狐惑之为病,状如伤寒,或因伤寒变成斯疾。其候默默欲眠,目不得闭,卧起不安,蚀于喉为
惑,蚀于阴为狐,不欲饮食,恶闻食臭,其面乍赤乍黑乍白。蚀于上部则声嗄,甘草泻心汤主之。
(方在痞证中。)蚀于下部则咽干,苦参汤洗之。
苦参(半斤) 槐白皮(四两) 野狼牙根(四两)
上锉,以水五升,煎三升半,洗之。
蚀于肛门者,烧雄黄薰之。(雄黄一味,烧薰下部。)病者脉数则热,微烦,默默但欲卧,汗
出,初得之三四日,目赤如鸠眼,七八日则两目四 周皆黑。若能食者,脓已成也,赤小豆当归散
主之。
赤小豆(一升,浸生芽曝干) 当归(一两)
细末,浆水调下二钱,日三服。
庞曰∶百合病者,百脉一宗,悉致其病。意欲食复不能食,常默默,欲卧复不能卧,欲出行复
不能行,或有美食时,或恶闻食臭时,如寒无寒,如热无热,口苦小便赤,诸药不能治,得药则增
剧吐利者,如有神祟者,身形如和,其脉微数。毒溺时头痛者,六十日乃愈;若溺头不痛,淅然者,
四十日愈;若溺快然,但头眩者,二十日愈。其证或未病而预见,或病四五日而出,或二十日或一月
后见者,随证治之。
治汗后百合病,百合知母汤。
百合(十枚) 知母(一两半)
百合先洗,渍一宿,当白沫出,去其渍水,别以清泉水一升半,煮百合,取一
升,去滓;又别以泉水一升煮知母,取半升,去滓;同百合汤煎至一升,温分三服。
治下后百合病,滑石代赭汤。
百合(十枚) 滑石(一两半) 代赭(半两)
先以水渍百合一宿,当白沫出,则去其水,更以泉水一升半,煮取一升,去滓;别以泉水一升
煮滑石、代赭,取半升,去滓,合和重煎至一升,分温三四服。
治吐后百合病,百合鸡子汤。
百合(十枚) 鸡子黄(二枚)
先以水洗百合,渍一宿,当白沫出,去其水,更以泉水二升,煮取一升,去滓,下鸡子黄,搅
匀,分温三服。
治不经吐、下、发汗,百合病形如初者,百合地黄汤。
百合(十枚) 地黄汁(半升)
先以百合水渍一宿,有白沫出,去其水,更以泉水一升半,煮取一升,去滓,内地黄汁,再煮
取一升二合,温温分三服,中病勿更服。
治百合病一月不解,变成渴者,百合汤洗之。
百合(一升,如前洗。先渍一宿,当白沫出,去其水。)
更以水一斗,煎数沸,洗周身,慎风,仍食白汤饼,但勿与盐豉也。煮饼是切面条汤煮水淘过,
热汤渍食之。
渴不瘥,栝蒌牡蛎散主之。
栝蒌(无黄脉者) 牡蛎粉(等分)
细末,水调方寸匕,日三服。
治百合病变发热,百合滑石散。
百合(一两) 滑石(三两)
细末,清饮调方寸匕,日三服。当微利,热则除;已利,勿服之。
百合病见于阴者,以阳法救之;见于阳者,以阴法救之。见阳攻阴,复发其汗,此为逆;见阴
攻阳,乃复下之,此亦为逆。
狐惑病,症状类似伤寒,有时是因为患伤寒后转变为这种疾病。其表现为神情沉默想睡觉,但眼睛却闭不上,躺下坐起都不得安宁。腐蚀在咽喉部位称为“惑”,腐蚀在前后二阴部位称为“狐”。患者不想吃东西,厌恶闻到食物的气味,面色时而发红、时而发黑、时而发白。腐蚀在上部(咽喉)则声音嘶哑,用甘草泻心汤主治。(该方剂记载在痞证章节中。)腐蚀在下部(前后二阴)则咽喉干燥,用苦参汤清洗。
苦参(半斤) 槐白皮(四两) 野狼牙根(四两)
以上药物切碎,用水五升,煎煮至三升半,用来清洗患处。
腐蚀在肛门部位的,用烧红的雄黄进行熏蒸。(仅用雄黄一味药,烧后熏蒸下部。)患者脉象数而有力则有发热,轻微烦躁,神情沉默只想躺卧,出汗。刚得病三四天,眼睛发红像斑鸠的眼睛一样;到了七八天,两眼四周都变黑。如果能吃东西,说明脓已经形成,用赤小豆当归散主治。
赤小豆(一升,浸泡生芽后晒干) 当归(一两)
研成细末,用浆水调服二钱,每日服用三次。
庞安石说:百合病,是由于全身血脉同出一源,全部受到邪气侵袭而致病。想要吃东西却又吃不下,常常神情沉默,想躺下却又睡不着,想出门活动却又动不了。有时想吃美味的食物,有时又厌恶闻到食物的气味,感觉像冷又不冷,感觉像热又不热,口苦,小便颜色深红,各种药物都不能治愈,服药后反而加重出现呕吐腹泻等症状,好像有鬼神作祟一样,身体外形看似正常,脉象微数。如果服药后头痛的,六十天才能痊愈;如果服药后头不痛,只是感到怕冷的,四十天痊愈;如果服药后感觉舒适,只是头晕的,二十天痊愈。这种病症有的在发病前就预先显现,有的在发病四五天后出现,有的在二十天或一个月后出现的,都要根据具体症状进行治疗。
治疗发汗后引起的百合病,用百合知母汤。
百合(十枚) 知母(一两半)
先将百合清洗,浸泡一夜,当出现白色泡沫时,倒掉浸泡的水,另取清泉水一升半,煮百合,取汁一升,去掉药渣;另外再用泉水一升煮知母,取汁半升,去掉药渣;将两种药液混合,再一起煎煮至一升,分三次温服。
治疗误用攻下法后引起的百合病,用滑石代赭汤。
百合(十枚) 滑石(一两半) 代赭石(半两)
先用水浸泡百合一夜,当出现白色泡沫时,倒掉水,再用泉水一升半,煎煮取汁一升,去掉药渣;另外再用泉水一升煮滑石和代赭石,取汁半升,去掉药渣;将药液混合再次煎煮至一升,分三到四次温服。
治疗误用催吐法后引起的百合病,用百合鸡子汤。
百合(十枚) 鸡蛋黄(两个)
先用清水洗百合,浸泡一夜,当出现白色泡沫时,倒掉水,再用泉水二升,煎煮取汁一升,去掉药渣,加入鸡蛋黄,搅拌均匀,分三次温服。
治疗未经过催吐、攻下、发汗治疗,百合病症状如初的,用百合地黄汤。
