达原饮 柴胡清燥汤 茵陈蒿汤
瓜蒂散 举斑汤 桃仁承气汤
犀角地黄汤 清燥养营汤 栝贝养营汤
槟榔顺气汤 普济消毒散 荆防败毒散
生犀饮 人中黄丸 清热解毒汤
人中黄散(方俱见前)
既济解毒汤
黄芩(一钱酒炒) 黄连(一钱酒炒) 桔梗(一钱) 甘草(五分生)
柴胡(五分) 升麻(七分) 连翘(一钱) 当归(一钱酒洗) 大黄(一钱酒煨)
上以水二盏。煎一盏。徐徐温服。
黄连解毒汤 黄连阿胶汤(二方俱见前)
黄连泻心汤
黄连 生地黄 知母(各一钱五分) 甘草(五分生)
上以水一盏半。煎八分温服。
黄连龙骨汤 治腹痛咽痛。体热烦苦。
黄连 黄芩 芍药(各八分) 龙骨(五分为末)
上以水一盏半。煎八分温服。
黄连犀角汤 治狐惑。
犀角(三钱磨汁) 黄连(二钱) 乌梅(四个) 木香(三钱磨汁)
上以水一盏半。入黄连、乌梅。煎八分。入犀角汁、木香汁和匀服。
黑膏 治疫毒发斑呕逆。
生地黄(二两六钱) 淡豆豉(二两六钱)
上二味。以猪膏六两合煎。令三分减一。绞去滓。取浓汁如膏。入明雄黄豆大麝香少许。和匀分三服。
犀角消毒汤
牛蒡子(炒) 防风(各二钱) 荆芥(一钱) 甘草(八分) 犀角(磨汁)
上 咀。每服三钱。水煎。入犀角汁服。
漏芦汤 治脏腑积热。发为肿毒。时疫疙瘩。头面洪肿。咽溢堵塞。水药不下。一切危恶疫疠。
漏芦 升麻 大黄 黄芩(各一两) 蓝叶 黑参(各二两)
上六味。为粗末。每服二钱。水一盏半。煎至六分。去滓温服。肿热甚加芒硝二
钱半。及生甘草、牛蒡子、连翘更神。
消毒丸
大黄 牡蛎(烧) 僵蚕(各一两炒)
上为末。蜜丸弹子大。新汲水化下一丸。无时。
雄黄丸
雄黄(一两研) 赤小豆(炒熟) 丹参 鬼箭羽(各二两)
上为细末。炼蜜丸如梧子大。每日空心以温水下五丸。虽同床共屋。亦不相染。
运气五瘟丹
黄芩 黄柏 黄连 山栀子 香附 紫苏 甘草梢 大黄
上七味生用。于冬至日为末。将大黄三倍。煎汤去滓。捣药丸如鸡子大。朱砂、雄
黄为衣。再贴金箔一丸。取泉水七碗。浸化可服七人。此药乙庚年黄芩为君。
丁壬年山栀子为君。丙辛年黄柏为君。戊癸年黄连为君。甲巳年甘草梢为君。
为君者多一倍也。余四味与香附、紫苏为臣者减半。每年热病。改为小丸。救人甚妙。
大青丸
薄荷 山栀子 黄芩 黄连(各三钱) 连翘(六钱) 甘草(三钱) 大黄 白龙骨粉(各八分)
上为末。用青蒿自然汁为丸。绿豆大。雄黄为衣。每服十丸。白汤送下。
二黄丸 治大头时疫。
黄连(酒炒) 黄芩(酒炒) 生甘草(各等分)
上 咀。每服五钱。水一盏半。煎八分。稍温徐徐呷之。
救急解毒丸
甘草 桔梗(各二两) 荆芥 防风 连翘 酒黄芩 酒大黄 薄
荷酒黄连 升麻(各一两) 僵蚕 蒲黄 青黛 盆消 射干(各五钱)
上十五味。共为极细末。罗净。以乌梅汤调柿霜和丸。如圆眼大噙化。煎汤亦可。
神授香苏散 治瘟疫。昔有城中大疫。一白发老人教富人合此药施病者。皆愈。疫鬼相顾曰。此老
教三人矣。遂遁。
紫苏 香附(各二两醋制) 陈皮(一两去白) 甘草(五钱)
上为细末。每服三钱。水一盏半。煎七分温服。
凡遇天行时气。恐其传染。须迟出早入。腹中常饱。身佩灵符。时焚椒、兰、芷、术清烈
之香。鼻孔涂雄黄最良。老君神明散。东坡圣散子等方。皆一派辛热燥烈有毒之
药。全无扶正驱邪逐秽解毒之品。不知医书。何以列之疫条。必系后人伪托。学人
慎勿徇名妄用。害人非浅。虞天民辨之最详。不可不考。
达原饮、柴胡清燥汤、茵陈蒿汤、瓜蒂散、举斑汤、桃仁承气汤、犀角地黄汤、清燥养营汤、栝贝养营汤、槟榔顺气汤、普济消毒散、荆防败毒散、生犀饮、人中黄丸、清热解毒汤、人中黄散(这些方剂均见前文)。
既济解毒汤:
黄芩(一钱,酒炒)、黄连(一钱,酒炒)、桔梗(一钱)、甘草(五分,生用)、柴胡(五分)、升麻(七分)、连翘(一钱)、当归(一钱,酒洗)、大黄(一钱,酒煨)。
