茵陈栀子黄连三物汤(出活人书)大便自利而黄。
茵陈(三钱) 栀子 黄连(各二钱) 上以水二盏。煎至八分。去滓服。
治伤寒时气黄胆病。烦热。
上用土硝。汤淋取汁。顿服之。庄子云。 蜣转丸是也。藏在土中。掘地得之。正丸如
人捻作。弥久者良。
治伤寒鼻塞。黄胆。
用苦瓠煎取汁。滴鼻中。出黄水。其塞遂通。
治伤寒五种黄。
用翘摇。生捣绞汁。服一升。日二服。即瘥。
又方
用乱发烧灰。水服一寸匕。日三服。
治伏热结。目黄。不下食。大小便涩。\x
用苦耽苗子。煮汁服。或生捣绞汁服。
夫伤寒百合病者。谓百脉一宗。悉致其病也。其状意欲食。复不能食。常默默欲得卧。
复不能卧。欲出行。复不能行。饮食有时美。亦有时不美。如有寒。复如无寒。如有热。复
如无热。口苦。小便赤黄。得药则吐利者是也。此皆由伤寒及虚劳大病后。脏腑俱虚。荣卫
耗弱。不能平复。变成斯疾也。然以百脉一宗。悉致其病。又无复经络。故其病证变异。而
治之者。亦宜各随其证。
百合病者。皆因伤寒病后。其状恶寒而呕。病在上焦也。二十三日当愈。其状腹满微喘。
大便坚。三四日一大便。时复小溏者。病在中焦也。六十日当愈。其状小便淋沥难者。病在
下焦也。三十日当愈。各随其证以医治之。百合之为病。令人意欲食。复不能食。或有美时。
或有不用闻饮食臭时。如有寒。其实无寒。如有热。其实无热。常默默欲卧。复不得眠。至
朝口苦。小便赤涩。欲行复不能行。诸药不能治。治之即剧吐利。如有神灵所为也。百合病
。身形如和。其脉微数。其候每溺时即头觉痛者。六十日乃愈。百合病候之溺时。头不觉痛
。淅淅然寒者。四十日愈。百合病候之溺时。觉快然。但觉头眩者。二十日愈。百合病证。
其人或未病而预见其候者。或已病四五日而出。或病一月二十日后见其候者。治之喜误也。
根据证治之。
百合病。见在于阴而攻其阳。则阴不得解也。复发其汗。为逆也。见在于阳而攻其阴。
则阳不能解也。后下之。其病不愈。要略云。见于阴者。以阳法救之。见于阳者。以阴法解
之。见阳攻阴。复发其汗。此为逆。其病难治。见阴攻阳。乃复下之。此亦为逆。其病难治。
歌曰。坐不能坐。行不能行。寒又无寒。热又无热。饮食美时不美时。百合妙诀少人知。
宜百合知母汤。百合地黄汤。百合洗方。
又歌曰。百合昏如祟物厌。或时喜食或时嫌。似寒不冷热无热。欲不难行卧不恬。百合
者。百脉之宗举皆受病。无所谓经络传次也。皆因伤寒虚劳大病之后。脏腑不平。变而成此。
其状似寒无寒。似热无热。意中欲食。复不能食。默默欲卧。复不得卧。强欲出行。复不能
行。崇朝口苦。小便赤黄。药入即吐利也。病源所在。证状一同。其脉微数。每溺则头痛者。
六十日愈。若溺不头痛。但淅淅如寒者。四十日愈。若溺则快然。而但眩者。二十日愈。百
合知母汤。百合地黄汤。滑石代赭汤。鸡子汤。百合洗方。选用之。
方
百合滑石代赭汤(出千金方)治百合。伤寒已经下后。
百合(七枚擘破) 滑石(一两碎) 代赭(如弹子丸大一枚碎) 上先以水洗百合。
渍一
宿。白沫出。去其水。更以新汲水二盏。煎取一盏。去滓。别用新汲水二盏。煮滑石、代赭。
取一
百合鸡子汤(出千金方)治百合伤寒病。吐之后者。
百合(七枚擘) 鸡子黄(一枚) 上先以水洗百合。渍一宿。当白沫出。去其水。更
以新
汲水二盏。煎取一盏。去滓。纳鸡子黄。搅匀。分温再服。圣惠用鸡子白。不计时候。顿服
之
百合知母汤(出千金方)治百合伤寒已经汗后。病患欲食。复不能食。常默默
欲卧。复不能卧。欲行复不能行。有寒如无寒。有热如无热。饮食或美不美。如强健人
而卧不能行。口苦。小便赤。药入口即吐利。此因虚劳大病之后。不平复。变成此疾。
名百合候主之。发汗后者服。
百合(七枚擘) 知母(一两) 上先将百合擘碎。用新汲水二盏。浸一宿。当有白沫
出。
去却沫水了。却用新汲水二盏。煮百合取汁一盏。去滓。盛于净器中。又将知母。亦用新汲
水二盏。煮取汁一盏。去滓。后将百合、知母汁相和。同煎取一盏半。不计时候。分温作二
服。
百合滑石散(出千金方)治百合伤寒病。变发热。并小便涩。脐下坚急。
百合(一两) 滑石(三两) 上捣罗为散。更入乳钵研如粉。每服空心。米饮调下二
钱。
日二服。当微利。即住服。
百合地黄汤(出千金方)治百合伤寒病。已经吐下发汗。病形如初者。
百合(七枚擘) 生地黄汁(一盏) 上先以水洗百合。渍一宿。白沫出。去其水。更
以新
汲水二盏。煮取一盏。去滓。纳地黄汁。再煎取一盏半。分温再服。中病勿更服。大盒饭如
漆。
百合半夏汤(一名熟地黄汤)治百合伤寒病不瘥。不思食。欲成劳。日渐羸
瘦。
百合(二两) 人参 赤茯苓(去黑皮圣惠用白茯苓) 半夏(汤洗七次炒令干) 黄
连(去
须锉微炒) 知母(各一两) 生干地黄(焙一两半圣惠用熟干地黄) 上粗捣筛。每服五
