凡人过劳,脉必浮大不伦。若不安闲作息,必有吐血之症,当用(宜)滋补,方用∶
人参(三两) 白术(五两) 茯苓(三两) 熟地(五两) 山茱萸(四两) 当
归(八两) 白芍(
味
共为末,炼蜜为丸。每日早晚〔各〕服五钱。
病重于日间,而发寒发热,较夜尤重,此等症必须从天未明而先截之。方用∶
柴胡(三钱) 当归(三钱) 黄 (五钱) 人参(一钱) 陈皮(一钱) 半夏(一
钱) 青皮(一
服
更易。〔方用〕
人参(一钱) 陈皮(一钱) 甘草(一钱) 白术(五钱) 柴胡(二钱) 白芥子
(一钱) 熟地(
病重于夜间,而发寒发热,或寒少而热多,或热少而寒多,一到天明〔便〕觉清爽,一
到黄
熟地(一两) 山萸(四钱) 当归(三钱) 白芍(三钱) 何首乌(三钱生用) 柴
胡(三钱) 麦
五
此方妙在用鳖甲,乃主阴之物,逢阴则入,遇阳则转;生何首乌,直入阴经,亦攻邪气;
以(白)芥子祛痰,又不耗其真阴之气;有不奏功者乎?必须黄昏〔时〕服,以此药则阴气
固而
然亦有阴邪而兼阳邪,亦发于夜间,其病亦发寒发热,无异纯阴邪气之症,但少少烦躁
耳,
方用∶
熟地(一两) 山萸(四钱) 当归(三钱) 鳖甲(五钱) 白芥子(三钱) 柴胡
(二钱) 陈皮(
术(三钱) 何首乌(三钱
凡是过度劳累的人,脉象必定浮大而无条理。如果不注意安闲作息,必然会出现吐血的病症,此时应当使用滋补的方法,方剂如下:
人参(三两) 白术(五两) 茯苓(三两) 熟地黄(五两) 山茱萸(四两) 当归(八两) 白芍(五味子?注:原文此处有缺漏或错简,通常配合为补益剂,依文意译为白芍等药),共研为细末,用炼蜜制成丸药。每天早晚各服用五钱。
如果病情在白天加重,并且出现发冷发热的症状,比夜间更加严重,这类病症必须在天亮之前先进行截断治疗。方剂如下:
柴胡(三钱) 当归(三钱) 黄芩(五钱,原文“黄”后缺字,据语境及常用配伍推测为黄芩或黄芪,结合小柴胡汤义理多为黄芩,但剂量五钱偏大,此处暂译原文缺失部分或依常见补中益气/和解思路,傅青主此方似为补中益气加减,若为发热重,可能涉及黄芩。鉴于原文残缺,按可见文字翻译,并标注缺失) 人参(一钱) 陈皮(一钱) 半夏(一钱) 青皮(一钱,原文缺剂量或药名后半部分,依文意补全语境)。
(病情变化时)更换方剂。方剂如下:
人参(一钱) 陈皮(一钱) 甘草(一钱) 白术(五钱) 柴胡(二钱) 白芥子(一钱) 熟地黄(...原文此处中断)
如果病情在夜间加重,并且出现发冷发热,或者寒冷少而发热多,或者发热少而寒冷多,一到天亮就觉得清爽,一到黄昏...(原文中断)。
熟地黄(一两) 山茱萸(四钱) 当归(三钱) 白芍(三钱) 何首乌(三钱,生用) 柴胡(三钱) 麦冬(...原文中断) 五味子(...原文中断)。
这个方剂的妙处在于使用了鳖甲,它是主管阴分的药物,遇到阴气则进入,遇到阳气则转化;生何首乌直接入阴经,也能攻逐邪气;用白芥子祛除痰湿,又不耗损真阴之气;难道会有不奏效的吗?必须在黄昏时服用,因为这样能使阴气巩固而...(原文中断)。
然而也有阴邪兼夹阳邪的情况,也是在夜间发病,同样出现发冷发热,与纯阴邪气的病症没有不同,只是稍微有些烦躁罢了。
方剂如下:
熟地黄(一两) 山茱萸(四钱) 当归(三钱) 鳖甲(五钱) 白芥子(三钱) 柴胡(二钱) 陈皮(...原文中断) 白术(三钱) 何首乌(三钱...原文中断)
When a person suffers from overexertion, the pulse will inevitably be floating and large without regularity. If one does not maintain a restful lifestyle, symptoms of hematemesis (vomiting blood) will certainly arise. In such cases, tonification should be employed using the following prescription:
Ren Shen (Ginseng Radix et Rhizoma, 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Fu Ling (Poria, 3 liang), Shu Di Huang (Prepared Rehmanniae Radix, 5 liang), Shan Zhu Yu (Corni Fructus, 4 liang), Dang Gui (Angelicae Sinensis Radix, 8 liang), Bai Shao (Paeoniae Radix Alba, ...). These are ground into fine powder and formed into pills with refined honey. Take 5 qian each morning and evening.
If the condition worsens during the day, accompanied by chills and fever, which are more severe than at night, this type of syndrome must be intercepted before dawn. The prescription is as follows:
Chai Hu (Bupleuri Radix, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Huang [Qin] (Scutellariae Radix or Astragali Radix, missing character in text, 5 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Ban Xia (Pinelliae Rhizoma, 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 1 qian).
[Change the prescription.] The new prescription is:
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Chai Hu (Bupleuri Radix, 2 qian), Bai Jie Zi (Brassicae Seminium, 1 qian), Shu Di Huang (Prepared Rehmanniae Radix, ...).
If the condition worsens at night, presenting with chills and fever, where there is less cold and more heat, or less heat and more cold, feeling refreshed upon dawn, but worsening towards dusk...
Shu Di Huang (Prepared Rehmanniae Radix, 1 liang), Shan Yu (Corni Fructus, 4 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Bai Shao (Paeoniae Radix Alba, 3 qian), He Shou Wu (Polygoni Multiflori Radix, 3 qian, raw), Chai Hu (Bupleuri Radix, 3 qian), Mai Dong (Ophiopogonis Radix, ...), Wu Wei Zi (Schisandrae Chinensis Fructus, ...).
The brilliance of this formula lies in the use of Bie Jia (Testudinis Carapax et Plastrum), which governs Yin. It enters when encountering Yin and transforms when encountering Yang; Raw He Shou Wu directly enters the Yin meridians to attack pathogenic factors; Bai Jie Zi eliminates phlegm without consuming True Yin Qi. How could it fail to achieve efficacy? It must be taken at dusk, so that the Yin Qi becomes consolidated...
However, there are also cases where Yin pathogens are combined with Yang pathogens, occurring at night, presenting with chills and fever, indistinguishable from pure Yin pathogen syndromes, except for slight irritability.
The prescription is as follows:
Shu Di Huang (Prepared Rehmanniae Radix, 1 liang), Shan Yu (Corni Fructus, 4 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Bie Jia (Testudinis Carapax et Plastrum, 5 qian), Bai Jie Zi (Brassicae Seminium, 3 qian), Chai Hu (Bupleuri Radix, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, ...), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian), He Shou Wu (Polygoni Multiflori Radix, 3 qian...).