{"resource_id":10328,"title":"正体类要","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"正體類要","sections":[{"id":"chapter-1-section-1","title":"序","paragraphs":["上卷","正體主治大法","上卷撲傷之症治驗","血脫煩躁","血虛發躁","氣虛血熱","瘀血泛注","瘀血作痛","肝火作痛","肝火忿怒","肝火脅脹","肝膽虛症","血虛腹痛","氣虛不潰","寒凝不潰","脾虛不斂","血虛筋攣","腎虛氣逆","溼熱乘肝","肝經鬱火","痛傷胃嘔","藥傷胃嘔","氣血不損","行氣之非","下血之非","寒藥之非","不砭之非","不補之非","破傷風表症","破傷風裡症","膿內類破傷風","膿潰類破傷風","內虛變","上卷墜跌金傷治驗","瘀血腹痛","脾傷腹痛","血虛脅脹","血虛煩躁","亡血出汗","亡血昏憒","溼痰作痛","肝火作痛","血虛作痛","骨傷作痛","氣虛血滯","氣虛不潰","氣虛壅腫","瘀血腫痛","筋傷壅腫","肺火衄血","肝火出血","胃火作嘔","陰虛作喘","陰虛發熱","氣血虛熱","血不歸經","氣無所附","氣血俱虛","陽氣脫陷","膽經血少","腎經虛怯","痛傷胃嘔","氣遏肉死","涼藥遏經","上卷湯火所傷治驗","火毒刑肺金","火毒作","火毒行於下焦","火毒乘血分","下卷方藥","四君子湯","小柴胡湯","神效蔥熨法","八珍湯","犀角地黃湯","十味參蘇散","二味蘇參飲","四物湯","桃仁承氣湯","加味承氣湯","獨參湯","歸脾湯","潤腸丸","當歸補血湯","聖愈湯","十全大補湯","參附湯","清胃散","清燥湯","生脈散","二妙丸","四斤丸","補中益氣湯","四生散","竹葉黃湯","竹葉石膏湯","人參平肺飲","滋腎丸","六味地黃丸","清心蓮子飲","七味白朮散","黑丸子","白丸子","六君子湯","回陽玉龍膏","撤消活血湯","撤消通氣散","神效太乙膏","乳香定痛散","豬蹄湯","神效當歸膏","托里散","加味芎歸湯","當歸導滯散","花蕊石散","經驗方","消毒定痛散","藥蛆方","洗藥","黑龍散","洪寶丹","沒藥降聖丹","萬金膏","接骨散","本事接骨方","沒藥丸","羌活防風湯","防風湯","蜈蚣散","羌活湯","地榆防風散","大芎黃湯","白朮防風湯","白朮湯","謙甫硃砂丸","左龍丸","江鰾丸","養血當歸地黃湯","廣利方","白丸子","本事玉真散"]},{"id":"chapter-1-section-2","title":"序","paragraphs":["世恆言：醫有十三科。科自專門，各守師說，少能相通者，其大較然也。然諸科方論，作者相繼，纂輯不遺，而正體科獨無其書。豈非接復之功，妙在手法；而按揣之勞，率鄙為粗工，而莫之講歟？昔我毅皇帝因馬逸傷，諸尚藥以非世業莫能治，獨吾蘇徐通政鎮侍藥奏效，聖體如初，而徐亦由此遭際，擢官至九列，子孫世以其術仕醫垣。此其所繫，豈小小者而可以弗講也！且肢體損於外，則氣血傷於內，榮衛有所不貫，臟腑由之不和，豈可純任手法，而不求之脈理，審其虛實，以施補瀉哉？太史公有言：人之所病病疾多，醫之所病病道少。吾以為患在不能貫而通之耳。秦越人過琅琊即為帶下醫，過洛陽即為耳目痺醫，入咸陽即為小兒醫。此雖隨俗為變，豈非其道固無所不貫哉！