{"resource_id":15057,"title":"方症会要","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"方症會要","sections":[{"id":"chapter-1-section-1","title":"方症會要 清 吳邁書","paragraphs":[]},{"id":"chapter-1-section-2","title":"序","paragraphs":[]},{"id":"chapter-1-section-3","title":"卷一","paragraphs":[]},{"id":"chapter-1-section-4","title":"中風","paragraphs":[]},{"id":"chapter-1-section-5","title":"瘟疫","paragraphs":[]},{"id":"chapter-1-section-6","title":"斑疹","paragraphs":["內傷"]},{"id":"chapter-1-section-7","title":"暑症","paragraphs":[]},{"id":"chapter-1-section-8","title":"燥症","paragraphs":[]},{"id":"chapter-1-section-9","title":"溼症","paragraphs":[]},{"id":"chapter-1-section-10","title":"火症","paragraphs":[]},{"id":"chapter-1-section-11","title":"鬱症","paragraphs":[]},{"id":"chapter-1-section-12","title":"痰症","paragraphs":[]},{"id":"chapter-1-section-13","title":"咳嗽","paragraphs":[]},{"id":"chapter-1-section-14","title":"卷二","paragraphs":[]},{"id":"chapter-1-section-15","title":"哮喘","paragraphs":[]},{"id":"chapter-1-section-16","title":"瘧症","paragraphs":[]},{"id":"chapter-1-section-17","title":"霍亂","paragraphs":["洩瀉","痢疾","嘔吐","膈噎","逆","吞酸吐酸","嘈雜噯氣","痞滿","腫脹"]},{"id":"chapter-1-section-18","title":"鼓症","paragraphs":[]},{"id":"chapter-1-section-19","title":"積聚痞塊症瘕癖腸石瘕","paragraphs":[]},{"id":"chapter-1-section-20","title":"卷三","paragraphs":[]},{"id":"chapter-1-section-21","title":"勞病","paragraphs":["眩暈"]},{"id":"chapter-1-section-22","title":"頭痛","paragraphs":[]},{"id":"chapter-1-section-23","title":"胃脘痛","paragraphs":[]},{"id":"chapter-1-section-24","title":"腹痛","paragraphs":[]},{"id":"chapter-1-section-25","title":"腰痛","paragraphs":[]},{"id":"chapter-1-section-26","title":"背痛","paragraphs":[]},{"id":"chapter-1-section-27","title":"脅痛","paragraphs":["諸氣","疝氣","腳氣"]},{"id":"chapter-1-section-28","title":"卷四","paragraphs":[]},{"id":"chapter-1-section