百合 滑石
主百合病。变发热者。
按以上百合病。凡六方。俱不外乎百合。夫百合之性。以宁心润肺。补中祛邪。为功者
也。且观其佐使诸药。皆属清凉之品。乃知百合病者。本于君主不宁。因而熏灼相传。百合为之
调剂于其间。则炎者息而燥者润。君臣道合。而百脉交和。命曰百合。不亦名实相副者乎。
雄黄为末。筒瓦二枚合之。烧向肛熏之。另以苦参煎汤洗之。
主惑病。虫蚀肛者。
(如治阴毒去雄黄蜀椒)
升麻 当归 蜀椒 甘草 雄黄 鳖甲
主阳毒。面如锦纹。咽喉痛。吐脓血。观其阴阳二毒。并用一方。已可异矣。及阳毒宜
行凉
之异气。非伤寒余疾。昭然可见。乃后贤不察。却以大寒治阳毒。以大热治阴毒。于仲景之
旨。不啻径庭矣。又考此六味。莫非解毒之品。即当归一味。亦导引诸解毒药。敷布于遍体
者也。
羌活 防风 苍术 白芷 川芎 生地 黄芩 细辛 甘草
一名冲和汤。主天令温热之候。用此方以发散风寒。 按陶节庵。用此方于春夏秋三时
。发散伤寒。以代桂枝麻黄汤用。虽然。亦不可太泥也。如天令尚寒。麻黄桂枝。仍不可缺如非
盛夏。黄芩生地。亦勿轻投。倘挟暑邪。必入香薷扁豆。倘遇呕吐。必入半夏藿香。气弱脉虚
。可进人参。足冷脉沉。因肾虚房劳复感寒邪。则当温经散寒。此方即在禁例矣。虽当热令
。而其人无血虚烦热者。芩地亦不敢肆用也。
百合、生地黄汁(新鲜生地黄榨取的汁液)
主治百合病。未经过发汗、催吐或泻下治疗的患者。
百合、滑石
主治百合病。出现发热症状变化的患者。
按语:以上治疗百合病的方剂,共有六首,都不离百合这味药。百合的药性,以宁心安神、润肺益气、补益中焦、祛除邪气为功效。再看它的佐使药,都属于清凉性质的药物,由此可知百合病,根本原因在于心主神明不安,进而导致热邪熏灼传变。百合在其中起到调节作用,那么火热之气得以平息,干燥之体得到滋润,君臣之道相合,百脉气血交和。命名为“百合”,不也是名实相符吗?
雄黄研成粉末,用两片筒瓦相对合住,对着肛门进行熏蒸。另外用苦参煎汤清洗患处。
主治惑病(狐惑病)。虫蚀肛门的情况。
赤小豆、当归
主治发病三四日目睛发红,七八日面色发黑。如果患者能进食,说明脓液已经形成。
(如果是治疗阴毒证,则去掉雄黄和蜀椒)
升麻、当归、蜀椒、甘草、雄黄、鳖甲
主治阳毒证。面部出现如锦缎花纹般的红斑,咽喉疼痛,呕吐脓血。观察阴阳两种毒证使用同一个方剂,已经显得奇特了。至于阳毒适宜用凉性的方法来治疗,这与伤寒的余留疾病不同,是显而易见的。然而后世的贤者不加考察,却用大寒的药物来治疗阳毒,用大热的药物治疗阴毒,这与张仲景的原意,简直相差十万八千里。又考证这六味药,没有不是解毒的药物,即使是当归一味,也能引导诸解毒药物,敷布于全身各处。
羌活、防风、苍术、白芷、川芎、生地、黄芩、细辛、甘草
又名冲和汤。主治天气温热的时候,使用此方来发散风寒。按陶节庵的说法,此方在春、夏、秋三个季节使用,用来发散伤寒,以此代替桂枝汤和麻黄汤使用。虽然如此,也不可以过于拘泥。如果天气仍然寒冷,麻黄、桂枝仍然不可缺少;如果不是盛夏时节,黄芩、生地也不要轻易投用。倘若夹杂暑邪,必须加入香薷、扁豆;倘若遇到呕吐,必须加入半夏、藿香;气弱脉虚的人,可以进用人参;如果足冷脉沉,是因为肾虚、房劳过度后又感受寒邪,那么就应当温经散寒,这种情况下此方就在禁忌之列了。即使在炎热的季节,如果其人没有血虚烦热的情况,黄芩和生地也不敢肆意使用。
Baihe (Lilii Bulbus) and Zhimu (Anemarrhenae Rhizoma)
Mainly indicated for Baihe disease (Lily disease). For patients who have undergone sweating therapy.
