通治诸风湿热疮毒时行热病
防风 川芎 当归 白芍药 连翘 薄荷(各一钱) 荆芥穗 白术 山栀(各七分) 黄
芩桔梗(各一钱半) 石膏(二钱) 滑石(三钱) 甘草(五分)
上用姜三片水二钟煎一钟食远服此方内大黄芒硝麻黄对症渐加风热内甚欲下加大黄(三
钱
)芒硝(二钱)风湿热在表欲汗加麻黄(二钱)葱白(三根)自利体寒去硝黄自汗去麻黄加桂枝(
秋冬二钱春夏八分)常用根据(本方)
治春月肝木乘脾腹痛久泻不止
人参(一钱半) 白术(陈土炒二钱半) 白芍药(醋炒一钱半) 青皮(去穣麸炒七分) 陈
皮(
去白一钱) 干姜(炒黑一钱) 甘草(炙一钱) 苍术(麸炒一钱半) 升麻(五分) 柴胡(五分
)防风(五分) 白茯苓(一钱) 久泻虚寒加熟附(一钱)
上用姜三片大枣二枚水二钟煎一钟食前服
治感冒非时伤寒头疼身热拘急憎寒壮热及时行瘟疫热病
人参(一钱) 羌活(一钱半) 独活(一钱) 柴胡(一钱二分) 前胡(一钱) 葛根(一钱)
甘草(五分) 桔梗 枳壳 茯苓(各八分) 川芎 苍术(各一钱)
劳役得病倍用人参加白术当归白芍药去独活前胡饥馑兵乱之余饮食不节起居不常致患
时行
瘟热病沿门阖境传染相似宜此方加白术黄 (生)倍人参去前胡独活甚效若多服未效而有寒
热往来者必用小柴胡汤不拘服数并无过失又有一种虾蟆瘟病使人痰涎风壅烦热头疼身痛
呕逆或饮食起居如常但咳声不响续续相连俨如蛙鸣故俗号曰虾蟆瘟也嘉靖巳未五六七月间
江南淮北在处患动数百里皆同甚至赤眼口疮大小腮肿喉闭风壅喷嚏涕唾稠粘并用此方去茯
苓桔梗独活加青皮陈皮白术藿香但以荆芥为引不用生姜薄荷一二服即愈
【背景信息】
书名:养生类要 作者:吴正伦 朝代:明 章节:防风通圣散 / 加味治中汤 / 人参败毒散 类别:养生
【待处理原文】
通治各种风湿热毒疮疡及时行热病(流行性热病)
防风、川芎、当归、白芍药、连翘、薄荷(各一钱),荆芥穗、白术、山栀(各七分),黄芩、桔梗(各一钱半),石膏(二钱),滑石(三钱),甘草(五分)。
以上药物用生姜三片,水两碗,煎至一碗,饭后服用。此方内的大黄、芒硝、麻黄需根据症状逐渐增加剂量:若风热内盛欲用攻下法,加大黄(三钱)、芒硝(二钱);若风湿热在表欲用发汗法,加麻黄(二钱)、葱白(三根);若自利且体质虚寒,去掉芒硝和大黄;若自汗,去掉麻黄,加桂枝(秋冬季节二钱,春夏季节八分)。此为常用依据(基于本方)。
治疗春季肝木乘脾引起的腹痛、久泻不止
人参(一钱半),白术(陈土炒制二钱半),白芍药(醋炒一钱半),青皮(去瓤麸炒七分),陈皮(去白一钱),干姜(炒黑一钱),甘草(炙一钱),苍术(麸炒一钱半),升麻(五分),柴胡(五分),防风(五分),白茯苓(一钱)。若久泻属虚寒证,加熟附子(一钱)。
以上药物用生姜三片,大枣二枚,水两碗,煎至一碗,饭前服用。
治疗感冒非时伤寒(不合时令的伤寒)、头痛身热、拘急恶寒壮热及时行瘟疫热病
人参(一钱),羌活(一钱半),独活(一钱),柴胡(一钱二分),前胡(一钱),葛根(一钱),甘草(五分),桔梗、枳壳、茯苓(各八分),川芎、苍术(各一钱)。
因劳役致病者,倍用人参,加白术、当归、白芍药,去掉独活、前胡。饥荒战乱之后,因饮食不节、起居无常导致患时行瘟热病,沿门阖境传染相似,宜用此方加白术、生黄芩,倍用人参,去掉前胡、独活,效果显著。若多服未效且有寒热往来(忽冷忽热)症状者,必用小柴胡汤(和解少阳的代表方剂),不限服药次数,并无过失。又有一种虾蟆瘟病,使人痰涎风壅(风邪阻滞痰涎)、烦热头疼身痛、呕逆,或饮食起居如常,但咳声不响,续续相连,俨如蛙鸣,故俗号曰虾蟆瘟也。嘉靖巳未年(1559-1560年)五六七月间,江南淮北到处患病,动数百里皆同,甚至出现赤眼、口疮、大小腮肿、喉闭、风壅、喷嚏、涕唾稠粘等症状,并用此方去掉茯苓、桔梗、独活,加青皮、陈皮、白术、藿香,以荆芥为引,不用生姜、薄荷,一二服即愈。
Background Information:
Book: Yangsheng Leyao (Essentials for Health Preservation)
Author: Wu Zhenglun
Dynasty: Ming
Chapter: Fangfeng Tongsheng San / Jiawei Zhizhong Tang / Renshen Baidu San
Category: Health Preservation
Original Text:
General treatment for various wind-dampness, heat-toxin sores, and epidemic febrile diseases (Liuixingxing Rebing)
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba) (each 1 qian); Jingjiesui (Schizonepetae Spica), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhi (Gardeniae Fructus) (each 7 fen); Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix) (each 1.5 qian); Shigao (Gypsum Fibrosum) (2 qian); Huashi (Talcum) (3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Take the above herbs, add three slices of fresh ginger, two bowls of water, decoct to one bowl, and take after meals. Within this formula, Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), and Mahuang (Ephedrae Herba) should be gradually increased according to symptoms: if internal wind-heat is severe and purgation is desired, increase Dahuang (3 qian) and Mangxiao (2 qian); if wind-dampness-heat is in the exterior and sweating is desired, add Mahuang (2 qian) and Congbai (Allii Fistulosi Bulbus); if there is spontaneous diarrhea and cold constitution, remove Mangxiao and Dahuang; if there is spontaneous sweating, remove Mahuang and add Guizhi (Cinnamomi Ramulus) (2 qian in autumn/winter, 8 fen in spring/summer). This serves as the common basis (based on this formula).
