上为末,蜜和,一两作四丸,热汤化下。渴加栝萎根,下利加牡蛎粉,各等分。为末服
亦可
桔梗枳壳汤
治伤寒气痞,胸满欲死。
枳壳(去穣,麸炒) 桔梗(去芦) 甘草(各等分)
上锉散。每服五钱,水一盏半,煎七分,食前服。痰多,加半夏、生姜,有热,加黄芩。
三黄汤
治伤寒阴证,下之太早,致心下痞,按之软,其脉关上浮者主之。若未解,未可攻
先随风寒二证,投桂枝、麻黄汤。表解已,即服此。
大黄(蒸) 黄连 黄芩(去心)
上锉散。每服五钱,沸汤二盏,热渍之一时久,去滓,分二服,暖服。或汗出恶寒,加
附子
半夏泻心汤
治心下痞满而不痛者。
半夏(一两一钱,汤洗七次) 黄芩(去心) 人参(去芦) 甘草(炙) 干姜(炮。
各两半) 黄
上锉散。每服四钱,水一盏半,姜五片,枣一枚,煎七分,温服。或伤寒中风,医反下
之,
甘草
一两
一方治痰热,心胸烦痞,半夏丸、酒蒸黄连丸合和,每服三十五丸,米饮下。特效。(方
见
近效方
治阳证结胸,死无可药者。曲鳝活者十一条,(即蚯蚓也。)擂烂,用蜜半盏,水半
灌服。无蜜用沙糖。
丁香柿蒂散
治咳逆。(诸方并见后第四卷。)
百合知母汤
治病患欲食复不能食,常默默,欲卧复不能卧,欲行复不能行,有寒如无寒,
热,饮食或美或不美,如强健人,而卧不能行,口苦小便赤,药入口即吐利。此因
之后不平复,变成此疾,名百合候,此主之。发汗后者服。
百合(七枚,擘) 知母(三两,切)
上先以水洗百合渍一宿,当白沫出,去其水,更以泉水二升,煎去一升,去滓,别以泉
水二
滑石代赭汤
治百合病下之后者。
百合(七枚,掰) 滑石(三两,碎,绵裹) 代赭(如弹子大一枚,碎,绵裹)
上先以水洗百合渍一宿,当白沫出,去其水,更以泉水二升,煎取一升,去滓。别以泉
水二
鸡子汤
治百合病吐之后者。
百合(七枚,擘) 鸡子黄(十枚)
上先以水洗百合,渍一宿,当白沫出其水,更以泉水二升,煎取一升,去滓,内鸡子黄
搅匀
百合洗方
治百合病一月不解,变成渴者。
百合水一斗渍一宿,以洗身已,食煮饼,勿以盐豉。
玄参升麻汤
治伤寒失下,不当下而下之,热毒在胃,发斑如锦纹,甚则烦躁谵语。兼治喉
玄参 升麻 甘草(各半两)
上锉散。每服五钱,水一盏半,煎七分,去滓温服,温毒亦能发斑也。
知母麻黄汤
治坏伤寒。以伤寒差后,经久,精神不守,言语错谬,或潮热颊赤,寒热如疟
下不止,毒在心包络间所致也。
知母(一两半) 麻黄(去节) 甘草(炙) 芍药 黄芩(去心) 桂心(各半两)
上锉散。每服五钱,水一盏半,煎七分,温服,日三四服。若心烦欲饮水,稍稍与之。
黑奴丸
治伤寒调理失序,医所不治。及时行疫病,七日不汗,脉洪数,面赤目瞪,身热烦
狂言欲走,大渴或口噤,精魄已散,但心下暖,斡闭口灌药下咽即活。亦治阳毒发斑。
麻黄(去节) 大黄(各二两) 芒硝 釜底煤(别研) 梁尘(别研) 小麦奴 灶
突墨(各一两
上为末,炼蜜为丸,弹子大。新汲水研下一丸。渴者与冷水尽饮之,须臾当寒,寒竟汗
出便瘥。若日移五尺不汗,根据前法服一丸瘥。须病患大渴乃可与之,不渴者勿服。
无忧散
治伤寒调理失序,毒瓦斯内结,胸腹胀满,坐卧不安,日久不瘥,狂言妄语,大小便
或复吐逆。
腊月黄牛胆(以天南星为末,入胆内缚令紧,当风避日悬之,候干取用)
上为末,以人参半两,煎汤七分盏,调末二钱,乘热服。迟顷,更以热人参汤投之,或
睡,
桃仁汤
治狐惑默默欲眠,目不瞑,恶饮食,面目乍赤乍白乍黑,齿无色,舌上白,声哽咽
此因大病后肠胃虚空,三虫求食,食人五脏。食其喉则为惑,其声哽;食下部则为狐,
其咽干。当看上唇有疮,虫食其脏;下唇有疮,虫食其肛。
桃仁(去皮尖) 槐子(碎) 艾(各一两)
上锉散。每服五钱,水一大盏,姜三片,枣二枚。煎七分,食前服之。
白头翁汤
治热利下重,及欲饮水者。
白头翁(二两) 黄连 黄柏 秦皮(各三两)
上锉散。水七升,煎取二升,去滓,温服一升。不愈,更饮一升,即效。
黄连阿胶丸
治同上。(方见泄泻类。)
黄连解毒汤
治时疾,三日已汗解,或因饮酒复剧,苦烦闷,干呕口燥,呻吟错语,不得卧
黄连(三分) 黄柏(半两) 栀子(四枚,掰) 黄芩(一两)
上锉散。每服五钱,水一盏半,煎取一汤盏,去滓服。未知,再服,进粥,以此渐瘥。
《外
除
黄连犀角汤
治伤寒及诸病后,内有疮出下部。
黄连(半两) 乌梅(七个) 犀角(无则以升麻代) 木香(各一两)
上锉散。每服五钱,水一盏半。煎七分,食前服。
雄黄兑散
治下部 疮。
雄黄(研) 青葙子 苦参 黄连(各二分) 桃仁(去皮尖研,一分)
上为末,以生艾捣汁,和如枣核大,绵裹纳下部。扁竹汁更佳。无艾,只用绵裹散子纳
下部
四逆汤
治伤寒寒厥。或表热里寒,下利清谷,食入则吐。或大汗、大吐、大下之后,四肢
五内拘急,举体疼痛,不渴,脉沉者。(方见前。)
白虎汤
治热厥腹满,身重难以转侧,面垢,谵语遗溺,手足厥冷,自汗脉沉滑,里有热也
见前。)
大承气汤
亦治热厥。当观病浅深,量多寡饮之。(方见前。)
黄连阿胶汤
治少阴病得之二三日以上,心中烦,不得卧者。
黄连(一两) 阿胶(三分) 鸡子黄(半个) 黄芩(一分) 芍药(半个)
上锉散。每服四钱,水二盏,煎取一盏,去滓,内胶消尽,内鸡子黄搅令和,温服,日
二服
文蛤散
病在阳,应以汗解之,反以冷水 之,热被寒水入里,却不得去,弥更益烦,肉上
意欲饮水,反不渴者,宜服。(若不瘥者,与五苓散。寒实结胸,无热证者,与三物
文蛤(一两)
上为散。沸汤和服方寸匕。汤用五合。
三物白散
治寒实结胸,无热证者。(属太阳。)
贝母(三分) 桔梗(三分,去芦) 巴豆(去心皮,熬黑,研如脂,一分)
上为散,内巴豆研和,以白饮和服。强人半钱匕,羸人可减之。病在膈上必吐,在膈下
必利
之、
十枣汤 太阳中风,下利呕逆,表解者乃可攻之。其人 汗出,发作有时,头痛,心下痞
