导引法 清旦初起。以左右手交互从头上挽两耳 。又引鬓发即流通。令头不白
。耳不聋。又摩手掌令热以摩面。从上下二七止。去香港脚。令面有光。又摩手令热。从
体上下。名曰干浴。令人胜风寒。时气寒热头痛。百病皆愈。
(附论)
夫时气二日阳明受病。阳明主于肌肉。其脉络于鼻。入于目。故得病二日。内热鼻干不
得眠也。夫诸阳在表。表始受病。故可摩膏火灸发汗而愈也。
方
水解散(出圣惠方)治时气二日。头疼壮热。心燥。
麻黄(二两去根节) 川大黄(一两锉碎微炙) 黄芩(一两) 桂心(一两) 甘草
(一两炙
微赤锉) 赤芍药(一两) 上为散。每服不计时候。以温水调下二钱。良久再服。未服药
前。
先以热汤淋浴后便服此药。衣覆取汗。重者不过三服。强食人服二方寸匙。此调风实之人。
三伏中宜用之。若去大黄。即春夏用之。
治时气二日。壮热头痛。宜服此方。(出圣惠方)
甘草(一两炙微赤锉) 生姜(三分) 栝蒌(一颗大者取瓤去子于碗内盛之) 上先
将生
姜、甘草、用无灰酒一大盏。煎取六分。去滓。热入栝蒌碗中。绞取汁。不计时候。分温二
服。
柴胡散(出圣惠方)治时气二日。壮热憎寒。头痛。腰脊强重。
柴胡(一两去苗) 麻黄(一两去根节) 葛根(三分锉) 桂心(二分) 甘草(一
分炙微赤
锉) 上为散。每服四钱。以水一中盏。入豉五十粒。薄荷二七叶。煎至六分。去滓。不计
时候。先吃粥少许。后以热水淋浴。然后服此药。衣覆取汗。
栀子散(出圣惠方)治时气二日。头痛背强。身热恶寒。
栀子仁(一两) 黄芩(一两) 石膏(二两) 葛根(一两锉) 杏仁(汤浸去皮尖
双仁麸炒
微黄用一两) 甘草(半两炙微赤锉) 上为散。每服五钱。以水一大盏。入葱白二茎。豉
五
十粒。煎至五分。去滓。不计时候。热服。衣覆取汗。
葛根散(出圣惠方)治时气二日。头痛背强。心烦壮热。
葛根(锉) 麻黄(去根节) 犀角屑(各一两) 上为散。每服五钱。以水一大盏。
入生姜
半分。枣三枚。煎至五分。去滓。不计时候。热服。衣覆取汗。
三物汤 治天行病。经一二日。觉身体壮热。头痛。骨肉酸楚。背脊强。口鼻干
。手足微冷。小便黄赤。此是其候。若如此。宜先合煮桃柳葛汤浴之。
桃枝(细切五斗) 柳叶(细切五斗) 酢酱水(一斗) 上先以水一石。煮桃柳枝叶
二物。
取七斗汁。去滓。纳醋酱水。觉滞热以浴。浴讫。拭身体令干。以粉摩之。勿触风。则于密
处刺头眼后两边。及舌下血断。以盐末厌刺处。则入被卧。
又后服解肌干葛等五物饮。微覆取汗。如病根轻者。因此或歇。
葛根(切五合) 葱白(切一升) 生姜(切二合) 豉心(一升绵裹) 粳米(二合
研碎) 上
切。以水五升。煮取豉心以上四味。取三升半汁。去滓。纳粳米屑。煮令米烂。带热顿啜。
候尽微覆取汗。无所忌。
又根据前浴等法。不觉歇。宜更作鸡子汤重泄之。
新壳鸡子五枚。各破头。泻置一盏中。别加一鸡子水。以箸搅令极浑。别用水一升。煮
极沸。则投鸡子于汤中微搅。才似熟。则泻置碗中。纳少酱清。似变腥气。带热啜令尽。覆
使汗出。
又根据前鸡子汤出汗。汗泄当歇。如不觉退。合栀子等六味散以下之。
栀子(三十枚擘) 干葛(五两) 茵陈(二两) 蜀升麻(三两) 大黄(五两) 芒
硝(五两)
上切。合捣为散。以饮服三方寸匕服之。须臾当觉转。则利也。如经一两食顷不利。且以热
饮投。又不利。即须更服一方寸匕。还以饮投。得利为度。后适寒温将息。无须服此也。
又根据前栀子等六味散取利。复不觉退。加呕逆。食不下。口鼻喉舌干燥。宜合生
芦根八味饮子。细细服之。
生芦根(切一升) 生麦门冬(二升去心) 生姜(五两) 人参(二两) 知母(二
两) 乌梅
(十颗) 白蜜(一合) 竹沥(三合) 上切。以水八升。煮取三升。去滓。纳蜜、沥等
搅调。
细细饮。不限遍数。冷暖亦不限。食前后服。此饮子虽不能顿除热病。然于诸证不觉有加。
体气安稳。心复不冷。意又欲得。此饮任重合。但根据前服之。如热势不退。心腹妨满。饮食
渐少。心上痞结。则不可重服之。
又根据前生芦根等八味饮子饮之。诸状不歇。渐不下食。心腹结破不得手近。有时
触着痛不可忍。既是热病。体气合热。骨肉疼痛。脉合洪数。口合苦干。食合呕逆。
体气反凉。脉反沉细。饭食反下。不知痛恼。大小便秘塞。心上如石。痛不可近。视
唇急鼻张。手眼寻绎。狂言妄语。此由热极。将思酷冷冻饮料食。寝味唯冷是求。热结在心
。无因通泄。如有此者。十不救二三。更不可以常途守之。当须作成败计耳。此非半夏
等十味汤无奈之何。其中有诸状。与此无别。但加身体黄。眼白睛色如黄柏。此是急黄
。如有亦不可守常法。还宜合后汤救之。
半夏(五两熊州者汤洗滑汁尽) 干姜(三两) 吴茱萸(二两) 大黄(五两) 桂
心(二两)
白术(三两) 细辛(三两) 柴胡(三两) 牡丹皮(三两) 芒硝(二两) 上切。以
水一斗。煮
取三升。去滓。纳芒硝搅令消尽。分温三服。每服人行十里久。若服一服利后。须要伺候将
息。勿更进汤药。但研好粟米作汁饮。细细与之。如下利伤多。可以酢饭。止稠酢酱粥亦得。
忌羊肉、饧、生葱、生菜、桃、李、雀肉、胡荽等。
