初得时行赤色,头痛项强,兼治贼风走疰寒痹,赵泉黄膏。
大黄 附子 细辛 川椒 干姜 桂枝(各一两) 巴豆(五十粒)
咀,苦酒渍一宿,以腊月猪 一斤,煎调火三上三下,去滓收之。伤寒赤
色,热酒调服梧桐子大一枚,又以火摩身数百遍,兼治贼风最良。风走肌肤,追风所在摩之,神效,
千金不传。
崔文行解散,时气不和,伤寒发热。
桔梗(炒) 细辛(各四两) 白术(八两) 乌头(炮,一斤)
细末,伤寒服一钱五铢匕,不觉复小增之,以知为度;若时气不和,旦服一钱五铢匕,辟恶欲
省病,一服了去,此时行寒疫通用之。无病者预服,以辟寒为佳,皆酒调下。
藜芦散,辟温疫伤寒。
藜芦 踯躅 干姜(各四分) 牡丹皮 皂角(各五分) 细辛 附子(各三分) 桂枝 朱砂
(各一分)
末之,绛囊带一方寸匕,男左女右,臂上着之。觉有病之时,更以粟米大内鼻中,酒服一钱匕,
覆取汗,日再当取一汗耳。
赤小豆瓜蒂散,在厥阴证中。
鸡子汤治热盛,狂语欲走。
生鸡子(七枚) 芒硝(一两)
井花水一大升,同搅千遍,去沫,频服之,快利为度。
猪苓散即伤寒门五苓散也,在可水证中。(以上五方,载巢氏治时行寒疫合用之方。)
庞曰∶摩膏火灸,可行于西北二方,余处难施,莫若初服解散、赤散之类,如转发热而表不解,
乃行后四方为佳。天行壮热,烦闷无汗者,麻黄葛根汤。
麻黄(五两) 葛根(四两)
粗末,每服五钱,水二盏,栀子二个,葱白五寸,豉一撮,煎八分,去滓沫,温温相次四五服。
取汗,止后服。
天行一二日,麻黄汤。(自汗者去麻黄加葛根二两。)
麻黄(二两) 石膏(一两半) 贝齿(五个,无亦得) 升麻 甘草 芍药(各一两) 杏
仁(四十个)
粗末,每服五钱,水二盏,煎八分,温服。取汗,止后服。
葛根解肌汤,汗后表不解,宜服此。(自汗者去麻黄。)
葛根(四两) 麻黄 芍药 大青 甘草 黄芩 桂枝(各二两) 石膏(三两)
煎如前法。
诏书发汗白薇散,治时气二三日不解。
白薇(二分) 杏仁(三分) 贝母(三分) 麻黄(七分)
细末,酒调下方寸匕,相次二三服,温覆汗出愈。汤调亦得。
圣散子方。(此方苏子瞻《尚书》所传,有序文。)
昔尝览《千金方》,三建散于病无所不治,而孙思邈特为着论,以谓此方用药节度,不近人情。
至于救急,其验特异,乃知神物效灵,不拘常制,至理开感,智不能知,今予所得圣散子,殆此类
也欤。自古论病,唯伤寒至危急,表里虚实,日数证候,应汗应下之法,差之毫厘,辄至不救。而
用圣散子者,一切不问阴阳二感,或男女相易,状至危笃者,连饮数剂,则汗出气通,饮食渐进,
神宇完复,更不用诸药连服取瘥,其余轻者心额微汗,正尔无恙。药性小热,而阳毒发狂之类,入
口即觉清凉,此殆不可以常理诘也。时疫流行,平旦辄煮一釜,不问老少良贱,各饮一大盏,则时
气不入其门。平居无病,能空腹一服,则饮食快美,百疾不生,真济世卫
家之宝也。其方不知所从来,而故人巢君谷世宝之,以治此疾,百不失一二。余既得之,谪居黄州,
连岁大疫,所全活至不可数。巢君初甚惜此方,指江水为盟,约不传人,余窃隘之,乃以传蕲水人
庞君安常。庞以医闻于世,又善着书,故以授之,且使巢君之名与此方同不朽也。其用药如下。
肉豆蔻(十个) 木猪苓 石菖蒲 茯苓 高良姜 独活 柴胡 吴茱萸 附子(炮) 麻黄
浓朴(姜炙) 本 芍药 枳壳(麸炒) 白术 泽泻 藿香 吴术(蜀人谓苍术之白者为白术,
盖茅术也,而谓今之白术为吴术) 防风 细辛 半夏(各半两,姜汁制) 甘草(一两)
