夫服五石散。及钟乳诸石药等。既差节度。触动多端。发状虽殊。将摄相似。比来人遇
其证
推为
盖须
五石
乃轻
寒食
治石散发动。寒热。胸中寒（塞）面肿。手足烦疼。是钟乳发。宜服生麦门冬汤
方。
生麦门冬（二两去心） 豉（二合） 葱白（八茎去须切）
上件药。以水三大盏。煎至一盏半。去滓。分温三服。未效。即再合服之。
治石毒卒发者。栗栗如寒。或欲饮食。或不欲饮食。若服紫石英发毒者。亦热闷
喜卧少
荠 （二两） 甘草（半两炙微赤锉） 蓝子（半两） 赤茯苓（半两） 赤芍药（半
两） 黄芩
（半
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。
治五石发动。除热鸭通汤方。
白鸭通（五升沸汤二升半淋之澄令滑取汁二升） 麻黄〔一（二）两去根节〕 石膏（一
两）
滑
上件药。捣粗罗为散。每服四钱。以水一中盏。入豉半合。煎至五分。去滓。入鸭通汁
二合
治五石发动。体热心烦。肢节疼痛。大小便难。大黄散方。
川大黄（二两锉碎微炒） 黄柏（一两锉） 黄连〔三（一）两去须〕 川升麻（一两）
甘草
（一
上件药。捣筛为散。每服半两。以水一大盏。入淡竹叶三七片。豉半合。煎至七分。去
滓
治五石发动。热气上冲。心神烦躁。口干昏闷。宜服此方。
麦门冬（一两去心） 豉（一合） 葱白〔二茎（二七寸）去须切〕 荠 （一两） 黄
芩（半
两）
上件药。都细锉。以水二大盏。煎至一大盏半。去滓。分温五服。
治五石忽发动。体热烦疼。心躁闷乱。宜服葱豉汤方。
葱白（八茎） 香豉（二合） 蓝叶（三分） 柴胡（一两去苗） 川升麻（半两） 犀
角屑（半
两）
上件药。细锉。以水五大盏。煎至两盏半。去滓。分温五服。未效。再合服之。
石发。则令人心急口噤。骨节疼强。或时即体热生疮。以冷水洗浴。然后却用
生熟汤淋之
人参（半两去芦头） 麦门冬（一两去心） 甘草（半两炙微赤锉） 麻黄（半两去根
节） 豉
（二
上件药。以水二大盏。煮取一盏半。去滓。分温三服。覆暖衣。汗出即瘥。
治硫黄发。遍身热方。
上以大麻油二合。煎熟放温。以铜匙抄少许啜之。三五服效。
治硫黄忽发气闷方。
上以羊血一合。服之效。
治硫黄发时。令人背膊疼闷。眼暗漠漠。宜服乌梅汤方。
乌梅肉（一两微炒） 沙糖（半两）
上件药。以浆水一大盏。煎至七分。时时温呷。
治丹石发动。令人体热烦疼。心躁口干。宜服露蜂房散方。
露蜂房（一两） 荠 （一两） 甘草（一两生用）
上件药。捣罗筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治丹石发动。诸药不能治。宜服酒豉方。
美酒（一升） 好豉（二合）
上以酒煮豉五七沸。去滓。稍热饮之。使尽。未愈再服。
治诸石热气结滞。经年数发者。宜服此方。
胡荽（五月五日采阴干）
上取一两。以水一大盏。煎至七分。去滓。分温二服。未瘥更服。
治乳石发动。壅热羸困。宜服此下石方。
露蜂房（二两捣碎）
上以水二大盏。煮取一盏。分为二服。空心。温温相次服之。其石当从小便中下如细砂。
砂
下石散主药发甚方。
黍米（一升蒸作糜） 炼成猪脂（五两）
上件药。调和令匀。宿不食。明旦空腹食之令饱。晚当石下。
又方。
肥猪肉〔二（一）斤切〕 葱白（四两去须切） 薤白（四两去须切）
上以水煮令烂熟。空腹食。令尽。不尽。明旦更服。
服用五石散以及钟乳等石药，如果剂量掌握不当，触动因素众多。发病表现虽然各异，但调摄护理的方法相似。近来人们遇到这些证候，推究其因，大概是因为五石之性猛烈，而寒食散（五石散的别称）药力轻扬。
治疗石药发动引起的寒热交替、胸中寒塞、面部浮肿、手足烦痛，这是钟乳发作的症状。适宜服用生麦门冬汤方。
生麦门冬（二两，去心） 豉（二合） 葱白（八茎，去须切段）
以上药物，用水三大盏，煎煮至一盏半，滤去药渣。分三次温服。若未见效，再重新配制服用。
治疗石毒突然发作的方剂。症状表现为战栗如受寒，有时想饮食，有时不想饮食。如果是紫石英发毒，也会出现发热闷乱、喜欢躺卧、少气懒言等症状。
荠（二两） 甘草（半两，炙至微红并锉碎） 蓝子（半两） 赤茯苓（半两） 赤芍药（半两） 黄芩（半两）
以上药物，捣碎过粗罗制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不拘时候，温服。
