{"resource_id":15261,"title":"蠢子医","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"蠢子醫","sections":[{"id":"chapter-1-section-1","title":"蠢子醫","paragraphs":[]},{"id":"chapter-1-section-2","title":"蠢子醫卷一","paragraphs":["陽夏龍之章繪堂甫手著","榆山朱明掐潛齋甫","襄邑施景舜虞琴甫","閻松墅濟源甫","鄭漢東林春甫","侄金門君由甫","孫鎮川兌山甫付印","侄孫睿川疇瀾甫南","杭州董志仁校刊"]},{"id":"chapter-1-section-3","title":"學醫真詮","paragraphs":["學醫第一看藥性，有了藥性心有定。某藥入某經，某藥治某病。","或是溫，或是涼，與某症相稱。","或是補，或是瀉，與某症相應。","各藥各有溫涼補瀉理，各經各有寒烈虛實症。","看得到時藥分明，此中早已有把柄。學了藥性學脈理，學了脈理方有用。","某經是真虛，某經是真實，用某藥相應。","某經是真寒，某經是真熱，用某藥相稱。","各經各有虛實寒熱理，各藥各有溫涼補瀉性。","看得到時脈分明，任憑病來如明鏡。","有了明鏡有把柄，一下筆時便入聖。","不靠湯頭歌，不任人家命。病端雖夾雜，病脈總清淨。","藥方雖更變，藥性總周正。君臣佐使無參差，便是醫中之捷徑。","即有天師再臨凡，亦難尋找方中病。","學醫者，每多藥性不熟，脈理不精。果能心如明鏡，洞悉。","某藥與某病相稱，某脈與某症相應，則治病自不難矣。侄金門謹志。","湯頭歌不可泥①","今日治病好依湯頭歌，以為十大名醫必不錯。豈知妙理皆自脈中得，不得脈理在用藥。","得了脈理細風思，其中自必有主藥。有了主藥往下排，此是湯頭真大略。","今人動說古方好，不知以古治今多有錯。古人未看今日病，安知今日之用藥？","病症皆從氣運生，今日氣運與古大不合。古人但知古人病，未知今日之病瘓②。(②瘓（ｍ６莫）：痛苦。）","今日病瘓須得今人治，安得妄用古人藥？古人用藥條條好，安得今日病情恰恰合？","今日氣運已大變，今日脈理甚可愕。皆因午會火已極，真氣往往往上薄。","往上薄入鬥風宮，迢迢中指看落落。以下三部皆不管，照舊方兒方知錯。","真氣盡皆走上頭，（真氣上走，火亦隨之而生）下邊部位皆虛託。","看似陰寒實真熱，崑崙③頂上通關鑰（③崑崙：與上文鬥風官均指頭部）。","古聖真理難預傳，所餘方脈盡糟粕。","願起古人一質證，古人望我如飢渴。安得對面談一笑，眼前大道盡放著。","若只依湯頭歌，則是不論脈理。抄古人之方，治今人之病，","安得恰相合乎？何如師古人之意，不泥於古之為得焉？","侄金門謹志。"]},{"id":"chapter-1-section-4","title":"診脈下藥詩","paragraphs":["診脈下藥心內裁，手未立方眼已開。","肺實有力宜大瀉，前胡枳實橘紅偕；","肺虛無力宜大補，黨參五味百合輔；","肺實有力夾風火，酒芩全蔞無參佐：輔也。","肺虛無力夾風寒，款冬紫熒麻黃添。","心實有力宜大瀉，菖蒲鬱金凌霄偕；","心虛無力宜大補，棗仁遠志柏子輔；佐也。","心實有力夾風火，黃連連翹桅子佐；","心虛無力夾風寒，白附天麻革麥亙添。