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-> -> 卷之三:藥性微蘊大黃

《卷之三:藥性微蘊大黃》[View] [Edit] [History]

1 [卷之三:藥性微蘊] 大黃
2 大黃性苦寒無毒。一名將軍。一名火參。東垣曰推陳致新。如戡定禍亂。以致太平。故有將軍之號。主平胃下氣。逐瘀血。破瘕積聚留飲去痰實。瀉諸實熱不通。除三焦濕熱。心下痞滿。下痢赤白裏急腹痛小便淋瀝。譫語黃膽火瘡諸症此藥乃足太陰手足陽明手足厥陰五經血分之藥若在氣分者用之。是謂誅伐無過矣。蘇頌曰古人用毒藥攻病。必隨人之虛實寒熱而處置。非一切輕用也。梁武帝因發熱。欲服大黃姚僧坦曰大黃乃是快藥至尊年高。不可輕用。帝弗從。幾至委頓。梁元帝常有心腹疾。諸醫咸謂宜用平藥。可漸宣通。僧坦曰脈洪而實此有宿妨。非用大黃無瘥理。帝從之。遂愈。以此言之。今醫用一毒藥而攻眾病。其偶中者便謂此方神奇。其差誤則不言用藥之失。可不戒哉。薛氏醫案云判官汪天錫年六十餘。患痢腹痛後重。熱渴引飲。飲食不進。用芍藥湯內加大黃一兩四劑稍應。仍用前藥大黃減半。數劑而愈。此等元氣百僅一二夫立齋治病固專主溫補第藥隨病施抑何曾廢攻伐不用乎。葛可久武勇絕倫。因挽百石大弓。病內傷。治用大黃八兩。其子憚其峻厲。陰減半。病不盡蠲。可久曲詢。始知其故曰。吾明年當死矣。至期果歿此又病有輕重不得以毒藥衰其大半而論也崇禎戊寅歲餘客汴梁為一郡王治宮人產後發呃症。因言及其先生壯齡時。患瘧痢翻胃。遍治不瘥。自料無生理。一草醫亦精於脈者。連投五劑。用大黃七兩。始能食。再投十餘劑計大黃斤許。前症漸愈。後日服滾痰丸。兩旬方得全痊越年餘連舉五嗣。壽至九十三而薨。如此賦稟。是亦東南所不概見者。甲申夏餘表侄鐘仲章。因為其先人營。暑月汗洩勞力冒寒。一醫投解表藥。內加大黃一錢。未終劑而神思困頓。嘔逆不堪。再延茅複陽投對症藥。未嘗不善。第胃氣已傷。亦不見愈。餘以補中益氣湯。加減數服漸愈。稍勞便複淹延。三月方瘥。
3 竊觀仲景傷寒承氣方旨。必惟三陰里症。燥滿實堅全具者。始可用。奈何三陽表症而遽混投之寧不犯陰盛陽虛汗之則愈下之則死之戒乎又況為勞力傷寒耶。大凡藥稟偏寒偏熱。而非中和上品者。尤須經心酌用。非可逞意輕率也。
URN: ctp:ws237865

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