(凡七类)
(论一首 方五十一首 灸法一首)
论曰∶凡除热解毒无过苦酸之物,故多用苦参、青葙、艾、栀子、葶苈、苦酒、乌梅之
属,是其要也,夫热盛非苦酸之物不解也。热在身中,既不时治,治之又不用苦酸之药,此
如救火不以水也,必不可得脱免也。又曰,今诸疗多用辛甘,姜、桂、人参之属,此皆贵价
难得,常有比行求之,转以失时。而苦参、葶苈、青葙、艾之属,所在尽有,除热解毒最良
,胜于向之贵价药也。前后数参并用之,得病内热者,不必按药次也,便以青葙、苦参、艾
、苦酒疗之,但稍与促其间,无不解也。扁鹊曰∶病在腠理,汤熨之所及。病在血脉,针石
之所及。病在骨髓,无可奈何。而凡医治病或言且待使病成乃顿去之,此为妄矣,当预约束
家中及所部曲,具语解此意,使有病者知之为要。
治温气病欲死方∶
苦参一两,以酒二升煮取一升,尽饮之,当吐,则除诸毒病,服之覆取汗皆愈(张文
仲及《肘后》云,治热毒瓦斯垂死,破棺千金汤。)
治热病五六日以上方。
苦参(三两) 黄芩(二两) 生地黄(八两)
上三味 咀,以水八升煎取二升,适寒温服一升,日再。
治时行毒病七八日,热积聚胸中烦乱欲死,起死人拓汤方。
芫花一升,以水三升煮取一升半,渍故布敷胸上,不过三敷,热即除,当温暖四肢护厥
逆也。
(共分为七类)
(一篇论述,五十一首方剂,一首灸法)
论述说:凡是清除热毒,没有比苦味和酸味的药物更好的了,所以多使用苦参、青葙子、艾叶、栀子、葶苈子、醋、乌梅这一类药物,这是关键所在。体内的热邪炽盛,非苦酸之药不能解除。热邪在体内,如果不时常治疗,治疗时又不使用苦酸的药物,这就像救火不用水一样,必然无法摆脱困境。又说,现在各种疗法多使用辛甘之药,如生姜、桂枝、人参这一类,这些药物价格昂贵且难以获得,经常需要到处寻找,反而因此延误了时机。而苦参、葶苈子、青葙子、艾叶这一类药物,到处都有,是清除热毒最好的药物,胜过上述那些昂贵的药材。前后多次参考并配合使用,对于患有内热的病人,不必拘泥于药物的次序,直接用青葙子、苦参、艾叶、醋来治疗,只要稍微缩短服药间隔时间,没有不能治愈的。扁鹊说:病邪在腠理(皮肤与肌肉之间的间隙),汤药热敷可以到达;病邪在血脉,针刺砭石可以到达;病邪在骨髓,就无可奈何了。然而一般的医生治病,有的说要等到病成之后才一次性去除它,这是荒谬的。应当预先约束家中及下属,详细告知他们理解这层意思,让患病的人知道这一点是关键。
治疗温气病危重欲死的方剂:
苦参一两,用酒二升煮取一升,全部饮下,应当呕吐,就能清除各种毒病,服用后覆盖衣被取汗,都能痊愈(张文仲及《肘后备急方》说,治疗热毒瓦斯垂死,破棺千金汤。)
治疗热病五六天以上的方剂。
苦参(三两) 黄芩(二两) 生地黄(八两)
以上三味药,切碎,用水八升煎取二升,待温度适宜时服一升,每天两次。
治疗时行毒病七八天,热邪积聚胸中烦乱欲死,起死人拓汤方。
芫花一升,用水三升煮取一升半,浸湿旧布敷在胸部上,不超过三次敷贴,热邪即可清除,应当温暖四肢以保护防止厥逆(手足冰冷)的发生。
(Comprising seven categories)
(One treatise, fifty-one prescriptions, one moxibustion method)
The treatise states: Regarding the elimination of heat and detoxification, nothing surpasses bitter and sour substances. Therefore, Bitterroot Root (Kushen), Celosia Seed (Qingxiang), Mugwort Leaf (Ai), Gardenia Fruit (Zhizi), Lepidium Seed (Tingli), Vinegar (Ku Jiu), and Dark Plum (Wumei) are frequently used; this is the crux. Intense heat within the body cannot be resolved without bitter and sour medicines. If heat remains in the body and is not treated promptly, or if treatment does not employ bitter and sour drugs, it is akin to extinguishing a fire without water; escape from the predicament is impossible. Furthermore, it is said that current therapies often utilize pungent and sweet substances, such as Ginger Rhizome (Jiang), Cinnamon Twig (Guizhi), and Ginseng Root (Renshen). These are expensive and hard to obtain, often requiring extensive searching, which leads to missed timing. In contrast, Bitterroot Root (Kushen), Lepidium Seed (Tingli), Celosia Seed (Qingxiang), and Mugwort Leaf (Ai) are available everywhere and are superior for eliminating heat and detoxifying compared to those costly herbs. Referencing previous methods and combining them, for patients suffering from internal heat, there is no need to adhere strictly to the sequence of medications. One may simply use Celosia Seed (Qingxiang), Bitterroot Root (Kushen), Mugwort Leaf (Ai), and Vinegar (Ku Jiu) for treatment. By slightly shortening the intervals between doses, cure is assured. Bian Que stated: When disease resides in the Couli (interstitial spaces between skin and muscle), decoctions and hot compresses can reach it. When disease resides in the blood vessels, acupuncture and stone needles can reach it. When disease resides in the bone marrow, it is beyond remedy. However, ordinary physicians treating diseases sometimes claim they will wait until the disease becomes established before attempting to remove it all at once; this is absurd. One should pre-instruct household members and subordinates, explaining this principle thoroughly, so that those who are ill understand its importance.
Prescription for treating severe Wen Qi Disease (Warm Qi Disease) approaching death:
Bitterroot Root (Kushen) 1 liang, boiled in 2 sheng of wine to yield 1 sheng. Drink the entire amount. Vomiting should occur, thereby eliminating various toxic conditions. Covering the patient to induce sweating after administration will lead to recovery (Zhang Wenzhong and *Zhou Hou Bei Ji Fang* state this treats critical heat-toxin qi; also known as Po Guan Qian Jin Tang / Break Open Coffin Thousand Gold Decoction.)
Prescription for treating Re Bing (Heat Disease) lasting five to six days or more:
Bitterroot Root (Kushen) (3 liang) Scutellaria Root (Huangqin) (2 liang) Fresh Rehmannia Root (Sheng Dihuang) (8 liang)
Crush the above three ingredients. Boil in 8 sheng of water to yield 2 sheng. Take 1 sheng when the temperature is suitable. Administer twice daily.
Prescription for treating Shi Xing Du Bing (Epidemic Toxic Disease) lasting seven to eight days, where heat accumulates in the chest causing extreme restlessness and approaching death, called Qi Si Ren Tuo Tang (Revive the Dead Stretching Decoction):
Seed of Mustard Herb (Yuanhua) 1 sheng, boiled in 3 sheng of water to yield 1.5 sheng. Soak an old cloth in the liquid and apply as a compress to the chest. No more than three applications are needed; the heat will be eliminated. Care must be taken to warm the limbs to prevent Jue Ni (Reversal Cold/Extremity Cold).