鬼。脱阴者。目盲。备考古书。证象显然可指。设明理者预为挽救。何致阴阳枢纽不相交。以至厥脱哉。
【廉勘】伤寒温病。已经汗下后。内伤气血精神。故其人常多肢体倦怠。神志昏沉。乃元气精神大虚欲脱之
兆。急宜强壮心机。兴奋神经。不得不于开透法中。筹一特开生面之峻补提陷法。庶几九死尚可一生。一为强
壮心脑。如参归鹿茸汤(吉林参三钱、白归身一钱、炙绵 二钱、炙甘草五分。鹿茸血片三分。龙眼肉三枚、
鲜生姜一片、上药煎成、冲陈酒一杯、或冲入葡萄酒一瓢)。人参养荣汤(西党参、炙 、熟地各三钱、归身、
生晒术、浙苓、生白芍各钱半、远志、炙甘草各八分、炒广皮一钱、官桂五分、五味子九粒。)冲鹿茸酒一
瓢。补中益气汤。加鹿茸血片三分之类。能治脑气衰弱。心神虚散者。惟此三方。最力大而效速。为急救大虚
昏沉之峻剂。凡治伤寒热病。用凉泻太过。克伐元阳。而阳虚神散者。必须阴阳并救。如陶氏回阳救急汤(黑
鬼(指病邪深入或神志异常之象)。脱阴者,会出现双目失明。参考古代医书,这些证候表现明显且可具体指认。如果明理医生预先进行挽救,怎么会致使阴阳枢纽不能相交,以至于发生厥逆和脱证呢?
【廉勘】伤寒和温病,在已经经过发汗和攻下治疗后,会内伤气血精神。所以其人常常出现肢体倦怠、神志昏沉的症状,这是元气和精神大虚欲脱的征兆。急需强壮心机,兴奋神经,不得不在开透法中,筹划一种特开生面之峻补提陷法,这样或许九死之中还能有一线生机。一是强壮心脑,如参归鹿茸汤(吉林人参三钱、白归身一钱、炙绵[黄芪]二钱、炙甘草五分、鹿茸血片三分、龙眼肉三枚、鲜生姜一片、上药煎成后,冲入陈酒一杯,或冲入葡萄酒一瓢)、人参养荣汤(西党参、炙[黄芪]、熟地各三钱、归身、生晒术、浙苓、生白芍各钱半、远志、炙甘草各八分、炒广皮一钱、官桂五分、五味子九粒)冲鹿茸酒一瓢、补中益气汤加鹿茸血片三分之类。能治疗脑气衰弱、心神虚散者。只有这三方,力量最大且见效迅速,是急救大虚昏沉的峻剂。凡是治疗伤寒热病,用凉泻太过,克伐元阳,而导致阳虚神散者,必须阴阳并救,如陶氏回阳救急汤(黑[附子等])
Gui (referring to pathogenic factors penetrating deeply or manifestations of abnormal mental state). In cases of Yin exhaustion, blindness occurs. Consulting ancient medical texts, these symptom patterns are obvious and specifically identifiable. If knowledgeable physicians had provided preemptive rescue, how could the pivot of Yin and Yang have failed to intersect, leading to Jue (cold extremities/fainting) and Tuo (collapse)?
[Lian Kan] After Han (sweating) and Xia (purging) treatments for Shanghan (Cold Damage) and Wenbing (Warm Diseases), the internal Qi, Blood, and Spirit are injured. Consequently, patients often exhibit limb fatigue and mental dullness, which are signs of severe deficiency of Yuan Qi (Original Qi) and Spirit, approaching collapse. It is imperative to strengthen the heart mechanism and excite the nerves. One must devise a specific, innovative method of severe tonification to lift sunken Qi within the framework of opening and penetrating methods, so that there might be one chance of survival out of nine deaths. The first approach is to strengthen the heart and brain, using formulas such as Shengui Lurong Tang (Cinnamon Twig and Deer Antler Decoction: Jilin Ginseng 3 qian, Bai Guishen [Radix Angelicae Sinensis] 1 qian, Zhi Mian [Astragali Radix prepared] 2 qian, Zhi Gancao [Glycyrrhizae Radix et Rhizoma prepared] 0.5 qian, Lurong Xuepian [Deer Antler Blood Slice] 0.3 fen, Longyanrou [Longan Aril] 3 pieces, Fresh Ginger 1 slice; decocted and taken with 1 cup of aged wine or 1 ladle of red wine), Renshen Yangrong Tang (Ginseng Nourishing Grace Decoction: Xi Dangshen [Codonopsis Radix], Zhi [Astragali Radix prepared], Shudi [Rehmanniae Radix Preparata] each 3 qian, Guishen [Radix Angelicae Sinensis], Sheng Shai Zhu [Atractylodis Macrocephalae Rhizoma raw-dried], Zhe Ling [Poria Cocos prepared], Sheng Baishao [Paeoniae Radix Alba raw] each 1.5 qian, Yuanzhi [Polygalae Radix], Zhi Gancao [Glycyrrhizae Radix et Rhizoma prepared] each 0.8 fen, Chao Guangpi [Citri Reticulatae Pericarpium fried] 1 qian, Guanzi Gui [Cinnamomi Ramulus] 0.5 fen, Wuweizi [Schisandrae Chinensis Fructus] 9 grains; taken with 1 ladle of Deer Antler Wine), and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Lurong Xuepian [Deer Antler Blood Slice] 0.3 fen. These can treat conditions of weak brain Qi and scattered heart spirit. Only these three formulas possess the greatest power and fastest effect, serving as severe agents for emergency rescue of severe deficiency and mental dullness. Whenever treating Shanghan or febrile diseases, if excessive use of cooling and purgative methods damages the Yuan Yang (Original Yang), leading to Yang deficiency and scattered spirit, simultaneous rescue of Yin and Yang is required, such as with Tao Shi Huiyang Jiutang (Tao's Return Yang Rescue Extremity Decoction: Hei [Fuzi etc.])