(附论)
夫热病六日。厥阴受病。气入于肠胃。其人烦满而阴缩。故可下而愈也。
方
大青饮子(出圣惠方)治热病六日不解。通身肉热。毒瓦斯令人更相染着。宜
服
。
大青 生地黄(各二两) 石膏(三两) 香豉(二合) 葛根(锉) 栀子仁(各一
两) 川芒
硝(三两) 甘草(半两炙微赤锉) 上都细锉和匀。每服半两。以水一大盏。煎至五分。
去滓。
不计时候。温服。
鳖甲散(出圣惠方)治热病六日。热势弥固。大便 涩。心腹痞满。饮食不
下
。精神昏乱。恍惚狂言。其脉洪数。宜服。
鳖甲(涂醋炙令黄去裙 ) 羚羊角屑 赤茯苓 白藓皮 枳壳(麸炒微黄去瓤) 杏
仁
(汤浸去皮尖双仁麸炒微黄) 茵陈(各一两) 甘草(半两炙微赤锉) 川大黄(二两锉
碎微炒)
上为粗散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
栀子散(出圣惠方)治热病六日。胃中瘀热。皮肤赤黄。心身烦闷。大小便
不利。宜服。
栀子仁 葛根(锉) 茵陈 土瓜根 川升麻 川大黄(锉碎微炒) 川芒硝 木通(锉
各
一两) 甘草(半两炙微赤锉) 上为粗散。每服五钱。以水一大盏。煎至五分。去滓。不
计
时候。温服。
石膏散(出圣惠方)治热病六日不解。壮热头疼。小便赤涩。口内生疮。粥
食不下。宜服。
石膏 知母 柴胡(去苗) 秦艽(去苗) 木通(锉各一两) 栀子仁(一两半) 麦
门冬
(去心) 黄连(去须三分) 甘草(半两炙微赤锉) 上为散。每服五钱。用水一大盏。
煎至五
分。去滓。入蜜一合。搅令匀。更煎三沸。放温。慢慢含咽之。
苦参汤(出千金方)治热病五六日以上。
苦参(三两) 黄芩(二两) 生地黄(八两) 上 咀。以水八升。煎取二升。适寒
温。服
一升。日再服。或吐下毒则愈。
(附论)
热病到了第六天,厥阴经受邪。病气传入肠胃。患者会出现心烦胀满、阴部收缩的症状。因此可以采用泻下的方法治疗而痊愈。
方剂
大青饮子(出自《圣惠方》),治疗热病六日未解。全身肌肉发热,毒气导致相互传染。适宜服用。
大青、生地黄(各二两)、石膏(三两)、香豉(二合)、葛根(切碎)、栀子仁(各一两)、川芒硝(三两)、甘草(半两,炙至微红并切碎)。以上药物都切成细末并混合均匀。每次服用半两,用水一大盏,煎煮至剩余五分之一的药液。滤去药渣。
不分时候,温服。
鳖甲散(出自《圣惠方》),治疗热病六日。热势更加坚固,大便干涩不通,心腹部痞塞胀满,饮食无法咽下。精神昏乱,恍惚胡言乱语。脉象洪大而数。适宜服用。
鳖甲(涂醋炙至黄色,去除裙边)、羚羊角屑、赤茯苓、白藓皮、枳壳(麸炒至微黄,去除瓤)、杏仁(热水浸泡去皮尖及双仁,麸炒至微黄)、茵陈(各一两)、甘草(半两,炙至微红并切碎)、川大黄(二两,切碎微炒)。
以上药物制成粗散。每次服用五钱,用水一大盏,煎煮至剩余五分之一的药液。滤去药渣。
不分时候,温服。
栀子散(出自《圣惠方》),治疗热病六日。胃中有瘀积之热,皮肤呈现赤黄色,心胸身体烦闷,大小便不利。适宜服用。
栀子仁、葛根(切碎)、茵陈、土瓜根、川升麻、川大黄(切碎微炒)、川芒硝、木通(切碎,各一两)、甘草(半两,炙至微红并切碎)。以上药物制成粗散。每次服用五钱,用水一大盏,煎煮至剩余五分之一的药液。滤去药渣。
不分时候,温服。
石膏散(出自《圣惠方》),治疗热病六日未解。高热头痛,小便赤涩,口腔内生疮,粥食无法咽下。适宜服用。
石膏、知母、柴胡(去苗)、秦艽(去苗)、木通(切碎,各一两)、栀子仁(一两半)、麦门冬(去心)、黄连(去须,三分)、甘草(半两,炙至微红并切碎)。以上药物制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分之一的药液。滤去药渣,加入蜂蜜一合,搅拌均匀,再煮沸三次。放温后,慢慢含咽。
苦参汤(出自《千金方》),治疗热病五六日以上。
苦参(三两)、黄芩(二两)、生地黄(八两)。以上药物切碎,用水八升,煎取二升药液。温度适宜时,服用一升,每日两次。如果通过呕吐或泻下排出毒素则痊愈。
(Attached Discussion)
On the sixth day of febrile disease, the Jueyin (Jueyin Meridian) is affected. The pathogenic qi enters the stomach and intestines. The patient experiences irritability, fullness, and retraction of the genitals. Therefore, purgation can be used to achieve a cure.
