{"resource_id":10297,"title":"余无言医案及医话","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"餘無言醫案及醫話","sections":[{"id":"chapter-1-section-1","title":"目錄","paragraphs":[]},{"id":"chapter-1-section-2","title":"傷風","paragraphs":[]},{"id":"chapter-1-section-3","title":"傷風轉少陽證","paragraphs":[]},{"id":"chapter-1-section-4","title":"傷風轉結胸證","paragraphs":[]},{"id":"chapter-1-section-5","title":"傷風汗多陽虛證","paragraphs":[]},{"id":"chapter-1-section-6","title":"傷寒","paragraphs":[]},{"id":"chapter-1-section-7","title":"夏令傷寒證(一）","paragraphs":[]},{"id":"chapter-1-section-8","title":"夏令傷寒證(二)","paragraphs":[]},{"id":"chapter-1-section-9","title":"冬令傷寒證","paragraphs":[]},{"id":"chapter-1-section-10","title":"冬令傷寒液少證","paragraphs":[]},{"id":"chapter-1-section-11","title":"小承氣湯方","paragraphs":[]},{"id":"chapter-1-section-12","title":"溼溫","paragraphs":[]},{"id":"chapter-1-section-13","title":"溼溫化燥證","paragraphs":[]},{"id":"chapter-1-section-14","title":"產後溼溫化燥證","paragraphs":[]},{"id":"chapter-1-section-15","title":"溼溫腸出血證","paragraphs":[]},{"id":"chapter-1-section-16","title":"熱病","paragraphs":[]},{"id":"chapter-1-section-17","title":"熱病夾食重證","paragraphs":[]},{"id":"chapter-1-section-18","title":"熱病神昏發厥證","paragraphs":[]},{"id":"chapter-1-section-19","title":"陽明熱病傳少陽證","paragraphs":[]},{"id":"chapter-1-section-20","title":"熱病陽明經證","paragraphs":[]},{"id":"chapter-1-section-21","title":"熱病發疹證","paragraphs":[]},{"id":"chapter-1-section-22","title":"小兒熱病劇嘔證","paragraphs":[]},{"id":"chapter-1-section-23","title":"婦人產後熱病(一)","paragraphs":[]},{"id":"chapter-1-section-24","title":"白虎承氣增液法加減方","paragraphs":[]},{"id":"chapter-1-section-25","title":"婦人產後熱病(二)","paragraphs":[]},{"id":"chapter-1-section-26","title":"溫病","paragraphs":[]},{"id":"chapter-1-section-27","title":"秋溫惡候迭見證","paragraphs":[]},{"id":"chapter-1-section-28","title":"秋溫昏譫腹滿證","paragraphs":[]},{"id":"chapter-1-section-29","title":"秋溫外熱中寒證","paragraphs":[]},{"id":"chapter-1-section-30","title":"春溫痰火發狂證","paragraphs":[]},{"id":"chapter-1-section-31","title":"婦人春溫狐惑病證","paragraphs":[]},{"id":"chapter-1-section-32","title":"證","paragraphs":[]},{"id":"chapter-1-section-33","title":"食中","paragraphs":[]},{"id":"chapter-1-section