(伤寒自汗 盗汗)
玉枕、(见目痛。)疗多汗。(明)鬲俞、(见痰。)疗汗出。阴跷、疗女人汗出。(
事。)阴跷等、(见腹痛。)主汗出。(千)飞扬、涌泉、颔厌、后顶、主颈项疼。历节汗
出。昆仑、主疟多汗。(千)然谷、主温疟汗出。复溜、治骨寒热。汗注不止。(铜)
大敦、治心痛汗出。(见卒疝。)缺盆、治汗出。(见瘰 。)中府、治风汗出。(见肺气
。)少商、治汗出而寒。(见喜噫。)冲阳、主汗出。(见疟)灸手足心热盗汗。(见劳。
牡蛎散治卧即盗汗。风虚头痛。牡蛎熬黄、白术防风各三两。酒服方寸匕。日二。止汗
。无出此方。一切泄汗服之。三日皆愈。此千金方所载也。本事方云、如恶风加防风一倍。
气虚加术。面肿加牡蛎。盖增益之也。亦有牡蛎散治虚劳盗汗不止。牡蛎 麻黄根黄 、等
分为末。第二钱、水一盏煎七分。温服。予皆用之验。故附此。(本事又有二方。)
列缺、曲池、主热病烦心心闷。先手臂身热螈 。唇口聚。鼻张。目下汗出如珠。(千)
处、攒竹、正营、上管、缺盆、中府、主汗出寒热。承浆、主汗出衄血不止。百会、主
汗出而呕痉。大都、主热病汗出。目厥足清。外台乃云、汗不出。厥、手足清。复留、
主寒热无所安。汗出不止。风逆四肢肿。
凡热病烦心。足寒清。多汗。先取然谷。后取太溪。大指间动脉。皆先补之。列缺(
水肿。)肺俞、心俞、主汗出。(中风。)
伤寒自汗。盖阴证也。惟理中汤最佳。予屡教人服验。若只额上有微汗。与夫上一节有
。最宜煎五苓散服之。(见既效方。)单方歌云、疫病汗如水。论中号湿温。烧故竹扇灰。汤
调效莫论。其论颇有理。药必可用也。(多汗亦有用心得者。宜灸心俞。服镇心丹皆效。)
多汗疟病。 五十。多汗。四肢不举少力。横文五十。长平五十。多汗盗汗。(并
(伤寒自汗与盗汗)
玉枕穴,(参见目痛条目。)治疗多汗。(出自《明堂》经)膈俞穴,(参见痰证条目。)治疗汗出。阴跷脉,治疗妇女汗出。(出自《事类》经)阴跷等脉,(参见腹痛条目。)主治汗出。(出自《千金方》)飞扬穴、涌泉穴、颔厌穴、后顶穴,主治颈项疼痛及历节病汗出。昆仑穴,主治疟疾多汗。(出自《千金方》)然谷穴,主治温疟汗出。复溜穴,治疗骨蒸寒热,汗出不止。(出自《铜人腧穴针灸图经》)大敦穴,治疗心痛伴汗出。(参见卒疝条目)缺盆穴,治疗汗出。(参见瘰疬条目)中府穴,治疗风邪所致汗出。(参见肺气条目)少商穴,治疗汗出而恶寒。(参见喜噫条目)冲阳穴,主治汗出。(参见疟疾病条)灸手足心热引起的盗汗。(参见劳损条目)
牡蛎散治疗入睡即盗汗、风虚头痛。将牡蛎煅至黄色,与白术、防风各三两,用酒送服一方寸匕,每日两次。此方能止汗,无出其右,一切泄汗症状服用,三日皆可痊愈。此方记载于《千金方》。《本事方》说:如果伴有恶风,加一倍量的防风;气虚加白术;面部肿胀加牡蛎。这是对方剂的增益调整。也有用牡蛎散治疗虚劳导致的盗汗不止,配方为牡蛎、麻黄根、黄芪等分研为末。每次取二钱,加水一盏煎至七分,温服。我都使用过并验证有效,故附于此。(《本事方》另有两方。)
列缺穴、曲池穴,主治热病烦心、心中闷乱,先出现手臂和身体发热、抽搐,嘴唇紧闭,鼻孔张开,眼下出汗如珠状。(出自《千金方》)处中穴(注:原文此处可能有脱字或异名,依原文保留)、攒竹穴、正营穴、上管穴(注:疑为上关穴之误,依原文保留)、缺盆穴、中府穴,主治汗出伴寒热。承浆穴,主治汗出且鼻衄不止。百会穴,主治汗出伴呕吐、痉挛。大都穴,主治热病汗出,目眩厥逆,足部发凉。《外台秘要》则说:汗不出,厥逆,手足发凉。复溜穴,主治寒热不安,汗出不止,风邪逆乱致四肢肿胀。
凡是热病烦心,足部寒冷发凉,多汗,先针刺然谷穴,后针刺太溪穴及大指间的动脉(隐白穴附近),均先用补法。列缺穴,(参见水肿条目)肺俞穴、心俞穴,主治汗出。(参见中风条目)
伤寒自汗,属于阴证。只有理中汤效果最佳,我多次教导他人服用并验证有效。如果只是额头有微汗,或者上半身有汗,最适合煎服五苓散。(参见《济生方》)单方歌诀云:“疫病汗如水,论中号湿温。烧故竹扇灰,汤调效莫论。”其论述颇有道理,药物确实可用。(多汗症也可用心得经验者,宜灸心俞穴,服用镇心丹,均有效。)
多汗疟病,(原文此处似有脱漏,结合上下文推测可能涉及特定穴位或症状描述,依原文直译)五十(疑为穴位或剂量单位,依原文保留),多汗,四肢不能抬起,乏力。横文五十,长平五十,多汗盗汗。(并...)
