病新瘥后,气血津液衰耗,慎勿为诸劳动事。凡言语思虑,劳神梳沐,澡 劳力,则生热而复
病如初也。又新瘥后,精髓枯燥,切不可为房事,犯房事劳复必死。魏督 顾子献病瘥后,华 嘱之,
慎勿为劳事,余劳尚可,女劳即死。此是女劳复,非阴阳易也。《素问》云∶病热而有所遗者,是
新瘥后肠胃尚弱,若多食则难消化,而复病如初也,此是食复新瘥,强人足两月,虚弱人足百日,则
无复病矣。
天行劳复,头痛,四肢疼,葱豉汤。
葱白豉(半升)
水二升半,煎葱烂,去滓,入雄鼠屎三七枚,末之和匀,分再服,未瘥更作。
天行劳复作热,且至晚则腰背痛,头项强重,葛根姜豉汤。
芍药 生姜(各一两半) 豉 葱白(各二合半) 葛根(二两)
咀,水三升,煎二升,下豉煎一升半,去滓,温饮一盏。
大病瘥后劳复,枳实栀子汤。
枳实(一分) 肥栀子(十二个) 香豉(半升)
浆水三升,煮枳实、栀子至二升,下豉煮一升半,去滓,温饮一盏,温覆微汗。食复者加大黄
棋子大七枚,同煎服之愈。
疗伤寒已瘥,劳复如初,脉浮无汗者,桂枝栀子汤。(自汗者去麻黄。)
栀子(十二个) 豉(半升) 桂枝 麻黄(各一两)
咀,水三升,煎至二升,下豉取一升半,去滓,温饮一盏,温覆取小汗瘥。
疗伤寒劳复如初,自汗出者,脉浮滑,烦躁甚,宜此方。
栀子石膏香豉汤
栀子(十六个) 石膏(四两) 香豉(一两,绵裹)
水三升,先煮二味至二升半,下豉,煮取一升半,去滓,温饮一盏。(一法汤成入雄
鼠矢二七枚,末良。)
病未平复,后劳动致热气攻胸,手足拘急,搐搦如中风状,栝蒌汤。
栝蒌根(四两,无黄脉者) 淡竹茹(半斤)
水三升,煮一升二合,去滓,日二三服,温与之。
妇人病未平复,因夫所动,小腹篡中急痛,腰胯疼,四肢不任举动,无热证者,附子黄 汤。
白术 当归 桂枝 附子 甘草 芍药 人参(各半两) 黄 (三分) 生姜(一两半)
咀,水四升,煮至一升半,去滓,通口服一盏,食久再服,温覆取小汗。
男子劳房成复病,鼠屎汤。
薤根(一升) 鼠屎(二十一个,为末。矢头尖硬者,即是牡鼠也。)
水三升半,煮薤根至一升半,去滓,下鼠矢末,再煎三沸,温饮一盏,相次三服。衣覆必有粘
汗为效,未汗再作一剂,兼治阴阳易神验。
男子房劳复发热,口噤,临死舌出数寸。又始得病,百节痛如被打,浑身沉重,恍惚失措,脉
促而绝不可治;或有吐涎不止,或有谵妄烦乱者,皆不可治。
天行瘥后,劳复发热,呕吐食不下,芦根汤。
芦根(半升) 生姜(二两) 橘皮 枇杷叶(各一两)
咀,水三升,煮一升半,去滓,温饮一盏,大效。心烦躁加石膏二两,加水一升,煮二升。
病后刚刚痊愈,气血津液尚未恢复,务必谨慎,不要从事各种耗费体力的活动。凡是言语思考、劳神费力、洗头洗澡或体力劳动,都会导致体内生热,使旧病复发,症状如初。另外,病后刚愈时,精髓干枯,绝对不可进行房事,若犯房事导致劳复,必定死亡。魏国督护顾子献病愈后,华佗嘱咐他:务必谨慎,不要从事劳累之事,一般的劳累还可以忍受,若是女色之劳(房劳)就会致死。这是女劳复,不是阴阳易。《素问》说:患热病后如果有所遗留(指饮食不节等),是因为新愈后肠胃功能尚弱,如果多吃食物则难以消化,从而导致疾病复发,症状如初。这就是食复。一般强壮的人需要调养两个月,虚弱的人需要调养一百天,这样就不会再复发了。
外感时行邪气导致的劳复,出现头痛、四肢疼痛,用葱豉汤治疗。
葱白半升,淡豆豉半升。
用水二升半,煎煮葱白至烂,滤去药渣,加入雄鼠屎三七枚(研末),混合均匀,分两次服用。若未痊愈,可再制作服用。
外感时行邪气导致的劳复产生热象,且到了傍晚出现腰背疼痛、头项强直沉重,用葛根姜豉汤治疗。
芍药一两半,生姜一两半,淡豆豉二合半,葱白二合半,葛根二两。
切碎药材,用水三升,煎煮至二升,加入淡豆豉继续煎煮至一升半,滤去药渣,温服一盏。
大病初愈后因劳作导致的劳复,用枳实栀子汤治疗。
枳实一分,肥栀子十二个,淡豆豉半升。
用浆水三升,先煮枳实和栀子至二升,再加入淡豆豉煮至一升半,滤去药渣,温服一盏,服药后覆盖衣被使其微微出汗。如果是因饮食不当导致的食复,加大黄七枚(如棋子大小),一同煎煮服用即可痊愈。
治疗伤寒病愈后劳复,症状如初,脉浮且无汗者,用桂枝栀子汤。(若有自汗者,去掉麻黄。)
栀子十二个,淡豆豉半升,桂枝一两,麻黄一两。
切碎药材,用水三升,煎煮至二升,加入淡豆豉取汁一升半,滤去药渣,温服一盏,服药后覆盖衣被使其出微汗而愈。
治疗伤寒劳复,症状如初,有自汗出,脉浮滑,烦躁严重,适宜用此方。
栀子石膏香豉汤。
栀子十六个,石膏四两,淡豆豉一两(用绵布包裹)。
用水三升,先煮栀子和石膏至二升半,加入淡豆豉,煮取一升半,滤去药渣,温服一盏。(另一种方法是在汤成后加入雄鼠屎十四枚,研末,效果良好。)
