第二百八十八、杏仁煎 治伤寒声重暴嗽,语言不出。
桑白皮 五味子(各一两) 杏仁(三两) 紫菀 贝母 木通(各八钱) 蜜(
二两)
上将五味同煎,水四五碗煎至碗半,去渣,再将杏仁及连皮生姜两半同蜜擂成膏,入药
汁内,一处收贮。每服以匙挑入口噙化,日四五服。
第二百八十九、应手方 治伤寒舌出寸余,连日不收。
梅花冰片(为末擦舌上,应手而收,重者须用一钱方收)
第二百九十、白颈蚯蚓阳证欲死,结胸,无可药者。
白颈蚯蚓(十余条,插烂入蜜半盏、冷水半碗灌服。无蜜用砂糖亦可)
第二百九十一、逍遥散伤寒汗后血气未平,过劳者谓之劳复,犯房室谓之阴阳易。
此证最难治,曾有舌出数寸死者多矣。此汤极妙。
人参 知母 竹青 柴胡 黄连 甘草 滑石 生地 黄犀角 韭白及根(各等分)
水二盏,姜三片、枣二枚,煎八分,入烧 末一钱调服,有粘汗出为效。
第二百九十二、再造散 治伤寒头痛发热恶寒无汗,用发汗药二三剂汗不出者。医家
不识此证,不论时令,遂复用麻黄重药,及火劫取汗,误杀者多矣。殊不知此者为阳虚不能
作汗,故名曰无阳。
人参 黄 桂枝 甘草 熟附 细辛 羌活 防风 川芎 煨生姜 夏日加黄芩
石膏
水二盏、枣二枚,煎一盏,温服。
第二百九十三、黄龙汤心下硬痛,下利纯清水,谵语发渴身热。医家有不识此证,便呼
为漏底伤寒,即用热药止之,是犹抱薪救火,误人多矣。殊不知此因热邪传里,胃中燥粪
结实。此利非内寒而利,乃曰饮汤药而利也,名曰积热利证,宜急下之。身有热者宜用
此汤,身无热者用煎六乙顺气汤。
大黄 芒硝(年高及身弱者去之) 枳实 浓朴 甘草 人参 当归
水盏半,姜三片、枣二枚,煎服。
第二百九十四、芩连消毒饮 治天行时疫,大头痛,发热恶寒,颈项肿,脉洪,痰痹,
此方治之。
柴胡 甘草 桔梗 川芎 黄芩 荆芥 黄连 防风 羌活 枳壳 连翘 射干 白芷
先用大黄煎利二三次,后根据本方去大黄加人参、当归调理。水二盏姜三片煎,有痰者加
竹沥姜汁调。
第二百九十五、六神通圣散 治时行三月后,谓之晚发,头痛身热恶寒,脉洪数。先
用羌活冲和汤,不愈后服此汤。
麻黄 甘草 黄芩 石膏(各一钱) 滑石(钱半) 苍术 川芎 羌活 细辛(各
五分)
水二盏,姜三片、豉一撮、葱白一寸,煎八分服,取汗中病止。
第二百九十六、气渐凡入病家须避其气渐,不使染着为上。此一医人之患也,不可
不知,故并附方于后。
雄黄丸
雄黄(一两) 丹参 鬼箭羽 赤小豆(炒,各二两)
上为细末,炼蜜丸梧桐子大。空心温水下五丸,虽与病患同床合被,不能染也。
又法∶以雄黄末涂鼻孔中,行动从容位而入。男子病邪气出于口,女人病邪气出于阴
门。其相对坐立之间,必须识其向背。
Item 288. Xingren Decoction (Apricot Seed Decoction) Treats Shanghan (Cold Damage) presenting with heavy voice, sudden cough, and aphonia (loss of voice).
Sangbaipi (Morus Alba Root Bark), Wuweizi (Schisandra Chinensis Fruit) (each 1 liang); Xingren (Prunus Armeniaca Seed) (3 liang); Ziwan (Aster Tataricus Root), Beimu (Fritillaria Cirrhosa Bulb), Mutong (Akebia Trifoliata Caulis) (each 8 qian); Fengmi (Honey) (2 liang).
