古今录验阳毒汤,疗伤寒一二日便成阳毒,或服药吐下之后,变成阳毒,身重腰背痛,
烦闷不安,狂言或走,或见神鬼或吐血下利,其脉浮大数,面赤斑斑如锦文,喉咽痛唾脓血,
五
升麻(二分) 当归(二分) 蜀椒(汗一分) 雄黄(研) 栀子 桂心(各一分) 甘
草(二
分炙) 鳖甲(大如手一片炙)
上八味切,以水五升,煮取二升半,分三服,如人行五里久,再服,温覆手足,毒出则
汗,汗出则解,不解重作,服亦取得吐佳,阴毒去雄黄。忌海藻菘菜生葱苋菜。(张仲景方
无栀子桂心阴毒去雄黄蜀椒)
又阴毒汤疗伤寒初病一二日,便结成阴毒或服汤药六七日以上至十日,变成阴毒,身重
背强,腹中绞痛,喉咽不利,毒瓦斯攻心,心下坚强,短气不得息,呕逆,唇青面黑,四肢厥
冷,其脉沉细紧数。(一本无数字)仲景云∶此阴毒之候,身如被打,五六日可疗至七日不
可
疗,宜服甘草汤方。
甘草(炙) 升麻 当归(各二分) 蜀椒(一分出汗) 鳖甲(大如手一片炙)
上五味切,以水五升,煮取二升半,分再服,如人行五里顷复服温覆当出汗,汗出则愈
,若不得汗则不解,当重服令汗出。忌海藻菘菜苋菜。(千金集验备急文仲短剧肘后同并出
第二卷中)
又还魂丸,疗伤寒四五日,及数年诸癖结坚心下,饮食不消目眩,四肢疼,咽喉不利,
壮热脾胃逆满,肠鸣,两胁里急,飞尸鬼注邪气或为惊恐伤瘦背痛,手足不仁,口苦舌燥,
天行发作有时,风温不能久住,吐恶水方。
巴豆(去心皮熬) 甘草(炙) 朱砂 芍药(各二两) 麦门冬(二两去心)
上五味,各捣下筛合,和以蜜捣三千下,丸如梧桐子大,每服两丸,葱枣汤下,小儿二
岁以上,服如麻子大二丸,日二服。忌海藻菘菜野猪肉芦笋生血物。(出第三卷中)
又麦奴丸疗伤寒五六日以上不解,热在胸中,口噤不能言,唯欲饮水,为败伤寒,医所
不疗方。
麻黄(去节) 大黄 芒硝 灶突中墨 黄芩(各二分) 麦奴 梁上尘 釜底墨(各
一分)
上八味,捣筛蜜和如弹丸,以新汲水五合研一丸,病者渴欲饮水,但极饮冷水,不节升
数,须臾当寒,寒讫汗出则愈,若日移五丈不汗,依前法服一丸,以微利止,药势尽乃食,
当冷食以除药势,一名黑奴丸,小麦黑勃名为麦奴是也。(肘后胡洽短剧删繁张文仲深师范
汪经心录广济并同)
又解肌汤疗伤寒发热身体疼痛方。
葛根(四两) 麻黄(去节) 茯苓(各三两) 牡蛎(二两熬)
上四味切,以水八升,煮取三升,分三服,徐徐服之,得汗通则止。忌酢物。(千金有
生姜甘草)
又调中汤,疗夏月及初秋忽有暴寒,折于盛热,热结四肢,则壮热头痛,寒伤于胃,则
下痢,或血或水或赤带下,壮热且闷,脉微且数宜下之方。
大黄 葛根 黄芩 芍药 桔梗 茯苓 本 白术 甘草(炙各二两)
上九味,以水九升,煮取三升,分三服,服别相去二食久勿以食隔,须取快下,壮热便
歇,其下亦止也,凡秋夏早热积日,忽有暴寒折之,热无可散,喜搏者肌中作壮热气也,胃
为六腑之长,最易得伤,非忽暴寒伤之而下也,虚冷人则不在壮热但下痢或霍乱也,少实人
有服五石,人喜壮热,其适与药吃断下,则加热喜闷而死矣,亦有不止便作壅热毒,壮热甚
不歇则剧,是以宜此调中汤下之和其胃气,其表热者,宜前胡大黄下之也。忌海藻菘菜猪肉
酢物桃李雀肉等。
又疗往来寒热,胸胁逆满,桃仁承气汤方。
大黄(四两渍别下) 甘草(炙) 芒硝(汤成下) 桂心(各二两) 桃仁(五十枚
去皮尖碎
)
上五味,以水七升,煮取二升半,去滓,纳芒硝,更煎一两沸,温分三服。忌海藻菘菜
。(太医较尉史脱方肘后伤寒论千金翼同并出第二卷中)
Gu Jin Lu Yan Yang Du Tang (Ancient Records Verified Yang Toxin Decoction) treats Taiyang disease (disease of the Taiyang channel) that develops into Yang Toxin within one or two days, or transforms into Yang Toxin after medication-induced vomiting or purging. Symptoms include heavy body, pain in the waist and back, restlessness and uneasiness, delirious speech or running around, hallucinations of spirits or ghosts, hematemesis (vomiting blood), or diarrhea. The pulse is floating, large, and rapid; the face is red with mottled spots like brocade patterns; sore throat; and expectoration of pus and blood.