-34","title":"老年夜眠食中證","paragraphs":[]},{"id":"chapter-1-section-35","title":"大承氣湯加萊菔子方","paragraphs":[]},{"id":"chapter-1-section-36","title":"青年飲冰食中證","paragraphs":[]},{"id":"chapter-1-section-37","title":"腹痛","paragraphs":[]},{"id":"chapter-1-section-38","title":"寒結腹痛證(一)","paragraphs":[]},{"id":"chapter-1-section-39","title":"寒結腹痛證(二)","paragraphs":[]},{"id":"chapter-1-section-40","title":"氣滯腹痛證","paragraphs":[]},{"id":"chapter-1-section-41","title":"水臌","paragraphs":[]},{"id":"chapter-1-section-42","title":"重篤水臌證","paragraphs":[]},{"id":"chapter-1-section-43","title":"慢性水臌證","paragraphs":[]},{"id":"chapter-1-section-44","title":"奔豚","paragraphs":[]},{"id":"chapter-1-section-45","title":"婦人產後奔豚證","paragraphs":[]},{"id":"chapter-1-section-46","title":"青年體弱奔豚證","paragraphs":[]},{"id":"chapter-1-section-47","title":"百合病(勞工百合病證)","paragraphs":[]},{"id":"chapter-1-section-48","title":"久瘧(亂型久瘧證)","paragraphs":[]},{"id":"chapter-1-section-49","title":"噦病","paragraphs":[]},{"id":"chapter-1-section-50","title":"氣鬱食滯噦證","paragraphs":[]},{"id":"chapter-1-section-51","title":"痰滯結實噦證","paragraphs":[]},{"id":"chapter-1-section-52","title":"頭風","paragraphs":[]},{"id":"chapter-1-section-53","title":"兒童頭風重證","paragraphs":[]},{"id":"chapter-1-section-54","title":"青年頭風重證","paragraphs":[]},{"id":"chapter-1-section-55","title":"痙病","paragraphs":[]},{"id":"chapter-1-section-56","title":"兒童食積痙病","paragraphs":[]},{"id":"chapter-1-section-57","title":"婦人驚恐痙病","paragraphs":[]},{"id":"chapter-1-section-58","title":"惡寒(陽虛惡寒證)","paragraphs":[]},{"id":"chapter-1-section-59","title":"善飢(急性善飢證)","paragraphs":[]},{"id":"chapter-1-section-60","title":"麻疹","paragraphs":[]},{"id":"chapter-1-section-61","title":"麻疹夾食重證","paragraphs":[]},{"id":"chapter-1-section-62","title":"麻疹熱厥險證","paragraphs":[]},{"id":"chapter-1-section-63","title":"麻疹喘促險證","paragraphs":[]},{"id":"chapter-1-section-64","title":"痘瘡","paragraphs":[]},{"id":"chapter-1-section-65","title":"痘瘡實熱險證","paragraphs":[]},{"id":"chapter-1-section-66","title":"痘瘡虛寒險證","paragraphs":[]},{"id":"chapter-1-section-67","title":"漏經","paragraphs":[]},{"id":"chapter-1-section-68","title":"多年漏經證","paragraphs":[]},{"id":"chapter-1-section