治阴毒伤寒,心神烦躁,头痛,四肢逆冷,面青腹胀,脉沉伏者。
硫黄(通明,五两,别研) 硝石(别研) 太阴玄精(各二两,别研) 干姜(炮) 桂心 附子
(炮,各半两)
上用铁铫,先铺玄精,次下硝末各一半,中间铺硫黄末,又将二石余末盖上,以小盏合
着,熟炭火三斤,烧令得所,勿令烟出,急取瓦盆合著地上,四面灰盖,勿令烟出,候冷,
取出研细,入后药为末,同研匀,米糊丸,如梧子大。每服二三十丸,煎艾汤下,顿服,汗
出为度;未退,乃大着艾炷,灸脐下丹田、气海;更不退,则以葱啖熨之。
治气虚阳脱,体冷无脉,气息欲绝,不省人事;及伤寒阴厥,百药不效者。
葱一束,以索缠如饼馅大,去根叶,唯存白长二寸许,先以火 一面令通热,勿至
灼人,乃以热处着病患脐下,上以熨斗盛火熨之,令葱饼热气透入腹中,更作三四饼,遇一
饼坏,不可熨,即易一饼。候病患醒,手足温,有汗乃瘥,更服四逆汤良。
阳毒为病,躁热,面赤咽痛,身斑色如锦纹,下利赤黄,内外结热,舌焦鼻黑,类如烟
煤,妄言狂走。多因肠胃燥热,阳气独盛,阴气暴绝,妄服燥药、热食所致。
治阳毒。伤寒一二日便成阳毒,或服药吐下后,变成阳毒。腰背痛,烦闷不安
,面赤狂言,或走,或见鬼,或下利,面赤斑斑如锦纹,咽喉痛,下脓血,脉大浮数。五日
可治,七日不可治。
升麻(半两) 犀角屑 射干 黄芩 人参 甘草(炙,各一分)
上为锉散。每服五钱匕,
水一盏,煎七分,去滓热服,并进三四服,温覆汗出为度。
Treatment for Yin-Du Cold Damage (Yin-Toxicity Cold Pathogen Invasion), presenting with mental restlessness and irritability, headache, coldness of the four limbs, cyanosis of the face, abdominal distension, and a deep and hidden pulse.
Sulfur (transparent and pure, five liang, ground separately) Niter (ground separately) Taiyin Xuanjing (Mineral Gypsum/Calcium Sulfate, two liang each, ground separately) Dried Ginger (processed by frying) Cinnamon Twig Heart Aconite Root (processed by frying, half liang each)
Take an iron pot, first spread the Xuanjing at the bottom, then add half of the Niter powder and half of the other medicinal powders, spread the Sulfur powder in the middle, and cover it again with the remaining two mineral powders. Cover with a small cup, burn with three jin of well-burnt charcoal until the heat is appropriate, ensuring no smoke escapes. Quickly place a clay basin upside down on the ground, cover the four sides with ash to prevent smoke from escaping. After cooling, take out and grind into fine powder. Add the subsequent medicines, grind into powder, mix evenly, make pills with rice paste, size like wu-tou seeds (Cocculus trilobus seeds). Take 20-30 pills per dose, decoct mugwort water to swallow, take once as a single dose, stop when sweating occurs; if symptoms do not subside, use large moxa cones to moxibustion the Dantian (Sea of Qi) and Qihai (Sea of Qi) acupoints below the navel; if still not subsiding, chew green onion and apply hot compress.
Treatment for Qi deficiency and Yang collapse, presenting with cold body, absence of pulse, faint breath nearing cessation, unconsciousness; as well as Yin-Jue (Cold Reversal) due to Cold Damage, where various medicines are ineffective.
One bundle of green onions, tied with rope to the size of a pie filling, remove roots and leaves, keeping only the white part about two cun long. First, heat one side over fire until thoroughly warm but not scalding. Place the heated side against the patient's lower abdomen (below the navel), and use a warming pan filled with fire to press/heal over it, allowing the heat from the onion cake to penetrate into the abdomen. Prepare three or four more onion cakes; replace immediately when one becomes unusable. Wait until the patient wakes up, hands and feet become warm, and sweat appears, indicating recovery. Then, administer Sini Decoction (Recovery Decoction) for better results.
Yang-Du disease presents with agitation and fever, red face, sore throat, skin rashes resembling brocade patterns, diarrhea with red and yellow excrement, internal and external accumulation of heat, scorched tongue and black nose resembling soot, delirious speech and running wildly. This is often caused by dryness and heat in the intestines and stomach, excessive Yang qi, sudden exhaustion of Yin qi, and the mistaken consumption of drying/hot medicines or hot foods.
Treatment for Yang-Du. Cold Damage may transform into Yang-Du within one or two days, or after taking medicines that induce vomiting or purging. Symptoms include back pain, restlessness and discomfort, red face and delirious speech, running away, seeing ghosts, diarrhea, red face with mottled rashes like brocade, sore throat, passage of pus and blood, and a large, floating, and rapid pulse. Treatable within five days; untreatable after seven days.
Cimicifugae Rhizoma (Shengma, 升麻, half liang) Rhinoceros Horn (Xijiao, 犀角 - *Note: Modern substitutes usually used*) Belamcanda Rhizome (Shegan, 射干) Scutellaria Root (Huangqin, 黄芩) Codonopsis Root (Renshen, 人参) Licorice Root (Gancao, 甘草, roasted, one fen each)
Grind all ingredients into a coarse powder. Take five qianbi (approx. 5-10 grams depending on era measurement) per dose. Add one stan (approx. 200ml) of water, decoct until reduced to seven tenths, strain, and drink hot. Administer three to four doses continuously, cover warmly to induce sweating as the goal.