伤寒阴阳易之为病。其人身体重。少气。少腹里急。或引阴中拘挛。热上冲胸。头重不
欲举
(大病新瘥。血气未复。余热未尽。强合阴阳得病者。名曰易。男子病新瘥未平复。而
妇人
相感
中拘
熏
烧 散方
上取妇人中 。近隐处。剪烧灰。以水和服方寸匕。日三服。小便即利。阴头微肿。则
愈。
大病瘥后。劳复者。枳实栀子汤主之。若有宿食者。加大黄。如博棋子大五六枚。
(病有劳复。有食复。伤寒新瘥。血气未平。余热未尽。早作劳动病者。名曰劳复。病
热少
浮越
枳实栀子豉汤方
枳实(三枚炙苦寒) 栀子(十四枚擘苦寒) 豉(一升绵裹苦寒)
(枳实栀子豉汤。则应吐剂。此云覆令微似汗出者。以其热聚于上。苦则吐之。热聚于
表者
空煮
伤寒瘥以后。更发热者。小柴胡汤主之。脉浮者。以汗解之。脉沉实者。以下解之。
(瘥后。余热未尽。更发热者。与小柴胡汤以和解之。脉浮者。热在表也。故以汗解。
脉沉
大病瘥后。从腰以下有水气者。牡蛎泽泻散主之。
(大病瘥后。脾胃气虚。不能制约肾水。水溢下焦。腰以下为肿也。金匮要略曰。腰以
下肿
牡蛎泽泻散方
牡蛎(咸平熬) 泽泻(咸寒) 栝蒌根(苦寒) 蜀漆(辛平洗去腥) 葶苈(苦寒
熬) 商陆
根(
(咸味涌泄。牡蛎、泽泻、海藻之咸。以泄水气。内经曰。湿淫于内。平以苦。佐以酸
辛
散
大病瘥后。喜唾。久不了了者。胃上有寒。当以丸药温之。宜理中丸。
(汗后阳气不足。胃中虚寒。不纳津液。故喜唾不了了。与理中丸。以温其胃。)
伤寒解后。虚羸少气。气逆欲吐者。竹叶石膏汤主之。
(伤寒解后。津液不足而虚羸。余热未尽。热则伤气。故少气。气逆欲吐。与竹叶石膏
汤。
竹叶石膏汤
竹叶(二把辛平) 石膏(一斤甘寒) 半夏(半升洗辛温) 麦门冬(一升甘平去心)
人参
(三
(辛甘发散而除热。竹叶、石膏、甘草之甘辛。以发散余热。甘缓脾而益气。麦门冬
人
七味。以水一斗。煮取六升。去滓。纳粳米。煮米熟。汤成。去米。温服一升。日三服。
病患脉已解。而日暮微烦。以病新瘥。人强与谷。脾胃气尚弱。不能消谷。故令微烦。损谷
则愈。
(阳明旺于申酉戌。宿食在胃。故日暮微烦。当下之。以损宿谷。)
The disease known as "Yin-Yang Yi" (Exchange of Yin and Yang) following Shaoyang syndrome. The patient experiences heavy body sensation, shortness of breath (Shaoqi), urgency and tension in the lower abdomen, sometimes with spasms drawing into the genital region, heat rushing up to the chest, heaviness of the head making it difficult to lift. (After a major illness has just healed, blood and Qi have not yet recovered, and residual heat remains. If one engages in sexual intercourse forcibly and contracts this disease, it is called "Yi". When a man's illness has newly healed but he is not fully restored, and he interacts sexually with a woman causing her to fall ill, or vice versa, it falls under this category.)
Formula for Burned Underwear Powder (Shao Kun San):
Take the inner garment (Zhongkun) of a woman, cut off the part near the genital area, burn it to ash, mix with water, and administer one cubic-inch spoonful (Fangcunbi). Take three times a day. Once urination becomes smooth and the glans penis swells slightly, the patient will be cured.
For "Lao Fu" (Relapse due to Overexertion) after a major illness has healed, Zhi Shi Zhi Zi Tang (Bitter Orange and Gardenia Decoction) is the primary treatment. If there is retained food stagnation, add Da Huang (Rhubarb Root), five or six pieces the size of a Go stone.
(There are two types of relapse: Lao Fu and Shi Fu. After Shaoyang syndrome has newly healed, blood and Qi are not yet balanced, and residual heat remains. Falling ill due to early physical labor is called "Lao Fu".)