(Spontaneous Sweating and Night Sweating in Cold Damage)
Yuzhen (GB9), (see entry for Eye Pain.) treats excessive sweating. (From *Mingtang Jing*) Geshu (BL17), (see entry for Phlegm.) treats sweating. Yinqiao Mai, treats sweating in women. (From *Shilei Jing*) Yinqiao and other vessels, (see entry for Abdominal Pain.) govern sweating. (From *Qianjin Fang*) Feiyang (BL58), Yongquan (KI1), Hanyan (GB7), Houding (DU19) govern neck and nape pain and sweating in Li Jie disease (painful joints). Kunlun (BL60) governs excessive sweating in malaria. (From *Qianjin Fang*) Ran Gu (KI2) governs sweating in warm malaria. Fuli u (KI7) treats bone-steaming cold and heat, with continuous dripping sweat. (From *Tongren Shuxue Zhenjiu Tujing*) Dacun (LR1) treats heart pain accompanied by sweating. (See entry for Acute Hernia) Quepen (ST12) treats sweating. (See entry for Scrofula) Zhongfu (LU1) treats wind-induced sweating. (See entry for Lung Qi) Shaoshang (LU11) treats sweating with aversion to cold. (See entry for Frequent Belching) Chongyang (ST42) governs sweating. (See entry for Malaria) Moxibustion treats night sweats caused by heat in the palms and soles. (See entry for Consumption/Lao)
Musou San (Oyster Shell Powder) treats night sweats occurring upon falling asleep and headache due to wind deficiency. Calcined yellow oyster shell (*Concha Ostreae*), Atractylodis Rhizoma (*Baizhu*), and Saposhnikoviae Radix (*Fangfeng*), each three liang, are taken with wine, one fangcun bi (a measure of volume) at a time, twice daily. This formula stops sweating; none surpasses it. It is effective for all types of profuse sweating, with recovery within three days. This formula is recorded in *Qianjin Fang*. *Ben Shi Fang* states: if there is aversion to wind, double the amount of Fangfeng; if there is qi deficiency, add Baizhu; if there is facial swelling, add Oyster Shell. This represents an augmentation of the formula. Musou San is also used to treat continuous night sweats due to consumption deficiency. The prescription consists of equal parts of Oyster Shell (*Concha Ostreae*), Ephedrae Radix et Caulis root part? (Note: Original text says 麻黄根, which is Ephedrae Herba Radix or specifically the root of Ephedra, here translated as Radix Ephedrae), and Astragali Radix (*Huangqi*), ground into powder. Take two qian, decoct with one jin of water until seven-tenths remain, and take warm. I have used these with verified efficacy, so I append them here. (*Ben Shi Fang* contains two additional formulas.)
Lieque (LU7), Quchi (LI11) govern irritability and heart oppression in febrile diseases, preceded by heat in the arms and body, convulsions, tightly closed lips, flaring nostrils, and bead-like sweating under the eyes. (From *Qianjin Fang*) Chuzhong (EX-UE3?), Zhuanzhu (BL2), Zhengying (GB17), Shangguan (ST3 - Note: Text says 上管, likely typo for 上关), Quepen (ST12), Zhongfu (LU1) govern sweating with alternating chills and fever. Chengjiang (CV24) governs continuous sweating and epistaxis. Baihui (DU20) governs sweating with vomiting and spasms. Dada (SP3) governs sweating in febrile diseases, syncope with clear/cold feet. *Waitai Mi Yao* states instead: no sweating, syncope, cold hands and feet. Fuli u (KI7) governs restlessness from chills and fever, continuous sweating, and wind counterflow causing limb edema.
In cases of febrile disease with irritability, cold feet, and profuse sweating, first puncture Ran Gu (KI2), then Taixi (KI3) and the arterial pulse between the big toe (Yinbai SP1). All should be treated with the tonifying method first. Lieque (LU7), (see entry for Edema) Feishu (BL13), Xinshu (BL15) govern sweating. (See entry for Wind Stroke)
Spontaneous sweating in cold damage is considered a yin syndrome. Lizhong Tang (Regulate the Middle Decoction) is the best treatment. I have repeatedly instructed people to take it with verified results. If there is only slight sweating on the forehead or sweating limited to the upper section of the body, it is most appropriate to decoct and take Wuling San (Five-Ingredient Powder with Poria). (See *Jisheng Fang*). A folk song states: "When epidemic disease causes sweat like water, it is termed damp-warmth in theory. Burn old bamboo fans to ash, mix with soup, and the effect is beyond words." The reasoning is quite sound, and the medicine is indeed usable. (For excessive sweating, some practitioners use their own experience: moxibustion on Xinshu (BL15) and taking Zhenxin Dan (Heart-Calming Pill) are both effective.)
Excessive sweating in malaria... fifty... excessive sweating, limbs unable to lift, weakness. Horizontal lines fifty, length flat fifty, excessive sweating and night sweats. (And...)