病情尚未平复,因劳作导致热气攻冲胸膈,手足拘挛急迫,抽搐痉挛类似中风状,用栝蒌汤治疗。
栝蒌根四两(若无黄脉者可用其他部位),淡竹茹半斤。
用水三升,煮取一升二合,滤去药渣,每日分二三次温服。
妇人病情尚未平复,因丈夫性冲动影响,小腹及会阴部急痛,腰胯疼痛,四肢无力无法举动,没有热证表现者,用附子黄芪汤治疗。
白术半两,当归半两,桂枝半两,附子半两,甘草半两,芍药半两,人参半两,黄芪三分,生姜一两半。
切碎药材,用水四升,煮取一升半,滤去药渣,一次性温服一盏,饭后一段时间再服,服药后覆盖衣被使其出微汗。
男子因房劳导致复发,用鼠屎汤治疗。
薤根一升,鼠屎二十一个(研末。矢头尖硬者,即为公鼠屎)。
用水三升半,煮薤根至一升半,滤去药渣,加入鼠屎末,再煎煮三沸,温服一盏,连续分三次服用。覆盖衣被后必有粘汗为有效,若未出汗,再制作一剂服用。此方兼治阴阳易,神验。
男子因房劳复发发热,口噤不开,临死前舌头伸出数寸。又如有刚开始患病时,全身关节疼痛如同被打,浑身沉重,神志恍惚失措,脉促绝不可治;或者有吐涎不止,或者谵语妄动烦乱者,都不可治。
外感时行邪气病愈后,因劳复发热,呕吐、食欲不振,用芦根汤治疗。
芦根半升,生姜二两,橘皮一两,枇杷叶一两。
切碎药材,用水三升,煮取一升半,滤去药渣,温服一盏,疗效显著。若心烦躁,加石膏二两,加水一升,煮取二升。
After the recent recovery from illness, Qi, Blood, and Body Fluids are depleted. One must be cautious and avoid all laborious activities. Engaging in speech, thinking, mental exertion, bathing, or physical labor will generate heat and cause the disease to relapse with symptoms identical to the original onset. Furthermore, after a recent recovery, the essence and marrow are dry; sexual intercourse is strictly prohibited. Committing sexual misconduct leading to labor-relapse (Lao Fu) is fatal. Wei Du Hu Gu Zixian, after recovering from illness, was instructed by Hua Tuo: "Be extremely cautious and avoid labor. General fatigue may be tolerated, but female-related fatigue (sexual exhaustion) leads to death." This is classified as Female Labor-Relapse (Nü Lao Fu), not Yin-Yang Exchange (Yin Yang Yi). The *Su Wen* states: "Those who have residual effects after febrile diseases..." This occurs because the intestines and stomach are still weak after a recent recovery. Overeating leads to indigestion, causing the disease to relapse with initial symptoms. This is called Food Relapse (Shi Fu). Generally, robust individuals require two months of recuperation, while weak individuals require one hundred days, after which no relapse will occur.
For labor-relapse caused by epidemic pathogens, presenting with headache and limb pain, use Cong Chi Tang (Scallion and Fermented Soybean Decoction).