百合(十枚) 地黄汁(半升)
先将百合用水浸泡一夜,有白色泡沫出现时,倒掉水,再用泉水一升半,煎煮取汁一升,去掉药渣,加入地黄汁,再次煎煮取汁一升二合,温热后分三次服用,病愈即停服,不要继续服用。
治疗百合病一个月未愈,转变为口渴症状的,用百合汤清洗。
百合(一升,按前述方法清洗。先浸泡一夜,当出现白色泡沫时,倒掉水。)
再加水一斗,煮沸数次,清洗全身,注意防风,同时食用白汤饼(即切好的面条用水煮熟后淘洗过的汤),但不要加盐和豆豉。煮饼是将切好的面条用水煮熟,淘洗过后,用热汤浸泡食用。
如果口渴没有好转,用栝蒌牡蛎散主治。
栝蒌(无黄脉者) 牡蛎粉(等量)
研成细末,用水调服一方寸匕大小的药量,每日服用三次。
治疗百合病转化为发热的,用百合滑石散。
百合(一两) 滑石(三两)
研成细末,用清饮调服一方寸匕大小的药量,每日服用三次。应当轻微通利大便,热邪即可消除;如果已经通利,就不要继续服用。
百合病表现在阴分的,用治阳的方法救治;表现在阳分的,用治阴的方法救治。见到阳证却去攻伐阴分,又再次发汗,这是逆治;见到阴证却去攻伐阳分,反而使用攻下法,这也是逆治。
The Hu-Huo disease presents with symptoms resembling Taiyang disease (a syndrome caused by pathogenic invasion of the Taiyang channel), and may sometimes arise from the transformation of Taiyang disease. Its manifestations include a silent demeanor with a desire to sleep, yet the eyes cannot close; restlessness when lying down or sitting up. Erosion in the throat is called "Huo" (Confusion); erosion in the yin regions (genitals and anus) is called "Hu" (Fox). The patient has no appetite and dislikes the smell of food; the complexion changes alternately between red, black, and white. If erosion occurs in the upper part (throat), hoarseness ensues, treated primarily with Gancao Xiexin Tang (Licorice Decoction for Draining the Epigastrium). (This formula is recorded in the Pi Syndrome chapter.) If erosion occurs in the lower part, dryness of the throat results, treated by washing with Kushen Tang (Sophora Root Decoction).
Kushen (Sophorae Flavescentis Radix, 8 liang) Huaibai Pi (Cortex Gleditsiae Sinensis, 4 liang) Yelangya Gen (Radix Acanthopanacis Senticosi, 4 liang)
Chop the above ingredients, add five sheng of water, decoct to three and a half sheng, and use for washing.
If erosion occurs at the anus, fumigate with burnt Xionghuang (Realgar). (Use only Realgar, burn it, and fumigate the lower part.) If the patient's pulse is rapid, there is fever and slight irritability; silently desiring to lie down, with sweating. Within three to four days of onset, the eyes become red like those of a turtledove; after seven to eight days, the corners of both eyes turn black. If the patient can eat, it indicates that pus has formed; treat primarily with Chixiaodou Danggui San (Adzuki Bean and Angelica Powder).