-69","title":"產後漏血證","paragraphs":[]},{"id":"chapter-1-section-70","title":"陰挺","paragraphs":[]},{"id":"chapter-1-section-71","title":"疔癰","paragraphs":[]},{"id":"chapter-1-section-72","title":"疔瘡走黃險證","paragraphs":[]},{"id":"chapter-1-section-73","title":"項疽及諸癰證","paragraphs":[]},{"id":"chapter-1-section-74","title":"肝癰","paragraphs":[]},{"id":"chapter-1-section-75","title":"腸癰(腸癰化膿證)","paragraphs":[]},{"id":"chapter-1-section-76","title":"診餘漫話","paragraphs":[]},{"id":"chapter-1-section-77","title":"藥用寒溫補瀉，當察患者體質","paragraphs":[]},{"id":"chapter-1-section-78","title":"用中西二法調治腎臟性水腫","paragraphs":[]},{"id":"chapter-1-section-79","title":"論溼溫治法","paragraphs":[]},{"id":"chapter-1-section-80","title":"溼溫原發證方治舉要","paragraphs":[]},{"id":"chapter-1-section-81","title":"論“癰疔百效丸”","paragraphs":[]},{"id":"chapter-1-section-82","title":"蟬衣酒治破傷風之來歷","paragraphs":[]},{"id":"chapter-1-section-83","title":"百會疽之治","paragraphs":[]},{"id":"chapter-1-section-84","title":"瘰癧方治述略","paragraphs":[]},{"id":"chapter-1-section-85","title":"年譜","paragraphs":[]},{"id":"chapter-1-section-86","title":"後記","paragraphs":[]},{"id":"chapter-1-section-87","title":"壹、專病論治","paragraphs":[]},{"id":"chapter-1-section-88","title":"傷風","paragraphs":[]},{"id":"chapter-1-section-89","title":"傷風轉少陽證","paragraphs":["初秋感冒風邪，惡寒發熱，頭痛肢酸。繼轉寒熱往來，兩脅滿痛，時時作嘔，口苦咽乾，意亂心煩，坐臥不安，口乾欲飲，飲則嘔更加甚。醫以荊芥、防風、豆豉、豆卷治之，症愈加劇。詢其大便，前昨均解。急投小柴胡湯，一劑而痊。","患者張石舟，住西藏南路崇善卅口。以人力車工會事忙，晝則奔走於烈日之下，夜則納涼於露臺之上。因之惡寒發熱，頭痛肢酸。自以生薑赤糖湯飲之，次日頭痛肢酸己愈。而兩脅轉痛，往來寒熱。寒則被覆而仍戰慄，熱則赤膊而猶如焚。心煩作嘔，口苦異常，渴欲得飲，飲則嘔吐加甚。因之坐臥難安，片刻不寧。延醫治之，甲醫投以荊芥、防風之屬，乙醫投以豆鼓、豆卷之類，丙醫投以藿香正氣之方。病更加劇，心煩欲死。","其堂弟世英，與餘為友。見狀大驚，急來延餘。餘午餐小飲，尚未釋杯，即攜餘手強之而去。相去不遠，始聽世英之述症。先後登樓，繼察石舟之現狀。餘即笑而慰之曰：“此柴胡湯證也。乃病在少陽，解之易耳，其毋驚俱。”病者曰：“能不死乎。”餘笑曰：“此證而死，則病而死者多矣。乃時醫者流，不肯讀《傷寒論》一書耳。”因書小柴胡湯一方，並無加減。令其服藥時，先以生薑一二片，置口中嚼之使爛，庶薑汁遍及齒舌，使生辣麻之感。然後高舉兩手，後坐一人以扶持之，端坐而挺直。另請一人操匙以飲之，則可以不嘔。定心靜氣約一刻鐘，再緩臥於沙發上，勿令睡平。至半小時後，再睡平，任其安平睡去也。病家如餘言，照法服之，果然一劑而痊。"]},{"id":"chapter-1-section-90","title":"小柴胡湯方","paragraphs":["春柴胡二錢五分生黃芩三錢西黨參三錢姜制半夏三錢炙甘草二錢生薑三片大棗十枚","*餘氏卒於1963年，其時處方尚用舊制。可以一錢約等於3克換算。全書同。"]},{"id":"chapter-1-section-91","title":"傷風轉結胸證","paragraphs":["婦人年近六旬，體質素豐，重感風邪。寒熱甫退，即又傷飲食。因之胸院及腹，均形脹滿，兩脅亦膨，按之硬而作痛，漸至不能平臥，挺胸伸頸，張口呼吸，此結胸實證也。