朱 疫疠秽邪从口鼻吸受。分布三焦。弥漫神识。不是风寒客邪。亦非停滞里症。故发散消导。
即犯劫津之戒。与伤寒六经大不相同。今喉痛。丹疹。舌如朱。神躁暮昏。上受秽邪。逆走膻中。
当清血络。以防结闭。然必大用解毒。以驱其秽。必九日外不致昏愦。冀其邪去正复。(疠邪入膻渐干心胞)
犀角 连翘 生地 玄参 菖蒲 郁金 银花 金汁
姚 疫毒。口糜丹疹。喉哑。治在上焦。
犀角 鲜生地 玄参 连翘 石菖蒲 银花 金汁 至宝丹
谭 口鼻吸入秽浊。自肺系渐干心胞络。初病喉痛舌燥。最怕窍闭神昏之象。疫毒传染之症。
不与风寒停滞同法。
玄参 连翘 郁金 银花 石菖蒲 靛叶 射干 牛蒡 冲入真白金汁一杯
杨 吸入疫疠。三焦皆受。久则血分渐瘀。愈结愈热。当以咸苦之制。仍是轻扬理上。仿古大制
小用之意。
玄参 西瓜翠衣 金银花露 莹白金汁
金(氏) 人静则神昏。疠邪竟入膻。王先生方甚妙。愚意兼以芳香宣窍逐秽。(至宝丹)
疫疠一症。都从口鼻而入。直行中道。流布三焦。非比伤寒六经。可表可下。夫疫为秽浊
之气。古人所以饮芳香。采兰草。以袭芬芳之气者。重涤秽也。及其传变。上行极而下。下行
极而上。是以邪在上焦者。为喉哑。为口糜。若逆传膻中者。为神昏舌绛。为喉痛丹疹。今观
先生立方。清解之中。必佐芳香宣窍逐秽。如犀角菖蒲银花郁金等类。兼进至宝丹。从表
透里。以有灵之物。内通心窍。搜剔幽隐。通者通。镇者镇。若邪入营中。三焦相溷。热愈结。邪
愈深者。理宜咸苦大制之法。仍恐性速直走在下。故用玄参金银花露金汁栝蒌皮。轻扬
理上。所谓仿古法而不泥其法者也。考是症。惟张景岳喻嘉言吴又可论之最详。然宗张
喻二氏。恐有遗邪留患。若宗吴氏。又恐邪去正伤。惟在临症权衡。无盛盛。无虚虚。而遗人
夭殃。方不愧为良医矣。(邹滋九)
徐评 治时疫不外此等方。若疠疫则一时传染恶毒。非用通灵金石之品。虔制数种。随症施
用。不能奏效也。
朱姓患者:疫疠秽浊之邪从口鼻吸入。分布在三焦。弥漫扰乱神识。这不是风寒客邪。也不是停滞在里的病证。所以发散(解表)和消导(消食导滞)的方法。
就会触犯劫夺津液的禁忌。与伤寒六经辨证大不相同。现在咽喉疼痛。出现丹疹。舌头像朱砂一样红。神志烦躁。傍晚昏沉。这是上受秽邪。逆走膻中。
应当清泄血络。以防止结闭。然而必须大剂量使用解毒药物。以驱除秽浊之气。必定要等到九日以后不致昏迷不醒。希望邪气去除正气恢复。(疠邪进入膻中逐渐波及心包络)
犀角 连翘 生地 玄参 菖蒲 郁金 银花 金汁
姚姓患者:疫毒。口腔糜烂丹疹。声音嘶哑。治疗在上焦。
犀角 鲜生地 玄参 连翘 石菖蒲 银花 金汁 至宝丹
谭姓患者:口鼻吸入秽浊之气。从肺系逐渐波及心包络。初起咽喉疼痛舌燥。最怕窍闭神昏的现象。疫毒传染的病症。
不与风寒停滞用同样的方法治疗。
玄参 连翘 郁金 银花 石菖蒲 靛叶 射干 牛蒡 冲入真白金汁一杯
杨姓患者:吸入疫疠之气。三焦都受到侵害。时间久了血分逐渐瘀滞。越结聚越热。应当用咸苦性质的制剂。仍然是轻扬调理上部。仿照古人“大制小用”的意思。
玄参 西瓜翠衣 金银花露 莹白金汁
金氏:人安静时则神志昏沉。疠邪竟然进入膻中。王先生的方子非常妙。我的意见兼用芳香宣通开窍驱逐秽浊。(至宝丹)
疫疠这一病症。都是从口鼻而入。直行中道。流布三焦。不像伤寒六经。可以发汗解表或攻下。疫是秽浊
之气。古人所以饮用芳香之物。采摘兰草。来侵袭芬芳之气的原因。是为了重重涤荡秽浊。等到它传变。上行到极点就向下行。下行
到极点就向上行。所以邪气在上焦的。表现为声音嘶哑。口腔糜烂。如果逆传膻中的。表现为神昏舌绛。咽喉疼痛丹疹。现在看
先生所立的方子。在清解之中。必然佐以芳香宣通开窍驱逐秽浊。如犀角菖蒲银花郁金等类药物。兼服至宝丹。从表
透达入里。利用有灵性的药物。内通心窍。搜剔幽隐之处。该通的通。该镇静的镇静。如果邪气进入营分。三焦混杂。热越结聚。邪
气越深重的。按理应该用咸苦大制的治法。仍然担心药性迅速直走于下。所以用玄参金银花露金汁栝蒌皮。轻扬
调理上部。这就是所说的仿照古法而不拘泥于古法。考察这个病症。只有张景岳、喻嘉言、吴又可论述得最详细。然而遵循张
景岳、喻嘉言二位医家。恐怕会遗留邪气留下祸患。如果遵循吴又可。又恐怕邪气去除而正气受伤。只有在临症权衡。不要使实证更实。不要使虚证更虚。从而给人带来夭折的灾殃。这才不愧为良医。(邹滋九评)
