患此病者,初得之亦并不显寻常瘟疫应有等症,不过头微痛,身微觉拘急寒热,心腹微觉疼
痛胀满;三两日内抖然妄见鬼神,狂言直视,口吐涎沫,鼻中流涕,手足躁扰,奔走狂叫,脉沉
紧而数,身体不热。亦有热者,却与邪入阳明胃腑发狂迥
异。此感疫疠之气,风火痰三者合而成病。不急治,三二日即毙。宜先针少商穴并十指,(刺法见前。)
急服竹沥解疫煎一二剂神效。此亦世所罕有之症,曾有患此者,余深觉 异。因思暴病皆属于
火,怪病皆属于痰,以意为之,先用刺法,后用药饵辄效。一时患者数人,方知其为疫也,治之
应手而愈,遂定其名曰痰疫,笔之以备采择焉。
竹沥解疫煎 (自定新方。)
黄连 黄芩 栀子 胆草 僵蚕(泡,焙) 胆星 蒌仁(去油研) 川贝(去心研) 橘红
半夏(制)
流水煎熟,用竹沥、姜汁兑服,总以竹沥为君。(多则一盅,少亦半盅。)
上七十二疫症,或谓命名多不雅驯,言之不文,似未足以行远也。余应之曰∶此真所谓少所
见则多所怪也!余周行海内,越历已深,其症大概北省恒多,而南国恒少。饥馑之岁常多,而丰
乐之年颇少。且其命名也,皆出自经史子集,名山石室,并良医口授,试之而历有奇效,方敢笔
之于书。洵非无稽之谈,索隐鄙倍者之可同日而语也。试观古今来医书中字句之欠通,歌
辞之鄙俚,平仄乖违而读不上口者,未可更仆,以视余之说疫中而敢有是乎。以上不过数症,命
名仍其方言土语耳。而说者辄目之为涉俗,独不闻古圣人于迩言,犹必察焉耶。吾愿世之大方家,
阅是书者,不鄙薄焉,而以为刍荛之尚堪询也,则浓幸矣!松峰再志。
患这种病的人,起初并没有显现出一般瘟疫应有的症状,只是头部轻微疼痛,身体略微感到拘紧、怕冷发热,心腹部略微感到疼痛、胀满;两三天内突然胡言乱语、看见鬼神,疯狂言语、眼睛直视,口吐涎沫,鼻子流涕,手足躁动不安,奔跑狂叫,脉象沉紧而数,身体不发热。也有发热的,但却与邪气传入阳明胃腑导致发狂的情况截然不同。这是感染了疫疠之气,风、火、痰三者结合而成的疾病。如果不及时治疗,两三天内就会死亡。适宜先针刺少商穴和十宣穴(刺法见前文),急服竹沥解疫煎一两剂,效果神奇。这也是世间罕见的病症,曾经有患此病的人,我深感诧异。因为想到暴病多属于火,怪病多属于痰,凭心意拟定治疗方案,先用刺法,后用药物,果然见效。当时患者有好几人,才知道这是疫病,治疗时手到病除,于是定名为“痰疫”,记录下来以备参考选用。
竹沥解疫煎 (自定新方。)
黄连 黄芩 栀子 龙胆草 僵蚕(浸泡后焙干) 胆南星 瓜蒌仁(去油研碎) 川贝母(去心研碎) 橘红 半夏(炮制)
用流水煎煮至熟,加入竹沥、姜汁兑服,以竹沥为君药。(用量多则一杯,少则半杯。)
以上七十二种疫病症状,有人说是命名大多不雅驯,言语不文采,似乎不足以流传久远。我回答说:这真所谓是少见多怪!我周游四海,阅历已深,这些病症大致北方省份常多,而南方国家常少。饥荒年份常多,而丰乐之年较少。而且其命名,都出自经史子集、名山石室,以及良医的口授,试用后历代都有奇效,才敢记录在书中。确实不是无稽之谈,那些寻求隐僻鄙俗言论的人不可同日而语。试看古今医书中字句不通顺、歌诀鄙陋粗俗、平仄违背读不上口的情况,多得无法一一列举,与我所说的疫病相比,难道能相提并论吗?以上不过几种病症,命名仍沿用方言土语罢了。而议论者却指责它涉入世俗,难道没听说古圣人对近处的言语,还要仔细考察吗?我希望世上的大方之家,阅读这本书的人,不要轻视它,认为它像割草打柴者的意见那样值得咨询,那就非常幸运了!松峰再次记述。
Patients suffering from this disease initially do not exhibit the typical symptoms expected of common epidemics; they merely experience slight headache, mild body stiffness with aversion to cold and fever, and slight pain, distension, and fullness in the heart and abdomen. Within two or three days, they suddenly hallucinate seeing ghosts and deities, speak madly with fixed gaze, salivate excessively, have a runny nose, exhibit restlessness of hands and feet, run around screaming wildly, present with a deep, tight, and rapid pulse, and have no body heat. Some may have fever, but this is distinctly different from mania caused by pathogenic factors entering the Yangming Stomach organ. This condition arises from contracting epidemic pestilential qi, where wind, fire, and phlegm combine to cause illness. If not treated urgently, death will occur within two or three days. It is advisable to first prick the Shaoshang (LU-11) acupoint and the ten fingertips (pricking method see previous section), then urgently administer Zhu Li Jie Yi Decoction (Bamboo Sap Epidemic-Resolving Decoction) for one to two doses, which yields miraculous effects. This is also a rare condition in the world; I once encountered a patient with this