又根据前成败计。服半夏等十味汤后。虽得毒热势退。利过不休。体力渐弱。宜合人
参等五味散。细细服之。
人参(五两) 生犀角(末二两) 乌梅肉(三两熬) 生姜屑(三两) 黄连(二两
去毛无亦
可以龙骨四两代之) 上为散。以饮服一方寸匕。日三服。稍加至二匕。忌猪肉、冷水等物。
水解散 治时行头痛壮热。一二日。
桂心(二两) 甘草(二两) 大黄(二两) 麻黄(四两) 上为散。患者以生熟汤
浴讫。以
暖水服之方寸匕。日三服。覆取汗。或利便瘥。丁强人服二寸匕。延年秘录。有黄芩、芍药
各二两。古今录验。无甘草。有芍药。治天行热病。生 疮疼痛。解肌出汗。
柴胡汤 治时行疫疠。一二日。头痛壮热。
柴胡(一两去苗) 芍药(一两) 栀子仁(五钱) 黄芩(五钱去黑心) 石膏(碎)
葛根
(锉各一两) 上为散。每服五钱。以水一盏半。葱白三寸。豉三十粒。煎至七分。去滓。
不
计时候。温服。
麻黄解肌汤 治时行疫疠。一二日。头痛壮热烦躁。
麻黄(去根节一两) 升麻(一两) 甘草(炙锉一两) 芍药(一两) 石膏(一两
碎) 贝齿
(一分烧) 杏仁(去皮尖双仁炒研半两) 上为散。每服五钱。水一盏半。煎至一盏。去
滓。
不计时候。温服。即覆取汗愈。便食豉粥补虚。
治伤寒时气温疫。头痛壮热。脉盛。始得一二日者方。
用丹砂一两。上为末。以水一斗。煮取一升。顿服之。衣覆取汗。
治若得时气。冷热不调发作者。皆是寒热所致。其状似疟。久久不疗。损人性命
。纵服汤药。必然难瘥。宜作生熟汤浴之。
用火器盛汤。中坐勿动。须臾百节开。寒热之气从毛孔中出变作流汗。若心中热闷者。
还服少许热汤即定。久乃出汤。以衣被覆盖睡。豁然平复。如患大重者。不过三两度即瘥。
治天行一二日。
用麻黄一大两去节。以水四升。煮去沫。取二升。去滓。则着米一匙及豉为稀粥。取强
一升。先作生熟汤。浴淋头百余碗。然后服前粥。服后衣覆取汗。于夜最佳。
八神汤 治时气一二日。头痛壮热。心神烦闷。
当归(五钱切焙) 甘草(五钱) 大黄(五钱锉炒) 白术(五钱) 山栀子仁(五
钱) 麻黄
(去根节煎掠去沫焙一两) 芍药(一分) 荆芥穗(一分) 上粗捣筛。每服三钱。水一
大盏。
入薄荷三叶。葱白一寸。生姜二片。同煎至六分。去滓。热服。
栀子汤 治天行一二日。头痛壮热。心中热者。
栀子(三两) 黄芩(三两) 豉(熬绵裹) 葱(切各一升) 石膏(碎绵裹四两) 葛
根(四
两切) 上切。以水七升。煮取二升六合。去滓。分温三服。如人行八九里再服。忌面、酒、
生冷等物。
【导引法】清晨刚起床时,用左右手交替从头顶挽住两只耳朵。又牵引鬓角的头发,这样气血就能流通,使头发不白、耳朵不聋。接着搓热手掌来按摩面部,从上到下做十四次(二七),可以治疗脚气病,使面色有光泽。再搓热双手,在身体上下摩擦,这叫“干浴”,能让人抵御风寒,治愈时气引起的寒热、头痛等百病。
(附论)
当时行疫病传到第二天,病邪传入阳明经。阳明经主管肌肉,其脉络连接鼻子,进入眼睛。所以患病第二天,会出现体内发热、鼻子干燥、无法入睡的症状。因为诸阳经都在体表,体表刚开始受病,所以可以通过涂抹药膏、火灸发汗的方法治愈。
方剂:
水解散(出自《圣惠方》),治疗时行疫病第二天,出现头痛、高热、心烦燥热等症状。
药材:麻黄(二两,去根节)、川大黄(一两,锉碎后微炒)、黄芩(一两)、桂心(一两)、甘草(一两,炙至微红并锉碎)、赤芍药(一两)。以上药物研为散剂。每次服用不拘时间,用温水调服二钱。隔一段时间后再服一次。服药前,先用热水淋浴,然后立即服用此药,盖好衣被取汗。病情重的,不超过三服即可;体质强壮的人服用两方寸匕。此方适合风邪实证之人,在三伏天适宜使用。如果去掉大黄,则可在春夏季使用。
另一首方剂,治疗时行疫病第二天,高热头痛,宜服用此方。(出自《圣惠方》)
药材:甘草(一两,炙至微红并锉碎)、生姜(三分)、栝蒌(一颗大的,取瓤去子放在碗内)。先将生姜、甘草用无灰酒一大盏,煎取六分,去渣。将药汁倒入盛有栝蒌瓤的碗中,绞取汁液。不拘时间,分两次温服。
柴胡散(出自《圣惠方》),治疗时行疫病第二天,高热恶寒,头痛,腰脊僵硬沉重。
药材:柴胡(一两,去苗)、麻黄(一两,去根节)、葛根(三分,锉碎)、桂心(二分)、甘草(一分,炙至微红并锉碎)。以上药物研为散剂。每次服用四钱,用水一中盏,加入豆豉五十粒、薄荷十四片,煎至六分,去渣。不拘时间,先吃少许粥,然后用热水淋浴,之后服用此药,盖好衣被取汗。
栀子散(出自《圣惠方》),治疗时行疫病第二天,头痛背强,身热恶寒。
药材:栀子仁(一两)、黄芩(一两)、石膏(二两)、葛根(一两,锉碎)、杏仁(汤浸去皮尖及双仁,麸炒微黄,用一两)、甘草(半两,炙至微红并锉碎)。以上药物研为散剂。每次服用五钱,用水一大盏,加入葱白两段、豆豉五十粒,煎至五分,去渣。不拘时间,热服,盖好衣被取汗。
葛根散(出自《圣惠方》),治疗时行疫病第二天,头痛背强,心烦高热。
药材:葛根(锉碎)、麻黄(去根节)、犀角屑(各一两)。以上药物研为散剂。每次服用五钱,用水一大盏,加入生姜半分、大枣三枚,煎至五分,去渣。不拘时间,热服,盖好衣被取汗。