锉焙作煮散,每服七铢,水一盏半,煎至八分,去滓热服。余滓两服合为一服,重煎,皆空心
服。
治时气伤寒,头痛身热,腰背强引颈,及中风口噤;治疟不绝,妇人产中风寒,经气腹大,华
佗赤散方。
丹砂(二分) 蜀椒 蜀漆 干姜 细辛 黄芩 防己 桂枝 茯苓 人参 沙参
桔梗 女萎 乌头 常山(各三分) 雄黄 吴茱萸(各五分) 麻黄 代赭(各十分)
除细辛、丹砂、干姜、雄黄、桂外,皆熬治作散,酒服方寸匕,日二;耐药者二匕,覆令汗出。
治疟先发一时服药二匕半,以意消息之。
乌头赤散,治天行疫气病。
乌头(六分) 皂角 雄黄 细辛 桔梗 大黄(各一两)
细末,清酒或井花水服一刀圭,日二,不知稍增,以知为度。除时气不和,一日进一服。牛马
六畜中天行瘴疫,亦以方寸匕。人始得病,一日时服一刀圭,取两豆许,内鼻孔中。
初感时行赤色病,症状为头痛、项部僵硬,同时治疗贼风、走疰(风气游走不定)、寒痹,方用赵泉黄膏。
大黄、附子、细辛、川椒、干姜、桂枝(各一两),巴豆(五十粒)。
切碎,用苦酒浸泡一夜,加入腊月猪脂一斤,在火上煎制,反复加热三次、冷却三次(三上三下),滤去药渣,收存备用。患伤寒出现赤色症状者,用热酒调服如梧桐子大小的一丸,并用火按摩身体数百遍,兼治贼风效果极佳。若风邪游走于肌肤之间,追踪风邪所在之处进行按摩,神效,此方千金不传。
崔文行解散,用于时气不和、伤寒发热。
桔梗(炒)、细辛(各四两),白术(八两),乌头(炮制,一斤)。
研成细末,患伤寒者服一钱五铢匕大小的量,若无感觉则稍增加剂量,以见效为度;若是时气不和,早晨服用一钱五铢匕,可辟除恶气、利于探视病人,服完一次后停药,这是时行寒疫通用的方法。无病之人预先服用,以抵御寒冷为佳,均用酒调服。
藜芦散,用于辟除温疫和伤寒。
藜芦、踯躅、干姜(各四分),牡丹皮、皂角(各五分),细辛、附子(各三分),桂枝、朱砂(各一分)。
研成细末,装入一方寸大小的红布袋中佩戴,男性戴在左臂,女性戴在右臂。感觉有病时,再用粟米大小的药粉纳入鼻中,用酒送服一钱匕的药粉,覆盖身体取汗,每天再取一次汗即可。
鸡子汤治疗热盛、胡言乱语、欲奔跑的症状。
生鸡蛋(七个),芒硝(一两)。
用井水一大升,与药同搅一千遍,去掉浮沫,频频服用,以大便通畅为度。
猪苓散即伤寒门中的五苓散,记载于可水证中。(以上五个方剂,载录自巢元方治疗时行寒疫合用的方子。)
庞安石说:摩膏和火灸的方法,可以在西北两个地区施行,其他地区难以实施,不如最初服用解散、赤散之类的方剂,如果病情转化为发热且表证不解,才使用后面四个方剂较好。天行壮热、烦闷无汗者,用麻黄葛根汤。
麻黄(五两),葛根(四两)。
粗末,每次服用五钱,加水二盏,栀子二个,葱白五寸,豆豉一撮,煎至八分,滤去药渣泡沫,温热依次服用四五次。取汗后,停止后续服药。
天行病一二日,用麻黄汤。(有自汗者去掉麻黄,加葛根二两。)
麻黄(二两),石膏(一两半),贝齿(五个,没有也可以),升麻、甘草、芍药(各一两),杏仁(四十个)。
粗末,每次服用五钱,加水二盏,煎至八分,温服。取汗后,停止后续服药。
葛根解肌汤,发汗后表证仍不解,适宜服用此方。(有自汗者去掉麻黄。)
葛根(四两),麻黄、芍药、大青、甘草、黄芩、桂枝(各二两),石膏(三两)。
煎煮方法同上。
诏书发汗白薇散,治疗时气病二三日不解。
白薇(二分),杏仁(三分),贝母(三分),麻黄(七分)。
