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《卷一》
148  | 琇按原本悞解內經解㑊為沙証標題云解㑊今訂正之 |
| 149 | 沙病琇按張杲醫說采葉氏録騐方本文祗沙病二字江氏悞標沙症為解㑊遂妄改葉方原文云俗名發沙之症以附㑹之今據醫說訂正江南舊無今東西皆有之原其證醫家不載大凡才覺寒慄似傷寒而狀似瘧但覺頭痛渾身壯熱手足厥冷鄉落多用艾灸以得沙為良有因灸膿血迸流移時而死者誠可憐也有雍承節印行此方云初得病以飲艾湯試吐即是其證急以五月蠶退紙一片碎剪安椀中以楪蓋宻以湯泡半椀許仍以紙封楪縫勿令透氣良久乘熱飲之就卧以厚衣被蓋之令汗透便愈如此豈不勝如火艾枉殘害人命敬之信之葉氏録騐方文琇按此條原刻俱改削葉氏原 今依醫說訂正解與魏玉橫論解㑊書即懈㑊音亦倦杭世駿不能 㑊二字不見他書解 而支節振聳憊而精氣不能檢攝筋不束骨脈不從理解解㑊㑊不可指名非百病中有此一症也內經言此者凡五平人氣象論云尺脈緩濇謂之解㑊王氏注儜不可名儜困弱也玉機真象論云冬脈太過則令人解㑊此從脈起見也刺瘧論云足少陽之瘧令人身體解㑊寒不甚熱不甚惡見人見人心惕惕然熱多汗出甚此從瘧起見也刺要論云刺骨無傷髓髄傷則銷鑠胻酸體解㑊然不去矣四時刺逆從論云夏刺經脈白氣乃竭令人解㑊此從刺而究其極也要見從四末以起見如經所言墮怠小變其辭而意較微𣺌爾後世傳注有與經發明者又有二風論云使人怢慄而不能食名曰寒熱怢慄全元起本作失味皇甫謐甲乙經作解㑊則怢慄即解㑊之解也至真要大論云發不逺熱無犯温涼王氏注不發汗以奪盛陽則熱內淫於四支而為解㑊不可名也粗工呼為鬼氣要病久久不已則骨熱髓涸齒乾乃為骨熱病此又究極解㑊之流弊所謂救病於已形也篁南江氏輯名醫類案引葉氏録騐方以為俗名發痧之證於瘟疫大頭天行之後另列一門武斷極矣發痧余嘗有此病發必神思躁擾少腹痛靈素未嘗言及時小小患苦耳與解㑊之義毫不干涉篁南父子負盛名而內經不讀庸醫祖述其說轉以欺世事無害而理則大繆矣足下續案已成刪去此門庶為穏愜毋令人有悞解內經之誚蕘言或可采也一嫠婦身肥常患發痧之證每用苧麻刮之即愈輒與輒發不出二三日醫用四物等治反加鼻衂江以香附撫芎黄芩梔子等開鬱䧏火清熱之劑與之數服而愈不復舉 |
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