阴毒者,或伤寒初病一、二日便成阴毒,或服汤药六、七日以上至十日变成阴毒,身重
背强,腹中绞痛,喉咽不利,毒瓦斯攻心,心下强,短气不得息,呕逆,唇青面黑,四肢厥冷,
其脉
甘草(二分炙) 升麻(二分) 当归(一分) 蜀椒(一分) 鳖甲(四分)
凡五物, 咀,以水五升,煮取二升半,分三服,行五里复服,温覆,中毒当汗,汗则
愈。若不汗,病不除,重服。(《医心方》卷十四)
阳毒者,或伤寒一、二日便成阳毒,或服药吐下之后变成阳毒,身重腰背痛,烦闷不安,
面赤狂言,或走、或见鬼、或吐血下利,其脉浮大数,面斑斑如锦,喉咽痛,下脓血,五日
可治,七日不治,宜服升麻汤方。
升麻(二分) 甘草(二分炙) 当归(一分) 蜀椒(一分去目) 雄黄(二分) 桂
心(一分)
凡六物, 咀,以水五升,煮取二升半,分三服,行五里顷复服,温覆手足,中毒则汗,
汗
治毒热攻手足,肿疼欲脱方。
浓煮虎杖根,适寒温以渍手足,入至踝上一尺。(《外台》卷二)
又方
酒煮苦参以渍之。(《外台》卷二)
又方
取常思草绞取汁,以渍之,一名苍耳。(《外台》卷二)
治热病手足肿欲脱者方。兼治天行。
以稻穣灰汁渍之佳。(《外台》卷二)
治毒热病攻手足肿,疼痛欲脱方。
煮马粪若羊粪汁渍之。(《外台》卷二)
又方
猪膏和羊粪涂之,亦佳。(《外台》卷二)
阴毒证,有的伤寒初起一、二天就形成阴毒,有的服用汤药六、七天以上至十天变成阴毒,身体沉重,背部僵硬,腹中绞痛,咽喉不利,毒气攻心,心下坚硬,短气呼吸困难,呕吐逆气,嘴唇发青面色黑,四肢厥冷,其脉象……(原文此处缺失脉象描述,直接接方剂组成)
甘草(二分,炙) 升麻(二分) 当归(一分) 蜀椒(一分) 鳖甲(四分)
以上五味药,切碎,用水五升,煮取二升半,分三次服用,行走约五里路后再次服用,覆盖保暖,中毒者应当出汗,出汗则痊愈。如果不出汗,病邪不除,重复服用。(《医心方》卷十四)
阳毒证,有的伤寒一、二天就形成阳毒,有的服药催吐或泻下之后变成阳毒,身体沉重腰背疼痛,烦闷不安,面红谵语,或者游走不定、看见鬼怪、吐血或下利,其脉象浮大数,面部红斑斑驳如锦缎,咽喉痛,下脓血,五天可治,七天不治,适宜服用升麻汤方。
升麻(二分) 甘草(二分,炙) 当归(一分) 蜀椒(一分,去目) 雄黄(二分) 桂心(一分)
以上六味药,切碎,用水五升,煮取二升半,分三次服用,行走约五里路后再次服用,覆盖保暖手足,中毒则出汗,出汗……(原文此处中断)
治疗毒热攻注手足,肿胀疼痛欲脱落的方子。
浓煮虎杖根,温度适宜时浸泡手足,浸入深度达到脚踝上一尺。(《外台秘要》卷二)
又一方
用酒煮苦参来浸泡。(《外台秘要》卷二)
又一方
取常思草绞取汁液,用来浸泡,常思草又名苍耳。(《外台秘要》卷二)
治疗热病手足肿胀欲脱落的方法。兼治时行疫病。
用稻秆灰汁浸泡较好。(《外台秘要》卷二)
治疗毒热病攻注手足肿胀,疼痛欲脱落的方法。
煮马粪或羊粪的汁液来浸泡。(《外台秘要》卷二)
又一方
用猪脂和羊粪涂抹患处,也很好。(《外台秘要》卷二)
Yin Poison syndrome: In some cases, Yin poison develops within one or two days of the initial onset of Cold Damage (Shanghan); in other cases, it transforms into Yin poison after taking herbal decoctions for six to seven days up to ten days. Symptoms include heaviness of the body, stiffness of the back, colicky pain in the abdomen, difficulty in the throat and pharynx, toxic qi attacking the heart, hardness below the heart, shortness of breath with inability to breathe deeply, vomiting and regurgitation, cyanosis of the lips and blackening of the face, cold limbs, and its pulse... [The original text omits the pulse description here and proceeds directly to the formula composition].
