白虎汤(见第四十三)
犀角地黄汤 治小肠淋沥,出血疼痛,及心血妄行,吐血、衄血等疾。食后临卧服。
犀角(如无,以升麻代之。半两) 白芍药(二钱) 牡丹皮(半两) 生地黄(二钱)
上,锉作一服,水一盏,煎八分,空心服。
宝鉴醉仙散 治疠风遍身麻木。
胡麻子(炒) 牛蒡子(炒) 枸杞子 蔓荆子(炒,各一两) 白蒺藜 苦参 防风 栝蒌
根(各五钱)
上为细末。每一两四钱,入轻粉二钱拌匀。每服一钱,茶清调,晨午各一服。
至五七日,于牙缝中出臭涎,令人如醉,或下脓血,病根乃去。仍量病之轻重、人
之虚实用。病重者,须先以再造散下之。候元气将复,再用此药。忌一切炙 浓
味,只可食淡粥时菜。诸蛇以淡酒蒸熟食之,可以助药力。
通天再造散 治大风恶疾。
郁金(半两) 大黄(煨,一两) 皂角刺(黑大者,炒,一两) 白牵牛(六两,半生半炒)
为末。每服五钱。日未出,面东,无灰酒调下。
平胃散(见第四十七)
五苓散(见第十七)
胃苓汤(见第十七)
《金匮》百合病论曰∶百合病者,百脉一宗,悉致其病也。意欲食,复不能食。
常默默,欲卧不能卧。欲行不能行。饮食或有美时,或有不用,恶闻食臭。时如寒
无寒,如热无热,口苦,小便赤。诸药不能治,得药则剧吐利,如有神灵者。身形
如和,其脉微数。每溺时头痛者,六十日乃愈。若溺时头不痛,淅然者,四十日愈。
若溺快然,但头眩者,二十日愈。其证或未病而预见,或病四、五日而出,或病二
十日,或一月后见者,各随证治之。
百合知母汤 百合病,发汗后者,主此方。
百合(七枚擘) 知母(三两切)
上先以水洗百合,渍一宿,当白沫出。去其水,更以泉水二升,煎取一升,去
滓。别以泉水二升,煎知母取一升去滓。后合和煎取一升五合,分温再服。
滑石代赭汤 百合病,下后者,主此方。
百合(七枚擘) 滑石(三两碎,绵裹) 代赭石(如弹丸大一枚,碎绵裹)
上先以水洗百合,渍一宿,当白沫出。去其水,更以泉水二升,煎取一升,去
滓。别以泉水二升,煎滑石、代赭取一升,去滓。后合重煎,取一升五合,分温再服。
百合鸡子汤 百合病,吐后者,主此方。
百合(七枚擘) 鸡子黄(一枚)
上先水洗百合,渍一宿,当沫出。去其水,更以泉水二升,煎取一升。去滓,内鸡子黄搅匀,煎五分温服。
百合地黄汤 百合病,不经吐下发汗,病形如初者,主此方。
百合(七枚擘) 生地黄汁(一升)
上以水洗百合,浸一宿,当白沫出。去其水,更以泉水二升,煎取一升。去滓,
内地黄汁,煎取一升五合,分温再服。中病勿更服,大盒饭如漆。
狐惑之为病,状如伤寒,默默欲眠,目不得闭,卧起不安。蚀于喉为惑,蚀于
阴为狐。不用饮食,恶闻食臭,其面目乍赤、乍黑、乍白。蚀于上部,则声喝(一作嗄),甘草泻心汤主之。
甘草泻心汤
甘草(四两) 黄芩 人参 干姜(各三两) 黄连(一两) 大枣(十二枚) 半夏(半升)
蚀于下部,则咽干,苦参汤主之。
蚀于肛者,雄黄熏之
雄黄
上一味为末,筒瓦二片合之烧,向肛熏之。
《脉经》云∶病患或从呼吸,上蚀其咽,或从下焦蚀其肛阴。蚀上为惑,蚀下为狐。狐惑病者,猪苓散主之。
病者脉数,无热微烦,默默但欲卧,汗出。初得之三、四日,目赤如鸠眼。七、
八日,目四 黑。若能食者,脓已成也,赤小豆当归散主之。
赤小豆当归散
当归(十两) 赤小豆(三升,浸令芽出,曝干)
上二味,杵为散。浆水服方寸匕。日三服。
金匮甘麦大枣汤 治妇人喜悲伤欲哭,象如神灵所作,数欠伸,名曰脏躁。
甘草(三两) 小麦(一升) 大枣(十枚)
上三味,以水六升,煮三升。温分三服。亦补脾气。
明淫、恍惚动悸、错妄失神。
金匮桂枝去芍药加蜀漆龙骨牡蛎救逆汤 治惊狂不安,阳气散失,或因灸熨火邪而阳气浮越,致成上证。