立齋薛先生，以癰疽承家，而諸科極變析微，可謂詳且盡矣。而處方立論，決生定死，固不出諸科之外也。然則學人，又豈病道之少乎？先生嘗著《外科樞要》，餘既為之序以刻矣。將復刻是書，備一家言。餘仰其用心之勤，乃復為綴數語卷首，使後世知先生之術，固無所不通，而未嘗不出於一也，學人其勿以專門自諉哉。先生名己，字新甫，官位出處，詳《外科樞要序》中，茲不更列。","前進士禮部主事陸師道著","[上卷] 正體主治大法","一脅肋脹痛，若大便通和，喘咳吐痰者，肝火侮肺也，用小柴胡湯加青皮、山梔清之。","若胸腹脹痛，大便不通，喘咳吐血者，瘀血停滯也，用當歸導滯散通之。《內經》雲：肝藏血，脾統血。蓋肝屬木，生火侮土，肝火既熾，肝血必傷，脾氣必虛。宜先清肝養血，則瘀血不致凝滯，肌肉不致遍潰；次壯脾健胃，則瘀血易潰，新肉易生；若行克伐，則虛者益虛，滯者益滯，禍不旋踵矣。","一肚腹作痛，或大便不通，按之痛甚，此瘀血在內也，用加味承氣湯下之。既下而痛不止，按之仍痛，瘀血未盡也，用加味四物湯補而行之。若腹痛按之不痛，血氣傷也，用四物湯加參、、白朮，補而和之。若下而胸脅反痛，肝血傷也，用四君、芎、歸補之。既下而發熱，陰血傷也，用四物、參、術補之。既下而惡寒，陽氣傷也，用十全大補湯補之。既下而惡寒發熱，氣血俱傷也，用八珍湯補之。既下而欲嘔，胃氣傷也，用六君、當歸補之。既下而洩瀉，脾腎傷也，用六君、肉果、破故紙補之。若下後，手足俱冷，昏憒出汗，陽氣虛寒也，急用參附湯。吐瀉手足俱冷，指甲青者，脾腎虛寒之甚也，急用大劑參附湯。口噤手撒，遺尿痰盛，唇青體冷者，虛極之壞症也，急投大劑參附湯，多有得生者。","一肌肉間作痛，營衛之氣滯也，用復元通氣散。筋骨作痛，肝腎之氣傷也，用六味地黃丸。內傷下血作痛，脾胃之氣虛也，用補中益氣湯。外傷出血作痛，脾肺之氣虛也，用八珍湯。大凡下血不止，脾胃之氣脫也，吐瀉不食，脾胃之氣敗也，苟預為調補脾胃，則無此患矣。","一作痛，若痛至四五日不減，或至一二日方痛，欲作膿也，用托里散。若以指按下復起，膿已成也，刺去其膿，痛自止。若頭痛時作時止，氣血虛也，痛而兼眩屬痰也，當生肝血補脾氣。","一青腫不潰，用補中益氣湯以補氣。腫黯不消，用加味逍遙散以散血。若腫脹痛，瘀血作膿也，以八珍湯加白芷託之。若膿潰而反痛，氣血虛也，以十全大補湯補之。若骨HT接而復脫，肝腎虛也，用地黃丸。腫不消，青不退，氣血虛也，內用八珍湯，外用蔥熨法，則瘀血自散，腫痛自消。若行血破血，則脾胃愈虛，運氣愈滯。若敷貼涼藥，則瘀血益凝，內腐益深，致難收拾。","一發熱，若出血過多；或膿潰之後脈洪大而虛，重按全無，此陰虛發熱也，用當歸補血湯。脈沉微，按之軟弱，此陰盛發躁也，用四君、姜、附。若發熱煩躁，肉筋惕，亡血也，用聖愈湯。如汗不止，血脫也，用獨參湯。其血脫脈實，汗後脈躁者難治，細小者易治。《外臺秘要》雲：陰盛發躁，欲坐井中，用附子四逆湯加蔥白。王太僕先生雲：凡熱來複去，晝見夜伏，夜見晝伏，不時而動者，名曰無火，此無根之虛火也。","一作嘔，若因痛甚，或因克伐而傷胃者，用四君、當歸、半夏、生薑。或因忿怒而肝傷者，用小柴胡湯加山梔、茯苓。若因痰火盛，用二陳、姜炒黃連、山梔。若因胃氣虛，用補中益氣湯、生薑、半夏。若出血過多，或因潰後，用六君子湯加當歸。","一喘咳，若出血過多，面黑胸脹；或胸膈痛而發喘者，乃氣虛血乘於肺也，急用二味參蘇飲。若咳血衄血者，乃氣逆血蘊於肺也，急用十味參蘇飲加山梔、芩、連、蘇木。","一作渴，若因出血過多，用四物參術湯；不應，用人參、黃以補氣，當歸、熟地以養血。若因潰後，用八珍湯。若因胃熱傷津液，用竹葉黃湯。胃虛津液不足，用補中益氣湯。