朱(二九) 温邪内炽,自汗便涩,发热欲呕,当清内彻邪。
石膏(五钱) 柴胡(八分) 淡芩(一钱五分) 半夏(一钱五分) 橘皮(一钱) 滑石(二
钱) 甘草(三分)
两服愈。
某头痛发热,咳嗽喘促,脉左浮数。风温上受,用清解法。
薄荷(六分) 光杏仁(三钱) 连翘(五钱) 象贝(二钱) 广橘红(八分) 桑叶(五钱)
生甘草(三分) 枇杷叶(三大片去毛净)
又两服,头痛发热顿除,惟略有喘嗽,前方去薄荷、连翘,加栝蒌皮、紫菀、白前各一
钱五分,两服即痊。
李氏(二八) 脉浮而数,头痛恶风,发热咽痛,防发疹子。此风温犯肺之症状也,与轻
清宣上法。
薄荷(一钱五分) 杏仁(二钱) 牛蒡子(二钱) 连翘(一钱五分) 橘红(八分) 桔梗(
一钱) 辽参叶(五分) 生甘草(四分)
又一剂,咽痛止,肤见红点;再剂知为发疹,着手了无痕迹。此系疹发不透,故腹痛呕
吐,胸闷兼作,惟其邪不外泄,必致内陷,急投以凉泻法,使邪从下出。
酒炒锦纹(二钱) 枳实(一钱五分) 黄连(一钱) 石膏(五钱) 栝蒌皮(二钱) 广橘皮
(一钱五分) 赤芍(一钱五分) 生甘草(四分)
又服后,解下腥秽甚多,腹痛胸满顿除,皮腠忽然皱揭。此为皮肤被邪气冲突,如水薄
堤松
之理,疹邪不达皮毛而内迫。观此愈明,今大势已定,自可无忧,虽尚有微热微呕,但用轻
剂足矣。
半夏(一钱五分) 川连(六分) 川斛(三钱) 茯苓(一钱五分) 橘皮(一钱) 麦冬(一
钱五分) 甘草(三分)
又两服,热呕痊愈。惟寤不成寐,长夜转侧,一见黄昏灯火,辄生忧闷,至天明心始安
,他
无所苦,但求夜卧安枕。思经云∶胃不和则卧不安。议和阴阳以安神,神静自然得寐矣。
半夏(一钱五分。和胃通阴阳为君) 细生地(三钱) 生白芍(一钱五分) 归身(一钱五
分。
以上三味补血润胃为臣) 茯神(一钱五分) 北秫米(三钱包煎) 枣仁(二钱,以上二味安神
宁志为佐) 橘皮(八分) 炙草(四分) 龙眼肉(三分,以上辛甘和阴以纳阴为使)
申时煎服,酣眠彻夜,精神顿复。
朱某,二十九岁。温邪在体内炽盛,出现自汗、小便涩滞不畅,发热且想呕吐,应当采用清透内热以驱除邪气的方法治疗。
石膏(五钱) 柴胡(八分) 淡黄芩(一钱五分) 半夏(一钱五分) 橘皮(一钱) 滑石(二钱) 甘草(三分)
服用两剂后痊愈。
某人头痛发热,咳嗽且呼吸急促,脉象左侧浮而数。这是风温之邪从上部受侵,采用清解法治疗。
薄荷(六分) 光杏仁(三钱) 连翘(五钱) 象贝母(二钱) 广橘红(八分) 桑叶(五钱) 生甘草(三分) 枇杷叶(三大片,去毛洗净)
又服用两剂,头痛和发热立即消除,只是略有气喘咳嗽,前方去掉薄荷、连翘,加入栝蒌皮、紫菀、白前各一钱五分,服用两剂即痊愈。
李氏,二十八岁。脉象浮而数,头痛怕风,发热咽喉疼痛,担心会出疹子。这是风温侵犯肺部的症状表现,给予轻清宣散上焦的方法治疗。
薄荷(一钱五分) 杏仁(二钱) 牛蒡子(二钱) 连翘(一钱五分) 橘红(八分) 桔梗(一钱) 辽参叶(五分) 生甘草(四分)
再服一剂,咽喉痛停止,皮肤出现红点;再服一剂知道是发疹子,着手处理后毫无痕迹。这是因为疹子发得不透彻,所以腹痛呕吐,胸闷同时发作,由于邪气不能向外宣泄,必然导致内陷,急忙投用凉泻法,使邪气从大便排出。
酒炒大黄(二钱) 枳实(一钱五分) 黄连(一钱) 石膏(五钱) 栝蒌皮(二钱) 广橘皮(一钱五分) 赤芍(一钱五分) 生甘草(四分)
服药后,排出大量腥臭秽物,腹痛胸满立即消除,皮肤忽然皱缩揭起。这是因为皮肤被邪气冲突,就像水薄堤松一样的道理,疹邪不能通达皮毛而向内逼迫。观察此愈更加明白,现在大势已定,自然可以无忧,虽然还有微热微呕,但只用轻剂就可以了。
半夏(一钱五分) 川黄连(六分) 川石斛(三钱) 茯苓(一钱五分) 橘皮(一钱) 麦冬(一钱五分) 甘草(三分)
又服用两剂,热呕痊愈。只是晚上睡不着觉,整夜翻来覆去,一见黄昏灯火,就产生忧闷,直到天亮心里才安定,没有其他痛苦,只求夜晚能安稳睡觉。想到《内经》说:胃不和则卧不安。商议调和阴阳以安神,神志安静自然就能入睡了。
半夏(一钱五分,调和胃气通阴阳作为君药) 细生地(三钱) 生白芍(一钱五分) 当归身(一钱五分,以上三味补血润胃作为臣药) 茯神(一钱五分) 北秫米(三钱,包煎) 枣仁(二钱,以上两味安神宁志作为佐药) 橘皮(八分) 炙甘草(四分) 龙眼肉(三分,以上辛甘和阴以纳阴为使药)
