肾腑脏温病阴阳毒。膀胱腑虚,为阴邪所伤,里热外寒,烦渴引饮,喜火,
腰胁满痛,小便赤黄,面与脚俱黑。
附子(炮去皮脐) 茯苓(各一两) 山茱萸 细辛(各半两) 麻黄(三分) 山药 泽泻(各半两)
杏仁(去皮尖,一分)
上为锉散。每服五钱,水两盏,煎七分,去滓,食前服。
治黑骨温 肾腑脏温病阴阳毒。肾脏实,为阳毒所伤,腰胁切痛,不得转动,大小便秘
涩,小腹胀,食冷则洞泄,色熏黑。
吴茱萸 黑牵牛(炒) 桃仁(去皮尖) 萆 大黄 杜仲(去皮锉,姜汁制炒丝断)
上为锉散。每服五钱,水两盏,煎七分,去滓,食前服。
凡春分以前,秋分以后,天气合清寒,忽有温暖之气折之,则民病温疫;春分以后,秋
分以前,天气合湿热,忽有清寒之气折之,则民病寒疫。治之各有法,不可拘以日数汗下。
此且据方论,一体而分。既有寒温二疫,风湿亦宜备论。如己未年,京师大疫,汗之死,下
之死,服五苓散遂愈,此无他,湿疫也。以此为法,每年遇有不正之气,即当纪而用之。假
如冬合寒,时有温暖之气,则春必患温疫;春合温,而有清凉之气,则夏必患燥疫;夏合热
,而有寒气折之,秋必病寒疫;秋合清,而反淫雨,冬必病湿疫。此亦一途而推之,更须以
时斟酌,不可偏执。况疫之所兴,或沟渠不泄, 其秽恶,熏蒸而成者;或地多死气,
郁发而成者;或官吏枉抑,怨 而成者。世谓狱温、伤温、墓温、庙温、社温、山温、
海温、家温、灶温、岁温、天温、地温等,不可不究。古法辟之,用屠苏酒,务成子萤火丸
、李子建杀鬼煎、老君神明散,皆辟法。惟刘根别传,令于州治太岁六合处,穿地深三尺,
阔亦如之,取净沙三斛实之,以醇酒三升沃其上,俾使君祝之,此亦消除疫气之良术。所谓
太岁六合者,岁泄气之所在,故以厌禳。
[Ren Fu Zang Wen Bing Yin Yang Du]
When the Kidney organ is deficient and injured by Yin pathogens, it presents with internal heat and external cold, irritability, thirst with a desire to drink, a preference for warmth, distension and pain in the waist and hypochondrium, dark yellow urine, and blackening of both the face and feet.
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), Poria (Fu Ling) [each 1 liang], Cornus Officinalis Fruit (Shanzhuyu), Asarum Root (Xixin) [each 0.5 liang], Ephedra Herb (Mahuang) [3 fen], Chinese Yam (Shanyao), Alisma Rhizome (Zexie) [each 0.5 liang], Apricot Seed (Xingren) [skin and tip removed, 1 fen].
Grind the above ingredients into a coarse powder. Take 5 qian per dose, add two zhan of water, decoct until reduced to 7/10, strain off the dregs, and take before meals.
[Zhi Heigu Wen]
When the Kidney organ is excess and injured by Yang toxins, it presents with cutting pain in the waist and hypochondrium, inability to turn or move, constipation of stool and difficulty in urination, lower abdominal distension, diarrhea after eating cold food, and a dark, smoky complexion.
Evodia Fruit (Wuzhuyu), Black Morning Glory Seed (Heiqianniu) [stir-fried], Peach Kernel (Taoren) [skin and tip removed], Dioscorea Hypoglauca Rhizome (Bixie), Rhubarb (Dahuang), Eucommia Bark (Duzhong) [skin removed, cut, stir-fried with ginger juice until fibers break].
Grind the above ingredients into a coarse powder. Take 5 qian per dose, add two zhan of water, decoct until reduced to 7/10, strain off the dregs, and take before meals.
Before the Spring Equinox and after the Autumn Equinox, when the weather should be clear and cold, if suddenly warm qi invades, the people will suffer from Warm Epidemic; after the Spring Equinox and before the Autumn Equinox, when the weather should be damp-heat, if suddenly cold and clear qi invades, the people will suffer from Cold Epidemic. Treatment methods differ for each, and one must not rigidly adhere to days to decide on sweating or purging therapies. Here, based on formula theory, we distinguish them as one category split into types. Since there are Cold and Warm epidemics, Wind-Dampness should also be discussed. For example, in the Jiwei year, a major epidemic occurred in the capital; those treated with sweating died, those treated with purging died, but those who took Wuling San recovered. There was no other reason; this was a Damp Epidemic. Use this as a method: every year when encountering abnormal qi, record and apply it accordingly. Suppose winter should be cold but has occasional warm qi; then spring will surely see Warm Epidemic. Suppose spring should be warm but has cool qi; then summer will surely see Dry Epidemic. Suppose summer should be hot but has cold qi invading; then autumn will surely see Cold Epidemic. Suppose autumn should be clear but has excessive rain; then winter will surely see Damp Epidemic. This is deduced along the same path, but one must still weigh the season carefully and not be biased. Moreover, the rise of epidemics may be due to unclogged ditches where filth and foul air steam and accumulate; or due to dead qi in the land accumulating and erupting; or due to officials' injustice and oppression causing resentment to condense. What the world calls Prison Warmth, Injury Warmth, Tomb Warmth, Temple Warmth, Earth God Warmth, Mountain Warmth, Sea Warmth, Home Warmth, Stove Warmth, Year Warmth, Heaven Warmth, Earth Warmth, etc., must not be ignored. Ancient methods to ward off these include Tusu Wine, Wuchengzi Yinghuo Pill, Li Zijian Shagui Decoction, and Laojun Shenming Powder, all of which are apotropaic methods. Only Liu Gen's separate transmission records that at the Tai Sui Liuhe position of the prefectural government, one should dig a pit three chi deep and wide, fill it with three hu of clean sand, pour three sheng of pure wine over it, and have an envoy pray and chant; this is also an excellent technique to eliminate epidemic qi. The so-called Tai Sui Liuhe refers to the location where the annual qi leaks, hence used for suppression and exorcism.