捷嚏 初得厥而不知人事,宜不卧散吹擂。
调气 先用苏合香丸灌之,醒后看虚实治。
升发 卒厥暴死,飞尸鬼注,鬼击客忤,三因追魂汤,即麻黄汤。
宣 或七情痰气所致,故宜吐之。白子末汤调,服之吐。
清热养气 白虎加人参汤。虚甚者,独参汤。
温 表热内寒,下利清谷,食入则吐,或干呕,或汗,四肢冷,拘急,身体痛,不渴
,四逆汤。
常服芩连枳术丸,仍含后丸,用昆布、海藻、带各二钱,大力四钱,炒,为末,如后用
,效。
散 瓦松、海藻、昆布、海带、猪羊靥子,和为丸,如弹子大,每丸含化之。
导痰气 三棱丸。
此是感天地杀厉之气。声哑者,难治。
下虫 病在下,通天再造散。取虫及秽物方∶
郁金(一钱) 大黄(一两) 白牵牛(六钱,半生半熟) 皂角刺(一两,陈者) 共为末,
酒下五钱。
取涎 病在上,用醉仙散于牙缝中追毒取涎,方见后。
发散 痛者,养血药中加如圣散。
疏风清热 防风通圣散加生地、羌活、独活、大力子、白芷、蔓荆子。
宣 气实痰壅者,宜吐、汗之。
换肌 换肌丹方∶
当归 苦参(各二两) 川芎 抚芎 防风 荆芥穗 川羌活 独活 金蝎 蝉蜕(各一
两半,共为末) 大枫子(三斤,取净肉一斤)
上枫肉捣如泥,和陈米饭为丸,每服四十丸,空心至晚各进一服。
针 出恶血,取委中二穴,针之去恶血二三合。又黑紫疙瘩处,亦去恶血。
凉血泻火 四物加生地、荆芥穗、黄 、黄连、地骨、甘草、黄芩之类。
润肤 大枫子、枯矾、轻粉、苦参、白芷,为膏润之。痒者,加白芨、硝、雄黄。
追涎 鼻塞者,用猪牙皂角十条,微泡去皮,玄胡索大者三枚,青黛半钱,共为末,
滴水丸如鸡头大,晒干。
每一丸以水浸开,口含水,以药搐鼻中,其涎自出,后以水漱口自止。
醉仙散方∶服五七日后,牙缝中出涎。
胡麻 鼠粘子 枸杞子 蔓荆子(各一两,同炒) 白蒺藜 苦参 防风 栝蒌根(各半
两)上为末,每十五钱入轻粉一钱,茶汤调下。
洗浴 雄黄(研,生用,) 临时下黄柏、槐花、麻黄、苦、干姜(各一两),只为粗末
,用水一桶许,浸五日,令药水浓却,煎数沸,去渣,入缸或大桶内,令满,坐于内没身,
汗出为度,其虫取下,远去其水,于僻处理藏,换新衣着,大忌色欲、口味。
双解 乌蛇丸方∶皂角去皮弦子二十定,酥炙;白花蛇、乌蛇各一条,并酒浸,去骨
,焙干;苦参四两;大枫子三斤,内取净肉一斤。共为细末,以皂角十三定捶碎,以水五升
浸一宿,滤去渣,熬成膏,和前药为丸,桐子大
。每三十丸,欲利,温酒下,以利为度;欲汗,通圣散汁送下,三日服一遍,汗出为度。
敛疮药 风痒多用,寻常少用。
紫荆皮(四两) 白芨 赤小豆 斑蝥(去足翅) 明矾 全蝎(各二钱半)
上为细末,水调涂敷其疮,直到了不换,痊后其痂自落。
【厥证】
喷嚏:刚发作厥证且神志昏迷时,适宜用不卧散吹入鼻腔引发喷嚏。
调气:先用苏合香丸灌服,患者苏醒后,再根据虚实情况进行治疗。
升发:突发厥证导致假死、飞尸鬼注、鬼击客忤等症,使用三因追魂汤,即麻黄汤。
宣吐:如果是七情郁结或痰气阻滞所致,适宜采用催吐法。将白子末用汤剂调匀服用,可引发呕吐。
【温法】
表现为体表发热而体内寒冷,下利清谷(大便中有未消化的食物),进食后呕吐,或干呕,或出汗,四肢冰冷,筋脉拘挛紧急,身体疼痛,口不渴,使用四逆汤。