（⑤麥（ｂＯ撥）：同撥）","胃實有力宜大瀉，大黃枳殼檳榔偕；","胃虛無力宜大補，白朮雲苓炙芪輔；","胃實有力夾風火，知母石膏幹葛佐，","胃虛無力夾風寒，乾薑白芷寞本添。","肝實有力宜大瀉，桃仁醋軍（大黃）術（莪術）稜（三稜）偕；","肝虛無力宜大補，當歸川芎香附輔；","肝實有力夾風火，柴胡生地二芍（赤芍、白芍）佐；","肝虛無力夾風寒，吳萸艾時酋烏添。","命①實有力宜大瀉，芒硝火麻鬱仁偕，","命虛無力宜大補，宿砂益智肉寇輔；","命實有力夾風火，槐花地榆蒲黃佐；","命虛無力夾風寒，黑姜附子故紙添。","腎實有力宜大瀉，木通澤瀉車前借；","腎虛無力宜大補，熟地萸肉山藥輔；","腎實有力夾風火，黃拍丹皮草解佐；","腎虛無力夾風寒，肉桂巴乾椒（川椒）茴（小茴）添。","此雖守襪待兔法，聊訓蒙醫以開先。","吾祖嘗日：吾之脈理遵節庵②。此即遵節庵之意。","如篇中六部脈之虛實，加風火、風寒，皆於有力、無力中分。","又各有主藥以治之。學者熟察乎此，不惟能知脈理，且能知溫涼之補瀉，某藥入某經、治某病之數十品矣。","侄孫涪川謹志。"]},{"id":"chapter-1-section-5","title":"治病皆有主藥","paragraphs":["治病一定有主藥，不用主藥便是錯。","火結必要用大黃，枳殼枳實緊跟著。","寒結必要用巴豆，三稜莪術緊跟著。","實結必要用山甲，蠍子蜈蚣緊跟著。","調氣必要用木香，擯榔元胡緊跟著。","透堅必要用牙皂，風辛辛夷緊跟著。","破血必要用桃仁，紅花赤芍緊跟著。","脾脹必要用於漆，火麻鬱仁緊跟著，","暖胃必要用硫黃，丹參玉竹緊跟著。","腰疼必要用杜仲，續斷艾葉緊跟著。","陷下必要用洋參，三生（生附子。生半夏、生南星）狗脊緊跟著。","去蟲必要用榧子，蕪荑使君緊跟著。","順氣必要用香附，烏藥腹毛緊跟著。","通淋必要用斑螫，川漆草藩緊跟著。","清心必要用黃連，連翹梔子緊跟著。","老痰必要用砒霜，雄黃綠豆緊跟著。","助脾必要用馬前，虎骨猴骨緊跟著。","定痛必要用良姜，宿砂益智緊跟著。","治疥必要用斑（斑蠻）麻（麻克），大楓蓖麻緊跟著，","治瘡必要用神燈，艾絨乳（乳香）沒（沒藥）緊跟著。（④神燈：即神燈照法。為燻法的一種。見《外科正宗》。）","治疔必要用蒜灸，烏金（烏金臺。巴豆炒黑研細，用水調塗患處，以膏藥貼之）菊花（內服甘菊湯，方見卷四疔瘡門）緊跟著。","治邪必要用銅（自然銅）砂（避陽砂），良姜葛根緊跟著。","補氣必要用黨參，炙芪白朮緊跟著。","補血必要用川（川芎）歸（當歸），生地酒芍緊跟著。","補陰必要用熟地，山藥萸肉緊跟著。","補火必要用肉桂，乾薑附子緊跟著。","滋陰必要用黃柏，知母丹皮緊跟著。","以上一藥為君。","麻黃杏仁療寒嗽，芥子半夏緊跟著。","款冬紫菀療虛嗽，百合五味緊跟著。","川烏草烏療風痺，桂枝靈仙緊跟著。","黑姜吳萸療翻胃，丁香胡椒緊跟著。","蒼朮麻黃療風寒，羌活獨活緊跟著。","川貝蔞霜療火痰，蘇子菔子（萊菔子）緊跟著。","烏梅五倍療虛脫，龍骨牡蠣緊跟著。","烏賊訶子療帶下，阿膠肉果（肉豆寇）緊跟著。","條參雲苓療陰虛，骨皮枸杞緊跟著。","霍香杷葉療逆氣，赤石滑石緊跟著。","芫花大戟療水腫，牽牛防已緊跟著。","瓜萎天冬療結胸，川貝川樸緊跟著。","苦參赤苓（赤茯苓）療溼癢，蛇床白芷緊跟著。","槐花地榆療崩漏，荊芥秦艽緊跟著。","前胡元參療頭風，薄荷柴胡緊跟著。","白附天麻療風痰，殭蠶鬱金緊跟著。","桔梗豆根療喉風，牛子射干緊跟著。","三七蓮子療諸血，黃芩童便緊跟著。","黃芪（用生）防風療目汗，棗仁麥皮緊跟著。","蘆薈胡連療陰熱，澤瀉車前緊跟著。","小茴川椒療腎氣，宿砂故紙緊跟著。","菖蒲柏仁療心疾，茯神遠志緊跟著。","葶藶桑皮療肺喘，礞石硃砂緊跟著。","石膏知母療熱渴，香薷糯米緊跟著。","川楝茴香療疝氣，蘆巴巴戟緊跟著。","升麻柴胡療氣陷，幹葛潞黨緊跟著。","扁豆薏苡療洩瀉，豬苓木通緊跟著。","土礆紅糖療菸毒（洋菸），大黃芒硝緊跟著。","以上"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