瓜瓤瘟者。胸高胁起。呕血如汁者是也。宜生犀饮。
生犀饮
犀角(二钱镑) 苍术(泔水浸麻油炒一钱) 川黄连(一钱) 黄土(五钱)
茶叶(一大撮) 金汁(半盏)
上五味。水煎去滓。入金汁搅和。日三夜二服。如大便结加大黄。渴加栝蒌根。虚加人参。盐
水炒。表热去苍术、黄土。加桂枝、黄连。便脓血去苍术。倍黄土。加黄柏。便滑以人中黄代金汁。
杨梅瘟者。遍身紫块。忽然发出霉疮者是也。清热解毒汤。下人中黄丸。并刺块出血。
人中黄丸
大黄(三两溺浸) 人中黄(如无坑垢代之) 苍术(去皮麻油炒) 桔梗
滑石(各二两) 人参 黄连(酒洗) 防风(各五钱) 香附(姜汁拌勿炒一两五钱)
上神曲为丸。气虚四君子汤送。血虚四物汤送。痰甚二陈汤送。热甚童便送。通
用清热解毒汤送二三服。
清热解毒汤
黄连(酒洗) 黄芩(酒洗) 白芍药(酒洗) 生地 人参(各三钱) 石膏(鸡
子大碎) 羌活 知母(各二钱) 甘草(生一钱五分) 升麻 葛根(各一钱
)生姜(二钱切)
上以水一斗。煮取五升。每服一升。日三夜二服。
疙瘩瘟者。发块如瘤。遍身流走。旦发夕死者是也。三棱针刺入委中三分出血。及服人中黄散。
人中黄散
辰砂 雄黄(各一钱五分) 人中黄(一两)
上为末。薄荷桔梗汤下二钱。日三夜二服。
瓜瓤瘟,表现为胸部高耸、胁肋部隆起,呕吐物如血水状。治疗宜用生犀饮。
生犀饮
犀角(二钱,镑成薄片) 苍术(用米泔水浸泡,以麻油炒制一钱) 川黄连(一钱) 黄土(五钱)
茶叶(一大撮) 金汁(半盏)
以上五味药,加水煎煮,去渣后加入金汁搅匀。每日服三次,夜间服两次。若大便干结,加大黄;口渴,加栝蒌根;体虚,加人参(用盐水炒)。若表热明显,去掉苍术、黄土,加桂枝、黄连。若便脓血,去掉苍术,加倍使用黄土,加黄柏。若大便滑泄不止,用人中黄代替金汁。
杨梅瘟,表现为全身出现紫色斑块,突然发出类似霉疮的症状。治疗宜用清热解毒汤,并服用中人黄丸,同时针刺斑块使其出血。
人中黄丸
大黄(三两,用尿液浸泡) 人中黄(若无可用坑垢替代) 苍术(去皮,用麻油炒) 桔梗
滑石(各二两) 人参 黄连(酒洗) 防风(各五钱) 香附(姜汁拌,不炒,一两五钱)
以上药物,用神曲粉制成丸剂。气虚者用四君子汤送服,血虚者用四物汤送服,痰湿重者用二陈汤送服,热盛者用童便送服。通用清热解毒汤送服二三服。
清热解毒汤
黄连(酒洗) 黄芩(酒洗) 白芍药(酒洗) 生地 人参(各三钱) 石膏(鸡蛋大小,捣碎) 羌活 知母(各二钱) 甘草(生用一钱五分) 升麻 葛根(各一钱) 生姜(二钱,切片)
以上药物,用水一斗,煎煮取五升。每次服一升,每日服三次,夜间服两次。
疙瘩瘟,表现为身上长出如瘤状的肿块,遍布全身且游走不定,早晨发作晚上死亡的病症。治疗宜用三棱针刺入委中穴三分深,放出血液,并服用人中黄散。
Gua Rang Wen (Melon Rind Plague) is characterized by a protruding chest and distended hypochondrium, with vomiting of fluid resembling blood. The appropriate prescription is Sheng Xi Yin (Raw Rhinoceros Horn Decoction).
