师曰∶病跗蹶,其人但能前,不能却。刺 入二寸。此太阳经伤也。
病患,常以手指臂肿动,此人身体 者,黎芦甘草汤主之。
问曰∶病腹痛有虫,其脉何以别之?师曰∶腹中痛,其脉当沉,若弦,反洪大,故
有蛔虫。
师曰∶妇人得平脉,阴脉小弱,其人渴,不能食,无寒热,名妊娠,桂枝汤主之。于
法六十日,当有此证;设有医治逆者,却一月;加吐下者,则绝之。
妇人怀娠六七月,脉弦,发热,其胎愈胀,腹痛恶寒者,少腹如扇,所以然者,子
脏开故也,当以附子汤温其脏。
妇人怀妊,腹中 痛,当归芍药散主之。
妊娠,小便难,饮食如故,当归贝母苦参丸主之。
妇人伤胎,怀身腹满,不得小便,从腰以下重,如有水气状,怀身七月,太阴当养
不养,此心气实,当刺泻劳宫及关元,小便微利则愈。
老师说:患跗蹶病的人,只能向前迈步,不能向后倒退。针刺时进针二寸。这是太阳经受伤所致。
病人经常手指和手臂肿胀跳动,身体沉重麻木的,用黎芦甘草汤主治。
问:腹痛有蛔虫的病人,其脉象如何辨别?老师说:腹中痛,脉象应当沉或弦,如果反而洪大,所以是有蛔虫。
老师说:妇女诊得平和之脉,但尺部脉象小弱,其人感到口渴,不能进食,无恶寒发热症状,名为妊娠,用桂枝汤主治。按常规,怀孕六十天左右,会出现这种证候;如果有医生误治导致逆乱,又过一个月,出现呕吐或下利的症状,则应停止使用之前的药物(或断绝病因)。
妇女怀孕六七月,脉象弦,发热,胎儿胀感加重,腹痛且怕冷,少腹部感觉像被扇子扇风一样冷,之所以这样,是因为子宫口张开的原因,应当用附子汤温暖子宫。
妇女怀孕,腹中绞痛,用当归芍药散主治。
妇女伤胎,怀孕后腹部胀满,无法小便,腰部以下沉重,好像有水气的样子,怀孕七个月,太阴脾经当养而不养,这是心气实盛,应当针刺泻劳宫穴及关元穴,小便稍微通利就好了。
妇女哺乳期气血虚弱,心烦意乱,呕吐逆气,需要安中益气,用竹皮大丸主治。
妇女经血下陷漏下不止,血色黑且不消散,用胶姜汤主治。
For all cases of jaundice, Zhigao Fa Jian (Pig Fat and Hair Decoction) is the primary treatment.
In cases of diarrhea accompanied by lung pain, Zishen Wan (Purple Ginseng Pill) is the primary treatment.
The Master said: In patients with Fu Jue disease (a condition characterized by leg weakness or deformity), they can only move forward but not backward. Acupuncture should be performed by inserting the needle two cun deep. This indicates an injury to the Taiyang meridian.
If a patient frequently experiences swelling and twitching of the fingers and arms, along with a sensation of heaviness and numbness in the body, Lizhu Gancao Tang (Veratrum and Licorice Decoction) is the primary treatment.
Question: How can one distinguish the pulse in a case of abdominal pain caused by intestinal parasites? The Master said: In cases of abdominal pain, the pulse should typically be deep or wiry. If it is instead flooding and large, it indicates the presence of roundworms.
The Master said: When a woman presents with a normal pulse generally, but the Yin pulse (radial pulse at the cun position, often referring to the chi position in context of pregnancy diagnosis) is small and weak, and she experiences thirst, inability to eat, without aversion to cold or fever, this is named pregnancy. Guizhi Tang (Cinnamon Twig Decoction) is the primary treatment. According to standard practice, these symptoms appear around sixty days of gestation; if improper medical intervention causes reversal/disorder, and after another month vomiting or diarrhea occurs, the previous treatment should be discontinued (or the cause severed).
When a pregnant woman at six or seven months presents with a wiry pulse, fever, increased abdominal distension of the fetus, abdominal pain, and aversion to cold, with a sensation of cold wind blowing on the lower abdomen, this is because the Zi Zang (uterus) is open. Therefore, Fuzi Tang (Aconite Decoction) should be used to warm the uterus.
For pregnant women experiencing colicky abdominal pain, Danggui Shaoyao San (Angelica and Peony Powder) is the primary treatment.
During pregnancy, if there is difficulty urinating but diet remains normal, Danggui Beimu Kushen Wan (Angelica, Fritillaria, and Sophora Pill) is the primary treatment.
If a pregnant woman suffers from fetal injury, presenting with abdominal fullness, inability to urinate, and heaviness from the waist down resembling edema, at seven months of gestation when the Taiyin spleen should nourish the fetus but fails to do so due to excess Heart Qi, one should puncture and drain Laogong (PC 8) and Guanyuan (CV 4). Recovery occurs when urination becomes slightly free.
For nursing women with deficiency in the middle jiao, resulting in restlessness, irritability, and vomiting/nausea, Zhupi Dawan (Bamboo Flake Large Pill) is used to calm the middle and boost Qi.
For postpartum diarrhea with extreme deficiency, Baitouweng Jia Gancao Ejiao Tang (Belleriphron Plus Licorice and Donkey-Hide Gelatin Decoction) is the primary treatment.
For women with sinking of the meridians and continuous bleeding (metrorrhagia) where the blood is dark and does not resolve, Jiaojiang Tang (Gelatin and Ginger Decoction) is the primary treatment.
To clear deficient heat from the five zang organs, use the Four Seasons Modified Chaihu Yinzi (Bupleurum Beverage).
To treat typhoid fever ensuring recovery without recurrence, use the Zishi Hanshi San (Purple Stone Cold Food Powder).