胃火熾盛，用竹葉石膏湯。若煩熱作渴，小便淋澀，乃腎經虛熱，非地黃丸不能救。","一出血，若患處或諸竅出"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"正體類要","section_title":"序","is_available":true},{"id":"chapter-1-section-2","chapter_title":"正體類要","section_title":"序","is_available":true}],"plain_text":"# 正體類要\n## 序\n上卷\n正體主治大法\n上卷撲傷之症治驗\n血脫煩躁\n血虛發躁\n氣虛血熱\n瘀血泛注\n瘀血作痛\n肝火作痛\n肝火忿怒\n肝火脅脹\n肝膽虛症\n血虛腹痛\n氣虛不潰\n寒凝不潰\n脾虛不斂\n血虛筋攣\n腎虛氣逆\n溼熱乘肝\n肝經鬱火\n痛傷胃嘔\n藥傷胃嘔\n氣血不損\n行氣之非\n下血之非\n寒藥之非\n不砭之非\n不補之非\n破傷風表症\n破傷風裡症\n膿內類破傷風\n膿潰類破傷風\n內虛變\n上卷墜跌金傷治驗\n瘀血腹痛\n脾傷腹痛\n血虛脅脹\n血虛煩躁\n亡血出汗\n亡血昏憒\n溼痰作痛\n肝火作痛\n血虛作痛\n骨傷作痛\n氣虛血滯\n氣虛不潰\n氣虛壅腫\n瘀血腫痛\n筋傷壅腫\n肺火衄血\n肝火出血\n胃火作嘔\n陰虛作喘\n陰虛發熱\n氣血虛熱\n血不歸經\n氣無所附\n氣血俱虛\n陽氣脫陷\n膽經血少\n腎經虛怯\n痛傷胃嘔\n氣遏肉死\n涼藥遏經\n上卷湯火所傷治驗\n火毒刑肺金\n火毒作\n火毒行於下焦\n火毒乘血分\n下卷方藥\n四君子湯\n小柴胡湯\n神效蔥熨法\n八珍湯\n犀角地黃湯\n十味參蘇散\n二味蘇參飲\n四物湯\n桃仁承氣湯\n加味承氣湯\n獨參湯\n歸脾湯\n潤腸丸\n當歸補血湯\n聖愈湯\n十全大補湯\n參附湯\n清胃散\n清燥湯\n生脈散\n二妙丸\n四斤丸\n補中益氣湯\n四生散\n竹葉黃湯\n竹葉石膏湯\n人參平肺飲\n滋腎丸\n六味地黃丸\n清心蓮子飲\n七味白朮散\n黑丸子\n白丸子\n六君子湯\n回陽玉龍膏\n撤消活血湯\n撤消通氣散\n神效太乙膏\n乳香定痛散\n豬蹄湯\n神效當歸膏\n托里散\n加味芎歸湯\n當歸導滯散\n花蕊石散\n經驗方\n消毒定痛散\n藥蛆方\n洗藥\n黑龍散\n洪寶丹\n沒藥降聖丹\n萬金膏\n接骨散\n本事接骨方\n沒藥丸\n羌活防風湯\n防風湯\n蜈蚣散\n羌活湯\n地榆防風散\n大芎黃湯\n白朮防風湯\n白朮湯\n謙甫硃砂丸\n左龍丸\n江鰾丸\n養血當歸地黃湯\n廣利方\n白丸子\n本事玉真散\n## 序\n世恆言：醫有十三科。科自專門，各守師說，少能相通者，其大較然也。然諸科方論，作者相繼，纂輯不遺，而正體科獨無其書。豈非接復之功，妙在手法；而按揣之勞，率鄙為粗工，而莫之講歟？昔我毅皇帝因馬逸傷，諸尚藥以非世業莫能治，獨吾蘇徐通政鎮侍藥奏效，聖體如初，而徐亦由此遭際，擢官至九列，子孫世以其術仕醫垣。此其所繫，豈小小者而可以弗講也！且肢體損於外，則氣血傷於內，榮衛有所不貫，臟腑由之不和，豈可純任手法，而不求之脈理，審其虛實，以施補瀉哉？太史公有言：人之所病病疾多，醫之所病病道少。吾以為患在不能貫而通之耳。秦越人過琅琊即為帶下醫，過洛陽即為耳目痺醫，入咸陽即為小兒醫。此雖隨俗為變，豈非其道固無所不貫哉！立齋薛先生，以癰疽承家，而諸科極變析微，可謂詳且盡矣。而處方立論，決生定死，固不出諸科之外也。然則學人，又豈病道之少乎？先生嘗著《外科樞要》，餘既為之序以刻矣。