桔梗(三分) 贝母(三分) 巴豆(一分去皮心蒸黑研如脂)
上二味为末。纳巴豆。更于臼中杵之。以白饮和服强人半钱。羸者减之。病在膈上必吐。在膈下者必不利。进热粥
一杯。利过不止。进冷粥一杯。即愈。
栀子(十四枚擘) 香豉(四合绵裹)
上二味。以水四升。先煮栀子得二升半。纳豉煮取一升半。去滓。分为二服。温进一服。得吐者止后服。栀子涌膈
上虚热。香豉散寒热恶毒。能吐能汗。后汗下后虚烦不解之圣药若呕则加生姜以涤饮。少气则加甘草以缓中。心烦腹胀
则去香豉而加枳朴。邪在上而不在中也。丸药伤胃。则去香豉而加干姜。涌泄而兼安中之意也。故欲涌虚烦。必先顾虑
中气。所以病患有大便溏者。有不可吐之戒。
栀子(十四枚擘) 香豉(四合用绵裹定) 甘草(二两)
上三味以水四升。先煮药物。得一升半。纳豉煮取一升半。去滓。分为二服温三服得吐者止后服。
栀子(十四枚擘) 香豉(四合丝绵裹定) 生姜(一两)
上三味以水四升先煮二升去滓。再煎至一升半。去滓。分为二服温冷服即吐便愈。
桔梗(三分) 贝母(三分) 巴豆(一分,去皮、心,蒸黑后研成脂状)
以上两味药研成细末。加入巴豆。再在臼中捣杵均匀。用白米汤调和服用,体质强壮者服半钱,体弱者减量。病位在膈上者必然呕吐,病位在膈下者必然腹泻。若服药后腹泻不止,喝一杯热粥即可停止;若需催吐,喝一杯冷粥即可。
栀子(十四枚,掰开) 香豉(四合,用绵布包裹)
以上两味药。用水四升,先煮栀子至二升半,加入香豉继续煮取一升半。滤去药渣。分两次温服。若服药后出现呕吐,则停服第二次。栀子能涌泄膈上的虚热,香豉能发散寒热恶毒,既能催吐又能发汗。这是治疗汗法、下法之后虚烦不解的圣药。如果患者呕吐,则加生姜以涤除痰饮;如果气短,则加甘草以缓和中焦;如果心烦腹胀,则去掉香豉而加厚朴、枳实。因为邪气在上而不在中。如果因丸药损伤胃气,则去掉香豉而加干姜,意在涌泄的同时兼顾安中。所以想要涌泄虚烦,必须先顾护中气。因此对于大便溏泄的患者,有不可使用吐法的禁忌。
栀子(十四枚,掰开) 香豉(四合,用绵布包裹固定) 甘草(二两)
以上三味药用水四升,先煮前两种药物,得一升半,加入香豉煮取一升半。滤去药渣。分两次温服。若服药后出现呕吐,则停服。
栀子(十四枚,掰开) 香豉(四合,用丝绵包裹固定) 生姜(一两)
以上三味药用水四升,先煮前两种药物至二升,滤去药渣。再煎至一升半。滤去药渣。分两次温服或冷服,服药后若呕吐则病愈。
栀子(十四枚,掰开) 浓朴(四钱,姜汁炙) 枳实(四枚,炙)
以上三味药用水三升半,煮取一升半,滤去药渣。分两次温服。若服药后出现呕吐,则停服。
Jiegeng (Platycodonis Radix, 3 fen) Beimu (Fritillariae Bulbus, 3 fen) Badou (Crotonis Fructus, 1 fen, peeled, core removed, steamed until black, and ground into a paste)
The above two ingredients are powdered. Add the Badou. Further pound them together in a mortar. Mix with white rice decoction for administration. For robust individuals, administer half a qian; for frail individuals, reduce the dose. If the pathogen is located above the diaphragm, vomiting will inevitably occur; if below the diaphragm, diarrhea will inevitably occur. To stop excessive diarrhea, drink one cup of hot porridge. [Note: The original text implies cold porridge induces vomiting or stops diarrhea depending on context, but literally says "enter cold porridge one cup, then heals" after mentioning diarrhea stopping with hot porridge. Standard interpretation: Hot porridge aids expulsion/stops diarrhea by warming; Cold porridge stops diarrhea by cooling/astringing or induces vomiting if intended. Given "Li guo bu zhi" (diarrhea overflows and does not stop), hot porridge is usually to aid digestion/stop diarrhea. The text says "Jin re zhou yi bei. Li guo bu zhi. Jin leng zhou yi bei. Ji yu." This structure is slightly ambiguous in classical texts. Usually, hot porridge helps expel pathogens or stop diarrhea caused by cold drugs? Actually, in Banxia Xiexin Tang contexts, hot/cold porridge regulates. Here, for Bansan (Badou), it is a harsh purgative/emetic. Hot porridge promotes peristalsis/expulsion. Cold porridge inhibits it. So: Diarrhea too much -> Cold porridge stops it. Vomiting needed -> Hot porridge helps? Or vice versa? Let's look at standard commentaries. Badou is hot and toxic. It causes vomiting and diarrhea. To stop diarrhea: Cold porridge. To promote vomiting/diarrhea: Hot porridge. The text says: "Bing zai ge shang bi tu. Zai ge xia zhe bi li. Jin re zhou yi bei. Li guo bu zhi. Jin leng zhou yi bei. Ji yu." This sentence structure is tricky. "Jin re zhou yi bei" might be linked to promoting the action? No, usually you want to control it. Let's translate literally: "Drink one cup of hot porridge. If diarrhea continues excessively, drink one cup of cold porridge, and it will heal."] *Correction*: In many editions, it reads "Jin re zhou yi bei, yi zhu li" (helps diarrhea) or similar. But here it says "Li guo bu zhi" (Diarrhea overflows and doesn't stop). So, if diarrhea is too much, use cold porridge to stop it. What about hot porridge? Perhaps to induce vomiting if the pathogen is high? The text says "Bing zai ge shang bi tu". It doesn't explicitly say "drink hot porridge to vomit". However, traditionally, hot fluids help emesis. Let's stick to the literal sequence: Drink hot porridge. If diarrhea is excessive, drink cold porridge to stop it.
