〔钱〕黄 散 治虚热盗汗。
牡蛎( ) 黄 生地(各等分)
上为末,煎服,不拘时。
盗汗,睡而自汗出,肌肉虚也,止汗散主之。遍身汗,香瓜丸主之。
止汗散
用故蒲扇灰研细,每服三钱,温酒调下无时。如无,以故蒲代之。
虎杖散 治实热盗汗。
虎杖水煎服,量多少与之,无时。
〔海〕晋郎中子,自婴至童,盗汗凡七年矣,诸药不效。予与凉膈散、三黄丸三日病已。盖肾为五液,化
为五湿,相火逼肾,肾水上行,乘心之虚而入手少阴,心火炎上而入肺,欺其不胜己也,皮毛以是而开,
腠理玄府不闭而为汗出也,出于睡中者为盗汗,以其觉则无之,故经曰∶寝汗憎风是也。先以凉膈散
泻胸中相火,相火退,次以三黄丸泻心火以助阴,则肾水还本脏,玄府闭而汗为之自已。
〔世〕治小儿盗汗。用郁金末涂两乳下,立效。
〔钱〕治病有等∶张氏三子病,大者汗遍身,次者上至顶下至胸,小者但额有汗,众医以麦煎散治之
不效。钱曰∶大者与香瓜丸,次者与益脾散,小者与石膏汤。各五日而愈。
香瓜丸
胡黄连 大黄瓜(黄色者,一个) 大黄(湿纸裹,煨) 柴胡(去芦) 鳖甲(醋炙黄)
黄柏 黄连 芦荟 青皮(各等分)
上除黄瓜外,同为细末,将黄瓜割其头,填入诸药至满,却盖口,用杖子插定,火内煨熟,将黄瓜及药同
用面糊丸如绿豆大。每服二三丸,食后冷浆或新水下,大者五七丸,不过十丸。
胃怯,汗上至顶,下至脐,此胃虚,当补胃,益黄散主之。
〔钱〕六阳虚,汗上至顶不过胸也,不须治之。喜汗,浓衣卧而额汗出也,止汗散主之。
〔钱乙〕止汗散:治疗虚热引起的盗汗。
组成:牡蛎、黄芪、生地黄(各等分)。
制法与用法:将上述药物研为细末,煎汤服用,随时可服,不拘时间。
盗汗,指睡眠中自行出汗,这是肌肉虚弱所致,用止汗散主治。全身出汗,用香瓜丸主治。
止汗散:
使用旧蒲扇的灰烬,研成细粉,每次服用三钱,用温酒调服,随时可服。如果没有蒲扇灰,可以用旧的蒲草代替。
虎杖散:治疗实热引起的盗汗。
用虎杖水煎服用,根据病情轻重决定剂量,随时可服。
〔海藏〕晋朝郎中的儿子,从婴儿到儿童时期,盗汗长达七年,各种药物都无效。我给予凉膈散和三黄丸,三天后病愈。这是因为肾主五液,化为五湿,相火逼迫肾脏,导致肾水上行,乘心之虚而入入手少阴心经;心火炎上而入肺,欺凌肺金使其不能克制心火,皮毛因此开泄,腠理和玄府(汗孔)不闭合而汗出。在睡中出汗的称为盗汗,因为醒来后就停止了,所以《内经》说:“寝汗憎风”(睡觉时出汗怕风)。先用凉膈散泻去胸中的相火,相火退去后,再用三黄丸泻心火以助益阴气,这样肾水就能回归本脏,玄府闭合,汗自然停止。
〔钱乙〕治病有等级区分:张家的三个孩子生病,大的孩子全身出汗,次大的孩子汗从上至头顶下至胸部,小的孩子只有额头出汗。众医生用麦煎散治疗无效。钱乙说:大的孩子给香瓜丸,次大的给益脾散(即益黄散),小的给石膏汤。各服药五天痊愈。
香瓜丸:
组成:胡黄连、大黄瓜(黄色的一个)、大黄(用湿纸包裹,煨熟)、柴胡(去芦头)、鳖甲(醋炙至黄色)、黄柏、黄连、芦荟、青皮(各等分)。
制法与用法:除黄瓜外,其余药物共同研为细末。将黄瓜切去顶部,填入所有药物直至满口,盖回切口,用木棍插定固定,放入火中煨熟。将黄瓜及药同用面糊制成如绿豆大小的丸剂。每次服用二三丸,饭后用冷浆水或新汲凉水送服,大的孩子服用五七丸,不超过十丸。
[Qian Yi] Zhihan San (Stop Sweat Powder): Treats night sweats caused by deficiency heat.
