豆豉(一升) 巴豆(去油三百枚今用二百枚) 杏人(六十枚) 黄芩 黄连 大黄 麻黄(各四两) 芒硝 甘
遂(各三两)
上九味。为末。以蜜和丸。如大豆。服二丸。不得下者。增之。
琥按上方。与前方相似。但攻下之力多。发汗之力少。然亦过于迅厉。宜量人虚实而后用之。琥总按上二方。虽治
太阳表邪未尽。实则阳明府实药也。
陈延之疗伤寒。一二日不解。短剧方有白薇散。
(千金方亦集此散)
白薇(二两) 麻黄(七分去节) 杏人(去皮尖熬) 贝母(各三分)
上四味。捣散。酒服方寸匕。浓覆卧。汗出愈。
琥按上陈氏云。疗伤寒。一二日不解。据内经云。伤寒一日。巨阳受之。二日。阳明受之。则是上方。当是太阳阳
明二经之药。即仲景麻黄葛根二汤之变剂也。又手太阴肺经。风盛热壅者。亦宜斟酌用之。又按白薇。李氏纲目云。古
人多用后世罕能知之。其根类牛膝而短。其性苦寒。乃阳明经药也。神农本经。主治暴中风。身热肢满忽忽不知人。及
温疟洗洗发作有时。故活人书治风温发汗后。身灼热。多眠。葳蕤汤中亦用之。乃知白薇取根。本草无毒而能利人。何
俗医不知用邪。
又疗冬温。及春月中风伤寒。则发热。头眩痛。喉咽干。舌强胸内疼。心胸痞。结满。腰背强。短剧有葳蕤汤。
豆豉(一升) 巴豆(去油三百枚,现用二百枚) 杏仁(六十枚) 黄芩 黄连 大黄 麻黄(各四两) 芒硝 甘遂(各三两)
以上九味药。研成细末。用蜂蜜调和制成丸药。大小如大豆。每次服用二丸。如果大便不通畅,增加剂量。
琥按:上述方剂,与前面的方剂相似。但攻下之力较多,发汗之力较少。然而药性也过于猛烈,应当根据病人的虚实情况来决定是否使用。
琥总按:上述两个方剂,虽然用于治疗太阳表邪未尽,但实际上是治疗阳明腑实证(胃肠实热积滞)的药物。
陈延之治疗伤寒。一二天病情没有解除。《短剧》方中有白薇散。
(《千金方》也收录了这个散剂)
白薇(二两) 麻黄(七分,去节) 杏仁(去皮尖,炒) 贝母(各三分)
以上四味药。捣碎成散剂。用酒送服一方寸匕。覆盖厚被卧床休息。出汗后痊愈。
琥按:上述陈氏说,治疗伤寒。一二天病情没有解除。据《内经》说。伤寒第一天,巨阳经受邪。第二天,阳明经受邪。那么上述方剂,应当是治疗太阳、阳明两经的药物。也就是仲景麻黄汤、葛根汤的变方。又手太阴肺经,风盛热壅者,也应当斟酌使用。又按白薇,李氏纲目说。古人多用,后世很少有人知道。它的根像牛膝但较短。它的性味苦寒,是阳明经的药物。《神农本草经》主治暴中风,身体发热肢体胀满忽然不知人,以及温疟忽冷忽热发作有时。所以《活人书》治疗风温发汗后,身体灼热,多眠睡。葳蕤汤中也用它。由此可知白薇取根,本草无毒而能利人,为什么俗医不知道使用呢?
又治疗冬温,以及春月中风伤寒。则发热。头眩痛。咽喉干。舌强胸内疼。心胸痞闷。结满。腰背强直。《短剧》有葳蕤汤。
Treats retained fluid (accumulation of pathological fluids) caused by Shanghan (Cold Damage).
Douchi (Fermented Soybean, 1 sheng) Badou (Crotonis Fructus, de-oiled, 300 seeds; now use 200 seeds) Xingren (Prunus Armeniacae Semen, 60 seeds) Huangqin (Scutellariae Radix) Huanglian (Coptidis Rhizoma) Dahuang (Rhei Radix et Rhizoma) Mahuang (Ephedrae Herba, each 4 liang) Mangxiao (Natrii Sulfas) Gansui (Kansui Radix, each 3 liang)
The above nine ingredients. Grind into powder. Mix with honey to form pills. Size like soybeans. Take two pills. If defecation does not occur, increase the dose.
Hu notes: The above formula is similar to the previous one. However, its purgative force is greater, and its diaphoretic force is less. Nevertheless, it is too rapid and fierce. It should be used only after assessing the patient's deficiency or excess.
Hu summarizes: Although the above two formulas are used to treat incomplete resolution of Taiyang exterior pathogenic factors, they are actually medicines for treating Yangming Fu-organ excess (excess heat and accumulation in the stomach and intestines).
Chen Yanzhi treats Shanghan. If the condition is not resolved after one or two days, there is Baiwei San in the *Duanju* text.
(The *Qianjin Fang* also collects this powder.)
Baiwei (Cynanchum Atrati Radix, 2 liang) Mahuang (Ephedrae Herba, 7 fen, remove joints) Xingren (Prunus Armeniacae Semen, remove skin and tips, stir-fry) Beimu (Fritillariae Bulbus, each 3 fen)
The above four ingredients. Pound into a powder. Administer with wine, one fangcun bi (a measure of volume). Cover thickly and lie down. Recovery occurs when sweating appears.
Hu notes: Chen states above that it treats Shanghan. If the condition is not resolved after one or two days. According to the *Neijing*: On the first day of Shanghan, the Juyang (Taiyang) channel receives the pathogen. On the second day, the Yangming channel receives the pathogen. Therefore, the above formula should be considered medicine for the Taiyang and Yangming channels. It is a modified version of Zhongjing's Mahuang Tang and Gegen Tang. Furthermore, for the Hand-Taiyin Lung channel, where wind is excessive and heat is congested, it should also be used with discretion. Additionally, regarding Baiwei, Li Shizhen’s *Bencao Gangmu* states that it was widely used in ancient times but rarely known in later generations. Its root resembles Niuxi (Achyranthis Bidentatae Radix) but is shorter. Its nature is bitter and cold, making it a medicine for the Yangming channel. The *Shennong Bencao Jing* indicates it treats sudden wind-stroke, body heat, limb fullness, sudden inability to recognize people, as well as warm malaria with alternating chills and fever occurring at specific times. Thus, the *Huo Ren Shu* uses it in Weirui Tang to treat wind-warmth after sweating, characterized by burning body heat and somnolence. From this, we know that Baiwei uses the root, which is non-toxic in the Materia Medica yet beneficial to humans. Why do common physicians fail to know how to use it?
It also treats Dongwen (Winter-Warmth), and Shanghan contracted from windstroke in spring. Symptoms include fever, dizziness and headache, dry throat and pharynx, stiff tongue, pain inside the chest, chest and heart stuffiness, knotting and fullness, stiffness of the waist and back. There is Weirui Tang in the *Duanju*.