青黛(二两) 黄连 黄柏 丁香(各一两) 麝香(二分)
上为细末,以车脂和如枣大,内下部,曰一二度。
上取长股蛤蟆,青背者一枚,鸡骨一分,烧为灰,合和吹下部,令深入,累用效。
夫病者卒心腹脏满,吐利不行,如干霍乱状,世所谓冲恶是也。由人精神不全,心志多
恐,遂为邪鬼所击,或复附着,沉沉默默,寝言谵语,诽谤骂詈,讦露人事,不避谗嫌,口
中好言未然祸福,及至其时,毫毛无失,人有起心,已知其肇,登高涉险,如履平地,或悲
泣呻吟,不欲见人,其状万端,如醉如狂,不可概举,此皆鬼神及诸精魅附着惑人,或复触
犯忌讳,土地神灵为其所作,非有真实,但随方俗考验治之。中恶者是人精神衰弱,为鬼邪
之气卒中之也。夫人阴阳顺理,荣卫调平,神守则强邪不干,若将摄失宜,精神衰弱,便中
鬼毒之气。其状卒然心腹刺痛,闷乱欲死。又凡卒中恶腹大而满者,诊其脉紧大而浮者死,
紧细而微者生。又中恶吐血数升,脉数细者死,浮缓而疾者生。中恶者瘥后,余势尚滞发作
,则变成疰也。
避秽气。
细辛(半两) 甘松(一两) 川芎(二两) 麝香(少许)
上为细末,水和丸,如弹子大,久窨好,每烧一丸。
治中恶喘急,心腹痛,胸膈脏满短气。
桃枝(一握,东引者) 白杨皮(一握) 栀子仁(十四枚) 当归(切焙) 桂心(去
粗皮,各三两) 附子(炮,去皮脐) 吴茱萸(汤炮,焙炒) 香豉(各半两)
上锉碎,每服半两,水一盏,去滓,入真珠末半钱,搅匀温服。一方无白杨皮。
青黛(二两) 黄连 黄柏 丁香(各一两) 麝香(二分)
将上述药材研成细末,用猪脂调和成如枣核大小的药丸,纳入肛门内,使用一到两次。
另外取一只大腿长的蛤蟆,背部呈青色的,以及一分鸡骨,将其烧成灰,混合后吹入肛门内,令药力深入,多次使用有效。
所谓中恶,是指患者突然感到心腹及脏腑胀满,呕吐和腹泻均无法排出,症状类似干霍乱,这是世间所说的“冲恶”。这是由于人的精神不健全,心中多恐惧,从而被邪鬼攻击,或者邪气附着于身,表现为神情抑郁沉默,睡梦中胡言乱语,诽谤辱骂他人,揭露隐私人事,不顾忌嫌疑,口中喜欢谈论未来的祸福,等到应验之时,丝毫不差;有人刚起念头,它便已知道起因;使人登高涉险如同走在平地上,或者悲伤哭泣呻吟,不想见人,其症状千变万化,像喝醉了一样或发狂一样,不可一一列举。这些都是鬼神及各种精怪魅惑附体,或者是触犯了忌讳,土地神灵所作所为,并非真实存在,只需根据当地风俗进行验证和治疗即可。中恶,是因为人的精神衰弱,被鬼邪之气突然侵袭所致。如果人的阴阳顺理,营卫调和平稳,神志守持则正气强盛而邪气不能侵犯;若摄养失当,精神衰弱,就会遭受鬼毒之气的侵袭。其症状是突然感到心腹刺痛,烦闷混乱欲死。凡是中恶导致腹部胀大且满的,诊察其脉象紧大而浮的为死证,紧细而微的为生证。又凡中恶吐血数升,脉象数细的为死证,浮缓而疾的为生证。中恶病痊愈后,余势仍然滞留并发作,则会转变为疰病(慢性传染性疾病)。
用于避秽气。
细辛(半两) 甘松(一两) 川芎(二两) 麝香(少许)
将上述药材研成细末,用水泛丸,制成如弹子大小的药丸,长时间窖藏保存良好,每次燃烧一丸。
治疗中恶引起的喘急、心腹痛、胸膈及脏腑胀满、短气。
桃枝(一握,向东生长的枝条) 白杨皮(一握) 栀子仁(十四枚) 当归(切片焙干) 桂心(去除粗皮,各三两) 附子(炮制,去皮脐) 吴茱萸(汤浸炮制,焙炒) 香豉(各半两)
将上述药材切碎,每次服用半两,加水一盏,滤去药渣,加入真珠末半钱,搅拌均匀温服。另一版本方剂中没有白杨皮。
Qingdai (Indigo Naturalis, 2 liang), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Dingxiang (Caryophylli Flos, each 1 liang), Shexiang (Moscus, 2 fen).
