按中疳蛊,不知持戒,小便变白浊,遂变五疳,先从下部腐蚀生虫,后至口内腐烂生虫
,而蛊毒在身,一见风来如有群虫飞集。到此时则五脏受伤,一切发毒之药如紫苏、薄荷、
川芎、姜、蒜及马肉、羊肉、桐蒿、莴苣等菜、断不可食,亦断不可服补药,然,亦难挽回
矣。但此症决不传染人,只恐疳汁滴上旁人手脚,用紫苏、薄荷、槐花、苦参、蒜子、雄黄
煎汤洗之无妨。临终时,孝子、家人皆近得,如有汁滴上人手脚,亦用前方洗之。此皆得之
蛊医之言者。
中疳既变疳后药方(凡药宜温服,不可冷服,恐变别病)∶生地、槐花、元参、条参、
连
天
槐连汤∶连翘、条参、生地、元参、贝母、黄芩各五钱,青蒿、槐花各一两,黄连二钱
,水煎服,因病加减不外以上二十味,全在人神而明之。皮破者用茨菇叶煎水洗。按∶连翘
、条参治蛊之品,槐花、元参治疳之品,其余可以类推。
豆腐、青菜、苋菜、冬瓜、竹笋、茨菇、葛薯、白菜、苦 、莲藕、细粉,以上诸菜,
每餐用笋水一茶杯同菜煮食,妙。
一既变疳后,五经皆有疳虫,照方持戒服药,每日一剂,随时斟酌加减不出上二十味之
药。服至三个月后,各经疳毒尽去,惟肾经疳毒尚难骤愈,再服药持戒十个月,必然全愈。
开荤盐无妨,或开荤戒盐更妙。仍旧时时服药,但看小便常清,并无白浊,则疳毒已尽,肉
内并无发芒时刺,身上并无蚁咬,则蛊毒亦将净。虽或时有虱行,蚤咬,乃蛊毒之余气,血
液未尽净故也。此时可开吃煎炒烧肉,近色无妨,仍不时服药,俟至出恭食物全不变,则蛊
毒亦净尽矣。此时一切发毒之物如马肉、羊肉等开吃无妨。鸡、鸭、鱼、虾、螺、蚌等戒三
年,一切飞禽、水族、鳞虫仍戒数年,终身戒食蛇、蛤。又按∶一变疳之后,照方服药,病
热渐减,即当严为戒口,若持戒不严则病必翻,愈翻则毒入愈深,再治亦不甚见效矣,慎之
慎之。
根据中疳蛊的论述,若不知持守戒律,小便变为白浊,就会演变为五疳。病情先从下部腐蚀生虫,随后蔓延至口腔内部腐烂生虫。此时蛊毒存在于体内,一旦见到风,就像有群虫飞集身上一样。到了这个阶段,五脏已经受损,一切具有发散毒性作用的药物,如紫苏、薄荷、川芎、姜、蒜,以及马肉、羊肉、桐蒿、莴苣等蔬菜,都绝对不可食用;同时也绝对不可服用补药。然而,病情也难以挽回了。但这种病症绝对不会传染给人,只担心疳汁滴到旁人的手脚上,可用紫苏、薄荷、槐花、苦参、蒜子、雄黄煎汤清洗,这样就没有妨碍。临终时,孝子和家人都可能被感染,如果有汁液滴到人手脚上,也用前面的方剂煎汤清洗。这些都是听信蛊医之言的结果。
中疳既变疳后药方(所有药物宜温服,不可冷服,恐怕引发其他疾病):生地、槐花、元参、条参。
连天槐连汤:连翘、条参、生地、元参、贝母、黄芩各五钱,青蒿、槐花各一两,黄连二钱,水煎服。因病加减的药物不出以上二十味,全凭医者神妙明察。皮肤破损者,用茨菇叶煎汤清洗。按语:连翘、条参是治疗蛊毒的药物,槐花、元参是治疗疳疾的药物,其余药物可以类推。
豆腐、青菜、苋菜、冬瓜、竹笋、茨菇、葛薯、白菜、苦菜、莲藕、细粉,以上这些菜肴,每餐用笋水一茶杯同菜煮食,效果奇妙。
一旦变为疳疾后,五脏经络皆有疳虫,按照方剂持守戒律并服药,每日一剂,随时斟酌加减,不出上述二十味药的范围。服药三个月后,各经疳毒尽去,只有肾经疳毒尚难迅速痊愈,再服药并持守戒律十个月,必然完全痊愈。可以吃荤腥和盐,或者吃荤腥但戒盐更好。仍然要时时服药,只要看小便常清,没有白浊,则疳毒已尽,肌肉内没有发芒时的刺痛感,身上没有蚁咬感,则蛊毒也将净尽。虽然偶尔会有虱行、蚤咬的感觉,那是蛊毒的余气,血液未尽净的缘故。此时可以吃煎炒烧制的肉类,接近女色无妨,仍不时服药,等到排便时食物完全不变,则蛊毒也净尽了。此时一切发散毒性的物品如马肉、羊肉等可以吃。鸡、鸭、鱼、虾、螺、蚌等需戒三年,一切飞禽、水族、鳞虫仍需戒数年,终身戒食蛇、蛤。又按语:一变疳之后,按照方剂服药,病热逐渐减退,就应当严格忌口,如果持守戒律不严格,则病情必定反复,越反复则毒邪入得越深,再治疗也不甚见效了,务必谨慎。
According to the discussion on "Zhong Gan Gu" (Middle Malnutrition with Parasitic Toxin), if one fails to observe dietary and behavioral restrictions, the urine will turn white and turbid, subsequently evolving into the Five Malnourishments (Wu Gan). The pathology begins with corrosion and worm generation in the lower body, later spreading to the oral cavity where rotting and worm generation occur. At this stage, the Gu toxin resides within the body; upon exposure to wind, it feels as if swarms of insects are flying onto the person. By this time, the Zang organs have been injured. All substances that induce the eruption of toxins, such as Zi Su (Perilla Leaf), Bo He (Mint), Chuan Xiong (Szechwan Lovage Root), Ginger, Garlic, as well as horse meat, mutton, Tong Hao (Artemisia argyi), and Lettuce, must absolutely not be consumed. Furthermore, tonic medicines must absolutely not be taken. However, recovery is difficult at this point. Nevertheless, this condition is definitely not contagious to others. One should only fear if the fluid from the malnutrition drips onto another person's hands or feet; washing these areas with a decoction of Zi Su, Bo He, Huai Hua (Sophora Flower), Ku Shen (Sophora Root), Garlic cloves, and Xiong Huang (Realgar) poses no harm. Upon death, filial sons and family members may contract it; if fluid drips onto their skin, the aforementioned decoction should be used for washing. These accounts stem from the words of Gu physicians.