-29","title":"耳病","paragraphs":[]},{"id":"chapter-1-section-30","title":"目病","paragraphs":[]},{"id":"chapter-1-section-31","title":"口病","paragraphs":["健忘怔忡驚悸","三消","赤白濁","淋秘"]},{"id":"chapter-1-section-32","title":"黃疸","paragraphs":["調經"]},{"id":"chapter-1-section-33","title":"大便血癥","paragraphs":[]},{"id":"chapter-1-section-34","title":"序","paragraphs":["先君子體素康健不輕餌藥然究心方症手集諸書質之當代明於指下者參之古昔傳流以備檢閱蓋勞己為人即東坡雲病者得藥吾為體輕耳我先人利濟為懷率多類此棄世浚架上遺書百不存一手澤之留僅此編耳餘歧黃未按緣身弱善病世醫莫喻因按症檢方服之頗效噫我先人究心於此者深矣恐久而零落因付梨棗以公諸世析類分門尋檢至易旅邸道途束裝甚便或博雅者鑑留參討爾","乾隆丙子暮春之初古歙豐南","吳邁書於溪香書屋"]},{"id":"chapter-1-section-35","title":"卷一","paragraphs":[]},{"id":"chapter-1-section-36","title":"中風","paragraphs":["天地間惟風無所不入受之者輕曰感重曰傷又重曰中中風之症猝然暈倒昏不知人或痰涎壅盛咽喉作聲或口眼　斜手足癱瘓或半身不遂舌強不語風邪既盛氣必上壅痰隨氣上停留壅塞昏亂猝倒皆痰也五臟雖皆有風而獨肝經最多易入蓋肝主筋屬木受之則筋緩不榮所以有歪斜不遂癱瘓舌強等症治法初得即開痰理氣經雲善治風者以氣理風氣順則痰消徐理其風及其久也即當養血活血若不先順氣遽用烏附又不活血徒用防風天麻羌活輩吾未見其能治也中風有真中類中真中有中腑中髒中經之不同中腑者多著四肢故面加五色有表症脈浮而惡風寒四肢拘急不仁現六經形症或中身之前或中身之後或中身之側皆中腑也治法加減小續命湯發其表調以通聖辛涼之臍中髒者多滯九竅故唇緩失音鼻塞耳聾目瞀大小便秘結皆中髒也通其滯調以十全大補四物之劑腑臟兼見者藥必兼用先表後通或外無六經形症內無便溺阻隔但肢不能舉口不能言此邪中於經也又當從乎中治大秦艽湯補血養經或二陳東加清熱養血藥中府易治宜汗不宜多恐損衛氣中髒難治宜下不可過下恐損營氣中經有汗下之戒只宜養血通氣類中亦有不同河東主火東垣主氣丹溪主熱與痰僵仆猝倒此氣虛也治宜六君子東加薑汁竹瀝痰涎壅盛偏枯口噤筋急拘攣筋反縱脈數此火也治法在表防風通聖散在上涼膈散口眼　斜半身不遂涎多不語此痰症也治宜二陳導痰等湯大抵真中者少類中者多外感內傷當辨輕重重於外者先驅風邪而後補中氣治以散風為君以補損為臣使重於內傷者先補中氣而後驅外邪治以滋補為君以散邪為臣使其心火暴甚痰涎壅塞毫無風邪而　斜不遂等症悉具者治宜清熱化痰養血順氣一用風藥禍不旋踵半身不遂大率多痰中左屬死血少血宜四物東加桃仁紅花竹瀝薑汁中右屬痰與氣虛用二陳合四君子東加竹瀝薑汁氣血兩虛而挾痰者八物東加南星半夏枳實竹瀝薑汁國中猝倒不省人事急掐人中提頭頂發口噤不能進藥急以生半夏末或皂角細辛為末吹入鼻中有嚏者生無嚏者乃肺絕死痰涎壅塞口眼斜舌強不語俱當用吐法一吐不愈再吐輕用瓜蒂末一錢重者稀涎散加藜蘆五分入射少許以鵝毛探吐惟年老虛弱者不可輕吐氣虛猝倒者不可吐凡中症雖有痰涎猶能進湯水者先進蘇合丸通竅隨進順氣散不可利小便熱退自利諸中或已"]},{"id":"chapter-1-section-37","title":"不治數症","paragraphs":["口開心絕手撒脾絕眼合肝絕遺尿腎絕吐沫直視喉如鼾睡肺絕肉脫筋痛發直搖頭上竄面赤如妝汗綴如珠此皆不治之症然止見一症者猶或可治脈浮遲者吉急疾者兇寸脈有尺脈無當吐不吐者死尺脈有寸脈無當下不下者死","附中氣","許學士雲暴怒傷陰暴喜傷陽憂愁不已氣多厥逆往往得此疾便覺涎潮昏塞牙關緊急脈伏身寒此名中氣若中風則身溫為異耳不可作中風治宜進蘇合香丸續用烏藥順氣散或八味順氣散"]},{"id":"chapter-1-section-38","title":"附中風直中類中論","paragraphs":["花溪老人云中風者氣體先虛必有風邪真中然後見有暴僕暴喑口眼　