以上药物用水两盏,煎至一盏,慢慢温服。
黄连泻心汤:
黄连、生地黄、知母(各一钱五分)、甘草(五分,生用)。
以上药物用水一盏半,煎至八分,温服。
黄连龙骨汤:治疗腹痛、咽痛、身体发热、烦躁痛苦。
黄连、黄芩、芍药(各八分)、龙骨(五钱,研为细末)。
以上药物用水一盏半,煎至八分,温服。
黄连犀角汤:治疗狐惑病。
犀角(三钱,磨取汁)、黄连(二钱)、乌梅(四个)、木香(三钱,磨取汁)。
以上药物用水一盏半,放入黄连和乌梅,煎至八分,加入犀角汁和木香汁,混合均匀后服用。
黑膏:治疗疫毒引起的发斑、呕吐逆气。
生地黄(二两六钱)、淡豆豉(二两六钱)。
以上两味药,用猪脂六两合煎,煮至减少三分之一,滤去渣滓,取得浓稠如膏状的汁液,加入少许明雄黄和黄豆大小的麝香,混合均匀,分三次服用。
犀角消毒汤:
牛蒡子(炒)、防风(各二钱)、荆芥(一钱)、甘草(八分)、犀角(磨取汁)。
以上药物切碎,每次服用三钱,用水煎煮,加入犀角汁服用。
漏芦汤:治疗脏腑积热,引发肿毒、时疫疙瘩、头面红肿、咽喉堵塞、水药难以下咽等一切危重恶性的疫病。
漏芦、升麻、大黄、黄芩(各一两)、蓝叶、黑参(各二两)。
以上六味药,捣成粗末,每次服用二钱,用水一盏半,煎至六分,滤去渣滓温服。如果肿胀热势严重,加芒硝二钱半,以及生甘草、牛蒡子、连翘,效果更佳。
消毒丸:
大黄、牡蛎(烧制)、僵蚕(各一两,炒制)。
以上药物研为细末,用蜂蜜制成如弹子大小的丸剂,用新汲水化开一丸服用,不拘时间。
雄黄丸:
雄黄(一两,研细)、赤小豆(炒熟)、丹参、鬼箭羽(各二两)。
以上药物研为细末,用炼蜜制成如梧桐子大小的丸剂,每天空腹时用温水送服五丸。即使同床共屋,也不会被传染。
运气五瘟丹:
黄芩、黄柏、黄连、山栀子、香附、紫苏、甘草梢、大黄。
以上七味药生用,在冬至日研为细末。将大黄的用量增加三倍,煎汤去渣,用药汁捣药末制成如鸡蛋大小的丸剂,以朱砂、雄黄为衣,再贴上一片金箔。取泉水七碗,浸泡溶解后可供七人服用。此药在乙庚年以黄芩为君药,丁壬年以山栀子为君药,丙辛年以黄柏为君药,戊癸年以黄连为君药,甲巳年以甘草梢为君药。作为君药的药材用量加倍。其余四味药与作为臣药的香附、紫苏用量减半。每年治疗热病时,改为小丸,救人非常有效。
大青丸:
薄荷、山栀子、黄芩、黄连(各三钱)、连翘(六钱)、甘草(三钱)、大黄、白龙骨粉(各八分)。
以上药物研为细末,用青蒿的自然汁制成丸剂,大小如绿豆,以雄黄为衣。每次服用十丸,用白开水送下。
二黄丸:治疗大头时疫(大头瘟)。
黄连(酒炒)、黄芩(酒炒)、生甘草(各等分)。
以上药物切碎,每次服用五钱,用水一盏半,煎至八分,稍温后慢慢呷服。
救急解毒丸:
甘草、桔梗(各二两)、荆芥、防风、连翘、酒黄芩、酒大黄、薄荷、酒黄连、升麻(各一两)、僵蚕、蒲黄、青黛、盆消(硼砂)、射干(各五钱)。
以上十五味药,共同研为极细末,过筛干净,用乌梅汤调和柿霜制成如龙眼大小的丸剂,含化服用,煎汤服用也可以。
神授香苏散:治疗瘟疫。过去城中发生大瘟疫,一位白发老人教富人配制此药施送给病人,病人都痊愈了。疫鬼互相看着说:“这个老人已经救了三人了。”于是逃走了。
紫苏、香附(各二两,醋制)、陈皮(一两,去白)、甘草(五钱)。
以上药物研为细末,每次服用三钱,用水一盏半,煎至七分,温服。
凡是遇到天行时气(流行性传染病),担心被传染,必须推迟外出、早点回家,腹中常保持饱足,身上佩戴灵符,时常焚烧花椒、兰草、白芷、苍术等气味清烈芳香的香料。鼻孔涂抹雄黄是最好的。老君神明散、东坡圣散子等方剂,都是一派辛热燥烈有毒的药物,完全没有扶正祛邪、逐秽解毒的成分。不懂医术的人,为什么把它们列在疫病条目下?必定是后人伪托之作。学习中医的人千万不要盲目使用,害人非浅。虞天民对此辨析得非常详细,不可不考察。