申时煎服,酣睡一整夜,精神顿时恢复。
Zhu, aged 29. The warm pathogen is blazing internally, presenting with spontaneous sweating, scanty and difficult urination, fever, and a desire to vomit. Treatment should focus on clearing internal heat and penetrating the exterior to expel the pathogen.
Shigao (Gypsum Fibrosum, 5 qian) Chaihu (Radix Bupleuri, 8 fen) Danqin (Fructus Scutellariae, 1.5 qian) Banxia (Rhizoma Pinelliae, 1.5 qian) Jupi (Pericarpium Citri Reticulatae, 1 qian) Huashi (Talcum, 2 qian) Gancao (Radix Glycyrrhizae, 3 fen)
Recovered after two doses.
A certain patient suffered from headache and fever, coughing with rapid breathing. The pulse was floating and rapid on the left side. This indicates Wind-Warmth invading from above; the Clearing and Resolving method was applied.
Bohe (Herba Menthae, 6 fen) Guang Xingren (Semen Armeniacae Amarum, 3 qian) Lianqiao (Fructus Forsythiae, 5 qian) Xiangbei (Bulbus Fritillariae Thunbergii, 2 qian) Guang Juhong (Exocarpium Citri Reticulatae Viride, 0.8 qian) Sangye (Folium Mori, 5 qian) Sheng Gancao (Radix Glycyrrhizae Preparata, 3 fen) Pipaye (Folium Eriobotryae, three large slices, de-haired and cleaned)
After another two doses, the headache and fever were instantly relieved, though slight wheezing and cough remained. Bohe and Lianqiao were removed from the previous prescription, and Gualoupi (Pericarpium Trichosanthis), Ziwan (Radix Asteris), and Baiqian (Rhizoma Cynanchi Stauntonii), each 1.5 qian, were added. Recovery occurred after two doses.
Ms. Li, aged 28. The pulse was floating and rapid, accompanied by headache, aversion to wind, fever, and sore throat. There was a risk of rash eruption. These are symptoms of Wind-Warmth attacking the Lung. A Light and Clear method to diffuse the Upper Jiao was employed.
