治蛊毒。
雄黄(别研) 朱砂(别研。各半两) 鬼臼 巴豆(去皮心油,各一两)
上为细末,炼蜜为丸,如大豆大,每服三丸,空心,煎干姜汤送下,当转下恶物并蛊毒
等,
治五种蛊毒。
雄黄末 麝香末(各一字)
上件药,取生羊肺如指大,以刀开,内雄黄等末,以肺裹吞之。
治中诸物毒。
晋矾 建茶(各等分)
上件药为细末,每服二钱,新汲水调下,得吐即效,未吐再服。
古方论∶有黄胆、有疸病,命名不同,其实一也。详观他书,黄有三十六种,疸有五种。
三十六种黄者,圣惠方载之备矣。五疸之证,感之者多,不容不详。其五疸者,黄汗、黄胆
谷疸、酒疸、女劳疸是也。黄汗之状,身体俱肿,汗出不渴,状如风水,汗出染衣,黄如
汁,其脉自沉,此由脾胃有热,汗出入水浴,水入汗空中,故汗黄也。黄胆之状,食己即饥,
身体、面目、爪甲、牙齿及小便悉黄,欲安卧,或身体多赤多青皆见者,必发寒热,此由酒
食过度,脏腑热极,水谷相并,积于脾胃,复为风湿所搏,结滞不散,热气郁蒸所为也。大
抵发于阴部其人必呕,发于阳部必振寒而发热。谷疸之状,食毕即头眩,心中怫郁不安而发
黄,此由大饥大食,胃气冲蒸所致也。酒疸之状,身目发黄,心中懊痛,足胫满,小便黄,
面发赤斑,此由饮酒多,进谷少,胃内生热,因大醉当风入水所致也。女疸之状,身目皆黄,
发热恶寒,小腹满急,小便不利,此由大劳大热,不能保摄,房后入水所致也,其间多渴而
腹胀者,其病难疗。又有时气伤风、伤寒、伏暑,亦令人发黄。五疸口淡怔忡,耳鸣脚弱,
微寒发热,小便白浊,当作虚证治,不可妄投凉剂,愈伤血气。临病之际,不可不辨明也。
治疗蛊毒。
雄黄(单独研磨) 朱砂(单独研磨。各半两) 鬼臼 巴豆(去皮、去心、去油,各一两)
以上药物研成细末,用炼蜜制成丸药,大小如大豆,每次服用三丸,空腹时,用煎好的干姜汤送服,应当排出恶臭物质及蛊毒等邪气。
治疗五种蛊毒。
雄黄末 麝香末(各一字重)
以上药物,取生羊肺如手指粗细的一段,用刀剖开,放入雄黄等药末,用肺叶包裹后吞服。
治疗误食各种物品中毒。
晋矾 建茶(各等量)
以上药物研成细末,每次服用二钱,用刚打来的冷水调服,能呕吐出来即见效,若未吐再服用一次。
古代医方论述:有黄疸病、有疸病,名称不同,其实质是一样的。详细查阅其他书籍,黄疸有三十六种,疸病有五种。
三十六种黄疸的情况,《圣惠方》记载得很完备了。五种疸病的证候,感染的人很多,不容不详细说明。所谓五疸,就是黄汗、黄胆、谷疸、酒疸、女劳疸。黄汗的症状,全身都浮肿,出汗但不口渴,症状像风水病,汗液染衣,颜色黄如汁液,脉象自沉,这是由于脾胃有热,出汗后入水沐浴,水进入毛孔空隙中,所以汗变黄。黄胆的症状,吃完饭立刻觉得饿,身体、面目、指甲、牙齿以及小便全部发黄,想安静躺卧,或者身体出现多赤或多青颜色的,必定会发冷发热,这是由于饮食过度,脏腑热极,水和谷物混杂,积聚在脾胃,又被风湿邪气搏击,结滞不散,热气郁蒸所致。大抵病发于阴部的人一定会呕吐,病发于阳部的人必定恶寒而发热。谷疸的症状,吃完饭后立刻头晕,心中烦闷不安而发黄,这是由于极度饥饿或暴饮暴食,胃气冲逆蒸腾所致。酒疸的症状,身目发黄,心中懊恼疼痛,小腿肿胀,小便黄,面部出现红斑,这是由于饮酒过多,进食少,胃内生热,因大醉后受风或入水所致。女劳疸的症状,身目皆黄,发热恶寒,小腹胀满急迫,小便不利,这是由于过度劳累和过热,不能保养摄护,房事后入水所致,其中如果多渴且腹胀的,病情难治。又有因时气伤风、伤寒、伏暑,也会使人发黄。五种疸病患者口淡、心悸、耳鸣、脚弱、微寒发热、小便白浊,应作为虚证治疗,不可乱投凉剂,以免更伤血气。临症之际,不可不辨明清楚。
To treat Gu poison (Gu toxin).
