治霍乱吐下胀满,食不消化,心腹痛方。
人参 干姜 白术 甘草(各三两)
上四味 咀,以水八升,煮取三升,分三服。不瘥,顿服三剂。远行防霍乱,根据前作丸
如梧子大,服三十丸。如作散,服方寸匕。酒服亦得。若转筋者,加石膏三两。(仲景云∶
若脐上筑者,肾气动也,去术加桂心四两。吐多者,去术加生姜三两。下多者,复用术。悸
者加茯苓三两。渴欲得水者,加术合前共四两半。腹中痛者,加人参合前共四两半。若寒者,
加干姜合前成四两半。腹满者,去术加附子一枚,服汤后一食顷,服热粥一升,微自温,勿
发揭衣被也)。
治吐利止而身痛不休者,当消息和解,其外以此汤小和之(见十一卷篇中。)
治多寒,手足厥冷,脉细欲绝方。
生姜(五两) 当归 芍药 细辛 桂心(各三两) 甘草 通草(各二两) 吴茱萸
(二升)
大
上九味 咀,以水六升,酒六升合煮,取五升,分五服。旧方用枣三十枚,今以霍乱病
法多痞,故除之,如退枣入葛根二两佳。霍乱,四逆加半夏一合,附子小者一枚。若恶寒乃
与大附子。
治吐下而汗出,小便复利,或下利清谷,里寒外热,脉微欲绝,或发热恶寒,四肢拘急,
手足厥冷方。
甘草(一两) 干姜(一两半) 附子(一枚)
上三味 咀,以水三升,煮取一升二合,温分再服。强者可与大附子一枚,干姜至三
两。(《广济方》云∶若吐后吸吸少气及下而腹满者,加人参一两。)
治疗霍乱引起的呕吐、腹泻、腹部胀满,食物不消化,心腹疼痛的方剂。
人参 干姜 白术 甘草(各三两)
以上四味药,切碎,用水八升,煎煮至三升,分三次服用。如果病未痊愈,一次性服完三剂。长途旅行预防霍乱,按照前面的方法制成丸药,如梧桐子大小,每次服用三十丸。如果制成散剂,每次服用一方寸匕。用酒送服也可以。如果出现转筋(小腿腓肠肌痉挛),加入石膏三两。(张仲景说:如果脐上跳动不安,是肾气发动所致,去掉白术,加入桂心四两。呕吐多的人,去掉白术,加入生姜三两。腹泻多的人,重新使用白术。心悸的人,加入茯苓三两。口渴想喝水的人,增加白术总量至四两半。腹中疼痛的人,增加人参总量至四两半。如果感到寒冷,增加干姜总量至四两半。腹部胀满的人,去掉白术,加入附子一枚,服药后一顿饭的时间,喝热粥一升,使身体微微温暖,不要掀开衣被)。
治疗吐泻停止但身体疼痛不止的情况,应当斟酌情况调和解除表邪,用此汤轻微调和(见第十一卷篇中)。
治疗寒气重,手足厥冷,脉象细弱几乎摸不到的方剂。
生姜(五两) 当归 芍药 细辛 桂心(各三两) 甘草 通草(各二两) 吴茱萸(二升)
以上九味药,切碎,用水六升、酒六升混合煎煮,取汁五升,分五次服用。旧方中使用大枣三十枚,现在因为霍乱病患者多有痞塞之症,所以去掉大枣,如果用大枣代替,加入葛根二两效果更佳。治疗霍乱,在四逆汤基础上加半夏一合,小附子一枚。如果恶寒严重,才给予大附子。
治疗呕吐腹泻且出汗,小便反而通畅,或者下利清谷(排出未消化的食物),内寒外热,脉象微弱几乎摸不到,或者发热恶寒,四肢拘急挛缩,手足厥冷的方剂。
甘草(一两) 干姜(一两半) 附子(一枚)
以上三味药,切碎,用水三升,煎煮至一升二合,温服,分两次服用。体质强壮的人可以给予大附子一枚,干姜用量增至三两。(《广济方》说:如果呕吐后气息微弱短促以及腹泻后腹部胀满的,加入人参一两。)
A prescription for treating cholerae with vomiting, diarrhea, abdominal distension and fullness, indigestion, and heart and abdominal pain.
