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1
诸湿统论
2
温气不一,有天之湿,雾露雨是也。天本乎气,故先中表之营卫。有地之湿,水泥是也本乎形,故先伤皮肉筋骨血脉。有饮食之湿,酒水乳酪之类是也,伤于脾胃。有汗液之湿,汗液亦湿也,止感于外。有人气之湿,太阴湿土之所化也,乃动于中。天之湿,汗之。地之湿,渗之。饮食之湿,在上吐之,在中夺之,在下者引而竭之。汗液之湿,亦以汗取之。人气之湿,属太阴所化,在气交之分。土兼四气,寒热温凉,升降浮沉,备在其中,当分上下中外而治,以兼化四气,淫佚上下中外,无处不到也。大率在上则病头重胸满呕吐;在外则身重肿胀;在下则足胫跗肿;在中则腹胀中满痞塞。其所用药,亦兼寒热湿凉以为佐使而治之。
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湿之为病,有自外入者,有自内生者,必审其方土之病本。东南地下,多阴雨地湿,凡从外入,多自下起,是以重腿香港脚者多,治当汗散,久者宜疏通渗泄。西北地高,人食生冷湿面,或饮酒后寒气怫郁,湿不能越,或腹皮胀疼,甚则中满水蛊,或周身浮肿如泥,按起,此皆自内而生者也。审其元气多少,而通利其二便,责其根在内者也。然方土内外,亦互相有之,但多少不同,须对症施治,不可执一也。中湿与风寒气合者为痹,其寒多者为痛,为浮肿,非术、附、桂不能去也。其风多者,为烦剧,为流走,非麻黄、薏苡、乌头不能散也。其湿多者,为坚满,为气闭,非甘遂、葶苈、枳、术不能泄也。
URN: ctp:ws211006

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