將復刻是書，備一家言。餘仰其用心之勤，乃復為綴數語卷首，使後世知先生之術，固無所不通，而未嘗不出於一也，學人其勿以專門自諉哉。先生名己，字新甫，官位出處，詳《外科樞要序》中，茲不更列。\n前進士禮部主事陸師道著\n[上卷] 正體主治大法\n一脅肋脹痛，若大便通和，喘咳吐痰者，肝火侮肺也，用小柴胡湯加青皮、山梔清之。\n若胸腹脹痛，大便不通，喘咳吐血者，瘀血停滯也，用當歸導滯散通之。《內經》雲：肝藏血，脾統血。蓋肝屬木，生火侮土，肝火既熾，肝血必傷，脾氣必虛。宜先清肝養血，則瘀血不致凝滯，肌肉不致遍潰；次壯脾健胃，則瘀血易潰，新肉易生；若行克伐，則虛者益虛，滯者益滯，禍不旋踵矣。\n一肚腹作痛，或大便不通，按之痛甚，此瘀血在內也，用加味承氣湯下之。既下而痛不止，按之仍痛，瘀血未盡也，用加味四物湯補而行之。若腹痛按之不痛，血氣傷也，用四物湯加參、、白朮，補而和之。若下而胸脅反痛，肝血傷也，用四君、芎、歸補之。既下而發熱，陰血傷也，用四物、參、術補之。既下而惡寒，陽氣傷也，用十全大補湯補之。既下而惡寒發熱，氣血俱傷也，用八珍湯補之。既下而欲嘔，胃氣傷也，用六君、當歸補之。既下而洩瀉，脾腎傷也，用六君、肉果、破故紙補之。若下後，手足俱冷，昏憒出汗，陽氣虛寒也，急用參附湯。吐瀉手足俱冷，指甲青者，脾腎虛寒之甚也，急用大劑參附湯。口噤手撒，遺尿痰盛，唇青體冷者，虛極之壞症也，急投大劑參附湯，多有得生者。\n一肌肉間作痛，營衛之氣滯也，用復元通氣散。筋骨作痛，肝腎之氣傷也，用六味地黃丸。內傷下血作痛，脾胃之氣虛也，用補中益氣湯。外傷出血作痛，脾肺之氣虛也，用八珍湯。大凡下血不止，脾胃之氣脫也，吐瀉不食，脾胃之氣敗也，苟預為調補脾胃，則無此患矣。\n一作痛，若痛至四五日不減，或至一二日方痛，欲作膿也，用托里散。若以指按下復起，膿已成也，刺去其膿，痛自止。若頭痛時作時止，氣血虛也，痛而兼眩屬痰也，當生肝血補脾氣。\n一青腫不潰，用補中益氣湯以補氣。腫黯不消，用加味逍遙散以散血。若腫脹痛，瘀血作膿也，以八珍湯加白芷託之。若膿潰而反痛，氣血虛也，以十全大補湯補之。若骨HT接而復脫，肝腎虛也，用地黃丸。腫不消，青不退，氣血虛也，內用八珍湯，外用蔥熨法，則瘀血自散，腫痛自消。若行血破血，則脾胃愈虛，運氣愈滯。若敷貼涼藥，則瘀血益凝，內腐益深，致難收拾。\n一發熱，若出血過多；或膿潰之後脈洪大而虛，重按全無，此陰虛發熱也，用當歸補血湯。脈沉微，按之軟弱，此陰盛發躁也，用四君、姜、附。若發熱煩躁，肉筋惕，亡血也，用聖愈湯。如汗不止，血脫也，用獨參湯。其血脫脈實，汗後脈躁者難治，細小者易治。《外臺秘要》雲：陰盛發躁，欲坐井中，用附子四逆湯加蔥白。王太僕先生雲：凡熱來複去，晝見夜伏，夜見晝伏，不時而動者，名曰無火，此無根之虛火也。\n一作嘔，若因痛甚，或因克伐而傷胃者，用四君、當歸、半夏、生薑。或因忿怒而肝傷者，用小柴胡湯加山梔、茯苓。若因痰火盛，用二陳、姜炒黃連、山梔。若因胃氣虛，用補中益氣湯、生薑、半夏。若出血過多，或因潰後，用六君子湯加當歸。\n一喘咳，若出血過多，面黑胸脹；或胸膈痛而發喘者，乃氣虛血乘於肺也，急用二味參蘇飲。若咳血衄血者，乃氣逆血蘊於肺也，急用十味參蘇飲加山梔、芩、連、蘇木。\n一作渴，若因出血過多，用四物參術湯；不應，用人參、黃以補氣，當歸、熟地以養血。若因潰後，用八珍湯。若因胃熱傷津液，用竹葉黃湯。胃虛津液不足，用補中益氣湯。胃火熾盛，用竹葉石膏湯。若煩熱作渴，小便淋澀，乃腎經虛熱，非地黃丸不能救。\n一出血，若患處或諸竅出","is_preview":true,"preview_page_limit":10}