论曰伤寒百合病者,谓百脉一宗,悉致其病也,其状意欲食复不能食,常默默,欲得卧,
复不能卧,欲出行,复不能行,食饮有时美,如有寒又如无寒,如有热复如无热,口苦小便
赤黄,得药则吐利者是也,此皆由伤寒及虚劳大病后,腑脏虚,营卫耗弱,不能平复,变成
斯疾也,然以百脉一宗,悉致其病,又无复经络,故其病证变异,而治之者,亦宜各随其证。
治伤寒百合已经下后。百合滑石代赭汤方
百合(七枚劈破) 滑石(一两碎) 代赭(如弹丸大一枚碎)
上三味,先以水洗百合,渍一宿,白沫出,去其水,更以新汲水二盏,煎取一盏去滓,
别用新汲水二盏,煮滑石代赭,取一盏去滓,后合和重煎取一盏半,分温再服。
治百合伤寒病吐之后者。百合鸡子汤方
百合(七枚劈) 鸡子黄(一枚)
上二味,先以水洗百合,渍一宿,当白沫出,去其水,更以新汲水二盏,煎取一盏去滓,
纳鸡子黄搅匀,分温再服。
治百合伤寒已经汗后。百合知母汤方
百合(七枚劈) 知母(一两)
上二味,先将百合劈碎,用新汲水二盏,浸一宿,当有白沫出,去却沫水了,却用新汲
水二盏,煮百合取汁一盏去滓,盛于净器中,又将知母亦用新汲水二盏,煮取一盏去滓后,
将百合知母汁相和,同煎取一盏半,不计时候,分温作二服。
治百合伤寒病变发热,百合滑石汤方
百合(一两) 滑石(三两)
上二味,捣罗为散,更入乳钵、研如粉,每服空心,米饮调下二钱匕,日二服,当微利,
即住服。
治百合伤寒病已经吐下发汗,病形如初者。百合地黄汤方
百合(七枚劈) 生地黄汁(一盏)
上二味,先以水洗百合渍一宿,白沫出,去其水,更以新汲水二盏,煮取一盏去滓,纳
地黄汁,再煎取一盏半,分温再服,中病服,大盒饭如漆。
治百合伤寒病不瘥,不思食,欲成劳。百合半夏汤方
百合(二两) 半夏(汤洗七遍炒令干) 人参 赤茯苓(去黑皮) 黄连(去须锉微
炒) 知母(各一两 )生干地黄(焙一两半)
上七味,粗捣筛,每服五钱匕,用水一盏半,入生姜一分拍碎,同煎至八分,去滓食后
温服、日二。
治伤寒百合病久不瘥,不思食,欲成劳。百合柴胡汤方
百合(二两) 柴胡(去苗) 知母(焙) 黄连(去须锉微炒) 秦艽(去苗土) 栝
蒌根(各一两) 甘草(半两炙赤)
上七味,粗捣筛,每服五钱匕,水一盏半,生姜半分拍碎,煎至七分去滓,食前温服日
三。
治伤寒百合病似劳,形状如疟。百合紫菀汤方
百合 紫菀(去苗土) 柴胡(去苗) 杏仁(汤浸去皮尖双仁炒令黄) 白茯苓(去
黑皮) 甘草(炙令微赤
上六味,等分,粗捣筛,每服五钱匕,水一盏半,生姜半分拍碎,煎至七分,去滓空心
温服,日晚再服。
治伤寒百合病补阴养阳。浓朴散方
浓朴(去粗皮姜汁炙令紫黑色) 桃仁(去皮尖双仁炒黄别研) 杏仁(去皮尖双仁炒
令黄别研各一两) 紫石英(别研) 白藓皮 五加皮(锉) 桑根白皮(锉各半两)
上七味,捣研为散,更入乳钵,一处研如粉,每服食前,用葱白糯米煎汤调下二钱匕,
日二。
治伤寒瘥后,已经二七日,潮热不解,将变成百合病,身体沉重无力,昏如醉状。百合
前胡汤方
生百合(三枚劈洗) 前胡(去芦头) 麻黄(去节各一两半) 葛根(锉二两) 生
麦门冬(去心半两) 石膏三两碎
上六味, 咀如麻豆大,每服五钱匕,水一盏半,煎取七分,去滓温服,后如食顷再服。
治伤寒百合兼下利不止,心中 ,坚而烦呕。半夏汤方
半夏(三两汤洗七遍焙令干) 黄芩(去黑心) 百合(各一两半) 干姜(炮裂) 黄
连(去须锉微炒)人参(各一两) 甘草(炙令赤锉半两)
上七味,粗捣筛,每服五钱匕,水一盏半,生姜半分拍碎,枣三枚劈破,煎至七分,去
滓食后温服日二。
