392.伤寒阴阳易之为病,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,(花一作眵)膝胫拘急者,烧 散主之。方一。
妇人中 ,近隐处,取烧作灰。
上一味,水服方寸匕,日三服,小便即利,阴头微肿,此为愈矣。妇人病取男子 烧服。
393.大病瘥后劳复者,枳实栀子豉汤主之。方二。
枳实(炙,三枚) 栀子(擘,十四个) 豉(绵裹,一升)
上三味,以清浆水七升,空煮取四升;内枳实、栀子,煮取二升;下豉,更煮五六沸,去滓,温分
再服,覆令微似汗。若有宿食者,内大黄如博棋子五六枚,服之愈。
394.伤寒瘥以后更发热,小柴胡汤主之;脉浮者,以汗解之;脉沉实(一作紧)者,以下解之。方三。
柴胡(八两) 人参(二两) 黄芩(二两) 甘草(炙,二两)
生姜(二两) 半夏(洗,半升) 大枣(擘,十二枚)
上七味,以水一斗二升,煮取六升,去滓;再煎取三升。温服一升,日三服。
395.大病瘥后,从腰以下有水气者,牡蛎泽泻散主之。方四。
牡蛎(熬) 泽泻 蜀漆(暖水洗去腥) 葶苈子(熬) 商陆根(熬) 海藻(洗去咸) 栝蒌根(各等分)
上七味,异捣,下筛为散;更于臼中治之,白饮和服方寸匕,日三服。小便利,止后服。
396.大病瘥后,喜唾,久不了了,胸上有寒,当以丸药温之,宜理中丸。方五。
人参 白术 甘草(炙) 干姜(各三两)
上四味,捣筛,蜜和为丸,如鸡子黄许大,以沸汤数合,和一丸,研碎,温服之,日三服。
397.伤寒解后,虚羸少气,气逆欲吐,竹叶石膏汤主之。方六。
竹叶(二把) 石膏(一斤) 半夏(洗,半升) 麦门冬(去心,一升) 人参(二两) 甘草(炙,
二两) 粳米(半升)
上七味,以水一斗,煮取六升,去滓;内粳米,煮米熟,汤成去米,温服一升,日三服。
398.病患脉已解,而日暮微烦。以病新瘥,人强与谷,脾胃气尚弱,不能消谷,故令微烦;损谷则愈。
392.伤寒病后,因男女交接而染邪气所致的阴阳易病(伤寒愈后因性交传染的病证),患者身体沉重、气短、少腹拘急疼痛,或者牵引阴部拘挛收缩,热气上冲胸部,头部沉重不想抬举,视物昏花(“花”有的版本作“眵”,即眼屎),膝盖和小腿拘急痉挛的,用烧裈散主治。这是第一个方剂。
取妇女内裤裆部,靠近隐蔽处的布料,烧成灰。
以上这一味药,用水送服一方寸匕的药量,每天服用三次。如果小便通利,阴茎头微微肿胀,这就表示病好了。如果是妇女患病,则取男子内裤裆部烧灰服用。
393.大病初愈后,因劳累而复发者,用枳实栀子豉汤主治。这是第二个方剂。
枳实(炙烤,三枚) 栀子(剖开,十四个) 豆豉(用棉布包裹,一升)
以上三味药,用清浆水七升,先空煮取四升;放入枳实、栀子,煮取二升;再放入豆豉,继续煮五六沸,去掉药渣,温服,分两次服用,覆盖衣被让身体微微出汗。如果有积食停滞的,加入像博棋子大小的五六枚大黄,服用后即可痊愈。
394.伤寒病愈后又出现发热的,用小柴胡汤主治;脉象浮的,通过发汗来解除病邪;脉象沉实(有的版本作“紧”)的,通过泻下来解除病邪。这是第三个方剂。
柴胡(八两) 人参(二两) 黄芩(二两) 甘草(炙烤,二两)
生姜(二两) 半夏(洗净,半升) 大枣(剖开,十二枚)
以上七味药,用水一斗二升,煮取六升,去掉药渣;再煎煮浓缩取三升。每次温服一升,每天服用三次。
395.大病初愈后,腰部以下有水气停聚的,用牡蛎泽泻散主治。这是第四个方剂。
牡蛎(熬制) 泽泻 蜀漆(用温水洗去腥味) 葶苈子(熬制) 商陆根(熬制) 海藻(洗去咸味) 栝蒌根(各等分)
以上七味药,分别捣碎,过筛制成散剂;再在臼中研磨均匀,用白米汤调和送服一方寸匕的药量,每天服用三次。如果小便通利,就停止服药。
396.大病初愈后,喜欢吐唾沫,长久不能痊愈,这是因为胸膈上有寒邪,应当用丸药温补,适宜使用理中丸。这是第五个方剂。
人参 白术 甘草(炙烤) 干姜(各三两)
以上四味药,捣碎过筛,用蜂蜜调和做成丸药,大小如鸡蛋黄,用沸水数合,调和一丸,研碎,温服,每天服用三次。
397.伤寒病解之后,身体虚弱消瘦、气短,气逆想呕吐的,用竹叶石膏汤主治。这是第六个方剂。
竹叶(二把) 石膏(一斤) 半夏(洗净,半升) 麦门冬(去心,一升) 人参(二两) 甘草(炙烤,二两) 粳米(半升)
以上七味药,用水一斗,煮取六升,去掉药渣;放入粳米,煮到米熟,汤成后去掉米粒,每次温服一升,每天服用三次。
398.患者的脉象已经平和,但傍晚时分轻微心烦。这是因为病刚痊愈,人勉强进食,脾胃之气尚且虚弱,不能消化食物,所以导致轻微心烦;减少饮食即可痊愈。
392. For the disease of Yin-Yang Yi (a condition transmitted through sexual intercourse after recovery from Shanghan), characterized by heavy body, shortness of breath, urgency and pain in the lower abdomen, or contraction pulling into the genitals, heat rushing up to the chest, heaviness of the head with reluctance to lift it, blurred vision (some versions read as "eye discharge"), and spasms in the knees and shins, Shao Kun San (Burnt Undergarment Powder) is the main treatment. This is Formula 1.