钱半。
入
百合柴胡汤(出圣惠方)治百合伤寒病久不瘥。不思食。欲成劳。
百合(二两) 柴胡(去苗) 知母(焙) 黄连(去须锉微炒) 秦艽(去苗土) 栝
蒌(各一
两) 甘草(半两炙赤) 上粗捣筛。每服五钱。水一盏半。生姜半分拍碎。煎至七分。去
滓。
食前
百合紫菀汤 治百合伤寒病。似劳。形状如疟。
百合 紫菀(去苗土) 白茯苓(去黑皮) 杏仁(汤浸去皮尖双仁炒令黄) 甘草(炙
令微
黄) 柴胡(去苗) 上等分。粗捣筛。每服五钱。水一盏半。生姜半分拍碎。煎七分。去
滓。
空心
浓朴散 治百合伤寒。补阴养阳。
浓朴(去粗皮姜汁炙令赤黑色一两) 桃仁(去皮尖双仁炒黄别研一两) 杏仁(去皮
尖双
仁炒令黄别研一两) 紫石英(别研) 白藓皮 五加皮 桑根白皮(锉各半两) 上捣研
为
散。更入乳钵一处研如粉。每服食前。用葱白糯米煎汤。调下二钱。日二。
百合前胡汤 治伤寒瘥后。已经二七日。热不解。将变成百合病。身体沉重无力。
昏如醉状
生百合(三枚擘洗) 前胡(去芦头) 麻黄(去节各一两半) 葛根(锉二两) 麦
门冬(去
心半两) 石膏(三两碎) 上 咀如麻豆大。每服五钱。水一盏半。煎取七分。去滓。温
服。
后
百合散(出圣惠方)治伤寒百合病。身微热恶寒。烦喘。
百合(二两) 紫菀(一两去根土) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 前胡(去
芦头)
麦门冬(各一两去心) 甘草(三分炙微赤锉) 上为散。每服五钱。用水一大盏。煎至五
分。
去滓。不计时候。温分服。
赤茯苓散 治伤寒头不痛。但觉头眩。淅淅恶寒。是百合证。
赤茯苓 麦门冬(各三分去心) 百合 知母 柴胡(各一两去苗) 甘草(半两炙微
赤锉)
上为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
子芩散(出圣惠方)治伤寒头不痛。多眩闷。寒热往来。小便不利。百合证。
子芩(三分) 赤茯苓 甘草(炙微赤锉) 芎 (各半两) 百合(一两) 知母(半
两) 上
为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
半夏散(出圣惠方)治伤寒百合病。下利不止。心中 坚而烦呕。宜服。
半夏(汤浸七次去滑) 黄芩 黄连(去须微炒) 甘草(炙微赤锉) 人参(各一两
去芦头)
百合(二两) 干姜(炮裂锉半两) 上为散。每服三钱。以水一中盏。入枣三枚。生姜半
分。
煎至六分。去滓。不计时候。稍热服。
柴胡散(出圣惠方)治伤寒百合病。羸瘦不食。少力。宜服。
柴胡(去苗) 白茯苓 陈橘皮(汤浸去白瓤焙) 知母 桔梗(去芦头) 黄 (各
一两)
百合(二两) 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
紫菀饮子(出圣惠方)治伤寒百合病。阴阳相搏。日久渐瘦。不思饮食。虚热
咳嗽。宜服。
紫菀(去根土) 杏仁(各一两汤浸去皮尖双仁麸炒微黄色) 黄连(半两去须) 前
胡(去
芦头) 半夏(各三分汤洗七次去滑) 栝蒌(一枚) 人参(一两去芦头) 知母(三分)
甘草
(半两炙微赤锉) 上细锉。和匀。每服半两。以水一大盏。煎至五分。去滓。不计时候。
温
服。
半夏散(出圣惠方)治伤寒百合病久不瘥。大小便涩。腹满微喘。时复痰逆。
不下食。宜服
半夏(一两汤洗七次去滑) 人参(半两去芦头) 木香(三分) 枳实(麸炒微黄) 川
大黄
(一两锉碎微炒) 杏仁(汤浸去皮尖双仁麸炒微黄) 桑根白皮(各三分锉) 百合(一
两) 上
为
栝蒌牡蛎散(出千金方)治伤寒百合病。渴不止。
牡蛎(烧为粉) 栝蒌根(各二两) 上为细散。每服二钱。以粥饮调下。不计时候服。
治伤寒百合病。壮热头痛。昏昏不寐。如有祟方。(出圣惠方)
百合 石膏(各二两) 知母 木香(各一两) 上为散。每服三钱。以水一大盏。煎
至六
分。去滓。不计时候。温服。
百合散 治伤寒百合病。一月不解。变如渴疾。宜服。
百合 栝蒌根(各一两) 牡蛎(烧为粉) 栀子仁 麦门冬(各三分去心焙) 甘草
(半两
炙微赤锉) 上为散。每服五钱。以水一中盏。入生姜半分。竹叶二十七片。煎至六分。去
滓。不计时候。温服。
治伤寒百合病。腹中满痛。宜服此方。(出千金方)
用百合一两。炒令黄色。为细散。每服不计时候。以粥饮调下二钱。一方用百合根。
百合洗方(出千金方)治百合病。一月不解。变成渴者。\x
用百合以水一斗。渍一宿。以水洗身已。食煮饼。勿与盐豉。一方用百合根。外台秘要
云。如渴不瘥。可用栝蒌根。并牡蛎等分。为散。饮服方寸匕。日三服。
茵陈栀子黄连三物汤(出自《活人书》):主治大便通畅但身体发黄。
