医家立言著书,心存济世者,乃良善之心也,必须亲治其症,屡验方法,万无一失,方可传与后人。若一症不明,留与后人再补,断不可徒取虚名,恃才立论,病未经见,揣度立方,倘病不知源,方不对症,是以活人之心,遗作杀人之事,可不畏欤?如伤寒、瘟疫、杂症、妇科,古人各有所长,对症用方,多半应手取效,其中稍有偏见,不过白玉微瑕,惟半身不遂一症,古之著书者,虽有四百余家,于半身不遂立论者,仅止数人,数人中并无一人说明病之本源,病不知源,立方安得无惜?余少时遇此症,始遵《灵枢》、《素问》、仲景之论,治之无功;继遵河间、东垣、丹溪之论,投药罔效。辗转踌躇,几至束手。伏思张仲景 论伤寒,吴又可著瘟疫,皆独出心裁,并未引古经一语。余空有活人之心,而无济世之手。凡辽是症,必细心研究,审气血之荣枯,辨经络 之通滞,四十年来,颇有所得。欲公之天下,以济后人。奈不敢以管见之学,驳前人之论,另立方法,自取其罪。友人曰:真胸有确见,屡验良方,补前人之缺,救后人之难,不但有功于后世,正是前代之勋臣,又何罪之有?余闻斯议,不揣鄙陋,将男妇小儿半身不遂、瘫腿痿症、抽搐筋挛,得病之源、外现之症、屡验良法、难治易治之形状、及前人所论脉理脏腑经络之错误,一一绘图申明其说,详述前后,以俟高明,再加补助,于医道不无小补云尔。
半身不遂论
半身不遂,病本一体,诸家立论,竟不相同。始而《灵枢经》曰:虚邪偏客于身半,其入深者,内居荣卫,荣卫衰则真气去,邪气独留,发为偏枯,偏枯者,半身不遂也。《素问》曰:风中五脏六腑之俞,所中则为偏风。张仲景曰:夫风之为病,当令人半身不遂。三书立论,本源皆专主于风。至刘河间出世,见古人方论无功,另出手眼,云:中风者,非肝木之风内动,亦非外中于风,良由将息失宜,内火暴甚,水枯莫制,心神昏昧,卒倒无所知,其论专主于火。李东垣见河间方论矛盾,又另立论,曰:中风者,气虚而风邪中之,病在四旬以后,壮盛稀有,肥白气虚者问亦有之。论中有中腑、中脏、中血脉、中经络之分,立法以本气虚、外受风邪是其本也。朱丹溪见东垣方症不符,又分途立论,言:西北气寒,有中风;东南气湿,非真中风。皆因气血先虚,湿生痰,痰生热,热生风也。其论专主于痰,湿痰是其本也。王安道见丹溪论中有东南气温非真中风一句,使云:《灵枢》、《素问》、仲景所言是真中风,河间、东垣、丹溪所言是类中风。虞天民言:王安道分真中风、类中风之说,亦未全是,四方病此者,尽因气温痰火挟风而作,何尝见有真中、类中之分?独张景岳 有高人之见,论半身不遂,大体属气虚,易中风之名,著非风之论,惟引用《内经》厥逆,并辨论寒热血虚、及十二经之见症与症不符、其方不效者。可惜先生于此症,阅历无多。其余名家所论病因,皆是因风、因火、因气、因痰之论;所立之方,俱系散风、清火、顺气、化痰之方。有云气血虚弱而中风邪者,于散风清火方中,加以补气养血之药;有云阴虚 亏损而中风邪者,于滋阴补肾药内,佐以顺气化痰之品。或补多而攻少,或补少而攻多,自谓攻补兼施,于心有得。今人遵用,仍然无效,又不敢议论古人之非,不曰古方不合今病,便云古今元气不同。既云方不合病,元气不同,何得伤寒病麻黄 、承气、陷胸、柴胡,应手取效?何得中风门愈风、导痰、秦艽、三化,屡用无功?总不思古人立方之本,效与不效,原有两途,其方效者,必是亲治其症,屡验之方;其不效者,多半病由议论,方从揣度。以议论揣度,定论立方,如何能明病之本源?因何半身不遂,口眼歪斜?因何语言蹇涩,口角流涎?因何大便于燥,小便频数?毫无定见,古人混猜,以一亏损五成元气之病,
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反用攻发克消之方,安得不错?溯本穷源,非错放医,乃错自著书者之手。嗟呼!此何等事,而竟以意度,想当然乎哉!