Boil the above five ingredients together with four to five bowls of water until reduced to half a bowl. Strain the dregs. Then, grind Xingren (Prunus Armeniaca Seed) and Shengjiang (Zingiber Officinale Rhizome with skin, two halves) together with Fengmi (Honey) into a paste. Add this paste to the medicinal liquid and store. Each time, take a spoonful, hold in the mouth to dissolve slowly. Take four to five times daily.
Item 289. YingShou Formula (Responsive Formula) Treats Shanghan (Cold Damage) causing the tongue to protrude more than one cun and remain extended for several days without retracting.
Meihua Bingpian (Borneol from Dryobalanops aromatica) (grind into powder and apply to the tongue; it retracts upon application. For severe cases, use 1 qian to achieve retraction).
Item 290. Baijing Diqiu (White-necked Earthworm) Treats Yang syndrome critical condition approaching death, JieXiong (Chest Binding syndrome), where no other medicine is available.
Baijing Diqiu (White-necked Earthworm) (more than ten earthworms, mash them thoroughly, add half a cup of Fengmi (Honey) and half a bowl of cold water, and administer orally. If Fengmi (Honey) is unavailable, white sugar can be used instead).
Item 291. Xiaoyao Powder (Free and Easy Wanderer Powder) Treats post-Shanghan (Cold Damage) sweating where Qi and Blood have not yet stabilized. Overexertion leading to recurrence is called LaoFu (Labor Relapse); sexual activity leading to transmission is called YinYangYi (Yin-Yang Exchange).
This condition is difficult to treat; many have died with tongues protruding several inches. This decoction is extremely effective.
Renshen (Panax Ginseng Root), ZhiMu (Anemarrhena Asphodeloides Rhizome), Zhuqing (Bamboo Leaf), Chaihu (Bupleurum Root), Huanglian (Coptis Chinensis Rhizome), Gancao (Glycyrrhiza Uralensis Root), Huashi (Talcum), Shengdi (Rehmannia Glutinosa Root Prepared by Steaming), Huang Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Jiubaijigen (Allium Tuberosum White Part and Root) (equal parts).
Use two cups of water, three slices of Shengjiang (Zingiber Officinale Rhizome), and two dates. Decoct to eight-tenths volume. Add 1 qian of SuiJin (Hair Charcoal) to mix and take orally. The appearance of sticky sweat indicates efficacy.
Item 292. Zaizao Powder (Regeneration Powder) Treats Shanghan (Cold Damage) presenting with headache, fever, aversion to cold, and anhidrosis (absence of sweating). When diaphoretic medicines taken for two or three doses fail to induce sweat, physicians who do not recognize this syndrome may ignore seasonal conditions and reuse heavy diaphoretics like Mahuang (Ephedra Herba), or employ fire therapy to force sweating, often resulting in fatal errors. It is unknown that this is due to Yang deficiency failing to generate sweat, hence named "WuYang" (No Yang).
Renshen (Panax Ginseng Root), Huangqi (Astragalus Membranaceus Root), Guizhi (Cinnamon Twig), Gancao (Glycyrrhiza Uralensis Root), Shu Fuzi (Prepared Aconite Lateral Root), Xixin (Asarum Root), Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Wei Shengjiang (Roasted Ginger). In summer, add Huangqin (Scutellaria Baicalensis Root) and Shigao (Gypsum Fibrosum).
Use two cups of water and two dates. Decoct to one cup. Take warm.
Item 293. Huanglong Decoction (Yellow Dragon Decoction) Presents with hardness and pain in the epigastrium, diarrhea of pure clear water, delirium, thirst, and fever. Physicians unfamiliar with this syndrome may call it Loudi Shanghan (Leaky Bottom Cold Damage) and immediately use hot medicines to stop diarrhea, which is like adding fuel to the fire, causing much harm. It is unknown that this is caused by heat pathogen transmitting inward, resulting in dry fecal impaction in the stomach. This diarrhea is not due to interior cold but is termed "Li after taking herbal medicine," known as JiRe Li (Accumulated Heat Diarrhea). It requires urgent purgation. Use this decoction if there is fever; if there is no fever, use Jian LiuYi ShunQi Tang (Decoction of LiuYi Regulating Qi).
