凡人年老形衰,苦于痰气,喘嗽,胸满,艰食,不可作病治,妄投汤剂,及耗真气,此
二方随试随效。
紫苏子(主气喘咳嗽) 白芥子(主痰下气宽中) 白萝菔子(主食痞理气)
上各洗净纸上,微炒捣碎,视何证多以所为主,余次之。每服三钱,用生绢作一囊盛之,
水钟半煎沸即服。如煎久,则苦辣,口苦。若大便实,加熟蜜一匙。如大便秘甚,去紫子,
减芥子,加小麻子。
治靥 ,风刺,面垢。
白芷 白牵牛 黑牵牛俱用头末 玉女粉 雁条 白丁香 白茯苓 密陀僧 白檀 白
蔹白芨 白附子(各等分)
上为细末,鸡子清和为丸,阴干。唾津调,夜搽面上。
治遍身炽腻、恶气及口齿气。
丁香(一两半) 藿香 零零香 甘松(各二两) 白芷 香附 当归 桂心 槟榔 益
智(各一两) 麝香(五钱) 白豆蔻(二两)
上细炼蜜捣千下,丸梧子大。每噙化一丸,二十日后异香。
地骨皮 红花同研细,于鸡眼痛处敷之,或成疮,亦敷,次日结痂,好。
夫小儿 驳疹毒之病,俗言疹子,是肺有热也。其肺胃蕴积热毒,遇以时气所作,熏发
于皮肤,状如蚊蚤所咬,故赤 遍体也。凡发赤 ,十生一死;黑 者,十死一生。
《类证》∶ 脏腑蕴热不同,表里受证各异。小儿时气,咳嗽声重,涕唾稠粘,目眶
赤,烦热燥渴,此则肺胃蕴积,热毒发则易出,一出遍于肌肤之上,如痱疮泡子,见而渐没,
病在于表,受毒之浅,此名疹子,亦名肤疮。或时蕴毒,热气熏蒸,病在于里,受毒之深,
发于皮肤,状似锦纹,或如蚤咬,痕类小豆大,或赤或黑,是名 也。又有小儿水痘一证,
与正痘不同,易出易靥,不宜燥温,温之亦不为害,但不能结痂,则烂成疮搭矣。
凡是年老体弱、形体衰败的人,苦于痰气阻滞,出现气喘咳嗽、胸中胀满、饮食难进等症状,不能当作普通疾病来治疗,胡乱投用汤药,会耗损人的真气。这两个方子(指前文提到的三子养亲汤及本段所述之方)随试随效。
紫苏子(主治气喘咳嗽)、白芥子(主治化痰下气、宽中消痞)、白萝卜子(主治食积痞块、理气)。以上三味药分别洗净后放在纸上,轻微炒制并捣碎。根据症状的轻重主次来决定各药的用量比例,主症重的多用,次要症状轻的少用。每次服用三钱,用生绢做成一个小袋子装好,用水半钟煎煮至沸腾即可服用。如果煎煮时间过长,药味会变得苦辣,导致口苦。如果大便干结,加入一匙熟蜂蜜。如果大便秘结严重,去掉紫苏子,减少白芥子的用量,加入小麻子。
治疗痘疮愈合后的痕迹、风刺以及面部污垢。
白芷、白牵牛、黑牵牛均使用头末、玉女粉、雁条、白丁香、白茯苓、密陀僧、白檀、白蔹、白芨、白附子(以上药物各等分)。
将上述药物研成细末,用鸡蛋清调和制成丸剂,在阴凉处干燥。使用时用唾液调匀,晚上涂抹在脸上。
治疗全身油腻、恶臭以及口腔和牙齿的气味。
丁香(一两半)、藿香、零零香、甘松(各二两)、白芷、香附、当归、桂心、槟榔、益智仁(各一两)、麝香(五钱)、白豆蔻(二两)。
将上述药物用细炼过的蜂蜜捣千次,制成梧桐子大小的丸剂。每次含化一丸,二十日后口中会有异香。
地骨皮与红花一同研成细末,敷在鸡眼疼痛处,或者即使已经形成疮疡也进行敷贴,第二天就会结痂,效果良好。
所谓小儿“驳疹毒”的病,俗称疹子,是由于肺中有热所致。其肺胃蕴积了热毒,遇到时行疫气的影响,熏蒸发越于皮肤,形状像被蚊子或跳蚤叮咬一样,所以全身发红。凡是发出红色疹子的,十个人中只有一个死亡;如果是黑色疹子的,十个人中只有一人生还。
《类证治裁》记载:脏腑蕴积的热邪不同,表里受证的反应也各异。小儿患时行疫病,出现咳嗽声重、鼻涕唾沫稠粘、眼眶发红、烦躁发热、口干渴等症状,这是肺胃蕴积热毒,热毒发作时容易透出体表,一出就遍布肌肤之上,像痱子水泡一样,出现后逐渐消退,病位在表,受毒较浅,这名叫疹子,也叫肤疮。或者是时令蕴积毒气,热气熏蒸,病位在里,受毒较深,发于皮肤,形状像锦缎花纹,或者像被跳蚤叮咬的痕迹,类似小豆子大小,颜色或红或黑,这名叫痧(此处原文可能有缺字或通假,结合语境指较重之疹/痧)。又有小儿水痘这一证候,与正痘不同,容易发出也容易愈合,不宜使用燥热温补之法,若误用温补虽不致大害,但不能结痂,则会溃烂成疮。
For elderly individuals with physical decline and frailty, suffering from phlegm-qi obstruction manifesting as wheezing and coughing, chest fullness, and difficulty eating, these conditions should not be treated as ordinary diseases. Recklessly administering decoctions will deplete the True Qi (Zhen Qi). These two formulas (referring to the Sanzi Yangqin Decoction mentioned previously and the formula described in this section) are effective upon trial.