半身不遂辨
或曰:半身不遂,古人风火湿痰之论,诸家层次议驳,有证据可凭乎?余曰:即以仲景《伤寒论》中风篇云,中风则令人头疼身痛,发热恶寒,干呕自汗。《金匮要略 》论伤风,则令人鼻塞喷嚏、咳嗽声重、鼻流清涕。中风本门又云,夫风之为病,当令人半身不遂。今请问何等风,何等中法,令人头疼身痛、发热恶寒、干呕自汗?何等风,何等中法,则令人鼻塞喷嚏、咳嗽声重、鼻流清涕?何等风,何等中法,则令人半身不遂?半身不遂,若果是风,风之中人,必由皮肤入经络,亦必有由表入里之症可查。常治此症,初得时并无发热恶寒、头疼身痛、目痛鼻干、寒热往来之表症。既无表症,则知半身不遂,非风邪所中。再者,众人风火湿痰之论,立说更为含混。如果是风火湿痰,无论由外中,由内发,必归经络,经络所藏者,无非气血,气血若为风火湿痰阻滞,必有疼痛之症,有疼痛之症,乃是身痛之痹症,非是半身不遂,半身不遂,无疼痛之症。余平生治之最多,从未见因身痛痹症而得半身不遂者,由此思之,又非风火湿痰所中。
半身不遂本源
或曰:君言半身不达,亏损元气,是其本源,何以亏至五成方病?愿闻其说。余曰:夫元气藏于气管之内,分布周身,左右各得其半,人行坐动转,全仗元气。若元气足,则有力;元气衰,则无力;元气绝,则死矣。若十分元气,亏二成剩八成,每半身仍有四成,则无病;若亏五成剩五成,每半身只剩二成半,此时虽未病半身不遂,已有气亏之症,因不疼不痒,人自不觉。若元气一亏,经络自然空虚,有空虚之隙,难免其气向一边归并。如右半身二成半,归并放左,则右半身无气;左半身二成半,归并放右,则左半身无气。无气则不能功,不能动,名曰半身不遂,不遂者,不遂人用也。如睡时气之归并,人不能知觉,不过是醒则不能翻身;惟睡醒时气之归并,自觉受病之半身,向不病之半身流动,比水流波浪之声尤甚;坐时归并,身心歪倒;行走时归并,半身无气,所以跌仆,人便云因跌仆得半身不遂,殊不知非因跌仆得半身不遂,实因气亏得半身下达,以致跌仆。
口眼歪斜辨
或曰:半身不遂,既然无风,如何口眼歪斜?余曰:古人立歪斜之名,总是临症不细心审查之故。口眼歪斜,并非歪斜,因受病之半脸无气,无气则半脸缩小,一眼无气力,不能圆睁,小眼角下抽;口半边无气力,不能开,嘴角上抽,上下相凑,乍看似歪斜,其实并非左右之歪斜,尝治此症,凡病左半身不遂者,歪斜多半在右;病右半身不遂者,歪斜多半在左。此理令人不解,又无书籍可考。何者人左半身经络,上头面从右行;右半身经络,上头面从左行,有左右交互之义?余亦不敢为定论,以待高明细心审查再补。又曰,口眼歪斜,尽属半脸无气乎?余曰:前论指兼半身不遂而言,若壮盛人,无半身不遂,忽然口眼歪邪,乃受风邪阻滞经络之症。经络为风邪阻滞,气必不上达,气不上达头面,亦能病口眼歪斜。用通经络散风之剂,一药而愈,又非治半身不遂方之所能力也。
辨口角流涎非痰饮
或曰:口角所流,非痰饮乎?余曰:尝治此症,见所流尽是清水,并非稠痰,明明气虚不固津液,不明此理。试看小儿气不足时,流涎者十有八九;高年人气衰时,流涎者十有二三。再以他症互相参考,流涎者属气虚无疑。
辨大便干燥非风火
或曰:患半身不遂,兼大便干燥,古
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人名曰风燥,言其病有风有火,有是理乎?余曰:若是风火,用散风情火、润燥攻下药,大便一行。风散火清,自当不燥。尝见治此症者,误用下药,下后干燥更甚。总不思平素出大恭时,并非大恭顺谷道自流,乃用气力催大恭下行。既得半身不遂之后,无气力使手足动,无气力使舌言,如何有气力到下部催大恭下行?以此推之,非风火也,乃无气力催大恭下行,大恭在大肠,日久不行,自干燥也。
辨小便频数遗尿不禁
或曰:小便频数、遗尿、不禁,有火有应,有分别乎?余曰:有溺尿时玉茎内疼痛,尿一点一滴而出,兼之色红,乃是火症;若高年人,或虚弱人,尿长而痛,其色清白,乃属气虚。溺孔开张,尿流而不知,名曰遗尿;不禁者,尿欲出而入禁止不溺,尿仍自出,此专指小便自病而言。若半身不遂,兼小便频数、遗尿、不禁,绝无玉茎疼痛之苦,此是气虚不固提也。
辨语言蹇涩非痰人
或曰:说话不真,古名语言蹇涩,前人论舌之本有痰有火,此理想来不错?余曰:非痰火也,舌中原有两管,内通脑气,即气管也,以容气之往来,使舌动转能言,今半身无气,已不能动,舌亦半边无气,亦不能全动,故说话不真。试看小儿气不足不能行走时,高年人气衰时,说话俱不真,是其证也。
