宣明防风通圣散
川芎石膏汤
方并见中风门
局方红雪通中散治烦热躁热毒热喉闭狂躁胃烂发斑酒毒
麝香(半两) 朱砂(一两) 川朴硝(十斤) 羚羊角屑 黄芩 升麻(各三两) 赤芍 竹
叶
枳壳 人参 木香 槟榔 甘草(各二两) 葛根 大青 蓝叶 栀子 桑白皮 木通(各一
两半) 苏木(六两)
上件药制合见局方
按此表里气血之药也
紫雪治内外烦热不解口中生疮狂易叫走解诸热毒药毒邪热小儿惊痫百病
黄金(百两) 寒水石 磁石 石膏 滑石(各三斤打碎)
以上用水一石煮至四斗去渣入下项
甘草(炙八两) 羚羊角屑 犀角屑 青木香 沉香(各五两) 丁香(一两)
升麻 玄参(并锉细各一斤)
以上再煮至一斗五升入下项
硝石(四升芒硝亦得每升得七两七钱半) 朴硝(十斤提净者)
以上入前药汁中微火煎柳枝不住手搅候有七升抛放水盆中半日欲凝入下项药搅令匀
朱砂(研三两) 麝香当门子(一两二钱半)
上药成霜雪紫色每服一钱或二钱冷水调下大人小儿临时以意加减并食后服
按此心脾肺肾胃经药也
千金黑奴丸治火热阳毒发狂发斑烦躁大渴倍常
黄芩 釜底煤 芒硝 灶突墨 梁上尘 小麦奴 麻黄 大黄(各一两)
上为末炼蜜丸如弹大新汲水化服不定再服半丸饮水尽足当发寒寒已汗出乃瘥未汗再服半
丸不大渴者不可与
按此出阳明药例取诸火化者为从治之意又表里之剂也
Xuanming Fangfeng Tongsheng San (Wind-Dispersing and Unblocking Heroic Powder) and Chuanxiong Shigao Tang (Ligusticum and Gypsum Decoction): The specific formulations for these two prescriptions are found in the "Stroke Section" (Zhongfeng Men).
Jufang Hongxue Tongzhong San (Red Snow Unblocking the Middle Powder from the Bureau Formulary): Used to treat irritability, heat with restlessness, toxic heat causing throat obstruction (Hou Bi - blockage of the throat), mania, gastric ulceration, exanthema (skin spots), and alcohol toxicity.
Ingredients: Moschus (She Xiang, 0.5 liang); Cinnabar (Zhusha, 1 liang); Natrii Sulfas Sichuanensis (Chuan Puxiao, 10 jin); Cornu Saigae Tataricae (Lingyangjiao); Radix Scutellariae (Huangqin); Rhizoma Cimicifugae (Shengma, each 3 liang); Radix Paeoniae Rubra (Chishao); Folium Bambusae (Zhuye); Fructus Aurantii (Zhiqiao); Radix Ginseng (Renshen); Radix Aucklandiae (Muxiang); Semen Arecae (Binglang); Radix Glycyrrhizae (Gancao, each 2 liang); Radix Puerariae (Gegen); Cortex Isatidis (Daqingye); Folium Isatidis (Lanye); Fructus Gardeniae (Zhizi); Cortex Moriradicis (Sangbaipi); Caulis Tectonae (Mutong, each 1.5 liang); Lignum Saposhnikoviae (Sumu, 6 liang).
The processing and combination methods for the above herbs are detailed in the *Jufang* (Formulary of the Imperial Medical Bureau).
Commentary: This is a formula regulating the exterior and interior, as well as Qi and Blood.
Zixue (Purple Frost): Used to treat unresolved internal and external irritability and heat, oral ulcers, manic behavior with running and shouting; to resolve various heat toxins, drug toxins, pathogenic heat, and pediatric convulsions and epilepsy (Jingxian) among other diseases.
Ingredients: Aurum (Huangjin, 100 liang); Stilbitum (Hanshuishi); Magnetitum (Cishi); Gypsum Fibrosum (Shigao); Talcum (Huashi, each 3 jin, crushed).
Boil the above ingredients in one shi of water until reduced to four dou, then strain. Add the following:
Radix Glycyrrhizae Preparata (Gancao, processed, 8 liang); Cornu Saigae Tataricae (Lingyangjiao); Cornu Rhinocerotis (Xijiao); Radix Aucklandiae (Qingmuxiang); Lignum Aquilariae Resinatum (Chenxiang, each 5 liang); Flos Caryophylli (Dingxiang, 1 liang).
Rhizoma Cimicifugae (Shengma); Radix Scrophulariae (Xuanshen, both finely cut, each 1 jin).
Boil the above again until reduced to one dou five sheng, then add the following:
Natrii Nitras (Xiaoshi, 4 sheng; Natrii Sulfas, Mangxiao, may be used instead, each sheng weighing 7 liang 7 qian 5 fen); Natrii Sulfas (Puxiao, 10 jin, purified).
Add these to the previous decoction. Simmer over low fire, stirring constantly with a willow branch. When reduced to seven sheng, pour into a basin of water. After half a day, when it begins to congeal, add the following and stir evenly:
Cinnabar (Zhusha, ground, 3 liang); Moschus Danganzi (She Xiang Dangmenzi, 1 liang 2 qian 5 fen).
The resulting medicine resembles purple frost or snow. Take 1 qian or 2 qian per dose, mixed with cold water. Dosages for adults and children should be adjusted according to circumstances. Administer after meals.
Commentary: This is a formula targeting the meridians of the Heart, Spleen, Lung, Kidney, and Stomach.
Qianjin Heinu Wan (Black Slave Pill from Qianjin): Used to treat madness, exanthema, irritability, and extreme thirst caused by fiery Yang toxicity.
Ingredients: Radix Scutellariae (Huangqin); Carbon Furnace Bottom (Fudimei); Natrii Sulfas (Mangxiao); Carbon Chimney Flue (Zaotu Mo); Carbon Beam Dust (Liangshang Chen); Radix Triricis (Xiaomai Nu); Herba Ephedrae (Mahuang); Radix et Rhizoma Rhei (Dahuang, each 1 liang).
Grind the above herbs into fine powder, mix with refined honey, and form pills the size of a bullet. Dissolve in fresh cold water and take. If not cured, take another half pill. Drink enough water to induce sweating. The patient should experience chills; after the chills subside and sweat appears, the illness resolves. If no sweat occurs, take another half pill. Do not use if there is no extreme thirst.
Commentary: This prescription follows the principles of treating Yangming disease. It utilizes substances derived from fire transformation, reflecting the principle of "conforming treatment" (Congzhi - treating by conforming to the nature of the disease). It is also a formula that addresses both the exterior and interior.