邪有阴邪有阳邪虽辨之不清无致大害然而亦不可不辨者辨之清用药得当自然易于奏功也
阳邪
之中大约骂詈之声不绝于口发狂而走不欲安静或呼见大头之鬼或喊见金甲之神眼直视而口吐
白沫者是也倘以热药投之立时死矣法当用醒邪汤治之自愈或疑阳症而何以仍用阳药不知阳
药可以祛阳邪非人参之助正气则邪不能退也阴邪之中双目必闭安卧无声或自言自语声必低
微
或遗尿手撒或痰响如酣或身子发热不喜见明者是也倘以寒药投之亦立时身丧法当用扶正荡
邪汤
治之此方之妙妙在用人参为君而佐之生枣仁为臣枣仁生用实有妙理盖中邪之病昏昏欲睡不以
枣仁生用则其气更昏而不能醒生枣仁得人参更有殊功所以相佐而相合也阴寒非桂附不能祛邪
然非参苓甘术一派扶正之药亦不能夺魂于俄顷返魄于须臾也论理此方去附桂亦可兼治阳症
之中邪 终不若二方分治之更妙犹愿人细为消息之耳
醒邪汤
人参(三钱) 石膏(一钱) 半夏(三钱) 菖蒲(一钱) 黄连(一钱)水煎服
扶正荡邪汤
人参(三钱) 白术(一两) 附子(一钱) 半夏(三钱) 菖蒲(一钱) 茯神(五钱) 甘草(一钱)
麦冬(三钱) 丹参(一钱) 当归(五钱) 肉桂(一钱) 生枣仁(三钱)水煎服
邪气分为阴邪和阳邪,虽然辨别不清也不会造成大的危害,然而也不能不加以辨别。如果辨别清楚,用药得当,自然容易取得疗效。
属于阳邪中邪的情况,大约表现为骂詈之声不绝于口,发狂奔走,不喜欢安静,或者呼喊看见大头的鬼怪,或者喊叫看见身披金甲的神灵,眼睛直视,口吐白沫,就是这种情况。如果用热药投治,病人会立即死亡。治疗方法应当使用醒邪汤,病自然会痊愈。或许有人怀疑:既然是阳症,为什么还要用阳药?不知道阳药可以祛除阳邪,如果不是人参来扶助正气,邪气就不能退去。
属于阴邪中邪的情况,双目必定闭合,安静躺卧,没有声音,或者自言自语但声音必定低微,或者遗尿、手撒(手松开),或者痰声作响如同熟睡,或者身体发热但不喜欢见到光亮,就是这种情况。如果用寒药投治,也会立即丧命。治疗方法应当使用扶正荡邪汤来治疗。这个方子的妙处在于用人参作为君药,佐以生枣仁作为臣药。枣仁生用确实有妙理,因为中邪的病证昏昏欲睡,如果不生用枣仁,其气会更昏沉而不能清醒。生枣仁得到人参的辅助更有特殊功效,所以二者相辅相成。阴寒之邪非桂枝、附子不能祛除,但如果没有人参、茯苓、甘草、白术这一类扶助正气的药物,也不能在顷刻间夺回魂魄,使人在短时间内恢复精神。按理说,这个方子去掉附子、桂枝也可以兼治阳症中的中邪,但终究不如两个方子分别治疗更为精妙。还是希望人们仔细斟酌其中的道理罢了。
醒邪汤
人参(三钱) 石膏(一钱) 半夏(三钱) 菖蒲(一钱) 黄连(一钱),水煎服。
扶正荡邪汤
人参(三钱) 白术(一两) 附子(一钱) 半夏(三钱) 菖蒲(一钱) 茯神(五钱) 甘草(一钱) 麦冬(三钱) 丹参(一钱) 当归(五钱) 肉桂(一钱) 生枣仁(三钱),水煎服。
Pathogenic factors are divided into Yin pathogenic factors and Yang pathogenic factors. Although failure to distinguish them clearly will not cause major harm, it is still necessary to differentiate them. If differentiated clearly and treated with appropriate prescriptions, therapeutic efficacy can be achieved naturally.
In cases of Yang pathogenic factor invasion, symptoms generally include incessant cursing and shouting, mania with running about, aversion to quietness, or crying out that one sees ghosts with large heads or deities clad in golden armor. The eyes may be fixedly staring, and white foam may be frothing from the mouth. If hot-natured herbs are administered, death will occur immediately. The treatment method should employ Xingxie Tang (Wake Up Evil Decoction), after which the patient will recover spontaneously. One might question: since this is a Yang syndrome, why use Yang-natured herbs? It must be understood that Yang-natured herbs can expel Yang pathogenic factors; however, without Ginseng Radix et Rhizoma (Renshen) to support the healthy Qi, the pathogenic factor cannot be expelled.
In cases of Yin pathogenic factor invasion, the eyes are invariably closed, the patient lies quietly without sound, or speaks to themselves in a low voice. Symptoms may also include urinary incontinence, relaxed hands (hand opening), phlegm rattling as if in deep sleep, or body heat with an aversion to light. If cold-natured herbs are administered, death will also occur immediately. The treatment method should employ Fuzheng Dangxie Tang (Support Righteousness and Sweep Away Evil Decoction). The brilliance of this prescription lies in using Ginseng Radix et Rhizoma (Renshen) as the sovereign herb, assisted by Ziziphi Spinosae Semen (Suanzaoren) used raw as the minister herb. Using Ziziphi Spinosae Semen raw indeed holds profound rationale. Since the disease of evil invasion involves drowsiness and confusion, if Ziziphi Spinosae Semen is not used raw, its qi will become even more turbid and fail to awaken. With the assistance of Ginseng Radix et Rhizoma (Renshen), raw Ziziphi Spinosae Semen exerts special efficacy, thus complementing each other. Cold-Yin pathogens require Cinnamon Twig (Guizhi) and Aconite Lateral Root Preparata (Fuzi) for expulsion, yet without a group of righteousness-supporting herbs such as Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Licorice Root (Gancao), and Atractylodes Macrocephala Rhizome (Baizhu), it is impossible to restore the soul instantly and revive the spirit within moments. Theoretically, removing Fuzi and Guizhi from this prescription could also treat Yang-type evil invasion; however, treating them separately with two distinct prescriptions is ultimately superior. It is hoped that practitioners will carefully ponder these principles.
Xingxie Tang (Wake Up Evil Decoction)
Ginseng Radix et Rhizoma (Renshen, 3 qian)
Gypsum Fibrosum (Shigao, 1 qian)
Pinelliae Tuber (Banxia, 3 qian)
Acori Tatarinowii Rhizoma (Changpu, 1 qian)
Coptidis Rhizoma (Huanglian, 1 qian)
Decoct in water and take orally.
Fuzheng Dangxie Tang (Support Righteousness and Sweep Away Evil Decoction)
Ginseng Radix et Rhizoma (Renshen, 3 qian)
Atractylodes Macrocephala Rhizome (Baizhu, 1 liang)
Aconite Lateral Root Preparata (Fuzi, 1 qian)
Pinelliae Tuber (Banxia, 3 qian)
Acori Tatarinowii Rhizoma (Changpu, 1 qian)
Poria (Fushen, 5 qian)
Licorice Root (Gancao, 1 qian)
Ophiopogonis Tuber (Maidong, 3 qian)
Salvia Miltiorrhiza Radix et Rhizoma (Danshen, 1 qian)
Angelica Sinensis Radix (Danggui, 5 qian)
Cinnamon Twig (Rougui, 1 qian)
Ziziphi Spinosae Semen (Sheng Suanzaoren, 3 qian)
Decoct in water and take orally.