下痢噤口不食,虽曰脾虚,盖亦热气闭隔心胸所致也。俗用木香则失之温,用山药则失
之闭,惟真料参苓白术散加石菖蒲末,以道地粳米饮乘热调下,或用人参、茯苓、石莲子肉
入
常山治疟,罂粟壳治痢,人皆薄之固也。然下痢日久,腹中无痛,当涩肠岂容不涩?疟
以痰水作恙,法当吐痰逐水,又岂容不为之吐下?于斯时也,不有罂粟壳、常山之剂,其何
以为对治乎?但中间有药辅之耳。
凡疟,皆因腹中停蓄黄水,惟水不行,所以寒热不歇,此疟家受病之处也。治法,暑疟
纯热,以香薷散加青皮、北大黄、二个乌梅同煎,侵晨温服。寒疟多寒,以二陈东加青皮、
良姜,多用姜同煎,侵晨吞神保丸五粒。并欲取下毒水,则去其病根,寒热自解。
有中年人,脏腑久虚,大便常滑,忽得疟疾,呕吐异常,惟专用人参为能止呕,其他疟
剂并不可施,遂以茯苓二陈东加人参、缩砂,而倍用白豆蔻,进一二服,病患自觉气脉颇消,
于是寒热不作。盖白豆蔻能消能磨,流行三焦,营卫一转,寒热自平。继今遇有呕吐发疟之
证,或其人素呕而发疟,谨勿用常山,惟以生萝卜、生姜各研自然汁半盏,入蜜三四匙、乌
梅两个同煎,吞局方雄黄丸三四粒,候其利下恶血、痰水,即以人参、川芎、茯苓、半夏、
缩砂、甘草调之,万一呕不止而热不退,却用真料小柴胡汤多加生姜主治。其或呕吐大作而
又发热,且先与治疟生熟饮,呕定以小柴胡汤继之。
下痢且不能进食(噤口痢),虽然说是脾虚,其实也是热气闭塞心胸所致。世俗使用木香则过于温燥,使用山药则过于收敛闭塞,只有用正宗的参苓白术散加入石菖蒲粉末,用地道产地的粳米汤趁热调服;或者用人参、茯苓、石莲子肉入药。
常山治疗疟疾,罂粟壳治疗痢疾,人们都轻视它们,这固然有道理。然而如果痢疾日久,腹中无痛,应当涩肠止泻,难道可以不涩肠吗?疟疾因痰水致病,治法应当吐痰逐水,又难道可以不进行吐下治疗吗?在这种时候,如果没有罂粟壳、常山的方剂,拿什么来对症施治呢?只是中间要有其他药物辅助罢了。
凡是疟疾,都是因为腹中停蓄黄水,只有水液不行,所以寒热交替不停歇,这是患疟疾的病根所在。治疗方法:暑疟纯热,用香薷散加青皮、北大黄、两个乌梅同煎,清晨温服。寒疟多寒,用二陈汤加青皮、良姜,多用生姜同煎,清晨吞服神保丸五粒。都想通过这种方法取下毒水,从而去除病根,寒热自然解除。
有一位中年人,脏腑长期虚弱,大便经常滑泄,忽然得了疟疾,呕吐异常严重,只有专用人参才能止呕,其他治疟的方剂都不适用,于是用茯苓二陈汤加人参、缩砂仁,并加倍使用白豆蔻,服用一两次后,病人自觉气脉通畅很多,于是寒热症状不再发作。因为白豆蔻能消食磨积,通行三焦,营卫之气一转,寒热自然平息。今后遇到有呕吐并发疟疾的证候,或者其人平时易呕而发疟,千万不要用常山,只取生萝卜、生姜各研取自然汁半盏,加入蜂蜜三四匙、乌梅两个同煎,吞服局方雄黄丸三四粒,等到排出恶血、痰水后,再用的人参、川芎、茯苓、半夏、缩砂仁、甘草调理。万一呕吐不止且发热不退,却改用正宗的小柴胡汤多加生姜主治。如果呕吐剧烈而又发热,先给予治疟的生熟饮,呕吐停止后再用小柴胡汤接续治疗。
Dysentery accompanied by an inability to eat (Jinkou Li, dysentery with loss of appetite), although attributed to Spleen deficiency, is actually caused by heat qi blocking the chest and heart. The common use of Muxiang (Aucklandiae Radix) errs in being too warming, while the use of Shanyao (Dioscoreae Rhizoma) errs in being too astringent and obstructing. Only authentic Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) added with powder of Shichangpu (Acori Tatarinowii Rhizoma), mixed with hot water made from high-quality Jingmi (Oryza Sativa Germen), or decocted with Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), and Shilianzi Rou (Nelumbinis Semen Endospermium) is appropriate.