三物汤,治疗天行病(流行性传染病),经过一两天,感觉身体高热,头痛,骨肉酸痛,背脊僵硬,口鼻干燥,手脚微冷,小便黄赤。这是其症状表现。如果如此,应当先煮桃柳葛汤洗澡。
药材:桃枝(细切五斗)、柳叶(细切五斗)、酢酱水(一斗)。先用水一石,煮桃柳枝叶这两味药,取七斗汁,去渣,加入醋酱水。感到温热时用来洗澡。洗完擦干身体,涂上粉按摩,不要吹风。然后在隐蔽处刺破头眼后方两侧及舌下血管放血,用盐末敷在刺破处,然后进被窝睡觉。
之后再服用解肌干葛等五味饮,轻微覆盖衣被取汗。如果病根轻,因此可能痊愈。
药材:葛根(切五合)、葱白(切一升)、生姜(切二合)、豉心(一升,绵裹)、粳米(二合,研碎)。以上切碎,用水五升,煮取豉心以上四味,取三升半汁,去渣,加入粳米屑,煮至米烂,趁热一次性喝完。候汗出微覆,没有禁忌。
如果按照前面的洗浴等方法,病不见好转,应当再做鸡子汤重泄之。
新壳鸡蛋五个,各打破头部,泻入一盏中,另外加一个鸡蛋的水,用筷子搅得非常浑浊。另外用水一升,煮至极沸,则将鸡蛋投入汤中微搅,刚似熟时,泻入碗中,加入少量酱清,味道似变腥气时,趁热喝尽,覆盖使其出汗。
如果按照前面的鸡子汤出汗,汗泄后应当痊愈。如果不见退热,应当合栀子等六味散以下之。
药材:栀子(三十枚,掰开)、干葛(五两)、茵陈(二两)、蜀升麻(三两)、大黄(五两)、芒硝(五两)。以上切碎,捣为散剂,用饮送服三方寸匕。一会儿应当感觉肠转,即会腹泻。如果经过一顿饭的时间还不拉肚子,先用热饮送服。如果再不服,就再服一方寸匕,仍用饮送服,以得利为度。之后注意寒温调养,不需要再服此药。
如果按照前面栀子等六味散取利后,病仍不见退,加上呕吐逆气,饮食不下,口鼻喉舌干燥,应当合生芦根八味饮子,细细服用。
药材:生芦根(切一升)、生麦门冬(二升,去心)、生姜(五两)、人参(二两)、知母(二两)、乌梅(十颗)、白蜜(一合)、竹沥(三合)。以上切碎,用水八升,煮取三升,去渣,加入蜜、沥等搅匀。细细饮用,不限遍数,冷暖也不限,食前后均可服用。此饮子虽不能立刻去除热病,但对于各种证候不会加重,体力安稳,心不再寒冷,意念又想要恢复。此饮任重合,只要按照前面方法服用。如果热势不退,心腹痞满,饮食渐少,心上痞结,则不可再重服。
如果按照前面生芦根等八味饮子饮用,诸状不缓解,逐渐不能进食,心腹结聚疼痛不可用手触碰,有时触痛难忍。既然是热病,体气应热,骨肉疼痛,脉应洪数,口应干枯,食应呕逆。如果体气反凉,脉反沉细,饭食反下,不知痛恼,大小便秘塞,心上如石,痛不可近,看嘴唇急迫鼻孔张开,手眼寻绎,狂言妄语。这是由于热极,想思酷冷冻饮料食,寝卧只求冷味。热结在心,无因通泄。如果有这种情况,十个人救不活两三个,更不可以常途守之。应当作成败计耳。此非半夏等十味汤无奈之何。其中有诸状,与此无别,但加身体黄,眼白睛色如黄柏,这是急黄。如有亦不可守常法,还宜合后汤救之。
药材:半夏(五两,熊州者,汤洗滑汁尽)、干姜(三两)、吴茱萸(二两)、大黄(五两)、桂心(二两)、白术(三两)、细辛(三两)、柴胡(三两)、牡丹皮(三两)、芒硝(二两)。以上切碎,用水一斗,煮取三升,去渣,纳芒硝搅令消尽。分温三服。每服人行十里久。若服一服利后,须要伺候将息,勿更进汤药。但研好粟米作汁饮,细细与之。如下利伤多,可以酢饭,止稠酢酱粥亦得。忌羊肉、饧、生葱、生菜、桃、李、雀肉、胡荽等。
如果按照前面成败计,服半夏等十味汤后,虽然毒热势退,利过不休,体力渐弱,宜合人参等五味散,细细服用。
药材:人参(五两)、生犀角(末二两)、乌梅肉(三两熬)、生姜屑(三两)、黄连(二两,去毛,无也可以用龙骨四两代之)。以上为散,用饮服一方寸匕,日三服,稍加至二匕。忌猪肉、冷水等物。
水解散,治时行头痛壮热,一二日。
药材:桂心(二两)、甘草(二两)、大黄(二两)、麻黄(四两)。以上为散。患者以生熟汤浴讫,以暖水服之方寸匕,日三服,覆取汗。或利便瘥。丁强人服二寸匕。延年秘录,有黄芩、芍药各二两。古今录验,无甘草,有芍药。治天行热病,生疮疼痛,解肌出汗。
柴胡汤,治时行疫疠,一二日,头痛壮热。
药材:柴胡(一两,去苗)、芍药(一两)、栀子仁(五钱)、黄芩(五钱,去黑心)、石膏(碎)、葛根(锉,各一两)。以上为散。每次服用五钱,用水一盏半,葱白三寸,豆豉三十粒,煎至七分,去渣。不拘时间,温服。
麻黄解肌汤,治时行疫疠,一二日,头痛壮热烦躁。
药材:麻黄(去根节一两)、升麻(一两)、甘草(炙锉一两)、芍药(一两)、石膏(一两,碎)、贝齿(一分,烧)、杏仁(去皮尖双仁炒研半两)。以上为散。每次服用五钱,水一盏半,煎至一盏,去渣。不拘时间,温服,即覆取汗愈。便食豉粥补虚。
治伤寒时气温疫,头痛壮热,脉盛,始得一二日者的方剂。
用丹砂一两,上为末,以水一斗,煮取一升,顿服之,衣覆取汗。
治若得时气,冷热不调发作者,皆是寒热所致。其状似疟,久久不疗,损人性命。纵服汤药,必然难瘥。宜作生熟汤浴之。
用火器盛汤,中坐勿动,须臾百节开,寒热之气从毛孔中出变作流汗。若心中热闷者,还服少许热汤即定。久乃出汤,以衣被覆盖睡,豁然平复。如患大重者,不过三两度即瘥。