Grind the above ingredients into a fine powder. Mix with suet (pig fat) to form pills the size of a jujube pit. Insert into the anus. Use one or two times.
Alternatively, take one long-legged frog with a green back and 1 fen of chicken bone. Burn them into ash, mix well, and blow the powder into the anus to ensure deep penetration. Repeated use is effective.
Zhong'e (Sudden attack by evil qi) refers to patients suddenly experiencing fullness in the heart, abdomen, and viscera, with inability to vomit or defecate, resembling Gan Huoluan (Dry Cholera). This is commonly known as "Chong'e". It arises from incomplete spirit and excessive fear, leading to attacks by evil ghosts or attachment of pathogenic factors. Symptoms include depression and silence, talking in sleep, delirium, slander, cursing, exposing private matters without regard for suspicion, and frequently predicting future fortune or misfortune which comes true precisely on time. The patient may know thoughts before they arise, climb heights and cross dangers as if walking on flat ground, weep and moan, and avoid people. These manifestations are myriad, resembling intoxication or madness, and cannot be exhaustively listed. These are attributed to possession by spirits, demons, or various monsters, or触犯 (offending) taboos causing actions by land deities. They are not real entities; treatment should follow local customs and verification. Zhong'e occurs when human spirit is weak and suddenly attacked by ghostly or evil qi. When yin and yang are harmonious, and Ying and Wei (Defensive and Nutritive Qi) are balanced, the spirit remains firm, righteousness is strong, and evil cannot invade. If care is improper and spirit weakens, one becomes susceptible to ghostly toxic qi. Symptoms include sudden stabbing pain in the heart and abdomen, severe distress, and feeling like dying. In cases of Zhong'e with abdominal distension and fullness, a pulse that is tight, large, and floating indicates death, while a tight, thin, and faint pulse indicates survival. In cases of Zhong'e with hematemesis of several sheng, a rapid and thin pulse indicates death, while a floating, moderate, and rapid pulse indicates survival. After recovery from Zhong'e, if residual pathogenic factors remain stagnant and recur, it transforms into Zhu disease (chronic infectious disease).
To ward off foul odors.
Xixin (Asari Radix et Rhizoma, 0.5 liang), Gansong (Nardostachyos Radix et Rhizoma, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 liang), Shexiang (Moscus, a small amount).
Grind into a fine powder. Form pills with water, the size of a bullet. Store in a cellar for a long time for best quality. Burn one pill at a time.
Treats Zhong'e with panting urgency, heart and abdominal pain, chest and diaphragm fullness, visceral distension, and shortness of breath.
Taozhi (Peach Twig, one handful, growing eastward), Baiyangpi (Populus Albae Cortex, one handful), Zhizi Ren (Gardeniae Semen, 14 seeds), Danggui (Angelicae Sinensis Radix, sliced and roasted), Guixin (Cinnamomi Ramulus, bark removed, each 3 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Wuzhuyu (Evodiae Fructus, processed with hot water, roasted), Xiangchi (Fermented Soybean, each 0.5 liang).
Cut into pieces. Take 0.5 liang per dose. Add one cup of water. Decoct, remove dregs, add 0.5 qian of Zhenzhu (Pearl) powder, stir evenly, and take warm. Another version excludes Baiyangpi.