《录验方》治伤寒八九日腹满,外内有热,心烦不安茈(音柴)胡汤方∶
母(二两) 生姜(三两) 葳蕤(三两) 茈胡(八两) 大黄(三两) 黄芩(二
两) 甘草(一
凡十物,切,以水一斗煮得三升,温饮一升,日三。
《千金方》治伤寒热病十日以上,发汗不解,及吐下后诸热不除,及下利不止皆治之方∶
大青(四两) 甘草(二两) 阿胶(二两) 豆豉(一升)
四味,以水八升,煮取三升,顿服一升,日三。
《集验方》云∶阴毒者,或伤寒初病一二日便成阴毒,或服汤药六七日以上至十日变成
阴毒。身重背强,腹中绞痛,喉咽不利,毒瓦斯攻心,心下强,短气不得息,呕逆,唇青面黑,
四肢厥冷,其脉沉细紧数,此阴毒侯。身如被打,五日可治,七日不治方。(《医门方》同之
。)
甘草(二分,炙) 升麻(二分) 当归(一分) 蜀椒(一分) 鳖甲(四分)
凡五物, 咀,以水五升,煮取二升半,分三服,行五里复服,温覆,中毒当汗,汗则
愈,若不汗,病除重服。
《集验方》云∶阳毒者,或伤寒一二日便成阳毒,或服药吐下之后变成阳毒,身重,腰
背痛,烦闷不安,面赤狂言,或走,或见鬼,或下利,其脉浮大数,面斑斑如锦,喉咽痛,
下脓血。五日可治,七日不可治方(《医门方》同之∶)
甘草(二分,炙) 当归(一分) 蜀椒(一分,去目) 升麻(二分) 雄黄(二分)
桂心(一分)
凡六物, 咀,以水五升煮取二升半,分三服,行五里须复服,温覆手足,中毒则汗,
汗则解,不解重作。今世有此病,此二方实未经用。
《录验方》治疗伤寒病程已达八九日,出现腹部胀满,体表与体内均有热象,心烦意乱、坐卧不安的茈胡汤方:
柴胡(二两) 生姜(三两) 葳蕤(三两) 柴胡(八两) 大黄(三两) 黄芩(二两) 甘草(一两)
以上共十味药,切碎,用水一斗煎煮至三升,每次温服一升,每日服用三次。
《千金方》治疗伤寒热病十日以上,发汗后病邪未解,以及呕吐、泻下之后各种热邪仍未清除,以及腹泻不止等症皆适用的方剂:
大青(四两) 甘草(二两) 阿胶(二两) 豆豉(一升)
以上四味药,用水八升,煎煮取汁三升,一次性服用一升,每日服用三次。
《集验方》记载:阴毒证,有的伤寒初起一二日便形成阴毒,有的服用汤药六七日以上甚至十天变成阴毒。身体沉重,背部僵硬,腹中剧烈绞痛,咽喉不利,毒气攻心,心下部硬满,呼吸短促,恶心呕吐,嘴唇发青,面色发黑,四肢冰冷,脉象沉细紧数,这是阴毒的证候。身体感觉像被殴打一样疼痛,五日内可治,七日内不治疗则难愈的方子。(《医门方》与此相同。)
甘草(二分,蜜炙) 升麻(二分) 当归(一分) 蜀椒(一分) 鳖甲(四分)
以上五味药,捣碎,用水五升,煎煮取汁二升半,分三次服用,行走约五里路后再服药,服药后覆盖衣被保暖,若中毒则应出汗,出汗即痊愈;如果不出汗,病情去除后再次服用。
《集验方》记载:阳毒证,有的伤寒一二日便形成阳毒,有的服药经过吐下之后变成阳毒。身体沉重,腰背疼痛,烦闷不安,面色发红,胡言乱语,或奔跑走动,或看见鬼怪,或腹泻,脉象浮大数,面部斑纹杂乱如锦缎,咽喉疼痛,排出脓血。五日内可治,七日内不可治的方子(《医门方》与此相同):
甘草(二分,蜜炙) 当归(一分) 蜀椒(一分,去目) 升麻(二分) 雄黄(二分) 桂心(一分)
以上六味药,捣碎,用水五升煎煮取汁二升半,分三次服用,行走约五里路后须再服药,温暖覆盖手足,中毒则出汗,出汗即缓解,若不缓解则重新制作服用。当今世间仍有此病,这两个方子实际上未曾使用过。
The *Lu Yan Fang* (Recorded Verified Formulas) treats Shaoyang disease (Taiyang disease progressing to the interior or involving the Shaoyang channel) after eight or nine days, presenting with abdominal fullness, heat in both the exterior and interior, restlessness, and anxiety. The Chaihu Tang (Bupleurum Decoction) formula is as follows:
Chai Hu (Radix Bupleuri, 2 liang), Sheng Jiang (Rhizoma Zingiberis Recens, 3 liang), Wei Rui (Herba Polygonati Odorati, 3 liang), Chai Hu (Radix Bupleuri, 8 liang), Da Huang (Radix et Rhizoma Rhei, 3 liang), Huang Qin (Radix Scutellariae, 2 liang), Gan Cao (Radix Glycyrrhizae, 1 liang).
