（论二首方三首）
师曰。病有奔豚。有吐脓。有惊怖。有火邪。此四部病。皆从惊发得之。
〔补注〕此仲景言奔豚之始本于惊。故并及他病之亦因于惊者。夫奔豚。水兽也。
奔豚证。肾病也。经曰。东方肝木病。发惊骇。夫肝为火之母。故肝病。则不足以生
君火。而所胜者侮之也。肝为水之子。故肝病。则必至于扰肾水。而所生者顾之
也。厥阴脏为藏血之地。惊则气凝。气凝则血滞。故厥阴篇有呕家痈脓。脓尽自
愈也。阳明土本畏木者也。木得邪助。下克斯土。故传而为惊怖。所以经谓见肝
之病。当先实脾也。至肝病已不得水之滋养。必热甚生风。故火炽而未得熄焉。
要之皆因于惊。而随人之所虚以致病焉耳。
师曰。奔豚病从少腹起。上冲咽喉。发作欲死。复还止。皆从惊恐得之。
〔补注〕夫惊者。实有可畏触于我也。因其可畏而惴惴焉恐。惕惕焉惧。则曰恐。故
惊则伤心。恐则伤肾。肾为作强之官。受伤则邪气斯盛。心为神明之出。受伤则
正气以衰。水本克火者也。于是肾邪欲上凌心。斯从少腹而上冲咽喉也。何也
夫少阴脉循喉咙。因其所系之经。而上冲殊便。纵使土可制水。乃由惊病肝。则
木气足以胜土。且因惊病心。则火气又不足以生土。然则水气之止。亦其势衰
而复还耳。岂诚阳明太阴足以堤防之耶。
奔豚。气上冲胸。腹痛。往来寒热。奔豚汤主之。
奔豚汤方
甘草 芎 当归（各二两） 半夏（四两） 黄芩（二两） 生葛（五
两） 芍药（二两） 生姜（四两） 甘李根白皮（一升）
上九味。以水二斗。煮取五升。温服一升。日三。夜一服。
〔补注〕气上冲胸。较冲咽喉稍缓。然腹痛。明系木来乘土。若往来寒热。少阳本病。
以厥阴与少阳相表里也。故以作甘者益土为制水。半夏、生姜消散积滞。以辛
温去寒。以苦寒解热。当归益营。芍药止痛。凡发于惊者。皆以本汤主治。即以病名汤。
发汗后。烧针令其汗。针处被寒。核起而赤者。必发奔豚。气从少腹上至心。灸其核
上各一壮。与桂枝加桂汤主之。
桂枝加桂汤方
桂枝（五两去皮） 芍药（三两） 生姜（三两） 甘草（二两炙） 大枣（十二枚）
上五味。以水七升。微火煮。取三升。去滓。温服一升。
〔补注〕奔豚。北方肾邪也。烧针令汗。纵不合法。与少阴何与而作奔豚。盖太阳相
与表里也。针处被寒。核起而赤。吾知前此之邪未散。而后此之邪复入矣。惟桂
能伐肾邪。所以用桂加入桂枝汤中。一以外解风邪。一以内泄阴气也。各灸核
上者。因寒而肿。惟灸消之也。
发汗后。脐下悸者。欲作奔豚。茯苓桂枝甘草大枣汤主之。
茯苓桂枝甘草大枣汤方
茯苓（半斤） 甘草（二两炙） 大枣（十五枚） 桂枝（四两）
上四味。以甘澜水一斗。先煮茯苓减二升。内诸药。煮取三升。去滓。温服一升。日三服。
〔补注〕汗本心之液。发汗而脐下痛悸者。心气虚而肾气动也。肾邪欲上凌心。故
脐下先悸。取用茯苓直趋肾界以泄其水气。故真武汤以此为君。尚能摄外散
之水。坐收北方。况于少阴藏中欲作未作者耶。
甘澜水法。取水二斗。置大盆内。以杓扬之。水上有珠子五六千颗相逐。取用之。
（共论述二条，方剂三首）
老师说道：疾病中有奔豚病，有吐脓血病，有惊怖病，有火邪病。这四种疾病，都是从惊恐受惊而引发的。
〔补注〕这是仲景指出奔豚病的起因本于惊恐，所以一并提及了其他因惊恐而引发的疾病。所谓奔豚，是一种水兽。奔豚证属于肾病。《内经》说：“东方肝木发生病变，会出现惊骇。”因为肝是火的母脏，所以肝病时，就不足以生发君火，而被我所胜的脏腑就会反过来欺侮它（此处指金侮木，或五行乘侮关系复杂，原文意指肝虚则被克者反侮，或子盗母气等，结合下文“所胜者侮之”及“肝为水之子...扰肾水”，主要阐述肝肾功能失调）。肝又是水的子脏，所以肝病时，必然会扰动肾水，而其子脏反而顾护它（此处原文逻辑较为晦涩，通常理解为母子相生相克关系的紊乱）。厥阴脏是藏血的地方，惊恐会导致气机凝滞，气机凝滞则血液运行不畅。所以在《伤寒论·厥阴篇》中提到，呕吐脓血的痈脓病患者，脓血排尽后自然痊愈。阳明土本来畏惧木的克制，但如果木受到邪气帮助，就会下克脾土，从而传变为惊怖之症。所以《内经》说：“见到肝病，应当先充实脾土。”等到肝病导致得不到水的滋养时，必然热盛生风，所以火势炽盛而不能熄灭。总之，这些都是因为惊恐，随着人体虚损的部位不同而导致发病。
老师说道：奔豚病是从少腹起始，向上冲至咽喉，发作时感觉快要死去，过后又停止恢复。这都是从惊恐中得来的。
〔补注〕所谓惊，是指确实有令人畏惧的事物触动了自我。因为感到可畏而心中惴惴不安、恐惧警惕，这就叫作恐。所以惊恐会伤心，恐惧会伤肾。肾是作强之官，受伤后邪气就会旺盛；心是神明之所出，受伤后正气就会衰弱。水本来是克火的，于是肾中的邪气想要向上凌犯心脏，这就是为什么气从少腹向上冲至咽喉的原因。为什么呢？因为足少阴肾经循行经过喉咙，沿着它所联系的经脉，向上冲逆非常方便。即使脾土可以制约肾水，但因为惊恐伤了肝，那么木气就足以胜过脾土；而且因为惊恐伤了心，那么火气又不足以生助脾土。然而，水气的停止，也是因为它势力衰败而重新返回罢了。难道真是阳明、太阴（脾土）足以像堤防一样阻挡住它吗？