ailment and felt it was highly unusual. Recalling that acute diseases often belong to fire, and strange diseases often belong to phlegm, I devised a treatment plan based on this reasoning: using pricking therapy first, followed by herbal medication, which proved effective. When several patients appeared at once, I realized it was an epidemic. The treatment was successful upon application, so I named it "Tan Yi" (Phlegm Epidemic) and recorded it for reference.
Zhu Li Jie Yi Decoction (Self-formulated new prescription.)
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi), Gentianae Radix et Rhizoma (Danchao), Bombyx Batryticatus (Jiangcan - soaked and roasted), Arisaematis Cum Bile (Danning), Trichosanthis Semen (Louren - oil removed and ground), Fritillariae Cirrhosae Bulbus (Chuanbei - heart removed and ground), Citri Reticulatae Pericarpium (Juhong), Pinelliae Rhizoma Preparatum (Banxia).
Decoct with running water until cooked. Mix with Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi) before administration, with Bamboo Sap as the sovereign herb. (Dosage: up to one cup, or at least half a cup.)
Regarding the names of the above seventy-two epidemic conditions, some argue that the naming is indecorous and lacks literary elegance, seemingly insufficient for long-term dissemination. I respond: This is truly what is called "seeing little and marveling much"! I have traveled throughout the land and gained profound experience. These conditions are generally more common in northern provinces and less common in southern regions. They are frequent during years of famine and rare during years of abundance. Furthermore, their names are derived from classics, histories, philosophical works, collections, famous mountains' stone chambers, and oral teachings of skilled physicians. Having tested them over generations with remarkable efficacy, I dared to record them in writing. This is certainly not baseless talk, nor can it be compared with those who seek obscure and vulgar expressions. Observe the ungrammatical sentences and vulgar rhymes in medical books throughout history, where tonal patterns are violated and difficult to recite; there are too many to count. Compared to my discourse on epidemics, how can they be equated? The above are only a few conditions, named after local dialects and colloquialisms. Critics label them as vulgar, yet do they not recall that ancient sages still examined even the words of ordinary people? I hope that great masters and readers of this book will not disdain it, but consider it worthy of consultation like the advice of grass-cutters and wood-choppers. Then I would be extremely fortunate! Songfeng records again.