Zang-Fu organs. The Upper Jiao houses the Heart and Lungs, the Middle Jiao houses the Spleen and Stomach, and the Lower Jiao houses the Liver, Kidneys, Bladder, Large Intestine, and Small Intestine. Its Qi commands the Ying (Nutritive) and Wei (Defensive) Qi, meridians, and the Qi of all internal, external, left, right, upper, and lower parts of the body. When the Sanjiao is unobstructed, the whole body is harmonized; this is its function.
Diseases of the Sanjiao belong to the Zang-Fu organs and do not have independently established disease names.
[Military General for Tonifying the Sanjiao] Yinyanghuo (Epimedii Folium)
[Military General for Draining the Sanjiao] Qingpi (Citri Reticulatae Pericarpium Viride), Muxiang (Aucklandiae Radix); [Secondary Generals] Chaihu (Bupleuri Radix), Xiangfu (Cyperi Rhizoma)
[Secondary General for Warming the Sanjiao] Wuyao (Linderae Radix), Baidoukou (Amomi Fructus Rotundus), Hetao (Juglandis Semen)
[Secondary General for Cooling the Sanjiao] Shanzhi (Gardeniae Fructus), Maidong (Ophiopogonis Radix), Huangbai (Phellodendri Cortex), Digupi (Lycii Cortex), Qinghao (Artemisiae Annuae Herba), Lianqiao (Forsythiae Fructus)
(The Hand-Jueyin Pericardium Belongs to the Fu Organs)
The Xinbaoluo (Pericardium) is located at the Danzhong region, attached to the Heart, situated above the diaphragm, and acts on behalf of the Monarch (Heart). It is the Official of the Envoy, from which joy and pleasure arise. Its clinical manifestations include heat in the palms, intense heat in the chest, yellowish complexion, red eyes, palpitations, and various other symptoms. However, essentially, diseases of the Pericardium are diseases of the Heart. Therefore, speaking of the Heart makes it unnecessary to separately discuss the Pericardium.
Pediatric diseases are a hundred times more difficult to treat than adult pulse-diagnosed conditions. Children cannot verbally express their pain or itching, and others cannot speak for them. Treatment relies entirely on the physician's deduction. If the deduction is incorrect, causing death is as easy as turning one's hand; even if the deduction is correct, because children possess a "Pure Yang" constitution, their conditions easily shift from deficiency to excess or vice versa. If medication is administered excessively, the condition will change unpredictably. This requires a physician of supreme intelligence, who loves learning, thinks deeply, and understands the principles internally; such a person is not easily found to be competent. As for parents' excessive protection and indulgence, leading to improper diet and temperature regulation, unrestricted consumption of fruits, refusal of medicine due to bitterness, or seeking quick results by indiscriminate administration of drugs, these are not the faults of the physician. However, the method of deduction is merely distinguishing between Exterior/Interior, Deficiency/Excess, Cold/Heat. The methods are no different from adult pulse diagnosis, and the symptoms are the same. Diseases found in adult pulse diagnosis are also present in children. Thus, a physician who cannot treat pediatrics might be able to treat adults; but a physician who cannot treat adults certainly cannot treat pediatrics.