奔豚汤方
甘草、川芎、当归（各二两）、半夏（四两）、黄芩（二两）、生葛根（五两）、芍药（二两）、生姜（四两）、甘李根白皮（一升）
以上九味药，用水二斗，煮取五升，温服一升，每日三次，夜间一次。
〔补注〕气上冲胸，比冲至咽喉稍缓一些。但是腹痛，明确是木气来乘克脾土。至于往来寒热，这是少阳的本病，因为厥阴与少阳互为表里。所以用甘味药来补益脾土以制约肾水，用半夏、生姜消散积滞，用辛温药去除寒邪，用苦寒药解除热邪。当归补益营血，芍药止痛。凡是因惊恐引发的，都用这个汤剂主治，即因病名命名汤剂。
发汗后，用烧针逼汗，针刺部位受寒，出现红肿硬结如核状且发红的，一定会引发奔豚病，气从少腹上冲至心胸。应在每个红肿硬结上灸一壮，并用桂枝加桂汤主治。
桂枝加桂汤方
桂枝（五两，去皮）、芍药（三两）、生姜（三两）、甘草（二两，炙）、大枣（十二枚）
以上五味药，用水七升，用微火煮，取三升，去渣，温服一升。
〔补注〕奔豚病，是北方肾的邪气。用烧针逼汗，虽然可能不符合常规治法，但这与少阴有什么关系却能引发奔豚呢？这是因为太阳与少阴互为表里。针刺部位受寒，红肿硬结且发红，我知道之前的邪气未散，之后的邪气又复入了。只有桂枝能伐除肾邪，所以将桂枝加入桂枝汤中，一方面向外解表散风邪，一方面向内泄除阴寒之气。在每个红肿处各灸一壮，是因为受寒而肿胀，只有艾灸才能消除它。
发汗后，脐下悸动的，是欲作奔豚的前兆，用茯苓桂枝甘草大枣汤主治。
茯苓桂枝甘草大枣汤方
茯苓（半斤）、甘草（二两，炙）、大枣（十五枚）、桂枝（四两）
以上四味药，用甘澜水一斗，先煮茯苓，减少二升水量，再加入其他药物，煮取三升，去渣，温服一升，每日三次。
〔补注〕汗液本是心的津液，发汗后脐下疼痛悸动，是心气虚弱而肾气动摇。肾邪想要向上凌犯心脏，所以脐下先出现悸动。选用茯苓直趋肾界以泄除水气，所以真武汤中以茯苓为君药，尚能摄取外散的水气，坐收北方之水，何况是在少阴藏中欲作而未作的情况呢？
甘澜水的制作方法：取水二斗，放入大盆内，用勺子扬水，当水面上出现五六千颗像珠子一样互相追逐的水珠时，取这种水使用。
(There are two discussions and three formulas in total.)
The Master said: There are diseases of Ben Tun (Rushing Pig), vomiting of pus, fright and terror, and fire pathogen. These four categories of diseases all arise from fright and shock.
[Supplementary Note] This is Zhongjing stating that the origin of Ben Tun lies in fright, thus also mentioning other diseases caused by fright. Ben Tun refers to a water beast. The syndrome of Ben Tun belongs to Kidney disease. The Classics state: "When Liver Wood in the East becomes diseased, it manifests as fright and alarm." Since the Liver is the mother of Fire, when the Liver is diseased, it fails to adequately generate Ministerial Fire, and the element that it normally controls may reverse to oppress it. The Liver is the son of Water; therefore, Liver disease inevitably disturbs Kidney Water, while its offspring tends to protect it. The Jueyin organ is the residence for storing blood. Fright causes Qi stagnation; Qi stagnation