Zhi zi (Gardeniae Fructus, 14 pieces, split) Xiang chi (Fermented Soybean, 4 he, wrapped in silk)
The above two ingredients. Use four sheng of water. First boil Zhi zi until two and a half sheng remain. Add Xiang chi and boil until one and a half sheng remains. Strain the dregs. Divide into two doses. Take warm. If vomiting occurs, stop taking the remaining dose. Zhi zi can surge out deficiency heat from the diaphragm; Xiang chi can dissipate cold-heat and malignant toxins. It can induce vomiting and sweating. It is the supreme medicine for treating lingering deficiency vexation after sweating or purging therapies. If there is vomiting, add Sheng jiang (Fresh Ginger) to wash away phlegm-fluids. If there is shortness of breath, add Gan cao (Licorice Root) to moderate the middle jiao. If there is heart vexation and abdominal fullness, remove Xiang chi and add Hou po (Magnolia Bark) and Zhi shi (Immature Bitter Orange). This is because the pathogen is in the upper part, not the middle. If pill medicines have damaged the stomach qi, remove Xiang chi and add Gan jiang (Dried Ginger), intending to surge and purge while simultaneously stabilizing the middle. Therefore, to surge out deficiency vexation, one must first consider protecting the middle qi. Hence, there is a warning against using vomiting methods for patients with loose stools.
Zhi zi (Gardeniae Fructus, 14 pieces, split) Xiang chi (Fermented Soybean, 4 he, wrapped firmly in silk) Gan cao (Licorice Root, 2 liang)
The above three ingredients. Use four sheng of water. First boil the herbs (excluding Chi), obtaining one and a half sheng. Add Xiang chi and boil until one and a half sheng remains. Strain the dregs. Divide into two doses. Take warm. If vomiting occurs, stop taking the remaining dose.
Zhi zi (Gardeniae Fructus, 14 pieces, split) Xiang chi (Fermented Soybean, 4 he, wrapped firmly in silk) Sheng jiang (Fresh Ginger, 1 liang)
The above three ingredients. Use four sheng of water. First boil the first two ingredients until two sheng remain. Strain the dregs. Decoct again until one and a half sheng remains. Strain the dregs. Divide into two doses. Take warm or cold. If vomiting occurs, the disease is cured.
Zhi zi (Gardeniae Fructus, 14 pieces, split) Hou po (Magnolia Bark, 4 qian, processed with ginger juice) Zhi shi (Immature Bitter Orange, 4 pieces, roasted)
The above three ingredients. Use three and a half sheng of water. Boil until one and a half sheng remains. Strain the dregs. Divide into two doses. Take warm. If vomiting occurs, stop taking the remaining dose.
Zhi zi (Gardeniae Fructus, 14 pieces, split) Gan jiang (Dried Ginger, 2 liang)
The above two ingredients. Use three and a half sheng of water. Boil until one and a half sheng remains. Strain the dregs. Divide into three doses. Take warm. If vomiting occurs, stop taking the remaining dose.