Perilla Seed (Zi Su Zi), which primarily treats wheezing and coughing; White Mustard Seed (Bai Jie Zi), which primarily treats resolving phlegm, directing qi downward, and relieving chest fullness; Radish Seed (Bai Luo Bo Zi), which primarily treats food stagnation and regulating qi. Wash each of the above three herbs separately on paper, stir-fry lightly until crushed, and determine the dosage based on the predominant symptoms: use more for the primary condition and less for secondary ones. Take 3 qian per dose. Place them in a bag made of raw silk, add half a zhong of water, boil until bubbling, and take immediately. If boiled for too long, the taste becomes bitter and pungent, causing bitterness in the mouth. If constipation is present, add one spoonful of cooked honey. If constipation is severe, remove Perilla Seed, reduce the amount of White Mustard Seed, and add small Sesame Seeds.
To treat post-varicella scars, wind-induced prickles, and facial grease/dirt.
Angelica Dahurica Root (Bai Zhi), White Morning Glory Seed (Bai Qian Niu), Black Morning Glory Seed (Hei Qian Niu) — all using the first powder; Yunu Powder (Yu Nu Fen); Yan Tiao (Goose strip/preparation); Bai Ding Xiang (White Musk Flower/Buckthorn? *Note: Contextual herbal name*); Poria Cocos (Bai Fu Ling); Lead Monoxide (Mi Tuo Seng); White Sandalwood (Bai Tan); Smilax Glabra Rhizome (Bai Lian); Bletilla Striata Tuber (Bai Ji); Aconitum Carmichaelii Lateral Root (Bai Fu Zi). (All in equal proportions).
Grind the above into a fine powder, mix with egg white to form pills, and dry in the shade. Apply at night by mixing with saliva and rubbing onto the face.
To treat body greasiness, foul odor, and oral/tooth odor.
Clove (Ding Xiang) (1.5 liang); Agastache Rugosa Herb (Huo Xiang); Ling Ling Xiang (Fragrant herb); Sweet Fern (Gan Song) (each 2 liang); Angelica Dahurica Root (Bai Zhi); Cyperus Rotundus Rhizome (Xiang Fu); Chinese Angelica Root (Dang Gui); Cinnamon Twig (Gui Xin); Areca Seed (Bing Lang); Alpinia Oxyphylla Fruit (Yi Zhi); Musk (She Xiang) (5 qian); White Cardamom Seed (Bai Dou Kou) (2 liang).
Pound finely refined honey with the herbs a thousand times, and shape into pills the size of paulownia seeds. Dissolve one pill in the mouth per dose; after twenty days, an unusual fragrance will appear.
Grind Groundcherry Root Bark (Di Gu Pi) and Safflower Flower (Hong Hua) together into a fine powder. Apply to the painful area of corns (or even if ulcers have formed). Scabs will form the next day, which is favorable.
The disease known as "Bo Zhen Du" in children, commonly called rash (Zhen Zi), is caused by heat in the Lung. The accumulation of heat-toxin in the Lung and Stomach, combined with seasonal epidemic qi, steams and erupts onto the skin, resembling bites from mosquitoes or fleas, resulting in redness throughout the body. For those developing red rashes, one out of ten survives; for those developing black rashes, only one out of ten survives.
*Lei Zheng* states: The heat accumulated in the zang-fu organs differs, leading to different manifestations in the exterior and interior. In pediatric seasonal epidemics, symptoms include heavy coughing, thick sticky sputum and nasal discharge, red eye sockets, irritability, fever, dryness, and thirst. This indicates heat-toxin accumulation in the Lung and Stomach. When the heat-toxin erupts, it easily emerges to the surface, spreading over the skin like miliaria vesicles, appearing and then gradually fading. The pathology is in the exterior, and the toxin invasion is shallow. This is named Zhen Zi (Rash), also known as Fu Chuang (Skin Ulcer/Rash). Alternatively, if seasonal toxic qi accumulates and heat steams internally, the pathology is in the interior, and the toxin invasion is deep. It erupts on the skin, resembling brocade patterns or flea bites, with marks similar in size to small beans, either red or black. This is named Sha (or specific type of rash). There is also a condition in children called Water Pox (Shui Dou), which differs from regular Smallpox (Zheng Dou). It appears and resolves easily. It should not be treated with drying and warming methods; although warming does not cause major harm, it prevents scabbing, leading to ulceration.