"蠢子醫","section_title":"蠢子醫","is_available":true},{"id":"chapter-1-section-2","chapter_title":"蠢子醫","section_title":"蠢子醫卷一","is_available":true},{"id":"chapter-1-section-3","chapter_title":"蠢子醫","section_title":"學醫真詮","is_available":true},{"id":"chapter-1-section-4","chapter_title":"蠢子醫","section_title":"診脈下藥詩","is_available":true},{"id":"chapter-1-section-5","chapter_title":"蠢子醫","section_title":"治病皆有主藥","is_available":true}],"plain_text":"# 蠢子醫\n## 蠢子醫\n## 蠢子醫卷一\n陽夏龍之章繪堂甫手著\n榆山朱明掐潛齋甫\n襄邑施景舜虞琴甫\n閻松墅濟源甫\n鄭漢東林春甫\n侄金門君由甫\n孫鎮川兌山甫付印\n侄孫睿川疇瀾甫南\n杭州董志仁校刊\n## 學醫真詮\n學醫第一看藥性，有了藥性心有定。某藥入某經，某藥治某病。\n或是溫，或是涼，與某症相稱。\n或是補，或是瀉，與某症相應。\n各藥各有溫涼補瀉理，各經各有寒烈虛實症。\n看得到時藥分明，此中早已有把柄。學了藥性學脈理，學了脈理方有用。\n某經是真虛，某經是真實，用某藥相應。\n某經是真寒，某經是真熱，用某藥相稱。\n各經各有虛實寒熱理，各藥各有溫涼補瀉性。\n看得到時脈分明，任憑病來如明鏡。\n有了明鏡有把柄，一下筆時便入聖。\n不靠湯頭歌，不任人家命。病端雖夾雜，病脈總清淨。\n藥方雖更變，藥性總周正。君臣佐使無參差，便是醫中之捷徑。\n即有天師再臨凡，亦難尋找方中病。\n學醫者，每多藥性不熟，脈理不精。果能心如明鏡，洞悉。\n某藥與某病相稱，某脈與某症相應，則治病自不難矣。侄金門謹志。\n湯頭歌不可泥①\n今日治病好依湯頭歌，以為十大名醫必不錯。豈知妙理皆自脈中得，不得脈理在用藥。\n得了脈理細風思，其中自必有主藥。有了主藥往下排，此是湯頭真大略。\n今人動說古方好，不知以古治今多有錯。古人未看今日病，安知今日之用藥？\n病症皆從氣運生，今日氣運與古大不合。古人但知古人病，未知今日之病瘓②。(②瘓（ｍ６莫）：痛苦。）\n今日病瘓須得今人治，安得妄用古人藥？古人用藥條條好，安得今日病情恰恰合？\n今日氣運已大變，今日脈理甚可愕。皆因午會火已極，真氣往往往上薄。\n往上薄入鬥風宮，迢迢中指看落落。以下三部皆不管，照舊方兒方知錯。\n真氣盡皆走上頭，（真氣上走，火亦隨之而生）下邊部位皆虛託。\n看似陰寒實真熱，崑崙③頂上通關鑰（③崑崙：與上文鬥風官均指頭部）。\n古聖真理難預傳，所餘方脈盡糟粕。\n願起古人一質證，古人望我如飢渴。安得對面談一笑，眼前大道盡放著。\n若只依湯頭歌，則是不論脈理。抄古人之方，治今人之病，\n安得恰相合乎？何如師古人之意，不泥於古之為得焉？\n侄金門謹志。\n## 診脈下藥詩\n診脈下藥心內裁，手未立方眼已開。\n肺實有力宜大瀉，前胡枳實橘紅偕；\n肺虛無力宜大補，黨參五味百合輔；\n肺實有力夾風火，酒芩全蔞無參佐：輔也。\n肺虛無力夾風寒，款冬紫熒麻黃添。\n心實有力宜大瀉，菖蒲鬱金凌霄偕；\n心虛無力宜大補，棗仁遠志柏子輔；佐也。\n心實有力夾風火，黃連連翹桅子佐；\n心虛無力夾風寒，白附天麻革麥亙添。（⑤麥（ｂＯ撥）：同撥）\n胃實有力宜大瀉，大黃枳殼檳榔偕；\n胃虛無力宜大補，白朮雲苓炙芪輔；\n胃實有力夾風火，知母石膏幹葛佐，\n胃虛無力夾風寒，乾薑白芷寞本添。