leads to Blood stasis. Thus, in the Jueyin chapter, it is mentioned that patients with carbuncles and pus vomiting will recover naturally once the pus is exhausted. Yangming Earth naturally fears Wood control. If Wood is aided by pathogens, it attacks Spleen Earth below, transmitting into fright and terror syndromes. Hence, the Classics say: "When seeing Liver disease, one should first strengthen the Spleen." Once Liver disease results in a lack of nourishment from Water, heat must become excessive generating wind, so the blazing fire cannot be extinguished. In summary, all these conditions stem from fright, manifesting according to the specific deficiency locations in the individual.
The Master said: Ben Tun disease begins in the lower abdomen, rushing up to the throat. During an attack, the patient feels as if death is imminent, after which it subsides and stops. All such cases arise from fright and shock.
[Supplementary Note] Fright implies being genuinely terrified by external stimuli. Due to this fear, one feels anxious and fearful, which is termed "terror" (Kong). Therefore, fright injures the Heart, and terror injures the Kidney. The Kidney is the official of strength and vigor; when injured, evil Qi becomes prevalent. The Heart is the residence of the Spirit; when injured, righteous Qi declines. Water naturally overcomes Fire. Consequently, Kidney evil desires to ascend and overwhelm the Heart, which explains why Qi rushes from the lower abdomen up to the throat. Why? Because the Shaoyin meridian circulates along the throat, making upward rush convenient along its connected pathway. Although Earth can control Water, because fright injures the Liver, Wood Qi is sufficient to overcome Earth. Furthermore, because fright injures the Heart, Fire Qi is insufficient to generate Earth. Thus, the cessation of Water Qi is merely due to its declining momentum returning, rather than truly being dammed by Yangming or Taiyin (Spleen/Earth).