Gancao (Radix Glycyrrhizae Preparata, 2 fen), Shengma (Rhizoma Cimicifugae, 2 fen), Danggui (Radix Angelicae Sinensis, 1 fen), Shujiao (Fructus Zanthoxyli, 1 fen), Biejia (Carapax et Plastrum Testudinis, 4 fen).
These five herbs are coarsely crushed, boiled in five sheng of water until two and a half sheng remain. The decoction is divided into three doses. After walking for about five li, take another dose. Cover warmly to induce sweating. If poisoned, sweating should occur; if sweating occurs, the patient recovers. If no sweating occurs and the pathogen remains, repeat the dosage. (From *Ishinpō*, Vol. 14)
Yang Poison syndrome: In some cases, Yang poison develops within one or two days of Cold Damage; in other cases, it transforms into Yang poison after emetic or purgative treatment. Symptoms include heaviness of the body, pain in the lower back and back, restlessness and discomfort, flushed face with delirious speech, wandering restlessness, visual hallucinations (seeing ghosts), hematemesis, or diarrhea with pus and blood. The pulse is floating, large, and rapid. The face shows mottled red spots like brocade, accompanied by sore throat and passage of pus and blood from the rectum. It is treatable within five days; if untreated for seven days, it becomes difficult to cure. The appropriate prescription is Shengma Tang.
Shengma (Rhizoma Cimicifugae, 2 fen), Gancao (Radix Glycyrrhizae Preparata, 2 fen), Danggui (Radix Angelicae Sinensis, 1 fen), Shujiao (Fructus Zanthoxyli, 1 fen, eyes removed), Xionghuang (Realgar, 2 fen), Guixin (Cortex Cinnamomi, 1 fen).
These six herbs are coarsely crushed, boiled in five sheng of water until two and a half sheng remain. The decoction is divided into three doses. After walking for about five li, take another dose. Cover the hands and feet warmly. If poisoned, sweating will occur; sweating... [Text cuts off]
Prescription for treating toxic heat attacking the hands and feet, causing swelling and pain as if the limbs were about to fall off.
Boil Radix Polygoni Cuspidati (Huzhang) root strongly. When the temperature is suitable, soak the hands and feet, immersing them up to one chi above the ankle. (From *Waitai Miyao*, Vol. 2)
Another prescription:
Soak in decoction prepared by boiling Radix Sophorae Flavescentis (Kushen) with wine. (From *Waitai Miyao*, Vol. 2)
Another prescription:
Extract juice from Changsi Cao (Changsi Grass), also known as Xanthium sibiricum (Can'er), and use it to soak the affected area. (From *Waitai Miyao*, Vol. 2)
Prescription for treating heat disease causing swelling of hands and feet as if they were about to fall off. Also treats epidemic diseases.
Soaking in lye made from rice straw ash is preferable. (From *Waitai Miyao*, Vol. 2)
Prescription for treating toxic heat disease attacking the hands and feet, causing swelling and pain as if they were about to fall off.
Boil horse dung or sheep dung to obtain the juice, and use it to soak the affected area. (From *Waitai Miyao*, Vol. 2)
Another prescription:
Apply a mixture of Pig Fat (Zhigao) and sheep dung to the affected area; this is also effective. (From *Waitai Miyao*, Vol. 2)