Changshan (Dichroae Radix) treats malaria, and Yingkesu Ke (Papaveris Pericarpium) treats dysentery; people generally despise these herbs, which is indeed understandable. However, if dysentery has persisted for a long time without abdominal pain, intestinal astringency is required; how can one refrain from using astringents? Malaria arises from phlegm and fluid retention, so the treatment method should involve inducing vomiting to expel phlegm and draining fluids; how can one refrain from such treatments? At such times, without formulas containing Yingkesu Ke and Changshan, what could be used for specific treatment? It is merely that other herbs are needed as auxiliaries within the formula.
All cases of malaria are due to the accumulation of yellowish fluid in the abdomen. Because this fluid does not circulate, chills and fever alternate incessantly; this is the root cause of malaria. Treatment methods: For pure-heat Summerheat Malaria, Xiangru San (Elsholtzia Decoction) is combined with Qingpi (Citri Reticulatae Pericarpium Viride), Beida Huang (Rhei Radix et Rhizoma), and two Wumei (Mume Fructus), decocted together and taken warm early in the morning. For Cold Malaria characterized by excess cold, Erchen Tang (Two-Cured Decoction) is combined with Qingpi and Liangjiang (Alpiniae Officinarum Rhizoma), with increased amounts of Shengjiang (Zingiberis Rhizoma Recens) for decoction, and five Shenbao Wan (Divine Preservation Pills) are swallowed early in the morning. The aim is to drain out toxic fluids to remove the disease root, after which chills and fever will naturally resolve.
A middle-aged person, whose internal organs had been deficient for a long time and who suffered from frequent loose stools, suddenly contracted malaria with severe vomiting. Only the exclusive use of Renshen could stop the vomiting; other antimalarial formulas were unsuitable. Therefore, Fuling Erchen Tang was modified with Renshen, Suosha Ren (Amomi Fructus Rotundus), and a doubled dose of Baidoukou (Cardamomi Fructus). After one or two doses, the patient felt significant relief in Qi and pulse, and the chills and fever ceased. This is because Baidoukou can digest food and promote circulation through the Triple Burner; once the Ying and Wei Qi circulate properly, chills and fever naturally subside. In future cases of malaria accompanied by vomiting, or in individuals prone to vomiting who develop malaria, Changshan must strictly be avoided. Instead, natural juice extracted from fresh Luobo (Raphani Fructus) and Shengjiang, half a cup each, should be decocted with three or four spoons of honey and two Wumei. Three or four Ju Fang Xionghuang Wan (Bureau Formula Realgar Pills) are swallowed. Once foul blood and phlegm-fluids are discharged, the condition should be regulated with Renshen, Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuling, Banxia (Pinelliae Rhizoma), Suosha Ren, and Gancao (Glycyrrhizae Radix et Rhizoma). If vomiting persists and fever remains unrelieved, Zhenliao Xiao Chai Hu Tang (Authentic Minor Bupleurum Decoction) with increased Shengjiang should be used. If vomiting is severe accompanied by fever, first administer Zhi Mie Sheng Shu Yin (Antimalarial Raw and Cooked Drink); once vomiting subsides, follow up with Xiao Chai Hu Tang.