治天行一二日。
用麻黄一大两去节,以水四升,煮去沫,取二升,去渣,则着米一匙及豉为稀粥,取强一升。先作生熟汤,浴淋头百余碗,然后服前粥。服后衣覆取汗,于夜最佳。
八神汤,治时气一二日,头痛壮热,心神烦闷。
药材:当归(五钱,切焙)、甘草(五钱)、大黄(五钱,锉炒)、白术(五钱)、山栀子仁(五钱)、麻黄(去根节,煎掠去沫,焙一两)、芍药(一分)、荆芥穗(一分)。以上粗捣筛。每次服用三钱,水一大盏,入薄荷三叶,葱白一寸,生姜二片,同煎至六分,去渣,热服。
栀子汤,治天行一二日,头痛壮热,心中热者。
药材:栀子(三两)、黄芩(三两)、豉(熬,绵裹)、葱(切,各一升)、石膏(碎,绵裹四两)、葛根(四两,切)。以上切碎,以水七升,煮取二升六合,去渣,分温三服。如人行八九里再服。忌面、酒、生冷等物。
[Movement Therapy] Upon waking in the early morning, use both hands to alternately pull the two ears from the top of the head. Then draw the hair at the temples; this promotes circulation, preventing white hair and deafness. Next, rub palms until hot and massage the face, moving from top to bottom for fourteen repetitions (two sets of seven). This treats *Hong Kong Foot* (a term historically referring to various lower limb ailments, often edema or gout) and gives luster to the face. Rub hands until hot again and massage the body up and down; this is called "Dry Bathing" (*Gan Yu*). It enables one to resist wind-cold, curing febrile diseases caused by seasonal pathogens manifesting as chills, fever, headache, and hundred diseases.
(Attached Discussion)
When a seasonal pathogenic disease reaches the second day, the Yangming channel is affected. The Yangming channel governs the muscles, its collaterals connect to the nose, and enter the eyes. Therefore, on the second day of illness, there is internal heat, dry nose, and insomnia. Since all Yang channels are on the exterior, and the exterior is just beginning to be affected, healing can be achieved by applying ointments, moxibustion, and inducing sweating.
Formulas:
Shuijie San (Water-Resolving Powder) [From *Shenghui Fang*]: Treats seasonal pathogenic disease on the second day, presenting with headache, high fever, and mental restlessness/dryness.