论述说:伤寒百合病,是指全身血脉同出一源,全部受到病邪影响。其症状表现为:想要进食却又吃不下,常常沉默寡言,想睡觉却又睡不着,想外出活动却又走不动,饮食有时觉得美味,感觉像有寒邪又像没有寒邪,感觉像有热邪又像没有热邪,口苦,小便颜色深黄,服药后出现呕吐和腹泻的,就是这种病。这大多是因为伤寒及虚劳大病之后,脏腑虚弱,营气卫气耗损衰弱,不能恢复平静,从而变成这种疾病。然而因为百脉同出一源,全部受病,又没有固定的经络归属,所以病情证候变化多端,治疗时也应该根据具体证候灵活施治。
治疗伤寒百合病已经经过泻下法后的方剂:百合滑石代赭汤方
百合(七枚,剖开) 滑石(一两,捣碎) 代赭石(如弹丸大小一枚,捣碎)
以上三味药,先用清水洗百合,浸泡一夜,当白色泡沫浮出时,倒掉水,再用新汲取的水两盏,煎取一盏,去渣;另外用新汲取的水两盏,煮滑石和代赭石,取一盏,去渣;然后将两种药汁混合,再次煎取一盏半,分两次温服。
治疗百合伤寒病在催吐之后的方剂:百合鸡子汤方
百合(七枚,剖开) 鸡蛋黄(一枚)
以上两味药,先用清水洗百合,浸泡一夜,当白色泡沫浮出时,倒掉水,再用新汲取的水两盏,煎取一盏,去渣;加入鸡蛋黄搅匀,分两次温服。
治疗百合伤寒已经经过发汗法后的方剂:百合知母汤方
百合(七枚,剖开) 知母(一两)
以上两味药,先将百合剖碎,用新汲取的水两盏,浸泡一夜,当有白色泡沫浮出时,去掉泡沫水,再用新汲取的水两盏,煮百合取汁一盏,去渣,盛放在干净的容器中;又将知母也用新汲取的水两盏,煮取一盏,去渣;然后将百合汁和知母汁混合,共同煎取一盏半,不拘时间,分两次温服。
治疗百合伤寒病变出现发热症状的方剂:百合滑石汤方
百合(一两) 滑石(三两)
以上两味药,捣碎过筛成散剂,再放入乳钵中研磨成粉末。每次空腹时,用米汤调服二钱匕,每日服两次,当出现轻微腹泻时,即停止服用。
治疗百合伤寒病已经经过催吐、泻下、发汗治疗后,病情表现如初的方剂:百合地黄汤方
百合(七枚,剖开) 生地黄汁(一盏)
以上两味药,先用清水洗百合浸泡一夜,当白色泡沫浮出时,倒掉水,再用新汲取的水两盏,煮取一盏,去渣;加入地黄汁,再次煎取一盏半,分两次温服。服药后大便颜色会像漆一样黑。
治疗百合伤寒病未愈,不想吃东西,快要形成虚劳病的方剂:百合半夏汤方
百合(二两) 半夏(汤洗七遍,炒干) 人参 赤茯苓(去掉黑皮) 黄连(去掉须,锉碎微炒) 知母(各一两) 生干地黄(焙干一两半)
以上七味药,粗捣筛过,每次服五钱匕,用水一盏半,加入生姜一分拍碎,共同煎至八分,去渣,饭后温服,每日两次。
治疗伤寒百合病日久不愈,不想吃东西,快要形成虚劳病的方剂:百合柴胡汤方
百合(二两) 柴胡(去掉苗) 知母(焙干) 黄连(去掉须,锉碎微炒) 秦艽(去掉苗土) 栝楼根(各一两) 甘草(半两,炙至赤色)
以上七味药,粗捣筛过,每次服五钱匕,水一盏半,生姜半分拍碎,煎至七分,去渣,饭前温服,每日三次。
治疗伤寒百合病类似虚劳,症状像疟疾的方剂:百合紫菀汤方
百合 紫菀(去掉苗土) 柴胡(去掉苗) 杏仁(汤浸去皮尖双仁,炒至黄色) 白茯苓(去掉黑皮) 甘草(炙至微赤)
以上六味药,等分,粗捣筛过,每次服五钱匕,水一盏半,生姜半分拍碎,煎至七分,去渣,空腹温服,晚上再服一次。
治疗伤寒百合病补阴养阳的方剂:浓朴散方
浓朴(去掉粗皮,姜汁炙至紫黑色) 桃仁(去皮尖双仁,炒黄,另研) 杏仁(去皮尖双仁,炒黄,另研,各一两) 紫石英(另研) 白鲜皮 五加皮(锉碎) 桑根白皮(锉碎,各半两)
以上七味药,捣碎研磨成散剂,再放入乳钵中,一处研磨成粉末。每次饭前,用葱白糯米煎成的汤调服二钱匕,每日两次。