硬满,引胁下痛,干呕短气,汗出不恶寒者,此表解里未和也,宜服。(方见痰饮类。)
抵当汤
太阳病六七日,表证仍在,脉微而沉,反不结胸,其人发狂者,以热在下焦,小腹
小便自利者,下血乃愈。所以然者,以太阳随经,瘀热在里故也。或太阳病身黄,脉
小腹硬,小便利者,为无血也。小便自利,其人如狂者,血证谛也。或伤寒有热,小
应小便不利,今反利者,为有血也。当下之,不可余药,
并宜服。(属太阳。)阳明证,其人喜忘者,必有蓄血。所以然者,本有久瘀血,故令喜
忘。屎虽硬,大便反易,其色必黑
数者,可下之。假令已下,脉数不
(属阳明。)
大黄(一两,去皮,酒洗) 虻虫(十枚,去翅足熬) 桃仁(七枚,去皮尖,捶碎)
水蛭(
上为散,作二服。水二盏,煎七分,去滓温服。
吴茱萸汤
食谷欲呕,属阳明也,此主之。得汤反剧者,属上焦也。(属阳明。)少阴病吐利
逆冷,烦躁欲死者,或干呕吐涎沫,头痛者,此并主之。(属少阴。)
人参(一两,去芦) 吴茱萸(一两六钱半,汤洗三遍)
上为散。每服四钱,生姜四片,枣子一枚,水二盏半,煎八分,去滓分二服。
苦酒汤(苦酒,米醋是也。)
治少阴病,咽中伤,生疮,不能语言,声不出者。
半夏(洗,碎如枣核,十四枚) 鸡子(一枚,去黄,内苦酒着鸡子壳中)
上内半夏着苦酒中,以鸡子壳置刀环中,安火上,令二三沸,去渣,少少含咽之。不瘥,
再
牡蛎汤
治发汗多,头眩汗出,筋惕肉 。
白术 牡蛎粉(炒黄) 防风(独茎者,去芦头。各等分)
上为末。每服二钱,以酒调下,米饮亦可,日二三服。汗止便服小建中汤。(方见前。)
阴旦汤
治伤寒肢节疼痛,内寒外热,虚烦。
芍药(二两) 甘草(二两,炙) 干姜(三两,炮) 黄芩(三两) 桂(四两)
上锉散。每服五钱,枣二枚,水一盏半,煎八分,去滓温服,日三夜二。覆令小汗。
大白术散
治阴毒伤寒,心间烦躁,四肢逆冷。
白术 附子(炮裂,去皮脐) 川乌头(制同上) 桔梗(去芦头) 细辛(各一两) 干
姜(半两
上为末。每服二钱,水一中盏,煎至六分。不拘时,稍热服。
回阳丹
治阴毒伤寒。面青手足逆冷。心腹气胀,脉候沉细。
荜澄茄 木香 干蝎 附子(炮裂,去皮脐) 硫黄(细研入) 吴茱萸(汤浸七遍,
焙干微炒
上为末,酒煮,面糊丸如梧子大。每服三十丸,不计时候,生姜汤下,频服。三服,复
以热
正阳散
治阴毒伤寒。面青,口张出气,心下硬,身不热,只额上有汗,烦渴不止,舌黑,
四肢俱冷。
甘草(一分,炙微赤锉) 麝香(一钱,细研入) 附子(一两,炮裂,去皮脐) 干
姜(一分,
上为末。每服二钱,水一中盏,煎至五分,不拘时热服。
肉桂散\x
治伤寒服冷药过度,心腹胀满,四肢逆冷,昏沉不识人,变为阴毒。
肉桂(去粗皮) 高良姜(锉) 浓朴(去皮,姜汁炙令香熟) 白术 木香(各三分)
人参(去
两) 吴茱萸(半
上锉散。每服四钱,水一中盏,枣三枚,煎六分,去滓。不拘时,稍热频服。
将上述药物研为细末,用蜂蜜调和,每两药粉制成四丸,用热开水化开后服用。若口渴,加天花粉(栝萎根);若下利,加牡蛎粉,各取等量。研为细末服用。
也可使用桔梗枳壳汤:治疗伤寒气痞,胸中胀满欲死。
药材:枳壳(去除瓤,麸炒)、桔梗(去芦头)、甘草(各取等分)。
将药物切碎成散剂。每次服用五钱,加水一盏半,煎至七分,饭前服用。痰多者,加半夏、生姜;有热者,加黄芩。
三黄汤:治疗伤寒阴证,因攻下太早,导致心下痞塞,按之柔软,脉象关部浮者适用。若表证未解,不可攻下。应先根据风寒两种证候,投用桂枝汤或麻黄汤。待表证解除后,再服用此方。
药材:大黄(蒸制)、黄连、黄芩(去心)。
将药物切碎成散剂。每次服用五钱,用沸水二盏,浸泡一个时辰(约两小时),滤去药渣,分两次温服。若出现汗出恶寒,加附子。
半夏泻心汤:治疗心下痞满但不疼痛者。
药材:半夏(一两一钱,用热水清洗七次)、黄芩(去心)、人参(去芦头)、甘草(炙烤)、干姜(炮制,各半两)。
将药物切碎成散剂。每次服用四钱,加水一盏半,生姜五片,大枣一枚,煎至七分,温服。若是伤寒中风,医生反而误用攻下法,导致……(原文此处似有脱漏,依文意推测为变证),加甘草一两。
另一方可治痰热所致的心胸烦闷痞塞,将半夏丸与酒蒸黄连丸混合,每次服用三十五丸,米汤送下,特效。(方剂见《近效方》)。
治疗阳证结胸,病情危重无药可救者。取活蚯蚓十一条(即地龙),捣烂,用蜜半盏、水半盏灌服。若无蜜,可用砂糖代替。
丁香柿蒂散:治疗呃逆。(各方均见后第四卷。)
百合知母汤:治疗患者想吃却吃不下,常常沉默不语,想睡却睡不着,想走却走不动,感觉寒冷却不像真的冷,感觉发热,饮食有时美味有时无味,像健康人一样,但躺下不能行动,口苦,小便赤红,药入口即呕吐腹泻。这是因为大病之后阴阳不平复,变成此疾,名为百合病,此方主治。发汗后出现的此类症状者服用。
药材:百合(七枚,掰开)、知母(三两,切片)。
先将百合用水洗净,浸泡一夜,当出现白沫时,倒掉水,再用泉水二升,煎至剩一升,滤去药渣。另取泉水二升……(原文此处截断,通常做法是合煎或单煎百合后合煎知母,依常规补全逻辑:煎百合液后加入知母同煎,或分别煎煮后合并,此处依原文“别以泉水二”推测为另煎知母或后续步骤,但原文中断,故仅翻译可见部分)。
滑石代赭汤:治疗百合病经攻下之后的情况。
药材:百合(七枚,掰开)、滑石(三两,捣碎,用绵布包裹)、代赭石(如弹子大一枚,捣碎,用绵布包裹)。
先将百合用水洗净,浸泡一夜,当出现白沫时,倒掉水,再用泉水二升,煎至剩一升,滤去药渣。另取泉水二升……(同上,原文截断)。
鸡子汤:治疗百合病经催吐之后的情况。
药材:百合(七枚,掰开)、鸡蛋黄(十个)。
先将百合用水洗净,浸泡一夜,当出现白沫时倒掉水,再用泉水二升,煎至剩一升,滤去药渣,纳入鸡蛋黄,搅拌均匀。
百合洗方:治疗百合病一个月未愈,转变为口渴者。
用百合水一斗浸泡一夜,用来洗浴身体,洗后吃煮饼,不要用盐豉调味。
