疗温病有热。饮水暴冷哕者方。茅根 葛根(各切半升)
上二味。以水四升。煮取二升。稍温饮之。 止。则停。(哕。一名冷 。俗云。冷呃是也。)古今录验去茅根。加
枇杷叶。又一方。加橘皮桂心。
琥按上方。乃治阳明病温之剂。一方加橘皮桂心者。此必是胸中有停饮。故用橘皮之辛温以利之。桂心之辛热以
散之也。
疗温热病。头痛。骨肉烦疼。口燥心闷者。或者夏月。天行毒。外寒内热者。或已下之。余热未尽者。或热病自得
利。有虚热。烦渴者方。
麻黄(二两去节) 知母 葛根 石膏(各三两) 甘草(二两炙)
上五味。切以水七升。煮取三升。分为三服。若已下。及自得下。虚热未歇者。除麻黄。加知母葛根。病热未除。
因梦泄者。可除麻黄。加白薇人参。各二两则止。
琥按上方。乃治太阳阳明病温热之药也。
(删繁)疗肺府藏热暴气发斑点。
香豉(一升绵裹) 葱须(切四两) 石膏(八两) 栀子仁(三两) 生姜(八两) 大青(二两) 升麻(三
两) 芒硝(三两)
上八味。切以水六升。煮七味。取二升五合。去滓。然后下芒硝。分三服。
琥按上汤。虽云。疗肺府藏热。实则清解阳明胃府郁热之神方也。
温病发斑。赤者五死一生。黑者。九死一生。庞安时云。大疫难救。麦奴丸主之。(即活人书黑奴丸。见前第十二卷
中)又古今录验有一物黄连汤。愚以加犀角。其效更神。
治疗温病伴有发热,因突然饮用冷水导致呃逆的方剂。茅根、葛根(各切半升)。
以上两味药,用水四升,煮取二升药液,稍温热后服用。呃逆停止,就停药。(哕,又称冷哕,俗称冷呃。)《古今录验》去掉茅根,加枇杷叶。另一一方,加橘皮、桂心。
琥按:上述方子,是治疗阳明病温证的药剂。其中一方加橘皮、桂心的,这是因为胸中有停饮,所以用橘皮的辛温来利水,用桂心的辛热来散寒。
治疗温热病,头痛,骨肉烦疼,口燥心闷的方剂。或者是夏季感受天行毒气,外寒内热的情况;或者是已经经过泻下治疗,余热未尽的情况;或者是热病自然腹泻,有虚热、烦渴的情况。
麻黄(二两,去节)、知母、葛根、石膏(各三两)、甘草(二两,炙)。
以上五味药,切碎,用水七升,煮取三升药液,分三次服用。如果已经经过泻下,或者自然腹泻,虚热未消的,去掉麻黄,加知母、葛根。如果病热未除,因梦遗而耗伤阴液的,可以除去麻黄,加白薇、人参,各二两即可。
琥按:上述方子,是治疗太阳、阳明病温热证的药物。
(删繁)治疗肺脏受热,突发气机紊乱出现斑点的方剂。
香豉(一升,绵裹)、葱须(切四两)、石膏(八两)、栀子仁(三两)、生姜(八两)、大青(二两)、升麻(三两)、芒硝(三两)。
以上八味药,切碎,用水六升,先煮前七味,取二升五合药液,去渣,然后加入芒硝,分三次服用。
琥按:上述汤剂,虽然说是治疗肺脏受热,实际上却是清解阳明胃腑郁热的神效方剂。
温病发斑,红色的预后差,五死一生;黑色的预后更差,九死一生。庞安时说,大瘟疫难以救治,用麦奴丸主治。(即《活人书》中的黑奴丸,见前第十二卷中)。另外,《古今录验》有一物黄连汤,我认为加上犀角,疗效更神奇。
A prescription for treating warm diseases with fever, where sudden consumption of cold water causes hiccups (Yue). Rhizoma Cymbopogonis (Maogen) and Radix Puerariae (Gegen), each cut into pieces of half a sheng.
Take the above two herbs, add four sheng of water, decoct to obtain two sheng of liquid. Drink it when slightly warm. Stop taking it once the hiccups cease. (Hiccups, also known as cold Yue, commonly referred to as cold hiccup.) The *Gu Jin Lu Yan* removes Maogen and adds Folium Eriobotryae (Pipaye). Another variant adds Pericarpium Citri Reticulatae (Jupi) and Cortex Cinnamomi (Guixin).
Hu notes: The above prescriptions are agents for treating Yangming disease of the warm type. In the variant adding Jupi and Guixin, this is likely due to retained fluid in the chest; thus, the acrid-warm nature of Jupi is used to promote diuresis, and the acrid-hot nature of Guixin is used to dissipate cold.
A prescription for treating warm-heat diseases presenting with headache, vexing pain in bones and muscles, dry mouth, and mental oppression. This applies to summer months affected by epidemic toxic pathogens, characterized by external cold and internal heat; or cases where purgation has already been performed but residual heat remains; or cases where diarrhea occurred naturally during a heat disease, accompanied by deficiency heat, vexation, and thirst.
Radix Ephedrae (Mahuang), two liang, removed joints; Radix Anemarrhenae (Zhimu); Radix Puerariae (Gegen); Lapis Gypsi Fibrosus (Shigao), each three liang; Radix Glycyrrhizae Preparata (Gancao), two liang, honey-fried.
Cut the above five herbs, add seven sheng of water, decoct to obtain three sheng of liquid. Divide into three doses. If purgation has already been performed, or if natural diarrhea has occurred and deficiency heat persists, remove Mahuang and add Zhimu and Gegen. If the pathogenic heat remains unremoved and seminal emission occurs due to dreams, one may remove Mahuang and add Radix Antimidis (Baiwei) and Radix Ginseng (Renshen), each two liang, which will suffice.
Hu notes: The above prescription consists of herbs for treating warm-heat syndromes in the Taiyang and Yangming stages.
(Shan Fan) A prescription for treating heat accumulation in the Lung organ, causing sudden qi disturbance and eruption of macules.
Fermented Soybean (Xiangchi), one sheng, wrapped in silk; Roots of Allium fistulosum (Congxu), cut four liang; Lapis Gypsi Fibrosus (Shigao), eight liang; Semen Ziziphi Spinosae (Zhizi Ren), three liang; Rhizoma Zingiberis Recens (Shengjiang), eight liang; Radix Isatidis (Daqing); Radix Cimicifugae (Shengma), three liang; Natrii Sulfas (Mangxiao), three liang.
Cut the above eight herbs, add six sheng of water, decoct the first seven herbs to obtain two sheng and five he of liquid. Strain, then add Mangxiao. Divide into three doses.
Hu notes: Although the above decoction is stated to treat heat in the Lung organ, it is actually a divine formula for clearing and resolving stagnant heat in the Yangming Stomach organ.
In warm diseases with macule eruption, red macules indicate a poor prognosis with five deaths for every one survival; black macules indicate an even worse prognosis with nine deaths for every one survival. Pang Anshi stated that major epidemics are difficult to save, and Mai Nu Wan should be primarily used. (This is the Hei Nu Wan from *Huo Ren Shu*, see Volume 12 above.) Additionally, *Gu Jin Lu Yan* contains a single-herb Huanglian Decoction; I believe adding Cornu Rhinocerotis (Xijiao) makes its efficacy even more miraculous.