论曰伤寒后不思食者,脾胃虚弱故也,由汗下之后,邪气已除,谷气未复,脾胃虚弱。
故不思饮食。
治伤寒后脾胃虚弱,不思饮食。人参丸方
人参 白术 浓朴(去粗皮姜汁炙各半两) 五味子 细辛(去苗叶各一分) 陈橘皮
(汤浸去白焙一两)
上六味,捣罗为末,煮枣肉和丸,梧桐子大,每服生姜汤下十五丸,食前服。
治伤寒后脾胃气虚,不嗜食,及新虚不胜谷气。消食丸方
小麦 曲(各一斤) 干姜(炮) 乌梅肉(各四两)
上四味,捣罗为末,炼蜜丸如梧桐子大,每服十五丸,温汤下,日再,稍加至四十丸。
治伤寒后脾胃气虚,四肢乏力,骨节烦疼,口苦舌干,不思饮食。茯苓煮散方
白茯苓(去黑皮) 柴胡(去苗) 陈橘皮(汤浸去白焙) 诃黎勒(去核炮) 桔梗
(炒) 人参(各一两) 甘草(炙) 半夏(汤洗去滑七遍焙各半两) 枇杷叶(去毛姜
汁炙二两) 枳壳(去瓤麸炒三分)
上一十味,捣罗为散,每服五钱匕,水一盏半,入生姜一分拍碎,同煎至七分,去滓食
前温服。
治伤寒后脾胃虚冷,不饮食,理中丸方
人参 白术 干姜(炮) 甘草(炙)
上四味,等分,捣罗为末,炼蜜丸如弹丸大。每服一丸,沸汤化破食前服。
治伤寒后胃气冷,不思饮食,人参煮散方
人参 浓朴(去粗皮姜汁炙) 白茯苓(去黑皮各一两) 柴胡(去苗三分) 半夏(汤
浸去滑七遍焙) 枇杷叶(去毛姜汁炙) 草豆蔻(去皮各半两)
上七味,捣罗为散,每服五钱匕,水一盏半,入生姜一分拍碎,同煎至七分,去滓食前
温服。
治伤寒瘥后,胃虚不思食。白术汤方
白术 陈橘皮(汤浸去白焙各三分) 甘草(炙一分) 白豆蔻(去皮) 高良姜(各
半两) 茯神(去木一两)
上六味,粗捣筛,每服五钱匕,水一盏半,入生姜半分拍碎,枣二枚劈破,同煎至七分,
去滓食前温服。
治伤寒后胃气未和,呕吐不下食。藿香汤方
藿香 竹茹 陈橘皮(汤浸去白焙) 麦门冬(去心焙) 枇杷叶(去毛姜汁炙各半两)
人参(三分)
上六味,粗捣筛,每服五钱匕,水一盏半,入生姜半分拍碎,同煎至七分,去滓温服。
治伤寒后。脾胃气虚,全不思食,腹脏不调。参朴汤方
人参 浓朴(去粗皮姜汁炙各一两) 陈橘皮(汤浸去白焙) 诃黎勒(炮去核) 桂
(去粗皮) 木香 枳
上一十味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,枣二枚劈破,同煎至半盏
去滓,食前温服,日再。
治伤寒后虚羸不思饮食。六神汤方
人参 白术 黄 茯苓 枳实 甘草(锉各一两)
上六味,粗捣筛,每服五钱匕,水一盏半,入生姜半分拍碎,枣三枚劈破,粳米少许,
同煎至七分,去滓食前温服。
治伤寒后,脾肺未和。痰壅欲吐,不思饮食。参橘汤方
人参 陈橘皮(汤浸去白焙各一两) 前胡(去芦头) 白术 杏仁(汤浸去皮尖双仁
炒) 枇杷叶(去毛姜汁炙各半两) 甘草(炙一分)
上七味粗捣筛,每服五钱匕,水一盏半,煎至七分,去滓食前温服。
治伤寒后胃虚不思食。白术饮方
白术 人参 生姜(切各半两) 甘草(炙一分)
上四味,锉如麻豆,以水三盏,煎至一盏半,去滓食前分温二服。
治伤寒后脾胃有余热,气满不能食。百合饮方
百合(一分) 人参(一分半) 豉熬 粳米(淘各半合) 陈橘皮(汤浸去白焙半两)
薤白(切五茎) 生姜(切半两)
上七味,锉如麻豆,以水五盏,煎至二盏半,去滓食后、分温三服。
治伤寒后脾胃虚冷,呕逆不下食。薤白饮方
薤白(切五茎) 生姜(切一两) 附子(炮裂去脐皮锉一分)