配方:茵陈(三钱)、栀子、黄连(各二钱)。以上药材用水两盏,煎煮至八分满,滤去药渣后服用。
功效:治疗伤寒时气引起的黄疸病,伴有烦热症状。
上方使用土硝,用热水淋洗取汁,一次性服下。庄子说:“蜣螂转丸就是这样的。”它藏在土中,挖掘地面可得。形状像人捏成的丸子一样,存放越久越好。
治疗伤寒鼻塞、黄疸。
用苦瓠煎取汁液,滴入鼻中,排出黄水,鼻塞随即通畅。
治疗伤寒五种黄疸。
用翘摇(植物名),新鲜捣碎绞取汁液,服用一升,每日两次,即可痊愈。
又一方:
用乱发烧成灰,用水送服一寸匕大小,每日三次。
治疗伏热郁结,目黄,食欲不振,大小便涩滞。
用苦耽的苗和种子,煮汁服用,或者新鲜捣碎绞汁服用。
所谓伤寒百合病,是指全身血脉同出一源,都受到了病邪的影响。其症状表现为:想要进食,却又吃不下;常常沉默寡言想睡觉,却又睡不着;想要出门行走,却又走不动;饮食有时觉得美味,有时又觉得难以下咽;好像有寒战,其实又没有寒战;好像有发热,其实又没有发热;口苦,小便颜色深黄;服药后出现呕吐或腹泻的情况。这都是因为伤寒以及虚劳大病之后,脏腑功能虚弱,营卫之气耗损衰弱,不能恢复平静,从而变成这种疾病。然而,由于百脉同宗,都受到病邪影响,且没有固定的经络传变规律,所以病症表现多变,治疗者应当根据具体证候灵活施治。
百合病,多因伤寒病后引起。如果症状表现为怕冷且呕吐,说明病位在上焦,二十三天应当痊愈;如果症状表现为腹部胀满、轻微气喘,大便干硬,三四天才解一次大便,偶尔又有少量稀便,说明病位在中焦,六十天应当痊愈;如果症状表现为小便淋漓不尽、排尿困难,说明病位在下焦,三十天应当痊愈。应根据各自证候进行医治。
百合病的症状是:让人想要进食,却又吃不下;有时觉得食物美味,有时闻到饮食气味就厌恶;好像有寒,其实并没有寒;好像有热,其实并没有热;常常沉默寡言想躺卧,却又无法入睡;直到早晨口苦,小便赤红涩痛;想要行走却又走不动;各种药物都不能治愈,强行治疗反而会导致剧烈呕吐腹泻,好像有神灵作祟一样。百合病患者身形看似正常,脉象微数。其征候特点是每次小便时感到头痛的,六十天痊愈;百合病患者在排尿时如果不头痛,而是感觉阵阵发冷的,四十天痊愈;百合病患者在排尿时感觉畅快,只是感到头晕的,二十天痊愈。百合病的证候,有的人在未发病前就能预见其征兆,有的发病四五天后来就诊,有的发病一个月二十天后才出现征兆,治疗时容易误诊。应根据证候进行治疗。
百合病,病势表现在阴分而攻伐阳分,则阴分之病不得解除;此时再发汗,属于逆治。病势表现在阳分而攻伐阴分,则阳分之病不能解除;此时再用下法,病也不会痊愈。《金匮要略》云:病在阴分的,用阳法治之;病在阳分的,用阴法解之。见阳证而攻阴,又发其汗,这是逆治,病难治愈;见阴证而攻阳,又用下法,这也是逆治,病也难治愈。
歌诀曰:坐立不安,行止艰难,似寒非寒,似热非热,饮食有时美有时不美,百合病的妙诀少有人知。宜用百合知母汤、百合地黄汤、百合洗方。
又歌诀曰:百合病恍惚如被鬼魅所附,有时喜欢吃东西有时嫌弃,似冷非冷似热非热,想走走不动想睡睡不安稳。百合病,百脉之源皆受病,无所谓经络传变次序。都是因伤寒、虚劳大病之后,脏腑功能失调,变异而成此病。其状似寒无寒,似热无热,心中欲食却不能吃,默默想卧却睡不着,强欲出行却走不动,清晨口苦,小便赤黄,药入口即吐利。病因所在,症状相同,脉象微数,每次小便则头痛的,六十天痊愈;若小便不头痛,只是淅淅然怕冷的,四十天痊愈;若小便时感觉爽快,只是头晕的,二十天痊愈。可选用百合知母汤、百合地黄汤、滑石代赭汤、鸡子汤、百合洗方。
方剂:
百合滑石代赭汤(出自《千金方》):治疗百合病,伤寒经过泻下治疗后。
配方:百合(七枚,掰开)、滑石(一两,捣碎)、代赭石(如弹丸大一枚,捣碎)。先将百合用水洗净,浸泡一夜,待白沫出现,倒掉水,再加新汲水两盏,煎取一盏,滤去药渣。另用新汲水两盏,煮滑石、代赭石,取汁一盏。
百合鸡子汤(出自《千金方》):治疗百合伤寒病,经过催吐之后的。
配方:百合(七枚,掰开)、鸡蛋黄(一枚)。先将百合用水洗净,浸泡一夜,待白沫出现,倒掉水,再加新汲水两盏,煎取一盏,滤去药渣,纳入鸡蛋黄,搅拌均匀,分两次温服。《圣惠方》用鸡蛋清,不限时候,一次性服下。
百合知母汤(出自《千金方》):治疗百合伤寒已经发汗后的。患者想要进食,却又吃不下;常常沉默寡言想睡觉,却又睡不着;想要行走却又走不动;好像有寒又像没有寒,好像有热又像没有热;饮食有时美味有时无味;像健康人一样躺着却不能行走;口苦,小便赤红;药入口即吐利。这是因为虚劳大病之后,身体未能平复,变成此疾。名为百合候,主以此方治疗,适用于发汗后的情况。
