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-> -> 卷三諸疳症治

《卷三諸疳症治》[View] [Edit] [History]

1 夫疳之為病,亦小兒惡候。十六歲以前,其病為疳,十六歲以上,其病為癆,皆真元怯弱,氣血虛衰之所致也。究其病源,莫不由於脾胃,蓋胃者,水穀之海也。水穀之精氣為榮,悍氣為衛,榮衛豐盈,灌溉諸髒。
2 凡人身充皮毛、肥腠理者,氣也;潤皮膚、美顏色者,血也。所以水谷素強者無病,水穀減少者病,水去穀亡則死矣。凡病疳而形不魁者,氣衰也;色不華者,血弱也。氣衰血弱,知其脾胃必傷。有因幼少乳食,腸胃未堅,食物太早,耗傷真氣而成者;有因甘肥肆進,飲食過餐,積滯日久,面黃肌削而成者;有因乳母寒熱不調,喜怒房勞之後,乳哺而成者;有二三歲後,穀肉果菜恣其飲啖,因而停滯中焦,食久成積,積久成疳;複有因取積太過,耗損胃氣,或因大病之後,吐瀉瘧痢,乳食減少,以致脾胃失養。二者雖所因不同,然皆總歸於虛也。其証頭皮光急,毛髮焦稀,腮縮鼻乾,口饞唇白,兩眼昏爛,揉眉擦鼻,脊聳體黃,鬥牙咬甲,焦渴自汗,尿白瀉酸,肚脹腸鳴,癖結潮熱,酷嗜瓜果、咸炭、水泥者,皆其候也。然治寒以溫,治熱以涼,此用藥之常法。殊不知疳之為病,皆虛所致,即熱者亦虛中之熱,寒者亦虛中之寒,積者亦虛中之積。故治積不可驟攻,治寒不宜峻溫,治熱不可過涼。雖積為疳之母,而治疳必先於去積,然遇極虛者而迅攻之,則積未去而疳危矣。故壯者先去積,而後扶胃氣;衰者先扶胃氣,而後消之。書曰:壯人無積,虛則有之。可見虛為積之本,積反為虛之標也。
3 如惡食滑瀉,乳食直下,牙齦黑爛,頭項軟倒,四肢厥冷,下痢腫脹,面色如銀,肚硬如石,肌肉青黑,肛門如筒,口吐黑血,吐利蛔蟲,並為不治。
4 初病者以集聖丸為主,久病者但以肥兒丸調之,以補為消可也。
5 凡疳之初起者,集聖丸為主方,其有五髒兼証,從權加減,不必多求方法。
URN: ctp:ws128324

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