治同前证。
生石膏(二两,轧细) 阿斯匹林(一瓦)
上药二味,先用白蔗糖冲水,送服阿斯匹林。再将石膏煎汤
一大碗,待周身正出汗时,乘热将石膏汤饮下三分之二,以助阿斯匹林发表之力。迨至汗出之后,过两三点钟,
犹觉有余热者,可仍将所余石膏汤温饮下。若药服完,热犹未尽者,可但用生石膏煎汤,或少加粳米煎汤,徐
徐温饮之,以热全退净为度,不用再服阿斯匹林也。
又∶此汤不但可以代寒解汤,并可以代凉解汤。若以代凉解汤时,石膏宜减半。
附录∶
江苏平台王××来函∶
小儿××,秋夏之交,陡起大热,失常神呆,闭目不食。家慈见而骇甚。吾因胸有成竹定见,遂曰∶“此
无忧。”即用书中石膏阿斯匹林汤,照原方服法,服后即神清热退。第二日午际又热,遂放胆再用原方,因其
痰多而咳,为加清半夏、牛蒡子,服之全愈。
治温病表里俱热,时有汗出,舌苔白,脉浮滑者。
连翘(五钱) 蝉蜕(二钱,去足土) 生石膏(六钱,捣细) 生杭芍(五钱) 甘草(一钱)
若脉浮滑,而兼有洪象者,生石膏当用一两。
治感冒久在太阳,致热蓄膀胱,小便赤涩。或因小便秘,而大便滑泻。兼治湿温初得,憎寒壮热,舌苔
灰色滑腻者。
滑石(一两) 甘草(二钱) 连翘(三钱) 蝉蜕(三钱,去足土) 生杭芍(四钱)
若滑泻者,甘草须加倍。
一叟,年六十五,得风温证。六七日间,周身悉肿,肾囊肿大似西瓜,屡次服药无效。旬日之外,求为诊
视。脉洪滑微浮,心中热渴,小便涩热,痰涎上泛,微兼喘息,舌苔白浓。投以此汤,加生石膏一两,周身微
汗,小便通利,肿消其半,犹觉热渴。遂将方中生石膏加倍,服后又得微汗,肿遂尽消,诸病皆愈。按∶此乃
风温之热,由太阳经入于膀胱之府,阻塞水道,而阳明胃府亦将实也。由是观之,彼谓温病入手经、不入足经
者,何其谬哉!
Treats the same syndrome as mentioned previously.
Sheng Shigao (Raw Gypsum Fibrosum, 2 liang, finely ground) Aspirin (1 wa)
For the above two ingredients, first dissolve white sucrose in water to administer the Aspirin. Then decoct the Shigao into a large bowl of soup. When the patient is sweating profusely over the whole body, drink two-thirds of the hot Shigao soup while it is still hot, to assist the Aspirin in releasing the exterior. After the sweating subsides, if after two or three hours there is still residual heat, the remaining Shigao soup can be drunk warm. If the medication is finished and the heat has not completely subsided, one may use only Sheng Shigao decocted in water, or add a small amount of Jingmi (Oryzae Semen Germum, rice germ) to the decoction, drinking it slowly and warm until the heat is completely gone; no further Aspirin is needed.
Furthermore: This decoction can not only substitute for Hanjie Tang (Cold-Resolving Decoction), but also for Liangjie Tang (Cooling-Resolving Decoction). When substituting for Liangjie Tang, the dosage of Shigao should be halved.
Appendix:
Letter from Wang XX of Jiangsu Pingtai:
Child XX, at the transition between autumn and summer, suddenly developed high fever, with a dull spirit, closed eyes, and refusal to eat. My mother was greatly alarmed upon seeing this. Because I had a firm conviction in my mind, I said, "There is no need to worry." I immediately used the Shigao Aspirin Tang from the book, following the original prescription's administration method. After taking it, the spirit cleared and the fever subsided. On the second day at noon, the fever returned, so I boldly used the original prescription again. Because the child had much phlegm and cough, I added Qing Banxia (Pinelliae Rhizoma Praeparatum cum Alumine et Zingibere, prepared Pinellia) and Niuzi (Arctii Fructus, Arctium Fruit). The child recovered completely.
Treats Warm Disease (Wen Bing) with heat in both the interior and exterior, occasional sweating, white tongue coating, and a floating-slippery pulse.
Lianqiao (Forsythiae Fructus, Forsythia Fruit, 5 qian) Chantui (Cicadae Periostracum, Cicada Slough, 2 qian, feet and dirt removed) Sheng Shigao (Raw Gypsum Fibrosum, 6 qian, crushed fine) Sheng Hangshao (Raw Paeoniae Radix Alba, White Peony Root, 5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root, 1 qian)
If the pulse is floating-slippery and additionally has a surging quality, Sheng Shigao should be used in the amount of 1 liang.
Treats colds lingering in the Taiyang (Greater Yang) channel for a long time, leading to heat accumulation in the Bladder, with red and scanty/difficult urination. Or due to urinary retention, resulting in loose stools/diarrhea. Also treats early-stage Damp-Warmth (Shi Wen), characterized by aversion to cold and high fever, with a grey, slippery, and greasy tongue coating.
Huashi (Talcum, Talc, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root, 2 qian) Lianqiao (Forsythiae Fructus, Forsythia Fruit, 3 qian) Chantui (Cicadae Periostracum, Cicada Slough, 3 qian, feet and dirt removed) Sheng Hangshao (Raw Paeoniae Radix Alba, White Peony Root, 4 qian)
If loose stools occur, the dosage of Gancao must be doubled.
An elderly man, aged sixty-five, suffered from Wind-Warmth (Feng Wen). Within six or seven days, his entire body became swollen, and the scrotum enlarged to the size of a watermelon. Multiple medications were ineffective. More than ten days later, he sought my diagnosis. The pulse was surging, slippery, and slightly floating; the heart felt hot and thirsty; urination was difficult and painful/hot; saliva/phlegm rose upward; slight panting accompanied these symptoms; the tongue coating was thick and white. I prescribed this decoction, adding 1 liang of Sheng Shigao. The patient sweated slightly all over, urination became smooth, and half of the swelling subsided, though heat and thirst remained. Consequently, I doubled the Sheng Shigao in the formula. After taking it, the patient sweated slightly again, the swelling completely disappeared, and all diseases were cured. Note: This is the heat of Wind-Warmth entering the Bladder Fu-organ from the Taiyang channel, obstructing the water passages, while the Yangming Stomach Fu-organ is also becoming full/excess. From this, we see how absurd those who claim that Warm Diseases enter the Hand meridians but not the Foot meridians are!