\n肝實有力宜大瀉，桃仁醋軍（大黃）術（莪術）稜（三稜）偕；\n肝虛無力宜大補，當歸川芎香附輔；\n肝實有力夾風火，柴胡生地二芍（赤芍、白芍）佐；\n肝虛無力夾風寒，吳萸艾時酋烏添。\n命①實有力宜大瀉，芒硝火麻鬱仁偕，\n命虛無力宜大補，宿砂益智肉寇輔；\n命實有力夾風火，槐花地榆蒲黃佐；\n命虛無力夾風寒，黑姜附子故紙添。\n腎實有力宜大瀉，木通澤瀉車前借；\n腎虛無力宜大補，熟地萸肉山藥輔；\n腎實有力夾風火，黃拍丹皮草解佐；\n腎虛無力夾風寒，肉桂巴乾椒（川椒）茴（小茴）添。\n此雖守襪待兔法，聊訓蒙醫以開先。\n吾祖嘗日：吾之脈理遵節庵②。此即遵節庵之意。\n如篇中六部脈之虛實，加風火、風寒，皆於有力、無力中分。\n又各有主藥以治之。學者熟察乎此，不惟能知脈理，且能知溫涼之補瀉，某藥入某經、治某病之數十品矣。\n侄孫涪川謹志。\n## 治病皆有主藥\n治病一定有主藥，不用主藥便是錯。\n火結必要用大黃，枳殼枳實緊跟著。\n寒結必要用巴豆，三稜莪術緊跟著。\n實結必要用山甲，蠍子蜈蚣緊跟著。\n調氣必要用木香，擯榔元胡緊跟著。\n透堅必要用牙皂，風辛辛夷緊跟著。\n破血必要用桃仁，紅花赤芍緊跟著。\n脾脹必要用於漆，火麻鬱仁緊跟著，\n暖胃必要用硫黃，丹參玉竹緊跟著。\n腰疼必要用杜仲，續斷艾葉緊跟著。\n陷下必要用洋參，三生（生附子。生半夏、生南星）狗脊緊跟著。\n去蟲必要用榧子，蕪荑使君緊跟著。\n順氣必要用香附，烏藥腹毛緊跟著。\n通淋必要用斑螫，川漆草藩緊跟著。\n清心必要用黃連，連翹梔子緊跟著。\n老痰必要用砒霜，雄黃綠豆緊跟著。\n助脾必要用馬前，虎骨猴骨緊跟著。\n定痛必要用良姜，宿砂益智緊跟著。\n治疥必要用斑（斑蠻）麻（麻克），大楓蓖麻緊跟著，\n治瘡必要用神燈，艾絨乳（乳香）沒（沒藥）緊跟著。（④神燈：即神燈照法。為燻法的一種。見《外科正宗》。）\n治疔必要用蒜灸，烏金（烏金臺。巴豆炒黑研細，用水調塗患處，以膏藥貼之）菊花（內服甘菊湯，方見卷四疔瘡門）緊跟著。\n治邪必要用銅（自然銅）砂（避陽砂），良姜葛根緊跟著。\n補氣必要用黨參，炙芪白朮緊跟著。\n補血必要用川（川芎）歸（當歸），生地酒芍緊跟著。\n補陰必要用熟地，山藥萸肉緊跟著。\n補火必要用肉桂，乾薑附子緊跟著。\n滋陰必要用黃柏，知母丹皮緊跟著。\n以上一藥為君。\n麻黃杏仁療寒嗽，芥子半夏緊跟著。\n款冬紫菀療虛嗽，百合五味緊跟著。\n川烏草烏療風痺，桂枝靈仙緊跟著。\n黑姜吳萸療翻胃，丁香胡椒緊跟著。\n蒼朮麻黃療風寒，羌活獨活緊跟著。\n川貝蔞霜療火痰，蘇子菔子（萊菔子）緊跟著。\n烏梅五倍療虛脫，龍骨牡蠣緊跟著。\n烏賊訶子療帶下，阿膠肉果（肉豆寇）緊跟著。\n條參雲苓療陰虛，骨皮枸杞緊跟著。\n霍香杷葉療逆氣，赤石滑石緊跟著。\n芫花大戟療水腫，牽牛防已緊跟著。\n瓜萎天冬療結胸，川貝川樸緊跟著。\n苦參赤苓（赤茯苓）療溼癢，蛇床白芷緊跟著。\n槐花地榆療崩漏，荊芥秦艽緊跟著。\n前胡元參療頭風，薄荷柴胡緊跟著。\n白附天麻療風痰，殭蠶鬱金緊跟著。\n桔梗豆根療喉風，牛子射干緊跟著。\n三七蓮子療諸血，黃芩童便緊跟著。\n黃芪（用生）防風療目汗，棗仁麥皮緊跟著。\n蘆薈胡連療陰熱，澤瀉車前緊跟著。\n小茴川椒療腎氣，宿砂故紙緊跟著。\n菖蒲柏仁療心疾，茯神遠志緊跟著。\n葶藶桑皮療肺喘，礞石硃砂緊跟著。\n石膏知母療熱渴，香薷糯米緊跟著。\n川楝茴香療疝氣，蘆巴巴戟緊跟著。\n升麻柴胡療氣陷，幹葛潞黨緊跟著。\n扁豆薏苡療洩瀉，豬苓木通緊跟著。\n土礆紅糖療菸毒（洋菸），大黃芒硝緊跟著。\n以上","is_preview":true,"preview_page_limit":10}