Bohe (Herba Menthae, 1.5 qian) Xingren (Semen Armeniacae Amarum, 2 qian) Niubangzi (Fructus Arctii, 2 qian) Lianqiao (Fructus Forsythiae, 1.5 qian) Juhong (Exocarpium Citri Reticulatae Viride, 0.8 qian) Jiegeng (Radix Platycodonis, 1 qian) Liaoshenye (Folium Ginseng, 5 fen) Sheng Gancao (Radix Glycyrrhizae Preparata, 4 fen)
After one more dose, the sore throat ceased, and red spots appeared on the skin. After another dose, it was confirmed as a rash eruption, which resolved without leaving traces upon treatment. This indicated that the rash had not erupted thoroughly, leading to abdominal pain, vomiting, and chest oppression due to the pathogen's inability to vent outward, risking internal collapse. Urgently, a Cooling and Purging method was administered to expel the pathogen via the bowels.
Jiu Chao Jinwen (Rhubarb Radix et Rhizoma prepared with wine, 2 qian) Zhishi (Fructus Aurantii Immaturus, 1.5 qian) Huanglian (Rhizoma Coptidis, 1 qian) Shigao (Gypsum Fibrosum, 5 qian) Gualoupi (Pericarpium Trichosanthis, 2 qian) Guang Jupi (Pericarpium Citri Reticulatae, 1.5 qian) Chishao (Radix Paeoniae Rubra, 1.5 qian) Sheng Gancao (Radix Glycyrrhizae Preparata, 4 fen)
After administration, a large amount of foul-smelling stool was passed, and abdominal pain and chest fullness were instantly relieved. The skin suddenly wrinkled and peeled. This phenomenon occurs because the skin is conflicted by the pathogen, similar to water weakening a loose dike; the rash pathogen could not reach the skin surface and pressed inward. Observing this cure clarified the mechanism. Now that the major trend is stabilized, there is no cause for worry. Although slight fever and vomiting persist, only mild medication is sufficient.
Banxia (Rhizoma Pinelliae, 1.5 qian) Chuanlian (Rhizoma Coptidis, 6 fen) Chuanhu (Radix Dendrobii, 3 qian) Fuling (Poria, 1.5 qian) Jupi (Pericarpium Citri Reticulatae, 1 qian) Maidong (Radix Ophiopogonis, 1.5 qian) Gancao (Radix Glycyrrhizae, 3 fen)
After two more doses, the fever and vomiting were cured. However, she suffered from insomnia, tossing and turning all night. Seeing twilight or lamplight caused anxiety and depression, only calming down at dawn. With no other discomfort, her sole request was peaceful sleep. Recalling the Classic: "When the Stomach is disharmonious, sleep is uneasy," the strategy was to harmonize Yin and Yang to calm the Spirit, allowing natural sleep through mental tranquility.
Banxia (Rhizoma Pinelliae, 1.5 qian, harmonizing the Stomach and connecting Yin-Yang as Sovereign herb) Xishengdi (Radix Rehmanniae Preparata, 3 qian) Sheng Baishao (Radix Paeoniae Alba, 1.5 qian) Guishen (Radix Angelicae Sinensis, 1.5 qian, these three nourish Blood and moisten the Stomach as Minister herbs) Fushen (Poria with Hostwood, 1.5 qian) Beishumi (Semen Sorghi, 3 qian, decocted in bag) Zaoren (Semen Ziziphi Spinosae, 2 qian, these two calm the Spirit and stabilize the Mind as Assistant herbs) Jupi (Pericarpium Citri Reticulatae, 0.8 qian) Zhi Cao (Radix Glycyrrhizae Preparata, 4 fen) Longyanrou (Arillus Longan, 3 fen, these use Acrid-Sweet to harmonize Yin and guide Yin into storage as Envoy herb)
Decocted and taken at Shen hour (3-5 PM). She slept soundly throughout the night, and her spirit recovered instantly.