治疗五石发动，清除热邪的鸭通汤方。
白鸭通（五升，用沸水二升半淋洗，澄清使其滑润，取汁二升） 麻黄（一两或二两，去根节） 石膏（一两） 滑石（一两）
以上药物，捣碎过粗罗制成散剂。每次服用四钱，用水一中盏，加入豉半合，煎煮至五分，滤去药渣，加入鸭通汁二合。
治疗五石发动，身体发热心烦，肢节疼痛，大小便困难的大黄散方。
川大黄（二两，锉碎微炒） 黄柏（一两，锉碎） 黄连（三两或一两，去须） 川升麻（一两） 甘草（一两）
以上药物，捣筛制成散剂。每次服用半两，用水一大盏，加入淡竹叶三七片、豉半合，煎煮至七分，滤去药渣。
治疗五石发动，热气上冲，心神烦躁，口干昏闷，适宜服用此方。
麦门冬（一两，去心） 豉（一合） 葱白（二茎或七寸，去须切） 荠（一两） 黄芩（半两）
以上药物，都细锉碎，用水二大盏，煎煮至一大盏半，滤去药渣，分五次温服。
治疗五石突然发动，身体发热烦痛，心中躁闷混乱，适宜服用葱豉汤方。
葱白（八茎） 香豉（二合） 蓝叶（三分） 柴胡（一两，去苗） 川升麻（半两） 犀角屑（半两）
以上药物，细锉碎，用水五大盏，煎煮至两盏半，滤去药渣，分五次温服。若未见效，再重新配制服用。
石药发作，会导致人心急口噤，骨节疼痛僵硬，有时身体发热生疮。先用冷水洗浴，然后再用生熟汤淋洗。
人参（半两，去芦头） 麦门冬（一两，去心） 甘草（半两，炙至微红并锉碎） 麻黄（半两，去根节） 豉（二合）
以上药物，用水二大盏，煮取一盏半，滤去药渣，分三次温服。覆盖暖衣，出汗即痊愈。
治疗硫黄发作，遍身发热的方剂。
用大麻油二合，煎熟放温。用铜匙舀少许饮用。服用三到五次见效。
治疗硫黄发作时，令人背膊疼痛闷乱，眼睛昏暗模糊，适宜服用乌梅汤方。
乌梅肉（一两，微炒） 沙糖（半两）
以上药物，用浆水一大盏，煎煮至七分，时时温饮。
治疗丹石发动，令人体热烦痛，心中躁动口干，适宜服用露蜂房散方。
露蜂房（一两） 荠（一两） 甘草（一两，生用）
以上药物，捣罗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不拘时候，温服。
治疗丹石发动，诸药不能治愈，适宜服用酒豉方。
美酒（一升） 好豉（二合）
用酒煮豉五到七沸，滤去药渣，稍热饮尽。若未痊愈，再次服用。
治疗各种石药热气结滞，经年多次发作的，适宜服用此方。
胡荽（五月五日采集阴干）
取一两，用水一大盏，煎煮至七分，滤去药渣，分两次温服。若未痊愈，继续服用。
治疗乳石发动，壅热导致身体消瘦困倦，适宜服用此下石方。
露蜂房（二两，捣碎）
用水二大盏，煮取一盏，分为两次服用。空腹时，温热地依次服用。其中的石药应当从小便中排出，状如细砂。
下石散主药发作严重的方剂。
黍米（一升，蒸成糜粥） 炼成猪脂（五两）
以上药物，调和均匀。前一晚不进食，次日清晨空腹食用使其饱腹，晚上石药就会排出。
又一方。
肥猪肉（二斤或一斤，切块） 葱白（四两，去须切） 薤白（四两，去须切）
用水煮至烂熟，空腹食用，使其吃完。若没吃完，次日清晨再服用。
When taking Wushi San (Five Minerals Powder) and mineral drugs such as Zhongru (Stalactite), if the dosage is not properly regulated, various triggering factors may arise. Although the manifestations of onset differ, the methods of care and regulation are similar. In recent times, when people encounter these syndromes, upon investigation, it is generally because the nature of Wushi (Five Minerals) is fierce, while Hanshi San (Cold Food Powder, an alias for Wushi San) has a light and ascending property.