Cong Bai (Scallion White) 0.5 sheng, Chi Xiao (Fermented Black Soybean) 0.5 sheng.
Boil Scallion White in 2.5 sheng of water until soft, strain, add 37 male rat feces (ground into powder), mix well, and divide into two doses. If not cured, prepare another dose.
For labor-relapse caused by epidemic pathogens manifesting as heat, with lower back and back pain, head stiffness, and heaviness worsening in the evening, use Gegen Jiang Chi Tang (Kudzu, Ginger, and Fermented Soybean Decoction).
Shaoyao (Peony Root) 1.5 liang, Sheng Jiang (Fresh Ginger) 1.5 liang, Chi Xiao (Fermented Black Soybean) 2.5 he, Cong Bai (Scallion White) 2.5 he, Gegen (Kudzu Root) 2 liang.
Coarsely crush ingredients, boil in 3 sheng of water until reduced to 2 sheng, add Chi Xiao, and boil until reduced to 1.5 sheng. Strain and drink 1 cup warm.
For labor-relapse following a major illness, use Zhishi Zhizi Tang (Immature Bitter Orange and Gardenia Decoction).
Zhishi (Immature Bitter Orange) 1 fen, Fei Zhizi (Gardenia Fruit) 12 pieces, Xiang Chi (Fragrant Fermented Soybean) 0.5 sheng.
Boil Zhishi and Zhizi in 3 sheng of Jiang Shui (Sour Rice Water) until reduced to 2 sheng, add Xiang Chi, and boil until reduced to 1.5 sheng. Strain and drink 1 cup warm. Cover with blankets to induce slight sweating. For food-relapse, add 7 pieces of Dahuang (Rhubarb Root) the size of chess pieces, decoct together, and take to cure.
To treat labor-relapse after Taiyang Disease resembling the initial stage, with a floating pulse and no sweat, use Guizhi Zhizi Tang (Cinnamon Twig and Gardenia Decoction). (If spontaneous sweating is present, remove Mahuang.)
Zhizi (Gardenia Fruit) 12 pieces, Chi Xiao (Fermented Black Soybean) 0.5 sheng, Guizhi (Cinnamon Twig) 1 liang, Mahuang (Ephedra Herb) 1 liang.
Coarsely crush ingredients, boil in 3 sheng of water until reduced to 2 sheng, add Chi Xiao, and boil until 1.5 sheng remains. Strain and drink 1 cup warm. Cover with blankets to induce slight sweating for cure.