桂枝(三两,去皮) 甘草(二两,炙) 生姜(三两) 牡蛎(五两熬) 龙骨(四两) 大枣
(十二枚) 蜀漆(三两,
洗去腥)
上为末。以水一斗二升,先煮蜀漆减二升,内诸药,煮取三升。去滓,温服一升。
东垣朱砂安神丸(见第十九)
白虎汤(见第四十三节)
犀角地黄汤:治疗小肠淋沥不尽、出血疼痛,以及心血妄行导致的吐血、衄血等疾病。在饭后及临睡前服用。
药材组成:犀角(如果没有,可用升麻代替,半两)、白芍药(二钱)、牡丹皮(半两)、生地黄(二钱)。
制法与用法:以上药材切碎为一服量,加水一盏,煎至八分满,空腹服用。
宝鉴醉仙散:治疗疠风(麻风病)导致全身麻木。
药材组成:胡麻子(炒)、牛蒡子(炒)、枸杞子、蔓荆子(炒,各一两)、白蒺藜、苦参、防风、栝蒌根(各五钱)。
制法与用法:以上药材研为细末。每取一两四钱药粉,加入轻粉二钱拌匀。每次服用一钱,用茶清调服,早晨和中午各服一次。
服药反应与注意事项:服药后五到七天,牙缝中会流出臭涎,使人感觉如醉酒般,或者排出脓血,病根才能去除。仍需根据病情的轻重、患者的虚实情况进行调整。病情重者,必须先使用再造散攻下。待元气即将恢复时,再使用此药。忌食一切炙烤、浓味食物,只可食用淡粥和时令蔬菜。各种蛇类用淡酒蒸熟食用,可以辅助药效。
通天再造散:治疗大风恶疾(严重的风邪疾病)。
药材组成:郁金(半两)、大黄(煨,一两)、皂角刺(黑色大者,炒,一两)、白牵牛(六两,一半生用一半炒用)。
制法与用法:研为细末。每次服用五钱。日出之前,面向东方,用无灰酒调服。
平胃散(见第四十七节)
五苓散(见第十七节)
胃苓汤(见第十七节)
《金匮要略》百合病论说:百合病,是由于百脉统宗于心,全身血脉均受累而致病。患者想进食却又吃不下;常常沉默不语,想睡又睡不着;想行走又无法行走。饮食有时觉得美味,有时又不想吃,厌恶食物的气味。时而感觉像冷其实并不冷,像热其实并不热,口苦,小便颜色深红。各种药物都不能治愈,服药后反而剧烈呕吐腹泻,好像有神灵作祟一样。身体外形看似正常,但脉搏微数。每次排尿时头痛的,六十天后痊愈。如果排尿时头不痛,感到淅淅怕冷的,四十天痊愈。如果排尿顺畅,只是头晕的,二十天痊愈。这种病症有的在发病前就预先出现症状,有的在发病四、五日后出现,有的在发病二十日后,或一个月后出现,都应根据具体证候进行治疗。
百合知母汤:百合病经过发汗治疗后,主治此方。
药材组成:百合(七枚,掰开)、知母(三两,切片)。
制法与用法:先用水清洗百合,浸泡一夜,当出现白色泡沫时,倒掉水。再用泉水二升,煎取一升,去渣。另外用泉水二升,煎煮知母取一升,去渣。然后将两者混合,再煎取一升五合,分两次温服。
滑石代赭汤:百合病经过泻下治疗后,主治此方。
药材组成:百合(七枚,掰开)、滑石(三两,捣碎,用绵布包裹)、代赭石(如弹丸大一枚,捣碎,用绵布包裹)。
制法与用法:先用水清洗百合,浸泡一夜,当出现白色泡沫时,倒掉水。再用泉水二升,煎取一升,去渣。另外用泉水二升,煎煮滑石、代赭石取一升,去渣。然后将两者混合再次煎煮,取一升五合,分两次温服。
百合鸡子汤:百合病经过催吐治疗后,主治此方。
药材组成:百合(七枚,掰开)、鸡子黄(一枚)。
制法与用法:先用水清洗百合,浸泡一夜,当出现泡沫时,倒掉水。再用泉水二升,煎取一升,去渣。加入鸡子黄搅拌均匀,再煎煮五分熟,温服。
百合地黄汤:百合病未经过催吐、泻下或发汗治疗,病状如初者,主治此方。
药材组成:百合(七枚,掰开)、生地黄汁(一升)。
制法与用法:用水清洗百合,浸泡一夜,当出现白色泡沫时,倒掉水。再用泉水二升,煎取一升,去渣。加入地黄汁,煎取一升五合,分两次温服。病愈即停服,大便颜色会像漆一样黑。