治疗伤寒病愈后,已过十四天,潮热不退,将要变成百合病,身体沉重无力,昏沉像醉酒状态的方剂:百合前胡汤方
生百合(三枚,剖开洗净) 前胡(去掉芦头) 麻黄(去掉节,各一两半) 葛根(锉碎二两) 生麦门冬(去掉心半两) 石膏(三两,捣碎)
以上六味药,切碎如麻豆大小,每次服五钱匕,水一盏半,煎取七分,去渣温服,过后约一顿饭的时间再服一次。
治疗伤寒百合病兼有腹泻不止,心中烦闷,坚硬而烦躁呕吐的方剂:半夏汤方
半夏(三两,汤洗七遍,焙干) 黄芩(去掉黑心) 百合(各一两半) 干姜(炮裂) 黄连(去掉须,锉碎微炒) 人参(各一两) 甘草(炙至赤色,锉碎半两)
以上七味药,粗捣筛过,每次服五钱匕,水一盏半,生姜半分拍碎,枣三枚剖开,煎至七分,去渣,饭后温服,每日两次。
Commentary states: The Baihe disease (Lily Disease) in Shanghan (Cold Damage) refers to a condition where all vessels, originating from one source, are simultaneously affected by pathogenic factors. Its manifestations include: desiring to eat but being unable to do so, often remaining silent, desiring to lie down but being unable to sleep, desiring to go out but being unable to walk, food and drink sometimes tasting delicious, feeling as if there is cold yet as if there is no cold, feeling as if there is heat yet as if there is no heat, bitter taste in the mouth, dark yellow urine, and vomiting and diarrhea after taking medication. This ailment generally arises after severe diseases such as Shanghan or deficiency-consumption disorders, where the Zang-Fu organs are deficient, and Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) are depleted and weak, failing to return to equilibrium, thereby transforming into this disease. Since all vessels share a single origin and are fully affected, without fixed meridian affiliations, the clinical presentations vary significantly; thus, treatment should be tailored according to specific syndromes.
