方在前
有人病发热恶寒自汗,脉浮而微弱,三服此汤而愈。此方在仲景一百十三方内,独冠其
首。今人全不用,苦哉。仲景云∶太阳中风,阳浮而阴弱,阳浮者热自发,阴弱者汗自出,
啬啬
所以
名
发
之
不
治胃中有热有湿有宿谷,相抟发黄。
茵陈蒿(嫩者,一两半) 大黄(三分,以湿纸裹甑上蒸) 栀子(小者十枚去皮)
上粗末,每服一钱,水一盏半,煎至八分,去滓,调五苓散二钱服,以知为度。
五苓散。治伤寒温热病表里未解,头痛发热,口燥咽干,烦渴饮水,或水入即吐,或小
便不利,及汗出表解烦渴不止者宜服。又治霍乱吐泻,燥渴引饮。
猪苓(去黑皮,一两半) 泽泻(二两半) 白术(一两半) 白茯苓(去皮,一两半)
桂(
一两,去粗皮,不见火)
上件各事持捣为散,拌匀,每服三钱,白汤调下,不计时候,服讫多饮热汤。汗出即愈
。又
服。
治头中寒湿发黄胆。
瓜蒂(二七个) 赤小豆 秫米(各二七粒)
上细末,水法丸如大豆大,一枚许纳鼻中,缩鼻令入,当出黄水,切不可吹入。
庚戌年避地维扬界,有一家病伤寒七八日,身体洞黄,鼻目皆痛,两髀及项颈腰脊强急
,大
而
调五
又记一家病身体痛,面黄喘满,头痛,自能饮食,大小便如经。予诊之脉大而虚,鼻塞
且烦
发
药
之
又记一舟梢病伤寒发黄,鼻内酸痛,身与目如金,小便赤而数,大便如经。或者欲用茵
陈五
清道
鼻
一呷散,即《九龠卫生》方驱风妙应散。疗危恶诸风,角弓反张,失音不语,牙关紧急
,涎潮发搐,目瞪直视,精神昏塞。(呷迄甲切吸呷也)
大天南星(不拘多少)
上选腊辰日,以河水露星宿下浸四十九日,浸毕取出,用米泔水洗去滑,焙干为细末。
每服大人用一钱,小儿一字。并生姜薄荷汤调服。如牙关紧急,口紧不开,即斡开口。先以
此药
方剂在前文。
有人患发热、恶寒、自汗,脉象浮而微弱,服用此汤药三剂后痊愈。此方在张仲景的一百一十三首方剂中,唯独排在首位。如今人们完全不再使用它,真是令人痛心啊。张仲景说:太阳中风证,脉象阳部浮而阴部弱,阳浮则热自发,阴弱则汗自出,(所以)名为发汗之剂(注:此处原文有缺漏或错简,结合上下文及中医理论,意指因营卫不和导致汗出,故需调和营卫以解表)。
治疗胃中有热、有湿、有宿食,相互搏结导致发黄。
茵陈蒿(嫩的,一两半) 大黄(三分,用湿纸包裹放在蒸笼上蒸) 栀子(小的十枚,去皮)
以上药物捣成粗末,每次服用一钱,加水一盏半,煎至八分,去渣滓,调入五苓散二钱服用,以见效为度。
五苓散。治疗伤寒温热病表里之邪未解,头痛发热,口燥咽干,烦躁口渴想喝水,或者水入即吐,或者小便不利,以及出汗后表证已解但烦渴不止者适宜服用。又治疗霍乱引起的呕吐腹泻,燥渴引饮。
猪苓(去掉黑皮,一两半) 泽泻(二两半) 白术(一两半) 白茯苓(去皮,一两半)
桂枝(一两,去掉粗皮,不经过火炒)
以上各味药分别捣碎过筛成为散剂,拌匀,每次服用三钱,用温开水调服,不限时候,服完后多喝热汤。出汗即愈。如果没好,再服用。
治疗头部受寒湿侵袭导致发黄、胆热。
瓜蒂(二十七个) 赤小豆 秫米(各二十七个)
以上药物研成细末,用水泛丸如大豆大小,取一枚塞入鼻中,收缩鼻孔使其进入,应当流出黄水,切不可吹入。
庚戌年避难于维扬界内,有一家人患伤寒七八天,身体呈深黄色,鼻子和眼睛都疼痛,两大腿及项颈腰脊僵硬紧急,大便...(原文此处有缺漏,推测为大便异常或不通),调...(原文残缺)。
又记得一家人患病身体痛,面色黄,气喘胸闷,头痛,能正常饮食,大小便如常。我诊察其脉象大而虚,鼻塞且烦躁...(原文残缺)。
又记得一个船夫患伤寒发黄,鼻内酸痛,身体和眼睛像金子一样黄,小便红且频数,大便如常。有人想用茵陈...(原文残缺)清道...(原文残缺)。
一呷散,即《九龠卫生》中的驱风妙应散。治疗危重恶劣的各种风症,角弓反张,失音不语,牙关紧急,涎潮发作抽搐,眼睛瞪大直视,精神昏沉闭塞。(“呷”读音为甲切,意为吸吮)
大天南星(不拘多少)
以上选择腊月辰日,用河水在天星宿下浸泡四十九天,浸完后取出,用米泔水洗去滑腻,焙干研成细末。
每次服用,成人用一钱,小儿用一字量。并用生姜薄荷汤调服。如果牙关紧急,口紧不开,就撬开嘴巴。先用此药...(原文未完)
The formula is in the preceding text.