Ren Shen (Ginseng Radix), Gan Jiang (Zingiberis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each 3 liang].
The above four herbs are coarsely powdered. Boil in 8 sheng of water to obtain 3 sheng. Divide into three doses. If not cured, take all three doses at once. For preventing cholerae during long journeys, prepare as pills the size of wu zi (seeds of Strychnos nux-vomica). Take 30 pills per dose. If prepared as powder, take one fang cun bi (a square-inch measure) per dose. Taking with wine is also acceptable. If muscle cramps occur, add Shi Gao (Gypsum Fibrosum) 3 liang. (Zhang Zhongjing stated: If there is a pulsating sensation above the umbilicus, it indicates Kidney Qi moving; remove Bai Zhu and add Gui Xin (Cinnamomi Ramulus) 4 liang. If vomiting is predominant, remove Bai Zhu and add Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang. If diarrhea is predominant, reuse Bai Zhu. If palpitations occur, add Fu Ling (Poria) 3 liang. If thirsty and desiring water, increase the total amount of Bai Zhu to 4.5 liang. If abdominal pain occurs, increase the total amount of Ren Shen to 4.5 liang. If feeling cold, increase the total amount of Gan Jiang to 4.5 liang. If abdominal fullness occurs, remove Bai Zhu and add Fu Zi (Aconiti Lateralis Radix Praeparata) one piece. After taking the decoction, wait for the duration of one meal, then drink one sheng of hot porridge to maintain slight warmth; do not uncover clothes or blankets.)
For cases where vomiting and diarrhea have ceased but body pain persists, one should adjust according to circumstances to harmonize and resolve the exterior; use this decoction to gently harmonize (see Volume 11).
A prescription for treating excessive cold, cold extremities, and a fine pulse nearly imperceptible.
Sheng Jiang (Zingiberis Rhizoma Recens) [5 liang], Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba), Xi Xin (Asari Radix et Rhizoma), Gui Xin (Cinnamomi Ramulus) [each 3 liang], Gan Cao (Glycyrrhizae Radix et Rhizoma), Tong Cao (Tetrapanacis Medulla) [each 2 liang], Wu Zhu Yu (Evodiae Fructus) [2 sheng].
The above nine herbs are coarsely powdered. Boil together in 6 sheng of water and 6 sheng of wine to obtain 5 sheng. Divide into five doses. Old prescriptions used 30 dates (Da Zao); however, since patients with cholerae often suffer from epigastric fullness/stagnation, dates are removed. If replacing dates, adding Ge Gen (Puerariae Lobatae Radix) 2 liang is better. For cholerae, add Ban Xia (Pinelliae Rhizoma) 1 he and a small Fu Zi one piece to Si Ni Tang (Four Counterflow Decoction). If aversion to cold is severe, administer a large Fu Zi.
A prescription for treating vomiting and diarrhea accompanied by sweating, free urination, or passage of undigested food in stool, interior cold with exterior heat, a faint pulse nearly imperceptible, fever with aversion to cold, limb stiffness and spasms, and cold extremities.
Gan Cao (Glycyrrhizae Radix et Rhizoma) [1 liang], Gan Jiang (Zingiberis Rhizoma) [1.5 liang], Fu Zi (Aconiti Lateralis Radix Praeparata) [one piece].
The above three herbs are coarsely powdered. Boil in 3 sheng of water to obtain 1.2 sheng. Take warm, divided into two doses. For robust individuals, one may administer a large Fu Zi one piece and increase Gan Jiang to 3 liang. (Guang Ji Fang states: If after vomiting there is shortness of breath with shallow inhalation, or if abdominal fullness follows diarrhea, add Ren Shen 1 liang.)