研成细末,用酒调服下方寸匕大小的量,依次服用二三剂,温覆身体取汗即愈。用水调服也可以。
圣散子方。(此方由苏子瞻《尚书》所传,有序文。)
过去曾阅读《千金方》,其中三建散对疾病无所不治,但孙思邈特别为此撰写论述,认为此方用药节制,不合常理人情。至于急救,其疗效特异,才知道神灵之物发挥灵效,不拘泥于常规制度,至深的道理开启感应,智慧也不能完全知晓。如今我所得到的圣散子,大概属于这一类吧。自古以来讨论疾病,只有伤寒最为危急,表里虚实,经过的天数和证候,应当发汗或攻下的法则,差之毫厘,就会导致无法救治。而使用圣散子的人,一概不问是感受阴邪还是阳邪,或是男女相互传染,症状极其危重者,连续饮用数剂,就会出汗气通,饮食逐渐恢复,精神面貌完全复原,更不需要其他药物连续服用以求痊愈,其余较轻的患者心额微汗,自然无恙。药性微热,但对于阳毒发狂之类,入口即刻觉得清凉,这大概不能用常理来质问。时疫流行,清晨就煮好一锅,不问老少贵贱,每人喝一大盏,那么时气就不会侵入家门。平时无病,能空腹服用一次,那么饮食愉快美好,百病不生,真是济世卫家的宝物啊。这个方子不知从哪里来,故人巢君谷世代珍视它,用它治疗这种疾病,百无一失。我得到此方后,被贬谪居住在黄州,连年大疫,保全救活的人数不可胜数。巢君起初非常吝惜此方,指着江水发誓,约定不传人,我私下认为他太狭隘了,于是将它传给了蕲水人庞君安常。庞君安常以医术闻名于世,又擅长著书,所以将此方授予他,并且使巢君的名字与此方同样不朽。其用药如下。
肉豆蔻(十个),木猪苓、石菖蒲、茯苓、高良姜、独活、柴胡、吴茱萸、附子(炮制)、麻黄、浓朴(姜炙)、本、芍药、枳壳(麸炒)、白术、泽泻、藿香、吴术(蜀地人称苍术中白色者为白术,大概是茅术,而称现在的白术为吴术)、防风、细辛、半夏(各半两,姜汁制),甘草(一两)。
锉碎焙干做成煮散,每次服用七铢,加水一盏半,煎至八分,滤去药渣热服。剩下的药渣两次合并为一服,重新煎煮,都空腹服用。
治疗时气伤寒,头痛身热,腰背强直牵引颈部,以及中风口噤;治疗疟疾不止,妇人产后中风寒,经气腹大,华佗赤散方。
丹砂(二分),蜀椒、蜀漆、干姜、细辛、黄芩、防己、桂枝、茯苓、人参、沙参、桔梗、女萎、乌头、常山(各三分),雄黄、吴茱萸(各五分),麻黄、代赭(各十分)。
除了细辛、丹砂、干姜、雄黄、桂枝外,其余都熬制处理成散剂,用酒调服方寸匕大小的量,每天两次;耐受力强者服两匕,覆盖身体令其出汗。
治疗疟疾,发作前一时辰服用二匕半,根据情况酌情增减。
乌头赤散,治疗天行疫气病。
乌头(六分),皂角、雄黄、细辛、桔梗、大黄(各一两)。
研成细末,用清酒或井花水服一刀圭大小的量,每天两次,无效则稍增加剂量,以见效为度。除去时气不和的情况,一天进服一剂。牛马六畜中天行瘴疫,也用方寸匕大小的量。人刚开始得病,一天时分服一刀圭,取两豆大小的药粉,纳入鼻孔中。
At the initial stage of contracting the epidemic redness disease, symptoms include headache and stiffness of the neck. It is also used to treat wind-stroke (Zei Feng), wandering bi-syndrome (Zou Zhu), and cold-bi. The formula is Zhao Quan Yellow Ointment.
