治伤寒后,下利脓血,柏皮汤方。
黄柏(二两) 黄连(四两) 栀子仁(十四枚擘) 阿胶(一两炙)
上四味,切,以水六升,煮三味取二升,去滓,内胶令烊,温分再服。忌猪肉、冷水。
(《
治伤寒热病十日以上,发汗不解,及吐下后诸热不除,及下利不止斑出方。
大青(四两) 甘草(炙二两) 阿胶(炙珠二两) 豉(一升绵裹)
上四味,切,以水八升,煮二味,取三升半,去滓,乃内胶令溶,分温三服,欲尽更作,
当使有余,渴者当饮,但除热,止吐下,无毒,忌海藻、菘菜。(《外台》卷一)
治伤寒五、六日,斑出以后汤方。
猪胆(三合) 鸡子(一枚) 苦酒(三合)
上三物,合和,煎令三沸,强人尽服之,羸人煎六、七沸,分为两服,取汁出为效。(《外
台》卷一)
伤寒鼻衄,肺间有余热故也,热因衄自止,不止者方。
牡蛎(十分左顾者) 石膏(五分)
上二味,酒服方寸匕,先食,日三、四,凡衄亦可用。一方以浆服之。(《外台》卷二)
治伤寒热病,喉中痛,闭塞不通,乌扇膏方。
生乌扇(一斤切) 猪脂(一斤)
上二味,合煎,药成去滓,取如半鸡子,薄绵裹之,内口中,稍稍咽之,取瘥,忌酒,
蒜等
又升麻汤方
升麻(三两) 通草(四两) 射干(二两) 羚羊角(三两屑) 芍药(二两) 生
芦根(切一升)
上六味,切,以水七升,煮取二升半,去滓,分为三服,徐徐服。(《外台》卷二)
治伤寒兼 疮,王叔和云∶其候口唇皆生疮,唾血,上唇内有疮如粟者,则心中懊 痛,
如此则此虫在上,乃食五脏,若下唇内生疮,其人喜眠者,此虫在下,食下部方。
取鸡子一枚,扣头出白,与漆一合熟和,令调如漆,还内壳中,仰吞之。食顷或半日,
或下虫,或吐虫,剧者再服乃尽,热除病愈。凡得热病,腹内热,食少,三虫行作求食,
食入五脏及下部,人不能知,可服此药,不尔 虫杀人。(《外台》卷二)
治疗伤寒之后,出现下利脓血症状的柏皮汤方。
黄柏(二两) 黄连(四两) 栀子仁(十四枚,掰开) 阿胶(一两,炙过)
以上四味药,切碎,用水六升,煎煮前三味药,取汁二升,滤去药渣,加入阿胶使其溶化,分两次温服。忌食猪肉、冷水。
(《外台秘要》卷一记载:)
治疗伤寒热病十日以上,发汗后病邪未解,以及呕吐、泻下后各种热象仍未消除,以及下利不止并伴有斑疹发出的方剂。
大青(四两) 甘草(炙过,二两) 阿胶(炙至珠状,二两) 豆豉(一升,用绵布包裹)
以上四味药,切碎,用水八升,煎煮其中三味(注:原文“煮二味”疑为笔误或特指先煮某两味,此处依文意理解为煎煮主要药物),取汁三升半,滤去药渣,然后加入阿胶使其溶化,分三次温服。如果药力未尽可再制作,应当使药液有剩余,口渴时可以饮用,此方能清热,止吐泻,无毒,忌食海藻、菘菜(白菜)。
治疗伤寒五、六日,斑疹发出之后的汤剂方。
猪胆(三合) 鸡蛋(一枚) 醋(三合)
以上三物,混合调和,煎煮至沸腾三次,体质强壮的人一次服完,体质虚弱的人煎煮六、七沸,分为两次服用,以排出胆汁样液体为见效。(《外台秘要》卷一)
伤寒鼻衄(鼻出血),是因为肺间有余热所致,热随衄血而自止,若不止血的方剂。
牡蛎(十分,选取左顾者,即纹理向左旋的) 石膏(五分)
以上两味药,用酒送服一方寸匕,饭前服用,每日三、四次。凡是鼻衄也可使用。另一法是用浆水送服。(《外台秘要》卷二)
治疗伤寒热病,喉咙疼痛,闭塞不通的乌扇膏方。
生乌扇(鸢尾根,一斤,切碎) 猪脂(一斤)
以上两味药,混合煎煮,药成后滤去药渣,取如半个鸡蛋大小的量,用薄绵布包裹,含在口中,慢慢咽下,直到痊愈。忌酒、蒜等。
又有升麻汤方。
升麻(三两) 通草(四两) 射干(二两) 羚羊角(三两,锉碎) 芍药(二两) 生芦根(切碎,一升)
以上六味药,切碎,用水七升,煎煮取汁二升半,滤去药渣,分为三次服用,缓慢服用。(《外台秘要》卷二)
治疗伤寒兼有口疮,王叔和说:其症状是口唇都生疮,唾血,上唇内有疮如粟米大小,则心中烦闷疼痛,像这样则是虫在上部,正在啃食五脏;如果下唇内生疮,其人喜欢睡觉,这是虫在下部,啃食下部器官的方剂。
取鸡蛋一枚,敲破头部倒出蛋清,与漆一合混合熟调,使其像漆一样稠,再放回蛋壳中,仰头吞服。过一顿饭的时间或半天,或者排出虫体,或者吐出虫体,病情严重的再服用直至痊愈,热除病愈。凡是患有热病,腹内热,进食少,三种寄生虫活动求食,进入五脏及下部,人不能察觉,可以服用此药,否则虫子会杀人。(《外台秘要》卷二)
Decoction of Phellodendri Cortex (Baipi Tang) for treating pus and blood in stool after Shanghan (Cold Damage).