These ten ingredients are sliced and decocted in one dou of water until three sheng remain. Take one sheng warm, three times a day.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) treats febrile diseases due to wind-heat after ten days or more, where sweating fails to resolve the pathogen, as well as persistent heat after vomiting and purgation, and intractable diarrhea. The formula is as follows:
Da Qing (Cortex Isatidis, 4 liang), Gan Cao (Radix Glycyrrhizae, 2 liang), E Jiao (Colla Corii Asini, 2 liang), Dou Chi (Fructus Sojae Preparatus, 1 sheng).
These four ingredients are decocted in eight sheng of water until three sheng remain. Take one sheng at once, three times a day.
The *Ji Yan Fang* (Collected Verified Formulas) states: Yin Toxin syndrome may develop into Yin Toxin within one or two days of the onset of cold damage, or it may transform into Yin Toxin after taking herbal medicine for six to seven days up to ten days. Symptoms include heavy body, stiff back, severe colicky pain in the abdomen, dysphagia, toxic qi attacking the heart, hardness below the heart, shortness of breath, nausea and vomiting, cyanosis of the lips, black complexion, cold limbs, and a pulse that is deep, fine, tight, and rapid. This is the pattern of Yin Toxin. The body feels as if beaten. It is treatable within five days; if untreated for seven days, it becomes difficult to cure. The formula is (identical to that in *Yi Men Fang*):
Gan Cao (Radix Glycyrrhizae, 2 fen, honey-fried), Sheng Ma (Rhizoma Cimicifugae, 2 fen), Dang Gui (Radix Angelicae Sinensis, 1 fen), Shu Jiao (Pericarpium Zanthoxyli, 1 fen), Bie Jia (Carapax et Plastrum Testudinis, 4 fen).
These five ingredients are crushed and decocted in five sheng of water until two and a half sheng remain. Divide into three doses. After walking about five li, take another dose. Cover warmly to induce sweating. If toxin-induced sweating occurs, recovery follows. If no sweat occurs, administer again after symptoms subside.
The *Ji Yan Fang* states: Yang Toxin syndrome may develop into Yang Toxin within one or two days of the onset of cold damage, or it may transform into Yang Toxin after vomiting and purgation following medication administration. Symptoms include heavy body, backache, restlessness, flushed face, delirious speech, running about, hallucinations of seeing ghosts, diarrhea, a floating, large, and rapid pulse, mottled facial rash resembling brocade, sore throat, and passage of pus and blood. It is treatable within five days; if untreated for seven days, it becomes untreatable. The formula is (identical to that in *Yi Men Fang*):
Gan Cao (Radix Glycyrrhizae, 2 fen, honey-fried), Dang Gui (Radix Angelicae Sinensis, 1 fen), Shu Jiao (Pericarpium Zanthoxyli, 1 fen, remove seeds), Sheng Ma (Rhizoma Cimicifugae, 2 fen), Xiong Huang (Realgar, 2 fen), Gui Xin (Cortex Cinnamomi, 1 fen).
These six ingredients are crushed and decocted in five sheng of water until two and a half sheng remain. Divide into three doses. After walking about five li, take another dose. Warmly cover the hands and feet. If toxin-induced sweating occurs, relief follows. If not relieved, prepare and administer again. This disease exists in the current era, but these two formulas have actually never been used.