Da Huang (Rhei Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata), Xi Xin (Asari Radix et Rhizoma), Chuan Jiao (Zanthoxyli Pericarpium), Gan Jiang (Zingiberis Rhizoma), Gui Zhi (Cinnamomi Ramulus) (each 1 liang), Ba Dou (Crotonis Fructus) (50 grains).
Crush the herbs, soak in bitter wine (Ku Jiu) overnight, add 1 jin of lard from a pig slaughtered in the twelfth lunar month, decoct over fire with three cycles of boiling and cooling (three up, three down), filter out the dregs, and collect the ointment. For shanghan presenting with redness, take one pill the size of a sophora seed mixed with hot wine, and rub the body hundreds of times with heat. It is most effective for treating wind-stroke. If wind wanders in the skin and muscles, massage where the wind is located; this is miraculous. This prescription is not passed on for a thousand gold.
Cui Wen Xing Jie San, used for disharmony of seasonal qi and shanghan fever.
Jie Geng (Platycodonis Radix, stir-fried), Xi Xin (Asari Radix et Rhizoma) (each 4 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (8 liang), Wu Tou (Aconiti Radix, processed) (1 jin).
Grind into fine powder. For shanghan, take a dose equivalent to 1 qian 5 zhu using a spoon; if no effect is felt, slightly increase the dose until the desired effect is achieved. For disharmony of seasonal qi, take a dose equivalent to 1 qian 5 zhu in the morning to ward off evil and facilitate visiting the sick; stop after one dose. This is a general formula for epidemic cold plague. Healthy people taking it in advance is good for warding off cold. All are taken mixed with wine.
Li Lu San, used to ward off warm plague and shanghan.
Li Lu (Veratri Nigrum Rhizoma), Zhi Zhu (Daphnes Genkwa Flower), Gan Jiang (Zingiberis Rhizoma) (each 4 fen), Mu Dan Pi (Moutan Cortex), Zao Jiao (Gleditsiae Sinensis Spina) (each 5 fen), Xi Xin (Asari Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata) (each 3 fen), Gui Zhi (Cinnamomi Ramulus), Zhu Sha (Cinnabaris) (each 1 fen).
Grind into powder. Carry one cun square of the powder in a crimson silk bag; men wear it on the left arm, women on the right arm. When feeling ill, put a amount the size of millet grain into the nose, take with wine a dose of 1 qian, cover to induce sweating. Induce sweating once more during the day.
Chi Xiao Dou Gua Di San, recorded in the Jueyin syndrome section.
Ji Zi Tang treats excessive heat, delirious speech, and restlessness with desire to run.
Sheng Ji Zi (Galli Ovum) (7 eggs), Mang Xiao (Natrii Sulfas) (1 liang).
Mix with 1 sheng of well water, stir 1000 times, remove foam, and take frequently. Stop when bowel movement becomes smooth.
Zhu Ling San is the same as Wu Ling San in the shanghan section, recorded in the "can drink water" syndrome section. (The above five formulas are recorded from Chao Yuanfang's combined formulas for treating epidemic cold plague.)