玄参升麻汤:治疗伤寒失于攻下,本不该攻下却误攻,热毒在胃,发出如锦纹般的斑疹,严重时烦躁谵语。兼治喉痹……(原文截断)。
药材:玄参、升麻、甘草(各半两)。
将药物切碎成散剂。每次服用五钱,加水一盏半,煎至七分,滤去药渣温服。温毒也能发斑。
知母麻黄汤:治疗坏伤寒。伤寒痊愈后,经久不愈,精神不守,言语错谬,或潮热面颊发红,寒热往来如疟疾,下利不止,这是毒邪在心包络间所致。
药材:知母(一两半)、麻黄(去节)、甘草(炙)、芍药、黄芩(去心)、桂心(各半两)。
将药物切碎成散剂。每次服用五钱,加水一盏半,煎至七分,温服,每日三四次。若心烦想喝水,稍许给予。
黑奴丸:治疗伤寒调理失序,医生无法治疗的。以及时行疫病,七日不出汗,脉象洪数,面红目瞪,身热烦躁,胡言乱语想跑,大渴或牙关紧闭,精魄已散,但只要心下温暖,强行开口灌药咽下即可复活。也治疗阳毒发斑。
药材:麻黄(去节)、大黄(各二两)、芒硝、釜底煤(另研细)、梁尘(另研细)、小麦奴、灶突墨(各一两)。
将药物研为细末,炼蜜为丸,大小如弹子。用新汲水研化一丸服用。口渴者让喝冷水直到喝完,片刻后会感到寒冷,冷过后出汗则病愈。如果过了很长时间(日移五尺的时间)还不汗出,照前法再服一丸即愈。必须病患大渴时才可与药,不渴者勿服。
无忧散:治疗伤寒调理失序,毒气内结,胸腹胀满,坐卧不安,日久不愈,胡言妄语,大小便不通或再次呕吐逆气。
腊月黄牛胆(将天南星研为细末,放入胆内绑紧,挂在避风避日的地方,晾干备用)。
将牛胆干燥物研为细末,用人参半两,煎汤七分盏,调药末二钱,趁热服用。过一会儿,再用热人参汤送服,或者睡觉。
桃仁汤:治疗狐惑病,默默想睡,眼睛闭不上,厌恶饮食,面目时而红时而白时而黑,牙齿颜色暗淡,舌上发白,声音哽咽。这是因为大病后肠胃空虚,三虫求食,吃人的五脏。吃咽喉则为惑,声音哽;吃下部则为狐,导致咽干。应当看上唇有疮,虫食其脏;下唇有疮,虫食其肛。
药材:桃仁(去皮尖)、槐子(捣碎)、艾叶(各一两)。
将药物切碎成散剂。每次服用五钱,加水一大盏,生姜三片,大枣二枚。煎至七分,饭前服用。
白头翁汤:治疗热利下重,以及想喝水者。
药材:白头翁(二两)、黄连、黄柏、秦皮(各三两)。
将药物切碎,加水七升,煎至二升,滤去药渣,温服一升。不好,再饮一升,即见效。
黄连阿胶丸:治疗同上。(方剂见泄泻类。)
黄连解毒汤:治疗时行疾病,三天已经汗解,或因饮酒又加重,苦于烦闷,干呕口燥,呻吟错语,不能卧。
药材:黄连(三分)、黄柏(半两)、栀子(四枚,掰开)、黄芩(一两)。
将药物切碎成散剂。每次服用五钱,加水一盏半,煎取一汤盏,滤去药渣服用。若未好,再服,进粥,以此逐渐痊愈。
黄连犀角汤:治疗伤寒及诸病后,体内有疮出现在下部。
药材:黄连(半两)、乌梅(七个)、犀角(无则以升麻代替)、木香(各一两)。
将药物切碎成散剂。每次服用五钱,加水一盏半。煎至七分,饭前服用。
雄黄兑散:治疗下部……(原文截断,应为下部疮疡)。
药材:雄黄(研细)、青葙子、苦参、黄连(各二分)、桃仁(去皮尖研,一分)。
将药物研为细末,用生艾捣汁,调和如枣核大,用绵布包裹纳入下部。扁竹汁更好。若无艾,只用绵布包裹散剂纳入下部。
四逆汤:治疗伤寒寒厥。或表热里寒,下利清谷,食入则吐。或大汗、大吐、大下之后,四肢拘急,全身疼痛,不渴,脉沉者。(方剂见前。)
白虎汤:治疗热厥腹满,身重难以转侧,面垢,谵语遗尿,手足厥冷,自汗脉沉滑,里有热也。(方剂见前。)
大承气汤:也治疗热厥。应当观察病情的深浅,衡量剂量饮用。(方剂见前。)
黄连阿胶汤:治疗少阴病得之二三日以上,心中烦,不得卧者。
药材:黄连(一两)、阿胶(三分)、鸡蛋黄(半个)、黄芩(一分)、芍药(半个)。
将药物切碎成散剂。每次服用四钱,加水二盏,煎至一盏,滤去药渣,纳入胶使其溶尽,纳入鸡蛋黄搅和均匀,温服,每日二次。
文蛤散:病在阳,应以汗解之,反用冷水浇洒,热被寒水入里,却无法去除,更加烦闷,身上起粟粒状疙瘩,想要喝水,反而不渴者,宜服用。(若不好,给五苓散。寒实结胸,无热证者,给三物白散。)
药材:文蛤(一两)。
将药物研为散剂。用沸水和服一方寸匕。汤用五合。
三物白散:治疗寒实结胸,无热证者。(属太阳病。)
药材:贝母(三分)、桔梗(三分,去芦)、巴豆(去心皮,熬黑,研如脂,一分)。
将药物研为散,纳入巴豆研和,用白饮(米汤)和服。体质强者半钱匕,体弱者减量。病在膈上必吐,在膈下必利。
十枣汤:太阳中风,下利呕逆,表解者乃可攻之。其人漐漐汗出,发作有时,头痛,心下痞硬满,引胁下痛,干呕短气,汗出不恶寒者,此表解里未和也,宜服用。(方剂见痰饮类。)
抵当汤:太阳病六七日,表证仍在,脉微而沉,反不结胸,其人发狂者,以热在下焦,小腹硬满,小便自利者,下血乃愈。所以然者,以太阳随经,瘀热在里故也。或太阳病身黄,脉沉结,小腹硬,小便利者,为无血也。小便自利,其人如狂者,血证谛也。或伤寒有热,小腹部满,应小便不利,今反利者,为有血也。当下之,不可余药,并宜服用。(属太阳。)阳明证,其人喜忘者,必有蓄血。所以然者,本有久瘀血,故令喜忘。屎虽硬,大便反易,其色必黑。数者,可下之。假令已下,脉数不……(原文截断)。(属阳明。)
药材:大黄(一两,去皮,酒洗)、虻虫(十枚,去翅足熬)、桃仁(七枚,去皮尖,捶碎)、水蛭(……原文截断,通常为三十个熬)。
将药物研为散,作二服。加水二盏,煎至七分,滤去药渣温服。
吴茱萸汤:食谷欲呕,属阳明也,此主之。得汤反剧者,属上焦也。(属阳明。)少阴病吐利,手足逆冷,烦躁欲死者,或干呕吐涎沫,头痛者,此并主之。(属少阴。)
药材:人参(一两,去芦)、吴茱萸(一两六钱半,汤洗三遍)。
将药物研为散。每次服用四钱,生姜四片,枣子一枚,水二盏半,煎八分,滤去药渣分两次服用。
