宣明防风通圣散
川芎石膏汤
方并见中风门
局方红雪通中散治烦热躁热毒热喉闭狂躁胃烂发斑酒毒
麝香(半两) 朱砂(一两) 川朴硝(十斤) 羚羊角屑 黄芩 升麻(各三两) 赤芍 竹
叶
枳壳 人参 木香 槟榔 甘草(各二两) 葛根 大青 蓝叶 栀子 桑白皮 木通(各一
两半) 苏木(六两)
上件药制合见局方
按此表里气血之药也
紫雪治内外烦热不解口中生疮狂易叫走解诸热毒药毒邪热小儿惊痫百病
黄金(百两) 寒水石 磁石 石膏 滑石(各三斤打碎)
以上用水一石煮至四斗去渣入下项
甘草(炙八两) 羚羊角屑 犀角屑 青木香 沉香(各五两) 丁香(一两)
升麻 玄参(并锉细各一斤)
以上再煮至一斗五升入下项
硝石(四升芒硝亦得每升得七两七钱半) 朴硝(十斤提净者)
以上入前药汁中微火煎柳枝不住手搅候有七升抛放水盆中半日欲凝入下项药搅令匀
朱砂(研三两) 麝香当门子(一两二钱半)
上药成霜雪紫色每服一钱或二钱冷水调下大人小儿临时以意加减并食后服
按此心脾肺肾胃经药也
千金黑奴丸治火热阳毒发狂发斑烦躁大渴倍常
黄芩 釜底煤 芒硝 灶突墨 梁上尘 小麦奴 麻黄 大黄(各一两)
上为末炼蜜丸如弹大新汲水化服不定再服半丸饮水尽足当发寒寒已汗出乃瘥未汗再服半
丸不大渴者不可与
按此出阳明药例取诸火化者为从治之意又表里之剂也
宣明防风通圣散、川芎石膏汤:这两个方剂的具体内容均记载于“中风门”章节中。
局方红雪通中散:用于治疗烦热、躁热、毒热引起的喉闭(咽喉闭塞不通)、狂躁、胃烂(胃部溃烂)、发斑(皮肤出现斑点)以及酒毒。
药材组成:麝香(半两)、朱砂(一两)、川朴硝(十斤)、羚羊角屑、黄芩、升麻(各三两)、赤芍、竹叶、枳壳、人参、木香、槟榔、甘草(各二两)、葛根、大青、蓝叶、栀子、桑白皮、木通(各一两半)、苏木(六两)。
以上药材的炮制和合方法参见《局方》(《太平惠民和剂局方》)。
按语:这是调理表里、气血的药物组合。
紫雪:用于治疗内外烦热不解、口中生疮、狂乱易怒、奔走呼叫,以及解除各种热毒、药毒、邪热,还有小儿惊痫等各种病症。
药材组成:黄金(百两)、寒水石、磁石、石膏、滑石(各三斤,需打碎)。
以上药材用水一石煮至四斗,去渣后加入以下药材:
甘草(炙用八两)、羚羊角屑、犀角屑、青木香、沉香(各五两)、丁香(一两)。
升麻、玄参(均需锉细,各一斤)。
以上药材再煮至一斗五升,加入以下药材:
硝石(四升,芒硝也可以,每升重七两七钱半)、朴硝(十斤,经提净处理的)。
将上述药材加入前面的药汁中,用微火煎煮,用柳枝不停地搅拌,待药液浓缩至七升时,倒入水盆中,放置半天欲凝固时,加入以下药材并搅拌均匀:
朱砂(研细三两)、麝香当门子(一两二钱半)。
制成的药物呈霜雪紫色,每次服用一钱或二钱,用冷水调服,成人和儿童根据情况临时增减剂量,均在饭后服用。
按语:这是针对心、脾、肺、肾、胃经络的药物组合。
千金黑奴丸:用于治疗火热阳毒引起的发狂、发斑、烦躁、极度口渴。
药材组成:黄芩、釜底煤、芒硝、灶突墨、梁上尘、小麦奴、麻黄、大黄(各一两)。
以上药材研为细末,炼蜜制成如弹丸大小的药丸,用新汲取的凉水化开服用,若未愈可再服半丸,饮水尽即可,应当出现恶寒症状,恶寒过后汗出则病愈;若未出汗可再服半丸。如果没有大渴症状者不可服用。
按语:此方出自阳明病的用药先例,取用各种由火转化而来的物质作为治疗手段,体现了“从治”(顺从病势而治)的意思,同时也属于表里双解的剂型。
Xuanming Fangfeng Tongsheng San (Wind-Dispersing and Unblocking Heroic Powder) and Chuanxiong Shigao Tang (Ligusticum and Gypsum Decoction): The specific formulations for these two prescriptions are found in the "Stroke Section" (Zhongfeng Men).