配方:百合(七枚,掰开)、知母(一两)。先将百合掰碎,用新汲水两盏,浸泡一夜,会有白沫出现。去掉泡沫水后,再用新汲水两盏,煮百合取汁一盏,滤去药渣,盛放在干净容器中。又将知母,也用新汲水两盏,煮取汁一盏,滤去药渣。最后将百合、知母汁混合,同煎取一盏半,不限时候,分两次温服。
百合滑石散(出自《千金方》):治疗百合伤寒病,变为发热,并伴有小便涩滞,脐下坚硬急迫。
配方:百合(一两)、滑石(三两)。捣罗成散剂,放入乳钵研磨如粉。每次空腹,用米饮调下二钱,每日两次。当出现轻微腹泻时,停止服用。
百合地黄汤(出自《千金方》):治疗百合伤寒病,已经经过吐、下、发汗治疗后,病情如初的。
配方:百合(七枚,掰开)、生地黄汁(一盏)。先将百合用水洗净,浸泡一夜,白沫出现,倒掉水,再加新汲水两盏,煮取一盏,滤去药渣,纳入地黄汁,再煎取一盏半,分两次温服。病愈即停服,大便颜色会像漆一样黑。
百合半夏汤(又名熟地黄汤):治疗百合伤寒病不愈,不思饮食,欲成劳损,日渐消瘦。
配方:百合(二两)、人参、赤茯苓(去除黑皮,《圣惠方》用白茯苓)、半夏(汤洗七次炒干)、黄连(去须锉碎微炒)、知母(各一两)、生干地黄(焙干一两半,《圣惠方》用熟干地黄)。以上粗捣筛过,每次服用五钱半。
百合柴胡汤(出自《圣惠方》):治疗百合伤寒病日久不愈,不思饮食,欲成劳损。
配方:百合(二两)、柴胡(去苗)、知母(焙)、黄连(去须锉碎微炒)、秦艽(去苗土)、栝楼(各一两)、甘草(半两,炙至微赤)。以上粗捣筛过,每次服用五钱,水一盏半,生姜半分拍碎,煎至七分,滤去药渣,饭前服用。
百合紫菀汤:治疗百合伤寒病,似劳损,症状如疟疾。
配方:百合、紫菀(去苗土)、白茯苓(去黑皮)、杏仁(汤浸去皮尖双仁炒至黄色)、甘草(炙至微黄)、柴胡(去苗)。以上等分,粗捣筛过,每次服用五钱,水一盏半,生姜半分拍碎,煎七分,滤去药渣,空腹服用。
浓朴散:治疗百合伤寒,补阴养阳。
配方:浓朴(去除粗皮,姜汁炙至赤黑色一两)、桃仁(去皮尖双仁炒黄别研一两)、杏仁(去皮尖双仁炒黄别研一两)、紫石英(别研)、白鲜皮、五加皮、桑根白皮(锉碎各半两)。以上捣研为散,放入乳钵一处研磨如粉。每次饭前,用葱白糯米煎汤,调下二钱,每日两次。
百合前胡汤:治疗伤寒痊愈后,已过十四天,热邪不解,将要变成百合病,身体沉重无力,昏沉如醉状。
配方:生百合(三枚,掰开洗净)、前胡(去芦头)、麻黄(去节各一两半)、葛根(锉碎二两)、麦门冬(去心半两)、石膏(三两,捣碎)。以上锉咀如麻豆大,每次服用五钱,水一盏半,煎取七分,滤去药渣,温服。
百合散(出自《圣惠方》):治疗伤寒百合病,身体微热恶寒,烦躁气喘。
配方:百合(二两)、紫菀(一两,去根土)、杏仁(一两,汤浸去皮尖双仁麸炒微黄)、前胡(去芦头)、麦门冬(各一两,去心)、甘草(三分,炙微赤锉)。以上为散,每次服用五钱,用水一大盏,煎至五分,滤去药渣,不限时候,温分服。
赤茯苓散:治疗伤寒头不痛,只觉头晕,淅淅恶寒,这是百合证的征候。
配方:赤茯苓、麦门冬(各三分,去心)、百合、知母、柴胡(各一两,去苗)、甘草(半两,炙微赤锉)。以上为散,每次服用四钱,以水中一盏,煎至六分,滤去药渣,不限时候,温服。
子芩散(出自《圣惠方》):治疗伤寒头不痛,多眩晕闷乱,寒热往来,小便不利,属百合证。
配方:子芩(三分)、赤茯苓、甘草(炙微赤锉)、川芎(各半两)、百合(一两)、知母(半两)。以上为散,每次服用五钱,以水一大盏,煎至五分,滤去药渣,不限时候,温服。
半夏散(出自《圣惠方》):治疗伤寒百合病,下利不止,心中痞坚而烦呕,宜服用。
配方:半夏(汤浸七次去滑)、黄芩、黄连(去须微炒)、甘草(炙微赤锉)、人参(各一两,去芦头)、百合(二两)、干姜(炮裂锉半两)。以上为散,每次服用三钱,以水中一盏,入枣三枚,生姜半分,煎至六分,滤去药渣,不限时候,稍热服。
柴胡散(出自《圣惠方》):治疗伤寒百合病,羸瘦不食,少力,宜服用。
配方:柴胡(去苗)、白茯苓、陈橘皮(汤浸去白瓤焙)、知母、桔梗(去芦头)、黄芪(各一两)、百合(二两)。以上为散,每次服用五钱,以水一大盏,煎至五分,滤去药渣,不限时候,温服。
紫菀饮子(出自《圣惠方》):治疗伤寒百合病,阴阳相搏,日久渐瘦,不思饮食,虚热咳嗽,宜服用。
配方:紫菀(去根土)、杏仁(各一两,汤浸去皮尖双仁麸炒微黄色)、黄连(半两,去须)、前胡(去芦头)、半夏(各三分,汤洗七次去滑)、栝楼(一枚)、人参(一两,去芦头)、知母(三分)、甘草(半两,炙微赤锉)。以上细锉,和匀,每次服用半两,以水一大盏,煎至五分,滤去药渣,不限时候,温服。
半夏散(出自《圣惠方》):治疗伤寒百合病久不愈,大小便涩滞,腹满微喘,时常痰逆,不下食,宜服用。