苦酒汤(苦酒,即米醋):治疗少阴病,咽中伤,生疮,不能语言,声不出者。
药材:半夏(洗,碎如枣核,十四枚)、鸡蛋(一枚,去黄,纳苦酒着鸡子壳中)。
将半夏纳入苦酒中,以鸡子壳置于刀环中,安火上,令二三沸,滤去渣,少量含咽之。若不好,再服。
牡蛎汤:治疗发汗多,头眩汗出,筋惕肉瞤。
药材:白术、牡蛎粉(炒黄)、防风(独茎者,去芦头。各等分)。
将药物研为末。每次服用二钱,以酒调下,米饮亦可,每日二三次。汗止便服小建中汤。(方剂见前。)
阴旦汤:治疗伤寒肢节疼痛,内寒外热,虚烦。
药材:芍药(二两)、甘草(二两,炙)、干姜(三两,炮)、黄芩(三两)、桂(四两)。
将药物切碎成散剂。每次服用五钱,枣二枚,水一盏半,煎八分,滤去药渣温服,日三夜二。覆盖被子令微微出汗。
大白术散:治疗阴毒伤寒,心间烦躁,四肢逆冷。
药材:白术、附子(炮裂,去皮脐)、川乌头(制同上)、桔梗(去芦头)、细辛(各一两)、干姜(半两)。
将药物研为末。每次服用二钱,水一中盏,煎至六分。不拘时候,稍热服。
回阳丹:治疗阴毒伤寒。面青手足逆冷。心腹气胀,脉候沉细。
药材:荜澄茄、木香、干蝎、附子(炮裂,去皮脐)、硫黄(细研入)、吴茱萸(汤浸七遍,焙干微炒)。
将药物研为末,酒煮,面糊丸如梧子大。每次服用三十丸,不计时候,生姜汤下,频服。三服后,复以热……(原文截断,可能指热粥或热汤)。
正阳散:治疗阴毒伤寒。面青,口张出气,心下硬,身不热,只额上有汗,烦渴不止,舌黑,四肢俱冷。
药材:甘草(一分,炙微赤锉)、麝香(一钱,细研入)、附子(一两,炮裂,去皮脐)、干姜(一分,……原文截断,通常配伍)。
将药物研为末。每次服用二钱,水一中盏,煎至五分,不拘时热服。
肉桂散:治疗伤寒服冷药过度,心腹胀满,四肢逆冷,昏沉不识人,变为阴毒。
药材:肉桂(去粗皮)、高良姜(锉)、浓朴(去皮,姜汁炙令香熟)、白术、木香(各三分)、人参(去……原文截断,通常去芦)、吴茱萸(半……原文截断,通常一两)。
将药物切碎成散剂。每次服用四钱,水一中盏,枣三枚,煎六分,滤去药渣。不拘时,稍热频服。
Grind the above herbs into fine powder, mix with honey, and divide one tael of powder into four pills. Dissolve in hot water and take orally. If thirsty, add *Gualou Gen* (Trichosanthes Root); if suffering from diarrhea, add *Muli Fen* (Oyster Shell Powder), each in equal parts. Grind into powder and take orally.
Alternatively, use **Jiegeng Zhike Tang** (Platycodon and Aurantium Decoction): Treats Qi stagnation and palpitation caused by Cold Damage, characterized by chest fullness and a sensation of impending death.
Herbs: *Zhike* (Aurantium Fruit, pulp removed, stir-fried with bran), *Jiegeng* (Platycodon Root, radix removed), *Gancao* (Licorice Root, each in equal parts).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1.5 sheng of water, decoct to 0.7 sheng, and take before meals. For excessive phlegm, add *Banxia* (Pinellia Tuber) and *Shengjiang* (Fresh Ginger); for heat, add *Huangqin* (Scutellaria Root).
**Sanhuang Tang** (Three Yellows Decoction): Treats Yin syndrome of Cold Damage resulting from premature purgation, leading to epigastric stuffiness that is soft upon pressure, with a floating pulse at the Guan position. If the exterior syndrome is not resolved, do not purge. First, treat according to Wind-Cold syndromes using **Guizhi Tang** (Cinnamon Twig Decoction) or **Mahuang Tang** (Ephedra Decoction). After the exterior is resolved, take this formula.
Herbs: *Dahuang* (Rhubarb Root and Rhizome, steamed), *Huanglian* (Coptis Rhizome), *Huangqin* (Scutellaria Root, heart removed).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, steep in 2 sheng of boiling water for one shichen (approx. 2 hours), filter out the dregs, and divide into two doses to take warm. If sweating and aversion to cold occur, add *Fuzi* (Prepared Aconite Root).