Formulas
Daqing Yinzi (Great Blue Decoction; from *Shenghui Fang*), treating febrile disease that has persisted for six days without resolution. It addresses generalized muscular heat and toxic factors causing mutual infection. It is suitable for administration.
Daqing (Isatidis Folium), Shengdihuang (Rehmanniae Radix) (each 2 liang), Shigao (Gypsum Fibrosum) (3 liang), Xiangchi (Sojae Semen Praeparatum) (2 he), Gegen (Puerariae Radix) (cut), Zhiziren (Gardeniae Fructus) (each 1 liang), Chuan Mangxiao (Natrii Sulfas) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and cut). All ingredients are finely cut and mixed evenly. Each dose consists of 0.5 liang. Add one large cup of water, decoct until one-fifth remains. Strain off the dregs.
Take warm at any time.
Biejia San (Tartar Testudinis Powder; from *Shenghui Fang*), treating febrile disease on the sixth day. The heat intensity becomes firmly entrenched, with dry and difficult defecation, epigastric and abdominal distension and fullness, inability to ingest food and drink. Mental confusion, delirious speech due to恍惚 (trance-like state), and manic talk occur. The pulse is surging (Hong) and rapid (Shu). It is suitable for administration.
Biejia (Testudinis Carapax et Plastrum, coated with vinegar and fried until yellow, remove skirt edges), Lingyangjiaoxie (Saigae Tataricae Cornu), Chi Fuling (Poria cum Radix Pini Rossea), Baixianpi (Dictamni Cortex), Zhike (Aurantii Fructus, bran-fried until slightly yellow, remove pith), Xingren (Armeniacae Semen, soaked in hot water, peel and remove tips and double kernels, bran-fried until slightly yellow), Yichen (Artemisiae Scopariae Herba) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and cut), Chuan Dahuang (Rhei Radix et Rhizoma) (2 liang, cut into pieces and slightly fried).
Grind all ingredients into a coarse powder. Each dose is 5 qian. Add one large cup of water, decoct until one-fifth remains. Strain off the dregs.
Take warm at any time.
Zhizi San (Gardeniae Fructus Powder; from *Shenghui Fang*), treating febrile disease on the sixth day. Stagnant heat in the stomach, reddish-yellow skin, irritability and oppression in the heart and body, and difficulty in urination and defecation. It is suitable for administration.
Zhiziren (Gardeniae Fructus), Gegen (Puerariae Radix) (cut), Yichen (Artemisiae Scopariae Herba), Tugua Gen (Polymniae Radix), Chuan Shengma (Cimicifugae Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma) (cut into pieces and slightly fried), Chuan Mangxiao (Natrii Sulfas), Mutong (Akebiae Caulis) (cut, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and cut). Grind all ingredients into a coarse powder. Each dose is 5 qian. Add one large cup of water, decoct until one-fifth remains. Strain off the dregs.
Take warm at any time.
Shigao San (Gypsum Fibrosum Powder; from *Shenghui Fang*), treating febrile disease that has persisted for six days without resolution. High fever, headache, reddish and difficult urination, sores in the mouth, inability to consume porridge or food. It is suitable for administration.
Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Chaihu (Bupleuri Radix) (remove seedlings), Qinjiao (Gentianae Macrophyllae Radix) (remove seedlings), Mutong (Akebiae Caulis) (cut, each 1 liang), Zhiziren (Gardeniae Fructus) (1.5 liang), Maimendong (Ophiopogonis Tuber) (remove heart), Huanglian (Coptidis Rhizoma) (remove roots, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and cut). Grind all ingredients into a powder. Each dose is 5 qian. Add one large cup of water, decoct until one-fifth remains. Strain off the dregs, add one he of honey, stir well, boil three more times. Allow to cool to a warm temperature, then slowly suck and swallow.
Kushen Tang (Sophorae Flavescentis Radix Decoction; from *Qianjin Fang*), treating febrile disease lasting five to six days or more.
Kushen (Sophorae Flavescentis Radix) (3 liang), Huangqin (Scutellariae Radix) (2 liang), Shengdihuang (Rehmanniae Radix) (8 liang). Cut all ingredients. Add eight sheng of water, decoct to obtain two sheng of liquid. When the temperature is suitable, take one sheng. Take twice daily. If toxins are expelled through vomiting or purgation, the disease will resolve.