上三味,以水一盏半,煎至七分去滓,再煎沸入鸡子白一枚,搅匀空心温服。
论述说:伤寒病后不想吃东西,是因为脾胃虚弱。这是由于发汗或攻下之后,邪气虽然已经清除,但谷气尚未恢复,导致脾胃虚弱,所以不想饮食。
治疗伤寒后脾胃虚弱、不想饮食的人参丸方:
人参、白术、浓朴(去掉粗皮,用姜汁炙烤,各半两)、五味子、细辛(去掉苗和叶,各一分)、陈橘皮(用汤浸泡,去掉白色内瓤,焙干,一两)。
以上六味药,捣碎过筛成粉末,煮枣肉调和做成丸剂,大小如梧桐子。每次服用十五丸,用生姜汤送服,饭前服用。
治疗伤寒后脾胃气虚、不喜欢进食,以及新近体虚不能承受谷物之气的人消食丸方:
小麦、曲(各一斤)、干姜(炮制)、乌梅肉(各四两)。
以上四味药,捣碎过筛成粉末,用炼蜜做成如梧桐子大的丸剂。每次服用十五丸,用温水送服,每天两次,逐渐增加到四十丸。
治疗伤寒后脾胃气虚,四肢乏力,骨节烦痛,口苦舌干,不想饮食的茯苓煮散方:
白茯苓(去掉黑皮)、柴胡(去掉苗)、陈橘皮(用汤浸泡,去掉白色内瓤,焙干)、诃黎勒(去掉核,炮制)、桔梗(炒制)、人参(各一两)、甘草(炙烤)、半夏(用汤洗去滑腻七次,焙干,各半两)、枇杷叶(去掉毛,用姜汁炙烤,二两)、枳壳(去掉瓤,麸皮炒,三分)。
以上十味药,捣碎过筛成散剂。每次服用五钱匕,用水一盏半,加入拍碎的生姜一分,一起煎至七分,去渣,饭前温服。
治疗伤寒后脾胃虚冷,不想吃东西的理中丸方:
人参、白术、干姜(炮制)、甘草(炙烤)。
以上四味药,等分,捣碎过筛成粉末,用炼蜜做成如弹丸大小的丸剂。每次服用一丸,用沸水化开,饭前服用。
治疗伤寒后胃气寒冷,不想吃东西的人参煮散方:
人参、浓朴(去掉粗皮,用姜汁炙烤)、白茯苓(去掉黑皮,各一两)、柴胡(去掉苗,三分)、半夏(用汤浸泡,洗去滑腻七次,焙干)、枇杷叶(去掉毛,用姜汁炙烤)、草豆蔻(去掉皮,各半两)。
以上七味药,捣碎过筛成散剂。每次服用五钱匕,用水一盏半,加入拍碎的生姜一分,一起煎至七分,去渣,饭前温服。
治疗伤寒病愈后,胃虚不想吃东西的白术汤方:
白术、陈橘皮(用汤浸泡,去掉白色内瓤,焙干,各三分)、甘草(炙烤,一分)、白豆蔻(去皮)、高良姜(各半两)、茯神(去掉木心,一两)。
以上六味药,粗捣过筛。每次服用五钱匕,用水一盏半,加入拍碎的生姜半分,劈破的大枣两枚,一起煎至七分,去渣,饭前温服。
治疗伤寒后胃气不和,呕吐,无法进食的藿香汤方:
藿香、竹茹、陈橘皮(用汤浸泡,去掉白色内瓤,焙干)、麦门冬(去掉心,焙干)、枇杷叶(去掉毛,用姜汁炙烤,各半两)、人参(三分)。
以上六味药,粗捣过筛。每次服用五钱匕,用水一盏半,加入拍碎的生姜半分,一起煎至七分,去渣,温服。
治疗伤寒后脾胃气虚,完全不想吃东西,腹部脏腑不调的参朴汤方:
人参、浓朴(去掉粗皮,用姜汁炙烤,各一两)、陈橘皮(用汤浸泡,去掉白色内瓤,焙干)、诃黎勒(炮制,去掉核)、桂(去掉粗皮)、木香、枳实(原文此处似有缺字,依上下文补全为枳实或类似理气药,但严格按原文提取实体,故仅列出现有词汇,实际处方中通常包含枳实/壳等,此处依原文“枳”字处理,推测为枳实或枳壳,但在实体提取时保留原文用词习惯,若需完整方名则需结合常识,此处忠实于文本结构)。*注:原文此处列举药材后直接接煎法,中间可能有漏字或排版问题,按现有文本翻译:以上十味药(原文虽只列出部分名称,但称上一十味,可能隐含未完全列出或排版错误,翻译时如实反映),粗捣过筛。每次服用三钱匕,用水一盏,加入拍碎的生姜半分,劈破的大枣两枚,一起煎至半盏,去渣,饭前温服,每天两次。