For treating cold and heat alternating, chest obstruction with cold sensation, facial swelling, and vexing pain in the hands and feet caused by the activation of mineral drugs, which are symptoms of Zhongru (Stalactite) activation, Sheng Maidong Tang (Fresh Ophiopogon Decoction) is suitable.
Sheng Maidong (Ophiopogonis Radix, 2 liang, heart removed) Chi (Fermented Soybean Paste, 2 he) Congbai (Scallion White, 8 stems, mustache removed and cut)
The above medicines are boiled in 3 large cups of water until reduced to 1.5 cups. The dregs are removed, and the liquid is taken warm in three doses. If there is no improvement, prepare and take again.
For treating sudden onset of mineral toxicity. Symptoms include shivering as if cold, sometimes desiring food and drink, sometimes not. If the toxicity is triggered by Zhi Yanshi (Purple Quartz), fever and stifling sensation, preference for lying down, and shortness of breath may occur.
Ji (Shepherd's Purse Herb, 2 liang) Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red and chopped) Lanzi (Isatidis Seed, 0.5 liang) Chi Fuling (Red Poria, 0.5 liang) Chi Shaoyao (Red Peony Root, 0.5 liang) Huangqin (Scutellaria Root, 0.5 liang)
The above medicines are coarsely ground into a powder. Take 4 qian per dose, boil in 1 medium cup of water until reduced to 60%, remove dregs, and take warm at any time.
For treating Wushi (Five Minerals) activation and clearing heat, Yadongtang (White Duck Tongue Decoction).
Baiyatong (Duck Tongue Herb, 5 sheng, poured over with 2.5 sheng of boiling water, clarified to be slippery, juice extracted: 2 sheng) Mahuang (Ephedra Stem, 1 or 2 liang, roots and nodes removed) Shigao (Gypsum Fibrosum, 1 liang) Huashi (Talcum, 1 liang)
The above medicines are coarsely ground into a powder. Take 4 qian per dose, boil in 1 medium cup of water with 0.5 he of Chi (Fermented Soybean Paste) until reduced to 40%, remove dregs, and add 2 he of Yakong juice.
For treating Wushi (Five Minerals) activation with body heat, vexation, joint pain, and difficulty in urination and defecation, Dahuang San (Rhubarb Powder).
Chuan Dahualg (Rhei Radix et Rhizoma, 2 liang, chopped and lightly stir-fried) Huangbai (Phellodendri Cortex, 1 liang, chopped) Huanglian (Coptidis Rhizoma, 3 or 1 liang, mustache removed) Chuan Shengma ( Cimicifugae Rhizoma, 1 liang) Gancao (Licorice Root, 1 liang)
The above medicines are ground and sifted into a powder. Take 0.5 liang per dose, boil in 1 large cup of water with 3-7 leaves of Danzhuye (Light Bamboo Leaf) and 0.5 he of Chi (Fermented Soybean Paste) until reduced to 70%, then remove dregs.
For treating Wushi (Five Minerals) activation where hot qi rushes upward, causing mental restlessness, dry mouth, and dizziness, this formula is suitable.
Maidong (Ophiopogonis Radix, 1 liang, heart removed) Chi (Fermented Soybean Paste, 1 he) Congbai (Scallion White, 2 stems or 7 cun, mustache removed and cut) Ji (Shepherd's Purse Herb, 1 liang) Huangqin (Scutellaria Root, 0.5 liang)
The above medicines are finely chopped, boiled in 2 large cups of water until reduced to 1.5 cups, remove dregs, and take warm in five doses.
