余治时行疫痉及小儿风瘟、麻疹初起并发痉厥，常用紫雪丹１～２克，薄荷汤调下；如抽搐甚，用钩藤１０克，泡汤调下。热减神清后，再按法施治，殊有良效。又温热暑疫因高热而引起的神昏窍闭，审其确属邪热内陷致闭，无论成年人还是小儿发病，均可应用。曾治一吴姓男学生，１８岁。因暑期考试用功，感受暑热，某日忽发壮热，神昏，谵语，举家惶惶。视其证有面赤，第三卷２３５弄舌，溲少，脉数，急与紫雪丹６克，外用薄荷叶６克，辰砂益元散３０克，开水泡汁调服。一服而汗出如洗，神识清楚而病愈。盖病是热闭，此法于清热通窍中，又具有辛宣透解之力也。
紫雪丹为治温热时疫神昏窍闭之常用急救要药。惟其清心宣窍化痰解毒之力，则不及安宫牛黄丸；而凉肝降火熄风止痉之力最胜。临证时可斟酌选用。
经验方
一、清化解郁汤
组成：黄芩１０克、玄参１２克、浙贝母１２克、海蛤粉１２克、炒牛蒡子１０克、白僵蚕１０克、昆布１８克、牡蛎２４克、夏枯草１８克、制香附６克、青橄榄１０克。
用法：水煎服，每日１剂，日服３次。若吞咽困难者，可少量多次频频呷服。
适应证：食管炎、食道良性狭窄、食道痉挛及食管癌等。另某些癔病，自觉咽中如有物梗阻，或某些胃神经官能症、溃疡病等出现胸胁满闷作痛者，亦可运用本方化裁为治。
二、清上定痛汤
组成：夏枯草３０克、钩藤３０克、苦丁茶１２克、野菊花１０克、明天麻１０克、石决明１２克、香附１０克、槐实１２克、全蝎６克、僵蚕１０克、昆布３０克、赤芍３０克、当归尾１２克、怀牛膝１２克。
用法：水煎服，每日１剂，日服３次。
适应证：偏头痛、三叉神经痛、神经血管性头痛、颅内血管瘤及某些颅内占位性病变引起的头痛等。
三、疏肝利胆汤
组成：柴胡１０克、黄芩１０克、金钱草１８克、海金砂（草）１５克、川郁金１０克、炒金铃子１０克、白芍１５克、炒枳实１０克、赤茯苓１５克、鸡内金１２克、车前子１０克、茵陈３０克。
用法：水煎服，每日１剂，日服３次。
适应证：肝胆湿热蕴结之证（包括胆系感染、胆囊炎、胆结石、急性黄胆性肝炎及血吸虫病肝硬化腹水等）。用此方加减，对肝癌晚期病人出现黄疸者，亦有缓解作用。
四、温涩固宫汤
组成：当归１０克、白芍１０克、川芎６克、熟地１０克、艾叶６克、阿胶１０克、血余炭６克、乌贼骨１２克、茜草根１０克。
第三卷２３６用法：水煎服，每日１剂，日服３次。
适应证：冲任脉虚，寒邪凝滞，少腹疼痛，月经过多，妊娠下血，胎动不安，或产后下血，淋漓不断等。
五、寒凝止崩汤
组成：黄芩１０克、白芍１０克、生地１５克、丹皮６克、墨旱莲草１５克、白茅根１５克、乌贼骨１０克、血余炭６克、茜草根６克。
用法：水煎服，每日１剂，日服３次。
适应证：崩漏，下血色鲜，心烦口干，夜眠不安，舌红苔黄等。
（吴元黔编）第三卷２３７
我治疗时行疫痉（季节性流行性痉挛性疾病）以及小儿风瘟、麻疹初起并发痉厥，常用紫雪丹1～2克，用薄荷汤送服；如果抽搐严重，用钩藤10克，泡汤调下。热退神清后，再按照常规方法施治，效果很好。另外，温热暑疫因高热引起的神昏窍闭，审查确属邪热内陷导致闭塞的，无论成年人还是小儿发病，都可以应用。曾治疗一名吴姓男学生，18岁。因为暑期考试用功，感受暑热，某天突然发生壮热（高热），神昏，谵语，全家惊慌失措。看他的证候有面赤，弄舌（伸舌舔唇或弄舌动作），尿少，脉数，急忙给予紫雪丹6克，外用薄荷叶6克，辰砂益元散30克，开水泡汁调服。一服药后汗出如洗，神识清楚而病愈。这是因为病是热闭，此法在清热通窍中，又具有辛宣透解之力。
紫雪丹是治疗温热时疫神昏窍闭的常用急救要药。只是其清心宣窍化痰解毒之力，不如安宫牛黄丸；而凉肝降火熄风止痉之力最强。临证时可斟酌选用。
经验方
一、清化解郁汤
组成：黄芩10克、玄参12克、浙贝母12克、海蛤粉12克、炒牛蒡子10克、白僵蚕10克、昆布18克、牡蛎24克、夏枯草18克、制香附6克、青橄榄10克。
用法：水煎服，每日1剂，日服3次。若吞咽困难者，可少量多次频频呷服。
适应证：食管炎、食道良性狭窄、食道痉挛及食管癌等。另某些癔病，自觉咽中如有物梗阻，或某些胃神经官能症、溃疡病等出现胸胁满闷作痛者，亦可运用本方化裁为治。
二、清上定痛汤
组成：夏枯草30克、钩藤30克、苦丁茶12克、野菊花10克、明天麻10克、石决明12克、香附10克、槐实12克、全蝎6克、僵蚕10克、昆布30克、赤芍30克、当归尾12克、怀牛膝12克。
用法：水煎服，每日1剂，日服3次。
适应证：偏头痛、三叉神经痛、神经血管性头痛、颅内血管瘤及某些颅内占位性病变引起的头痛等。
三、疏肝利胆汤
组成：柴胡10克、黄芩10克、金钱草18克、海金砂（草）15克、川郁金10克、炒金铃子10克、白芍15克、炒枳实10克、赤茯苓15克、鸡内金12克、车前子10克、茵陈30克。
用法：水煎服，每日1剂，日服3次。
适应证：肝胆湿热蕴结之证（包括胆系感染、胆囊炎、胆结石、急性黄疸性肝炎及血吸虫病肝硬化腹水等）。用此方加减，对肝癌晚期病人出现黄疸者，亦有缓解作用。
四、温涩固宫汤
组成：当归10克、白芍10克、川芎6克、熟地10克、艾叶6克、阿胶10克、血余炭6克、乌贼骨12克、茜草根10克。
用法：水煎服，每日1剂，日服3次。
适应证：冲任脉虚，寒邪凝滞，少腹疼痛，月经过多，妊娠下血，胎动不安，或产后下血，淋漓不断等。
五、寒凝止崩汤
组成：黄芩10克、白芍10克、生地15克、丹皮6克、墨旱莲草15克、白茅根15克、乌贼骨10克、血余炭6克、茜草根6克。
用法：水煎服，每日1剂，日服3次。
适应证：崩漏，下血色鲜，心烦口干，夜眠不安，舌红苔黄等。