Chixiaodou (Adzuki Beans, 1 sheng, soaked until sprouted then dried) Danggui (Angelicae Sinensis Radix, 1 liang)
Grind into fine powder, mix with Jiangshui (Sour Rice Water) and take two qian per dose, three times daily.
Pang Anshi stated: In Baihe Bing (Lily Disease), all meridians share one source, and thus all are affected by the pathology. The patient desires to eat but cannot; often silent; desires to lie down but cannot; desires to walk but cannot. Sometimes craving delicious food, sometimes repulsed by the smell of food; feeling cold without actual chills, feeling hot without actual heat; bitter taste in the mouth, dark red urine. Various medicines fail to cure it; taking medicine exacerbates symptoms, causing vomiting and diarrhea, as if bewitched. The body shape appears normal, but the pulse is slightly rapid. If headache occurs after urination, recovery takes sixty days; if no headache but feeling chilly, recovery takes forty days; if feeling comfortable but dizzy, recovery takes twenty days. These symptoms may appear before the illness starts, emerge four to five days after onset, or appear after twenty days or a month; treatment should follow the specific presentation.
For Baihe Bing following sweating therapy, use Baihe Zhimu Tang (Lily and Anemarrhena Decoction).
Baihe (Lilii Bulbus, 10 pieces) Zhimu (Anemarrhenae Rhizoma, 1.5 liang)
Wash Baihe first, soak overnight until white foam appears; discard the soaking water. Add one and a half sheng of clear spring water, decoct Baihe to obtain one sheng, discard dregs. Separately, decoct Zhimu in one sheng of spring water to obtain half a sheng, discard dregs. Combine the two decoctions and boil together to obtain one sheng; divide into three warm doses.
For Baihe Bing following purgative therapy, use Huashi Daizhe Tang (Talcum and Hematite Decoction).
Baihe (Lilii Bulbus, 10 pieces) Huashi (Talcum, 1.5 liang) Daizhe (Hematitum, 0.5 liang)
Soak Baihe in water overnight until white foam appears; discard water. Add one and a half sheng of spring water, decoct to obtain one sheng, discard dregs. Separately, decoct Huashi and Daizhe in one sheng of spring water to obtain half a sheng, discard dregs. Mix and re-boil to obtain one sheng; divide into three or four warm doses.
For Baihe Bing following emetic therapy, use Baihe Jizi Tang (Lily and Egg Yolk Decoction).
Baihe (Lilii Bulbus, 10 pieces) Jizi Huang (Ovi Galli Albumen, 2 yolks)
Wash Baihe, soak overnight until white foam appears; discard water. Add two sheng of spring water, decoct to obtain one sheng, discard dregs. Add Jizi Huang, stir well; divide into three warm doses.
For Baihe Bing not subjected to emesis, purgation, or sweating, where symptoms remain unchanged, use Baihe Dihuang Tang (Lily and Rehmannia Decoction).
Baihe (Lilii Bulbus, 10 pieces) Dihuang Zhi (Rehmanniae Radix Juice, 0.5 sheng)
Soak Baihe in water overnight until white foam appears; discard water. Add one and a half sheng of spring water, decoct to obtain one sheng, discard dregs. Add Dihuang Zhi, boil again to obtain one sheng and two he; divide into three warm doses. Stop administration once the disease is cured; do not continue.
For Baihe Bing unresolved for one month, transforming into thirst, wash with Baihe Tang (Lily Decoction).
Baihe (Lilii Bulbus, 1 sheng, washed as described above. Soak overnight until white foam appears; discard water.)
Add ten dou of water, boil several times, and wash the entire body. Avoid wind. Consume Bai Tang Bing (White Dough Sheet Soup), but do not add salt or chi (fermented soybeans). Bai Tang Bing refers to cut noodles boiled in water, rinsed, and eaten with hot soup.
If thirst persists, treat with Gualou Muli San (Trichosanthes Root and Oyster Shell Powder).
Gualou (Trichosanthis Radix, those without yellow veins) Muli Fen (Concha Ostreae Powder, equal parts)
Grind into fine powder, mix with water to form a measure of one cun bi, take three times daily.
For Baihe Bing transforming into fever, use Baihe Huashi San (Lily and Talcum Powder).
Baihe (Lilii Bulbus, 1 liang) Huashi (Talcum, 3 liang)
Grind into fine powder, mix with clear drink to form a measure of one cun bi, take three times daily. Mild laxation should occur, eliminating heat; if laxation has already occurred, discontinue use.
When Baihe Bing manifests in Yin aspects, rescue using Yang methods; when manifesting in Yang aspects, rescue using Yin methods. Attacking Yin when Yang signs are present, followed by inducing sweating, is contraindicated (Nì). Attacking Yang when Yin signs are present, followed by purgation, is also contraindicated.