热入血室妇人之病也妇人经行之时忽遇风邪之侵多成此症其症发寒发热似疟非疟状似见
鬼谵
语胡言此热入血室之真病也然亦有似是而非又不可不辨亦发寒发热似疟非疟但无见鬼之状亦
胡言乱语饮食少思此非热入血室之真病也症既不同治法亦宜少变如遇真正热入血室者用小柴
胡汤加减治之一剂而热退二剂而身凉病全愈若遇非真正热入血室者乃肝木过燥血不养肝虽亦
热症而非入于血室之中也欲滋其肝必须大润其肾肾水足而肝木自然发生又何至有木郁之症木
郁既
解而寒热自除矣方用凉肝解热汤此方补肝胜于补肾病原重肝故以补肝为主而佐以补肾子母相
生痰邪两去而寒热尚留于人身吾不信也或曰此病亦热也何以不用凉药不知大凉则寒寒则血凝
而
不生血血不生又何以润肝以解郁哉况方中用丹皮未尝不凉血以生血一味而两用之实有妙用也
加减小柴胡汤
柴胡(三钱) 黄芩(一钱) 甘草(一钱) 丹皮(五钱) 半夏(一钱)水煎服
凉肝解热汤
熟地(五钱) 丹皮(三钱) 白芍(一两) 当归(五钱) 陈皮(一钱) 甘草(一钱) 天花粉(一
钱) 白术(五钱) 柴胡(一钱五分)水煎服
痢疾之真假人多不识不可不辨明之以昭示万世也大约白痢多真红痢多假人以白痢为寒红
痢为
热误矣何以见白痢之为真红痢之为假也白痢如白脓如鱼冻如黄精皆湿热之真象也以去湿逐秽
之药治之大抵无甚差错予亦不必再立方也惟是如红痢而非痢最能惑人倘亦以痢药下之是虚其
虚矣其症必皆纯血而无粪间有秽物亦必如脓而稀少更或久痢之后即有血下亦如败脓而黯黑相
间无神无色此皆不可作痢治之盖似痢而非痢也此等之症一作痢治去生不远吾今特传一方治似
痢之假症无不如神方名急生丹一剂而血止再剂而身安四剂而全愈惟有久痢而有败脓黯黑相间
者本方去附子加萝卜子三钱煎服余则俱照本方所定药味分两也此方止血于补气补血之中而绝
不去治痢故尔收功如响此治假痢之法实宜如此愿人遵守之也
急生丹
人参(五钱) 白芍(一两) 附子(一片) 黄 (一两) 干姜(二钱炒黑) 熟地(二两) 茯苓(
五钱) 三七根(末三钱) 当归(五钱)水煎服
热入血室是妇女特有的疾病。在妇女月经期间,如果突然遭遇风邪侵袭,大多会形成这种病症。其症状表现为忽冷忽热,像疟疾但又不完全是疟疾的样子,有时出现幻觉、说胡话,这是热入血室(热邪侵入子宫及肝经)的真实病证。然而,也有看似相似实则不同的情况,不可不加以辨别:同样会出现忽冷忽热、像疟疾但又不完全是疟疾的症状,但没有出现幻觉,只是胡言乱语、食欲不振,这并非热入血室的真实病证。既然病症不同,治疗方法也应当稍作变化。如果遇到真正的热入血室患者,使用小柴胡汤(Minor Bupleurum Decoction)加减治疗,服用一剂后热退,两剂后身体凉爽,疾病痊愈。如果遇到非真正的热入血室患者,这是由于肝木过于干燥,血液不能滋养肝脏,虽然也是热症,但热邪并未进入血室。想要滋养肝脏,必须大补肾水,肾水充足则肝木自然生发,又怎会有肝气郁结的病症呢?肝气郁结既已解除,寒热自然消除。方剂使用凉肝解热汤(Cool Liver and Clear Heat Decoction)。此方补肝的作用胜过补肾,因为病因重在肝脏,所以以补肝为主,辅以补肾,子母相生,痰邪与病邪两去,而寒热仍留在人体内,我不相信这种情况会发生。有人问:这个病也是热症,为什么不用凉药?不知道过用大凉药物会导致寒气内生,寒气导致血液凝滞而不能生血,血液不生又怎能滋润肝脏以解除郁结呢?况且方中使用了丹皮(Moutan Cortex),它既能凉血又能生血,一味药起到两种作用,确实有妙用。
加减小柴胡汤
柴胡(三钱) 黄芩(一钱) 甘草(一钱) 丹皮(五钱) 半夏(一钱) 水煎服
凉肝解热汤
熟地黄(五钱) 丹皮(五钱) 白芍(一两) 当归(五钱) 陈皮(一钱) 甘草(一钱) 天花粉(一钱) 白术(五钱) 柴胡(一钱五分) 水煎服
痢疾的真假表现,人们大多不认识,不可不辨明,以便昭示后世。大致来说,白痢多为真痢,红痢多为假痢。人们误以为白痢是寒证,红痢是热证,这是错误的。如何看出白痢是真痢、红痢是假痢呢?白痢如白色脓液,如鱼冻状,如黄精状,都是湿热的真实征象。用祛湿逐秽的药物来治疗,大体上不会有什么差错,我也不必再另立方剂了。只是那种像红痢又不是痢疾的情况最能迷惑人,如果也用治痢疾的药物攻下,就会使虚者更虚。其症状必定全是鲜血而没有粪便,间或有秽物,但也一定像脓一样且稀少;或者在久痢之后,即使有血排出,也像败脓一样,黑黯相间,没有神采和色泽。这些都不能当作痢疾来治疗,因为它们似痢而非痢。这类病症一旦按痢疾治疗,离死亡就不远了。我现在特别传授一方,治疗似痢的假症,无不如神效。方名急生丹(Jisheng Dan),服用一剂血止,两剂身体安宁,四剂完全痊愈。只有那些久痢而出现败脓黑黯相间的,本方去掉附子,加入萝卜子三钱煎服,其余都按照本方规定的药味分量执行。此方在补气补血之中止血,而绝不去直接治疗痢疾,所以能迅速见效。这是治疗假痢的方法,实在应该如此,希望人们遵守。
急生丹
人参(五钱) 白芍(一两) 附子(一片) 黄芪(一两) 干姜(二钱炒黑) 熟地黄(二两) 茯苓(五钱) 三七根(末三钱) 当归(五钱) 水煎服
Heat Entering the Blood Chamber is a disease specific to women. During menstruation, if suddenly invaded by Wind pathogen, this condition often arises. Its symptoms include alternating chills and fever, resembling malaria but not exactly so, sometimes accompanied by hallucinations and delirious speech; this is the true presentation of Heat Entering the Blood Chamber (a syndrome where heat pathogen invades the uterus and Liver channel). However, there are cases that appear similar but are distinct, which must be differentiated: such cases also present with alternating chills and fever resembling malaria, but without hallucinations, only featuring delirious speech and poor appetite; this is not the true Heat Entering the Blood Chamber. Since the syndromes differ, the treatment methods should also vary slightly. For true Heat Entering the Blood Chamber, treat with modified Xiao Chai Hu Tang (Minor Bupleurum Decoction); after one dose, the fever subsides, after two doses, the body cools, and the illness resolves. For non-true Heat Entering the Blood Chamber, the cause is excessive dryness of Liver Wood, where blood fails to nourish the Liver. Although it is a heat syndrome, the heat has not entered the Blood Chamber. To nourish the Liver, one must strongly tonify Kidney Water; when Kidney Water is sufficient, Liver Wood naturally flourishes, preventing Liver Qi stagnation. Once