伤寒内发斑,身热心如火,口渴呼水。气喘舌燥,是谓阳火焚于胃口。宜用大剂寒凉扑
灭之。方用∶
元参三两 黄芩一两 麦冬三两 升麻二钱 防风 天花粉 青黛 生甘草各三钱 生
地一两 桑白皮五钱 苏叶一钱
一剂即消大半,二剂全愈。
按∶此方虽传自神仙,惟升麻用至二钱,余药也用至数两,用者大宜斟酌,不可泥古。
(孙思邈注)
用麻黄一握(去节、绵裹) 陈酒五升
煮取半升,顿服,取小汗。春月可用水煎。
丹砂十二铢 蜀椒 蜀漆 干姜 细辛 黄芩 防己 桂心 茯苓 人参 沙参 桔梗
女萎 乌头各十八铢 雄黄二十四铢 吴茱萸三十铢 麻黄 代赭石各二两半
上十八味冶,下筛,酒服方寸匕,日三。覆令汗出。
青柏叶三两 干姜二两 艾三把
以水五升,煮取一升,去滓。别绞取新出马通汁一升,相和合煎,取一升,绵滤之,温
分再服。马通汁,是马屎汁也。
釜灶下黄焦土半升(棉裹) 甘草三两(炙) 干地黄三两 白术三两 附子三两(炮
研) 阿胶三两(炙) 黄芩三两
先以水八升煮六味,取三升,去滓,纳胶令烊,分三服。忌海藻,菘菜,芜荑,猪肉,
桃李等。
衄者,鼻出血也。此由五脏热结所为。方用∶
左顾牡蛎十分(熬) 石膏五分
上二味捣末 酒服方寸匕,日三、四。亦可蜜丸如梧子大,酒服十五丸。
Typhoid disease (Shanghan) with internal eruption of macules, body heat burning like fire, thirst calling for water. Panting and dry tongue, this is called Yang Fire burning in the stomach region. It is appropriate to use a large dose of cold-natured drugs to extinguish it. The prescription is as follows:
Scrophulariae Radix (Xuanshen) 3 liang, Scutellariae Radix (Huangqin) 1 liang, Ophiopogonis Radix (Maidong) 3 liang, Cimicifugae Rhizoma (Shengma) 2 qian, Saposhnikoviae Radix (Fangfeng), Pseudostellariae Radix (Tianhuafen), Indigo Naturalis (Qingdai), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao) each 3 qian, Rehmanniae Radix (Sheng Di) 1 liang, Morus Albae Cortex (Sangbaipi) 5 qian, Perilla Leaf (Suye) 1 qian.
One dose will eliminate more than half; two doses will result in complete recovery.
Note: Although this prescription is said to be passed down from immortals, Shengma is used up to 2 qian, and other herbs are also used in amounts of several liang. Users must exercise great caution and not adhere rigidly to ancient methods. (Comment by Sun Simiao)
Use Ephedrae Herba (Mahuang) one handful (remove nodes, wrap in cotton), aged rice wine 5 sheng.
Boil to obtain half a sheng of liquid, take in one dose, aiming for slight sweating. In spring, water can be used for decoction instead.
Cinnabaris (Dansha) 12 zhu, Zanthoxyli Fructus (Shujiao), Coicis Semen (Shuqi - *Note: Text says Shuqi, likely referring to a specific herb or typo for Coix/other, keeping literal*), Zingiberis Rhizoma Exsiccatum (Ganjiang), Asari Radix et Rhizoma (Xixin), Scutellariae Radix (Huangqin), Podocarpi Radix (Fangji), Cinnamomi Ramulus (Guixin), Poria (Fuling), Ginseng Radix (Renshen), Adenophorae Radix (Shashen), Platycodonis Radix (Jiegeng), Anemarrhenae Rhizoma (Nvwei), Aconiti Lateralis Radix Preparata (Wutou) each 18 zhu, Realgar (Xionghuang) 24 zhu, Evodiae Fructus (Wuzhuyu) 30 zhu, Ephedrae Herba (Mahuang), Haematitum (Daizheshi) each 2.5 liang.
The above eighteen ingredients are crushed and sifted. Take one fangcun bi (a measure of volume) with wine, three times a day. Cover to induce sweating.
Cupressi Cacumen (Qingbaiye) 3 liang, Zingiberis Rhizoma Exsiccatum (Ganjiang) 2 liang, Artemisiae Argyi Folium (Ai) three handfuls.
Decoct with five sheng of water to obtain one sheng. Remove dregs. Mix with one sheng of fresh horse dung juice (Matongzhi). Re-decoct to obtain one sheng, filter through silk cloth, and take warm in two divided doses. Matongzhi is the juice of horse manure.
Half a sheng of yellow scorched earth from the stove bottom (wrapped in cotton), Prepared Glycyrrhizae Radix et Rhizoma (Zhi Gancao) 3 liang, Rehmanniae Radix Exsiccata (Gan Dihuang) 3 liang, Atractylodis Macrocephalae Rhizoma (Baizhu) 3 liang, Prepared Aconiti Lateralis Radix (Pao Fu Zi, ground) 3 liang, Prepared Colla Corii Asini (Zhi Ejiao) 3 liang, Scutellariae Radix (Huangqin) 3 liang.
First, decoct the first six ingredients in eight sheng of water to obtain three sheng. Remove dregs, add Ejiao until melted. Divide into three doses. Avoid eating Sargassum (Haizao), Chinese cabbage (Songcai), Xanthoceras sorbifolium seed (Wuyi), pork, plums, peaches, etc.
Nuxue (Epistaxis/Nosebleed) refers to bleeding from the nose. This is caused by heat accumulation in the five zang organs. The prescription is as follows:
Ostreae Concha (Zuo Gu Muli) 10 fen, Gypsum Fibrosum (Shigao) 5 fen.
Crush these two ingredients into powder. Take one fangcun bi with wine, three to four times a day. Alternatively, make honey pills the size of wutong seeds, taking fifteen pills with wine per dose.