Da Yuan Yin (Reach the Origin Decoction), Chaihu Qingzao Tang (Bupleurum Clearing Dryness Decoction), Yinchen Hao Tang (Artemisiae Scopariae and Capillaris Decoction), Guiti San (Melon Sepal Powder), Jubang Tang (Raising Maculae Decoction), Taoren Chengqi Tang (Peach Kernel and Rheum Decoction), Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction), Qingzao Yangying Tang (Clearing Dryness Nourishing Ying Decoction), Guabei Yangying Tang (Trichosanthis and Fritillaria Nourishing Ying Decoction), Binglang Shunqi Tang (Betel Nut Regulating Qi Decoction), Puji Xiaodu San (Universal Relief Detoxifying Powder), Jingfang Baidu San (Schizonepeta and Saposhnikovia Resisting Toxins Powder), Shengxi Yin (Fresh Rhinoceros Horn Drink), Renzhonghuang Wan (Human-Induced Yellow Pill), Qingre Jiedu Tang (Clearing Heat Detoxifying Decoction), Renzhonghuang San (Human-Induced Yellow Powder) (All these formulas are seen in the preceding text).
Jiji Jiedu Tang (Completed Interaction Detoxifying Decoction):
Huangqin (Scutellariae Radix, 1 qian, stir-fried with wine), Huanglian (Coptidis Rhizoma, 1 qian, stir-fried with wine), Jiegeng (Platycodonis Radix, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen, raw), Chaihu (Bupleuri Radix, 5 fen), Shengma ( Cimicifugae Rhizoma, 7 fen), Lianqiao (Forsythiae Fructus, 1 qian), Danggui (Angelicae Sinensis Radix, 1 qian, washed with wine), Dahuang (Rhei Radix et Rhizoma, 1 qian, baked with wine).
Take the above herbs, add two zhan of water, decoct to one zhan, and take warm slowly.