【瘿瘤/癞疮 常服方】
长期服用芩连枳术丸,并含服后方所述药丸。配方为:昆布、海藻、海带各二钱,大力子(牛蒡子)四钱,炒制后研为细末。用法同后方,有效。
【散剂】
瓦松、海藻、昆布、海带、猪靥子、羊靥子,混合制成丸药,大小如弹丸,每次含化一丸。
【病因】
这是感受天地间的杀厉之气所致。声音嘶哑者,难以治愈。
【下虫】
病位在下焦,使用通天再造散。
取虫及秽物方:郁金一钱,大黄一两,白牵牛六钱(半生半熟),皂角刺一两(陈旧的)。共研为细末,用酒送服五钱。
【取涎】
病位在上焦,使用醉仙散,从牙缝中引毒取涎,方剂见后方。
【疏风清热】
防风通圣散加生地、羌活、独活、大力子(牛蒡子)、白芷、蔓荆子。
【换肌】
换肌丹方:当归、苦参各二两;川芎、抚芎、防风、荆芥穗、川羌活、独活、金蝎(全蝎)、蝉蜕各一两半,共研为细末;大枫子三斤,取其净肉一斤。
将枫肉捣成泥状,与陈米饭混合制成丸药。每次服用四十丸,空腹至晚间各服一次。
【针刺】
放出恶血,取委中穴两个,针刺以去除二三合恶血。在黑紫疙瘩处,也去除恶血。
【凉血泻火】
四物汤加生地、荆芥穗、黄芪、黄连、地骨皮、甘草、黄芩等药。
【润肤】
大枫子、枯矾、轻粉、苦参、白芷,制成膏剂涂抹滋润。若有瘙痒,加入白芨、硝石、雄黄。
【追涎】
鼻塞者,用猪牙皂角十条,微泡后去皮,玄胡索大者三枚,青黛半钱,共研为细末,滴水泛丸如鸡头大,晒干。
每一丸用水浸开,口中含水,将药粉搐入鼻中,其涎液自然流出,随后用水漱口即可停止。
【醉仙散方】
服用五到七日后,牙缝中会流出涎液。
配方:胡麻、鼠粘子(牛蒡子)、枸杞子、蔓荆子各一两,同炒;白蒺藜、苦参、防风、栝蒌根各半两。上药研为细末,每十五钱药末加入轻粉一钱,茶汤调下。
【洗浴】
雄黄(研细,生用),临时加入黄柏、槐花、麻黄、苦参、干姜各一两,仅作为粗末。用水约一桶,浸泡五日,待药水浓稠后,煎煮数沸,去渣,倒入缸或大桶内,令水满,坐于其中全身浸入,以出汗为度。此时虫体被取下,远离水源,在僻静处掩埋,更换新衣。大忌房事和厚味饮食。
【双解】
乌蛇丸方:皂角去皮弦子二十定,酥炙;白花蛇、乌蛇各一条,酒浸后去骨,焙干;苦参四两;大枫子三斤,取其净肉一斤。共研为细末,取皂角十三定捶碎,用水五升浸泡一夜,滤去渣,熬成膏,与前药混合制成丸药,大小如梧桐子。
每次三十丸,欲通便者,用温酒送服,以通利为度;欲发汗者,用防风通圣散的汁液送服,三日服一次,以出汗为度。
【敛疮药】
多用于风痒,寻常情况少用。
配方:紫荆皮四两;白芨、赤小豆、斑蝥(去足翅)、明矾、全蝎各二钱半。
上药研为细末,用水调匀涂敷患处,直到不再更换药物,痊愈后痂皮自然脱落。
[Ju Syndrome]
Sneezing: When Ju syndrome first occurs accompanied by loss of consciousness, Buwo San (Non-Sleeping Powder) should be insufflated into the nasal cavity to induce sneezing.