配方:半夏(一两,汤洗七次去滑)、人参(半两,去芦头)、木香(三分)、枳实(麸炒微黄)、川大黄(一两,锉碎微炒)、杏仁(汤浸去皮尖双仁麸炒微黄)、桑根白皮(各三分,锉)、百合(一两)。以上为散。
栝楼牡蛎散(出自《千金方》):治疗伤寒百合病,口渴不止。
配方:牡蛎(烧为粉)、栝楼根(各二两)。以上为细散,每次服用二钱,以粥饮调下,不限时候服。
治疗伤寒百合病,壮热头痛,昏昏不寐,如有鬼魅所附方。(出自《圣惠方》)
配方:百合、石膏(各二两)、知母、木香(各一两)。以上为散,每次服用三钱,以水一大盏,煎至六分,滤去药渣,不限时候,温服。
百合散:治疗伤寒百合病,一月不解,变如渴疾,宜服用。
配方:百合、栝楼根(各一两)、牡蛎(烧为粉)、栀子仁、麦门冬(各三分,去心焙)、甘草(半两,炙微赤锉)。以上为散,每次服用五钱,以水中一盏,入生姜半分,竹叶二十七片,煎至六分,滤去药渣,不限时候,温服。
治疗伤寒百合病,腹中满痛,宜服用此方。(出自《千金方》)
用百合一两,炒令黄色,为细散,每次不限时候,以粥饮调下二钱。另一方用百合根。
百合洗方(出自《千金方》):治疗百合病,一月不解,变成口渴的。
用百合一斗,浸泡一夜,用水洗浴身体后,吃煮饼,不要给盐豉。另一方用百合根。《外台秘要》云:如果口渴不愈,可用栝楼根与牡蛎等分,为散,饮水送服方寸匕,每日三次。
Sanwu Decoction of Yinchen, Zhizi, and Huanglian (from *Huoren Shu*): Indicated for jaundice with normal bowel movements.
Ingredients: Yinchen Herba (3 qian), Zhizi Fructus, Huanglian Rhizoma (2 qian each). Add two zhan of water, decoct to eight-tenths, remove dregs, and take orally.
Indications: Treats jaundice caused by cold damage or epidemic qi, accompanied by irritability and heat.
For the above condition, use Tu Xiao (Natrii Sulfas) washed with hot water to extract the juice, taken in one dose. Zhuangzi stated: "The dung beetle's rolling ball is like this." It hides in the soil; dig up the ground to find it. It resembles a ball shaped by human hands; the older it is, the better.
To treat nasal congestion and jaundice from cold damage:
Decoct Ku Hu (Cucumis melo var. argyrospermus) to extract the juice, drip into the nose to discharge yellow fluid, thereby relieving congestion.
To treat five types of jaundice from cold damage:
Use Qiaoyao (Plant name), crush fresh and squeeze out the juice, take one sheng, twice daily, until recovery.
Another prescription:
Burn Luansha (Hair) to ash, take with water, one cun bi size, three times daily.
To treat latent heat accumulation, yellow eyes, anorexia, and difficult urination and defecation:
Decoct Gudan Miao (Seedling of Momordica charantia) and its seeds to extract juice, or crush fresh and squeeze out juice to take.