辨口噤咬牙
或曰:既无风火,如何口噤咬牙?余曰:口噤自是口噤,咬牙自是咬牙,古人以口噤、咬牙混成一症,何临症粗心之甚! 口噤是虚,咬牙是实。口噤是牙紧不开,咬牙是叩齿有声,在伤寡、瘟疫、杂症,妇科,有虚症口噤者,有实症咬牙者。独半身不遂,有口噤,绝无咬牙。亦有口噤太甚,下牙里收,其声如锉,似咬牙,实非咬牙,亦虚症也,如无半身不遂,又无他症相兼,忽然口噤不开,乃风邪阻滞经络,气不上达之所致,用疏通经络之剂即愈。
记未病以前之形状
或曰:元气既亏之后,未得半身不遂以前,有虚症可查乎?余生平治之最多,
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'user-agent' => 'Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)',
'accept' => '*/*',
) [ PARAM ] array (
'id' => '88105',
) [ DB ] INIT mysql [ VIEW ] /webdata/lishishiji/application/index/view/index/news_details.html [ array (
0 => 'param',
1 => 'ip',
2 => 'user',
3 => 'url',
4 => 'site_logo',
5 => 'title',
6 => 'keywords',
7 => 'description',
8 => 'top_host_data',
9 => 'top_class',
10 => 'bar',
11 => 'art_data',
12 => 'between',
13 => 'all_data',
14 => 'goods_pic',
15 => 'laud',
) ]
[ DB ] CONNECT:[ UseTime:0.000339s ] mysql:host=127.0.0.1;dbname=app;charset=utf8 [ SQL ] SHOW COLUMNS FROM `wt_site_art` [ RunTime:0.000626s ] [ SQL ] SELECT id,art_name,author,author_id,laud,add_time,content,description,keywords FROM `wt_site_art` WHERE `id` = 88105 AND `status` = 1 AND `site_id` = 1047 AND `status` = 1 LIMIT 1 [ RunTime:0.000293s ] [ SQL ] UPDATE `wt_site_art` SET `hit` = hit+1 WHERE `site_id` = 1047 AND `id` = 88105 [ RunTime:0.000245s ] [ SQL ] SELECT a.id as aid,`a`.`art_name`,b.id as bid,b.class_name as bn,c.id as cid,c.class_name as cn FROM wt_site_art as a LEFT JOIN `wt_site_art_class` `b` ON `a`.`class_id`=`b`.`id` LEFT JOIN `wt_site_art_class` `c` ON `b`.`pclass_id`=`c`.`id` WHERE `a`.`id` = '88105' AND `a`.