Xionghuang (Realgar, *Realgar*) [grind separately] Zhusha (Cinnabar, *Cinnabaris*) [grind separately; each 0.5 liang] Jiubai (Arisaematis Rhizoma Cum Bile / Typhonii Rhizoma - *Note: Context implies a specific herb often translated as Arisaema or similar toxic root, here kept as Jiubai*) Badou (Crotonis Fructus / Semen Crotonis) [remove skin and heart, remove oil; each 1 liang]
Grind the above medicines into fine powder, mix with refined honey to make pills the size of soybeans. Take three pills per dose, on an empty stomach, delivered with decoction of Ganjiang (Zingiberis Rhizoma / Dried Ginger). This should cause the expulsion of foul matter and Gu poison.
To treat five types of Gu poison.
Xionghuang powder (Realgar powder) Shexiang powder (Moschus powder) [each 1 zi weight]
Take the above medicines, obtain a piece of raw sheep lung about the thickness of a finger, cut it open with a knife, insert the Xionghuang and other powders inside, wrap it in the lung tissue, and swallow it whole.
To treat poisoning from various ingested substances.
Jinfan (Alumen / Alum) Jiancha (Jian Tea / Pre-Qingming Tea) [equal parts]
Grind the above medicines into fine powder. Take 2 qian per dose, mixed with fresh cold water. Efficacy is achieved upon vomiting; if vomiting does not occur, take another dose.
Ancient formula discussion: There are Huangdan (Jaundice) and Danbing (Dan disease); although named differently, their essence is the same. Detailed examination of other texts reveals thirty-six types of Huang (Jaundice) and five types of Dan.
The thirty-six types of Huang are fully recorded in the *Shenghui Fang*. The syndromes of the five Dans are frequently encountered and must be detailed. These five Dans are: Huanghan (Yellow Sweat), Huangdan (Yellow Jaundice), Gudan (Grain Jaundice), Jiudan (Wine Jaundice), and Nulaodan (Sexual Exhaustion Jaundice).
The manifestation of Huanghan includes swelling of the entire body, sweating without thirst, resembling Fengshui (Wind-Water edema), with sweat staining clothes yellow like juice, and a self-deep pulse. This arises from heat in the Spleen and Stomach; after sweating, one bathes in water, and water enters the pores, causing the sweat to turn yellow.
The manifestation of Huangdan includes feeling hungry immediately after eating, yellowing of the body, face, eyes, nails, teeth, and urine, a desire to lie still, or the appearance of excessive redness or blueness on the body, inevitably accompanied by chills and fever. This results from excessive food and drink leading to extreme heat in the Zang-Fu organs; water and grain accumulate in the Spleen and Stomach, are combated by Wind-Dampness, remain stagnant, and are caused by the郁蒸 (stagnation and steaming) of heat qi. Generally, if the disease originates in Yin regions, vomiting will occur; if in Yang regions, chills and fever will manifest.
The manifestation of Gudan includes dizziness immediately after eating, mental restlessness and depression, followed by yellowing. This is caused by extreme hunger or overeating, leading to counter-flow and steaming of Stomach Qi.
The manifestation of Jiudan includes yellowing of the body and eyes, mental distress and pain, fullness/swelling of the calves, yellow urine, and red spots on the face. This results from excessive drinking with insufficient food intake, generating heat in the Stomach, often due to getting drunk and then being exposed to wind or entering water.
The manifestation of Nulaodan includes yellowing of the body and eyes, fever and chills, fullness and urgency in the lower abdomen, and difficult urination. This is caused by severe labor and heat, failure to preserve vitality, and entering water after sexual intercourse. Cases involving excessive thirst and abdominal distension are difficult to treat.
Additionally, seasonal pathogens injuring the Wind, Cold damage, or latent Summerheat can also cause yellowing.
For patients with the five Dans presenting with bland taste, palpitations, tinnitus, weak legs, slight chills and fever, and turbid white urine, these should be treated as Deficiency syndromes. Do not recklessly administer cooling agents, as this will further injure Blood and Qi. At the time of clinical presentation, differentiation must be clear.