與以大陷胸湯加枳實方，大挫其勢，再以瓜萎葶藶湯，肅清餘孽。","有勞工韓小順者，其姨母許氏，年近六旬，住於克王渡路康定路口之某卅。初為重感風邪，經醫治後，寒熱已退，而卅邪尚未清肅，即急於飲食，且過常量。因之胸烷結痛，連及腹部，上則氣逆滿悶，下則大便不通，小便亦少。復延附近之醫生，治之無效，韓乃延餘往診。餘既入病者之室，見其倚臥於床欄上，背後墊以卷好之棉被，被上加以重迭之棉枕。病者挺其胸腹，倚於其上，心已知其不能平臥也。詢其過去之病情，知為病中多食所致。按其胸腹，則處處作硬而痛，兩脅亦然，膈間尤甚。舌苔則溼膩帶黃。更覺心煩不安。診其兩脈，則沉而且緊。周身並無熱候，手足反覺微涼。詢其大便，已數日不解。乃斷為結胸重證。但年事已高，不無顧慮，復思脈證均實，不得有所顧慮。即為之處方，以大陷胸湯加積實主之，囑其如法煎服。","迫服藥之後，果得大瀉數次。每瀉一次，則胸脅脘腹之滿痛，即輕減一次。至第三次瀉下之後，病者已漸能平臥，即自轉轉側，亦覺痛可自忍。及二煎服後，又續下兩次，似已病去七分矣。次日複診。見其效如此之速，餘固心喜，而病家亦言謝不置。診其脈沉亦起，不似以前之實而有力。察其舌苔，則舌尖已退，根上膩黃漸化，而中心亦宣而浮起。誠恐餘邪未盡，再有反覆，又顧及高年之體質，陷胸方不容再劑。乃仿傅青主方，以瓜萎為主，合小陷胸湯及葶藶瀉肺法。繼服兩劑，而告痊癒。接服調理脾胃之劑，於是健康恢復矣。","大陷胸湯加積實方錦紋大黃五錢(酒洗)元明粉五錢(分衝)制甘遂二錢五分(為末)炒積實五錢","上四味，先煎大黃積實。湯成，納元明粉之半量，再溫烊化，納甘遂末半量。調勻服之。六小時後，服二煎，如前法。"]},{"id":"chapter-1-section-92","title":"瓜萎葶藶湯方","paragraphs":["全瓜萎六錢葶藶子三錢制半夏四錢炒積殼四錢元明粉四錢(分衝)","上五味，先煎四味。湯成，納元明粉半量，再溫烊化。服二煎，如前法。"]},{"id":"chapter-1-section-93","title":"傷風汗多陽虛證","paragraphs":["衛氣素虛，皮毛不固，動則自汗，忽感風邪，始則惡風惡寒，繼則寒熱並作，頭項強痛，接再酸楚，間以噁心，而自汗頗多。遲延兩日，漸至手足微撅，四肢亦微有拘急。技以桂枝加附子湯，一劑而痊。","患者顧芝軒，年42歲，為勞動人民，庸工於菜市路一小茶樓中。其人衛氣素虛，動則有汗。皮毛既不固，且與爐灶相親，熱湯相近，其平日自汗之情況，已可想而知。此種體質，即《傷寒論》所謂”病常自汗出者，此營氣和，衛不諧，衛氣不共營氣和諧”之體質。而其所任職業，亦足促使其自汗多也。於1950年3月間，以勞汗當風，忽患傷風之證。始則膏音惡寒，漸漸惡風，但寒不熱，約半日許，始漸蠢蠢發熱。此乃體質較弱，故發熱較遲，不似體質強壯者，其發熱與惡寒同時並見也。他如頭項強痛，腰特酸楚，間以噁心，而自汗淋漓，較平時為尤甚。","初病之時，以經濟關係，未延醫調治。至第三日，以病勢有增無減，且增四肢拘急，屈伸不和，手足發涼，十指尤冷，此時始就餘診。入診室之時，餘見其面帶垢晦"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"餘無言醫案及醫話","section_title":"目錄","is_available":true},{"id":"chapter-1-section-2","chapter_title":"餘無言醫案及醫話","section_title":"傷風","is_available":true},{"id":"chapter-1-section-3","chapter_title":"餘無言醫案及醫話","section_title":"傷風轉少陽證","is_available":true},{"id":"chapter-1-section-4","chapter_title":"餘無言醫案及醫話","section_title":"傷風轉結胸證","is_available":true},{"id":"chapter-1-section-5","chapter_title":"餘無言醫案及醫話","section_title":"傷風汗多陽虛證","is_available":true},{"id":"chapter-1-section-6","chapter_title":"餘無言醫案及醫話","section_title":"傷寒","is_available":true},{"id":"chapter-1-section-7","chapter_title":"餘無言醫案及醫話","section_title":"夏令傷寒證(一）","is_available":true},{"id":"chapter-1-section-8","chapter_title":"餘無言醫案及醫話","section_title":"夏令傷寒證(二)","is_available":true},{"id":"chapter-1-section-9","chapter_title":"餘無言醫案及醫話","section_title":"冬令傷寒證","is_available":true},{