Patient Zhu: The epidemic pestilence and turbid pathogenic factors are inhaled through the mouth and nose. They distribute throughout the Sanjiao (Triple Burner). They diffuse and disturb the Shen (Spirit/Mind). This is not a wind-cold external pathogen, nor is it a stagnation syndrome in the interior. Therefore, methods of dispersing (releasing the exterior) and guiding out stagnation (promoting digestion) will violate the taboo of depleting Jin-Ye (Body Fluids). It is greatly different from the Six Meridian syndromes of Shanghan (Cold Damage). Currently, there is sore throat, Danzhen (erysipelas-like rash), the tongue is crimson like cinnabar, mental restlessness, and evening drowsiness/coma. This indicates that turbid pathogens were received from above and moved counter-flow to the Shanzhong (Chest Center). One should clear the blood collaterals to prevent obstruction and closure. However, large doses of detoxifying herbs must be used to drive out the turbidity. Only after nine days, if coma does not occur, can one hope for the departure of the pathogen and the recovery of Zheng Qi (Upright Qi). (Pestilence pathogen enters Shanzhong and gradually affects the Pericardium.)
Rhinoceros Horn (Xijiao), Forsythia Fruit (Lianqiao), Rehmannia Root (Shengdi), Scrophularia Root (Xuanshen), Acorus Rhizome (Changpu), Curcuma Tuber (Yujin), Honeysuckle Flower (Yinhua), Human Feces Distillate (Jinzhi).
Patient Yao: Epidemic toxin. Oral ulcers/maceration, erysipelas-like rash, hoarseness. Treatment focuses on the Upper Jiao.
Rhinoceros Horn (Xijiao), Fresh Rehmannia Root (Xianshengdi), Scrophularia Root (Xuanshen), Forsythia Fruit (Lianqiao), Stone Acorus Rhizome (Shichangpu), Honeysuckle Flower (Yinhua), Human Feces Distillate (Jinzhi), Zhibao Pill (Zhibao Dan).
