桔梗(一两) 甘草(二两)
上二味。以水三升。煮取一升。去滓。分温再服。
少阴病二三日咽痛者。与甘草汤不瘥。既得甘缓之力。而经气尚阻而不通。仍用本方加
桔梗一两。载药上浮。成开邪利咽之功。
半夏(十四枚) 鸡子(一枚去黄)
上二味。纳半夏着苦酒中。以鸡子壳置刀环中。安火上。令三沸。去滓。
少少含咽之。不瘥更作三剂。
少阴病。咽中伤。生疮。不能语言声不出者。苦酒汤主之。谛实咽痛之属少阴病。始而
痛者
。继且咽中伤生疮矣。不能语言声不出。则阴火沸腾。并舌本亦强矣。半夏鸡子。消痰利咽
。二味并用。俾半夏无燥液劫津之虑。鸡子得通声利窍之功。而消肿敛疮。更有藉于苦酒之
敛降。其煎法服法。总使其逗遛病所。妙义天开。真令人不可思议。
乌梅(三百个) 人参(六两) 当归(四两) 黄连(一斤) 黄柏(六两) 蜀椒(四两炒去
汁) 桂枝(六两) 干姜(十两) 附子(八两炮) 细辛(六两)
上十味。各捣筛。合治之。以苦酒浸乌梅一宿。去核。蒸之。五升米下饭熟。捣成泥。和药
令相得。纳臼中。与蜜杵二千下。丸如梧桐子大。先食饮服十丸。日三服。稍加至二十丸。
禁生冷滑物臭食等。
经云。伤寒脉微而厥。至七八日肤冷。其人躁无暂安时者。此为藏厥。非蛔厥也。蛔厥者。
其人当吐蛔。今病者静而复时烦者。此为藏寒。蛔上入其膈。故烦。须臾复止。得食而呕又烦
者。蛔闻食臭出。其人当自吐蛔。蛔厥者乌梅丸主之。又主久利。按此方主治蛔厥。其妙处
全在米饭和蜜。先诱蛔喜。及蛔得之。而乌梅及醋之酸。椒姜桂附及细辛之辛。黄柏黄连之
苦。则蛔不堪而伏矣。但厥后气血不免扰乱。故加人参当归奠安气血。此方虽寒热错杂。但
温藏之力居多。又得乌梅之酸涩以固脱。故又主久利。
桔梗(一两) 甘草(二两)
以上两味药。用水三升。煮取一升。滤去药渣。分两次温服。
少阴病(少阴经受邪所致的病证)两三天出现咽痛的。给予甘草汤无效。既然已经获得了甘缓的药力,但经络之气仍然阻滞不通。仍使用原方加入桔梗一两。引导药力上浮。形成开通邪气、利喉咽的功效。
半夏(十四枚) 鸡蛋(一枚,去掉蛋黄)
以上两味药。将半夏放入苦酒(醋)中。用鸡蛋壳放在刀环中。置于火上。煮至沸腾三次。滤去药渣。
少量含漱并咽下。如果未愈,再制作三剂服用。
少阴病。咽喉受伤。生疮。不能说话、声音发不出来的。用苦酒汤主治。确实属于少阴病的实性咽痛。起初只是疼痛。随后咽喉受伤生疮了。不能说话、声音发不出。则是阴火沸腾。连带舌根也僵硬了。半夏和鸡蛋。消除痰液、利喉咽。两味药并用。使得半夏没有燥烈伤津的顾虑。鸡蛋获得通声利窍的功效。而消肿敛疮。更借助于苦酒的收敛下降作用。其煎煮方法和服用方法。总体使其滞留于病所。奥妙之意豁然开朗。真令人不可思议。
乌梅(三百个) 人参(六两) 当归(四两) 黄连(一斤) 黄柏(六两) 蜀椒(四两,炒后去汗汁) 桂枝(六两) 干姜(十两) 附子(八两,炮制) 细辛(六两)
以上十味药。分别捣碎过筛。混合在一起。用苦酒浸泡乌梅一夜。去掉核。蒸熟。在五升米下的饭煮熟时。捣成泥状。与药粉调和均匀。放入臼中。与蜂蜜一起杵捣两千下。制成梧桐子大小的丸药。饭前饮服十丸。每日三次。逐渐增加到二十丸。
禁止食用生冷、滑腻食物、臭味食物等。
经典说。伤寒脉象微细且四肢厥冷。到了七八天皮肤发冷。其人烦躁没有片刻安宁的时候。这是脏厥。不是蛔厥。蛔厥的病人。应当吐蛔虫。现在病人安静但偶尔心烦。这是脏寒。蛔虫上行进入膈部。所以心烦。一会儿又停止。进食后呕吐又心烦的。是蛔虫闻到食物气味而出。其人应当自行吐出蛔虫。蛔厥的病人用乌梅丸主治。又主治久泻久痢。按此方主治蛔厥。其妙处全在米饭和蜂蜜。先引诱蛔虫喜欢。等到蛔虫吃了之后。乌梅及醋的酸味。花椒、干姜、桂枝、附子及细辛的辛味。黄柏、黄连的苦味。则蛔虫无法忍受而伏下了。但是厥逆之后气血不免紊乱。所以加入人参、当归以安定气血。此方虽然寒热错杂。但温补脏腑的力量居多。又得到乌梅的酸涩以固脱。所以又主治久泻久痢。
Jiegeng (1 liang) Gancao (2 liang)
The above two ingredients. Boil in 3 sheng of water. Reduce to 1 sheng. Remove the dregs. Divide into two doses and take warm.