Regulating Qi: First administer Suhexiang Wan (Styrax Pill). After the patient regains consciousness, treat according to deficiency or excess patterns.
Ascending and Dispersing: For sudden collapse resembling death, Feishi Guizhu (Flying Corpse Ghost Injection), Guiji Kewu (Ghost Strike Guest Adversity), use Sanyin Zhuihun Tang (Three Causes Soul-Chasing Decoction), which is Mahuang Tang (Ephedra Decoction).
Expelling via Vomiting: If caused by emotional stagnation or phlegm-qi obstruction, vomiting therapy is appropriate. Administer Baizi Mo (Baizi Powder) mixed with decoction to induce vomiting.
[Cooling Heat and Nourishing Qi]
Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng). For severe deficiency, use Dushen Tang (Single Ginseng Decoction).
[Warming Method]
Manifestations include exterior heat with interior cold, diarrhea with undigested food, vomiting after eating, dry heaving, sweating, cold limbs, muscle cramping and urgency, body pain, and absence of thirst. Use Sini Tang (Frigid Extremities Decoction).
[Chronic Administration for Ying/Lai]
Long-term administration of Qinlian Zhi Zhu Wan (Scutellaria, Coptis, and Atractylodes Pill), along with holding the following pill in the mouth. Formula: Kunbu (Kelp), Haizao (Seaweed), and Xidai (Kelp Stipe) each 2 qian; Dalili (Arctii Fructus, Bullard Thistle Fruit) 4 qian, stir-fried and powdered. Usage follows the subsequent formula; effective.
[Powders]
Wasong (Parmelia Vulpina), Haizao, Kunbu, Xidai, Zhu Ye (Pig Palate), and Yang Ye (Sheep Palate), mixed and formed into pills the size of a bullet. Hold one pill in the mouth to dissolve slowly per dose.
[Guiding Phlegm-Qi]
Sanleng Wan (Sparganium Pill).
[Etiology]
This results from contracting the killing and fierce qi of heaven and earth. Hoarseness indicates a difficult-to-treat condition.
[Expelling Parasites]
For lesions in the lower jiao, use Tongtian Zaizao San (Heaven-Penetrating Rebirth Powder).
Formula for Expelling Parasites and Filth: Yujin (Curcuma Radix) 1 qian, Dahuang (Rhei Radix et Rhizoma) 1 liang, Bai Qianniu (Pharbitidis Semen) 6 qian (half raw, half processed), Zaojiaoci (Gleditsiae Spina) 1 liang (aged). Powder together, take 5 qian with wine.
[Extracting Saliva]
For lesions in the upper jiao, use Zuixian San (Intoxicating Immortal Powder) to draw out toxins and saliva through the gum margins. See formula below.
[Dispersing]
For cases with pain, add Rusheng San (Like-Saint Powder) to blood-nourishing herbs.
[Dispersing Wind and Clearing Heat]
Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) plus Shengdi (Rehmanniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Dalili (Arctii Fructus), Baizhi (Angelicae Dahuricae Radix), and Manjingzi (Viticis Fructus).
[Expelling via Vomiting/Sweating]
For excess qi and phlegm congestion, vomiting and sweating therapies are appropriate.
[Skin Renewal]
Huanji Dan (Skin-Rejuvenating Elixir) Formula: Danggui (Angelicae Sinensis Radix) and Kushen (Sophorae Flavescentis Radix) each 2 liang; Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuxiong (Ligustici Chuanxiong Rhizoma - specific variety), Fangfeng (Saposhnikoviae Radix), Jingjisui (Schizonepetae Spica), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Duhuo, Jinjie (Scorpio), and Chantui (Cicadae Periostracum) each 1.5 liang, powdered together; Dafengzi (Aleuritidis Fructus) 3 jin, extracting 1 jin of clean meat.