The so-called Baihe Bing (Lily Disease) of cold damage refers to a condition where all vessels, originating from one source, are affected by pathogenic factors. Symptoms include: desire to eat but inability to do so; constant silence and desire to lie down but inability to sleep; desire to walk but inability to do so; food sometimes tastes good, sometimes bad; feeling chills without actual chills; feeling feverish without actual fever; bitter taste in the mouth; dark yellow urine; vomiting or diarrhea after taking medicine. This arises because after cold damage or severe deficiency-consumption diseases, the Zang-Fu organs are deficient, and Ying and Wei (Nutritive and Defensive Qi) are depleted and weak, failing to return to balance, thus transforming into this disease. Since all vessels share one origin and are affected, and there is no fixed meridian transmission pattern, the symptoms vary. Treatment should be tailored to specific syndromes.
Baihe Bing often occurs after cold damage. If symptoms include aversion to cold and vomiting, the pathology is in the Upper Jiao (Upper Burner), and recovery is expected in 23 days. If symptoms include abdominal fullness, slight wheezing, hard stool, defecation once every three to four days, occasionally with loose stools, the pathology is in the Middle Jiao (Middle Burner), and recovery is expected in 60 days. If symptoms include dribbling dysuria and difficulty urinating, the pathology is in the Lower Jiao (Lower Burner), and recovery is expected in 30 days. Treat according to the specific syndrome.
Symptoms of Baihe Bing include: desire to eat but inability to do so; sometimes finding food palatable, sometimes repulsed by the smell of food; feeling cold without actual cold; feeling hot without actual heat; constant silence and desire to lie down but inability to sleep; bitter taste in the mouth by morning; dark, painful urination; desire to walk but inability to do so. Various medicines fail to cure it; forced treatment leads to severe vomiting and diarrhea, as if possessed by spirits. Patients appear physically normal, with a slightly rapid pulse. Prognosis based on urination: if headache occurs during urination, recovery takes 60 days; if no headache but feeling chilly (Xixiran Han), recovery takes 40 days; if feeling relieved but dizzy, recovery takes 20 days. Signs may appear before illness, 4-5 days after onset, or 1 month and 20 days after onset. Misdiagnosis is common; treat according to the syndrome.
If the pathology manifests in the Yin aspect but Yang is attacked, Yin cannot resolve; inducing sweat at this stage is contraindicated (Ni). If the pathology manifests in the Yang aspect but Yin is attacked, Yang cannot resolve; purging at this stage will not cure the disease. The *Jin Gui Yao Lue* states: For pathology in Yin, use Yang methods to rescue; for pathology in Yang, use Yin methods to resolve. Attacking Yin when Yang signs are present and inducing sweat is contraindicated and difficult to treat. Attacking Yang when Yin signs are present and using purgatives is also contraindicated and difficult to treat.
Song verse: Unable to sit properly, unable to walk properly, neither cold nor hot, food sometimes good sometimes bad. Few know the secret of Baihe. Use Baihe Zhimu Tang, Baihe Dihuang Tang, or Baihe Xi Fang.
Another song verse: Baihe Bing feels like possession, sometimes likes eating, sometimes dislikes it, neither cold nor hot, wants to walk but cannot, wants to sleep but cannot. Baihe Bing affects all vessels, with no meridian transmission sequence. It results from disharmony of Zang-Fu after cold damage or deficiency-consumption. Symptoms mimic cold/heat but are neither; desire to eat but cannot; silent desire to lie but cannot sleep; strong desire to walk but cannot; bitter taste in mouth, dark yellow urine, vomiting/diarrhea upon taking medicine. Pulse is slightly rapid. Headache during urination indicates 60-day recovery; chilly sensation without headache indicates 40-day recovery; relief with dizziness indicates 20-day recovery. Select from Baihe Zhimu Tang, Baihe Dihuang Tang, Boshi Daizhe Tang, Jizi Tang, or Baihe Xi Fang.
Prescriptions:
Baihe Boshi Daizhe Tang (from *Qianjin Fang*): Treats Baihe Bing after purgation.
Ingredients: Baihe Bulbus (7 bulbs, broken), Boshi (1 liang, crushed), Daizheshi (1 pill-sized piece, crushed). Wash Baihe, soak overnight until white foam appears, discard water. Add 2 zhan of fresh water, decoct to 1 zhan, remove dregs. Separately, boil Boshi and Daizheshi in 2 zhan of fresh water to obtain 1 zhan of liquid.
Baihe Jizi Tang (from *Qianjin Fang*): Treats Baihe Bing after emesis.
Ingredients: Baihe Bulbus (7 bulbs, broken), Ji Zi Huang (Egg Yolk, 1). Wash Baihe, soak overnight until white foam appears, discard water. Add 2 zhan of fresh water, decoct to 1 zhan, remove dregs. Add egg yolk, mix well, divide into two warm doses. *Shenghui Fang* uses egg white, taken in one dose at any time.
Baihe Zhimu Tang (from *Qianjin Fang*): Treats Baihe Bing after sweating. Symptoms: desire to eat but cannot, silent desire to lie but cannot sleep, desire to walk but cannot, feeling cold/hot without reality, variable appetite, inability to move despite appearing healthy, bitter taste, dark urine, vomiting/diarrhea upon ingestion. Caused by failure to recover after deficiency-consumption. Mainly treated with this formula post-sweating.
Ingredients: Baihe Bulbus (7 bulbs, broken), Zhimu Radix (1 liang). Break Baihe, soak in 2 zhan of fresh water overnight until white foam appears. Discard foamy water. Boil Baihe in 2 zhan of fresh water to get 1 zhan juice, remove dregs. Boil Zhimu in 2 zhan of fresh water to get 1 zhan juice, remove dregs. Mix both juices, decoct together to 1.5 zhan. Take warm, divided into two doses, at any time.