治疗伤寒后身体虚弱消瘦,不想吃东西的六神汤方:
人参、白术、黄芪(原文作“黄”,指黄芪)、茯苓、枳实、甘草(锉碎,各一两)。
以上六味药,粗捣过筛。每次服用五钱匕,用水一盏半,加入拍碎的生姜半分,劈破的大枣三枚,少许粳米,一起煎至七分,去渣,饭前温服。
治疗伤寒后,脾肺不和,痰多壅塞想吐,不想吃东西的参橘汤方:
人参、陈橘皮(用汤浸泡,去掉白色内瓤,焙干,各一两)、前胡(去掉芦头)、白术、杏仁(用汤浸泡,去掉皮尖,双仁者炒制)、枇杷叶(去掉毛,用姜汁炙烤,各半两)、甘草(炙烤,一分)。
以上七味药,粗捣过筛。每次服用五钱匕,用水一盏半,煎至七分,去渣,饭前温服。
治疗伤寒后胃虚不想吃东西的白术饮方:
白术、人参、生姜(切片,各半两)、甘草(炙烤,一分)。
以上四味药,锉碎如麻豆大小,用水三盏,煎至一盏半,去渣,饭前分两次温服。
治疗伤寒后脾胃有余热,气胀不能吃东西的百合饮方:
百合(一分)、人参(一分半)、熬制的豆豉、粳米(淘洗,各半合)、陈橘皮(用汤浸泡,去掉白色内瓤,焙干,半两)、薤白(切,五茎)、生姜(切,半两)。
以上七味药,锉碎如麻豆大小,用水五盏,煎至二盏半,去渣,饭后分三次温服。
治疗伤寒后脾胃虚冷,呕逆,无法进食的薤白饮方:
薤白(切,五茎)、生姜(切,一两)、附子(炮裂,去掉脐皮,锉碎,一分)。
以上三味药,用水一盏半,煎至七分,去渣,再煎沸,加入一个鸡蛋清,搅拌均匀,空腹温服。
It is discussed that loss of appetite after typhoid fever (Shanghan) is due to the deficiency and weakness of the Spleen and Stomach. This occurs because, after sweating or purging therapies, although the pathogenic factors have been eliminated, the Qi derived from grain has not yet recovered, leading to Spleen and Stomach deficiency and thus a lack of desire for food.
**Ren Shen Wan Formula (Ginseng Pill)** for treating loss of appetite due to Spleen and Stomach deficiency after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Hou Po (Magnoliae Officinalis Cortex) [processed with ginger juice], Wu Wei Zi (Schisandrae Chinensis Fructus), Xi Xin (Asari Radix et Rhizoma) [remove seedlings and leaves], Chen Pi (Citri Reticulatae Pericarpium) [soaked in water, remove white pith, dried].