In Shaoyin disease (disease pattern caused by pathogenic invasion of the Shaoyin channel), if there is a sore throat after two or three days, administer Gancao Tang (Licorice Decoction). If it does not improve, although the soothing power of sweet flavor has been obtained, the Qi of the channel remains obstructed and unblocked. Continue using the original formula but add Jiegeng (Platycodon Root) 1 liang to guide the medicinal action upward, achieving the effect of expelling pathogens and benefiting the throat.
Banxia (14 pieces) Ji Zi (1 egg, remove the yolk)
The above two ingredients. Place Banxia (Pinellia Rhizome) into Kujiu (vinegar). Put the eggshell in a knife ring. Place over fire. Let it boil three times. Remove the dregs.
Take small sips and swallow slowly. If not improved, prepare three more doses.
In Shaoyin disease, if the throat is injured, sores develop, speech is impaired, and voice cannot be produced, Kujie Tang (Vinegar Decoction) is the primary treatment. This indeed belongs to the excess-type sore throat of Shaoyin disease. Initially, there is only pain. Subsequently, the throat becomes injured and sores develop. The inability to speak and produce voice indicates that Yin Fire is boiling vigorously, causing stiffness of the tongue root as well. Banxia (Pinellia Rhizome) and Ji Zi (Egg White) eliminate phlegm and benefit the throat. Using both ingredients together ensures that Banxia does not have the concern of drying fluids and damaging Yin, while Ji Zi gains the function of opening the voice and benefiting the orifices. Furthermore, reducing swelling and healing sores relies on the astringent and descending properties of Kujiu (vinegar). The decoction method and administration method are designed to keep the medicine lingering at the site of the disease. The profound meaning is revealed naturally, truly beyond imagination.
Wumei (300 pieces) Renshen (6 liang) Danggui (4 liang) Huanglian (1 jin) Huangbai (6 liang) Shujiao (4 liang, stir-fried to remove sweat/oil) Guizhi (6 liang) Ganjiang (10 liang) Fuzi (8 liang, processed) Xixin (6 liang)
The above ten ingredients. Each is crushed and sifted. Mix them together. Soak Wumei (Mume Fruit) in Kujiu (vinegar) overnight. Remove the pits. Steam until cooked. When rice steamed with 5 sheng of water is ready, crush it into a paste. Mix evenly with the herbal powder. Place in a mortar. Pound with honey for 2000 strokes. Form pills the size of tung tree seeds. Take 10 pills before meals with water. Three times daily. Gradually increase to 20 pills.
Avoid cold, raw, slippery foods, and foul-smelling foods.
The Classics state: In Shanghan (Cold Damage), if the pulse is faint and there is cold extremities, and after seven or eight days the skin becomes cold, and the person is restless without any moment of peace, this is Zang Jue (Visceral Cold Extremity). It is not Hui Jue (Roundworm Cold Extremity). A patient with Hui Jue should vomit roundworms. Now, if the patient is quiet but occasionally irritable, this is Zang Han (Visceral Cold). The roundworms move up into the diaphragm, causing irritability. After a short while, it stops again. If vomiting occurs after eating, followed by irritability, it is because the roundworms emerge upon smelling food odor. The patient will likely vomit roundworms spontaneously. For Hui Jue, Wumei Wan (Mume Pill) is the primary treatment. It also treats chronic diarrhea/dysentery. Regarding this formula's treatment of Hui Jue, its brilliance lies entirely in the use of rice and honey. First, they attract the roundworms' preference. Once the roundworms consume them, the sourness of Wumei and vinegar, the pungency of Shujiao (Sichuan Pepper), Ganjiang (Dried Ginger), Guizhi (Cinnamon Twig), Fuzi (Processed Aconite Root), and Xixin (Asarum), and the bitterness of Huangbai (Phellodendron Bark) and Huanglian (Coptis Rhizome) make the roundworms unbearable, causing them to settle. However, after cold extremities, Qi and Blood inevitably become disordered. Therefore, Renshen (Ginseng Root) and Danggui (Angelica Sinensis Root) are added to stabilize Qi and Blood. Although this formula addresses mixed cold and heat patterns, the warming power for the viscera predominates. Additionally, the astringent nature of Wumei helps secure leakage. Thus, it also treats chronic diarrhea/dysentery.