斜手足不舉話語謇澀甚者人事不省等症若無風邪必無此等症候又云無直中類中之分是見理不真之論也按中風者氣體先虛然後風邪中之者理也所謂邪之所湊其氣必虛是也但常見有人心火暴盛痰涎壅蹇無毫髮風邪夾雜而前症悉見隨用清熱化痰養血順氣而愈者即東垣所謂本氣自病河間所謂將息失宜心火暴盛丹溪所謂溼熱相生此三者類中風而實非中風若用風藥禍不旋踵安得不指出此症使後學者知之乎此類中之說所由起也但此症當另列一條而不雜於中風之條如昔人謂四症似傷寒而不列於傷寒之條則明白易知若老人謂無類中皆真中恐後人臨症不明反增人病辨之奚容已乎其言標本緩急之論輕重攻補之宜則至善而不可沒大有功於後學也","治中腑外有六經形症　中風自汗者不可重發汗此藥不可輕用麻黃　人參　黃芩　白芍　桂枝　附子　防己　防風　川芎　杏仁　甘草","六經加減","太陽中風（無汗惡寒倍加麻黃防風杏仁有汗惡風倍加桂枝白芍）","名（麻黃桂枝）續命湯陽明中風（無汗身熱不惡寒加甘草石膏知母有汗身熱不惡風加桂枝黃芩葛根）","名（白虎葛根）續命湯（太少）陰中風（無汗身涼倍加附子乾薑甘草有汗無熱倍加桂枝附子）","名（附子桂枝）續命湯中風六經混淆繁於少陽厥陰或肢節攣痛或麻木不仁宜羌活連翹續命主之","治中髒內有便溺阻隔濃樸　大黃　枳實　羌活等分以利為度","治中風風熱壅盛表裡三焦皆實及諸等症防風　川芎　當歸　白芍　大黃　芒硝　連翹　薄荷　麻黃　石膏　桔梗　黃芩　白朮梔子　荊芥　滑石　甘草　姜三片溫服","人參　白朮　茯苓　甘草　當歸　白芍　川芎　熟地　黃　肉桂等分　姜三片　棗二枚","治中經外無六經形症內無便溺阻隔血弱不能養筋故手足不能運動舌強難語宜養血而筋自榮秦艽　石膏　獨活　甘草　川芎　當歸　白芍　茯苓（各一錢）　細辛　羌活　防風　片芩春夏加知母天陰加姜心下痞滿加枳實","（理療）一身之（氣痰）欲下行加防己黃柏木通欲上行加柴胡升麻防風陳皮　茯苓（各一錢）半夏（二錢）","治胸膈中與六經熱　退熱如神　連翹（一錢）　枝子　薄荷　黃芩　大黃　芒硝（各五分）　生甘草（一錢五分）","東垣加減涼膈散前方減硝黃加桔梗同為舟楫之劑浮而上之治胸膈中與六經熱以其手足少陽之氣俱下胸膈中三焦之氣同相火遊行於身之表膈與六經乃至高之分此藥浮載亦至高之劑故能於無形之中隨高而走去胸膈中及六經熱也重症用前方輕症用後方","開導痰氣陳皮　半夏　茯苓　甘草　南星　枳殼　姜三片如久嗽燥熱者去半夏加五味九粒杏仁五分","補血要藥當歸　川芎　白芍　生地　加人參白朮茯苓甘草即八物湯氣血兩補又名八珍","補氣要藥人參　白朮　茯苓　甘草　加陳皮半夏即六君子湯姜三片益氣補脾和中","治"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"方症會要","section_title":"方症會要 清 吳邁書","is_available":true},{"id":"chapter-1-section-2","chapter_title":"方症會要","section_title":"序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"方症會要","section_title":"卷一","is_available":true},{"id":"chapter-1-section-4","chapter_title":"方症會要","section_title":"中風","is_available":true},{"id":"chapter-1-section-5","chapter_title":"方症會要","section_title":"瘟疫","is_available":true},{"id":"chapter-1-section-6","chapter_title":"方症會要","section_title":"斑疹","is_available":true},{"id":"chapter-1-section-7","chapter_title":"方症會要","section_title":"暑症","is_available":true},{"id":"chapter-1-section-8","chapter_title":"方症會要","section_title":"燥症","is_available":true},{"id":"chapter-1-section-