I commonly use Zixue Dan (Purple Snow Pill) 1–2 g, administered with Bohe Tang (Mint Decoction), to treat epidemic spasmodic diseases (seasonal流行 spasm disorders) and pediatric wind-wen (wind-heat epidemic diseases) or early-stage measles complicated by convulsions. If convulsions are severe, Gouteng (Uncariae Ramulus cum Uncis) 10 g is used, prepared as a decoction for administration. After the fever subsides and consciousness returns, treatment proceeds according to standard protocols, yielding excellent results. Additionally, for coma and orifice obstruction caused by high fever in warm-heat summer-epidemic diseases, if it is confirmed that the condition is due to pathogenic heat sinking inward causing blockage, this method can be applied to both adults and children. I once treated an 18-year-old male student surnamed Wu. Due to intense study during summer exams, he contracted summer-heat. One day, he suddenly developed high fever (Zhuang Re), coma, delirious speech, causing his family great alarm. His signs included a red face, tongue protrusion/manipulation, scanty urination, and rapid pulse. I urgently prescribed Zixue Dan (Purple Snow Pill) 6 g, combined externally with Bohe Ye (Menthae Haplocalycis Folium) 6 g and Chensha Yiyuan San (Cinnabar Yi Yuan Powder) 30 g, mixed with water decoction for oral administration. After one dose, profuse sweating occurred, consciousness was restored, and the illness resolved. This is because the disease involves heat blockage; this method possesses not only the power to clear heat and open the orifices but also acrid-aromatic dispersing and resolving properties.
Zixue Dan (Purple Snow Pill) is a commonly used emergency essential medicine for treating coma and orifice obstruction in warm-heat epidemic diseases. However, its strength in clearing the heart, opening the orifices, resolving phlegm, and detoxifying is inferior to Angong Niuhuang Wan (Calculus Bovis An-gong Pill); whereas its power in cooling the liver, descending fire, extinguishing wind, and stopping spasms is supreme. It should be selected judiciously in clinical practice.
Empirical Formulas
1. Qingjie Huayu Tang (Clear Resolve and Resolve Stagnation Decoction)
Composition: Huangqin (Scutellariae Radix) 10 g, Xuanshen (Scrophulariae Radix) 12 g, Zhebeimu (Fritillariae Thunbergii Bulbus) 12 g, Hai Ge Fen (Concha Meretricis et Cyclinae Pulvis) 12 g, Chao Niubangzi (Arctii Fructus Preparatus) 10 g, Bai Jiangcan (Bombyx Batryticatus) 10 g, Kunbu (Laminariae Thallus) 18 g, Muli (Ostreae Concha) 24 g, Xiakucao (Prunellae Spica) 18 g, Zhi Xiangfu (Cyperi Rhizoma Preparatum) 6 g, Qing Ganlan (Canarii Fructus) 10 g.