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (2 liang, remove root and nodes), Rheum Radix et Rhizoma (Chuan Dahuang, 川大黄) (1 liang, cut into pieces and slightly stir-fried), Scutellariae Radix (Huangqin, 黄芩) (1 liang), Cinnamomi Cortex (Guixin, 桂心) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, honey-fried until slightly red and cut), Paeoniae Radix Rubra (Chishaoyao, 赤芍药) (1 liang). Grind all ingredients into powder. Take 2 qian mixed with warm water at any time. Repeat after some time. Before taking the medicine, take a hot shower, then immediately take the medicine, cover with blankets to induce sweating. For severe cases, no more than three doses are needed. For robust individuals, take two fangcun chi. This formula is suitable for those with excess wind patterns and is appropriate during the dog days of summer. If Rheum Radix et Rhizoma is removed, it can be used in spring and summer.
Another Formula [From *Shenghui Fang*]: Treats seasonal pathogenic disease on the second day with high fever and headache.
Ingredients: Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, honey-fried until slightly red and cut), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (3 fen), Trichosanthis Fructus (Gualou, 栝蒌) (one large fruit, take pulp, remove seeds, place in bowl). First, decoct Ginger and Licorice Root in one large cup of unadulterated wine until reduced to six parts. Strain. Pour the hot liquid into the bowl containing the Trichosanthis pulp, squeeze out the juice. Take divided into two warm doses at any time.
Chaihu San (Bupleurum Powder) [From *Shenghui Fang*]: Treats seasonal pathogenic disease on the second day, with high fever, aversion to cold, headache, and stiffness/heaviness in the waist and spine.
Ingredients: Bupleuri Radix (Chaihu, 柴胡) (1 liang, remove seedlings), Ephedrae Herba (Mahuang, 麻黄) (1 liang, remove root and nodes), Puerariae Radix (Gegen, 葛根) (3 fen, cut), Cinnamomi Cortex (Guixin, 桂心) (2 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 fen, honey-fried until slightly red and cut). Grind into powder. Take 4 qian per dose. Add 50 grains of Sojae Semen Praeparatum (Douchi, 豆豉) and 14 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷) to one medium cup of water. Decoct until reduced to six parts. Strain. At any time, eat a little porridge first, then take a hot shower, then take this medicine. Cover with blankets to induce sweating.