Pang stated: Rubbing with ointment and moxibustion can be applied in the northwest regions, but are difficult to implement elsewhere. It is better to initially use dispersing formulas like Jie San or Chi San. If the condition transforms into fever and the exterior remains unresolved, then using the latter four formulas is better. For epidemic high fever, irritability, and absence of sweat, use Ma Huang Ge Gen Tang.
Ma Huang (Ephedrae Herba) (5 liang), Ge Gen (Puerariae Lobatae Radix) (4 liang).
Coarse powder. Take 5 qian per dose, add 2 zhan of water, 2 Gardenia fruits, 5 cun of scallion white, and a pinch of fermented soybeans. Decoct to 8/10 volume, filter out dregs and foam. Take warm doses successively, 4-5 times. Induce sweat, then stop subsequent doses.
For epidemic disease in the first or second day, use Ma Huang Tang. (If there is spontaneous sweating, remove Ma Huang and add 2 liang of Ge Gen.)
Ma Huang (Ephedrae Herba) (2 liang), Shi Gao (Gypsi Fibrosus) (1.5 liang), Bei Chi (Concha Arcae) (5 pieces, optional), Sheng Ma (Bupleuri Radix? Note: Text says Sheng Ma, likely Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shao Yao (Paeoniae Radix Alba) (each 1 liang), Xing Ren (Armeniacae Semen Amarum) (40 kernels).
Coarse powder. Take 5 qian per dose, add 2 zhan of water, decoct to 8/10 volume, take warm. Induce sweat, then stop subsequent doses.
Ge Gen Jie Ji Tang, for cases where the exterior remains unresolved after sweating. (Remove Ma Huang if there is spontaneous sweating.)
Ge Gen (Puerariae Lobatae Radix) (4 liang), Ma Huang (Ephedrae Herba), Shao Yao (Paeoniae Radix Alba), Da Qing (Isidis Folium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix), Gui Zhi (Cinnamomi Ramulus) (each 2 liang), Shi Gao (Gypsi Fibrosus) (3 liang).
Decoct as previously described.
Imperial Edict Sweating Bai Wei San, treats seasonal qi disease unresolved after two or three days.
Bai Wei (Cynanchi Atrati Radix) (2 fen), Xing Ren (Armeniacae Semen Amarum) (3 fen), Bei Mu (Fritillariae Cirrhosae Bulbus) (3 fen), Ma Huang (Ephedrae Herba) (7 fen).
Grind into fine powder, mix with wine, take one cun square dose. Take 2-3 doses successively, cover warmly to induce sweat for cure. Mixing with water is also acceptable.
Sheng San Zi Formula. (This formula was transmitted by Su Zizhan from the "Shangshu", with a preface.)
I have previously read the "Qian Jin Fang", which states that San Jian San treats all diseases, but Sun Simiao specifically wrote an essay criticizing it, saying its dosage is unnatural. However, for emergency rescue, its efficacy is special. I realize that divine substances work miraculously, not bound by conventional rules. The profound principles inspire wisdom beyond comprehension. The Sheng San Zi I obtained is likely of this kind. Since ancient times, discussing diseases, only shanghan is critical. Errors in determining exterior/interior, deficiency/excess, days elapsed, and whether to sweat or purge, even by a hair's breadth, can lead to untreatable conditions. However, those using Sheng San Zi do not distinguish between yin or yang contraction, or gender transmission. Even in critically severe cases, drinking several doses consecutively leads to sweating, free qi flow, gradual return of appetite, and restoration of spirit. No other medicines are needed. For lighter cases, slight sweating on the heart and forehead occurs, and the person recovers naturally. The drug nature is slightly warm, yet for Yang Du madness, it feels cool upon ingestion. This cannot be questioned by ordinary logic. During epidemics, boil a pot at dawn. Regardless of age or status, each drinks a large cup, preventing seasonal qi from entering the home. In daily life without illness, taking one dose on an empty stomach makes food taste better and prevents hundred diseases. It is truly a treasure for saving the world and protecting families. The origin of this formula is unknown. My friend Mr. Chao Gu treasured it for generations, using it to treat this disease with near-perfect success. After obtaining it, I was exiled to Huangzhou, where epidemics raged for years, saving countless lives. Mr. Chao initially cherished this formula greatly, swearing by the river not to pass it on. I thought him too narrow-minded, so I passed it to Pang Anjun Chang of Qishui. Pang is famous for his medical skills and writing, so I gave it to him, ensuring Mr. Chao's name and this formula remain immortal forever. The ingredients are as follows.