9","chapter_title":"方症會要","section_title":"溼症","is_available":true},{"id":"chapter-1-section-10","chapter_title":"方症會要","section_title":"火症","is_available":true},{"id":"chapter-1-section-11","chapter_title":"方症會要","section_title":"鬱症","is_available":true},{"id":"chapter-1-section-12","chapter_title":"方症會要","section_title":"痰症","is_available":true},{"id":"chapter-1-section-13","chapter_title":"方症會要","section_title":"咳嗽","is_available":true},{"id":"chapter-1-section-14","chapter_title":"方症會要","section_title":"卷二","is_available":true},{"id":"chapter-1-section-15","chapter_title":"方症會要","section_title":"哮喘","is_available":true},{"id":"chapter-1-section-16","chapter_title":"方症會要","section_title":"瘧症","is_available":true},{"id":"chapter-1-section-17","chapter_title":"方症會要","section_title":"霍亂","is_available":true},{"id":"chapter-1-section-18","chapter_title":"方症會要","section_title":"鼓症","is_available":true},{"id":"chapter-1-section-19","chapter_title":"方症會要","section_title":"積聚痞塊症瘕癖腸石瘕","is_available":true},{"id":"chapter-1-section-20","chapter_title":"方症會要","section_title":"卷三","is_available":true},{"id":"chapter-1-section-21","chapter_title":"方症會要","section_title":"勞病","is_available":true},{"id":"chapter-1-section-22","chapter_title":"方症會要","section_title":"頭痛","is_available":true},{"id":"chapter-1-section-23","chapter_title":"方症會要","section_title":"胃脘痛","is_available":true},{"id":"chapter-1-section-24","chapter_title":"方症會要","section_title":"腹痛","is_available":true},{"id":"chapter-1-section-25","chapter_title":"方症會要","section_title":"腰痛","is_available":true},{"id":"chapter-1-section-26","chapter_title":"方症會要","section_title":"背痛","is_available":true},{"id":"chapter-1-section-27","chapter_title":"方症會要","section_title":"脅痛","is_available":true},{"id":"chapter-1-section-28","chapter_title":"方症會要","section_title":"卷四","is_available":true