桃仁(去皮尖) 槐子(碎) 艾(各一两)
上锉散。每服五钱,水大盏,姜三片,枣两枚,煎七分,去滓,食前服之。
治伤寒及诸病后,内有疮,出下部。
黄连(半两) 犀角(一两,无则以升麻代) 乌梅(七个) 木香(一分)
上为锉散。每服五钱,水盏半,煎七分,去滓,食前服。
治下部 疮。
雄黄(研) 青葙子 苦参 黄连(各二分) 桃仁(去皮尖研,一分)
上为末,以生艾捣汁丸,如枣核大。绵裹纳下部,扁竹汁更加;无艾,只用绵裹散子纳
下部亦得。
病有言语错谬者,其证有二,有虚有实。虚则郑声,实则谵语。伤寒胃实及三阳合病,
妇人热入血室及下利而谵语者,皆属实;大小便利,手足逆冷,脉微细,言语郑重者,皆属
虚寒。治之各有方,虚寒,当温之,如四逆汤之类;胃实,宜下,承气汤。妇人热入血室,下
小柴胡汤。若谵语而反四逆,脉沉细者,不治。
四逆汤 (方见两感门)
柴胡汤 (方见少阳经)
大承气汤 (方见阳明经)
大病后,心虚烦闷,发热,与伤寒相类,但不恶寒与不头疼为异。汗,与人参竹叶汤;
呕者,橘皮汤。诸病后,多有此证,各见本门。
治汗下后,表里虚烦,不可攻者。
竹叶(二把) 人参 甘草(炙,各二两) 半夏(二两半) 石膏 麦门冬(各五两)
上为锉散。每服四大钱,水一盏半,姜五片,粳米一撮,煎米熟,去滓,食前服。
桃仁(去皮和尖)、槐子(捣碎)、艾叶(各一两)。
以上药物切碎成散剂。每次服用五钱,加水一大盏,生姜三片,大枣两枚,煎煮至剩余七分药液,滤去药渣,在饭前服用。
治疗伤寒及其他疾病痊愈后,体内生疮,且疮口位于下部。
黄连(半两)、犀角(一两,若无可用升麻代替)、乌梅(七个)、木香(一分)。
以上药物切碎成散剂。每次服用五钱,加水一盏半,煎煮至剩余七分药液,滤去药渣,在饭前服用。
治疗下部的疮疡。
雄黄(研细)、青葙子、苦参、黄连(各二分)、桃仁(去皮尖并研碎,一分)。
以上药物制成粉末,用新鲜艾草捣取汁液作为粘合剂制成丸药,大小如枣核。用棉布包裹后纳入下部患处,若条件允许可加入扁竹汁;若无艾草,仅用棉布包裹散剂纳入下部患处亦可。
患有言语错乱症状的患者,其证候有两种,分为虚证和实证。虚证表现为郑声(神志不清,语言重复,声音低微),实证表现为谵语(神志不清,胡言乱语)。伤寒病中胃腑实热以及三阳经合病,妇女热邪陷入血室以及腹泻伴发谵语的情况,都属于实证;若大小便通畅,手足逆冷,脉象微细,言语郑重(指患者意识尚清,但言语反复啰嗦),都属于虚寒证。治疗各有对应的方剂,对于虚寒证,应当采用温法,如四逆汤之类;对于胃腑实证,宜用攻下法,使用承气汤。对于妇女热邪陷入血室者,给予小柴胡汤。如果谵语同时出现四肢厥逆,脉象沉细的,属于不治之症。
四逆汤(方剂见两感门)
柴胡汤(方剂见少阳经)
大承气汤(方剂见阳明经)
大病初愈后,心气虚弱导致烦闷,伴有发热,此症与伤寒相似,但不恶寒且不头痛是其主要区别。若有汗出症状,用人参竹叶汤;若有呕吐症状,用橘皮汤。各种疾病痊愈后,多有此类证候,详见各自的本门章节。
治疗经过发汗或攻下治疗后,表里俱虚导致的心烦意乱,不可再用攻伐之法的情况。
竹叶(两把)、人参、甘草(炙,各二两)、半夏(二两半)、石膏、麦门冬(各五两)。
以上药物切碎成散剂。每次服用四大钱,加水一盏半,生姜五片,粳米一撮,煎煮至米粒熟透,滤去药渣,在饭前服用。
Tao Ren (Prunus Persica Seed, peeled and tip removed), Huai Zi (Sophora Japonica Fruit, crushed), Ai Ye (Artemisia Argyi Leaf) (each 1 liang).