Dahuang (Rhubarb Root and Rhizome), Mangxiao (Mirabilite) (omit for elderly and weak patients); Zhishi (Immature Bitter Orange), Nongpu (Magnolia Bark), Gancao (Glycyrrhiza Uralensis Root), Renshen (Panax Ginseng Root), Danggui (Angelica Sinensis Root).
Use one and a half cups of water, three slices of Shengjiang (Zingiber Officinale Rhizome), and two dates. Decoct and take orally.
Item 294. Qinlian Xiaodu Yin (Scutellaria and Coptis Detoxification Drink) Treats epidemic febrile diseases (Tianxing ShiYi) presenting with severe headache, fever, aversion to cold, neck swelling, surging pulse, and phlegm obstruction. This formula treats these symptoms.
Chaihu (Bupleurum Root), Gancao (Glycyrrhiza Uralensis Root), Jiegeng (Platycodon Grandiflorus Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Huangqin (Scutellaria Baicalensis Root), Jingjie (Schizonepeta Spike), Huanglian (Coptis Chinensis Rhizome), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Root), Zhiqiao (Aurantii Fructus), Lianqiao (Forsythia Fruit), Shegan (Belamcanda Rhizome), Baizhi (Angelica Dahurica Root).
First, decoct Dahuang (Rhubarb Root and Rhizome) to induce bowel movements two or three times. Then, according to this base formula, remove Dahuang and add Renshen (Panax Ginseng Root) and Danggui (Angelica Sinensis Root) for regulation. Use two cups of water and three slices of Shengjiang (Zingiber Officinale Rhizome) to decoct. For those with phlegm, add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice) to mix.
Item 295. Liushen Tongsheng San (Six Miracles Universal Victory Powder) Treats epidemic febrile disease occurring after three months, known as WanFa (Late Onset), presenting with headache, body heat, aversion to cold, and surging rapid pulse. First use Qianghuo Chonghe Tang (Notopterygium Harmony Decoction); if ineffective, then take this powder.
Mahuang (Ephedra Herba), Gancao (Glycyrrhiza Uralensis Root), Huangqin (Scutellaria Baicalensis Root), Shigao (Gypsum Fibrosum) (each 1 qian); Huashi (Talcum) (1.5 qian); Cangzhu (Atractylodes Lancea Rhizome), Chuanxiong (Ligusticum Chuanxiong Rhizome), Qianghuo (Notopterygium Root), Xixin (Asarum Root) (each 5 fen).
Use two cups of water, three slices of Shengjiang (Zingiber Officinale Rhizome), a pinch of ChiDou (Fermented Soybean), and one cun of Congbai (Scallion White). Decoct to eight-tenths volume and take orally. Induce sweating; stop when the illness resolves.
Item 296. Qi Jian (Vital Energy Transmission) When entering a sickroom, one must avoid the pathogenic qi to prevent infection, which is the best approach. This is a hazard in treating patients and must not be ignored; thus, formulas are appended below.
Xionghuang Wan (Realgar Pill)
Xionghuang (Realgar) (1 liang); Danshen (Salvia Miltiorrhiza Root), Guijianyu (Cornus Swinhoei Branch), Chixiaodou (Vigna Umbellata Seed, stir-fried) (each 2 liang).
Grind all into fine powder. Prepare pills with refined honey, sized like paulownia seeds. Take five pills on an empty stomach with warm water. Even if sharing a bed and blanket with the patient, one will not become infected.
Another method: Apply Xionghuang powder inside the nostrils. Enter the room calmly. Pathogenic qi from male patients exits through the mouth, while from female patients it exits through the vaginal opening. During sitting or standing face-to-face, one must be aware of their orientation relative to oneself.