**Banxia Xiexin Tang** (Pinellia Decoction for Releasing the Epigastrium): Treats epigastric fullness and stuffiness without pain.
Herbs: *Banxia* (Pinellia Tuber, 1 liang 1 qian, washed seven times in hot water), *Huangqin* (Scutellaria Root, heart removed), *Renshen* (Ginseng Root, radix removed), *Gancao* (Licorice Root, honey-fried), *Ganjiang* (Dried Ginger, processed, each half liang).
Cut the herbs into fragments to make a powder. Take 4 qian per dose, with 1.5 sheng of water, 5 slices of ginger, and one jujube, decoct to 0.7 sheng, and take warm. If Cold Damage or Wind Strike was mistakenly treated with purgation by the physician... [text implies subsequent symptoms], add *Gancao* (Licorice Root) 1 liang.
Another prescription treats phlegm-heat causing mental restlessness and epigastric stuffiness; combine *Banxia Wan* (Pinellia Pill) and *Jiu Zheng Huanglian Wan* (Wine-Steamed Coptis Pill), take 35 pills per dose with rice drink, highly effective. (See *Jin Xiao Fang*).
For Yang syndrome Jie Xiong (Chest Binding) where death seems imminent and no medicine works: Take 11 live earthworms (*Qushan*), mash them, mix with half a zhan of honey and half a zhan of water, and administer orally. If honey is unavailable, use brown sugar.
**Dingxiang Shidi San** (Clove and Persimmon Calyx Powder): Treats hiccups. (All formulas are seen in Volume 4 later.)
**Baihe Zhimu Tang** (Lily and Anemarrhena Decoction): Treats patients who want to eat but cannot, often remain silent, want to lie down but cannot, want to walk but cannot, feel cold as if not cold, feel heat, diet varies between tasty and tasteless, appear healthy but cannot move when lying down, bitter taste in mouth, red urine, and vomiting/diarrhea immediately after taking medicine. This arises from imbalance after a major illness, named Baihe Disease (Lily Disease), which this formula treats. It is taken after sweating therapy.
Herbs: *Baihe* (Lily Bulb, 7 pieces, broken apart), *Zhimu* (Anemarrhena Rhizome, 3 liang, sliced).
First wash the lily bulbs, soak overnight. When white foam appears, discard the water. Add 2 sheng of spring water, decoct to 1 sheng, filter out dregs. Separately use 2 sheng of spring water... [text cuts off].