狐惑病的症状,类似伤寒,沉默想睡觉,眼睛却闭不上,躺下坐起都不安宁。腐蚀咽喉称为“惑”,腐蚀阴部称为“狐”。不能进食,厌恶食物气味,面色时而发红、时而发黑、时而发白。腐蚀在上部(咽喉),声音嘶哑,用甘草泻心汤主治。
甘草泻心汤
药材组成:甘草(四两)、黄芩、人参、干姜(各三两)、黄连(一两)、大枣(十二枚)、半夏(半升)。
腐蚀在下部(阴部),则咽喉干燥,用苦参汤主治。
腐蚀在肛门者,用雄黄熏治。
雄黄
制法与用法:将雄黄研为细末,用两片筒瓦合起来烧,对着肛门熏蒸。
《脉经》说:病人有的从呼吸方面,上部腐蚀咽喉;有的从下焦方面,腐蚀肛门和阴部。上部腐蚀称为惑,下部腐蚀称为狐。狐惑病患者,用猪苓散主治。
患者脉数,没有发热但轻微烦躁,沉默只想睡觉,出汗。刚得病的三、四天,眼睛发红像斑鸠的眼睛。七、八天,眼四周变黑。如果能吃东西,说明脓已经形成,用赤小豆当归散主治。
赤小豆当归散
药材组成:当归(十两)、赤小豆(三升,浸泡令其发芽,晒干)。
制法与用法:以上两味药捣碎为散剂。用浆水送服一方寸匕。每天服用三次。
金匮甘麦大枣汤:治疗妇人喜欢悲伤想哭,神情像被神灵附体一样,频繁打哈欠伸懒腰,名叫脏躁。
药材组成:甘草(三两)、小麦(一升)、大枣(十枚)。
制法与用法:以上三味药,用水六升,煮取三升。分三次温服。也能补益脾气。
明淫(此处疑为原文传抄错误,结合下文应为描述神志症状)、恍惚动悸、错乱妄失神。
金匮桂枝去芍药加蜀漆龙骨牡蛎救逆汤:治疗惊狂不安,阳气散失,或因灸熨火邪导致阳气浮越,从而造成上述证候。
药材组成:桂枝(三两,去皮)、甘草(二两,炙)、生姜(三两)、牡蛎(五两,熬制)、龙骨(四两)、大枣(十二枚)、蜀漆(三两,洗去腥味)。
制法与用法:以上药材研为末。用水一斗二升,先煮蜀漆减少二升,再加入其他药物,煮取三升。去渣,温服一升。
东垣朱砂安神丸(见第十九节)
Fuzi Lizhong Tang (See Section 17)
Sini Tang (See Section 22)
Baihu Tang (See Section 43)
Xijiao Dihuang Tang: Treats strangury with dribbling discharge from the Small Intestine, bleeding and pain, as well as disorders such as hematemesis (vomiting blood) and epistaxis (nosebleed) caused by reckless movement of Heart Blood. Take after meals and before retiring.
Ingredients: Xijiao (Rhinoceros Horn; if unavailable, substitute with Shengma/Cimicifugae Rhizoma, half liang), Baishao Yao (Radix Paeoniae Alba, two qian), Mudan Pi (Cortex Moutan, half liang), Sheng Dihuang (Radix Rehmanniae Recens, two qian).
Preparation and Administration: Coarsely crush the above ingredients for one dose. Add one cup of water, decoct until eight-tenths remain. Take on an empty stomach.