Patient Tan: Inhaled turbid qi through the mouth and nose. From the Lung system, it gradually affects the Pericardium Collateral. Initially, sore throat and dry tongue. The greatest fear is the manifestation of orifice closure and Shen coma. Epidemic toxin infectious diseases are not treated with the same methods as wind-cold stagnation.
Scrophularia Root (Xuanshen), Forsythia Fruit (Lianqiao), Curcuma Tuber (Yujin), Honeysuckle Flower (Yinhua), Stone Acorus Rhizome (Shichangpu), Indigo Leaf (Dianye), Belamcanda Rhizome (Shegan), Arctium Seed (Niubangzi), mixed with one cup of True White Human Feces Distillate (Zhenbai Jinzhi).
Patient Yang: Inhaled epidemic pestilence. All three Jiaos are affected. Over time, the Blood level gradually becomes stasis. The more it knots, the hotter it gets. One should use salty and bitter preparations. Still, it remains light and ascending to regulate the upper part, imitating the ancient principle of "large preparation, small dosage."
Scrophularia Root (Xuanshen), Watermelon Rind (Xiguacuiyi), Honeysuckle Dew (Jinyinhualu), Clear White Human Feces Distillate (Yingbai Jinzhi).
Patient Jin: When at rest, Shen becomes confused. The pestilence pathogen has entered Shanzhong. Mr. Wang's prescription is excellent. My opinion is to combine aromatic herbs to open the orifices and expel turbidity. (Zhibao Pill).
The epidemic pestilence syndrome all enters through the mouth and nose. It travels directly along the central pathway and spreads through the Sanjiao. Unlike the Six Meridians of Shanghan, which can be treated by sweating (releasing the exterior) or purging (draining downward). Yi (Epidemic) is turbid qi. The reason ancients drank aromatic substances and gathered Lanceroot (Lancao) was to attack fragrant qi, heavily cleansing the turbidity. Regarding its transmission: when upward movement reaches its extreme, it goes down; when downward movement reaches its extreme, it goes up. Thus, pathogens in the Upper Jiao manifest as hoarseness and oral maceration. If they counter-transmit to Shanzhong, they manifest as Shen coma and crimson tongue, sore throat, and erysipelas-like rash. Observing the prescriptions formulated by this gentleman, within clearing and resolving, aromatic herbs to open orifices and expel turbidity are necessarily added, such as Rhinoceros Horn, Acorus, Honeysuckle, and Curcuma. Combined with Zhibao Pill, it penetrates from the exterior to the interior. Using spiritual/natural substances to internally connect to the Heart orifices, searching out hidden depths. What needs unblocking is unblocked; what needs calming is calmed. If the pathogen enters the Ying (Nutritive) level, and the Sanjiao are mixed, with heat knotting more and pathogen going deeper, theoretically, the method of salty and bitter large preparations should be used. However, one still fears the drug properties acting too quickly and moving straight downward. Therefore, Scrophularia Root, Honeysuckle Dew, Human Feces Distillate, and Trichosanthes Peel are used to lightly regulate the upper part. This is what is meant by imitating ancient methods without being bound by them. Examining this syndrome, only Zhang Jingyue, Yu Jiayan, and Wu Keyou discussed it most thoroughly. However, following Zhang and Yu risks leaving pathogens and causing lingering illness. Following Wu risks damaging Zheng Qi while eliminating the pathogen. It lies in weighing factors during clinical practice: do not make excess conditions more excessive, do not make deficiency conditions more deficient, thereby avoiding bringing premature death upon patients. Only then can one truly be called a good physician. (Commentary by Zou Zijiu)
Xu's Commentary: Treating seasonal epidemics does not go beyond these types of prescriptions. If it is a pestilence, it is an evil toxicity transmitted at one time. Without using spirit-connecting mineral and metal substances, carefully preparing several types, and administering according to symptoms, efficacy cannot be achieved.