Treatment for abdominal pain and chronic diarrhea due to Liver Wood overacting on Spleen in spring
Renshen (Ginseng Radix) (1.5 qian); Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried with aged soil, 2.5 qian); Baishao (Paeoniae Radix Alba) (stir-fried with vinegar, 1.5 qian); Qingpi (Citri Reticulatae Pericarpium Viride) (remove pith, stir-fried with bran, 7 fen); Chenpi (Citri Reticulatae Pericarpium) (remove white pith, 1 qian); Ganjiang (Zingiberis Rhizoma) (charred, 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 1 qian); Cangzhu (Atractylodis Rhizoma) (stir-fried with bran, 1.5 qian); Shengma (Cimicifugae Rhizoma) (5 fen); Chaihu (Bupleuri Radix) (5 fen); Fangfeng (Saposhnikoviae Radix) (5 fen); Bai Fuling (Poria) (1 qian). If chronic diarrhea is due to deficiency-cold, add Shu Fuzi (Aconiti Lateralis Radix Praeparata) (1 qian).
Take the above herbs, add three slices of fresh ginger and two jujubes, two bowls of water, decoct to one bowl, and take before meals.
Treatment for catching cold from non-seasonal Shanghan (Taiyang disease caused by cold pathogen), headache, fever, stiffness, aversion to cold with high fever, and epidemic plague febrile diseases
Renshen (Ginseng Radix) (1 qian); Qianghuo (Notopterygii Rhizoma et Radix) (1.5 qian); Duohuo (Angelicae Pubescentis Radix) (1 qian); Chaihu (Bupleuri Radix) (1.2 qian); Qianhu (Peucedani Radix) (1 qian); Gegen (Puerariae Lobatae Radix) (1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen); Jiegeng (Platycodonis Radix), Zhiqiao (Aurantii Fructus), Fuling (Poria) (each 8 fen); Chuanxiong (Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma) (each 1 qian).
For illnesses caused by overwork, double the dose of Renshen, add Baizhu, Danggui, and Baishao, and remove Duohuo and Qianhu. After famines and wars, due to irregular diet and lifestyle leading to epidemic warm-heat diseases that spread door-to-door within communities, use this formula with added Baizhu and raw Huangqin, double the dose of Renshen, and remove Qianhu and Duohuo for significant effect. If multiple doses yield no improvement and there are alternating chills and fever (Hanre Wanglai), Xiao Chaihu Tang (Minor Bupleurum Decoction) must be used without limit on the number of doses, which will cause no harm. There is also a type of "Toad Plague" (Hamawang) causing phlegm obstruction by wind, irritability, fever, headache, body pain, vomiting, or normal diet and起居 but with hoarse, continuous coughing resembling frog croaking, hence commonly called Toad Plague. During the fifth and sixth months of the Jiwei year of the Jiajing era (1559-1560), throughout Jiangnan and north of the Huai River, hundreds of miles were affected similarly, even presenting with red eyes, mouth ulcers, mumps-like swelling of cheeks, throat closure, wind obstruction, sneezing, and thick nasal discharge and saliva. Use this formula removing Fuling, Jiegeng, and Duohuo, adding Qingpi, Chenpi, Baizhu, and Huoxiang, using Jingjie as a guide, without Shengjiang or Bohe, cured in one or two doses.