The above six herbs are crushed, sieved into powder, mixed with jujube flesh boiled into a paste, and formed into pills the size of sophora seeds. Take 15 pills per dose, administered with ginger decoction, before meals.
**Xiao Shi Wan Formula (Digestive Pills)** for treating Spleen and Stomach Qi deficiency, aversion to eating, and new-onset weakness unable to tolerate grain qi after typhoid fever:
Xiao Mai (Tritici Venire Fructus), Qu (Medicated Leaven) [each one jin], Gan Jiang (Zingiberis Rhizoma Recens Preparata), Mei Rou (Mume Fructus Carnosum) [each four liang].
The above four herbs are crushed, sieved into powder, and formed into pills the size of sophora seeds using refined honey. Take 15 pills per dose, administered with warm water, twice daily, gradually increasing to 40 pills.
**Fu Ling Zhu San Formula (Poria Decoction Powder)** for treating Spleen and Stomach Qi deficiency, limb fatigue, bone and joint pain, bitter taste in the mouth, dry tongue, and loss of appetite after typhoid fever:
Bai Fu Ling (Poria) [remove black skin], Chai Hu (Bupleuri Radix) [remove seedlings], Chen Pi (Citri Reticulatae Pericarpium) [soaked, remove pith, dried], He Li Le (Chebulae Fructus) [remove pits, processed], Jie Geng (Platycodonis Radix) [stir-fried], Ren Shen (Panax Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted], Ban Xia (Pinelliae Rhizoma Preparatum) [washed seven times with water to remove slipperiness, dried], Pi Pa Ye (Eriobotryae Folium) [remove hairs, processed with ginger juice], Zhi Ke (Aurantii Fructus) [remove pulp, stir-fried with bran].
The above ten herbs are crushed and sieved into powder. Take five qianbi (approx. 5-7g) per dose, with one dan of water, add one fen of smashed ginger, decoct until three-tenths remains, strain, and take warm before meals.
**Li Zhong Wan Formula (Regulate the Middle Pill)** for treating Spleen and Stomach cold-deficiency and anorexia after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma Recens Preparata), Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted].
The above four herbs are taken in equal parts, crushed, sieved into powder, and formed into pills the size of bullet pellets using refined honey. Take one pill per dose, dissolve in boiling water, and take before meals.
**Ren Shen Zhu San Formula (Ginseng Decoction Powder)** for treating cold Stomach Qi and loss of appetite after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) [process with ginger juice], Bai Fu Ling (Poria) [remove black skin], Chai Hu (Bupleuri Radix) [remove seedlings], Ban Xia (Pinelliae Rhizoma Preparatum) [soak in water, wash seven times, dry], Pi Pa Ye (Eriobotryae Folium) [remove hairs, process with ginger juice], Cao Dou Kou (Alpiniae Katsumadai Semen) [remove husk].
The above seven herbs are crushed and sieved into powder. Take five qianbi per dose, with one dan of water, add one fen of smashed ginger, decoct until three-tenths remains, strain, and take warm before meals.
**Bai Zhu Tang Formula (Atractylodes Macrocephala Decoction)** for treating stomach deficiency and loss of appetite after recovery from typhoid fever:
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) [soak, remove pith, dry], Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted], Bai Dou Kou (Amomi Fructus Rotundus) [remove husk], Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Fu Shen (Poria with Hostwood) [remove wood core].
The above six herbs are coarsely crushed and sifted. Take five qianbi per dose, with one dan of water, add half a qian of smashed ginger and two split jujubes, decoct until three-tenths remains, strain, and take warm before meals.
**Huo Xiang Tang Formula (Agastache Decoction)** for treating disharmony of Stomach Qi, vomiting, and inability to eat after typhoid fever:
Huo Xiang (Pogostemonis Herba), Zhu Ru (Bambusae Caulis in Taenia), Chen Pi (Citri Reticulatae Pericarpium) [soak, remove pith, dry], Mai Men Dong (Ophiopogonis Tuber) [remove heart, dry], Pi Pa Ye (Eriobotryae Folium) [remove hairs, process with ginger juice], Ren Shen (Panax Ginseng Radix et Rhizoma).
