治伤寒后结热在内烦渴者方。
青葙子(五两) 黄芩 栝蒌根 苦参(各一两) 黄柏(二两) 龙胆 栀子仁 黄
连(各
三两)
上八味为末,蜜丸如梧子大,先食服七丸,日三,不知稍加。(一本云饧和为丸。)
治伤寒热病十日以上,发汗不解及吐下后诸热不除,及下痢不止,斑出皆治
大青(四两) 甘草 阿胶(各二两) 豆豉(一升)
上四味 咀,以水八升煮取三升,去滓,煮三沸去豉,纳阿胶令烊,顿服一升,日三
服。欲尽复作,常使有余,渴者当饮,但除热止吐下,无毒。深师治劳复。(《肘后》有赤
石脂三两。胡洽《集验》同。)
治伤寒后不了了朝夕有热如疟状方∶
知母(二两) 麻黄 甘草 芍药 黄芩 桂心(各一两)
上六味 咀,以水七升煮取二升半,服五合,日三,温覆令微汗。若心烦不得眠,其
人欲饮水,当稍稍饮之,令胃中和则愈。
初得病,或先头痛身寒热,或涩涩欲守火,或腰背强直,面目如饮酒状,此伤寒初得一
二日,但烈火灸心下三处。第一处去心下一寸名巨阙,第二处去心下二寸名上脘,第三处去
心下三寸名胃脘,各灸五十壮。然或人形大小不同,恐寸数有异,可绳度随其长短寸数
最佳,取绳从心头骨名鸠尾头度,取脐孔,中屈绳取半,当绳头名胃脘。又中屈半绳更分为
二分,从胃脘向上度一分即是上脘。又上度取一分即是巨阙。大人可灸五十壮,小儿可三壮,
亦随其年灸之大小以意斟量也。
若病者三四日以上,宜先灸胸上二十壮。以绳度鼻正上尽发际,中屈绳断去半,便从发
际入发中,灸绳头名天聪,又灸两颞 ,又灸两风池,又灸肝俞百壮,余处各二十壮,又灸
太冲三十壮,神验。
Formula for treating residual heat accumulation in the interior causing irritability and thirst after Shanghan (Cold Damage).
Qixiangzi (Herba Celosiae, 5 liang) Huangqin (Radix Scutellariae, 1 liang) Gualualgen (Radix Trichosanthis, 1 liang) Kushen (Radix Sophorae Flavescentis, 1 liang) Huangbai (Cortex Phellodendri, 2 liang) Longdan (Radix Gentianae, 3 liang) Zhiziren (Semen Gossypii Herbacei Preparatum, 3 liang) Huanglian (Rhizoma Coptidis, 3 liang)
Grind the above eight herbs into powder, mix with honey to make pills the size of wu zi (Christ's thorn jasmine seeds). Take seven pills before meals, three times a day. If ineffective, gradually increase the dosage. (Another version states to use maltose syrup to form pills.)
For treating Shanghan-heat disease lasting more than ten days, where sweating fails to resolve the pathogen, or various heat pathogens persist after vomiting and purging, as well as persistent dysentery and eruption of macules, this formula is applicable.
Daqing (Cortex Isatidis, 4 liang) Gancao (Radix Glycyrrhizae, 2 liang) Ejiao (Colla Corii Asini, 2 liang) Douchi (Fructus Sojae Preparatus, 1 sheng)
Chop the above four ingredients, decoct in eight sheng of water until reduced to three sheng. Strain the dregs, boil again for three boils, remove Douchi, add Ejiao and stir until dissolved. Take one sheng at once, three times a day. To ensure complete recovery and elimination of lingering pathogens, maintain sufficient therapeutic potency; drink water if thirsty. This formula clears heat and stops vomiting and diarrhea; it is non-toxic. Shenshi Formula treats Laofu (relapse due to overexertion). (Zhouhou Beiji Fang contains Chishizhi, 3 liang. Hu Qian's Jiyan Fang is identical.)
Formula for treating post-Shanghan condition characterized by morning and evening fever resembling malaria:
Zhimu (Rhizoma Anemarrhenae, 2 liang) Mahuang (Herba Ephedrae, 1 liang) Gancao (Radix Glycyrrhizae, 1 liang) Shaoyao (Radix Paeoniae Alba, 1 liang) Huangqin (Radix Scutellariae, 1 liang) Guixin (Cortex Cinnamomi, 1 liang)
Chop the above six ingredients, decoct in seven sheng of water until reduced to two and a half sheng. Take five he per dose, three times a day. After taking the medicine, cover warmly to induce slight sweating. If there is irritability and insomnia, and the patient desires water, provide small amounts of water frequently until the Stomach Qi harmonizes and the condition resolves.
At the onset of illness, symptoms may include headache, alternating chills and fever, shivering with a desire to seek warmth near fire, stiffness of the waist and back, and a flushed face resembling intoxication. These occur within the first one or two days of initial Shanghan. Apply intense moxibustion to three points below the heart. The first point is one cun below the heart, named Jueque (CV14); the second point is two cun below, named Shangwan (CV13); the third point is three cun below, named Weiwuan (CV12). Moxibustion: 50 moxa cones per point. Since body sizes vary, measurements may differ; use a string to measure according to individual proportions for best results. Measure from the Xintou bone (Jiuwei, CV15) to the umbilicus, fold the string in half; the end of the folded string indicates Weiwuan. Fold the half-string again into two parts; measuring one part upward from Weiwuan locates Shangwan. Measuring another part upward from Shangwan locates Jueque. Adults: 50 moxa cones; Children: 3 moxa cones, adjusted according to age and discretion.
If the illness has persisted for three to four days, it is advisable to first apply moxibustion to twenty cones on the upper chest. Measure from the tip of the nose straight up to the hairline, fold the string in half and discard half. Insert the remaining length into the hairline from the forehead; the end of the string indicates Tiancong (an extra point). Also moxa both temples (Taiyang), both Fengchi (GB20), Liver Shu (BL18) with 100 cones, other locations with 20 cones each, and Taichong (LR3) with 30 cones. This is highly effective.