Shengma (Rhizoma Cimicifugae, 2 fen) Danggui (Radix Angelicae Sinensis, 2 fen) Shujiao (Fructus Zanthoxyli, perspired, 1 fen) Xionghuang (Realgar, pulverized) Zhizi (Fructus Gardeniae, 1 fen) Guixin (Cortex Cinnamomi, 1 fen) Gancao (Radix Glycyrrhizae, roasted, 2 fen) Biejia (Carapax et Plastrum Testudinis, one piece as large as a hand, roasted)
The above eight herbs are cut, boiled in five sheng of water to obtain two and a half sheng, divided into three doses. After the time it takes a person to walk five li, administer the second dose. Cover the hands and feet warmly; when the toxin is expelled through sweating, the condition resolves. If unresolved, prepare and administer again. Inducing vomiting is also considered beneficial. For Yin Toxin, remove Xionghuang. (Zhang Zhongjing's formula does not contain Zhizi or Guixin; for Yin Toxin, remove Xionghuang and Shujiao.)
Also, Yin Du Tang (Yin Toxin Decoction) treats Taiyang disease where Yin Toxin forms within one or two days of onset, or transforms into Yin Toxin after taking herbal decoctions for six to ten days. Symptoms include heavy body, stiff back, colicky abdominal pain, dysphagia or throat obstruction, toxic qi attacking the heart, hardness below the heart, shortness of breath, regurgitation, cyanotic lips, blackened complexion, cold limbs, and a deep, fine, tight, and rapid pulse. (Another version omits "rapid".) Zhang Zhongjing states: This is the presentation of Yin Toxin; the body feels as if beaten. It can be treated within five to six days, but treatment is futile after seven days. One should administer Gancao Tang (Licorice Decoction).
Gancao (Radix Glycyrrhizae, roasted) Shengma (Rhizoma Cimicifugae) Danggui (Radix Angelicae Sinensis, each 2 fen) Shujiao (Fructus Zanthoxyli, perspired, 1 fen) Biejia (Carapax et Plastrum Testudinis, one piece as large as a hand, roasted)
The above five herbs are cut, boiled in five sheng of water to obtain two and a half sheng, divided into two doses. Administer again after the time it takes a person to walk five li. Cover warmly to induce sweating; recovery occurs upon sweating. If sweating does not occur, the condition remains unresolved, so re-administer to induce sweating. Avoid seaweed, Brassica vegetables, and Amaranth. (Same as Qianjin, Jiyan, Beijij, Wenzhong, Duanju, and Zhouhou, found in Volume II.)
Also, Huanhun Wan (Soul-Returning Pill) treats Taiyang disease after four or five days, as well as various chronic accumulations and hard masses in the epigastrium persisting for years, indigestion, dizziness, limb pain, throat obstruction, high fever, rebellious fullness of the spleen and stomach, borborygmus, tension in the hypochondrium, pathogenic factors of Feishi (Flying Corpse) or Guizhu (Ghost Stabbing), emaciation and back pain due to fright, numbness of hands and feet, bitter taste in the mouth, dry tongue, periodic exacerbation of epidemic diseases, inability of Fengwen (Wind-Warmth) to linger, and expulsion of foul fluids.
Badou (Fructus Crotonis Tiglii, dehearted and peeled, roasted) Gancao (Radix Glycyrrhizae, roasted) Zhusha (Cinnabar) Shaoyao (Radix Paeoniae Alba, each 2 liang) Maimendong (Radix Ophiopogonis, 2 liang, dehearted)
The above five herbs are individually pounded and sifted, mixed, and kneaded with honey for three thousand beats. Form pills the size of Sophora seeds. Take two pills per dose, washed down with Scallion and Jujube Decoction. For children over two years old, take two pills the size of sesame seeds, twice daily. Avoid seaweed, Brassica vegetables, wild boar meat, Asparagus fern, and raw blood products. (Found in Volume III.)