Baihe Boshi San (from *Qianjin Fang*): Treats Baihe Bing with fever, difficult urination, and hardness/tension below the umbilicus.
Ingredients: Baihe Bulbus (1 liang), Boshi (3 liang). Grind into powder, further mill in a mortar. Take 2 qian with rice drink on an empty stomach, twice daily. Stop when mild diarrhea occurs.
Baihe Dihuang Tang (from *Qianjin Fang*): Treats Baihe Bing after emesis, purgation, and sweating, with symptoms returning to initial state.
Ingredients: Baihe Bulbus (7 bulbs, broken), Sheng Dihuang Radix Juice (1 zhan). Wash Baihe, soak overnight until white foam appears, discard water. Add 2 zhan of fresh water, decoct to 1 zhan, remove dregs. Add Rehmanniae Radix juice, decoct again to 1.5 zhan. Divide into two warm doses. Stop when cured. Stool will turn black like lacquer.
Baihe Banxia Tang (aka Shu Dihuang Tang): Treats persistent Baihe Bing with anorexia, progressing to consumption and emaciation.
Ingredients: Baihe Bulbus (2 liang), Renshen Radix, Chifufuling (Poria with Black Skin removed, *Shenghui Fang* uses Baifufuling), Banxia Rhizoma (washed 7 times in hot water, stir-fried dry), Huanglian Rhizoma (deveined, chopped, lightly stir-fried), Zhimu Radix (1 liang each), Sheng Gan Dihuang Radix (roasted 1.5 liang, *Shenghui Fang* uses Shu Gan Dihuang). Coarsely grind and sieve. Take 5.5 qian per dose.
Baihe Chaihu Tang (from *Shenghui Fang*): Treats persistent Baihe Bing with anorexia, progressing to consumption.
Ingredients: Baihe Bulbus (2 liang), Chaihu Radix (remove sprouts), Zhimu Radix (roasted), Huanglian Rhizoma (deveined, chopped, lightly stir-fried), Qinjiao Radix (remove sprouts and soil), Gualou Fructus (1 liang each), Gancao Radix (0.5 liang, honey-fried to light red). Coarsely grind and sieve. Take 5 qian per dose with 1.5 zhan of water, half a slice of smashed ginger, decoct to 0.7 zhan, remove dregs. Take before meals.
Baihe Ziwan Tang: Treats Baihe Bing resembling consumption or malaria.
Ingredients: Baihe Bulbus, Ziwan Radix (remove sprouts and soil), Baifufuling (remove black skin), Xingren Semen (soaked in hot water, peel and remove pointed end, double kernel, stir-fried yellow), Gancao Radix (honey-fried to light yellow), Chaihu Radix (remove sprouts). Equal parts, coarsely grind and sieve. Take 5 qian per dose with 1.5 zhan of water, half a slice of smashed ginger, decoct to 0.7 zhan, remove dregs. Take on an empty stomach.
Nongpo San: Treats Baihe Bing, tonifying Yin and nourishing Yang.
Ingredients: Houpu Cortex (remove rough bark, ginger-juice fried to dark red-black, 1 liang), Taoren Semen (peel and remove pointed end, double kernel, stir-fried yellow, separately ground, 1 liang), Xingren Semen (peel and remove pointed end, double kernel, stir-fried yellow, separately ground, 1 liang), Ziyingshi (separately ground), Baixianpi Cortex, Wujia Pi Cortex, Sangbaipii Cortex (chopped, 0.5 liang each). Grind and mill into powder. Take 2 qian before meals with scallion-white and glutinous rice decoction, twice daily.
Baihe Qianhu Tang: Treats post-cold damage phase where heat persists after 14 days, evolving into Baihe Bing with heavy body, weakness, and drunken-like confusion.
Ingredients: Sheng Baihe Bulbus (3 bulbs, broken and washed), Qianhu Radix (remove rhizome head), Mahuang Herba (remove joints, 1.5 liang each), Gegen Radix (chopped, 2 liang), Maidong Tuber (remove heart, 0.5 liang), Shigypsum (3 liang, crushed). Chop to hemp-seed size. Take 5 qian per dose with 1.5 zhan of water, decoct to 0.7 zhan, remove dregs, take warm.
Baihe San (from *Shenghui Fang*): Treats Baihe Bing with slight fever, aversion to cold, irritability, and wheezing.
Ingredients: Baihe Bulbus (2 liang), Ziwan Radix (1 liang, remove root and soil), Xingren Semen (1 liang, soaked, peeled, double kernel, bran-fried to light yellow), Qianhu Radix (remove rhizome head), Maidong Tuber (1 liang each, remove heart), Gancao Radix (3 fen, honey-fried to light red, chopped). Make into powder. Take 5 qian per dose with 1 large zhan of water, decoct to 0.5 zhan, remove dregs. Take warm, divided doses, at any time.
Chifufuling San: Treats cold damage with no headache but dizziness and chilly sensation, indicating Baihe syndrome.
Ingredients: Chifufuling (Poria Coccum), Maidong Tuber (3 fen each, remove heart), Baihe Bulbus, Zhimu Radix, Chaihu Radix (1 liang each, remove sprouts), Gancao Radix (0.5 liang, honey-fried to light red, chopped). Make into powder. Take 4 qian per dose with 1 medium zhan of water, decoct to 0.6 zhan, remove dregs. Take warm, at any time.
