伤寒内发斑,身热心如火,口渴呼水。气喘舌燥,是谓阳火焚于胃口。宜用大剂寒凉扑
灭之。方用∶
元参三两 黄芩一两 麦冬三两 升麻二钱 防风 天花粉 青黛 生甘草各三钱 生
地一两 桑白皮五钱 苏叶一钱
一剂即消大半,二剂全愈。
按∶此方虽传自神仙,惟升麻用至二钱,余药也用至数两,用者大宜斟酌,不可泥古。
(孙思邈注)
用麻黄一握(去节、绵裹) 陈酒五升
煮取半升,顿服,取小汗。春月可用水煎。
丹砂十二铢 蜀椒 蜀漆 干姜 细辛 黄芩 防己 桂心 茯苓 人参 沙参 桔梗
女萎 乌头各十八铢 雄黄二十四铢 吴茱萸三十铢 麻黄 代赭石各二两半
上十八味冶,下筛,酒服方寸匕,日三。覆令汗出。
青柏叶三两 干姜二两 艾三把
以水五升,煮取一升,去滓。别绞取新出马通汁一升,相和合煎,取一升,绵滤之,温
分再服。马通汁,是马屎汁也。
釜灶下黄焦土半升(棉裹) 甘草三两(炙) 干地黄三两 白术三两 附子三两(炮
研) 阿胶三两(炙) 黄芩三两
先以水八升煮六味,取三升,去滓,纳胶令烊,分三服。忌海藻,菘菜,芜荑,猪肉,
桃李等。
衄者,鼻出血也。此由五脏热结所为。方用∶
左顾牡蛎十分(熬) 石膏五分
上二味捣末 酒服方寸匕,日三、四。亦可蜜丸如梧子大,酒服十五丸。
伤寒病邪在体内引发斑疹,身体发热如火烧,口渴想喝水。呼吸急促,舌面干燥,这被称为阳火在胃脘部焚烧。应当使用大剂量的寒凉药物来扑灭它。方药组成如下:
玄参三两,黄芩一两,麦冬三两,升麻二钱,防风、天花粉、青黛、生甘草各三钱,生地黄一两,桑白皮五钱,苏叶一钱。
服用一剂后斑疹消退大半,服用两剂即可完全痊愈。
按语:此方虽然传说来自神仙,但升麻用量达到二钱,其余药物也用到数两,使用者务必仔细斟酌,不可拘泥于古法。(孙思邈注)
用麻黄一把(去掉节,用棉布包裹),陈年米酒五升。
煮取半升药液,一次性服下,以取得轻微出汗为度。春季可以用水煎煮。
丹砂十二铢,蜀椒、蜀漆、干姜、细辛、黄芩、防己、桂心、茯苓、人参、沙参、桔梗、女萎、乌头各十八铢,雄黄二十四铢,吴茱萸三十铢,麻黄、代赭石各二两半。
以上十八味药捣碎并过筛,用酒送服一方寸匕的药粉,每日三次。服药后覆盖衣被令其出汗。
青柏叶三两,干姜二两,艾叶三把。
用水五升,煮取一升药液,滤去药渣。另取新鲜马粪汁一升,与药液混合再煎,取一升,用绵布过滤,分两次温服。马通汁,就是马粪的汁液。
锅底下的焦土半升(用棉布包裹),炙甘草三两,干地黄三两,白术三两,炮制后研碎的附子三两,炙阿胶三两,黄芩三两。
先用水八升煮前六味药,煮取三升,滤去药渣,加入阿胶使其溶化,分三次服用。忌食海藻、白菜、芜荑、猪肉、桃李等食物。
衄血,即鼻出血。这是由于五脏热邪郁结所致。方药组成如下:
左顾牡蛎十分(炒制),石膏五分。
将这两味药捣成粉末,用酒送服一方寸匕的药粉,每日三到四次。也可以制成蜜丸,大小如梧桐子,每次酒服十五丸。
Typhoid disease (Shanghan) with internal eruption of macules, body heat burning like fire, thirst calling for water. Panting and dry tongue, this is called Yang Fire burning in the stomach region. It is appropriate to use a large dose of cold-natured drugs to extinguish it. The prescription is as follows:
Scrophulariae Radix (Xuanshen) 3 liang, Scutellariae Radix (Huangqin) 1 liang, Ophiopogonis Radix (Maidong) 3 liang, Cimicifugae Rhizoma (Shengma) 2 qian, Saposhnikoviae Radix (Fangfeng), Pseudostellariae Radix (Tianhuafen), Indigo Naturalis (Qingdai), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao) each 3 qian, Rehmanniae Radix (Sheng Di) 1 liang, Morus Albae Cortex (Sangbaipi) 5 qian, Perilla Leaf (Suye) 1 qian.
