(主上吐药也)
治缠喉风闭;先胸膈气紧,蓦然咽喉肿痛,手足厥冷,气不能通,顷刻不治。雄黄一钱,
郁金五分,巴豆七粒(去皮壳),冰、麝各少许为皮,醋糊为丸,如麻子大,清茶下五分;
如喉缠嗓塞,用竹管纳药入喉中,须臾吐痰立解,未吐再服。
庚生按∶巴豆宜去油取霜,方可用。
治气筑奔冲不可忍,兼追虫取积,亦消水肿。黑牵牛五钱(炒),槟榔二钱五分,为末,
每服一钱,紫苏汤下,虫积及水肿用酒下。
治顽痰不化。石青一两,石绿五钱,水飞为末,曲糊丸绿豆大,温水下十丸,吐出痰二
三碗,不损人。风痰猝中,方用生石绿二两,乳细,水化去石,慢火熬干,再研入麝香一分,
糯米粉糊丸弹子大,阴干。猝中每丸作二服,薄荷酒下;余风朱砂酒下。吐青涎、泻下恶物
立效。小儿用铜绿研粉,醋面糊丸芡实大,每服薄荷酒下一丸,须臾吐痰如胶,神效。
庚生按∶生石绿细绎方意,疑即生铜绿。盖铜绿酸平,主治风痰卒中也。此方本名碧林
丹,见药谱明疗铜绿条下,治小儿名绿云丹,亦载此书内。
治腰痛如神。黑牵牛半生半炒,取头末,水和丸,梧子大,硫黄末为衣,空心用盐汤并
酒下五十丸。
庚生按∶此方用意极妙,惟须体实而年久湿重者为宜,亦不可骤投至五十丸之多,当量
症加减为妥。
(此方主治上吐之症)
治疗缠喉风导致的咽喉闭塞:症状先表现为胸膈部气机紧束,突然咽喉肿痛,手足厥冷,气息不通,若不及时救治会有生命危险。取雄黄一钱,郁金五分,巴豆七粒(去皮壳),冰片、麝香各少许,研为极细粉末,用醋调糊制成丸药,大小如麻子,服用时以清茶送服五分;如果咽喉被痰涎缠绕堵塞,可用竹管将药送入喉中,片刻后吐出痰液即可立即缓解,若未吐出可再服用。
庚生按语:巴豆应当去油取霜使用,这样才安全可行。
治疗气逆冲撞剧烈难忍,兼有驱虫消积功效,也能消除水肿。取黑牵牛五钱(炒制),槟榔二钱五分,研为细末,每次服用一钱,用紫苏汤送服;若是虫积或水肿病症,则用酒送服。
治疗顽固不化的痰饮。取石青一两,石绿五钱,用水飞法研磨成细末,用神曲糊制成丸药,大小如绿豆,温水送服十丸,可吐出二三碗痰液,且不损伤人体正气。若是风痰猝然中阻,方中生石绿二两,研磨细腻,用水化开去除杂质,慢火熬干,再次研磨并加入麝香一分,用糯米粉糊制成弹子大小的丸药,阴干备用。猝然中风每次分两次服用,用薄荷酒送服;其余风证用朱砂酒送服。吐出青色涎沫、泻下恶臭物质后立即见效。小儿使用铜绿研粉,醋面糊制成芡实大小的丸药,每次用薄荷酒送服一丸,片刻后吐出如胶状的痰液,效果神奇。
庚生按语:仔细推敲生石绿的方意,怀疑即是生铜绿。因为铜绿性味酸平,主治风痰卒中之症。此方原名碧林丹,见于《药谱》明疗铜绿条下,治疗小儿病时名为绿云丹,也记载于本书内。
治疗腰痛如神效。黑牵牛一半生用一半炒制,取头道细末,用水和丸,大小如梧桐子,外裹硫黄末,空腹时用盐汤和酒送服五十丸。
庚生按语:此方用意极为精妙,只适合体质强壮且年老湿气重的人,也不可一次性投药至五十丸之多,应当根据病情加减剂量为宜。
(This formula primarily treats conditions requiring emesis.)
Treats "Chanting Throat Wind" (Chan Hou Feng) leading to throat obstruction: Symptoms initially present as tightness in the chest and diaphragm, sudden swelling and pain in the throat, coldness of the hands and feet, and inability to breathe. Without immediate treatment, it can be fatal. Take Xionghuang (Realgar) 1 qian, Yujin (Curcuma Aromatica Rhizome) 5 fen, Badou (Crotonis Fructus) 7 grains (peeled and husked), Bingpian (Borneol) and Shexiang (Musk) each in a small amount. Grind into an ultra-fine powder, mix with vinegar paste to form pills the size of hemp seeds. Administer 5 fen with clear tea. If the throat is choked by phlegm, insert the medicine into the throat using a bamboo tube; expectoration of phlegm within moments will provide immediate relief. If vomiting does not occur, administer again.
Gengsheng notes: Badou should be processed to remove oil and use only the residue (Badou Shuang) for safe application.
Treats unbearable rebellious Qi rushing upward, also expelling parasites and resolving accumulations, and reducing edema. Take Hei Qianniu (Pharbitidis Semen) 5 qian (stir-fried), Binglang (Arecae Semen) 2.5 qian. Grind into powder. Take 1 qian per dose, administered with Zisu Tang (Perilla Decoction). For parasite accumulation or edema, administer with wine.
Treats stubborn phlegm that fails to resolve. Take Shiqing (Azurite) 1 liang, Shilv (Malachite) 5 qian. Process via water levigation (Shuifei) into fine powder. Mix with Shenqu paste (Medicated Leaven Paste) to form pills the size of mung beans. Take 10 pills with warm water. This induces vomiting of two to three bowls of phlegm without damaging healthy Qi. For sudden wind-phlegm stroke, use Sheng Shilv (Raw Malachite) 2 liang. Grind finely, dissolve in water, filter out impurities, dry slowly over low heat, grind again, and add Shexiang (Musk) 1 fen. Form pills the size of a bullet using Nuomifen paste (Glutinous Rice Flour Paste) and dry in the shade. For sudden stroke, divide one pill into two doses, taken with Bohe Jiu (Mint Wine); for other wind syndromes, take with Zhusha Jiu (Cinnabar Wine). Immediate efficacy is seen upon vomiting greenish saliva and evacuating foul matter. For children, use Tonglv (Verdigris) ground into powder, formed into pills the size of Euryale Seed (Qianshi) using vinegar and flour paste. Take one pill with Mint Wine per dose. Within moments, sticky phlegm is vomited up, showing miraculous effects.
Gengsheng notes: Upon careful analysis of the intent behind Sheng Shilv, it is suspected to be Sheng Tonglv (Raw Verdigris). Since Tonglv is sour and neutral, it primarily treats sudden wind-phlegm stroke. This formula was originally named Bilin Dan (Emerald Forest Pill), recorded under the entry for Tonglv in *Yapu* (Compendium of Medicines). When treating children, it is called Lvyun Dan (Green Cloud Pill), which is also recorded in this book.
Treats lower back pain with divine efficacy. Use Hei Qianniu (Pharbitidis Semen), half raw and half stir-fried. Take the finest sifted powder. Mix with water to form pills the size of Sophora Seeds (Wuzi). Coat with Liuhuang powder (Sulfur Powder). Take 50 pills on an empty stomach with Salt Water and wine.
Gengsheng notes: The design of this formula is extremely ingenious but is suitable only for individuals with strong constitution and chronic heavy dampness. One must not administer up to 50 pills abruptly; dosage should be adjusted according to the specific condition.