"id":"chapter-1-section-10","chapter_title":"餘無言醫案及醫話","section_title":"冬令傷寒液少證","is_available":true},{"id":"chapter-1-section-11","chapter_title":"餘無言醫案及醫話","section_title":"小承氣湯方","is_available":true},{"id":"chapter-1-section-12","chapter_title":"餘無言醫案及醫話","section_title":"溼溫","is_available":true},{"id":"chapter-1-section-13","chapter_title":"餘無言醫案及醫話","section_title":"溼溫化燥證","is_available":true},{"id":"chapter-1-section-14","chapter_title":"餘無言醫案及醫話","section_title":"產後溼溫化燥證","is_available":true},{"id":"chapter-1-section-15","chapter_title":"餘無言醫案及醫話","section_title":"溼溫腸出血證","is_available":true},{"id":"chapter-1-section-16","chapter_title":"餘無言醫案及醫話","section_title":"熱病","is_available":true},{"id":"chapter-1-section-17","chapter_title":"餘無言醫案及醫話","section_title":"熱病夾食重證","is_available":true},{"id":"chapter-1-section-18","chapter_title":"餘無言醫案及醫話","section_title":"熱病神昏發厥證","is_available":true},{"id":"chapter-1-section-19","chapter_title":"餘無言醫案及醫話","section_title":"陽明熱病傳少陽證","is_available":true},{"id":"chapter-1-section-20","chapter_title":"餘無言醫案及醫話","section_title":"熱病陽明經證","is_available":true},{"id":"chapter-1-section-21","chapter_title":"餘無言醫案及醫話","section_title":"熱病發疹證","is_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"id":"chapter-1-section-71","chapter_title":"餘無言醫案及醫話","section_title":"疔癰","is_available":true},{"id":"chapter-1-section-72","chapter_title":"餘無言醫案及醫話","section_title":"疔瘡走黃險證","is_available":true},{"id":"chapter-1-section-73","chapter_title":"餘無言醫案及醫話","section_title":"項疽及諸癰證","is_available":true},{"id":"chapter-1-section-74","chapter_title":"餘無言醫案及醫話","section_title":"肝癰","is_available":true},{"id":"chapter-1-section-75","chapter_title":"餘無言醫案及醫話","section_title":"腸癰(腸癰化膿證)","is_available":true},{"id":"chapter-1-section-76","chapter_title":"餘無言醫案及醫話","section_title":"診餘漫話","is_available":true},{"id":"chapter-1-section-77","chapter_title":"餘無言醫案及醫話","section_title":"藥用寒溫補瀉，當察患者體質","is_available":true},{"id":"chapter-1-section-78","chapter_title":"餘無言醫案及醫話","section_title":"用中西二法調治腎臟性水腫","is_available":true},{"id":"chapter-1-section-79","chapter_title":"餘無言醫案及醫話","section_title":"論溼溫治法","is_available":true},{"id":"chapter-1-section