Take the crotch part of a woman's undergarment, near the private area, and burn it to ash.
Take this single ingredient, administer one Fang Cun Bi (a square-inch spoonful) with water, three times a day. If urination becomes free and the glans penis swells slightly, this indicates recovery. For women suffering from this disease, take the burnt ash from a man's undergarment.
393. For relapse due to overexertion after recovery from a severe disease, Zhi Shi Zhi Zi Chi Tang (Immature Bitter Orange, Gardenia, and Prepared Soybean Decoction) is the main treatment. This is Formula 2.
Zhi Shi (Fructus Aurantii Immaturus, stir-fried, 3 pieces), Zhi Zi (Fructus Gardeniae, broken, 14 pieces), Chi (Semen Sojae Praeparatum, wrapped in cotton, 1 Sheng).
Decoct the above three ingredients in 7 Sheng of Qing Jiang Shui (clear fermented rice water), boiling down to 4 Sheng; add Zhi Shi and Zhi Zi, boil down to 2 Sheng; add Chi, boil for another 5-6 boils, remove the dregs, and take warm in two divided doses. Cover the body to induce slight sweating. If there is retained food, add 5-6 pieces of Da Huang (Radix et Rhizoma Rhei) the size of Bo Qi Zi (game pieces), and administration will lead to recovery.
394. If fever recurs after recovery from Shanghan, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the main treatment; if the pulse is floating, resolve it by diaphoresis (sweating); if the pulse is deep and excess (some versions read as "tight"), resolve it by purgation. This is Formula 3.
Chai Hu (Radix Bupleuri, 8 Liang), Ren Shen (Radix Ginseng, 2 Liang), Huang Qin (Radix Scutellariae, 2 Liang), Gan Cao (Radix Glycyrrhizae, stir-fried, 2 Liang), Sheng Jiang (Rhizoma Zingiberis Recens, 2 Liang), Ban Xia (Rhizoma Pinelliae, washed, 0.5 Sheng), Da Zao (Fructus Jujubae, broken, 12 pieces).
Decoct the above seven ingredients in 1 Dou 2 Sheng of water, boiling down to 6 Sheng, remove the dregs; re-decoct to obtain 3 Sheng. Take 1 Sheng warm, three times a day.
395. After recovery from a severe disease, if there is water retention below the waist, Mu Li Ze Xie San (Oyster Shell and Alisma Powder) is the main treatment. This is Formula 4.
Mu Li (Concha Ostreae, calcined), Ze Xie (Rhizoma Alismatis), Shu Qi (Caulis Trichosanthis, washed with warm water to remove fishy smell), Ting Li Zi (Semen Lepidii/Descurainiae, calcined), Shang Lu Gen (Radix Phytolaccae, calcined), Hai Zao (Sargassum, washed to remove saltiness), Gua Lou Gen (Radix Trichosanthis, equal parts).
Pound the above seven ingredients separately, sift to make powder; further process in a mortar, mix with Bai Yin (rice gruel) and administer one Fang Cun Bi, three times a day. Stop administration when urination becomes free.
396. After recovery from a severe disease, if there is frequent spitting of saliva that persists for a long time, indicating cold in the upper burner/chest, it should be warmed with pill medicine; Li Zhong Wan (Regulate the Middle Pill) is appropriate. This is Formula 5.
Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Gan Cao (Radix Glycyrrhizae, stir-fried), Gan Jiang (Rhizoma Zingiberis, 3 Liang each).
Pound and sift the above four ingredients, mix with honey to form pills, each about the size of an egg yolk. Dissolve one pill in several He of boiling water, crush it, and take warm, three times a day.
397. After resolution of Shanghan, if there is emaciation, deficiency, shortness of breath, and adverse Qi flow causing nausea, Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) is the main treatment. This is Formula 6.
Zhu Ye (Folium Bambusae, 2 handfuls), Shi Gao (Gypsum Fibrosum, 1 Jin), Ban Xia (Rhizoma Pinelliae, washed, 0.5 Sheng), Mai Men Dong (Radix Ophiopogonis, heart removed, 1 Sheng), Ren Shen (Radix Ginseng, 2 Liang), Gan Cao (Radix Glycyrrhizae, stir-fried, 2 Liang), Jing Mi (Semen Oryzae, 0.5 Sheng).
Decoct the above seven ingredients in 1 Dou of water, boiling down to 6 Sheng, remove the dregs; add Jing Mi, boil until the rice is cooked, remove the rice when the decoction is ready, take 1 Sheng warm, three times a day.
398. The patient's pulse has normalized, but there is slight irritability in the evening. This is because the disease has just healed, and the person forced themselves to eat grain; the Spleen and Stomach Qi are still weak and cannot digest the food, thus causing slight irritability; reducing food intake will lead to recovery.