`site_id` = '1047' LIMIT 1 [ RunTime:0.000214s ] [ SQL ] SELECT `id`,`sort`,`class_id` FROM `wt_site_art` WHERE `id` = 88105 AND `status` = 1 AND `site_id` = 1047 AND `status` = 1 LIMIT 1 [ RunTime:0.000152s ] [ SQL ] SELECT `id`,`art_name`,`sort` FROM `wt_site_art` WHERE `site_id` = 1047 AND `status` = 1 AND `class_id` = 633 AND `id` > 88105 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000168s ] [ SQL ] SELECT `id`,`art_name`,`sort` FROM `wt_site_art` WHERE `site_id` = 1047 AND `status` = 1 AND `class_id` = 633 AND `id` < 88105 ORDER BY `sort` DESC LIMIT 1 [ RunTime:0.061205s ] [ SQL ] SHOW COLUMNS FROM `wt_site_goods` [ RunTime:0.000802s ] [ SQL ] SELECT `id`,`group_pic`,`goods_name` FROM `wt_site_goods` WHERE `id` = 3981 AND `site_id` = 1047 ORDER BY `sort` DESC LIMIT 1 [ RunTime:0.000177s ] [ SQL ] SELECT `c`.`id` FROM wt_site_art as a LEFT JOIN `wt_site_art_class` `b` ON `a`.`class_id`=`b`.`id` LEFT JOIN `wt_site_art_class` `c` ON `b`.`pclass_id`=`c`.`id` WHERE `a`.`id` = '88105' AND `a`.`site_id` = '1047' LIMIT 1 [ RunTime:0.000212s ] [ SQL ] SELECT `class_id` FROM `wt_site_art` WHERE `id` = 88105 AND `site_id` = 1047 AND `status` = 1 LIMIT 1 [ RunTime:0.000137s ] [ SQL ] SELECT `art_name`,`id` FROM `wt_site_art` WHERE `site_id` = 1047 AND `class_id` = 633 ORDER BY `hit` DESC LIMIT 10 [ RunTime:0.048777s ] [ SQL ] SELECT `art_name`,`id` FROM `wt_site_art` WHERE `site_id` = 1047 AND `class_id` = 633 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.006402s ] [ SQL ] SHOW COLUMNS FROM `wt_site_question` [ RunTime:0.000582s ] [ SQL ] SELECT `id`,`question` FROM `wt_site_question` WHERE `site_id` = 1047 AND `class_id` = 19 AND `status` = 1 ORDER BY `hit` DESC LIMIT 0,10 [ RunTime:0.000159s ] [ SQL ] SELECT `id`,`question` FROM `wt_site_question` WHERE `site_id` = 1047 AND `class_id` = 19 AND `status` = 1 ORDER BY `id` DESC LIMIT 0,10 [ RunTime:0.000116s ] [ SQL ] SELECT `laud` FROM `wt_site_art` WHERE `id` = 88105 LIMIT 1 [ RunTime:0.000173s ]
0.152005s