Baojian Zuixian San: Treats general numbness caused by Liefeng (Leprosy/Morbid Wind).
Ingredients: Humazi (Sesamum Fructus, stir-fried), Niubangzi (Arctii Fructus, stir-fried), Gouqizi (Lycii Fructus), Manjingzi (Viticis Fructus, stir-fried, one liang each), Baijili (Tribuli Fructus), Kushen (Sophorae Flavescentis Radix), Fangfeng (Saposhnikoviae Radix), Gualougen (Trichosanthis Radix, five qian each).
Preparation and Administration: Grind into a fine powder. For every one liang and four qian of powder, mix in Erqingfen (Calomel/Calomelas, two qian). Take one qian per dose, mixed with clear tea liquor. Take once in the morning and once at noon.
Reaction and Precautions: After five to seven days, foul saliva will exude from the gum gaps, making the patient feel intoxicated, or pus and blood may be discharged, indicating the removal of the disease root. Dosage should still be adjusted according to the severity of the disease and the deficiency or excess condition of the patient. For severe cases, use Zaizao San first to purge. Wait until the Yuanqi (Original Qi) is about to recover before using this medicine. Avoid all roasted and strong-flavored foods; only consume plain congee and seasonal vegetables. Various snakes steamed and cooked in light wine can assist the medicinal efficacy.
Tongtian Zaizao San: Treats Dafeng Ejing (Severe Wind Malady).
Ingredients: Yujin (Curcumae Radix, half liang), Dahuang (Rhei Radix et Rhizoma, baked, one liang), Zaojiaoci (Gleditsiae Spina, large black ones, stir-fried, one liang), Bai Qianniu (Pharbitidis Semen, six liang, half raw and half stir-fried).
Preparation and Administration: Grind into powder. Take five qian per dose. Before sunrise, face east, and take down with Wuhui Jiu (wine without ash impurities).
Pingwei San (See Section 47)
Wuling San (See Section 17)
Weiling Tang (See Section 17)
The "Hundred Vessels Disease" treatise in *Jinkui Yaolue* states: Hundred Vessels Disease occurs when the hundred vessels, having one source, are all affected by the pathology. The patient desires to eat but cannot; often remains silent, desires to lie down but cannot sleep; desires to walk but cannot. Food may sometimes taste good, sometimes be rejected, with aversion to food odors. Sometimes feeling cold without actual cold, feeling hot without actual heat, bitter taste in the mouth, and dark urine. Various medicines fail to cure it; upon taking medicine, severe vomiting and diarrhea occur, as if possessed by spirits. The body shape appears normal, but the pulse is slightly rapid. If headache occurs during urination, recovery takes sixty days. If there is no headache during urination but a shivering sensation, recovery takes forty days. If urination is smooth but accompanied by dizziness, recovery takes twenty days. Symptoms may appear before the disease manifests, or four to five days after onset, or twenty days later, or even a month later. Treatment should follow the specific syndrome.
Baihe Zhimu Tang: Main formula for Hundred Vessels Disease after sweating therapy.
Ingredients: Baihe (Lilii Bulbus, seven bulbs, split), Zhimu (Anemarrhenae Rhizoma, three liang, sliced).
Preparation and Administration: First wash the Baihe, soak overnight until white foam appears. Discard the water. Decoct in two sheng of Spring Water until one sheng remains, then strain. Separately decoct Zhimu in two sheng of Spring Water until one sheng remains, then strain. Mix the two decoctions and decoct again to obtain one sheng and five he. Divide into two warm doses.
Huashi Daizhe Tang: Main formula for Hundred Vessels Disease after purgative therapy.
Ingredients: Baihe (Lilii Bulbus, seven bulbs, split), Huashi (Talcum, three liang, crushed, wrapped in silk), Daizheshi (Haematitum, size of a bullet, one piece, crushed, wrapped in silk).
Preparation and Administration: First wash the Baihe, soak overnight until white foam appears. Discard the water. Decoct in two sheng of Spring Water until one sheng remains, then strain. Separately decoct Huashi and Daizheshi in two sheng of Spring Water until one sheng remains, then strain. Mix and decoct again to obtain one sheng and five he. Divide into two warm doses.
Baihe Jizi Tang: Main formula for Hundred Vessels Disease after emetic therapy.