The above ingredients are chopped into a powder. Take 5 qian per dose, add 1 da zhen of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), and 2 Zao Jujubae Fructus, decoct until 7 fen remains, remove the dregs, and take before meals.
Treats sores inside the body occurring in the lower part after recovery from Shang Han (Cold Damage) and other diseases.
Huang Lian (Coptidis Rhizoma, 0.5 liang), Xi Jiao (Rhinocerotis Cornu, 1 liang; if unavailable, replace with Sheng Ma Cimicifugae Rhizoma), Wu Mei (Mume Fructus, 7 pieces), Mu Xiang (Aucklandiae Radix, 1 fen).
The above ingredients are chopped into a powder. Take 5 qian per dose, add 1.5 zhan of water, decoct until 7 fen remains, remove the dregs, and take before meals.
Treats sores in the lower part.
Xiong Huang (Realgar, ground), Qing Xiang Zi (Celosiae Semen), Ku Shen (Sophorae Flavescentis Radix), Huang Lian (Coptidis Rhizoma) (each 2 fen), Tao Ren (Prunus Persica Seed, peeled and tip removed, ground, 1 fen).
The above ingredients are made into a powder. Use juice extracted from fresh Ai Ye (Artemisia Argyi) pounded to form pills the size of a date pit. Wrap in cotton and insert into the lower part. Adding Bian Zhu (Bambusa Textilis Sheath Juice) is even better; if Ai Ye is unavailable, simply wrapping the powder in cotton and inserting it into the lower part is also acceptable.
Patients exhibiting speech confusion have two types of syndromes: deficiency and excess. Deficiency manifests as Zheng Sheng (repetitive, low-voiced muttering due to mental confusion), while excess manifests as Chan Yu (delirious speech). Stomach excess in Shang Han (Cold Damage) and combined disease of the Three Yang meridians, heat entering the Blood Chamber in women, and Chan Yu accompanied by diarrhea all belong to excess syndromes; clear urination and defecation, cold extremities, faint and fine pulse, and earnest/repetitive speech all belong to deficiency-cold syndromes. Treatment varies by formula: for deficiency-cold, apply warming methods such as Si Ni Tang (Four Reversal Decoction); for stomach excess, apply purgative methods using Cheng Qi Tang (Ordering Qi Decoction). For heat entering the Blood Chamber in women, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction). If Chan Yu is accompanied by four-reversal (cold extremities) and a deep, fine pulse, it is untreatable.
Si Ni Tang (Four Reversal Decoction) (see Liang Gan Men for formula)
Chai Hu Tang (Bupleurum Decoction) (see Shao Yang Jing for formula)
Da Cheng Qi Tang (Major Order Qi Decoction) (see Yang Ming Jing for formula)
After a major illness, heart deficiency causes irritability and restlessness with fever. This resembles Shang Han (Cold Damage) but differs by the absence of aversion to cold and headache. If sweating occurs, use Ren Shen Zhu Ye Tang (Ginseng and Bamboo Leaf Decoction); if vomiting occurs, use Ju Pi Tang (Tangerine Peel Decoction). Many post-illness conditions present similarly; see respective sections for details.
Treats internal and external deficiency and irritability following diaphoresis or purgation, where attacking methods are contraindicated.
Zhu Ye (Bamboo Leaf, 2 handfuls), Ren Shen (Ginseng Radix et Rhizoma), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 2 liang), Ban Xia (Pinelliae Rhizoma, 2.5 liang), Shi Gao (Gypsum Fibrosum), Mai Dong (Ophiopogonis Radix) (each 5 liang).
The above ingredients are chopped into a powder. Take 4 da qian per dose, add 1.5 zhan of water, 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), and a pinch of Jing Mi (Oryza Sativa Germless), decoct until the rice is cooked, remove the dregs, and take before meals.