},{"id":"chapter-1-section-29","chapter_title":"方症會要","section_title":"耳病","is_available":true},{"id":"chapter-1-section-30","chapter_title":"方症會要","section_title":"目病","is_available":true},{"id":"chapter-1-section-31","chapter_title":"方症會要","section_title":"口病","is_available":true},{"id":"chapter-1-section-32","chapter_title":"方症會要","section_title":"黃疸","is_available":true},{"id":"chapter-1-section-33","chapter_title":"方症會要","section_title":"大便血癥","is_available":true},{"id":"chapter-1-section-34","chapter_title":"方症會要","section_title":"序","is_available":true},{"id":"chapter-1-section-35","chapter_title":"方症會要","section_title":"卷一","is_available":true},{"id":"chapter-1-section-36","chapter_title":"方症會要","section_title":"中風","is_available":true},{"id":"chapter-1-section-37","chapter_title":"方症會要","section_title":"不治數症","is_available":true},{"id":"chapter-1-section-38","chapter_title":"方症會要","section_title":"附中風直中類中論","is_available":true}],"plain_text":"# 方症會要\n## 方症會要 清 吳邁書\n## 序\n## 卷一\n## 中風\n## 瘟疫\n## 斑疹\n內傷\n## 暑症\n## 燥症\n## 溼症\n## 火症\n## 鬱症\n## 痰症\n## 咳嗽\n## 卷二\n## 哮喘\n## 瘧症\n## 霍亂\n洩瀉\n痢疾\n嘔吐\n膈噎\n逆\n吞酸吐酸\n嘈雜噯氣\n痞滿\n腫脹\n## 鼓症\n## 積聚痞塊症瘕癖腸石瘕\n## 卷三\n## 勞病\n眩暈\n## 頭痛\n## 胃脘痛\n## 腹痛\n## 腰痛\n## 背痛\n## 脅痛\n諸氣\n疝氣\n腳氣\n## 卷四\n## 耳病\n## 目病\n## 口病\n健忘怔忡驚悸\n三消\n赤白濁\n淋秘\n## 黃疸\n調經\n## 大便血癥\n## 序\n先君子體素康健不輕餌藥然究心方症手集諸書質之當代明於指下者參之古昔傳流以備檢閱蓋勞己為人即東坡雲病者得藥吾為體輕耳我先人利濟為懷率多類此棄世浚架上遺書百不存一手澤之留僅此編耳餘歧黃未按緣身弱善病世醫莫喻因按症檢方服之頗效噫我先人究心於此者深矣恐久而零落因付梨棗以公諸世析類分門尋檢至易旅邸道途束裝甚便或博雅者鑑留參討爾\n乾隆丙子暮春之初古歙豐南\n吳邁書於溪香書屋\n## 卷一\n## 中風\n天地間惟風無所不入受之者輕曰感重曰傷又重曰中中風之症猝然暈倒昏不知人或痰涎壅盛咽喉作聲或口眼　斜手足癱瘓或半身不遂舌強不語風邪既盛氣必上壅痰隨氣上停留壅塞昏亂猝倒皆痰也五臟雖皆有風而獨肝經最多易入蓋肝主筋屬木受之則筋緩不榮所以有歪斜不遂癱瘓舌強等症治法初得即開痰理氣經雲善治風者以氣理風氣順則痰消徐理其風及其久也即當養血活血若不先順氣遽用烏附又不活血徒用防風天麻羌活輩吾未見其能治也中風有真中類中真中有中腑中髒中經之不同中腑者多著四肢故面加五色有表症脈浮而惡風寒四肢拘急不仁現六經形症或中身之前或中身之後或中身之側皆中腑也治法加減小續命湯發其表調以通聖辛涼之臍中髒者多滯九竅故唇緩失音鼻塞耳聾目瞀大小便秘結皆中髒也通其滯調以十全大補四物之劑腑臟兼見者藥必兼用先表後通或外無六經形症內無便溺阻隔但肢不能舉口不能言此邪中於經也又當從乎中治大秦艽湯補血養經或二陳東加清熱養血藥中府易治宜汗不宜多恐損衛氣中髒難治宜下不可過下恐損營氣中經有汗下之戒只宜養血通氣類中亦有不同河東主火東垣主氣丹溪主熱與痰僵仆猝倒此氣虛也治宜六君子東加薑汁竹瀝痰涎壅盛偏枯口噤筋急拘攣筋反縱脈數此火也治法在表防風通聖散在上涼膈散口眼　