疹家禁忌法须防。荤咸辛酸不可尝。欲不从心方是福。物若爽口定为殃。
麻证禁忌肉鱼鸡。欲食须过七七期。盐醋五辛通是禁。务宜食淡免祸机。
麻疹禁忌。比痘尤甚。盖痘初起。则宜慎口。至起水之时。鸡肉食之。正可助浆。若麻证。马、
牛、猪、羊、鹅、鸭、鱼、腥等味。盐、醋、甘甜、面食、五辛、滞气、煎爆等物。必麻收后四十九日之
外。方可食用。惟宜食淡。庶无后患。若七七之前。不知禁忌。则终身但遇天行。麻必复出。即不复
出。亦有后患。食盐太早。令人咳嗽。食五辛太早。能生惊热。食荤腥太早。必生奇证。是以自麻收
后。宜慎口四十九日。但猪肉一味。虽可先食。亦必俟身凉不咳。并无涉及他证者。方可先食。其
余必须遵期谨戒。非但出麻之人当慎。即乳儿乳母。亦必禁忌。盖麻之为病。有类伤寒。荤腥不
谨。祸生不测。曾见麻案有云。贺少君患麻。家人不知。以肉饭与食。适缪仲淳至。见而惊曰。尔主
出麻。此麻证之极重者。何可食荤。急备虻虎汤三剂与服。而麻尽现。遍体皆赤。又以原方进二
剂。麻虽尽出。而烦躁不宁。势尚不可保。乃以三黄石膏。加柽叶汤一大剂。浓煎与服。烦躁定而
痊。口腹之为害匪轻。可不慎乎。
朱曰 此条忌食。病家尤所当遵。尝见小儿喜食咸物。证成哮喘。喜食香甜。牙齿生虫。
放纵一时。贻害一世。此家长之责也。
虻虎汤
西河柳 麦冬(各两许) 淡竹叶(七十片) 元参 贝母(又名虻。去心。姜汁蒸。各三钱
)石膏(一两五钱) 知母(五钱)
水煎服。
三黄石膏加柽叶汤(柽叶即西河柳)。
黄连 黄柏 黄芩(各五钱) 石膏 麦冬(去心各三钱) 西河柳 知母(各一两) 淡
竹叶(二百片) 水煎服。
治疗麻疹患者的禁忌法则必须严防。荤腥、咸味、辛味、酸味都不可品尝。如果不顺从内心的欲望(指克制口腹之欲)才是福气,如果食物过于爽口(指违背禁忌的美味),必定成为灾殃。
患麻疹期间禁忌食用肉类、鱼类和鸡肉。想要吃这些食物,必须等到发病后的七七四十九天之后。盐、醋以及五辛(葱、蒜、韭、薤、兴渠等五种辛辣蔬菜)通通禁止。务必饮食清淡,以免招致祸患。
麻疹的禁忌,比天花更为严重。因为天花在初起阶段,应当谨慎饮食;到了起浆结痂的时候,食用鸡肉正好可以辅助脓浆生成。如果是麻疹,马肉、牛肉、猪肉、羊肉、鹅肉、鸭肉、鱼虾等腥味食物,以及盐、醋、甘甜之物、面食、五辛、容易阻滞气机的食物、煎炸爆炒的食物,必须在麻疹完全收没之后的四十九天之外,才可以食用。只适宜饮食清淡,这样才没有后患。如果在四十九天之前,不知道遵守禁忌,那么终身只要遇到时行疫气,麻疹必定复发。即使不再复发,也会有后患。食盐吃得过早,令人咳嗽;五辛吃得过早,能产生惊风发热;荤腥吃得过早,必然产生奇特的病症。因此,自麻疹收没之后,应当谨慎饮食四十九天。只有猪肉这一种,虽然可以较早食用,但也必须等到身体凉爽且不咳嗽,并且没有其他并发症的情况下,才可以先吃。其余食物必须遵照期限严格戒除。不仅是出麻疹的人应当谨慎,就连婴儿和乳母也必须禁忌。因为麻疹这种病,类似伤寒,如果荤腥饮食不谨慎,祸患将产生于不可预测之处。
曾见过一个麻疹医案记载:贺少君患了麻疹,家人不知道禁忌,用肉饭给他吃。恰好缪仲淳到来,看见后惊讶地说:“你的主人出麻疹,这是极重的麻疹证,怎么可以吃荤腥?”急忙准备虻虎汤三剂让他服用,结果麻疹全部透发,遍体通红。又用原方再进两剂,麻疹虽然全部发出,但患者烦躁不安,病情尚且难以保全。于是用三黄石膏汤加柽柳叶汤一大剂,浓煎后给他服用,烦躁平息而痊愈。口腹之欲带来的危害不小,能不谨慎吗?