**Huashi Daizhe Tang** (Talcum and Hematite Decoction): Treats Baihe Disease after purgation.
Herbs: *Baihe* (Lily Bulb, 7 pieces, broken apart), *Huashi* (Talcum Group, 3 liang, crushed, wrapped in silk), *Daizhe* (Hematite, size of a bullet, crushed, wrapped in silk).
First wash the lily bulbs, soak overnight. When white foam appears, discard the water. Add 2 sheng of spring water, decoct to 1 sheng, filter out dregs. Separately use 2 sheng of spring water... [text cuts off].
**Jizi Tang** (Egg Yolk Decoction): Treats Baihe Disease after emesis.
Herbs: *Baihe* (Lily Bulb, 7 pieces, broken apart), *Jizi Huang* (Egg Yolk, 10 pieces).
First wash the lily bulbs, soak overnight. When white foam appears, discard the water. Add 2 sheng of spring water, decoct to 1 sheng, filter out dregs, add egg yolks, and stir well.
**Baihe Xi Fang** (Lily Washing Prescription): Treats Baihe Disease unresolved for one month, transforming into thirst.
Soak 1 dou of lily in water overnight, use the water to wash the body. After washing, eat boiled noodles/biscuits, do not use salted black beans.
**Xuanshen Shengma Tang** (Scrophularia and Cimicifuga Decoction): Treats Cold Damage where purgation was missed, or wrongly applied, causing heat-toxin in the stomach, manifesting as rash like brocade patterns, severe restlessness, and delirious speech. Also treats throat obstruction... [text cuts off].
Herbs: *Xuanshen* (Scrophularia Root), *Shengma* (Cimicifuga Rhizome), *Gancao* (Licorice Root, each half liang).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1.5 sheng of water, decoct to 0.7 sheng, filter out dregs, and take warm. Warm toxin can also cause rashes.
**Zhimu Mahuang Tang** (Anemarrhena and Ephedra Decoction): Treats Ruined Cold Damage. After recovery from Cold Damage, prolonged duration leads to unsettled spirit, erroneous speech, tidal fever with red cheeks, alternating chills and fever like malaria, persistent diarrhea. This is caused by toxin in the Pericardium Collateral.
Herbs: *Zhimu* (Anemarrhena Rhizome, 1.5 liang), *Mahuang* (Ephedra Herb, nodes removed), *Gancao* (Licorice Root, honey-fried), *Shaoyao* (Peony Root), *Huangqin* (Scutellaria Root, heart removed), *Guixin* (Cinnamon Bark, each half liang).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1.5 sheng of water, decoct to 0.7 sheng, take warm, 3-4 times daily. If restless and desiring water, give small amounts.
**Heinu Wan** (Black Slave Pill): Treats disordered regulation in Cold Damage, untreatable by physicians. Also treats epidemic diseases where there is no sweat for 7 days, surging and rapid pulse, red face, staring eyes, body heat, restlessness, delirious speech, desire to run, extreme thirst, or locked jaw. Even if the spirit is scattered, as long as the epigastrium is warm, forcing medicine down will revive. Also treats Yang Du (Yang Toxin) with rashes.
Herbs: *Mahuang* (Ephedra Herb, nodes removed), *Dahuang* (Rhubarb Root and Rhizome, each 2 liang), *Mangxiao* (Mirabilite), *Fudimei* (Soot from the furnace bottom, separately ground), *Liangchen* (Dust from grain storage, separately ground), *Xiaomai Nu* (Wheat Sprouts/Parasites), *Zaotu Mo* (Soot from the chimney, each 1 liang).
Grind into powder, bind with refined honey into pills the size of bullets. Dissolve one pill in fresh well water and take. For those thirsty, allow them to drink cold water until finished. Soon they will feel cold, and after the cold sensation passes, sweating will occur and the disease will resolve. If no sweat occurs after a significant time (sun moves five chi), repeat the method with another pill. Only administer if the patient is extremely thirsty; do not give if not thirsty.
**Wuyou San** (Carefree Powder): Treats disordered regulation in Cold Damage, internal binding of toxic qi, chest and abdominal distension, inability to sit or lie comfortably, prolonged non-resolution, delirious speech, constipation or urinary retention, or recurrent vomiting.
December yellow ox gallbladder (Fill with *Tiannanxing* (Arisaema Rhizome) powder, tie tightly, hang in a windy, shaded place until dry).
Grind the dried gallbladder into powder. Mix 0.5 liang of *Renshen* (Ginseng Root) decocted to 0.7 sheng with 2 qian of the powder, take warm. Shortly after, follow with more hot ginseng soup, or induce sleep.
**Taoren Tang** (Peach Kernel Decoction): Treats Hu Huo Disease (Fox-Huo Disease), characterized by silence, desire to sleep but eyes won't close, aversion to food, complexion alternating red/white/black, colorless teeth, white tongue, choking voice. This arises from empty intestines/stomach after major illness, allowing three worms to seek food and eat the five viscera. Eating the throat causes Huo (confusion/choking); eating the lower part causes Hu (fox-like symptoms/dry throat). Check for sores on the upper lip (worms eating viscera) or lower lip (worms eating anus).
Herbs: *Taoren* (Peach Seed, skin and tip removed), *Huazi* (Sophora Seed, crushed), *Ai* (Mugwort Leaf, each 1 liang).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1 large sheng of water, 3 slices of ginger, and 2 jujubes. Decoct to 0.7 sheng, take before meals.
**Baitouweng Tang** (Pulsatilla Decoction): Treats heat dysentery with tenesmus, and cases desiring water.
Herbs: *Baitouweng* (Pulsatilla Root, 2 liang), *Huanglian* (Coptis Rhizome), *Huangbai* (Phellodendron Bark), *Qinpi* (Ash Bark, each 3 liang).
Cut the herbs, add 7 sheng of water, decoct to 2 sheng, filter out dregs, take 1 sheng warm. If not cured, drink another 1 sheng, then it will be effective.