Liver Qi stagnation is resolved, chills and fever will naturally disappear. Use Liang Gan Jie Re Tang (Cool Liver and Clear Heat Decoction). This formula benefits the Liver more than the Kidneys because the root cause lies in the Liver; thus, it focuses on tonifying the Liver while assisting with tonifying the Kidneys. Through the mutual generation of Mother and Child organs, phlegm and pathogens are eliminated, yet I do not believe chills and fever would remain in the body. One might ask: since this is also a heat syndrome, why not use cooling herbs? It is unknown that excessive use of cold herbs generates internal cold, which causes blood stasis and prevents blood generation; without blood generation, how can the Liver be moistened to resolve stagnation? Moreover, Mu Dan Pi (Moutan Cortex) used in the formula cools blood and generates blood simultaneously, achieving dual effects with one herb, demonstrating profound utility.
Modified Xiao Chai Hu Tang
Chai Hu (3 qian) Huang Qin (1 qian) Gan Cao (1 qian) Mu Dan Pi (5 qian) Ban Xia (1 qian) Decoct in water and drink.
Liang Gan Jie Re Tang
Shu Di Huang (5 qian) Mu Dan Pi (3 qian) Bai Shao (1 liang) Dang Gui (5 qian) Chen Pi (1 qian) Gan Cao (1 qian) Tian Hua Fen (1 qian) Bai Zhu (5 qian) Chai Hu (1.5 qian) Decoct in water and drink.
The distinction between true and false dysentery is often unrecognized by people and must be clarified for future generations. Generally, white dysentery is usually true, while red dysentery is often false. People mistakenly consider white dysentery as Cold syndrome and red dysentery as Heat syndrome, which is incorrect. How can we identify white dysentery as true and red as false? White dysentery resembling white pus, fish maw jelly, or Polygonatum rhizome represents the true image of Damp-Heat. Treating it with herbs that drain dampness and expel turbidity generally yields accurate results, so no new formula is needed here. However, conditions resembling red dysentery but not being actual dysentery are most confusing. If treated with anti-dysentery purgatives, it will further weaken the deficiency. Symptoms typically involve pure blood without feces; if any turbid matter is present, it resembles pus and is scanty. Or, after prolonged dysentery, if blood is discharged, it resembles putrid pus, appearing dark black and mixed, lacking luster and color. These cannot be treated as dysentery because they resemble dysentery but are not. Treating such conditions as dysentery brings one close to death. I now specially transmit a formula to treat these pseudo-dysentery syndromes with miraculous efficacy, named Ji Sheng Dan (Emergency Life Generation Powder). After one dose, bleeding stops; after two doses, the body feels secure; after four doses, full recovery occurs. For those with prolonged dysentery presenting putrid pus and dark black mixtures, remove Fu Zi (Aconite Lateralis Radix Preparata) from this formula and add 3 qian of Luobo Zi (Raphani Semen), decocted in water. All other ingredients and dosages follow the original prescription. This formula stops bleeding within the context of tonifying Qi and Blood, rather than directly treating dysentery, hence achieving rapid success. This is the method for treating false dysentery, and it is advisable to adhere to it.
Ji Sheng Dan
Ren Shen (5 qian) Bai Shao (1 liang) Fu Zi (1 slice) Huang Qi (1 liang) Gan Jiang (2 qian, stir-fried until black) Shu Di Huang (2 liang) Fu Ling (5 qian) San Qi Gen (3 qian, powdered) Dang Gui (5 qian) Decoct in water and drink.