Ingredients: Oyster Shell (Muli), Astragalus Root (Huangqi), Rehmannia Root (Shengdihuang) (equal parts).
Preparation and Administration: Grind the above ingredients into a fine powder, decoct in water for oral administration, to be taken at any time without restriction.
Night sweats refer to spontaneous sweating during sleep, which is due to muscle deficiency; it is primarily treated with Zhihan San (Stop Sweat Powder). Generalized sweating over the whole body is primarily treated with Xianggua Wan (Melon Pill).
Zhihan San (Stop Sweat Powder):
Use the ash of an old palm fan, grind it into a fine powder. Take 3 qian per dose, mixed with warm wine, to be taken at any time. If unavailable, substitute with old palm grass.
Huzhang San (Polygonum Divaricatum Powder): Treats night sweats caused by excess heat.
Decoct Polygonum Divaricatum Stem (Huzhang) in water for oral administration. The dosage depends on the severity of the condition; take at any time.
[Hai Zang] The son of a Jin Dynasty Langzhong (Official) suffered from night sweats for seven years from infancy to childhood, and various medicines were ineffective. I administered Liangge San (Cooling the Chest Powder) and Sanhuang Wan (Three Yellows Pill), and the illness was cured within three days. This is because the Kidney governs the five fluids, transforming them into five dampnesses. Ministerial Fire (Xianghuo) forces the Kidney Water to ascend, entering the Hand-Shaoyin Heart Meridian by exploiting the deficiency of the Heart. Heart Fire flares upward and enters the Lung, bullying the Lung Metal which cannot control the Heart Fire. Consequently, the skin pores open, and the Couli (interstices) and Xuanfu (pores) fail to close, leading to sweating. Sweating that occurs during sleep is called night sweats, as it ceases upon waking; thus, the Classic states: "Sweating during sleep indicates aversion to wind." First, use Liangge San (Cooling the Chest Powder) to drain the ministerial fire in the chest. Once the ministerial fire recedes, use Sanhuang Wan (Three Yellows Pill) to drain Heart Fire to assist Yin nourishment. Then Kidney Water returns to its home organ, the Xuanfu closes, and sweating stops spontaneously.
[Worldly Physicians] To treat pediatric night sweats: Apply Curcuma Aromatica Rhizome (Yujin) powder to the area below both nipples; immediate effect is observed.
[Qian Yi] Treatment has distinctions: In the case of the Zhang family's three sons, the eldest had generalized sweating, the second had sweating from the top of the head down to the chest, and the youngest had sweating only on the forehead. Many physicians treated them with Maijian San (Wheat Decoction Powder) without success. Qian said: Give Xianggua Wan (Melon Pill) to the eldest, Yipi San (Spleen-Boosting Powder, i.e., Yihuang San) to the second, and Shigao Tang (Gypsum Decoction) to the youngest. All recovered after five days of medication.
Xianggua Wan (Melon Pill):
Ingredients: Picrorhiza Rhizome (Huhuanglian), Large Cucumber (one yellow one), Rheum Palmatum Root (Dahuang, wrapped in wet paper and roasted), Bupleurum Root (Chaihu, removed rhizome), Turtle Carapace (Biejia, vinegar-fried until yellow), Phellodendron Bark (Huangbai), Coptis Rhizome (Huanglian), Aloe (Luhui), Tangerine Peel (Qingpi) (equal parts).
Preparation and Administration: Except for the cucumber, grind all other ingredients into a fine powder. Cut off the top of the cucumber, fill it completely with the medicinal powder, replace the top, and secure it with a stick. Roast it in fire until cooked. Mix the cucumber and medicine with wheat paste to form pills the size of mung beans. Take 2-3 pills per dose, after meals, washed down with cold grain water or fresh well water. For older children, take 5-7 pills, not exceeding 10.
Stomach Qi deficiency leads to sweating from the top of the head down to the navel; this is due to Stomach deficiency and should be tonified with Stomach-tonifying methods, primarily using Yihuang San (Yellow-Boosting Powder).
[Qian Yi] Deficiency of the Six Yang meridians results in sweating reaching the top of the head but not passing the chest; no treatment is required. Preference for thick clothing with sweating on the forehead during sleep is primarily treated with Zhihan San (Stop Sweat Powder).