夫伤寒。阳脉微而汗出少为不及。自始汗出多为太过。阳明脉实。因发其汗。汗出多。
亦为太过。则阳气绝于里。绝于里则津液竭。致热结在内。故大便牢而不通也。
治伤寒未解。烦热口干。腹中有结燥不通。宜服大黄散方。
川大黄(二两锉碎微炒) 枳实(二两麸炒微黄) 川芒硝(二两) 甘草(一两炙微
赤锉)
浓朴(二两去粗皮涂生姜汁炙令香熟)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以得
利为度。
治伤寒五六日。热结在内。大便不通方。
川大黄(三两锉碎微炒) 牛蒡子(一两微炒) 枳壳(一两麸炒微黄去瓤)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以得
利为度。
治伤寒四五日。壮热头痛。大便不通。宜服柴胡散方。
柴胡(去苗) 茵陈 木通(锉) 黄芩 土瓜根 白藓皮 川朴硝(以上各一两) 栀
子仁
川大黄(二两锉碎微炒)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。以得利为度。
治伤寒五六日。壮热头痛。大便不通。小便血色。宜服石膏散方。
石膏(一两) 赤芍药(三分) 川大黄(二两锉微炒) 川升麻(三分) 甘草(一
分炙微赤
锉) 柴胡(一两去苗) 木通(一两锉) 黄芩(三分) 川朴硝(二两)
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。以得利
为度。
治伤寒大便不通。小便赤涩。宜服槟榔散方。
槟榔(一两) 榆白皮(一两锉) 桂心(半两) 滑石(一两) 甘草(半两炙微赤
锉) 川大黄(
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。以得利为度。
治伤寒六七日。大肠壅结不通。腹胁胀满。不下饮食。宜服大腹皮散方。
大腹皮(半两锉碎) 枳壳(一分麸炒令微黄去瓤) 赤茯苓(三分) 赤芍药(三分)
桑根
白皮
两汤浸
去皮
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。以得利为度。
治伤寒八九日。大便不通。心神闷乱。宜服黄芩散方。
黄芩(一两) 川大黄(二两锉碎微炒) 枳壳(半两麸炒微黄去瓤) 大腹皮(一两
锉) 郁
李仁(一两汤浸去皮尖) 羚羊角屑(一两)
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。以得利
为度。
治伤寒五六日。大便不通。气喘。宜服桑白皮散方。
桑根白皮(一两锉) 大腹皮(半两锉) 枳壳(二两麸炒微黄去瓤) 川大黄(三两
锉碎微
炒) 川芒硝(一两) 甘草(半两炙微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。以得利为度。
治伤寒大便不通。心腹满闷。烦热喘促。宜服川大黄散方。
川大黄(锉碎微炒) 川芒硝 赤芍药 桑根白皮(锉) 大麻仁 枳壳(麸炒微黄去
瓤)
防葵
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。如人行
十里当利。如未利。再服。
治伤寒大便秘涩。是内有积热所为。诊其脉。两手寸口悉洪大而数。是其候也。
\x宜服大
川大黄(三两锉碎微炒) 枳壳(麸炒微黄去瓤) 陈橘皮(汤浸去白瓤) 麻仁 槟
榔木
通(锉)(以上各二两)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以温水下三十丸。
伤寒病中,阳脉微弱且汗出较少属于正气不足(不及);自发病初期开始出汗过多则属于正气耗伤太过。阳明经脉象实大,若因误治而发汗,导致汗出过多,也属于太过。这样会导致体内阳气衰竭,阳气衰竭则津液枯竭,致使热邪结聚于内,因此大便坚硬不通。
治疗伤寒表证未解,出现烦热、口干,腹中有燥屎结滞不通的情况,适宜服用大黄散方。
川大黄(二两,锉碎后微炒) 枳实(二两,用麦麸炒至微黄) 川芒硝(二两) 甘草(一两,炙至微红并锉碎)
浓朴(二两,去除粗皮,涂生姜汁炙烤至香熟)
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,煎煮至六分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒五六日,热邪结聚在内,大便不通的方子。
川大黄(三两,锉碎后微炒) 牛蒡子(一两,微炒) 枳壳(一两,用麦麸炒至微黄,去瓤)
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,煎煮至六分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒四五日,高热头痛,大便不通,适宜服用柴胡散方。
柴胡(去苗) 茵陈 木通(锉碎) 黄芩 土瓜根 白藓皮 川朴硝(以上各一两) 栀子仁
川大黄(二两,锉碎后微炒)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒五六日,高热头痛,大便不通,小便带血,适宜服用石膏散方。
石膏(一两) 赤芍药(三分) 川大黄(二两,锉碎微炒) 川升麻(三分) 甘草(一分,炙至微红锉碎) 柴胡(一两,去苗) 木通(一两,锉碎) 黄芩(三分) 川朴硝(二两)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒大便不通,小便赤涩,适宜服用槟榔散方。
