论曰伤寒瘥后,复夹劳者,由病患先有风疹,因汗下之后,营卫虚弱,气不复常,形体
羸瘦,时有盗汗,寒热不常,喘咳痰唾,鼻中臭气,饮食不消,肢体酸痛,面黄颊赤,不即
治之,则致危殆。
治伤寒后夹劳,气四肢无力,脾虚胃弱,饮食无味,向晚潮热,手足心烦渐觉黄瘦。木
香丸方
木香 鳖甲(去裙 醋浸炙各一两) 羌活(去芦头三分) 柴胡(去苗一两) 半夏
(汤洗七遍去滑半两) 桔梗(炒) 知母(焙) 陈橘皮(汤浸去白炒各三分) 五味子 秦
艽(去苗土) 天灵盖(酥炙各半两
桃仁(汤浸去皮尖双仁炒研如膏四两)
上一十二味,捣罗十一味为末,与桃仁同研匀,炼蜜和丸,如梧桐子大,每服空心,米
饮下二十丸,晚再服。
治伤寒后夹劳,肢体烦疼,早晚虚热,口苦嗌干,夜卧多汗,脚手麻痹,及风劳等疾。
羌活散方
羌活(去芦头) 白术 黄 (锉) 青橘皮(汤浸去白炒) 桔梗(炒) 甘草(炙)
附子(炮裂去皮脐) 五加皮(用茱萸半两水一碗煎水尽焙干去茱萸各一两) 桂(去粗皮)
干姜(炮各半两)
上一十味,捣罗为散,每服二钱匕,温酒调下,或用水一盏,生姜三片,枣一枚劈,同
煎至七分,温服不拘时。
治伤寒后夹劳,骨节疼痛,浑身壮热,气力虚乏。人参汤方
人参 桔梗(炒) 白术 芍药 白茯苓(去黑皮) 紫菀(去苗土) 香子(炒各
一两)
秦艽(去苗土三分) 甘草(炙一两半) 柴胡(去苗) 陈橘皮(汤浸去白焙) 苍术(米
泔浸洗
切炒) 羌活(去芦头各二两
上一十三味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣一枚劈,同煎七分去滓,温
服不拘时。
治伤寒后劳气四肢烦痛,日渐虚羸,唇红颊赤。知母汤方
知母(焙半两) 犀角屑 地骨皮 前胡(去芦头) 白藓皮 柴胡(去苗) 赤茯苓
(去黑
皮) 人参 黄 (锉各一两)
上九味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎至七分,去滓食后温服。
治伤寒后骨蒸热,日渐黄瘦,大便涩,小便赤。鳖甲汤方
鳖甲(去裙 醋浸炙一两) 知母(切焙半两) 大黄(锉醋炒) 桑根白皮(锉) 甘
草(炙
锉各一分) 木香(炒半两)
上六味,粗捣筛,每服三钱匕,水一盏,童子小便三分,葱白三寸,煎至七分,去滓早
晚食后温服。
治伤寒温病瘥后夹劳,形体羸瘠,或寒或热,如疟状,四肢烦疼。黄 鳖甲汤方
黄 (锉) 鳖甲(去裙 醋浸炙各一两) 知母(焙) 桑根(白皮各半两) 甘草
(炙锉) 陈橘皮(汤浸去白炒) 白术(各三分)
上七味,粗捣筛,每服五钱匕,水一盏半,葱白三寸,生姜三片,煎至一盏,去滓食后
温服。
治伤寒后夹劳,五心烦热,背膊疼痛,手足无力,不能饮食。柴胡汤方
柴胡(去苗) 黄 (锉) 赤茯苓(去黑皮各一两) 秦艽(去苗土) 地骨皮 黄
上一十一味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎至七分去滓,不拘时温服。
治伤寒后夹劳,寒热乍进乍退。虎骨汤方
虎头骨(涂酥炙) 知母(焙各半两) 甘草(炙) 鳖甲(去裙 醋浸炙) 人参 黄
上六味粗捣筛,每服三钱匕,水一盏,童子小便三分,生姜三片,葱白三寸,煎至七分
去滓,不拘时温服。
治伤寒后夹劳,寒热往来,进退不时,头痛体痛,口苦咽干,不思饮食。人参鳖甲汤方
人参 鳖甲(去裙 醋浸炙) 附子(炮裂去皮脐) 柴胡(去苗各一两) 桃仁(去
上一十四味,锉如麻豆,每服三钱匕,水一盏,生姜三片,煎至七分去滓,早晚食前温
服。
治伤寒瘥后夹劳,四肢无力,骨节烦疼,不思饮食。人参丸方
人参 前胡(去芦头各一两) 干姜(炮半两) 鳖甲(去裙 醋浸炙) 桔梗(锉炒)
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,生姜枣汤下,不拘时服。
治伤寒后,百节疼痛,变为劳气,发热盗汗。前胡汤方
前胡(去芦头) 桔梗(各一两) 龙胆 甘草(炙各半两) 柴胡(去苗二两) 乌
上六味,粗捣筛,每服三钱匕,水一盏,生姜二片,同煎至七分,去滓温服不拘时。
治伤寒后夹劳,羸瘦盗汗,寒热不常,喘咳痰唾,饮食减少。当归汤方
当归(切焙) 代赭(研) 黄连(去须各三分) 桑根白皮(锉焙) 桂(去粗皮) 附
上一十三味,锉如麻豆,每服五钱匕,水一盏半,煎至八分,去滓温服。
Discussion states: After the recovery from Shanghan (Cold Damage), if it is complicated by Lao (Consumptive Disease), it is because the patient previously suffered from Fengzhen (Wind Rash). Following sweating or purgation treatments, the Ying and Wei (Nutritive and Defensive) Qi become weak, and the healthy Qi fails to return to its normal state. The body becomes emaciated, with occasional night sweats, irregular chills and fever, panting, coughing with sputum, foul odor from the nose, indigestion, soreness and pain in the limbs, yellowish complexion with red cheeks. If not treated promptly, it leads to critical danger.
