竹叶(二把) 石膏(一斤) 半夏(半升洗) 麦门冬(一升去心) 人参(三两) 甘草(二两炙) 粳米(半
升)
上七味。以水一斗。煮取六升。去滓。内粳米。煮米熟。汤成。去米。温服一升。日三服。
成注云。辛甘发散而除热。竹叶石膏甘草之甘辛。以发散余热。甘缓脾而益气。麦门冬人参粳米之甘。以补不足。
辛者散也。气逆者欲其散。半夏之辛以散气逆。
琥按上方。乃和解肺胃虚热。兼消停饮之剂。成注云辛甘发散。误矣。至若胃无大热。石膏在所当去胃无停饮。半
夏又非所宜。临证制方。不宜执也。
病患脉已解。而日暮微烦。以病新瘥人。强与谷。脾胃气尚弱。不能消谷。故令微烦损谷。则愈。(病患脉已解者。
谓脉不浮。又不沉实。表里之邪为尽除也。烦热也。日暮犹微热者。成注云。日暮为阳明王时。以病热新瘥之人。强与
谷食。食谷既多。脾胃气尚虚弱。一时不能消化。故令生烦热也。然其热甚微。止须减损其谷而病自愈。愚按此条。乃
不须服药证。故仲景止设一损谷之法。成注云。当小下之。是与前条食复证无别矣。误极误极。)
孙真人云。病新瘥后。但得食糜粥。宁少食。令饥。慎勿饱。不得他有所食。虽思之。勿与之也。引日转久。可渐
食羊肉白糜。若羹汁。雉兔鹿肉。不可食猪狗肉也。
琥按上孙氏云。宜食羊雉兔鹿等肉。夫雉属火而性温有毒。又羊鹿虽补。其性大热。恐病后不宜食也。倘少食羹
汁。亦无害。惟兔属金而性凉。为可食耳。
新瘥后。当静卧。慎勿早起。梳洗。亦不可多言语。用心使意劳烦凡此皆令人劳复。故督邮顾子献得病已瘥未健诣
华敷视脉。敷曰。虽瘥尚虚。未得复。阳气不足。慎勿劳事。余劳尚可。女劳(外台作御内)则死当吐舌数寸其妇闻其
夫瘥。从百余里来省之。经宿交接中间三日。发热口噤。舌出数寸而死。(按此段巢氏病源云出之范汪方中也。)病新瘥。
未满百日。气力未平复。而以房室者。略无不死。有士盖正者。疾愈后。六十日。已能行射猎。以房室。即吐涎而死。
及热病房室。名为阴阳易之病皆难治。多死。近者。有一士大夫小得伤寒。瘥已十余日。能乘马行来。自谓平复。以房
室。即小腹急痛。手足拘挛而死。
琥按上孙氏云云。皆女劳复也。外台秘要中引作阴阳易病。以致俗医妄谈云。阴阳易之病。有舌出数寸而死者。
殊不知阴阳易病。犹属可生。女劳复病大率多死。故千金但有治劳复之方。而无女劳复之药也。慎疾君子。其自谨之。
Zhu Ye (Two handfuls) Shigao (One jin) Banxia (Half sheng, washed) Maimendong (One sheng, heart removed) Renshen (Three liang) Gancao (Two liang, roasted) Jingmi (Half sheng)
The above seven ingredients. Use one dou of water. Boil to obtain six sheng. Remove the dregs. Add Jingmi. Cook until the rice is ripe. The decoction is ready. Remove the rice. Take one sheng warm each time. Three times a day.
Cheng Wuji's annotation states: Acrid and sweet disperse and eliminate heat. The acrid and sweet nature of Zhu Ye, Shigao, and Gancao disperses residual heat. Sweetness soothes the Spleen and benefits Qi. The sweetness of Maimendong, Renshen, and Jingmi supplements insufficiency. Acridity disperses. For rebellious Qi, dispersion is desired. The acridity of Banxia disperses rebellious Qi.