To treat labor-relapse after Taiyang Disease resembling the initial stage, with spontaneous sweating, floating-slippery pulse, and severe irritability, this formula is suitable: Zhizi Shigao Xiang Chi Tang (Gardenia, Gypsum, and Fragrant Fermented Soybean Decoction).
Zhizi (Gardenia Fruit) 16 pieces, Shigao (Gypsum Fibrosum) 4 liang, Xiang Chi (Fragrant Fermented Soybean) 1 liang (wrapped in silk).
Boil Zhizi and Shigao in 3 sheng of water until reduced to 2.5 sheng, add Chi Xiao, and boil until 1.5 sheng remains. Strain and drink 1 cup warm. (Alternative method: Add 14 male rat feces, ground, to the finished decoction, which is effective.)
When the disease has not yet stabilized, and labor causes heat qi to attack the chest, resulting in spasm and rigidity of hands and feet, convulsions resembling wind-stroke, use Gualou Tang (Trichosanthes Root Decoction).
Gualou Gen (Trichosanthes Root) 4 liang (use non-yellow vein parts if available), Dan Zhu Ru (Bamboo Shavings) 0.5 jin.
Boil in 3 sheng of water until reduced to 1.2 sheng. Strain and administer warm, divided into 2-3 doses daily.
For women whose disease has not yet stabilized, affected by their husband's sexual arousal, presenting with acute pain in the lower abdomen and perineum, waist and hip pain, inability to move limbs, and absence of heat signs, use Fuzi Huangqi Tang (Aconite and Astragalus Decoction).
Baizhu (Atractylodes Macrocephala Rhizome) 0.5 liang, Danggui (Angelica Sinensis Root) 0.5 liang, Guizhi (Cinnamon Twig) 0.5 liang, Fuzi (Prepared Aconite Root) 0.5 liang, Gancao (Licorice Root) 0.5 liang, Shaoyao (Peony Root) 0.5 liang, Renshen (Ginseng Root) 0.5 liang, Huangqi (Astragalus Root) 0.3 fen, Sheng Jiang (Fresh Ginger) 1.5 liang.
Coarsely crush ingredients, boil in 4 sheng of water until reduced to 1.5 sheng. Strain and drink 1 cup at once. Take again after some time on an empty stomach. Cover with blankets to induce slight sweating.
For men suffering from relapse due to sexual fatigue, use Shushi Tang (Rat Feces Decoction).
Xie Gen (Allium Macrostemon Root) 1 sheng, Shushi (Rat Feces) 21 pieces (ground into powder. Those with sharp, hard tips are from male rats).
Boil Xie Gen in 3.5 sheng of water until reduced to 1.5 sheng. Strain, add rat feces powder, boil three more times, and drink 1 cup warm. Divide into three successive doses. Covering with clothes should produce sticky sweat as an effect. If no sweat occurs, prepare another dose. This also effectively treats Yin-Yang Exchange.
Men suffering from fever due to sexual fatigue relapse, with locked jaw, tongue protruding several inches before death. Or those initially presenting with joint pain as if beaten, heavy body, confusion, rapid/intermittent pulse (unmanageable); or those with continuous salivation, delirium, and agitation (unmanageable).
For post-epidemic labor-relapse manifesting as fever, vomiting, and inability to eat, use Lugen Tang (Reed Rhizome Decoction).
Lugen (Reed Rhizome) 0.5 sheng, Sheng Jiang (Fresh Ginger) 2 liang, Jupi (Tangerine Peel) 1 liang, Pipa Ye (Loquat Leaf) 1 liang.
Coarsely crush ingredients, boil in 3 sheng of water until reduced to 1.5 sheng. Strain and drink 1 cup warm. Highly effective. For heart irritability, add Shigao (Gypsum Fibrosum) 2 liang, add 1 sheng of water, and boil until 2 sheng remains.