Phellodendri Cortex (Huangbo, 2 liang), Coptidis Rhizome (Huanglian, 4 liang), Gardeniae Semen (Zhizi Ren, 14 seeds, broken), Donkey-hide Gelatin (Ejiao, 1 liang, roasted).
The above four ingredients are sliced. Boil the first three in six sheng of water to obtain two sheng of decoction. Strain the dregs, add the gelatin, and stir until dissolved. Take warm in two divided doses. Avoid pork and cold water.
(From *Waitai Miyao*, Vol. 1:)
Formula for treating Shanghan heat disease lasting more than ten days where sweating fails to resolve the condition, various heat signs persist after vomiting or purging, continuous diarrhea, and emergence of macules (ban).
Isatidis Folium (Daqingye, 4 liang), Licorice Root (Gancao, 2 liang, roasted), Donkey-hide Gelatin (Ejiao, 2 liang, roasted to bead-like state), Fermented Soybean (Chidou, 1 sheng, wrapped in silk).
The above four ingredients are sliced. Boil them in eight sheng of water to obtain three and a half sheng of decoction. Strain the dregs, then add the gelatin and dissolve it. Take warm in three divided doses. If necessary, prepare again; ensure there is surplus. Drink if thirsty. This formula clears heat, stops vomiting and diarrhea, is non-toxic, and avoids seaweed and Chinese cabbage (Songcai).
Soup formula for after the emergence of macules following five to six days of Shanghan.
Porcine Gallbladder (Zhudan, 3 he), Egg (Jizi, 1), Vinegar (Kujiu, 3 he).
Mix the above three ingredients and boil until boiling three times. Strong individuals take it all at once; weak individuals boil for six or seven boils and divide into two doses. The effect is achieved when bile-like fluid is expelled. (From *Waitai Miyao*, Vol. 1)
For Shanghan epistaxis (nosebleed), caused by residual heat in the Lung, which usually stops spontaneously with bleeding. Formula for cases where it does not stop.
Oyster Shell (Muli, 10 fen, select those with left-facing striations), Gypsum (Shigao, 5 fen).
Take one fangcun bi (a square-inch measure) with wine before meals, three to four times daily. Applicable to any epistaxis. Another method uses grain water (jiangshui) for administration. (From *Waitai Miyao*, Vol. 2)
Ushan Ointment (Wushan Gao) for treating throat pain and obstruction due to Shanghan heat disease.
Fresh Iris Tuber (Wushan, 1 jin, sliced), Lard (Zhuzhi, 1 jin).
Boil the above two ingredients together. Strain the dregs when ready. Take an amount equivalent to half an egg, wrap in thin silk, place in the mouth, and swallow slowly until cured. Avoid alcohol and garlic.
Another formula: Shengma Decoction (Shengma Tang).
Cimicifugae Rhizoma (Shengma, 3 liang), Tetrapanacis Medulla (Tongcao, 4 liang), Belamcandae Rhizoma (Shegan, 2 liang), Cornu Saigae Tataricae (Lingyangjiao, 3 liang, crushed), Paeoniae Radix Alba (Shaoyao, 2 liang), Fresh Reed Rhizome (Sheng Lugeng, 1 sheng, sliced).
Slice the above six ingredients. Boil in seven sheng of water to obtain two and a half sheng of decoction. Strain the dregs and divide into three doses. Take slowly. (From *Waitai Miyao*, Vol. 2)
Treating Shanghan complicated by oral ulcers. Wang Shuhe stated: The symptoms include ulcers on both lips and bloody saliva. Ulcers like millet grains inside the upper lip indicate heart distress and pain, suggesting parasites are in the upper part eating the Zang organs. Ulcers inside the lower lip with excessive sleepiness suggest parasites are in the lower part eating the lower body organs.
Formula: Take one egg, break the top, pour out the white, mix with one he of lacquer thoroughly until it resembles liquid lacquer, return it to the shell, and swallow while lying on the back. After a meal's time or half a day, worms may be passed or vomited. Severe cases require repeated dosing until cured, eliminating heat and restoring health. For those suffering from heat disease with abdominal heat and poor appetite, where three types of intestinal parasites move seeking food and enter the Zang organs or lower body unnoticed, this medicine can be taken; otherwise, the worms may cause death. (From *Waitai Miyao*, Vol. 2)