斜半身不遂涎多不語此痰症也治宜二陳導痰等湯大抵真中者少類中者多外感內傷當辨輕重重於外者先驅風邪而後補中氣治以散風為君以補損為臣使重於內傷者先補中氣而後驅外邪治以滋補為君以散邪為臣使其心火暴甚痰涎壅塞毫無風邪而　斜不遂等症悉具者治宜清熱化痰養血順氣一用風藥禍不旋踵半身不遂大率多痰中左屬死血少血宜四物東加桃仁紅花竹瀝薑汁中右屬痰與氣虛用二陳合四君子東加竹瀝薑汁氣血兩虛而挾痰者八物東加南星半夏枳實竹瀝薑汁國中猝倒不省人事急掐人中提頭頂發口噤不能進藥急以生半夏末或皂角細辛為末吹入鼻中有嚏者生無嚏者乃肺絕死痰涎壅塞口眼斜舌強不語俱當用吐法一吐不愈再吐輕用瓜蒂末一錢重者稀涎散加藜蘆五分入射少許以鵝毛探吐惟年老虛弱者不可輕吐氣虛猝倒者不可吐凡中症雖有痰涎猶能進湯水者先進蘇合丸通竅隨進順氣散不可利小便熱退自利諸中或已\n## 不治數症\n口開心絕手撒脾絕眼合肝絕遺尿腎絕吐沫直視喉如鼾睡肺絕肉脫筋痛發直搖頭上竄面赤如妝汗綴如珠此皆不治之症然止見一症者猶或可治脈浮遲者吉急疾者兇寸脈有尺脈無當吐不吐者死尺脈有寸脈無當下不下者死\n附中氣\n許學士雲暴怒傷陰暴喜傷陽憂愁不已氣多厥逆往往得此疾便覺涎潮昏塞牙關緊急脈伏身寒此名中氣若中風則身溫為異耳不可作中風治宜進蘇合香丸續用烏藥順氣散或八味順氣散\n## 附中風直中類中論\n花溪老人云中風者氣體先虛必有風邪真中然後見有暴僕暴喑口眼　斜手足不舉話語謇澀甚者人事不省等症若無風邪必無此等症候又云無直中類中之分是見理不真之論也按中風者氣體先虛然後風邪中之者理也所謂邪之所湊其氣必虛是也但常見有人心火暴盛痰涎壅蹇無毫髮風邪夾雜而前症悉見隨用清熱化痰養血順氣而愈者即東垣所謂本氣自病河間所謂將息失宜心火暴盛丹溪所謂溼熱相生此三者類中風而實非中風若用風藥禍不旋踵安得不指出此症使後學者知之乎此類中之說所由起也但此症當另列一條而不雜於中風之條如昔人謂四症似傷寒而不列於傷寒之條則明白易知若老人謂無類中皆真中恐後人臨症不明反增人病辨之奚容已乎其言標本緩急之論輕重攻補之宜則至善而不可沒大有功於後學也\n治中腑外有六經形症　中風自汗者不可重發汗此藥不可輕用麻黃　人參　黃芩　白芍　桂枝　附子　防己　防風　川芎　杏仁　甘草\n六經加減\n太陽中風（無汗惡寒倍加麻黃防風杏仁有汗惡風倍加桂枝白芍）\n名（麻黃桂枝）續命湯陽明中風（無汗身熱不惡寒加甘草石膏知母有汗身熱不惡風加桂枝黃芩葛根）\n名（白虎葛根）續命湯（太少）陰中風（無汗身涼倍加附子乾薑甘草有汗無熱倍加桂枝附子）\n名（附子桂枝）續命湯中風六經混淆繁於少陽厥陰或肢節攣痛或麻木不仁宜羌活連翹續命主之\n治中髒內有便溺阻隔濃樸　大黃　枳實　羌活等分以利為度\n治中風風熱壅盛表裡三焦皆實及諸等症防風　川芎　當歸　白芍　大黃　芒硝　連翹　薄荷　麻黃　石膏　桔梗　黃芩　白朮梔子　荊芥　滑石　甘草　姜三片溫服\n人參　白朮　茯苓　甘草　當歸　白芍　川芎　熟地　黃　肉桂等分　姜三片　棗二枚\n治中經外無六經形症內無便溺阻隔血弱不能養筋故手足不能運動舌強難語宜養血而筋自榮秦艽　石膏　獨活　甘草　川芎　當歸　白芍　茯苓（各一錢）　細辛　羌活　防風　片芩春夏加知母天陰加姜心下痞滿加枳實\n（理療）一身之（氣痰）欲下行加防己黃柏木通欲上行加柴胡升麻防風陳皮　茯苓（各一錢）半夏（二錢）\n治胸膈中與六經熱　退熱如神　連翹（一錢）　枝子　薄荷　黃芩　大黃　芒硝（各五分）　生甘草（一錢五分）\n東垣加減涼膈散前方減硝黃加桔梗同為舟楫之劑浮而上之治胸膈中與六經熱以其手足少陽之氣俱下胸膈中三焦之氣同相火遊行於身之表膈與六經乃至高之分此藥浮載亦至高之劑故能於無形之中隨高而走去胸膈中及六經熱也重症用前方輕症用後方\n開導痰氣陳皮　半夏　茯苓　甘草　南星　枳殼　姜三片如久嗽燥熱者去半夏加五味九粒杏仁五分\n補血要藥當歸　川芎　白芍　生地　加人參白朮茯苓甘草即八物湯氣血兩補又名八珍\n補氣要藥人參　白朮　茯苓　甘草　加陳皮半夏即六君子湯姜三片益氣補脾和中\n治","is_preview":true,"preview_page_limit":10}