Dou Kou (Myristicae Semen), Mu Zhu Ling (Polyporus), Shi Chang Pu (Acori Tatarinowii Rhizoma), Fu Ling (Poria), Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Du Huo (Angelicae Pubescentis Radix), Chai Hu (Bupleuri Radix), Wu Zhu Yu (Evodiae Fructus), Fu Zi (Aconiti Lateralis Radix Praeparata), Ma Huang (Ephedrae Herba), Hou Po (Magnoliae Officinalis Cortex), Ben Cao (Ligustici Rhizoma et Radix), Shao Yao (Paeoniae Radix Alba), Zhi Ke (Aurantii Fructus Immaturus, bran-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ze Xie (Alismatis Rhizoma), Huo Xiang (Agastaches Herba), Wu Shu (Atractylodis Rhizoma, white variety known as Bai Zhu in Shu, likely May Zhu, while current Bai Zhu is called Wu Shu), Fang Feng (Saposhnikoviae Radix), Xi Xin (Asari Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma Praeparatum, ginger juice treated) (each half liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang).
Cut and roast to make a decoction powder. Take 7 zhu per dose, add 1.5 zhan of water, decoct to 8/10 volume, filter and take hot. Combine the remaining dregs from two doses into one, re-decoct. Take all on an empty stomach.
Hua Tuo Chi San treats seasonal qi shanghan with headache, body heat, stiff back and neck pulling the head, and wind-stroke with locked jaw; treats persistent malaria, postpartum wind-cold in women, abdominal distension due to menstrual qi.
Dan Sha (Cinnabaris), Shu Jiao (Zanthoxyli Pericarpium), Shu Qi (Eucommiae Cortex? Note: Text says Shu Qi, likely related to specific herb), Gan Jiang (Zingiberis Rhizoma), Xi Xin (Asari Radix et Rhizoma), Huang Qin (Scutellariae Radix), Fang Ji (Stephaniae Tetrandrae Radix), Gui Zhi (Cinnamomi Ramulus), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma), Sha Shen (Glehniae Radix or Adenophorae Radix), Jie Geng (Platycodonis Radix), Nu Wei (Polygoni Multiflori Caulis? Note: Text says Nu Wei, likely Polygoni Multiflori Caulis or similar), Wu Tou (Aconiti Radix), Chang Shan (Dichroae Radix) (each 3 fen), Xiong Huang (Realgar), Wu Zhu Yu (Evodiae Fructus) (each 5 fen), Ma Huang (Ephedrae Herba), Dai Zhe (Haematitum) (each 10 fen).
Except for Xi Xin, Dan Sha, Gan Jiang, Xiong Huang, and Gui Zhi, all are roasted and processed into powder. Take one cun square dose mixed with wine, twice daily; for those with higher tolerance, take two doses, cover to induce sweat. For malaria, take 2.5 doses one hour before onset, adjusting as necessary.
Wu Tou Chi San treats epidemic air plague.
Wu Tou (Aconiti Radix) (6 fen), Zao Jiao (Gleditsiae Sinensis Spina), Xiong Huang (Realgar), Xi Xin (Asari Radix et Rhizoma), Jie Geng (Platycodonis Radix), Da Huang (Rhei Radix et Rhizoma) (each 1 liang).
Grind into fine powder. Take one dao gui dose mixed with clear wine or well water, twice daily. If ineffective, slightly increase until effect is achieved. For seasonal qi disharmony, take one dose daily. For cattle, horses, and livestock with epidemic miasma, also use one cun square dose. For humans just starting to get sick, take one dao gui dose divided throughout the day, or take an amount the size of two beans and insert into the nostril.