Baihe (Lilii Bulbus), Huashi (Talcum), and Daizheshi (Haematitum)
Mainly indicated for Baihe disease (Lily disease). For patients who have undergone purgation therapy.
Baihe (Lilii Bulbus) and Jizihuang (Ovi Albumen)
Mainly indicated for Baihe disease (Lily disease). For patients who have undergone emesis therapy.
Baihe (Lilii Bulbus) and Shengdihuang Zhi (Fresh Juice of Rehmanniae Radix)
Mainly indicated for Baihe disease (Lily disease). For patients who have not undergone sweating, emesis, or purgation therapies.
Gualougen (Trichosanthis Radix) and Muli (Concha Ostreae)
Mainly indicated for Baihe disease (Lily disease). For patients presenting with changes manifesting as thirst.
Baihe (Lilii Bulbus) and Huashi (Talcum)
Mainly indicated for Baihe disease (Lily disease). For patients presenting with changes manifesting as fever.
Note: The above six formulas for treating Baihe disease (Lily disease) all center on the use of Baihe (Lilii Bulbus). The nature of Baihe (Lilii Bulbus) functions to calm the heart and moisten the lungs, tonify the middle jiao, and dispel pathogenic factors. Observing its assistant and envoy herbs, they all belong to cooling substances. Thus, it is understood that Baihe disease (Lily disease) originates from the unrest of the Heart Mind (Shen), leading to heat flaring and transmission. Baihe (Lilii Bulbus) acts as a regulator in between, thereby extinguishing inflammation and moistening dryness, harmonizing the ruler and minister, and bringing about the harmony of all vessels. Named "Baihe" (Lily), is this not a name that truly reflects its substance?
Xionghuang (Realgar) ground into powder, sealed between two cylindrical tiles, and fumigated towards the anus. Additionally, wash the area with a decoction of Kuxen (Sophorae Flavescentis Radix).
Mainly indicated for Huo disease (Fox-spirit disease). Specifically for cases where parasites erode the anus.
Chidou (Adzuki Bean) and Danggui (Angelicae Sinensis Radix)
Mainly indicated for red eyes appearing on the third or fourth day of illness, and black discoloration on the seventh or eighth day. If the patient can eat, it indicates that pus has already formed.
(When treating Yin Du [Yin Toxin], remove Xionghuang [Realgar] and Shujiao [Zanthoxyli Fructus].)
Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), Shujiao (Zanthoxyli Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Xionghuang (Realgar), and Biejia (Carapax Trionycis)
Mainly indicated for Yang Du [Yang Toxin]. Manifestations include facial rash resembling brocade patterns, sore throat, and vomiting of pus and blood. It is remarkable that both Yin Du [Yin Toxin] and Yang Du [Yang Toxin] utilize the same base formula. Regarding Yang Du [Yang Toxin], it is appropriate to employ cooling methods, which distinguishes it clearly from residual conditions of Shanghan (Cold Damage) diseases. However, later scholars failed to examine this carefully, instead using great cold herbs to treat Yang Du [Yang Toxin] and great hot herbs to treat Yin Du [Yin Toxin]. This deviates significantly from the principles of Zhang Zhongjing. Furthermore, examining these six ingredients, none are not detoxifying agents. Even Danggui (Angelicae Sinensis Radix) serves to guide other detoxifying herbs to distribute throughout the body.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix Preparata), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma)
Also known as Chonghe Tang (Harmonizing Decoction). Mainly indicated for warm weather conditions, used to disperse wind-cold. According to Tao Jian'an, this formula is used during spring, summer, and autumn to disperse Shanghan (Cold Damage), serving as a substitute for Guizhi Tang (Cinnamon Twig Decoction) and Mahuang Tang (Ephedra Decoction). Nevertheless, one should not be overly rigid. If the weather remains cold, Mahuang (Ephedrae Herba) and Guizhi (Cinnamomi Ramulus) must still be included; if it is not mid-summer, Huangqin (Scutellariae Radix) and Shengdi (Rehmanniae Radix Preparata) should not be lightly administered. If accompanied by summerheat-dampness, Xiangru (Elsholtziae Herba) and Bian Dou (Dolichi Lablab Semen Album) must be added. If vomiting occurs, Banxia (Pinelliae Rhizoma Preparatum) and Huoxiang (Pogostemonis Herba) must be added. For those with weak qi and deficient pulse, Renshen (Ginseng Radix) may be advanced. If feet are cold and the pulse is deep, due to kidney deficiency and fatigue from sexual activity compounded by cold invasion, warming the meridians and dispersing cold is required; in such cases, this formula is contraindicated. Even during hot seasons, if the individual does not suffer from blood deficiency with vexation and heat, Huangqin (Scutellariae Radix) and Shengdi (Rehmanniae Radix Preparata) should not be used indiscriminately.