Huanglian Jiedu Tang (Coptidis Decoction for Detoxification), Huanglian Ejiao Tang (Coptidis and Donkey-hide Gelatin Decoction) (Both formulas are seen in the preceding text).
Huanglian Xiexin Tang (Coptitis Decoction for Draining Heart Fire):
Huanglian (Coptidis Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Zhimu (Anemarrhenae Rhizoma) (each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen, raw).
Take the above herbs, add one and a half zhan of water, decoct to eight parts, and take warm.
Huanglian Longgu Tang (Coptitis and Dragon Bone Decoction): Treats abdominal pain, sore throat, body heat, and vexation/distress.
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba) (each 8 fen), Longgu (Fossilia Ossis Mastodi, 5 qian, ground into powder).
Take the above herbs, add one and a half zhan of water, decoct to eight parts, and take warm.
Huanglian Xijiao Tang (Coptitis and Rhinoceros Horn Decoction): Treats Huhe disease (Foxes Disease, characterized by oral/genital ulcers and eye inflammation).
Xijiao (Rhinoceros Cornu, 3 qian, ground for juice), Huanglian (Coptidis Rhizoma, 2 qian), Wumei (Mume Fructus, 4 pieces), Muxiang (Aucklandiae Radix, 3 qian, ground for juice).
Take the above herbs, add one and a half zhan of water, put in Huanglian and Wumei, decoct to eight parts, add Xijiao juice and Muxiang juice, mix evenly, and take.
Hei Gao (Black Ointment): Treats epidemic toxin causing maculae eruption, vomiting, and regurgitation.
Shengdihuang (Rehmanniae Radix Recens, 2 liang 6 qian), Danshichi (Sojae Seminis Praeparatum, 2 liang 6 qian).
Take the above two herbs, combine with six liang of pig fat (Zhogao), decoct until reduced by one-third, strain to remove dregs, obtain thick juice like ointment, add a small amount of Ming Xionghuang (Realgar) and Moshe (Moschus) the size of a soybean, mix evenly, and divide into three doses.
Xijiao Xiaodu Tang (Rhinoceros Horn Detoxifying Decoction):
Niubangzi (Arctii Fructus, stir-fried), Fangfeng (Saposhnikoviae Radix) (each 2 qian), Jingjie (Schizonepetae Spica, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen), Xijiao (Rhinoceros Cornu, ground for juice).
Cut the herbs into small pieces. Each dose is 3 qian, decocted in water, add Xijiao juice before taking.
Lulu Tang (Rhynchotechti Decoction): Treats accumulation of heat in the Zang-Fu organs, leading to swelling and toxicity, epidemic nodules, severe swelling of the head and face, throat blockage preventing intake of water and medicine, and all kinds of critical and malignant epidemics.
Lulu (Rhynchotechti Herba), Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang), Lanye (Isatidis Folium), Heishen (Polymniae Radix) (each 2 liang).
Grind the above six herbs into coarse powder. Each dose is 2 qian, decocted in one and a half zhan of water to six parts, strain, and take warm. If swelling and heat are severe, add Mangxiao (Natrii Sulfas, 2.5 qian), along with raw Gancao, Niubangzi, and Lianqiao for better effect.
Xiaodu Wan (Detoxifying Pill):
Dahuang (Rhei Radix et Rhizoma), Muli (Concha Ostreae, calcined), Jiangcan (Bombyx Batryticatus) (each 1 liang, stir-fried).
Grind into powder, make pills with honey the size of a bullet. Dissolve one pill in fresh well water and take at any time.
Xionghuang Wan (Realgar Pill):
Xionghuang (Realgar, 1 liang, ground), Chixiaodou (Phaseoli Semen Rubrum, stir-fried until cooked), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Guijianyu (Cornus Swinhoei Ramulus) (each 2 liang).
Grind into fine powder, make pills with refined honey the size of Sophora seeds. Take five pills daily on an empty stomach with warm water. Even if sharing a bed or room, one will not be infected.
Yunqi Wuwen Dan (Luck Five Plagues Elixir):
Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Shanzhizi (Gardeniae Fructus), Xiangfu (Cyperi Rhizoma), Zisu (Perillae Folium), Gancaoshao (Tip of Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma).
