治痢,口渴下重者如神。
白头翁(二两) 黄连 黄柏 秦皮(各三两) 上四味,以水七升,煮取二升,去渣,温服一升,不愈,
更服一升。
热利下重者,白头翁汤主之。凡下重皆属瘀热。下利欲饮水者,以有热故也,白头翁汤主之。
牡蛎(熬) 泽泻 蜀漆(暖水,洗去腥) 栝蒌根 葶苈子(熬) 商陆根(熬) 海藻(洗去咸)
以上各等分。上七味,异捣下筛为散,更入臼中治之,白饮和服方寸匕,日三服。小便利,止后服。
大病瘥后,从腰以下有水气者,水流向下。牡蛎泽泻散主之。此治水病之主方。
食蜜七合 上一味,于铜器内微火煎凝如饴状,搅之勿令焦着。俟可丸,并手捻作挺,令
头锐,大如指长二寸许,当热时急作,冷则硬,以纳谷道中,以手急抱,欲大便时,乃去之。
大猪胆(一枚) 泻汁和醋少许以灌谷道中,如一食顷,当大便出宿食恶物甚效。
阳明病,自汗出,若发汗,小便自利者,此乃津液内竭,虽硬,不可攻之,当须自欲大便,须待也,
言必得其自欲大便,而后用此法。宜蜜煎导而通之。若土瓜根及大猪胆汁,皆可为导。
右取妇人中KT 近阴处,剪烧灰,以水和服方寸匕,
日三服,小便即利,阴头微肿则愈。如人病,取男子KT 裆烧灰。引其邪火从阴处出也。
伤寒阴阳易之为病,病方愈而交接,则感其余热而生疾。其人身体重,少气,少腹里急,或引阴中,
拘挛,热上冲胸,头重不欲举,眼中生花,膝胫拘急者,烧KT 散主之。
治疗痢疾,伴有口渴、里急后重症状的,效果如神。
白头翁(二两) 黄连 黄柏 秦皮(各三两) 以上四味药,用水七升,煎煮至剩余二升,滤去药渣,温服一升;若未痊愈,再服用一升。
热性痢疾伴见里急后重者,以白头翁汤为主治方剂。凡是里急后重都属于瘀热所致。下利且想喝水的,是因为体内有热,以白头翁汤主治。
牡蛎(煅制) 泽泻 蜀漆(用温水清洗以去除腥味) 栝蒌根 葶苈子(炒制) 商陆根(炒制) 海藻(清洗以去除咸味)
以上药物各等分。将以上七味药分别捣碎过筛成散剂,再放入臼中进一步研磨均匀,用米汤送服一方寸匕,每日三次。如果小便通利,则停止后续服药。
大病初愈后,腰部以下出现水肿者,水气向下流动。以牡蛎泽泻散为主治方剂。这是治疗水气病的主方。
食蜜七合 以上一味药,在铜器内用微火煎熬,使其凝固呈饴糖状,搅拌时不要让它焦糊粘底。等到可以搓丸时,用手捻制成条状,使一头尖锐,长约两寸左右。必须在药液温热时迅速制作,冷却后会变硬。将其纳入肛门中,用手紧抱臀部,想要大便时,才取出。
大猪胆(一枚) 取胆汁并加入少许醋,灌入肛门中。大约一顿饭的时间,应当排出宿食和污物,效果显著。
阳明病,自汗出,或者经过发汗治疗后,小便自然通利的,这是因为津液在内枯竭,虽然大便干硬,不可使用攻下法,应当等待患者自行产生便意,需要耐心等待,意思是必须等到患者自己强烈想要排便时,然后才使用此法。适宜用蜜煎导法来通便。如果土瓜根及大猪胆汁,都可以作为导引通便之用。
取妇人内裤靠近阴部处的布料,剪下烧成灰,用水调服一方寸匕,
每日三次,小便即能通利,阴头轻微肿胀即为痊愈。如果是男子患病,取男子内裤裆部烧成灰。以此引导邪火从阴处排出。
伤寒阴阳易病这种病症,病刚痊愈就进行房事,则会感染余热而生病。患者身体沉重,气短,小腹部拘急疼痛,或者牵引阴部,拘挛抽搐,热气上冲胸部,头部沉重不想抬起,眼前发黑视物模糊,膝盖和小腿拘急不舒的,以烧裈散为主治方剂。
For treating dysentery with thirst and tenesmus, the effect is miraculous.