-80","chapter_title":"餘無言醫案及醫話","section_title":"溼溫原發證方治舉要","is_available":true},{"id":"chapter-1-section-81","chapter_title":"餘無言醫案及醫話","section_title":"論“癰疔百效丸”","is_available":true},{"id":"chapter-1-section-82","chapter_title":"餘無言醫案及醫話","section_title":"蟬衣酒治破傷風之來歷","is_available":true},{"id":"chapter-1-section-83","chapter_title":"餘無言醫案及醫話","section_title":"百會疽之治","is_available":true},{"id":"chapter-1-section-84","chapter_title":"餘無言醫案及醫話","section_title":"瘰癧方治述略","is_available":true},{"id":"chapter-1-section-85","chapter_title":"餘無言醫案及醫話","section_title":"年譜","is_available":true},{"id":"chapter-1-section-86","chapter_title":"餘無言醫案及醫話","section_title":"後記","is_available":true},{"id":"chapter-1-section-87","chapter_title":"餘無言醫案及醫話","section_title":"壹、專病論治","is_available":true},{"id":"chapter-1-section-88","chapter_title":"餘無言醫案及醫話","section_title":"傷風","is_available":true},{"id":"chapter-1-section-89","chapter_title":"餘無言醫案及醫話","section_title":"傷風轉少陽證","is_available":true},{"id":"chapter-1-section-90","chapter_title":"餘無言醫案及醫話","section_title":"小柴胡湯方","is_available":true},{"id":"chapter-1-section-91","chapter_title":"餘無言醫案及醫話","section_title":"傷風轉結胸證","is_available":true},{"id":"chapter-1-section-92","chapter_title":"餘無言醫案及醫話","section_title":"瓜萎葶藶湯方","is_available":true},{"id":"chapter-1-section-93","chapter_title":"餘無言醫案及醫話","section_title":"傷風汗多陽虛證","is_available":true}],"plain_text":"# 餘無言醫案及醫話\n## 目錄\n## 傷風\n## 傷風轉少陽證\n## 傷風轉結胸證\n## 傷風汗多陽虛證\n## 傷寒\n## 夏令傷寒證(一）\n## 夏令傷寒證(二)\n## 冬令傷寒證\n## 冬令傷寒液少證\n## 小承氣湯方\n## 溼溫\n## 溼溫化燥證\n## 產後溼溫化燥證\n## 溼溫腸出血證\n## 熱病\n## 熱病夾食重證\n## 熱病神昏發厥證\n## 陽明熱病傳少陽證\n## 熱病陽明經證\n## 熱病發疹證\n## 小兒熱病劇嘔證\n## 婦人產後熱病(一)\n## 白虎承氣增液法加減方\n## 婦人產後熱病(二)\n## 溫病\n## 秋溫惡候迭見證\n## 秋溫昏譫腹滿證\n## 秋溫外熱中寒證\n## 春溫痰火發狂證\n## 婦人春溫狐惑病證\n## 證\n## 食中\n## 老年夜眠食中證\n## 大承氣湯加萊菔子方\n## 青年飲冰食中證\n## 腹痛\n## 寒結腹痛證(一)\n## 寒結腹痛證(二)\n## 氣滯腹痛證\n## 水臌\n## 重篤水臌證\n## 慢性水臌證\n## 奔豚\n## 婦人產後奔豚證\n## 青年體弱奔豚證\n## 百合病(勞工百合病證)\n## 久瘧(亂型久瘧證)\n## 噦病\n## 氣鬱食滯噦證\n## 痰滯結實噦證\n## 頭風\n## 兒童頭風重證\n## 青年頭風重證\n## 痙病\n## 兒童食積痙病\n## 婦人驚恐痙病\n## 惡寒(陽虛惡寒證)\n## 善飢(急性善飢證)\n## 麻疹\n## 麻疹夾食重證\n## 麻疹熱厥險證\n## 麻疹喘促險證\n## 痘瘡\n## 痘瘡實熱險證\n## 痘瘡虛寒險證\n## 漏經\n## 多年漏經證\n## 產後漏血證\n## 陰挺\n## 疔癰\n## 疔瘡走黃險證\n## 項疽及諸癰證\n## 肝癰\n## 腸癰(腸癰化膿證)\n## 診餘漫話\n## 藥用寒溫補瀉，當察患者體質\n## 用中西二法調治腎臟性水腫\n## 論溼溫治法\n## 溼溫原發證方治舉要\n## 論“癰疔百效丸”\n## 蟬衣酒治破傷風之來歷\n## 百會疽之治\n## 瘰癧方治述略\n## 年譜\n## 後記\n## 壹、專病論治\n## 傷風\n## 傷風轉少陽證\n初秋感冒風邪，惡寒發熱，頭痛肢酸。