Also, Mainu Wan (Wheat Mildew Pill) treats Taiyang disease unresolved after five or six days, with heat in the chest, trismus (lockjaw) preventing speech, only desiring to drink water. This addresses failed Taiyang disease cases unmanageable by physicians.
Mahuang (Herba Ephedrae, nodes removed) Dahuang (Radix et Rhizoma Rhei) Mangxiao (Natrii Sulfas) Zaotu Zhongmo (Soot from the chimney flue) Huangqin (Radix Scutellariae, each 2 fen) Mainu (Mildew on young wheat spikes) Liangshangchen (Dust from roof beams) Fudi Mo (Soot from the bottom of the cauldron, each 1 fen)
The above eight herbs are pounded and sifted, kneaded with honey into pills the size of quail eggs. Grind one pill in five he of fresh well water. When the patient is thirsty and desires water, allow them to drink cold water freely without limit. Shortly thereafter, they will feel cold; after the cold sensation subsides, sweating occurs, indicating recovery. If no sweat occurs after the sun has moved five zhang, administer another pill according to the previous method. Stop when mild diarrhea occurs. Eat only after the medicinal effect has passed; consume cold food to dissipate the drug's potency. Also known as Heinu Wan (Black Slave Pill); Mainu refers to the black mildew on wheat spikes. (Same as Zhouhou, Huqian, Duanju, Shanfan, Zhang Wenzhong, Shenshi, Fan Wang, Jingxinlu, and Guangji.)
Also, Jieji Tang (Muscle-Releasing Decoction) treats Taiyang disease with fever and body pain.
Gegen (Radix Puerariae Lobatae, 4 liang) Mahuang (Herba Ephedrae, nodes removed) Fuling (Poria, each 3 liang) Muli (Concha Ostreae, roasted, 2 liang)
The above four herbs are cut, boiled in eight sheng of water to obtain three sheng, divided into three doses. Administer slowly; stop once sweating and free flow are achieved. Avoid vinegar and sour foods. (Qianjin includes Shengjiang and Gancao.)
Also, Tiaozhong Tang (Middle-Regulating Decoction) treats sudden exposure to cold during summer or early autumn, which suppresses intense heat. Heat binds in the limbs, causing high fever and headache; cold injures the stomach, causing dysentery, which may be bloody, watery, or bloody discharge. High fever accompanied by oppression, with a faint and rapid pulse, indicates suitability for purgation.
Dahuang (Radix et Rhizoma Rhei) Gegen (Radix Puerariae Lobatae) Huangqin (Radix Scutellariae) Shaoyao (Radix Paeoniae Alba) Jiegeng (Radix Platycodonis) Fuling (Poria) Bencao (Radix Ligustici Chuanxiong) Baizhu (Rhizoma Atractylodis Macrocephalae) Gancao (Radix Glycyrrhizae, roasted, each 2 liang)
The above nine herbs are boiled in nine sheng of water to obtain three sheng, divided into three doses. Allow two meal intervals between doses; do not interrupt with food. Aim for a brisk purgation; high fever ceases, and dysentery stops. Generally, in autumn and summer, if early heat persists for days and is suddenly suppressed by cold, the heat has nowhere to dissipate and tends to bind in the muscles, generating high fever. The stomach, being the head of the six fu organs, is most susceptible to injury. Without sudden cold injury leading to dysentery, individuals with deficiency-cold present only with dysentery or cholera-like symptoms. Individuals with slight excess who have taken Five-Mineral Powder often desire high fever; if this matches the purgative action of the medicine, adding heat may lead to death from oppression. If purgation fails, it may result in obstructive heat-toxin; severe persistent high fever worsens the condition. Therefore, Tiaozhong Tang is suitable to purge and harmonize stomach qi. For exterior heat, Qianhu and Dahuang should be used for purgation. Avoid seaweed, Brassica vegetables, pork, vinegar, plums, peaches, and sparrow meat.
Also, Tao Ren Cheng Qi Tang (Peach Kernel Draining the Epigastrium Decoction) treats alternating chills and fever, and rebellious fullness in the chest and hypochondrium.
Dahuang (Radix et Rhizoma Rhei, 4 liang, soaked separately) Gancao (Radix Glycyrrhizae, roasted) Mangxiao (Natrii Sulfas, added when decoction is ready) Guixin (Cortex Cinnamomi, each 2 liang) Tao Ren (Semen Persicae, 50 seeds, peeled, de-pitted, crushed)
The above five herbs are boiled in seven sheng of water to obtain two and a half sheng. Strain, add Mangxiao, boil for one or two more boils. Take warm, divided into three doses. Avoid seaweed and Brassica vegetables. (Same as Taiyi Jiaowei Shi Tuo, Zhouhou, Shanghan Lun, and Qianjin Yi, found in Volume II.)