One dose will eliminate more than half; two doses will result in complete recovery.
Note: Although this prescription is said to be passed down from immortals, Shengma is used up to 2 qian, and other herbs are also used in amounts of several liang. Users must exercise great caution and not adhere rigidly to ancient methods. (Comment by Sun Simiao)
Use Ephedrae Herba (Mahuang) one handful (remove nodes, wrap in cotton), aged rice wine 5 sheng.
Boil to obtain half a sheng of liquid, take in one dose, aiming for slight sweating. In spring, water can be used for decoction instead.
Cinnabaris (Dansha) 12 zhu, Zanthoxyli Fructus (Shujiao), Coicis Semen (Shuqi - *Note: Text says Shuqi, likely referring to a specific herb or typo for Coix/other, keeping literal*), Zingiberis Rhizoma Exsiccatum (Ganjiang), Asari Radix et Rhizoma (Xixin), Scutellariae Radix (Huangqin), Podocarpi Radix (Fangji), Cinnamomi Ramulus (Guixin), Poria (Fuling), Ginseng Radix (Renshen), Adenophorae Radix (Shashen), Platycodonis Radix (Jiegeng), Anemarrhenae Rhizoma (Nvwei), Aconiti Lateralis Radix Preparata (Wutou) each 18 zhu, Realgar (Xionghuang) 24 zhu, Evodiae Fructus (Wuzhuyu) 30 zhu, Ephedrae Herba (Mahuang), Haematitum (Daizheshi) each 2.5 liang.
The above eighteen ingredients are crushed and sifted. Take one fangcun bi (a measure of volume) with wine, three times a day. Cover to induce sweating.
Cupressi Cacumen (Qingbaiye) 3 liang, Zingiberis Rhizoma Exsiccatum (Ganjiang) 2 liang, Artemisiae Argyi Folium (Ai) three handfuls.
Decoct with five sheng of water to obtain one sheng. Remove dregs. Mix with one sheng of fresh horse dung juice (Matongzhi). Re-decoct to obtain one sheng, filter through silk cloth, and take warm in two divided doses. Matongzhi is the juice of horse manure.
Half a sheng of yellow scorched earth from the stove bottom (wrapped in cotton), Prepared Glycyrrhizae Radix et Rhizoma (Zhi Gancao) 3 liang, Rehmanniae Radix Exsiccata (Gan Dihuang) 3 liang, Atractylodis Macrocephalae Rhizoma (Baizhu) 3 liang, Prepared Aconiti Lateralis Radix (Pao Fu Zi, ground) 3 liang, Prepared Colla Corii Asini (Zhi Ejiao) 3 liang, Scutellariae Radix (Huangqin) 3 liang.
First, decoct the first six ingredients in eight sheng of water to obtain three sheng. Remove dregs, add Ejiao until melted. Divide into three doses. Avoid eating Sargassum (Haizao), Chinese cabbage (Songcai), Xanthoceras sorbifolium seed (Wuyi), pork, plums, peaches, etc.
Nuxue (Epistaxis/Nosebleed) refers to bleeding from the nose. This is caused by heat accumulation in the five zang organs. The prescription is as follows:
Ostreae Concha (Zuo Gu Muli) 10 fen, Gypsum Fibrosum (Shigao) 5 fen.
Crush these two ingredients into powder. Take one fangcun bi with wine, three to four times a day. Alternatively, make honey pills the size of wutong seeds, taking fifteen pills with wine per dose.