冬受寒邪不即病,复感春寒发名瘟,证同伤寒治双解,呕加生姜半夏均。
[注]
瘟病一证,乃冬受寒邪不即为病,至春复感春风而发者也,
现证与伤寒相同,用双解通圣汤两解之,
若呕吐者,以生姜半夏入之,其呕自止。
(双解通圣汤) 方见伤寒
%
瘟疫门
风瘟复感春风发,汗热身重睡鼾眠,汗少荆防败毒治,汗多桂枝白虎汤。
[注]
风瘟,冬受寒邪复感春风而发为病也,
其证身重睡憨,发热自汗,
汗少者以荆防败毒散解,汗多者以桂枝合白虎汤清解之。
(荆防败毒散) 荆芥 防风 羌活 独活 柴胡 前胡 甘草生 川芎
枳壳麸炒 桔梗 茯苓 引用生姜水煎服。
(方歌)
荆防败毒宜时气,风瘟无汗用自灵,荆防羌独柴前草,川芎枳桔与茯苓。
(桂枝合白虎汤)
桂枝 芍药 石膏煆 知母生 甘草生 粳米 引加生姜大枣水煎服。
(方歌)
桂枝汤合白虎汤,壮热多汗服此方,桂芍石膏知母草,粳米大枣共生姜。
%
瘟疫门
冬受寒邪不即病,至夏复感暑热成,身不恶寒而多渴,证同瘟病治亦同。
[注]
热病,乃冬受寒邪不即为病,至夏复感暑热而成,故名曰热病,
现证与瘟病相类,但不恶寒,口干作渴为少异耳,治法亦与瘟病同。
%
瘟疫门
【原文】
冬季感受寒邪,当时没有立即发病,到了春季又感受春寒而发作,称为瘟病。其证候与伤寒相同,治疗用双解通圣汤两解表里;如果伴有呕吐,加入生姜和半夏,呕吐自然停止。
[注]
瘟病这一证候,是冬季感受寒邪,当时没有立即发病,到了春季又感受春风(风邪)而发作的疾病。
现阶段的证候表现与伤寒相同,使用双解通圣汤来同时解除表里之邪。
如果有呕吐症状的,在方中加入生姜和半夏,呕吐自然会停止。
(双解通圣汤) 方剂见《伤寒论》相关章节。
【原文】
风瘟病再次感受春风而发作,表现为身体发热、出汗、身体沉重、睡眠时打鼾。如果汗少,用荆防败毒散治疗;如果汗多,用桂枝汤合白虎汤治疗。
[注]
风瘟病,是冬季感受寒邪,再次感受春风而发作的疾病。
其证候表现为身体沉重、嗜睡憨态、发热且自汗出。
汗少的患者,用荆防败毒散来解表邪;汗多的患者,用桂枝汤合白虎汤来清解里热兼固表。
(荆防败毒散) 组成:荆芥、防风、羌活、独活、柴胡、前胡、生甘草、川芎、麸炒枳壳、桔梗、茯苓。引用生姜水煎服。
(方歌)
荆防败毒适宜于时行疫病,风瘟无汗时使用自显灵验,药物包括荆芥、防风、羌活、独活、柴胡、前胡、甘草,以及川芎、枳壳、桔梗和茯苓。
(桂枝合白虎汤) 组成:桂枝、芍药、煅石膏、生知母、生甘草、粳米。引用生姜、大枣水煎服。
(方歌)
桂枝汤合白虎汤,针对高热多汗服用此方,药物包括桂枝、芍药、石膏、知母、甘草,加上粳米、大枣共配生姜。
【原文】
冬季感受寒邪当时没有立即发病,到了夏季又感受暑热而成病,身体不恶寒但口渴多饮,证候与瘟病相似,治疗方法也与瘟病相同。
[注]
热病,是冬季感受寒邪当时没有立即发病,到了夏季又感受暑热而形成的疾病,所以命名为热病。
目前的证候表现与瘟病类似,只是不恶寒、口干作渴略有不同罢了,治疗方法也与瘟病相同。
[Original Text]
If cold pathogenic factors are contracted in winter but do not cause immediate illness, and then re-contract spring cold in spring, it is named Plague Disease (Wen Bing). The symptoms are the same as Cold Damage (Shang Han), treated with Shuangjie Tongsheng Tang to resolve both exterior and interior; if vomiting occurs, add fresh ginger (Shengjiang) and Pinellia Rhizome (Banxia), and the vomiting will stop naturally.