Ziqin San (from *Shenghui Fang*): Treats cold damage with no headache, frequent dizziness/stuffiness, alternating chills and fever, difficult urination, indicating Baihe syndrome.
Ingredients: Ziqin Radix (3 fen), Chifufuling, Gancao Radix (honey-fried to light red, chopped), Chuanxiong Rhizoma (0.5 liang each), Baihe Bulbus (1 liang), Zhimu Radix (0.5 liang). Make into powder. Take 5 qian per dose with 1 large zhan of water, decoct to 0.5 zhan, remove dregs. Take warm, at any time.
Banxia San (from *Shenghui Fang*): Treats Baihe Bing with persistent diarrhea, epigastric hardness/fullness, irritability, and vomiting.
Ingredients: Banxia Rhizoma (soaked in hot water 7 times to remove slipperiness), Huangqin Cortex, Huanglian Rhizoma (deveined, lightly stir-fried), Gancao Radix (honey-fried to light red, chopped), Renshen Radix (1 liang each, remove rhizome head), Baihe Bulbus (2 liang), Ganjiang Rhizoma (roasted, chopped, 0.5 liang). Make into powder. Take 3 qian per dose with 1 medium zhan of water, 3 jujubes, half a slice of ginger, decoct to 0.6 zhan, remove dregs. Take slightly warm, at any time.
Chaihu San (from *Shenghui Fang*): Treats Baihe Bing with emaciation, anorexia, and weakness.
Ingredients: Chaihu Radix (remove sprouts), Baifufuling, Chenjupi (Citrus reticulata peel, soaked in hot water, white pith removed, dried), Zhimu Radix, Jiegeng Radix (remove rhizome head), Huangqi Radix (1 liang each), Baihe Bulbus (2 liang). Make into powder. Take 5 qian per dose with 1 large zhan of water, decoct to 0.5 zhan, remove dregs. Take warm, at any time.
Ziwan Yinzi (from *Shenghui Fang*): Treats Baihe Bing with Yin-Yang conflict, gradual emaciation over time, anorexia, deficiency-heat cough.
Ingredients: Ziwan Radix (remove root and soil), Xingren Semen (1 liang each, soaked, peeled, double kernel, bran-fried to light yellow), Huanglian Rhizoma (0.5 liang, deveined), Qianhu Radix (remove rhizome head), Banxia Rhizoma (3 fen each, washed 7 times in hot water to remove slipperiness), Gualou Fructus (1 piece), Renshen Radix (1 liang, remove rhizome head), Zhimu Radix (3 fen), Gancao Radix (0.5 liang, honey-fried to light red, chopped). Finely chop and mix. Take 0.5 liang per dose with 1 large zhan of water, decoct to 0.5 zhan, remove dregs. Take warm, at any time.
Banxia San (from *Shenghui Fang*): Treats persistent Baihe Bing with difficult urination/defecation, abdominal fullness, slight wheezing, phlegm reflux, and anorexia.
Ingredients: Banxia Rhizoma (1 liang, washed 7 times in hot water to remove slipperiness), Renshen Radix (0.5 liang, remove rhizome head), Muxiang Radix (3 fen), Zhishi Fructus (bran-fried to light yellow), Chuan Dahuang Radix et Rhizoma (1 liang, chopped, lightly stir-fried), Xingren Semen (soaked, peeled, double kernel, bran-fried to light yellow), Sangbaipii Cortex (3 fen each, chopped), Baihe Bulbus (1 liang). Make into powder.
Gualou Muli San (from *Qianjin Fang*): Treats Baihe Bing with unquenchable thirst.
Ingredients: Muli Shell (calcined to powder), Gualou Radix (2 liang each). Make into fine powder. Take 2 qian mixed with rice drink, at any time.
Formula for Baihe Bing with high fever, headache, confusion, insomnia, and spirit-like affliction (from *Shenghui Fang*):
Ingredients: Baihe Bulbus, Shigypsum (2 liang each), Zhimu Radix, Muxiang Radix (1 liang each). Make into powder. Take 3 qian per dose with 1 large zhan of water, decoct to 0.6 zhan, remove dregs. Take warm, at any time.
Baihe San: Treats Baihe Bing unresolved for one month, transforming into thirst-like disease.
Ingredients: Baihe Bulbus, Gualou Radix (1 liang each), Muli Shell (calcined to powder), Zhizi Fructus, Maidong Tuber (3 fen each, remove heart and roast), Gancao Radix (0.5 liang, honey-fried to light red, chopped). Make into powder. Take 5 qian per dose with 1 medium zhan of water, half a slice of ginger, 27 bamboo leaves, decoct to 0.6 zhan, remove dregs. Take warm, at any time.
Formula for Baihe Bing with abdominal fullness and pain (from *Qianjin Fang*):
Use 1 liang of Baihe Bulbus, stir-fry until yellow, grind to fine powder. Take 2 qian mixed with rice drink at any time. Another method uses Baihe Gen (root).
Baihe Xi Fang (from *Qianjin Fang*): Treats Baihe Bing unresolved for one month, transforming into thirst.
Soak 1 dou of Baihe Bulbus in water overnight. Use this water to wash the body. Eat boiled wheat noodles. Do not consume salt or fermented soybeans. Another method uses Baihe Gen. *Waitai Miyao* states: If thirst persists, use equal parts Gualou Radix and Muli Shell, make into powder, take 1 cun bi with water, three times daily.