Usage: Decoct in water, one dose daily, taken three times a day. For patients with dysphagia, administer small amounts frequently.
Indications: Esophagitis, benign esophageal stricture, esophageal spasm, and esophageal cancer. It may also be modified and used for certain cases of hysteria where there is a sensation of a foreign body obstruction in the throat, or for certain functional gastrointestinal disorders and peptic ulcers presenting with chest and hypochondriac fullness and pain.
2. Qing Shang Ding Tong Tang (Clear Upper and Stop Pain Decoction)
Composition: Xiakucao (Prunellae Spica) 30 g, Gouteng (Uncariae Ramulus cum Uncis) 30 g, Kuding Cha (Ilicis Kudingchae Folium) 12 g, Ye Ju Hua (Chrysanthemi Indici Flos) 10 g, Tian Ma (Gastrodiae Rhizoma) 10 g, Shi Jue Ming (Haliotidis Concha) 12 g, Xiangfu (Cyperi Rhizoma) 10 g, Huai Shi (Stemonae Rhizoma) 12 g, Quan Xie (Scorpio) 6 g, Jiangcan (Bombyx Batryticatus) 10 g, Kunbu (Laminariae Thallus) 30 g, Chi Shao (Paeoniae Radix Rubra) 30 g, Danggui Wei (Angelicae Sinensis Radix Caudex) 12 g, Huai Niuqi (Achyranthis Bidentatae Radix) 12 g.
Usage: Decoct in water, one dose daily, taken three times a day.
Indications: Migraine, trigeminal neuralgia, neurovascular headache, intracranial hemangioma, and headaches caused by certain intracranial space-occupying lesions.
3. Shugan Lidan Tang (Soothe Liver and Benefit Gallbladder Decoction)
Composition: Chaihu (Bupleuri Radix) 10 g, Huangqin (Scutellariae Radix) 10 g, Jin Qian Cao (Lysimachiae Herba) 18 g, Hai Jin Sha (Lygodii Spora) 15 g, Chuan Yujin (Curcumae Radix) 10 g, Chao Jin Ling Zi (Meliosmae Fructus Preparatus) 10 g, Bai Shao (Paeoniae Radix Alba) 15 g, Chao Zhi Shi (Aurantii Fructus Immaturus Preparatus) 10 g, Chi Fu Ling (Poria Cum Rubro) 15 g, Ji Nei Jin (Galli Gigerii Endothelium Corneum) 12 g, Che Qian Zi (Plantaginis Semen) 10 g, Yin Chen (Artemisiae Scopariae Herba) 30 g.
Usage: Decoct in water, one dose daily, taken three times a day.
Indications: Syndrome of damp-heat accumulation in the liver and gallbladder (including biliary tract infection, cholecystitis, gallstones, acute icteric hepatitis, and ascites due to schistosomiasis cirrhosis). Modified use of this formula also has a palliative effect on jaundice appearing in late-stage liver cancer patients.
4. Wense Gu Gong Tang (Warm Astringent and Stabilize Uterus Decoction)
Composition: Danggui (Angelicae Sinensis Radix) 10 g, Bai Shao (Paeoniae Radix Alba) 10 g, Chuanxiong (Ligustici Chuanxiong Rhizoma) 6 g, Shudi (Rehmanniae Radix Preparata) 10 g, Ai Ye (Artemisiae Argyi Folium) 6 g, Ejiao (Asini Corii Colla) 10 g, Xuyutan (Capillis Humanis Carbonisatus) 6 g, Wuzhegu (Sepiae Endoconcha) 12 g, Qiancaogen (Rubiae Radix et Rhizoma) 10 g.
Usage: Decoct in water, one dose daily, taken three times a day.
Indications: Deficiency of the Chong and Ren meridians, stagnation of cold pathogenic factors, lower abdominal pain, menorrhagia, bleeding during pregnancy, restless fetus, or postpartum bleeding that is continuous and dripping.
5. Han Ning Zhi Beng Tang (Cold Coagulation and Stop Metrorrhagia Decoction)
Composition: Huangqin (Scutellariae Radix) 10 g, Bai Shao (Paeoniae Radix Alba) 10 g, Shengdi (Rehmanniae Radix) 15 g, Danpi (Moutan Cortex) 6 g, Mo Hanlian Cao (Ecliptae Herba) 15 g, Bai Mao Gen (Imperatae Rhizoma) 15 g, Wuzhegu (Sepiae Endoconcha) 10 g, Xuyutan (Capillis Humanis Carbonisatus) 6 g, Qiancaogen (Rubiae Radix et Rhizoma) 6 g.
Usage: Decoct in water, one dose daily, taken three times a day.
Indications: Metrorrhagia and metrostaxis, bright red vaginal discharge, irritability, dry mouth, disturbed night sleep, red tongue with yellow coating.