Hu notes: The above formula is a harmonizing agent for deficiency-heat in the Lung and Stomach, combined with eliminating retained fluid. Cheng Wuji's claim of "acrid and sweet dispersion" is incorrect. If there is no significant heat in the Stomach, Shigao should be removed; if there is no retained fluid in the Stomach, Banxia is not suitable. In clinical prescription formulation, one should not adhere rigidly.
The patient's pulse has resolved, yet there is slight restlessness at dusk. This occurs because a person whose illness has just convalesced forces themselves to eat, while the Qi of the Spleen and Stomach remains weak and unable to digest food, thus causing slight restlessness. Reducing food intake leads to recovery. ("Patient's pulse has resolved" means the pulse is neither floating nor deep and solid, indicating that pathogenic factors in the exterior and interior have been completely eliminated. Restlessness and heat. The persistence of slight heat at dusk: Cheng Wuji annotates that dusk is the time when the Yangming channel is prosperous. Because a person recovering from heat illness forces themselves to consume grain food, excessive consumption of grain, coupled with still-weak Spleen and Stomach Qi that cannot digest it momentarily, generates restlessness and heat. However, the heat is very mild; merely reducing grain intake allows the disease to heal spontaneously. I believe this clause describes a condition requiring no medication, hence Zhongjing only establishes the method of reducing food intake. Cheng Wuji suggests using a mild purgative method, which is indistinguishable from the previous clause on dietary relapse. Extremely erroneous, extremely erroneous.)
Sun Simiao says: After the illness has just convalesced, one should only consume congee. It is better to eat less and feel hungry. Do not get full. Do not consume other foods. Even if craving them, do not provide them. After several days, gradually introduce mutton white congee. If consuming soup, pheasant, rabbit, or deer meat may be eaten. Pork and dog meat must not be consumed.
Hu notes: Regarding Sun's statement about eating mutton, pheasant, rabbit, and deer meat: Pheasant belongs to Fire and has a warm nature with toxicity. Although mutton and deer are tonifying, their nature is greatly hot, making them unsuitable post-illness. Consuming small amounts of soup poses no harm. Only rabbit, belonging to Metal and having a cool nature, is edible.
After convalescence, one should lie quietly. Do not rise early. Comb washing, nor speaking much. Mental exertion and worry all cause labor relapse. Thus, Gu Zixian, a Duzhou official, who had recovered from illness but was not fully robust, sought Hu Fu's pulse diagnosis. Hu Fu said: "Although recovered, still deficient, not yet restored. Yang Qi is insufficient. Avoid labor. Other labors may be tolerated, but sexual intercourse (Nü Lao, as recorded in Waitai Miyao) leads to death, manifesting as the tongue protruding several inches." His wife, hearing of his recovery, traveled over a hundred li to visit him. After one night of intercourse, within three days, he developed fever, trismus, and his tongue protruded several inches before he died. (Note: This passage originates from Chao Yuanfang's *Zhubing Yuanhou Lun*, citing Fan Wang's prescription.) For those whose illness has just convalesced, within one hundred days, while Qi and strength have not yet recovered, engaging in sexual intercourse results in almost certain death. A scholar named Shi Gaizheng, sixty days after recovery, could walk and hunt; upon engaging in sexual intercourse, he vomited saliva and died. Engaging in sexual intercourse during febrile illness is named Yin-Yang Yi disease, which is difficult to treat and often fatal. Recently, a scholar suffered minor Shanghan, recovered for over ten days, could ride a horse, believing himself restored, engaged in sexual intercourse, resulting in acute lower abdominal pain, spasm of hands and feet, and death.
Hu notes: What Sun Simiao described above are all cases of Nü Lao Fu (sexual activity-induced relapse). *Waitai Miyao* cites this as Yin-Yang Yi disease, leading vulgar physicians to falsely claim that Yin-Yang Yi disease causes death by tongue protrusion. They fail to realize that Yin-Yang Yi disease is potentially survivable, whereas Nü Lao Fu usually proves fatal. Hence, *Qianjin Fang* contains formulas for treating Lao Fu but no specific medicine for Nü Lao Fu. Gentlemen who respect health must exercise caution.