For treating Shanghan after complicated by Lao, with weakness in the four limbs, Spleen deficiency and Stomach weakness, loss of taste for food, tidal fever in the evening, heat sensation in the palms and soles, and gradual onset of sallow complexion and emaciation: Muxiang Wan Formula.
Muxiang (Aucklandiae Radix), Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast, each 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, remove radicle, 3 fen), Chaihu (Bupleuri Radix, remove sprouts, 1 liang), Banxia (Pinelliae Rhizoma, wash seven times in decoction to remove slipperiness, 0.5 liang), Jiegeng (Platycodonis Radix, stir-fried), Zhimu (Anemarrhenae Rhizoma, baked), Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith and stir-fry, each 3 fen), Wuweizi (Schisandrae Fructus), Qinjiao (Gentianae Macrophyllae Radix, remove sprouts and soil), Tianlinggai (Tigridis Tibia, roast with butter, each 0.5 liang), Taoren (Persicae Semen, soak in water, remove skin and tips, remove double-kernel ones, stir-fry and grind into paste, 4 liang).
The above twelve ingredients: Grind eleven ingredients (excluding Taoren) into powder, mix evenly with Taoren paste, combine with refined honey to make pills, size like Sophora seeds. Take 20 pills on an empty stomach, washed down with rice drink; take again in the evening.
For treating Shanghan after complicated by Lao, with vexing pain in limbs, deficiency-heat in morning and evening, bitter taste in mouth and dry throat, profuse night sweats during sleep, numbness in hands and feet, and other diseases such as Wind-Lao: Qianghuo San Powder.
Qianghuo (Notopterygii Rhizoma et Radix, remove radicle), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix, cut into pieces), Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water, remove white pith and stir-fry), Jiegeng (Platycodonis Radix, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Fuzi (Aconiti Lateralis Radix Praeparata, cracked by frying, remove skin and umbilicus), Wujiaopi (Acanthopanacis Cortex, use 0.5 liang of Corni Fructus, boil one bowl of water until dry, bake and remove Corni Fructus, each 1 liang), Guizhi (Cinnamomi Ramulus, remove coarse bark), Ganjiang (Zingiberis Rhizoma, fried, each 0.5 liang).
The above ten ingredients: Grind into powder. Take 2 qian bi per dose, mixed with warm wine; or use one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), one split Zao (Jujubae Fructus), decoct together to 70%, take warm at any time.
For treating Shanghan after complicated by Lao, with joint pain, high fever throughout the body, and deficiency of strength: Renshen Tang Decoction.
Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba), BaiFuling (Poria, remove black skin), Ziwan (Asternis Radix, remove sprouts and soil), Xiangzi (likely Xuan Shen or similar, stir-fried, each 1 liang), Qinjiao (Gentianae Macrophyllae Radix, remove sprouts and soil, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1.5 liang), Chaihu (Bupleuri Radix, remove sprouts), Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith and bake), Cangzhu (Atractylodis Rhizoma, soak in rice wash water, wash, slice and stir-fry), Qianghuo (Notopterygii Rhizoma et Radix, remove radicle, each 2 liang).
The above thirteen ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), one split Zao (Jujubae Fructus), decoct together to 70%, remove dregs, take warm at any time.
For treating Shanghan after Lao-Qi causes vexing pain in limbs, progressive emaciation, red lips and red cheeks: Zhimu Tang Decoction.
Zhimu (Anemarrhenae Rhizoma, baked, 0.5 liang), Xijiaoxie (Rhinocerotis Cornu, shredded), Digupi (Lycii Cortex), Qianhu (Peucedani Radix, remove radicle), Baixianpi (Dictamni Cortex), Chaihu (Bupleuri Radix, remove sprouts), ChiFuling (Poria, remove black skin), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, cut into pieces, each 1 liang).
The above nine ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 70%, remove dregs, take warm after meals.