Sheng Xi Yin (Raw Rhinoceros Horn Decoction)
Xi Jiao (Rhinoceri Cornu, 2 qian, shaved into flakes) Cang Zhu (Atractylodis Rhizoma, soaked in rice water, stir-fried with sesame oil, 1 qian) Chuan Lian Lian (Coptidis Rhizoma, 1 qian) Huang Tu (Terrae Rubrae Colla, 5 qian) Cha Ye (Tea Leaves, a large pinch) Jin Zhi (Human Feces Juice, half zhan)
Take the above five ingredients, decoct with water, remove the dregs, add Jin Zhi, and mix well. Administer three times during the day and twice at night. If stool is constipated, add Da Huang (Rhei Radix et Rhizoma); if thirsty, add Gua Lou Gen (Trichosanthis Radix); if deficient, add Ren Shen (Ginseng Radix), stir-fried with salt water. If exterior heat is prominent, remove Cang Zhu and Huang Tu, and add Gui Zhi (Cinnamomi Ramulus) and Huang Lian (Coptidis Rhizoma). If pus and blood appear in stool, remove Cang Zhu, double the amount of Huang Tu, and add Huang Bo (Phellodendri Cortex). If there is loose stool with incontinence, replace Jin Zhi with Ren Zhong Huang (Human Excrement Powder).
Yang Mei Wen (Bayberry Plague) is characterized by purple patches all over the body that suddenly erupt like mildew sores. The treatment involves Qing Re Jie Du Tang (Clear Heat and Detoxify Decoction), administering Ren Zhong Huang Wan (Ren Zhong Huang Pills), and pricking the patches to release blood.
Ren Zhong Huang Wan (Ren Zhong Huang Pills)
Da Huang (Rhei Radix et Rhizoma, 3 liang, soaked in urine) Ren Zhong Huang (Human Excrement Powder, substitute with Keng Gou if unavailable) Cang Zhu (Atractylodis Rhizoma, peeled and stir-fried with sesame oil) Jie Geng (Platycodonis Radix) Hua Shi (Talcum, each 2 liang) Ren Shen (Ginseng Radix) Huang Lian (Coptidis Rhizoma, washed with wine) Fang Feng (Saposhnikoviae Radix, each 5 qian) Xiang Fu (Cyperi Rhizoma, mixed with ginger juice, not stir-fried, 1.5 liang)
Grind the above herbs into powder and use Shen Qu (Massa Medicata Fermentata) as a binder to make pills. For Qi deficiency, take with Si Jun Zi Tang (Four Gentlemen Decoction); for Blood deficiency, take with Si Wu Tang (Four Substances Decoction); for severe phlegm, take with Er Chen Tang (Two Aged Herbs Decoction); for intense heat, take with Tong Bian (Child's Urine). Generally, take two or three doses with Qing Re Jie Du Tang (Clear Heat and Detoxify Decoction).
Qing Re Jie Du Tang (Clear Heat and Detoxify Decoction)
Huang Lian (Coptidis Rhizoma, washed with wine) Huang Qin (Scutellariae Radix, washed with wine) Bai Shao Yao (Paeoniae Radix Alba, washed with wine) Sheng Di Huang (Rehmanniae Radix) Ren Shen (Ginseng Radix, each 3 qian) Shi Gao (Gypsum Fibrosum, size of a chicken egg, crushed) Qiang Huo (Notopterygii Rhizoma et Radix) Zhi Mu (Anemarrhenae Rhizoma, each 2 qian) Gan Cao (Licorice Root, raw, 1.5 qian) Sheng Ma (Cimicifugae Rhizoma) Ge Gen (Puerariae Lobatae Radix, each 1 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 2 qian, sliced)
Take one dou (approx. 10 liters) of water, boil down to five sheng (approx. 5 liters). Take one sheng per dose, three times during the day and twice at night.
Ge Da Wen (Lump Plague) is characterized by lump-like swellings on the body that wander all over, often resulting in death from morning onset to evening. The treatment involves puncturing the Wei Zhong (BL40) acupoint with a three-edged needle to a depth of 0.3 cun to release blood, and administering Ren Zhong Huang San (Ren Zhong Huang Powder).
Ren Zhong Huang San (Ren Zhong Huang Powder)
Chen Sha (Cinnabar) Xiong Huang (Realgar, each 1.5 qian) Ren Zhong Huang (Human Excrement Powder, 1 liang)
Grind the above herbs into fine powder. Take 2 qian with a decoction of Bo He (Menthae Haplocalycis Herba) and Jie Geng (Platycodonis Radix), three times during the day and twice at night.