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1. The question is asked: What does it mean for a skilled practitioner to treat diseases before they manifest? The master replies: To treat diseases before they manifest means to recognize liver diseases, understand that the liver transmits to the spleen, and thus one should first strengthen the spleen. In all four seasons, if the spleen is not affected by evil, then do not supplement it. A practitioner who does not understand the transmission will see liver diseases and only treat the liver.
2. For chronic diseases compounded by acute illnesses, one should first treat the acute illness before addressing the chronic disease.
3. If the body is troubled by dampness and pain, one can use Ma Huang Jia Zhu Tang (Ephedra and Atractylodes Decoction) to induce sweating; caution against using fire to attack it.
4. If a patient experiences pain throughout the body, fever, and severe symptoms in the afternoon, this is called Wind-Damp. This condition is caused by sweating in the wind or prolonged exposure to cold; one can use Ma Xing Yi Gan Tang (Ephedra, Apricot Kernel, Job’s Tears, and Licorice Decoction).
5. For Wind-Damp with floating pulse, heavy body, sweating, and aversion to wind, Fang Ji Huang Qi Tang (Sichuan Teasel and Astragalus Decoction) is the main treatment.
6. It is said: For those suffering from Bai He Bing (Lily Disease), all pulses are affected, leading to their illness. They desire to eat but cannot, often remaining silent, unable to lie down or walk, and may have aversions to food smells. They may feel cold or hot without actual temperature changes, have a bitter mouth, red urine, and cannot be treated by various medicines. If they take medicine, they may vomit or have diarrhea, as if possessed by a spirit, with a weak and rapid pulse.
7. If Bai He Bing does not respond to vomiting, purging, or sweating, Bai He Di Huang Tang (Lily and Rehmannia Decoction) is the main treatment.
8. The disease of Hu Huo (Fox Spirit) resembles a cold, with a silent desire to sleep, inability to close the eyes, restlessness, and throat discomfort. It may cause aversion to food smells, with a face that alternates between red, black, and white. If it affects the upper body, it may cause a hoarse voice; Gan Cao Xie Xin Tang (Licorice Decoction) is the main treatment.
9. For pain in the limbs and joints, a weak body, swollen feet, dizziness, shortness of breath, and a warm feeling of nausea, Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) is the main treatment.
10. For joint pain that restricts movement, Wu Tou Tang (Aconite Decoction) is the main treatment.
11. For blood stasis with both Yin and Yang weak, a weak pulse at the cun position, and tightness at the chi position, with external symptoms of numbness like Wind Bi, Huang Qi Gui Zhi Wu Wu Tang (Astragalus and Cinnamon Five Ingredients Decoction) is the main treatment. Supplement: For men with a large pulse indicating exhaustion, extreme deficiency also indicates exhaustion.
12. For those with sperm loss, a tight lower abdomen, cold in the genitals, dizziness, hair loss, and a very weak pulse, indicating loss of blood and sperm, Gui Zhi Long Gu Mu Li Tang (Cinnamon Twig, Dragon Bone, and Oyster Decoction) is the main treatment.
13. For deficiency leading to urgency, palpitations, nosebleeds, abdominal pain, nocturnal emissions, sore limbs, hot hands and feet, dry throat, and dry mouth, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is the main treatment.
14. For deficiency leading to lower back pain, tightness in the lower abdomen, and difficulty urinating, Ba Wei Shen Qi Wan (Eight Ingredients Kidney Qi Pill) is the main treatment.
15. For deficiency leading to insomnia, Suan Zao Ren Tang (Sour Jujube Decoction) is the main treatment.
16. For extreme deficiency leading to emaciation, abdominal fullness with no desire to eat, and various forms of injury, Da Huang Chong Wan (Rhubarb and Insect Pill) is the main treatment.
17. For lung atrophy with foamy sputum but no cough, the person is not thirsty and may have frequent urination. This is due to the upper deficiency failing to control the lower. This indicates cold in the lungs, leading to dizziness and excessive salivation; Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction) is used to warm it. If the decoction causes thirst, it indicates diabetes.
18. For cough with shortness of breath and a watery voice, She Gan Ma Huang Tang (Belamcanda and Ephedra Decoction) is the main treatment.
19. For cough with shortness of breath indicating lung distension, with a person wheezing and a large floating pulse, Yue Bi Jia Ban Xia Tang (Yue Bi Decoction with Pinellia) is the main treatment.
20. For lung distension with cough and shortness of breath, restlessness, and a floating pulse, indicating water under the heart, Xiao Qing Long Jia Shi Gao Tang (Minor Blue Dragon Decoction with Gypsum) is the main treatment.
21. For chest obstruction with wheezing, coughing, and pain in the chest and back, with shortness of breath and a deep, slow pulse, Gua Lou Xie Bai Bai Jiu Tang (Trichosanthes and Garlic Wine Decoction) is the main treatment.
22. For chest obstruction with inability to lie down and heart pain radiating to the back, Gua Lou Xie Bai Ban Xia Tang (Trichosanthes and Garlic with Pinellia Decoction) is the main treatment.
23. For chest obstruction with a feeling of fullness, trapped gas in the chest, and fullness under the ribs, Zhi Shi Xie Bai Gui Zhi Tang (Bitter Orange, Garlic, and Cinnamon Decoction) is the main treatment; Ren Shen Tang (Ginseng Decoction) is also effective.
24. For heart pain radiating to the back and back pain radiating to the heart, Wu Tou Chi Shi Zhi Wan (Aconite and Red Stone Pill) is the main treatment.
25. For cold in the abdomen with thunder-like pain, chest and rib fullness, vomiting, Fu Zi Nuo Mi Tang (Aconite and Glutinous Rice Decoction) is the main treatment.