槟榔(一两) 榆白皮(一两,锉碎) 桂心(半两) 滑石(一两) 甘草(半两,炙至微红锉碎) 川大黄(原文此处似有缺漏,依前例推测应为适量或特定剂量,但按原文仅列名)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒六七日,大肠壅塞结滞不通,腹部和胁部胀满,无法进食,适宜服用大腹皮散方。
大腹皮(半两,锉碎) 枳壳(一分,用麦麸炒至微黄,去瓤) 赤茯苓(三分) 赤芍药(三分) 桑根白皮(原文此处格式混乱,“两汤浸 去皮”疑似指桑根白皮的处理方法,即汤浸去皮,剂量可能隐含在前文或为缺漏,依常规理解处理)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒八九日,大便不通,心神烦闷扰乱,适宜服用黄芩散方。
黄芩(一两) 川大黄(二两,锉碎微炒) 枳壳(半两,麸炒微黄去瓤) 大腹皮(一两,锉碎) 郁李仁(一两,汤浸去皮尖) 羚羊角屑(一两)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒五六日,大便不通,气喘,适宜服用桑白皮散方。
桑根白皮(一两,锉碎) 大腹皮(半两,锉碎) 枳壳(二两,麸炒微黄去瓤) 川大黄(三两,锉碎微炒) 川芒硝(一两) 甘草(半两,炙至微红锉碎)
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,去渣滓,不分时候温服,以大便通畅为度。
治疗伤寒大便不通,心腹部胀满闷痛,烦热气喘急促,适宜服用川大黄散方。
川大黄(锉碎微炒) 川芒硝 赤芍药 桑根白皮(锉碎) 大麻仁 枳壳(麸炒微黄去瓤) 防葵
以上药物,捣碎过筛成散剂。每次服用五钱,用水一大盏,煎煮至五分,去渣滓,不分时候温服。如果行走十里路仍未通便,再服用一次。
治疗伤寒大便秘涩,这是内有积热所致。诊察其脉象,两手寸口脉均洪大而数,这是其征候。适宜服用大[黄丸/散,原文此处断句不清,结合下文炼蜜和丸,应为丸剂]。
川大黄(三两,锉碎微炒) 枳壳(麸炒微黄去瓤) 陈橘皮(汤浸去白瓤) 麻仁 槟榔 木通(锉碎)(以上各二两)
以上药物,捣罗成末,用炼蜜调和制成丸剂,如梧桐子大小。每次服用,不分时候,用温水送下三十丸。
In Taiyang Cold Damage disease, a faint Yang pulse with scanty sweating indicates deficiency (insufficiency); excessive sweating from the onset of the disease indicates excess depletion. A solid Yangming pulse, if treated by inducing sweating, leading to profuse sweating, also constitutes excess depletion. This results in the exhaustion of Yang Qi within, and the exhaustion of Yang Qi leads to the depletion of Body Fluids, causing Heat to knot internally, thus resulting in hard and unpassable stool.
For treating Cold Damage where the exterior syndrome has not yet resolved, accompanied by vexatious heat, dry mouth, and internal accumulation of dryness causing bowel obstruction, the Dahuang San (Rhubarb Powder) formula is suitable.
Chuan Dahuang (2 liang, crushed and lightly stir-fried) Zhishi (2 liang, bran-stir-fried until slightly yellow) Chuan Mangxiao (2 liang) Gancao (1 liang, honey-fried until slightly red and crushed)
Noupu (2 liang, coarse bark removed, coated with fresh ginger juice and stir-fried until fragrant and cooked)
The above herbs are coarsely ground and sieved into a powder. Each dose consists of 4 qian, decocted with one zhong zhan (approx. 300-400ml) of water until reduced to six-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
Formula for treating Cold Damage after five or six days, with Heat knotting internally and unpassable stool.