For treating Shanghan after bone-steaming fever, progressive sallow emaciation, constipation, and dark urine: Biejia Tang Decoction.
Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast, 1 liang), Zhimu (Anemarrhenae Rhizoma, sliced and baked, 0.5 liang), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried with vinegar), Sangbaipipi (Mori Cortex, cut), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 fen), Muxiang (Aucklandiae Radix, stir-fried, 0.5 liang).
The above six ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, 3 fen of Tongzi Xiaoniao (Infant Urine), three cun of Congbai (Allii Fistulosi Bulbus), decoct to 70%, remove dregs, take warm after morning and evening meals.
For treating Shanghan and Wenbing after recovery complicated by Lao, with emaciation, alternating chills and fever resembling malaria, and vexing pain in limbs: Huangqi Biejia Tang Decoction.
Huangqi (Astragali Radix, cut into pieces), Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast, each 1 liang), Zhimu (Anemarrhenae Rhizoma, baked), Sanggenbaipipi (Mori Cortex, each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut), Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith and stir-fry), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 fen).
The above seven ingredients: Coarsely crush and sieve. Take 5 qian bi per dose, with 1.5 zhan of water, three cun of Congbai (Allii Fistulosi Bulbus), three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to one zhan, remove dregs, take warm after meals.
For treating Shanghan after complicated by Lao, with heat in five centers (palms, soles, chest), pain in back and shoulders, weakness in hands and feet, and inability to eat: Chaihu Tang Decoction.
Chaihu (Bupleuri Radix, remove sprouts), Huangqi (Astragali Radix, cut into pieces), ChiFuling (Poria, remove black skin, each 1 liang), Qinjiao (Gentianae Macrophyllae Radix, remove sprouts and soil), Digupi (Lycii Cortex), Huangqi (Astragali Radix).
The above eleven ingredients (Note: Text lists fewer than eleven distinct items, transcribed as per source): Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 70%, remove dregs, take warm at any time.
For treating Shanghan after complicated by Lao, with chills and fever advancing and retreating intermittently: Hugu Tang Decoction.
Hutougu (Pantheris Os, coat with butter and roast), Zhimu (Anemarrhenae Rhizoma, baked, each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix).
The above six ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, 3 fen of Tongzi Xiaoniao (Infant Urine), three slices of Shengjiang (Zingiberis Rhizoma Recens), three cun of Congbai (Allii Fistulosi Bulbus), decoct to 70%, remove dregs, take warm at any time.
For treating Shanghan after complicated by Lao, with alternating chills and fever without fixed timing, headache and body pain, bitter taste in mouth and dry throat, and lack of appetite: Renshen Biejia Tang Decoction.
Renshen (Ginseng Radix et Rhizoma), Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast), Fuzi (Aconiti Lateralis Radix Praeparata, cracked by frying, remove skin and umbilicus), Chaihu (Bupleuri Radix, remove sprouts, each 1 liang), Taoren (Persicae Semen, remove...).
The above fourteen ingredients: Cut into pieces like hemp seeds. Take 3 qian bi per dose, with one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 70%, remove dregs, take warm before morning and evening meals.
For treating Shanghan after recovery complicated by Lao, with weakness in four limbs, vexing joint pain, and lack of appetite: Renshen Wan Pills.
Renshen (Ginseng Radix et Rhizoma), Qianhu (Peucedani Radix, remove radicle, each 1 liang), Ganjiang (Zingiberis Rhizoma, fried, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, remove skirt, soak in vinegar and roast), Jiegeng (Platycodonis Radix, cut and stir-fried).
The above six ingredients: Grind into powder, combine with refined honey to make pills, size like Sophora seeds. Take 20 pills per dose, washed down with Ginger-Jujube decoction, take at any time.
For treating Shanghan after hundred joints pain, transforming into Lao-Qi, with fever and night sweats: Qianhu Tang Decoction.
Qianhu (Peucedani Radix, remove radicle), Jiegeng (Platycodonis Radix, each 1 liang), Longdan (Gentianae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 0.5 liang), Chaihu (Bupleuri Radix, remove sprouts, 2 liang), Wu... [Text cuts off].
The above six ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with one zhan of water, two slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together to 70%, remove dregs, take warm at any time.
For treating Shanghan after complicated by Lao, with emaciation and night sweats, irregular chills and fever, panting cough with sputum, and reduced diet: Danggui Tang Decoction.
Danggui (Angelicae Sinensis Radix, sliced and baked), Daizhe (Haematitum, ground), Huanglian (Coptidis Rhizoma, remove stamens, each 3 fen), Sangbaipipi (Mori Cortex, cut and baked), Guizhi (Cinnamomi Ramulus, remove coarse bark), Fu... [Text cuts off].
The above thirteen ingredients: Cut into pieces like hemp seeds. Take 5 qian bi per dose, with 1.5 zhan of water, decoct to 80%, remove dregs, take warm.