朱氏说:这条关于忌食的规定,患病家属尤其应当遵守。曾经见到小儿喜欢吃咸物,导致证候形成哮喘;喜欢吃香甜食物,牙齿生虫。放纵一时的口腹之欲,会遗留一辈子的害处,这是家长的责任。
虻虎汤
西河柳、麦冬(各一两左右)、淡竹叶(七十片)、元参、贝母(又名虻,去心,用姜汁蒸,各三钱)、石膏(一两五钱)、知母(五钱)。
水煎服。
三黄石膏加柽叶汤(柽叶即西河柳)。
黄连、黄柏、黄芩(各五钱)、石膏、麦冬(去心,各三钱)、西河柳、知母(各一两)、淡竹叶(二百片)。
水煎服。
The taboos for treating measles must be strictly guarded against. Meat, saltiness, pungency, and sourness should not be tasted. Restraint of desires is a blessing; foods that are overly palatable (violating taboos) will surely bring disaster.
During the course of measles, meat, fish, and chicken are contraindicated. One may only consume these after forty-nine days (seven sevens) from the onset. Salt, vinegar, and the "Five Pungents" (Wu Xin: five types of pungent vegetables such as garlic, scallions, etc.) are all prohibited. One must adhere to a bland diet to avoid misfortune.
The dietary restrictions for measles are even stricter than those for smallpox. For smallpox, caution in diet is advised during the initial stage; when pustules begin to form, consuming chicken can help assist in the formation of pus. However, for measles, meats such as horse, cow, pig, sheep, goose, duck, and fishy flavors, as well as salt, vinegar, sweet substances, wheat flour products, the Five Pungents, qi-stagnating foods, and fried or roasted items, must only be consumed after forty-nine days following the complete resolution of the rash. Only a bland diet is suitable to prevent future complications. If one ignores these taboos before the forty-nine-day period, whenever an epidemic pathogen is encountered in the future, measles will inevitably recur. Even if it does not recur, there will still be lingering adverse effects. Consuming salt too early causes coughing; consuming the Five Pungents too early generates fright-heat; consuming meat and fish too early leads to bizarre pathological manifestations. Therefore, from the time the measles rash resolves, one should observe dietary caution for forty-nine days. Among meats, pork is the only one that may be eaten earlier, but only after the body temperature has normalized, coughing has ceased, and no other complications have arisen. All other foods must be strictly avoided until the prescribed time. This caution applies not only to the patient but also to the infant and the nursing mother. Since measles resembles cold damage (Shanghan), negligence regarding meat and fish can lead to unpredictable disasters.
A recorded case states: He Shaojun suffered from measles. His family members, unaware of the taboos, fed him rice with meat. Miao Zhongchun happened to arrive, saw this, and exclaimed in shock, "Your master has measles, which is a severe type of the disease. How can he eat meat?" He urgently prepared three doses of Menghu Tang (Bumblebee and Tiger Decoction) for the patient to take. Consequently, the measles fully erupted, turning the entire body red. Two more doses of the original formula were administered. Although the measles fully erupted, the patient remained restless and irritable, and the condition was precarious. Then, a large dose of Sanhuang Shigao Jia Chengye Tang (Three Yellows Gypsum Decoction plus Tamarisk Leaf Decoction) was decocted strongly and given to the patient. The restlessness subsided, and he recovered. The harm caused by indulging one's appetite is significant; how can one not be cautious?
Zhu stated: Regarding this clause on dietary taboos, the patient's family must especially comply. I have seen children who like salty foods develop asthma syndromes, and those who like sweet foods develop dental caries. Indulging momentarily brings harm for a lifetime; this is the responsibility of the parents.
Menghu Tang (Bumblebee and Tiger Decoction)
Liuxian Liu (Tamarisk Twig, *Salix matsudana* Twig) and Maidong (Ophiopogon Root, *Ophiopogonis Radix*) (each approx. 1 liang); Danyezhu (Light Bamboo Leaf, *Phyllostachys nigra* Internode) (70 pieces); Xuanshen (Scrophularia Root, *Scrophulariae Radix"); Beimu (Fritillaria Bulb, *Fritillariae Cirrhosae Bulbus*, also known as Meng, remove heart, steam with ginger juice) (each 3 qian); Shigao (Gypsum Fibrosum, *Gypsi Fibrosus*) (1 liang 5 qian); Zhimu (Anemarrhena Rhizome, *Anemarrhenae Rhizoma*) (5 qian).
Decoct in water and take orally.
Sanhuang Shigao Jia Chengye Tang (Three Yellows Gypsum Decoction plus Tamarisk Leaf Decoction) [Chengye refers to Liuxian Liu].
Huanglian (Coptis Rhizome, *Coptidis Rhizoma*), Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), Huangqin (Scutellaria Root, *Scutellariae Radix*) (each 5 qian); Shigao (Gypsum Fibrosum, *Gypsi Fibrosus*), Maidong (Ophiopogon Root, *Ophiopogonis Radix*, remove heart) (each 3 qian); Liuxian Liu (Tamarisk Twig, *Salix matsudana* Twig), Zhimu (Anemarrhena Rhizome, *Anemarrhenae Rhizoma*) (each 1 liang); Danyezhu (Light Bamboo Leaf, *Phyllostachys nigra* Internode) (200 pieces).
Decoct in water and take orally.