Mash the枫 meat into a paste, mix with aged rice flour to form pills. Take 40 pills per dose, once on an empty stomach and once in the evening.
[Acupuncture]
To release evil blood, needle Weizhong (BL-40) twice to extract 2-3 he of evil blood. Also extract evil blood from black-purple nodules.
[Cooling Blood and Purging Fire]
Siwu Tang (Four Substances Decoction) plus Shengdi, Jingjisui, Huangqi (Astragali Radix), Huanglian (Coptidis Rhizoma), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), etc.
[Nourishing Skin]
Dafengzi, Kufan (Alumen Exsiccatum), Qingfen (Calomel), Kushen, Baizhi, made into an ointment for application. For itching, add Baiji (Bletillae Rhizoma), Xiaoshi (Natrii Sulfas), and Xionghuang (Realgar).
[Drawing Out Saliva]
For nasal congestion, use 10 stalks of Zhuya Zaojiao (Toothed Gleditsia Fruit), soaked slightly and peeled; 3 large Huye Suo (Corydalis Rhizoma); Qingdai (Indigo Naturalis) 0.5 qian. Powder together, make pills with water drops the size of a chicken head, and dry.
Soak one pill in water, hold water in the mouth, and insufflate the powder into the nose. Saliva will flow out naturally. Rinse mouth with water to stop.
[Zuixian San Formula]
After taking for 5-7 days, saliva will emerge from the gum margins.
Formula: Huma (Sesami Fructus), Niuzi (Arctii Fructus), Gouqizi (Lycii Fructus), Manjingzi (Viticis Fructus) each 1 liang, stir-fried together; Bajieli (Tribuli Fructus), Kushen, Fangfeng, Gualougen (Trichosanthis Radix) each 0.5 liang. Powder together. For every 15 qian of powder, add 1 qian Qingfen. Take mixed with tea soup.
[Bathing]
Xionghuang (Realgar, ground, used raw). Temporarily add Huangbai (Phellodendri Cortex), Huaihua (Sophorae Flos), Mahuang (Ephedrae Herba), Kushen, and Ganjiang (Zingiberis Rhizoma) each 1 liang. Make into coarse powder. Soak in approximately one bucket of water for five days until the liquid is concentrated. Boil briefly, strain, and pour into a tub or large barrel. Sit in it with the whole body submerged until sweating occurs. The parasites will be expelled. Dispose of the water far away and bury it in a secluded place. Change into new clothes. Strictly avoid sexual activity and rich flavors.
[Double Resolution]
Wushe Wan (Black Snake Pill) Formula: Zaojiao (Gleditsiae Fructus), peeled of skin and strings, 20 ding, fried with butter; Baihuashe (Bungarus multicinctus) and Wushe (Agkistrodon) each 1 strip, soaked in wine, bones removed, dried; Kushen 4 liang; Dafengzi 3 jin, extracting 1 jin of clean meat. Powder finely. Crush 13 ding of Zaojiao, soak in 5 sheng of water overnight, strain, boil down to a paste, and mix with the other medicines to form pills the size of tung seeds.
Take 30 pills per dose. To promote purgation, take with warm wine until bowel movement occurs. To induce sweating, take with Fangfeng Tongsheng San juice. Take once every three days until sweating occurs.
[Ulcer-Astringent Medicine]
Used frequently for wind-itch, rarely for ordinary conditions.
Formula: Zijingpi (Bauhiniae Cortex) 4 liang; Baiji, Chixiaodou (Phaseoli Semen), Banmao (Mylabris), Mingfan (Alumen), Quanxie (Scorpio) each 2.5 qian.
Powder finely, mix with water, and apply to the ulcer. Continue without changing until healed; the scab will fall off naturally after recovery.