Jufang Hongxue Tongzhong San (Red Snow Unblocking the Middle Powder from the Bureau Formulary): Used to treat irritability, heat with restlessness, toxic heat causing throat obstruction (Hou Bi - blockage of the throat), mania, gastric ulceration, exanthema (skin spots), and alcohol toxicity.
Ingredients: Moschus (She Xiang, 0.5 liang); Cinnabar (Zhusha, 1 liang); Natrii Sulfas Sichuanensis (Chuan Puxiao, 10 jin); Cornu Saigae Tataricae (Lingyangjiao); Radix Scutellariae (Huangqin); Rhizoma Cimicifugae (Shengma, each 3 liang); Radix Paeoniae Rubra (Chishao); Folium Bambusae (Zhuye); Fructus Aurantii (Zhiqiao); Radix Ginseng (Renshen); Radix Aucklandiae (Muxiang); Semen Arecae (Binglang); Radix Glycyrrhizae (Gancao, each 2 liang); Radix Puerariae (Gegen); Cortex Isatidis (Daqingye); Folium Isatidis (Lanye); Fructus Gardeniae (Zhizi); Cortex Moriradicis (Sangbaipi); Caulis Tectonae (Mutong, each 1.5 liang); Lignum Saposhnikoviae (Sumu, 6 liang).
The processing and combination methods for the above herbs are detailed in the *Jufang* (Formulary of the Imperial Medical Bureau).
Commentary: This is a formula regulating the exterior and interior, as well as Qi and Blood.
Zixue (Purple Frost): Used to treat unresolved internal and external irritability and heat, oral ulcers, manic behavior with running and shouting; to resolve various heat toxins, drug toxins, pathogenic heat, and pediatric convulsions and epilepsy (Jingxian) among other diseases.
Ingredients: Aurum (Huangjin, 100 liang); Stilbitum (Hanshuishi); Magnetitum (Cishi); Gypsum Fibrosum (Shigao); Talcum (Huashi, each 3 jin, crushed).
Boil the above ingredients in one shi of water until reduced to four dou, then strain. Add the following:
Radix Glycyrrhizae Preparata (Gancao, processed, 8 liang); Cornu Saigae Tataricae (Lingyangjiao); Cornu Rhinocerotis (Xijiao); Radix Aucklandiae (Qingmuxiang); Lignum Aquilariae Resinatum (Chenxiang, each 5 liang); Flos Caryophylli (Dingxiang, 1 liang).
Rhizoma Cimicifugae (Shengma); Radix Scrophulariae (Xuanshen, both finely cut, each 1 jin).
Boil the above again until reduced to one dou five sheng, then add the following:
Natrii Nitras (Xiaoshi, 4 sheng; Natrii Sulfas, Mangxiao, may be used instead, each sheng weighing 7 liang 7 qian 5 fen); Natrii Sulfas (Puxiao, 10 jin, purified).
Add these to the previous decoction. Simmer over low fire, stirring constantly with a willow branch. When reduced to seven sheng, pour into a basin of water. After half a day, when it begins to congeal, add the following and stir evenly:
Cinnabar (Zhusha, ground, 3 liang); Moschus Danganzi (She Xiang Dangmenzi, 1 liang 2 qian 5 fen).
The resulting medicine resembles purple frost or snow. Take 1 qian or 2 qian per dose, mixed with cold water. Dosages for adults and children should be adjusted according to circumstances. Administer after meals.
Commentary: This is a formula targeting the meridians of the Heart, Spleen, Lung, Kidney, and Stomach.
Qianjin Heinu Wan (Black Slave Pill from Qianjin): Used to treat madness, exanthema, irritability, and extreme thirst caused by fiery Yang toxicity.
Ingredients: Radix Scutellariae (Huangqin); Carbon Furnace Bottom (Fudimei); Natrii Sulfas (Mangxiao); Carbon Chimney Flue (Zaotu Mo); Carbon Beam Dust (Liangshang Chen); Radix Triricis (Xiaomai Nu); Herba Ephedrae (Mahuang); Radix et Rhizoma Rhei (Dahuang, each 1 liang).
Grind the above herbs into fine powder, mix with refined honey, and form pills the size of a bullet. Dissolve in fresh cold water and take. If not cured, take another half pill. Drink enough water to induce sweating. The patient should experience chills; after the chills subside and sweat appears, the illness resolves. If no sweat occurs, take another half pill. Do not use if there is no extreme thirst.
Commentary: This prescription follows the principles of treating Yangming disease. It utilizes substances derived from fire transformation, reflecting the principle of "conforming treatment" (Congzhi - treating by conforming to the nature of the disease). It is also a formula that addresses both the exterior and interior.