**Huanglian Ejiao Wan** (Coptis and Donkey-Hide Gelatin Pill): Treats the same as above. (See Diarrhea category.)
**Huanglian Jiedu Tang** (Coptis Detoxification Decoction): Treats epidemic diseases where sweating occurred after 3 days, but worsened due to alcohol consumption, causing severe restlessness, dry retching, dry mouth, groaning, erroneous speech, and inability to lie down.
Herbs: *Huanglian* (Coptis Rhizome, 3 fen), *Huangbai* (Phellodendron Bark, half liang), *Zhizi* (Gardenia Fruit, 4 pieces, broken apart), *Huangqin* (Scutellaria Root, 1 liang).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1.5 sheng of water, decoct to one tea-cup amount, filter out dregs and take. If not better, take again, consume congee, and gradually recover.
**Huanglian Xijiao Tang** (Coptis and Rhinoceros Horn Decoction): Treats Cold Damage and other post-disease conditions where sores appear in the lower part.
Herbs: *Huanglian* (Coptis Rhizome, half liang), *Wumei* (Dark Plum, 7 pieces), *Xijiao* (Rhinoceros Horn, substitute with *Shengma* if unavailable), *Muxiang* (Aucklandia Root, each 1 liang).
Cut the herbs into fragments to make a powder. Take 5 qian per dose, with 1.5 sheng of water. Decoct to 0.7 sheng, take before meals.
**Xionghuang Dui San** (Realgar Mixture Powder): Treats lower part... [text cuts off, likely sores].
Herbs: *Xionghuang* (Realgar, ground), *Qingxiangzi* (Celosia Seed), *Kushen* (Sophora Root), *Huanglian* (Coptis Rhizome, each 2 fen), *Taoren* (Peach Seed, skin and tip removed, ground, 1 fen).
Grind into powder, mix with juice from fresh mugwort, form into pills the size of a jujube seed, wrap in silk, and insert into the lower part. Plantain juice is better. If no mugwort, simply wrap the powder in silk and insert.
**Sini Tang** (Recover the Counterflow Decoction): Treats Cold Jue (Cold Extremities) from Cold Damage. Or exterior heat with interior cold, diarrhea with undigested food, vomiting after eating. Or after massive sweating, vomiting, or purgation, leading to limb cramping, whole-body pain, no thirst, and deep pulse. (See previous.)
**Baihu Tang** (White Tiger Decoction): Treats Heat Jue with abdominal fullness, heavy body difficult to turn, greasy face, delirious speech, urinary incontinence, cold extremities, spontaneous sweating, and deep-slippery pulse, indicating interior heat. (See previous.)
**Da Chengqi Tang** (Major Order the Qi Decoction): Also treats Heat Jue. Observe the depth of the disease and measure the dosage. (See previous.)
**Huanglian Ejiao Tang** (Coptis and Donkey-Hide Gelatin Decoction): Treats Shaoyin Disease lasting 2-3 days or more, with mental restlessness and inability to sleep.
Herbs: *Huanglian* (Coptis Rhizome, 1 liang), *Ejiao* (Donkey-Hide Gelatin, 3 fen), *Jizi Huang* (Egg Yolk, half), *Huangqin* (Scutellaria Root, 1 fen), *Shaoyao* (Peony Root, half).
Cut the herbs into fragments to make a powder. Take 4 qian per dose, with 2 sheng of water, decoct to 1 sheng, filter out dregs, dissolve the gelatin, add egg yolk, mix well, take warm, twice daily.
**Wenge San** (Clam Shell Powder): For exterior syndrome (Yang) that should be resolved by sweating, but was wrongly cooled with cold water, trapping heat inside, causing increased restlessness, pruritic skin, desire to drink but no actual thirst. Suitable for this formula. (If ineffective, give *Wuling San*. For Cold Excess Jie Xiong without heat signs, give *Sanwu Baisan*.)
Herbs: *Wenge* (Clam Shell, 1 liang).
Grind into powder. Mix with boiling water and take one cun-bi (measure). Use 5 he of water.
**Sanwu Baisan** (Three Things White Powder): Treats Cold Excess Jie Xiong without heat signs. (Belongs to Taiyang.)
Herbs: *Beimu* (Fritillaria Bulb, 3 fen), *Jiegeng* (Platycodon Root, 3 fen, radix removed), *Badou* (Croton Seed, heart and skin removed, roasted black, ground to paste, 1 fen).
Grind into powder, mix with Badou, bind with white drink (rice water) and take. Strong adults take half a qian-bi, weak persons reduce dose. Disease above the diaphragm causes vomiting; below causes diarrhea.
**Shizao Tang** (Ten Jujube Decoction): Taiyang Wind Strike with diarrhea and vomiting. Can only attack after exterior is resolved. Patient has slight sweating, occurring at times, headache, epigastric hardness/fullness, pain radiating to hypochondrium, dry retching, shortness of breath, sweating without aversion to cold. This indicates exterior resolved but interior unharmonized. Suitable for this. (See Phlegm-Fluids category.)
**Didang Tang** (Assault the Accumulation Decoction): Taiyang Disease for 6-7 days, exterior signs persist, pulse is faint and deep, no Jie Xiong, but patient is manic. Heat is in the Lower Jiao. Hardness/fullness in lower abdomen, free urination indicates blood accumulation must be purged to heal. This is because Taiyang pathogen followed the meridian, causing stasis-heat in the interior. Or Taiyang disease with jaundice, deep-knotted pulse, hard lower abdomen, free urination indicates no blood stasis. Free urination with mania confirms blood syndrome. Or Cold Damage with heat, full lower abdomen, should have obstructed urination, but now free urination indicates blood stasis. Must purge, do not leave any residue. All suitable. (Belongs to Taiyang.) Yangming Syndrome with forgetfulness indicates blood accumulation. Due to old blood stasis, forgetfulness occurs. Stool may be hard, but bowel movement is easy, color black. These indicate purgation is possible. If already purged and pulse remains rapid... [text cuts off]. (Belongs to Yangming.)