繼轉寒熱往來，兩脅滿痛，時時作嘔，口苦咽乾，意亂心煩，坐臥不安，口乾欲飲，飲則嘔更加甚。醫以荊芥、防風、豆豉、豆卷治之，症愈加劇。詢其大便，前昨均解。急投小柴胡湯，一劑而痊。\n患者張石舟，住西藏南路崇善卅口。以人力車工會事忙，晝則奔走於烈日之下，夜則納涼於露臺之上。因之惡寒發熱，頭痛肢酸。自以生薑赤糖湯飲之，次日頭痛肢酸己愈。而兩脅轉痛，往來寒熱。寒則被覆而仍戰慄，熱則赤膊而猶如焚。心煩作嘔，口苦異常，渴欲得飲，飲則嘔吐加甚。因之坐臥難安，片刻不寧。延醫治之，甲醫投以荊芥、防風之屬，乙醫投以豆鼓、豆卷之類，丙醫投以藿香正氣之方。病更加劇，心煩欲死。\n其堂弟世英，與餘為友。見狀大驚，急來延餘。餘午餐小飲，尚未釋杯，即攜餘手強之而去。相去不遠，始聽世英之述症。先後登樓，繼察石舟之現狀。餘即笑而慰之曰：“此柴胡湯證也。乃病在少陽，解之易耳，其毋驚俱。”病者曰：“能不死乎。”餘笑曰：“此證而死，則病而死者多矣。乃時醫者流，不肯讀《傷寒論》一書耳。”因書小柴胡湯一方，並無加減。令其服藥時，先以生薑一二片，置口中嚼之使爛，庶薑汁遍及齒舌，使生辣麻之感。然後高舉兩手，後坐一人以扶持之，端坐而挺直。另請一人操匙以飲之，則可以不嘔。定心靜氣約一刻鐘，再緩臥於沙發上，勿令睡平。至半小時後，再睡平，任其安平睡去也。病家如餘言，照法服之，果然一劑而痊。\n## 小柴胡湯方\n春柴胡二錢五分生黃芩三錢西黨參三錢姜制半夏三錢炙甘草二錢生薑三片大棗十枚\n*餘氏卒於1963年，其時處方尚用舊制。可以一錢約等於3克換算。全書同。\n## 傷風轉結胸證\n婦人年近六旬，體質素豐，重感風邪。寒熱甫退，即又傷飲食。因之胸院及腹，均形脹滿，兩脅亦膨，按之硬而作痛，漸至不能平臥，挺胸伸頸，張口呼吸，此結胸實證也。與以大陷胸湯加枳實方，大挫其勢，再以瓜萎葶藶湯，肅清餘孽。\n有勞工韓小順者，其姨母許氏，年近六旬，住於克王渡路康定路口之某卅。初為重感風邪，經醫治後，寒熱已退，而卅邪尚未清肅，即急於飲食，且過常量。因之胸烷結痛，連及腹部，上則氣逆滿悶，下則大便不通，小便亦少。復延附近之醫生，治之無效，韓乃延餘往診。餘既入病者之室，見其倚臥於床欄上，背後墊以卷好之棉被，被上加以重迭之棉枕。病者挺其胸腹，倚於其上，心已知其不能平臥也。詢其過去之病情，知為病中多食所致。按其胸腹，則處處作硬而痛，兩脅亦然，膈間尤甚。舌苔則溼膩帶黃。更覺心煩不安。診其兩脈，則沉而且緊。周身並無熱候，手足反覺微涼。詢其大便，已數日不解。乃斷為結胸重證。但年事已高，不無顧慮，復思脈證均實，不得有所顧慮。即為之處方，以大陷胸湯加積實主之，囑其如法煎服。\n迫服藥之後，果得大瀉數次。每瀉一次，則胸脅脘腹之滿痛，即輕減一次。至第三次瀉下之後，病者已漸能平臥，即自轉轉側，亦覺痛可自忍。及二煎服後，又續下兩次，似已病去七分矣。次日複診。見其效如此之速，餘固心喜，而病家亦言謝不置。診其脈沉亦起，不似以前之實而有力。察其舌苔，則舌尖已退，根上膩黃漸化，而中心亦宣而浮起。誠恐餘邪未盡，再有反覆，又顧及高年之體質，陷胸方不容再劑。乃仿傅青主方，以瓜萎為主，合小陷胸湯及葶藶瀉肺法。繼服兩劑，而告痊癒。接服調理脾胃之劑，於是健康恢復矣。\n大陷胸湯加積實方錦紋大黃五錢(酒洗)元明粉五錢(分衝)制甘遂二錢五分(為末)炒積實五錢\n上四味，先煎大黃積實。湯成，納元明粉之半量，再溫烊化，納甘遂末半量。調勻服之。六小時後，服二煎，如前法。\n## 瓜萎葶藶湯方\n全瓜萎六錢葶藶子三錢制半夏四錢炒積殼四錢元明粉四錢(分衝)\n上五味，先煎四味。湯成，納元明粉半量，再溫烊化。服二煎，如前法。\n## 傷風汗多陽虛證\n衛氣素虛，皮毛不固，動則自汗，忽感風邪，始則惡風惡寒，繼則寒熱並作，頭項強痛，接再酸楚，間以噁心，而自汗頗多。遲延兩日，漸至手足微撅，四肢亦微有拘急。技以桂枝加附子湯，一劑而痊。\n患者顧芝軒，年42歲，為勞動人民，庸工於菜市路一小茶樓中。其人衛氣素虛，動則有汗。皮毛既不固，且與爐灶相親，熱湯相近，其平日自汗之情況，已可想而知。此種體質，即《傷寒論》所謂”病常自汗出者，此營氣和，衛不諧，衛氣不共營氣和諧”之體質。而其所任職業，亦足促使其自汗多也。於1950年3月間，以勞汗當風，忽患傷風之證。始則膏音惡寒，漸漸惡風，但寒不熱，約半日許，始漸蠢蠢發熱。此乃體質較弱，故發熱較遲，不似體質強壯者，其發熱與惡寒同時並見也。他如頭項強痛，腰特酸楚，間以噁心，而自汗淋漓，較平時為尤甚。\n初病之時，以經濟關係，未延醫調治。至第三日，以病勢有增無減，且增四肢拘急，屈伸不和，手足發涼，十指尤冷，此時始就餘診。入診室之時，餘見其面帶垢晦","is_preview":true,"preview_page_limit":10}