Formula for treating Baihe disease following purgation: Baihe Huashi Daizhe Tang (Lily, Talcum, and Hematite Decoction)
Baihe (Lilii Bulbus, seven bulbs, split) Huashi (Talcum, one liang, crushed) Daizheshi (Hematitum, one piece the size of a bullet, crushed)
Take the above three ingredients. First, wash the Baihe with water and soak overnight until white foam appears. Discard the water. Add two cups of fresh drawn water, decoct to obtain one cup, and strain. Separately, take two cups of fresh drawn water, decoct the Huashi and Daizheshi to obtain one cup, and strain. Mix the two filtrates and decoct again to obtain one and a half cups. Divide into two doses and take warm.
Formula for treating Baihe disease following emesis: Baihe Jizi Tang (Lily and Egg Yolk Decoction)
Baihe (Lilii Bulbus, seven bulbs, split) Jizi Huang (Yolki Galli Gallae, one yolk)
Take the above two ingredients. First, wash the Baihe with water and soak overnight until white foam appears. Discard the water. Add two cups of fresh drawn water, decoct to obtain one cup, and strain. Add the Jizi Huang, stir well, divide into two doses, and take warm.
Formula for treating Baihe disease following diaphoresis: Baihe Zhimu Tang (Lily and Anemarrhenae Decoction)
Baihe (Lilii Bulbus, seven bulbs, split) Zhimu (Anemarrhenae Rhizoma, one liang)
Take the above two ingredients. First, split the Baihe and soak in two cups of fresh drawn water overnight. When white foam appears, discard the foamy water. Add two cups of fresh drawn water, decoct the Baihe to obtain one cup of juice, and strain. Store in a clean vessel. Take the Zhimu, add two cups of fresh drawn water, decoct to obtain one cup, and strain. Mix the Baihe juice and Zhimu decoction, decoct together to obtain one and a half cups. Take at any time, divided into two warm doses.
Formula for treating Baihe disease complicated by fever: Baihe Huashi San (Lily and Talcum Powder)
Baihe (Lilii Bulbus, one liang) Huashi (Talcum, three liang)
Pulverize the above two ingredients into a fine powder using a mortar. Take two qianbi (approx. 6-9 grams) orally with rice water on an empty stomach. Take twice daily. Discontinue use when mild diarrhea occurs.
Formula for treating Baihe disease after emesis, purgation, and diaphoresis, with symptoms recurring: Baihe Dihuang Tang (Lily and Rehmanniae Decoction)
Baihe (Lilii Bulbus, seven bulbs, split) Shengdihuang汁 (Jus Radicis Rehmanniae Recens, one cup)
Wash the Baihe and soak overnight until white foam appears. Discard the water. Add two cups of fresh drawn water, decoct to obtain one cup, and strain. Add the Shengdihuang juice, decoct again to obtain one and a half cups. Divide into two warm doses. After effective treatment, stools will appear black like lacquer.
Formula for treating Baihe disease that has not resolved, with loss of appetite, progressing toward consumptive disease: Baihe Banxia Tang (Lily and Pinelliae Decoction)
Baihe (Lilii Bulbus, two liang) Banxia (Pinelliae Rhizoma, washed seven times in hot water, stir-fried dry) Renshen (Ginseng Radix) Chifuling (Polyporus, skin removed) Huanglian (Coptidis Rhizoma, roots removed, sliced, lightly stir-fried) Zhimu (Anemarrhenae Rhizoma, each one liang) Shenggandihuang (Dried Radicis Rehmanniae, baked, one and a half liang)
Coarsely grind and sieve the above seven ingredients. Take five qianbi per dose. Add one and a half cups of water and one fen of smashed ginger. Decoct to eight parts, strain, and take warm after meals. Take twice daily.