A person suffered from fever, aversion to cold, and spontaneous sweating, with a floating and weak pulse. After taking this decoction for three doses, he recovered. Among Zhang Zhongjing's one hundred and thirteen formulas, this one uniquely holds the first place. Nowadays, people do not use it at all; it is truly lamentable. Zhang Zhongjing said: In Taiyang Wind-Strike (Taiyang Fengzhong), the pulse is floating on the Yang position and weak on the Yin position. Floating Yang indicates spontaneous heat, while weak Yin indicates spontaneous sweating, (therefore) it is named as a method to induce sweating (Note: The original text here has omissions or textual corruption; combined with context and TCM theory, it implies that due to disharmony of Ying and Wei leading to sweating, one needs to harmonize Ying and Wei to release the exterior).
Treats yellowing caused by heat, dampness, and retained food in the stomach interfering with each other.
Yinchen Hao (Artemisiae Scopariae Herba, tender ones, 1 liang 5 qian) Dahuang (Rhei Radix et Rhizoma, 3 fen, wrapped in wet paper and steamed) Zhizi (Gardeniae Fructus, small ones, 10 pieces, skin removed)
Crush the above ingredients into coarse powder. Take 1 qian per dose, add 1.5 zhan of water, boil until reduced to 0.8 zhan, remove the dregs, mix in 2 qian of Wuling San, and take. Stop when effective.
Wuling San (Poria Decoction). Treats Shanghan (Cold Damage) and warm diseases where both exterior and interior pathogens remain unresolved, manifesting as headache, fever, dry mouth and throat, irritability, thirst with desire to drink, or vomiting immediately after drinking water, or difficulty in urination. It is also suitable for cases where sweating resolves the exterior pathogen but irritability and thirst persist. Furthermore, it treats Huoluan (Cholera-like disorder) with vomiting and diarrhea, accompanied by dryness, thirst, and desire to drink.
Zhuling (Polyporus, black skin removed, 1 liang 5 qian) Zexie (Alismatis Rhizoma, 2 liang 5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 5 qian) Baifuling (Poria with Hostwood, skin removed, 1 liang 5 qian) Guizhi (Cinnamomi Ramulus, 1 liang, outer bark removed, not stir-fried)
Grind each of the above ingredients separately into a powder, mix well. Take 3 qian per dose, mixed with warm boiled water. Time of administration is not restricted. After taking, drink plenty of hot water. Recovery occurs with sweating. If not cured, take again.
Treats yellowing and gallbladder heat caused by cold-dampness invading the head.
Gouti (Momordicae Semen, 27 seeds) Chixiaodou (Vigna angularis, 27 seeds) Shumi (Sorgi Semen, 27 seeds)
Grind the above into fine powder. Make pills the size of soybeans using water. Insert one pill into the nostril, contract the nostril to help it enter. Yellow fluid should discharge. Do not blow the powder into the nose.
In the Gengxu year, while seeking refuge in the Weiyang border area, a family suffered from Shanghan for seven to eight days. Their bodies were deeply yellow, their noses and eyes hurt, their thighs, neck, waist, and spine were stiff and tight, and their stool... (text missing here, likely indicating abnormality)... adjust... (text incomplete).
I also recall another family suffering from body pain, yellow complexion, asthma and chest fullness, headache, yet able to eat normally, with normal bowel movements and urination. Upon diagnosis, their pulse was large and deficient, nasal congestion, and irritability... (text incomplete).
I also recall a boatman suffering from Shanghan-induced yellowing, soreness and pain inside the nose, body and eyes as yellow as gold, red and frequent urination, and normal stool. Some wanted to use Yinchens... (text incomplete) Qingdao... (text incomplete).
Yiqia San (One-Sip Powder), which is the Qufeng Miaoying San (Miraculous Response Powder for Expelling Wind) from *Jiu Yue Weisheng*. It treats severe and malignant wind syndromes, such as opisthotonos (angular rigidity), aphonia, jaw stiffness, salivary flooding with convulsions, staring eyes, and mental dullness. ("Xi" is pronounced like 'jia', meaning to sip/inhale).
Datian Nanxing (Arisaematis Rhizoma, any amount)
Select a day in the twelfth lunar month during the Chen hour. Soak in river water under the starry sky for forty-nine days. After soaking, take out, wash off the slime with rice water, bake dry, and grind into fine powder.
Adult dosage: 1 qian per dose; Pediatric dosage: 1 zi (approx. 0.1-0.2 qian). Mix with ginger and mint decoction. If jaw is stiff and mouth cannot open, pry it open. First use this medicine... (text unfinished)