第十四次课后作业临证2班纪峰

脾-胃-消化系统-太阴-阳明


病症                            说明                                          治法                                          注意事项


挟食冷物         脉沉为胃气寒,紧为冷气盛,滑则食不消,        服丁香丸、来复丹,若冷物不消,华澄茄散;                                                       


                 其证头痛、发热、呕吐、心下痞、时或腹痛        胃虚者平胃散、理中丸




汗后大便 下       此乃胃中积热未除,或服丹附而至                服黄连当归芍药汤;下脓者,如圣饼化积而愈         热虽盛不死,若阴气盛则杀人于顷刻   


赤水或脓血                                                                                                       戒之                           


 


汗后发噫        由于脾肾虚弱,冷气上奔也                       服姜附汤、来复丹                                                                    




便闭            老人气虚及妇人产后少血,或精液不行,           服金液丹或润肠丸


                不得流通,故大便常结,切忌行药,是重


                损其阴也                                                                                                                               




鼓胀           此病之源,与水肿同,皆因脾气虚衰而至,         先灸中脘百壮,固住脾气,灸至五十壮,便觉小       凡鼓胀脉弦紧易治沉细难痊


               或因他病攻损胃气致难运化,而肿大如鼓也         便长, 气下降,再灸关元三百壮,以保肾气,                                              


                                                              五日内便安。服金液丹、草神丹,减后,只许                             


                                                              吃 白粥,或羊肉汁泡蒸饼或羊肉汁泡蒸饼食之。                                    


                                                              愈后常服全真丹、来复丹  


暴注          凡人腹下有水声,当即服丹药,不然发脾泄,        服金液丹、草神丹、霹雳汤、姜附汤皆可,若         危笃者,若灸迟则肠开洞泄而死


              害人最速 。暴注之病,由署月食生冷太过,          危笃者, 灸文本二百壮可保


              损其脾气,故暴注下泄,不早治,三五日泄


              脱元气                                                                                                                              




休息痢       痢因署月食冷,及湿热太过,损伤脾胃而至。        若白痢,服如圣饼、全真丹、金液丹亦可;若赤        服寒凉下药必死


             若伤气则成白痢;若伤血则称赤痢;若下五色        痢,服阿胶丸、黄芩芍药汤;初起腹痛者,亦服


             鱼脑,延绵日久,饮食不进者,此休息痢也,        如圣饼,下积血而愈,此其轻者也;若重者,先


             最重,不早治,十日半月,害人性命                灸命关二百壮,服草神丹、霹雳汤三日便愈                                                       




内伤        由饮食失节,损其脾气,轻则头晕发热,四肢        服来复全真及平胃散;重者服华澄茄散、来复全真       若被庸医转下凉药,重损脾气,变生他病


            无力,不思饮食,脉沉而紧,头痛发热,吐逆、                                                        成虚劳鼓胀泄泻等症,急灸中脘五十壮,


           心下痞                                                                                             关元百壮,若服凉药速死                     




霍乱       霍乱由于外感风寒,内伤生冷,致阴阳交错,变     初起服珍珠散二钱或金液丹百粒;如寒气入腹,传于筋


           成吐泻                                          脉,致筋抽转,即以瓦烧热纸里烙筋转处;若吐泻后,                                                 


                                                          胃气大损,六脉沉细,四肢厥冷,乃真阳欲脱,灸中脘


                                                          五 十壮,关元三百壮,六脉复生,不灸则死也                                                          




署月伤     凡署月饮食生冷太过,伤人六腑。伤胃则注下暴     服金液、霹雳汤三日而愈。不愈则成脾泄,急灸神阙百壮


食泄泻    泄;伤脾则滑泄,米谷不化;伤大肠则泻,白肠                                                                                            


          中痛                                                                                                                                     




痢疾      凡人多食生冷,湿热伤其脾胃,致成痢疾            初期服如圣饼子,下积而愈;若无大便,只下赤脓者,乃                                           


                                                         胃有大热伤血者也,宜当归芍药汤、阿胶汤;若下白脓者                                       


                                                         乃饮食冷物伤大肠也,服桃花汤、全真丹而愈;若腹痛发                                                                                                                         热昏睡                                                   热昏睡,六脉洪数,纯泻赤脓 ,乃热气滞于肠胃也,名疳                                             


                                                         蠡痢,亦有错服热药而得者,服黄连丸,甚者大通散




平胃散 理中丸


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