Formula for treating chronic unresolved Baihe disease with loss of appetite, progressing toward consumptive disease: Baihe Chaihu Tang (Lily and Bupleuri Decoction)
Baihe (Lilii Bulbus, two liang) Chaihu (Bupleuri Radix, stems removed) Zhimu (Anemarrhenae Rhizoma, baked) Huanglian (Coptidis Rhizoma, roots removed, sliced, lightly stir-fried) Qinjiao (Gentianae Macrophyllae Radix, stems and soil removed) Gualougen (Trichosanthis Radix, each one liang) Gancao (Licorice Radix, honey-fried to reddish-brown, half liang)
Coarsely grind and sieve the above seven ingredients. Take five qianbi per dose. Add one and a half cups of water and half a fen of smashed ginger. Decoct to seven parts, strain, and take warm before meals. Take three times daily.
Formula for treating Baihe disease resembling consumptive disorder with malaria-like symptoms: Baihe Ziwan Tang (Lily and Aster Decoction)
Baihe (Lilii Bulbus) Ziwan (Asteris Radix, stems and soil removed) Chaihu (Bupleuri Radix, stems removed) Xingren (Armeniacae Semen Amarum, soaked in water, skin and tips removed, double-kernel, stir-fried until yellow) Baifuling (Poria, skin removed) Gancao (Licorice Radix, honey-fried until slightly reddish)
Take equal parts of the above six ingredients. Coarsely grind and sieve. Take five qianbi per dose. Add one and a half cups of water and half a fen of smashed ginger. Decoct to seven parts, strain, and take warm on an empty stomach. Take again in the evening.
Formula for nourishing Yin and Yang in Baihe disease: Nongpo San (Magnolia Bark Powder)
Nongpu (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-fried until purple-black) Taoren (Persicae Semen, skin and tips removed, double-kernel, stir-fried yellow, separately ground) Xingren (Armeniacae Semen Amarum, skin and tips removed, double-kernel, stir-fried yellow, separately ground, each one liang) Zhiyanshi (Haematitum, separately ground) Baixianpi (Dictamni Cortex) Wujia Pi (Acanthopanacis Cortex, sliced) Sangbaipi (Mori Cortex, sliced, each half liang)
Grind and pulverize the above seven ingredients into a powder using a mortar. Take two qianbi before meals, mixed with decoction of scallion whites and glutinous rice. Take twice daily.
Formula for treating post-Shanghan convalescence with tidal fever persisting after fourteen days, impending Baihe disease, heavy body, weakness, and drowsiness resembling drunkenness: Baihe Qianhu Tang (Lily and Peucedani Decoction)
Shengbaihe (Fresh Lilii Bulbus, three bulbs, split and washed) Qianhu (Peucedani Radix, rhizome removed) Mahuang (Ephedrae Herba, joints removed, each one and a half liang) Gegen (Puerariae Radix, sliced, two liang) Shengmaodong (Fresh Ophiopogonis Tuber, heart removed, half liang) Shigao (Gypsum Fibrosum, three liang, crushed)
Cut the above six ingredients into pieces the size of hemp seeds. Take five qianbi per dose. Add one and a half cups of water, decoct to seven parts, strain, and take warm. Repeat the dose after approximately one meal interval.
Formula for treating Baihe disease with persistent diarrhea, abdominal fullness, irritability, and vomiting: Banxia Tang (Pinelliae Decoction)
Banxia (Pinelliae Rhizoma, washed seven times in hot water, baked dry) Huangqin (Scutellariae Radix, rotten center removed) Baihe (Lilii Bulbus, each one and a half liang) Ganjiang (Zingiberis Rhizoma, processed) Huanglian (Coptidis Rhizoma, roots removed, sliced, lightly stir-fried) Renshen (Ginseng Radix, each one liang) Gancao (Licorice Radix, honey-fried to reddish-brown, sliced, half liang)
Coarsely grind and sieve the above seven ingredients. Take five qianbi per dose. Add one and a half cups of water, half a fen of smashed ginger, and three split jujubes. Decoct to seven parts, strain, and take warm after meals. Take twice daily.