Use the above seven herbs raw. On the Winter Solstice, grind into powder. Use three times the amount of Dahuang, decoct in water, strain, and use the liquid to pound the herb powder into pills the size of chicken eggs. Coat with Zhusha (Cinnabar) and Xionghuang (Realgar), and attach a sheet of gold foil. Take seven bowls of spring water to dissolve and administer to seven people. In years ending in Yi/Geng, Huangqin is the Sovereign herb; in Ding/Ren years, Shanzhizi is the Sovereign; in Bing/Xin years, Huangbai is the Sovereign; in Wu/Gui years, Huanglian is the Sovereign; in Jia/Ji years, Gancaoshao is the Sovereign. The Sovereign herb is doubled in amount. The remaining four herbs and the Ministers (Xiangfu, Zisu) are halved in amount. For annual heat diseases, change to small pills; it saves lives effectively.
Daqing Wan (Greater Cyan Pill):
Bohe (Menthae Haplocalycis Herba), Shanzhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (each 3 qian), Lianqiao (Forsythiae Fructus, 6 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian), Dahuang (Rhei Radix et Rhizoma), Bailonggu Fen (White Dragon Bone Powder) (each 8 fen).
Grind into powder, make pills using natural juice of Qinghao (Artemisiae Annuae Herba), size of mung beans, coated with Xionghuang (Realgar). Take ten pills each time, sent down with white boiled water.
Erhuang Wan (Two Yellows Pill): Treats Datou Shi Yi (Big Head Epidemic/Mumps-like illness).
Huanglian (Coptidis Rhizoma, wine-fried), Huangqin (Scutellariae Radix, wine-fried), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) (equal parts).
Cut the herbs. Each dose is 5 qian, decocted in one and a half zhan of water to eight parts. When slightly warm, sip slowly.
Jiuji Jiedu Wan (Emergency Detoxifying Pill):
Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix) (each 2 liang), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Lianqiao (Forsythiae Fructus), Jiu Huangqin (Scutellariae Radix, wine-fried), Jiu Dahuang (Rhei Radix et Rhizoma, wine-fried), Bohe (Menthae Haplocalycis Herba), Jiu Huanglian (Coptidis Rhizoma, wine-fried), Shengma (Cimicifugae Rhizoma) (each 1 liang), Jiangcan (Bombyx Batryticatus), Puhuang (Typhae Pollen), Qingdai (Indigo Naturalis), Penxiao (Borax), Shegan (Belamcandae Rhizoma) (each 5 qian).
Grind the above fifteen herbs into extremely fine powder, sieve cleanly. Mix with Wumei Tang (Mume Fruit Decoction) and Shishuang (Persimmon Frost) to form pills the size of longan. Hold in mouth to dissolve, or decoct in water to drink.
Shenshou Xiangsu San (Divinely Bestowed Patchouli and Perilla Powder): Treats plague. In the past, during a great plague in the city, a white-haired old man taught rich people to prepare this medicine to give to patients, who all recovered. The plague ghosts looked at each other and said, "This old man has saved three people," and then fled.
Zisu (Perillae Folium), Xiangfu (Cyperi Rhizoma) (each 2 liang, vinegar-processed), Chenpi (Citri Reticulatae Pericarpium, 1 liang, white pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Grind into fine powder. Each dose is 3 qian, decocted in one and a half zhan of water to seven parts, and taken warm.
Whenever encountering Tianxing Shiqi (epidemic qi transmitted through the air), fearing infection, one must delay going out and return early, keep the abdomen full, wear spiritual talismans, and frequently burn aromatic spices such as Sichuan pepper, orchid, white Acorus, and Atractylodes for their clear, strong fragrance. Smearing Realgar in the nostrils is best. Formulas such as Laojun Shenming San and Dongpo Shengsanzi consist entirely of pungent, hot, drying, caustic, and toxic drugs, lacking any ingredients that support healthy Qi, expel pathogens, eliminate turbidity, or detoxify. It is unknown why those unfamiliar with medical texts list them under epidemic categories; they must be later forgeries. Students should beware of using them blindly based on names, as doing so causes significant harm. Yu Tianmin analyzed this in detail; it is essential to investigate.