Ben Tun disease, characterized by Qi rushing to the chest, abdominal pain, and alternating chills and fever, is primarily treated with Ben Tun Tang.
Ben Tun Tang Formula
Gancao (Licorice Root), Xiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Radix) (each 2 liang), Banxia (Pinellia Tuber) (4 liang), Huangqin (Scutellaria Root) (2 liang), Shengge (Pueraria Root) (5 liang), Shaoyao (Peony Root) (2 liang), Shengjiang (Fresh Ginger) (4 liang), Ganligen Baipi (Bark of Prunus Spinosa Root, White Part) (1 sheng).
These nine ingredients are decocted in 2 dou of water, reduced to 5 sheng. Take 1 sheng warm, three times daily and once at night.
[Supplementary Note] Qi rushing to the chest is slightly milder than rushing to the throat. However, abdominal pain clearly indicates Wood attacking Earth. Alternating chills and fever is a fundamental Shaoyang disease, as Jueyin and Shaoyang are exterior-interior pairs. Therefore, sweet herbs are used to tonify Earth to control Water; Banxia and Shengjiang dissipate accumulation; pungent-warm herbs dispel cold; bitter-cold herbs resolve heat. Danggui nourishes Ying (Nutritive) Qi, and Shaoyao alleviates pain. Any condition arising from fright is primarily treated with this formula, named after the disease.
After sweating therapy, if pricking with heated needles induces sweat, and the needle site becomes cold, presenting with nodular redness, Ben Tun will certainly develop, with Qi rushing from the lower abdomen to the heart. Moxibustion of one cone on each nodule should be performed, followed by Guizhi Jia Gui Tang.
Guizhi Jia Gui Tang Formula
Guizhi (Cinnamon Twig) (5 liang, peeled), Shaoyao (Peony Root) (3 liang), Shengjiang (Fresh Ginger) (3 liang), Gancao (Licorice Root) (2 liang, honey-fried), Dazao (Jujube Fruit) (12 pieces).
These five ingredients are decocted in 7 sheng of water over low heat, reduced to 3 sheng. Strain and take 1 sheng warm.
[Supplementary Note] Ben Tun is the evil of the North Kidney. Using heated needles to induce sweat may be improper, but how does this relate to Shaoyin to cause Ben Tun? It is because Taiyang and Shaoyin are exterior-interior partners. Cold invading the needle site causing nodular redness indicates that previous pathogens were not dispersed, and new pathogens have re-entered. Only Guizhi can subdue Kidney evil; hence, extra Guizhi is added to Guizhi Tang to release exterior wind pathogens externally and vent interior Yin cold internally. Moxibustion on each nodule eliminates swelling caused by cold.
After sweating therapy, if palpitations occur below the umbilicus, indicating impending Ben Tun, it is primarily treated with Fuling Guizhi Gancao Dazao Tang.
Fuling Guizhi Gancao Dazao Tang Formula
Fuling (Poria) (8 liang), Gancao (Licorice Root) (2 liang, honey-fried), Dazao (Jujube Fruit) (15 pieces), Guizhi (Cinnamon Twig) (4 liang).
These four ingredients are decocted in 1 dou of Ganlan Water (Agitated Water). First boil Fuling until the volume reduces by 2 sheng, then add remaining herbs. Boil to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.
[Supplementary Note] Sweat is the fluid of the Heart. Palpitations below the umbilicus after sweating indicate Heart Qi deficiency and stirring of Kidney Qi. Kidney evil desires to overwhelm the Heart, causing initial palpitations below the umbilicus. Fuling is chosen to directly target the Kidney realm to drain dampness; thus, in Zhenwu Tang, Fuling serves as the sovereign herb, capable of capturing scattered exterior fluids and consolidating Northern Water. How much more so for impending Ben Tun within the Shaoyin storehouse?
Method for preparing Ganlan Water: Take 2 dou of water, place in a large basin, and agitate with a ladle until thousands of pearl-like bubbles form and chase each other on the surface. Use this water.