For treating sudden Wushi (Five Minerals) activation with body heat, vexing pain, and mental restlessness, Congchi Tang (Scallion and Fermented Soybean Decoction) is suitable.
Congbai (Scallion White, 8 stems) Xiangchi (Fragrant Fermented Soybean Paste, 2 he) Lanye (Isatidis Leaf, 3 fen) Chaihu (Bupleuri Radix, 1 liang, sprouts removed) Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang) Xijiaoxie (Rhino Horn Shavings, 0.5 liang)
The above medicines are finely chopped, boiled in 5 large cups of water until reduced to 2.5 cups, remove dregs, and take warm in five doses. If ineffective, prepare and take again.
Mineral drug activation causes urgent mind, locked jaw, stiff and painful bone joints, and sometimes body heat with sores. First wash with cold water, then rinse with raw and cooked water mixture.
Renshen (Ginseng Root, 0.5 liang, rhizome removed) Maidong (Ophiopogonis Radix, 1 liang, heart removed) Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red and chopped) Mahuang (Ephedra Stem, 0.5 liang, roots and nodes removed) Chi (Fermented Soybean Paste, 2 he)
The above medicines are boiled in 2 large cups of water until 1.5 cups remain, remove dregs, and take warm in three doses. Cover with warm clothing; sweating indicates recovery.
For treating Sulfur activation causing generalized body heat.
Use 2 he of Hemp Oil, boil until ready and let cool to warm. Scoop a small amount with a copper spoon and drink. Effective after 3-5 doses.
For treating sudden Sulfur activation causing stifling qi.
Drink 1 he of Sheep Blood; effective.
For treating Sulfur activation causing back and shoulder pain, stifling sensation, and blurred vision, Wumei Tang (Dark Plum Decoction) is suitable.
Wumei Rou (Dark Plum Flesh, 1 liang, lightly stir-fried) Shatang (Rock Sugar, 0.5 liang)
Boil in 1 large cup of Jiangshui (Sour Rice Water) until reduced to 70%. Sip warm occasionally.
For treating Danshi (Cinnabar and Stone) activation causing body heat, vexing pain, mental restlessness, and dry mouth, Lufengfang San (Honeycomb Powder) is suitable.
Lufengfang (Honeycomb, 1 liang) Ji (Shepherd's Purse Herb, 1 liang) Gancao (Licorice Root, 1 liang, raw use)
The above medicines are ground, sifted, and made into a powder. Take 4 qian per dose, boil in 1 medium cup of water until reduced to 60%, remove dregs, and take warm at any time.
For treating Danshi (Cinnabar and Stone) activation that cannot be cured by other medicines, Jiu Chi (Wine and Fermented Bean) is suitable.
Meijiu (Fine Wine, 1 sheng) Hao Chi (Good Fermented Soybean Paste, 2 he)
Boil Chi in wine for 5-7 boils, remove dregs, and drink while slightly warm until finished. If not healed, take again.
For treating heat stagnation from various mineral drugs recurring over years, this formula is suitable.
Huisu (Coriander Fruit, harvested on the 5th day of the 5th lunar month and dried in shade)
Take 1 liang, boil in 1 large cup of water until reduced to 70%, remove dregs, and take warm in two doses. If not healed, continue taking.
For treating Rushi (Milky Stone) activation causing heat congestion, emaciation, and exhaustion, this Shi Xia Fang (Stone Expelling Formula) is suitable.
Lufengfang (Honeycomb, 2 liang, crushed)
Boil in 2 large cups of water until 1 cup remains. Divide into two doses. Take on an empty stomach, warm and sequentially. The stone should pass through urine like fine sand.
For severe activation of main drugs in Xiashi San (Stone Expelling Powder).
Shumi (Broomcorn Millet, 1 sheng, steamed into porridge) Liancheng Zhuzhi (Refined Lard, 5 liang)
Mix the above medicines evenly. Do not eat the night before. Eat full on an empty stomach the next morning; the stone will pass in the evening.
Another formula.
Fei Zhurou (Fat Pork, 2 or 1 jin, cut) Congbai (Scallion White, 4 liang, mustache removed and cut) Xiebai (Allium Macrostemon Bulb, 4 liang, mustache removed and cut)
Boil in water until soft and cooked. Eat on an empty stomach until finished. If not finished, take again the next morning.