[Annotation]
Plague Disease (Wen Bing) refers to a condition where cold pathogenic factors are contracted in winter without immediate onset, and manifest in spring after re-contracting spring wind (wind pathogen).
The current manifestations are identical to those of Cold Damage (Shang Han); use Shuangjie Tongsheng Tang to simultaneously resolve exterior and interior pathogens.
In cases with vomiting, add fresh ginger (Shengjiang) and Pinellia Rhizome (Banxia) to the formula, and the vomiting will cease spontaneously.
(Shuangjie Tongsheng Tang) See the section on Cold Damage for the formula.
[Original Text]
Wind Plague (Feng Wen) manifests upon re-contracting spring wind, presenting with fever, sweating, heavy body, and snoring during sleep. If sweat is scanty, treat with Jingfang Baidu San; if sweat is profuse, treat with Guizhi Tang combined with Baihu Tang.
[Annotation]
Wind Plague (Feng Wen) is a disease caused by contracting cold pathogenic factors in winter and subsequently re-contracting spring wind.
Its symptoms include heavy body, lethargic sleep, fever, and spontaneous sweating.
For patients with scanty sweat, use Jingfang Baidu San to release the exterior; for those with profuse sweat, use Guizhi Tang combined with Baihu Tang to clear heat and resolve the exterior.
(Jingfang Baidu San) Composition: Schizonepetae Spica (Jingjie), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Bupleuri Radix (Chaihu), Peucedani Radix (Qianhu), Raw Licorice Root (Gancao Sheng), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Fried Aurantium Fructus (Zhike Fuchao), Platycodonis Radix (Jiegeng), Poria (Fuling). Decoct with fresh ginger water.
(Formula Song)
Jingfang Baidu San is suitable for epidemic diseases; for Wind Plague without sweat, it is effective. It contains Jingjie, Fangfeng, Qianghuo, Duhuo, Chaihu, Qianhu, Gancao, Chuanxiong, Zhike, Jiegeng, and Fuling.
(Guizhi Tang combined with Baihu Tang)
Composition: Cinnamon Twig (Guizhi), White Peony Root (Shaoyao), Calcined Gypsum (Shigao Huan), Raw Anemarrhenae Rhizoma (Zhimu Sheng), Raw Licorice Root (Gancao Sheng), Rice (Jingmi). Decoct with fresh ginger and Jujube (Dazao) water.
(Formula Song)
Guizhi Tang combined with Baihu Tang is taken for high fever and profuse sweating. It consists of Guizhi, Shaoyao, Shigao, Zhi Mu, Gancao, along with Jingmi, Dazao, and fresh ginger.
[Original Text]
Cold pathogenic factors are contracted in winter without immediate illness, and the disease forms in summer after re-contracting summer-heat and dryness. The body does not feel aversion to cold but experiences excessive thirst. The syndrome is similar to Plague Disease (Wen Bing), and the treatment method is also the same.
[Annotation]
Heat Disease (Re Bing) is formed when cold pathogenic factors contracted in winter do not immediately cause illness, but manifest in summer after re-contracting summer-heat. Hence, it is named Heat Disease (Re Bing).
The current manifestations are similar to Plague Disease (Wen Bing), differing only slightly in that there is no aversion to cold and there is dry mouth with thirst. The treatment method is the same as that for Plague Disease (Wen Bing).