暴瀉病奏議
type: CreativeWork
main entity of page: https://archivebase.ldas.jp/utokyo/kano/resource/tohoku-10010000024961
text: 狩り 暴瀉病奏議全 虎狼痢愚按 虎狼、大古豆帝内経ノ事 問中古万遍回春字面 頭二冊播磨博十一 青山求精堂 蔵書画之記 所謂虎狼癩之為病、即一種暴疫痢、而有如少陰病者、有如厥 陰病者有先厥陰病而後変少陰病者其邪所客在裏忽然令 脾胃虚脱、或浸淫血分、如厥陰病者、其脉稍沈而微数、微白胎一 或微黄胎或無胎、或舌乾或微渇、或吐或欲吐不吐、必下痢、或 発斑或発疹、或身微熱或無熱、此病稍軽、生姜瀉心湯、増損理 中湯、連苓理中湯、或犀角剤、白虎加人参湯、竹葉石膏湯、随症 撰用之、漸愈、如少陰病者、病重、脈微欲絶、微煩、或渇或舌乾燥。 胎同上或微黒胎、或嘔吐或乾嘔、暴下痢、四肢微冷、爪甲及指一 背紫黒色、或転筋、治之、附子理中湯、四逆加人参湯、茯苓四逆 湯、其症大同小異、雖撰用之、而気灸神闕気海丹田等穴、十発 半生、其最重者、脈絶、煩躁、唇舌淡白乾燥、或微胎乾燥、声唖、肢 躰厥冷紫黒波及肘膝四肢乾枯或筋傷内潤或下血或下白 液、旦十発夕十死、無前方及者、未能解病理者、或放血之、或投 之硝黄剤、妄甚、若万有放血之症、可襲西洋家者流乎、可恐可 慎、恩嘗嗟歎無治頃刻斃者、一日読傷寒論少陰篇、玩白通加 加人参 猪膽汁湯之薬品主治、蓋是暴疫痢最重者之的方乎、如 益佳乎 我同志者請試用之有奏効幸甚幸甚焉、再按欲治虎狼痢者一 皆索尋奇薬豈有奇薬乎昔如岐伯鍼灸伊尹湯液仲景法方 乃可謂奇薬妙術、所称古醒医者各得其術、活用其法方以治 万病耳、夫所以治用之無他、慎熟古今書、得其術、親切五診而 処方活用、則雖難治虎狼痢、不能治乎、不熟得書術、粗漏五診 而欲索奇薬沿病者、異不熟鎗釼術而徒索利兵者乎、預欲防 暴疫痢者、莫如為要嘗節飲食、食淡味、減厚味、遠房事、服健胃 剤、強壮脾胃、而後小飲醇酒、豈安政七年歳在庚申、春二月、奉 応 宦命慎録 鼓泰安常時再拝 夫虎狼痢之為病、似虚乱非霍乱、似痧病非痧病、乃一種之急 疫痢也、其初起如傷寒無表症、如瘟疫無半表半裏症、忽然顕 脾胃虚邪盛之症悪按此病者非関平素強弱虚実其人偶饑 飽労力焦悪気鬱之間、邪気因而乗之、忽陥入胃中、且侵血分 者也、故忽然脾胃虚邪盛之症并発発、雖然有専虚寒者、有胃虚 邪盛相半者、有胃虚邪盛偏勝者、亦症有軽重深浅之不等者、 治之専虚寒者四迷加人参湯茯苓四逆湯四逆湯附子理中 湯理中湯、相半者、半夏瀉心湯生姜瀉心湯、虚偏勝者、連苓理 中湯、邪盛偏勝者、白虎湯或白虎加人参湯、治虎狼痢之術無 他、唯雖温補清補己亦有多寡緩急之分務審脈症、従症責於 活用此数方者云爾 預防説 以虎狼痢簡言書、雖有疑似之症皆非也、故亦雖有古人防疫 之法方、未知当否、因思従、誠其不審之法方、寧節飲食、少飲酒、 而莫如慎房事、豈安政七年歳在庚申春二月、奉応 宦命慎録 鼓菊庵常則再拝 自戊午之初秋、至己未之晩秋、比歳於我備之地方 所行之病俗称虎狼痢不唯我地方諸州皆亦有之 云、其死之迅速、朝発夕死、其最劇者、呼病即死、不当 片刻矣若夫就治愈者其症尤軽易而得治法之宜 者也、蓋十中之一二而已、其為症、忽然吐瀉如傾、其 脈忽沈弱微細而如欲絶者、神気幾微、脣面爪甲皆 青、手足轉筋、及厥逆如氷冷汗淋漓吃逆乾嘔等症 其他種々不可後挙矣万病回春霍乱条云涅霍乱 俗云虎狼病、云云、由是観之名虎狼痢者本于此、蓋 人怖之以如虎狼也、今就千占医書私考、霊枢五乱一 篇曰、岐伯曰、清気在陰、濁気在陽、営気順脈、衛気逆 行、清濁相干、乱於腸胃、則為霍乱、云云、病源候論曰、 霍乱者、由人温涼不調、清濁二気、有相干乱之時、其 乱在於腸胃之間者、因遇飲食而変、発則心腹絞痛、 其有心痛者則先吐、先腹痛者則先利、心腹并痛者 則吐痢俱発云云、千金方曰、原霍乱之為病也、皆因 飲食、非関鬼神、夫飽食脆膾、復食乳酪、海陸百品、燕 所不嗽、眠臥冷席、多飲寒漿、胃中諸食、結而不消、陰 陽二気擁而及戻、陽気欲升、陰気欲降、陰陽章隔、変 成吐痢、頭痛似破、百節如解、遍躰諸筋、皆為回転、論 証雖小、卒病之最為可畏、雖臨深履危、不足以論之 養生者、宜達其旨趣、庶、可免於夭横矣、聖済総録、霍 乱統論曰、論曰、三焦者、水穀之道路、気之所終始也、 因風冷或飲食傷胃、致中焦不和、則正気不守、而邪 得以干、揮霍之間、便致擦乱、故名霍乱、云云、傷寒論 弁霍乱病脈症曰、問曰、病有霍乱者何、嘔吐而利、名 曰霍乱、又曰、病発熱頭痛身疼悪寒、吐利者、属何病、 答曰、此名霍乱、云云、我薩庭先生曰、霍乱者、内有所 傷、外有所感、揮霍之間、便致繚乱、是也、要之、内無飲、 食宿滞、何以有腹痛吐瀉、外無邪気感触、何以有揮 霍擦乱、可知外内相搏、而発矣、其病大抵夏秋為多 而或因傷暑、或因失覆受冷、然春温冬寒、亦聞有之、 蓋其邪雖不一、唯飲食傷則所不免云疑今因所引 駿 用之書観之、即今称虎狼痢者、名為霍乱、而治以震 乱之治法、則可無大過也、假令古今…
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