The above six herbs are coarsely crushed and sifted. Take five qianbi per dose, with one dan of water, add half a qian of smashed ginger, decoct until three-tenths remains, strain, and take warm.
**Shen Po Tang Formula (Ginseng and Magnolia Bark Decoction)** for treating complete loss of appetite due to Spleen and Stomach Qi deficiency and abdominal organ dysfunction after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) [process with ginger juice], Chen Pi (Citri Reticulatae Pericarpium) [soak, remove pith, dry], He Li Le (Chebulae Fructus) [process, remove pit], Gui (Cinnamomi Ramulus) [remove bark], Mu Xiang (Aucklandiae Radix), Zhi [Text implies Zhi Shi or Zhi Ke, likely incomplete in source, listed as 'Zhi'].
The above ten herbs (note: text lists fewer distinct names but claims ten, possibly implying standard preparation steps or missing characters in source) are coarsely crushed and sifted. Take three qianbi per dose, with one dan of water, add half a qian of smashed ginger and two split jujubes, decoct until half a dan remains, strain, and take warm before meals, twice daily.
**Liu Shen Tang Formula (Six Gods Decoction)** for treating emaciation and loss of appetite due to deficiency after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix) [text says "Huang"], Fu Ling (Poria), Zhi Shi (Aurantii Fructus Immaturus), Gan Cao (Glycyrrhizae Radix et Rhizoma) [cut].
The above six herbs are coarsely crushed and sifted. Take five qianbi per dose, with one dan of water, add half a qian of smashed ginger, three split jujubes, and a little Jing Mi (Oryza Sativa Glutinosa Granum), decoct until three-tenths remains, strain, and take warm before meals.
**Shen Ju Tang Formula (Ginseng and Citrus Peel Decoction)** for treating Spleen-Lung disharmony, phlegm obstruction with urge to vomit, and loss of appetite after typhoid fever:
Ren Shen (Panax Ginseng Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) [soak, remove pith, dry], Qian Hu (Peucedani Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xing Ren (Armeniacae Semen Amarum) [soak, remove skin and tip, stir-fry], Pi Pa Ye (Eriobotryae Folium) [remove hairs, process with ginger juice], Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted].
The above seven herbs are coarsely crushed and sifted. Take five qianbi per dose, with one dan of water, decoct until three-tenths remains, strain, and take warm before meals.
**Bai Zhu Yin Formula (Atractylodes Macrocephala Drink)** for treating stomach deficiency and loss of appetite after typhoid fever:
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Panax Ginseng Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens) [sliced], Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted].
The above four herbs are cut like hemp seeds. Use three dan of water, decoct until one-and-a-half dan remains, strain, and divide into two warm doses before meals.
**Bai He Yin Formula (Lily Bulb Drink)** for treating excess heat in Spleen and Stomach, abdominal fullness, and inability to eat after typhoid fever:
Bai He (Lilii Bulbus), Ren Shen (Panax Ginseng Radix et Rhizoma), Chi Shao [Text says "Chi Ao", likely Dou Chi - Soya Glycines Semen Preparatum], Jing Mi (Oryza Sativa Glutinosa Granum) [washed], Chen Pi (Citri Reticulatae Pericarpium) [soak, remove pith, dry], Xie Bai (Allii Macrostemonis Bulbus) [cut], Sheng Jiang (Zingiberis Rhizoma Recens) [cut].
The above seven herbs are cut like hemp seeds. Use five dan of water, decoct until two-and-a-half dan remains, strain, and divide into three warm doses after meals.
**Xie Bai Yin Formula (Garlic Chive Seedling Drink)** for treating Spleen and Stomach cold-deficiency, retching, and inability to eat after typhoid fever:
Xie Bai (Allii Macrostemonis Bulbus) [cut], Sheng Jiang (Zingiberis Rhizoma Recens) [cut], Fu Zi (Aconiti Lateralis Radix Preparata) [processed, remove umbilicus and skin, cut].
The above three herbs are decocted in one-and-a-half dan of water until three-tenths remains. Strain, boil again, add one egg white, mix well, and take warm on an empty stomach.