26. For severe cold pain in the chest and abdomen, inability to eat or drink, cold in the abdomen, and skin eruptions, Da Jian Zhong Tang (Major Construct the Middle Decoction) is the main treatment.
27. For abdominal pain with a wiry and tight pulse, indicating that the defensive Qi is not flowing, with aversion to cold and tightness indicating lack of appetite, this is a cold hernia. If the pain is around the navel and if it occurs, white sweat appears, and hands and feet are cold, with a deep and wiry pulse, Da Wu Tou Jian (Major Aconite Decoction) is the main treatment.
28. For cold hernia abdominal pain and rib pain with urgency, Dang Gui Sheng Jiang Yang Rou Tang (Angelica, Ginger, and Lamb Decoction) is the main treatment.
29. The liver is such that the person often desires to step on their chest; before suffering, they only want to drink hot; Xuan Fu Hua Tang (Inula Decoction) is the main treatment.
30. For kidney disease, the person feels heavy in the body, cold in the lower back, as if sitting in water, with a body resembling water, and does not feel thirsty. Urination is normal, and appetite is unchanged. This indicates a lower jiao condition, with labor sweating and cold dampness in clothing. If this persists, the lower back will feel cold and painful, and the abdomen will feel heavy as if carrying five thousand coins; Gan Jiang Ling Zhu Tang (Dried Ginger and Atractylodes Decoction) is the main treatment.
31. The question is asked: What are the differences in the four types of drinking? The master replies: If a person is usually robust but now thin, with water running in the intestines, making a dripping sound, this is called Tan Yin (Phlegm Fluid); if after drinking, water flows under the ribs, causing cough and pain, this is called Xuan Yin (Dizziness Fluid); if water flows to the limbs, causing heaviness without sweating, this is called Yi Yin (Overflowing Fluid); if cough leads to shortness of breath and inability to lie down, resembling swelling, this is called Zhi Yin (Support Fluid).
32. If there is phlegm fluid under the heart, with fullness in the chest and ribs, dizziness, Ling Gui Zhu Gan Tang (Poria, Cinnamon, and Atractylodes Decoction) is the main treatment.
33. For shortness of breath with slight fluid, one should eliminate it through urination; Ling Gui Zhu Gan Tang is the main treatment; Shen Qi Wan (Kidney Qi Pill) is also effective.
34. If the pulse is hidden and the person desires to urinate but cannot, even if they do, the heart remains hard and full, this indicates retained fluid wanting to be expelled; Gan Sui Ban Xia Tang (Gansui and Pinellia Decoction) is the main treatment.
35. For fluid in the diaphragm, with wheezing and fullness, hardness under the heart, a dark complexion, and a tight pulse, if this has persisted for several days and the physician has not been able to expel it through vomiting or purging, Mu Fang Ji Tang (Mugwort Decoction) is the main treatment.
For deficiency, it will recover; for excess, it will relapse in three days. If it does not recover, Mu Fang Ji Tang with gypsum and add Poria and Glauber’s salt decoction is the main treatment.
36. If there is fluid under the heart, causing dizziness, Ze Xie Tang (Alisma Decoction) is the main treatment.
37. For fluid in the chest causing fullness, Hou Po Da Huang Tang (Magnolia and Rhubarb Decoction) is the main treatment.
38. For abdominal fullness and dry mouth and tongue, indicating water vapor in the intestines, Ji Jiao Li Huang Wan (Jiang and Li Huang Pill) is the main treatment.
39. For men with diabetes, urinating excessively, drinking one dou and urinating one dou, Shen Qi Wan is the main treatment.
40. For difficulty urinating with water vapor, if the person feels thirsty, Gua Lou Qu Mai Wan (Trichosanthes and Cornus Pill) is the main treatment.
41. The master says: There are various types of water diseases: wind water, skin water, proper water, stone water, and yellow sweat. Wind water has a floating pulse, with external symptoms of joint pain and aversion to wind; skin water also has a floating pulse, with external swelling that sinks when pressed, no aversion to wind, and a distended abdomen without thirst, requiring sweating. Proper water has a deep, slow pulse, with external symptoms of wheezing; stone water has a deep pulse, with external fullness in the abdomen without wheezing. Yellow sweat has a deep, slow pulse, with body heat, chest fullness, and swelling in the limbs and face, which, if prolonged, will lead to pus and abscesses.
42. The master says: For any water condition, if swelling is below the waist, one should promote urination; if swelling is above the waist, one should induce sweating to recover.
43. For wind water with a floating pulse, heavy body, and sweating with aversion to wind, Fang Ji Huang Qi Tang is the main treatment. For abdominal pain, add Shao Yao (Peony).
44. For wind water with aversion to wind, with the whole body swollen, floating pulse, and no thirst, continuing to sweat without high fever, Yue Bi Tang is the main treatment.
45. For skin water disease, with swollen limbs and water vapor in the skin, with limbs that feel heavy, Fang Ji Fu Ling Tang (Sichuan Teasel and Poria Decoction) is the main treatment.
46. If there is blackness on the forehead, slight sweating, warmth in the hands and feet, and sudden onset in the evening, with urgency in urination and spontaneous urination, this is called Nu Lao Da (Female Labor Jaundice); if the abdomen feels like water, it is not treatable.
47. For Gu Da (Grain Jaundice) with cold and heat, loss of appetite, dizziness upon eating, and prolonged yellowing, Yin Chen Hao Tang (Artemisia and Chenopodium Decoction) is the main treatment.
48. For all vomiting and inability to retain food, this is due to water and blood congealing in the blood chamber; Da Huang Gan Sui Tang (Rhubarb and Gansui Decoction) is the main treatment.
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