Zhizi San (Gardenia Powder) [From *Shenghui Fang*]: Treats seasonal pathogenic disease on the second day, with headache, back stiffness, body heat, and aversion to cold.
Ingredients: Gardeniae Fructus (Zhizi Ren, 栀子仁) (1 liang), Scutellariae Radix (Huangqin, 黄芩) (1 liang), Gypsum Fibrosum (Shigao, 石膏) (2 liang), Puerariae Radix (Gegen, 葛根) (1 liang, cut), Armeniacae Semen Amarum (Xingren, 杏仁) (soaked in water, peel skin and tips, remove double kernels, stir-fried with bran until slightly yellow, use 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang, honey-fried until slightly red and cut). Grind into powder. Take 5 qian per dose. Add two stalks of Allii Fistulosi Bulbus (Congbai, 葱白) and 50 grains of Sojae Semen Praeparatum (Douchi, 豆豉) to one large cup of water. Decoct until reduced to five parts. Strain. Take hot at any time. Cover with blankets to induce sweating.
Gegen San (Kudzu Powder) [From *Shenghui Fang*]: Treats seasonal pathogenic disease on the second day, with headache, back stiffness, mental restlessness, and high fever.
Ingredients: Puerariae Radix (Gegen, 葛根) (cut), Ephedrae Herba (Mahuang, 麻黄) (remove root and nodes), Cornu Rhinocerotis (Xijiao Xie, 犀角屑) (each 1 liang). Grind into powder. Take 5 qian per dose. Add half a fen of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and three Jujubae Fructus (Zao, 枣) to one large cup of water. Decoct until reduced to five parts. Strain. Take hot at any time. Cover with blankets to induce sweating.
Sanwu Tang (Three-Ingredient Decoction): Treats epidemic disease after one or two days, feeling high body heat, headache, soreness and pain in bones and flesh, back stiffness, dry mouth and nose, slightly cold hands and feet, and yellow-red urine. These are the signs. If so, first decoct Taoliuge Tang (Peach-Willow-Kudzu Decoction) for bathing.
Ingredients: Ramulus Persicae (Taozhi, 桃枝) (finely cut, 5 dou), Folium Salicis (Liuye, 柳叶) (finely cut, 5 dou), Acetum Fermentatum (Zhuojiangshui, 酢酱水) (1 dou). First, boil Peach branches and Willow leaves in one shi of water until seven dou of liquid remains. Strain. Add the vinegar sauce water. When it feels stagnant and hot, use it for bathing. After bathing, wipe the body dry, apply powder and massage. Avoid wind. Then, prick the sides behind the head/eyes and under the tongue to release blood in a secluded place. Apply salt powder to the pricked areas. Then lie in bed.
Subsequently, drink Jiemi Gan Ge Wuwu Yin (Muscle-Releasing Kudzu Five-Ingredient Drink) to mildly induce sweating. If the pathogen is light, it may resolve here.
Ingredients: Puerariae Radix (Gegen, 葛根) (cut, 5 he), Allii Fistulosi Bulbus (Congbai, 葱白) (cut, 1 sheng), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (cut, 2 he), Sojae Semen Praeparatum Core (Chixin, 豉心) (1 sheng, wrapped in silk), Oryza Glutinosa (Jingmi, 粳米) (2 he, ground). Cut ingredients. Boil the first four ingredients in five sheng of water until three and a half sheng remain. Strain. Add ground glutinous rice. Cook until rice is soft. Drink while hot in one go. Cover mildly to induce sweating. No taboos.
If the condition does not resolve with the previous bathing methods, prepare Jizi Tang (Egg Decoction) for heavy purging.
Break five fresh eggs at the top, pour into a cup. Add the water from one additional egg. Stir vigorously with chopsticks until very turbid. Boil one sheng of water until boiling. Pour the eggs into the boiling water, stir slightly. When just cooked, pour into a bowl. Add a little soy sauce clear liquid. When it smells slightly fishy, drink hot until finished. Cover to induce sweating.
If sweating from the Egg Decoction resolves the condition but it does not recede, use Zhizi Liuwei San (Gardenia Six-Ingredient Powder) to purge.
Ingredients: Gardeniae Fructus (Zhizi, 栀子) (30 pods, split), Puerariae Radix (Gan Ge, 干葛) (5 liang), Artemisiae Scopariae Herba (Yinchen, 茵陈) (2 liang), Cimicifugae Rhizoma (Shushengma, 蜀升麻) (3 liang), Rheum Radix et Rhizoma (Dahuang, 大黄) (5 liang), Natrii Sulfas (Mangxiao, 芒硝) (5 liang). Cut and grind into powder. Take three fangcun bi mixed with drink. One should feel intestinal movement shortly after, indicating purgation. If no bowel movement after one meal period, give hot drink first. If still no effect, take another fangcun bi with drink. Stop when purged. Adjust temperature and rest afterwards; no need to continue this medicine.