Ingredients: Baihe (Lilii Bulbus, seven bulbs, split), Jizi Huang (Ovi Oviductus Album, one yolk).
Preparation and Administration: First wash the Baihe, soak overnight until foam appears. Discard the water. Decoct in two sheng of Spring Water until one sheng remains. Strain, add the egg yolk, stir evenly, and decoct for five minutes. Take warm.
Baihe Dihuang Tang: Main formula for Hundred Vessels Disease not treated by emesis, purgation, or sweating, where symptoms remain unchanged.
Ingredients: Baihe (Lilii Bulbus, seven bulbs, split), Sheng Dihuang Zhi (Extract of Radix Rehmanniae Recens, one sheng).
Preparation and Administration: Wash the Baihe, soak overnight until white foam appears. Discard the water. Decoct in two sheng of Spring Water until one sheng remains. Strain, add the Dihuang juice, and decoct to obtain one sheng and five he. Divide into two warm doses. Stop taking when cured; stools will become black like lacquer.
The disease of Huhuo presents similarly to Shanghan (Cold Damage), with silence and desire to sleep, yet eyes cannot close, restlessness in lying down and rising. Erosion in the throat is called Huo; erosion in the genitals is called Hu. Inability to eat, aversion to food odors, complexion alternating between red, black, and white. Erosion in the upper part causes hoarseness; Gancao Xiexin Tang is the main formula.
Gancao Xiexin Tang
Ingredients: Gancao (Licorice Root, four liang), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Jiangjiang (Zingiberis Rhizoma, three liang each), Huanglian (Coptidis Rhizoma, one liang), Dazao (Jujubae Fructus, twelve pieces), Banxia (Pinelliae Rhizoma, half sheng).
Erosion in the lower part causes dry throat; Kushen Tang is the main formula.
For erosion in the anus, use Xionghuang fumigation.
Xionghuang (Realgar)
Preparation and Administration: Grind into powder. Place between two tube-shaped tiles, burn, and fumigate the anus.
The *Maijing* states: Patients may have erosion of the throat from respiration (upper) or erosion of the anus and genitals from the Lower Jiao (lower). Upper erosion is called Huo; lower erosion is called Hu. For Huhuo disease, Zhuling San is the main formula.
Patients present with a rapid pulse, no fever but slight irritability, silence with desire to sleep, and sweating. In the first three to four days, eyes are red like a turtledove's eyes. By the seventh or eighth day, the corners of the eyes turn black. If the patient can eat, pus has formed; Xiaodou Danggui San is the main formula.
Xiaodou Danggui San
Ingredients: Danggui (Angelicae Sinensis Radix, ten liang), Chixiaodou (Phaseoli Semen Rubrum, three sheng, soaked until sprouting, dried).
Preparation and Administration: Pound the two ingredients into a powder. Take one cunbi with Jiangshui (fermented grain water). Take three times daily.
Jinkui Ganmai Dazao Tang: Treats women who frequently feel sad and wish to cry, appearing as if possessed by spirits, with frequent yawning and stretching. This is named Zangzao (Visceral Agitation).
Ingredients: Gancao (Licorice Root, three liang), Xiaomai (Tritici Vulgaris Fructus, one sheng), Dazao (Jujubae Fructus, ten pieces).
Preparation and Administration: Boil the three ingredients in six sheng of water until three sheng remain. Divide into three warm doses. It also tonifies Spleen Qi.
Mingyin (likely a textual error referring to mental symptoms), confusion, palpitations, delirium, and loss of spirit.
Jinkui Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang: Treats fright, mania, and restlessness due to dispersion of Yang Qi, or Yang Qi floating upward caused by moxibustion, warming, or fire pathogenic factors.
Ingredients: Guizhi (Cinnamomi Ramulus, three liang, bark removed), Gancao (Licorice Root, two liang, honey-fried), Shengjiang (Zingiberis Rhizoma Recens, three liang), Muli (Concha Ostreae, five liang, calcined), Longgu (Os Draconis, four liang), Dazao (Jujubae Fructus, twelve pieces), Shuqi (Polygalae Radix, three liang, washed to remove fishy odor).
Preparation and Administration: Grind into powder. Use twelve dou of water. First decoct Shuqi until reduced by two dou, then add other herbs. Decoct to obtain three sheng. Strain and take one sheng warm.
Dongyuan Zhusha Anshen Wan (See Section 19)