Formula for Zhi Shi Zhi Zi Chi Tang (Bitter Orange, Gardenia, and Fermented Soybean Decoction):
Zhi Shi (Immature Bitter Orange, three pieces, roasted, bitter, cold) Zhi Zi (Gardenia Fruit, fourteen pieces, broken open, bitter, cold) Chi (Prepared Soybean, one sheng, wrapped in silk, bitter, cold)
(Zhi Shi Zhi Zi Chi Tang should theoretically be an emetic agent. Here, covering the patient to induce slight sweating is because the heat is gathered above; bitter substances induce vomiting. If heat is gathered at the exterior, sweating resolves it.)
Boil Zhi Zi and Zhi Zi separately first, then add other herbs.
After Shaoyang syndrome has resolved, if fever recurs, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary treatment. If the pulse is floating, resolve it by inducing sweating. If the pulse is deep and solid, resolve it by purging.
(After healing, if residual heat remains and fever recurs, give Xiao Chai Hu Tang to harmonize. A floating pulse indicates heat at the exterior, hence use sweating. A deep-solid pulse indicates heat at the interior, hence use purging.)
After a major illness has healed, if there is water qi accumulation (edema) from the waist down, Mu Li Ze Xie San (Oyster Shell and Alisma Powder) is the primary treatment.
(After a major illness heals, Spleen and Stomach Qi is deficient, unable to control Kidney water. Water overflows into the Lower Jiao, causing swelling below the waist. The Jingui Yaolue states: Swelling below the waist...)
Formula for Mu Li Ze Xie San (Oyster Shell and Alisma Powder):
Mu Li (Oyster Shell, salty, neutral, roasted) Ze Xie (Alisma Rhizome, salty, cold) Gua Lou Gen (Trichosanthes Root, bitter, cold) Shu Qi (Periploca Root Bark, acrid, neutral, washed to remove fishy smell) Ting Li (Descurainia Seed, bitter, cold, roasted) Shang Lu Gen (Phytolacca Root, salty, promoting upward movement and draining)
(Salty flavors promote upward movement and drainage. The salty nature of Mu Li, Ze Xie, and Hai Zao drains water qi. The Neijing states: When dampness abounds internally, treat it with bitter flavors, assisted by sour and acrid flavors.)
Grind the above seven ingredients into powder. Administer one Fangcunbi with rice soup, three times a day.
After a major illness has healed, if the patient frequently drools and cannot stop for a long time, it is due to Cold in the Stomach. One should use pill medicine to warm it; Li Zhong Wan (Regulate the Middle Pill) is suitable.
(After sweating, Yang Qi is insufficient, leading to deficiency-cold in the Stomach, which fails to receive fluids, hence frequent drooling that persists. Give Li Zhong Wan to warm the Stomach.)
After Shaoyang syndrome has resolved, if the patient is weak and emaciated, has shortness of breath, and feels nausea with rebellious Qi, Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) is the primary treatment.
(After Shaoyang syndrome resolves, fluid deficiency leads to weakness and emaciation, and residual heat remains. Heat injures Qi, causing shortness of breath. Rebellious Qi causes nausea. Give Zhu Ye Shi Gao Tang.)
Formula for Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction):
Zhu Ye (Bamboo Leaves, two handfuls, acrid, neutral) Shi Gao (Gypsum Fibrosum, one jin, sweet, cold) Ban Xia (Pinellia Tuber, half sheng, washed, acrid, warm) Mai Men Dong (Ophiopogon Tuber, one sheng, sweet, neutral, heart removed) Ren Shen (Ginseng Root, three liang, sweet, slightly warm) Gan Cao (Licorice Root, two liang, roasted, sweet, neutral) Jing Mi (Rice Grain, half sheng, sweet, neutral)
(Acrid and sweet disperse and eliminate heat. The sweet and acrid nature of Zhu Ye, Shi Gao, and Gan Cao disperses residual heat. Sweet flavors soothe the Spleen and tonify Qi. Mai Men Dong nourishes Yin. Boil the above seven ingredients in ten dou of water, reduce to six sheng, remove dregs, add Jing Mi, cook until rice is done, remove rice, take one sheng warm, three times a day.)
If the patient's pulse has normalized but they experience slight irritability towards dusk, it is because the illness has newly healed, and people force them to eat too much. The Spleen and Stomach Qi is still weak and cannot digest the food, thus causing slight irritability. Reducing food intake will lead to recovery.
(The Yangming channel is prosperous during Shen, You, and Xu hours. Retained food in the Stomach causes slight irritability at dusk. It should be purged by reducing grain intake.)