If purging with Zhizi Liuwei San fails to resolve symptoms, and vomiting, inability to eat, and dryness of mouth, nose, throat, and tongue appear, prepare Sheng Lugen Bawei Yinzi (Fresh Reed Rhizome Eight-Ingredient Drink).
Ingredients: Radix Phragmitis Communis (Sheng Lugen, 生芦根) (cut, 1 sheng), Radix Ophiopogonis (Sheng Maidong, 生麦门冬) (2 sheng, remove heart), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (5 liang), Radix Ginseng (Renshen, 人参) (2 liang), Radix Anemarrhenae (Zhimu, 知母) (2 liang), Fructus Pruni Mume (Wumei, 乌梅) (10 pieces), Mel (Baimi, 白蜜) (1 he), Bambusae Succus (Zhuli, 竹沥) (3 he). Cut ingredients. Decoct in eight sheng of water until three sheng remain. Strain. Mix in honey and bamboo sap. Drink slowly, unlimited frequency, temperature, or timing relative to meals. Although this drink cannot instantly cure febrile disease, it prevents worsening of symptoms, stabilizes vitality, warms the heart, and restores desire. Follow previous instructions. If fever persists, chest/abdominal fullness increases, food intake decreases, and epigastric stagnation occurs, do not take heavy doses.
If drinking the Sheng Lugen Bawei Yinzi fails to resolve symptoms, appetite declines further, abdominal pain becomes unbearable upon touch, and despite being a heat disease with expected hot body, bone/flesh pain, surging-rapid pulse, dry mouth, and vomiting, the body becomes cool, pulse becomes deep-thin, food passes down without pain sensation, constipation occurs, epigastrium feels like stone, lips are tight, nostrils flare, eyes/hands move restlessly, and delirium appears. This is extreme heat leading to craving for cold foods/drinks. Heat is knotted in the heart with no outlet. In such cases, less than 2 out of 10 survive. Do not use standard methods. Consider this a critical situation requiring Banxia Shiwei Tang (Pinellia Ten-Ingredient Decoction). If jaundice appears with yellow eyes (like yellow cypress), it is Ji Huang (Acute Jaundice); also requires this rescue decoction.
Ingredients: Pinelliae Rhizoma Preparatum (Banxia, 半夏) (5 liang, from Xiongzhou, washed with hot water until slippery juice is gone), Zingiberis Rhizoma (Ganjiang, 干姜) (3 liang), Evodiae Fructus (Wuzhuyu, 吴茱萸) (2 liang), Rheum Radix et Rhizoma (Dahuang, 大黄) (5 liang), Cinnamomi Cortex (Guixin, 桂心) (2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (3 liang), Asari Radix et Rhizoma (Xixin, 细辛) (3 liang), Bupleuri Radix (Chaihu, 柴胡) (3 liang), Moutan Cortex (Mudanpi, 牡丹皮) (3 liang), Natrii Sulfas (Mangxiao, 芒硝) (2 liang). Cut ingredients. Decoct in one dou of water until three sheng remain. Strain. Dissolve Mangxiao. Divide into three warm doses. Wait until a person walks ten li before next dose. If purged after one dose, rest and adjust; do not take more medicine. Drink millet juice slowly. If purging is excessive, eat sour rice or thick sour sauce porridge to stop it. Taboos: mutton, malt sugar, raw green onion, raw vegetables, peach, plum, sparrow meat, coriander.
If after taking Banxia Shiwei Tang, toxic heat subsides but purging continues excessively and vitality weakens, use Renshen Wuwei San (Ginseng Five-Ingredient Powder).
Ingredients: Radix Ginseng (Renshen, 人参) (5 liang), Cornu Rhinocerotis (Sheng Xijiao, 生犀角) (2 liang, powdered), Fructus Pruni Mume (Wumei Rou, 乌梅肉) (3 liang, roasted), Zingiberis Rhizoma Recens (Shengjiang Xie, 生姜屑) (3 liang), Coptidis Rhizoma (Huanglian, 黄连) (2 liang, remove hairs; if unavailable, substitute with 4 liang Longgu, 龙骨). Grind into powder. Take one fangcun bi with drink, three times daily. Gradually increase to two bi. Taboos: pork, cold water.
Shuijie San (Water-Resolving Powder): Treats epidemic headache and high fever on days 1-2.
Ingredients: Cinnamomi Cortex (Guixin, 桂心) (2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang), Rheum Radix et Rhizoma (Dahuang, 大黄) (2 liang), Ephedrae Herba (Mahuang, 麻黄) (4 liang). Grind into powder. After patient bathes in hot/cold alternating water, take one fangcun bi with warm water, three times daily. Cover to sweat. Or recover via bowel movement. Robust individuals take two cun chi. *Yannian Milu* adds Scutellariae Radix and Paeoniae Radix (2 liang each). *Gujin Luyan* omits Licorice, adds Paeoniae Radix. Treats epidemic heat disease, painful sores, muscle-releasing sweating.