Medicinal Formulas After Zhong Gan Transforms into Full Malnutrition (All medicines should be taken warm, not cold, to avoid inducing other diseases): Sheng Di (Rehmannia Root), Huai Hua (Sophora Flower), Yuan Shen (Scrophularia Root), Tiao Shen (Ginseng).
Lian Tian Huai Lian Tang (Lonicera and Sophora Coptis Decoction): Lian Qiao (Forsythia Fruit), Tiao Shen, Sheng Di, Yuan Shen, Bei Mu (Fritillaria Bulb), Huang Qin (Scutellaria Root) each 5 qian; Qing Hao (Sweet Wormwood), Huai Hua each 1 liang; Huang Lian (Coptis Rhizome) 2 qian. Decoct in water and take orally. Modifications based on illness will not exceed the twenty ingredients mentioned above; success depends entirely on the physician's divine insight and clarity. For broken skin, wash with a decoction of Ci Gu Ye (Colocasia Leaf). Note: Lian Qiao and Tiao Shen are agents for treating Gu toxin; Huai Hua and Yuan Shen are agents for treating Malnutrition; other ingredients can be inferred by analogy.
Tofu, green vegetables, Amaranth, Winter Melon, Bamboo Shoots, Ci Gu (Elephant Foot Yam), Ge Shu (Dioscorea Polystachya), Chinese Cabbage, Ku Cai (Bitter Vegetable), Lotus Root, fine powder. For the above dishes, cooking them with one teacup of bamboo shoot water per meal yields excellent results.
Once transformed into Malnutrition, worms of malnutrition exist in all five meridians. Follow the formula, observe restrictions, and take medicine, one dose daily, adjusting as needed without exceeding the twenty aforementioned ingredients. After three months of medication, the malnutrition toxins in all meridians will be eliminated. Only the toxin in the Kidney Meridian remains difficult to cure rapidly. Continue medication and restrictions for ten more months, and full recovery is certain. Consumption of meat and salt is permissible, or consuming meat while abstaining from salt is even better. Continue taking medicine intermittently. As long as the urine remains clear without turbidity, the malnutrition toxin is exhausted; if there is no prickling sensation in the muscles and no feeling of ant bites on the body, the Gu toxin is also nearly cleared. Occasional sensations of lice crawling or flea bites are merely residual Qi of the Gu toxin due to incomplete purification of the blood. At this stage, fried, roasted, or grilled meats may be eaten; sexual activity is permissible. Continue taking medicine intermittently until bowel movements show no undigested food, indicating the Gu toxin is completely cleared. At this point, toxic-emitting foods like horse meat and mutton may be eaten. Chicken, duck, fish, shrimp, snails, and clams must be avoided for three years; all birds, aquatic creatures, and scaled beasts must be avoided for several years. Snake and clam consumption must be avoided for life. Note again: After transforming into Malnutrition, once the fever subsides while following the formula, strict dietary restrictions must be enforced. If restrictions are not strictly observed, the disease will relapse. With each relapse, the toxin penetrates deeper, making subsequent treatment ineffective. Exercise utmost caution.