(论二首 方七首)
论曰∶百合病者,谓无经络百脉一宗悉致病也。皆因伤寒虚劳,大病已后不平复,变成
斯病。其状恶寒而呕者,病在上焦也,二十三日当愈。其状腹满、微喘、大便坚,三四日一
大便,时复小溏者,病在中焦也,六十三日当愈。其状小便淋沥难者,病在下焦也,三十三
日当愈。各随其证以治之。百合之为病令人意欲食,复不能食,或有美时,或有不用闻饮食
臭时,如有寒其实无寒,如有热其实无热,常默默欲卧复不得眠,至朝口苦小便赤涩,欲行
复不能行,诸药不能治,治之即剧吐利,如有神灵所为也。百合病身形如和其脉微数,其候
每溺时即觉头痛者,六十日乃愈。百合病候之溺时头不觉痛,淅淅然寒者四十日愈。百合病
候之溺时觉快,然但觉头眩者二十日愈。百合病证,其人或未病而预见其候者,或已病四五
日而出,或一月二十日后见其候者,治之善误也,根据证治之。
论曰∶百合病见在于阴而攻其阳,则阴不得解也,复发其汗为逆也。见在于阳而攻其阴
,则阳不能解也,复下之其病不愈。(《要略》云,见于阳者以阳法救之,见于阴者以阴法
解之。见阳攻阴复发其汗,此为逆其病,难治。见阴攻阳乃复下之,此亦为逆其病难治。)
治百合病已经发汗后更发之方。
百合(七枚,擘) 知母(三两)
上二味,以泉水先洗渍百合一宿,当沫出水中,明旦去水。取百合更以泉水二升煮取一
升置之。复取知母切,以泉水二升煮取一升,汁合和百合汁中,复煮取一升半,分再服,不
瘥更根据法合服。
(Two treatises, seven prescriptions)
The treatise states: Baihe Bing (Lily Disease) refers to a condition where the meridians and all vessels, originating from one source, are simultaneously affected by pathogenic factors. This disease often arises after severe febrile diseases or consumptive disorders, when the body has not fully recovered its equilibrium following the illness. If the symptoms manifest as aversion to cold accompanied by vomiting, the pathology is located in the Upper Jiao (Upper Burner), and recovery is expected within twenty-three days. If the symptoms manifest as abdominal fullness, slight wheezing, hard stool with defecation occurring only once every three to four days, occasionally mixed with small amounts of loose stool, the pathology is located in the Middle Jiao (Middle Burner), and recovery is expected within sixty-three days. If the symptoms manifest as difficult, dribbling urination, the pathology is located in the Lower Jiao (Lower Burner), and recovery is expected within thirty-three days. Treatment should be administered according to the specific syndrome.
The symptoms of Baihe Bing include an desire to eat yet an inability to do so; at times finding food palatable, while at other times being averse to the smell of food; feeling as if there is cold when actually there is none, and feeling as if there is heat when actually there is none; remaining silent and desiring to lie down yet unable to sleep; until morning presenting with bitter taste in the mouth and dark, painful urination; desiring to walk yet lacking the strength to do so; various medicines fail to cure it, and improper treatment leads to severe vomiting and diarrhea, as if possessed by spirits. Patients with Baihe Bing appear physically normal, but their pulse is slightly rapid. Among the signs, if headache occurs immediately upon urination, recovery takes sixty days. If there is no headache during urination but rather a sensation of chilliness, recovery takes forty days. If urination feels comfortable but is accompanied by dizziness, recovery takes twenty days. Regarding the signs of Baihe Bing, if these signs appear before the onset of illness, or four to five days after onset, or even more than fifty days later, premature treatment may lead to errors; therefore, treatment must be based on the current syndrome.
The treatise further states: If Baihe Bing involves Yin and one attacks Yang, Yin cannot be resolved; inducing sweating in this context is contraindicated. If Baihe Bing involves Yang and one attacks Yin, Yang cannot be resolved; purging in this context will not cure the disease. (As stated in *Jin Gui Yao Lue*: For signs appearing in Yang, treat with Yang methods; for signs appearing in Yin, resolve with Yin methods. Attacking Yin while signs indicate Yang and then inducing sweating is contraindicated and difficult to treat. Attacking Yang while signs indicate Yin and then purging is also contraindicated and difficult to treat.)
Prescription for treating Baihe Bing after erroneous sweating has already been applied:
Baihe (Lilii Bulbus, 7 bulbs, split) Zhi Mu (Anemarrhenae Rhizoma, 3 liang)
Take the above two ingredients. First, soak the Baihe in spring water overnight. When foam appears in the water, discard the water the next morning. Boil the Baihe in 2 sheng of spring water until reduced to 1 sheng, and set aside. Cut the Zhi Mu into pieces, boil in 2 sheng of spring water until reduced to 1 sheng. Mix the Zhi Mu decoction with the Baihe juice, and boil together until reduced to 1.5 sheng. Divide into two doses. If the condition does not improve, prepare and administer again according to this method.