Chaihu Tang (Bupleurum Decoction): Treats epidemic pestilence on days 1-2, headache and high fever.
Ingredients: Bupleuri Radix (Chaihu, 柴胡) (1 liang, remove seedlings), Paeoniae Radix (Shaoyao, 芍药) (1 liang), Gardeniae Fructus (Zhizi Ren, 栀子仁) (5 qian), Scutellariae Radix (Huangqin, 黄芩) (5 qian, remove black heart), Gypsum Fibrosum (Shigao, 石膏) (crushed), Puerariae Radix (Gegen, 葛根) (cut, each 1 liang). Grind into powder. Take 5 qian per dose. Add one and a half cups of water, three inches of Allii Fistulosi Bulbus (Congbai, 葱白), and 30 grains of Sojae Semen Praeparatum (Douchi, 豆豉). Decoct until seven parts remain. Strain. Take warm at any time.
Mahuang Jiemi Tang (Ephedra Muscle-Releasing Decoction): Treats epidemic pestilence on days 1-2, headache, high fever, restlessness.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (remove root/nodes, 1 liang), Cimicifugae Rhizoma (Shengma, 升麻) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried, cut, 1 liang), Paeoniae Radix (Shaoyao, 芍药) (1 liang), Gypsum Fibrosum (Shigao, 石膏) (1 liang, crushed), Dentalia (Beichi, 贝齿) (1 fen, calcined), Armeniacae Semen Amarum (Xingren, 杏仁) (peel skin/tips, double kernel, stir-fried, ground, 0.5 liang). Grind into powder. Take 5 qian per dose. Add one and a half cups of water. Decoct until one cup remains. Strain. Take warm at any time. Cover to sweat and recover. Eat bean porridge afterwards to tonify deficiency.
Formula for Cold Damage, Seasonal Pathogen, or Epidemic with headache, high fever, surging pulse, on days 1-2:
Use Cinnabar (Dansha, 丹砂) 1 liang. Grind to powder. Decoct in one dou of water until one sheng remains. Take in one dose. Cover to sweat.
For seasonal pathogen with irregular cold/heat attacks, caused by cold-heat conflict, resembling malaria. If untreated long-term, it damages life. Even with herbal medicine, recovery is difficult. Use Hot-Cold Alternating Bath.
Fill vessel with water using fire device. Sit in middle, do not move. Soon joints open, cold/heat qi exits pores as sweat. If chest feels hot/stuffy, take small amount of hot tea to settle. Stay out of bath for a while, cover with blankets and sleep. Recover suddenly. For severe cases, 2-3 baths suffice.
Treat epidemic on days 1-2:
Use Ephedrae Herba (Mahuang, 麻黄) 1 da liang, remove nodes. Decoct in four sheng of water, skim foam, take two sheng. Strain. Add one spoon of rice and beans to make thin porridge, yield one sheng. First take hot-cold alternating bath, pouring over head over 100 bowls. Then take the porridge. Cover to sweat after taking. Best at night.
Bashen Tang (Eight-God Decoction): Treats seasonal pathogen on days 1-2, headache, high fever, mental restlessness.
Ingredients: Angelicae Sinensis Radix (Danggui, 当归) (5 qian, cut and baked), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (5 qian), Rheum Radix et Rhizoma (Dahuang, 大黄) (5 qian, cut and stir-fried), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (5 qian), Gardeniae Fructus (Shanzhizi Ren, 山栀子仁) (5 qian), Ephedrae Herba (Mahuang, 麻黄) (remove root/nodes, boil, skim foam, bake, 1 liang), Paeoniae Radix (Shaoyao, 芍药) (1 fen), Schizonepetae Spica (Jingjiesui, 荆芥穗) (1 fen). Coarsely grind and sieve. Take 3 qian per dose. Add one large cup of water, three leaves of Menthae Haplocalycis Herba (Bohe, 薄荷), one inch of Allii Fistulosi Bulbus (Congbai, 葱白), two slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct until six parts remain. Strain. Take hot.
Zhizi Tang (Gardenia Decoction): Treats epidemic on days 1-2, headache, high fever, internal heat.
Ingredients: Gardeniae Fructus (Zhizi, 栀子) (3 liang), Scutellariae Radix (Huangqin, 黄芩) (3 liang), Sojae Semen Praeparatum (Douchi, 豉) (stir-fried, wrapped in silk), Allium tuberosum (Cong, 葱) (cut, each 1 sheng), Gypsum Fibrosum (Shigao, 石膏) (crushed, wrapped in silk, 4 liang), Puerariae Radix (Gegen, 葛根) (4 liang, cut). Cut ingredients. Decoct in seven sheng of water until two sheng and six tou remain. Strain. Divide into three warm doses. Take again after walking eight or nine li. Taboos: noodles, alcohol, cold/raw foods.