Chuan Dahuang (3 liang, crushed and lightly stir-fried) Niubangzi (1 liang, lightly stir-fried) Zhiqiao (1 liang, bran-stir-fried until slightly yellow, pith removed)
The above herbs are coarsely ground and sieved into a powder. Each dose consists of 4 qian, decocted with one zhong zhan of water until reduced to six-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage after four or five days, with high fever, headache, and unpassable stool, the Chaihu San (Bupleurum Powder) formula is suitable.
Chaihu (remove seedlings) Yinchen Mutong (crushed) Huangqin Tugua Gen Baixianpi Chuan Puxiao (each 1 liang) Zhizi Ren
Chuan Dahuang (2 liang, crushed and lightly stir-fried)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan (approx. 500ml) of water with half a ban of fresh ginger until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage after five or six days, with high fever, headache, unpassable stool, and bloody urine, the Shigao San (Gypsum Powder) formula is suitable.
Shigao (1 liang) Chishaoyao (3 fen) Chuan Dahuang (2 liang, crushed and lightly stir-fried) Chuan Shengma (3 fen) Gancao (1 fen, honey-fried until slightly red and crushed) Chaihu (1 liang, remove seedlings) Mutong (1 liang, crushed) Huangqin (3 fen) Chuan Puxiao (2 liang)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage with unpassable stool and dark, scanty, painful urination, the Binglang San (Areca Seed Powder) formula is suitable.
Binglang (1 liang) Yubaipi (1 liang, crushed) Guixin (0.5 liang) Huashi (1 liang) Gancao (0.5 liang, honey-fried until slightly red and crushed) Chuan Dahuang (dosage missing in original text, implied contextually)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water with half a ban of fresh ginger until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage after six or seven days, with large intestine congestion and blockage, abdominal and hypochondriac distension, and inability to eat, the Dafupi San (Areca Peel Powder) formula is suitable.
Dafupi (0.5 liang, crushed) Zhiqiao (1 fen, bran-stir-fried until slightly yellow, pith removed) Chifuling (3 fen) Chishaoyao (3 fen) Sanggen Baipi (soaked in water, bark removed - dosage/format unclear in original)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water with half a ban of fresh ginger until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage after eight or nine days, with unpassable stool and mental restlessness, the Huangqin San (Scutellaria Powder) formula is suitable.
Huangqin (1 liang) Chuan Dahuang (2 liang, crushed and lightly stir-fried) Zhiqiao (0.5 liang, bran-stir-fried until slightly yellow, pith removed) Dafupi (1 liang, crushed) Yuliren (1 liang, soaked in water, skin and tip removed) Lingyangjiaoxie (1 liang)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage after five or six days, with unpassable stool and asthma/dyspnea, the Sangbaipi San (Mulberry Root Bark Powder) formula is suitable.
Sanggen Baipi (1 liang, crushed) Dafupi (0.5 liang, crushed) Zhiqiao (2 liang, bran-stir-fried until slightly yellow, pith removed) Chuan Dahuang (3 liang, crushed and lightly stir-fried) Chuan Mangxiao (1 liang) Gancao (0.5 liang, honey-fried until slightly red and crushed)
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water with half a ban of fresh ginger until reduced to five-tenths. Strain the dregs and take warm at any time. Stop when bowel movement is achieved.
For treating Cold Damage with unpassable stool, fullness and oppression in the heart and abdomen, vexatious heat, and rapid breathing, the Chuan Dahuang San (Rhizoma Rhei Powder) formula is suitable.
Chuan Dahuang (crushed and lightly stir-fried) Chuan Mangxiao Chishaoyao Sanggen Baipi (crushed) Damaren Zhiqiao (bran-stir-fried until slightly yellow, pith removed) Fangkui
The above herbs are finely ground and sieved into a powder. Each dose consists of 5 qian, decocted with one da zhan of water until reduced to five-tenths. Strain the dregs and take warm at any time. If bowel movement does not occur after walking ten li, take another dose.
Treating Cold Damage with constipation and rough stool, caused by accumulated Heat inside. The pulse diagnosis shows both Cun and Kou pulses on both hands as surging, large, and rapid, which is the characteristic sign. It is suitable to take Da [Huang Wan/Pill].
Chuan Dahuang (3 liang, crushed and lightly stir-fried) Zhiqiao (bran-stir-fried until slightly yellow, pith removed) Chenjupi (soaked in water, white pith removed) Maren Binglang Mutong (crushed) (each 2 liang)
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills at a time, with warm water, at any time.