Herbs: *Dahuang* (Rhubarb Root and Rhizome, 1 liang, peeled, wine-washed), *Mengchong* (Dragonfly Larvae, 10 pieces, wings and feet removed, roasted), *Taoren* (Peach Seed, 7 pieces, skin and tip removed, crushed), *Shizhi* (Leech, ... [text cuts off, typically 30 roasted]).
Grind into powder, divide into two doses. Add 2 sheng of water, decoct to 0.7 sheng, filter out dregs, take warm.
**Wuzhuyu Tang** (Evodia Decoction): Vomiting after eating belongs to Yangming, this treats it. If worsening after taking, it belongs to Upper Jiao. (Belongs to Yangming.) Shaoyin Disease with vomiting, diarrhea, cold extremities, severe restlessness, or dry retching with salivation, headache. This treats all. (Belongs to Shaoyin.)
Herbs: *Renshen* (Ginseng Root, 1 liang, radix removed), *Wuzhuyu* (Evodia Fruit, 1 liang 6 qian 5 fen, washed three times in hot water).
Grind into powder. Take 4 qian per dose, with 4 slices of ginger, one jujube, 2.5 sheng of water, decoct to 0.8 sheng, filter out dregs, divide into two doses.
**Kujiu Tang** (Bitter Wine Decoction; Kujiu is rice vinegar): Treats Shaoyin Disease with throat injury, sores, inability to speak, loss of voice.
Herbs: *Banxia* (Pinellia Tuber, washed, crushed like jujube seed, 14 pieces), *Jizi* (Egg, 1 piece, remove yolk, put kujiu into the shell).
Put Banxia into kujiu, place eggshell in a knife ring, heat over fire for 2-3 boils, filter out dregs, hold small amounts in mouth and swallow. If not cured, repeat.
**Muli Tang** (Oyster Shell Decoction): Treats excessive sweating leading to vertigo, sweating, muscle twitching.
Herbs: *Baizhu* (Atractylodes Macrocephala Rhizome), *Muli Fen* (Oyster Shell Powder, fried yellow), *Fangfeng* (Saposhnikovia Root, single stem, radix removed, each equal parts).
Grind into powder. Take 2 qian per dose, mixed with wine or rice drink, 2-3 times daily. Once sweating stops, take *Xiao Jianzhong Tang* (Minor Construct the Middle Decoction). (See previous.)
**Yindan Tang** (Yin Dan Decoction): Treats Cold Damage with joint pain, interior cold exterior heat, empty restlessness.
Herbs: *Shaoyao* (Peony Root, 2 liang), *Gancao* (Licorice Root, 2 liang, honey-fried), *Ganjiang* (Dried Ginger, 3 liang, processed), *Huangqin* (Scutellaria Root, 3 liang), *Gui* (Cinnamon Bark, 4 liang).
Cut into fragments to make powder. Take 5 qian per dose, with 2 jujubes, 1.5 sheng of water, decoct to 0.8 sheng, filter out dregs, take warm, 3 times day and 2 times night. Cover to induce slight sweating.
**Da Baizhu San** (Major Atractylodes Powder): Treats Yin Du (Yin Toxin) Cold Damage with mental restlessness and cold extremities.
Herbs: *Baizhu* (Atractylodes Macrocephala Rhizome), *Fuzi* (Prepared Aconite Root, cracked, peel and navel removed), *Chuan Wutou* (Sichuan Aconite Root, prepared similarly), *Jiegeng* (Platycodon Root, radix removed), *Xixin* (Asarum Root, each 1 liang), *Ganjiang* (Dried Ginger, half liang).
Grind into powder. Take 2 qian per dose, with 1 zhong-sheng of water, decoct to 0.6 sheng. Take warm anytime.
**Huiyang Dan** (Restore Yang Pill): Treats Yin Du Cold Damage with blue face, cold extremities, abdominal distension, deep-thin pulse.
Herbs: *Bichengqie* (Long Pepper Fruit), *Muxiang* (Aucklandia Root), *Ganxie* (Dried Scorpion), *Fuzi* (Prepared Aconite Root, cracked, peel and navel removed), *Liuhuang* (Sulfur, finely ground), *Wuzhuyu* (Evodia Fruit, soaked in water 7 times, dried and lightly fried).
Grind into powder, boil in wine, bind with wheat paste into pills the size of wutong seeds. Take 30 pills anytime, with ginger soup, frequently. After 3 doses, follow with hot... [text cuts off].
**Zhengyang San** (Upright Yang Powder): Treats Yin Du Cold Damage with blue face, open mouth breathing, hard epigastrium, no body heat, only sweating on forehead, incessant thirst, black tongue, cold extremities.
Herbs: *Gancao* (Licorice Root, 1 fen, honey-fried, slightly red, cut), *Shexiang* (Musk, 1 qian, finely ground), *Fuzi* (Prepared Aconite Root, 1 liang, cracked, peel and navel removed), *Ganjiang* (Dried Ginger, 1 fen, ... [text cuts off]).
Grind into powder. Take 2 qian per dose, with 1 zhong-sheng of water, decoct to 0.5 sheng, take warm anytime.
**Rougui San** (Cinnamon Bark Powder): Treats Cold Damage from excessive cold medicine, causing abdominal distension, cold extremities, coma/unconsciousness, transforming into Yin Du.
Herbs: *Rougui* (Cinnamon Bark, remove coarse bark), *Gaoliangjiang* (Galangal Root, cut), *Houpo* (Magnolia Bark, peel removed, stir-fried with ginger juice until fragrant), *Baizhu* (Atractylodes Macrocephala Rhizome), *Muxiang* (Aucklandia Root, each 3 fen), *Renshen* (Ginseng Root, remove ... [text cuts off]), *Wuzhuyu* (Evodia Fruit, half ... [text cuts off]).
Cut into fragments to make powder. Take 4 qian per dose, with 1 zhong-sheng of water, 3 jujubes, decoct to 0.6 sheng, filter out dregs. Take warm frequently anytime.