Baitouweng (Radix Pulsatillae) (2 liang), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri), Qinpi (Cortex Fraxini) (each 3 liang). The above four ingredients are boiled in 7 sheng of water until reduced to 2 sheng. Strain the dregs. Take 1 sheng warm. If not cured, take another 1 sheng.
In cases of heat-type dysentery accompanied by tenesmus, Baitouweng Tang (Pulsatilla Decoction) is the primary formula. All cases of tenesmus belong to stagnant heat. In cases of diarrhea where there is a desire to drink water, it is due to internal heat; Baitouweng Tang (Pulsatilla Decoction) is indicated.
Muli (Ostreae Concha, calcined), Zexie (Rhizoma Alismatis), Shuqi (Herba Pteris Multifidae, washed with warm water to remove fishy odor), Gualougen (Radix Trichosanthis), Tinglizi (Semen Lepidii et Descurainiae, fried), Shanglugen (Radix Phytolaccae, fried), Haizao (Thallus Sargassum, washed to remove saltiness).
The above seven ingredients are of equal proportion. Each ingredient is separately crushed and sifted into powder, then further ground together in a mortar. Mix with rice water and administer 1 fangcunbi per dose, three times daily. Stop subsequent doses if urination becomes smooth.
After recovery from a major illness, if there is fluid retention (shui qi) below the waist, flowing downward, Muli Zexie San (Oyster Shell and Alisma Powder) is the primary formula. This is the main formula for treating water-retention diseases.
Shimi (Honey, edible) 7 he. The above single ingredient is slowly simmered in a copper vessel until it condenses like maltose syrup. Stir constantly to prevent burning or sticking. When it can be shaped, roll it by hand into a suppository shape with a pointed tip, approximately two cun long. It must be formed while hot; it hardens when cold. Insert into the anus. Hold buttocks tightly together. Remove only when the urge to defecate arises.
Da Zhudan (Gall Bladder of Sus scrofa domestica, one piece). Extract the bile and mix with a small amount of vinegar. Instill into the anus. After about the time of one meal, old food residues and foul matter should be expelled; this is highly effective.
In Yangming disease, if there is spontaneous sweating, or after inducing sweating, and urination is naturally profuse, this indicates exhaustion of body fluids internally. Although the stool may be hard, purgatives should not be used. One must wait for the patient's natural urge to defecate. The text implies that one must wait until the patient strongly desires defecation before employing this method. Mi Jian Dao (Honey Suppository) is suitable to moisten and promote bowel movement. Radix Trichosanthis (Tugua Gen) and Gall Bladder of Sus scrofa domestica (Da Zhudan Danzhi) can also be used as suppositories.
Take the cloth from a woman's undergarment near the genital area, cut it off, burn it to ash, mix with water, and administer 1 fangcunbi per dose, three times daily. Urination will become smooth, and slight swelling of the glans penis indicates cure. If the patient is male, take the crotch of a man's undergarment and burn it to ash. This guides the pathogenic fire out from the yin region.
Yin-Yang Yi (Exchange of Yin and Yang) is a condition following typhoid fever. If sexual intercourse occurs just as the illness is resolving, residual heat is transmitted, causing disease. Symptoms include heavy body, shortness of breath, urgency and tightness in the lower abdomen, possibly radiating to the genitalia, spasms, sensation of heat rushing up to the chest, heaviness of the head making it difficult to lift, blurred vision ("seeing flowers"), and stiffness/tightness in the knees and calves. Shaokun San (Burnt Undergarment Powder) is the primary formula.