痘形充足者,则属血热,治宜凉血解毒,如色不红活,乳食不进,
痘形不足者此属虚寒,治宜温补。此又治痒之大法也。
(十六)痘疮倒陷,有毒陷、血陷、黑陷、白陷、灰陷、顶
陷之别,寒热各异,虚实迥殊,宜详为辨别之。
(十七)痘证禁条繁多,尤忌触秽。盖人身荣卫,遇香则通行,触秽则凝滞,痘疮一证,既全赖气
血和畅,方易成功,若荣卫凝滞,则热毒无由发泄,必至变证百出,即过于芳香,亦能走窜元气,均不可犯。
如四五朝痘犯秽恶,变成焦紫,倏时喘急者,宜取嫩丝瓜皮蒂,焙研为末,蜜调服下,以通利解秽。色变
灰白爬痒难忍者,宜附子、黄 煎服,以温暖烘托。触犯香类,痘顶焦黑奇痒者,宜用升麻、苍耳子浓
煎浴之,酌用生地、防风、蝉蜕、当归、白芍、人参、黄 、赤豆、红花、橘皮、甘草
之属,水煎服。触犯尸气,痘疮陷伏,口中吐沫者,急用芫荽、大枣、熟艾烧烟熏之,并用芫荽、生姜酒煮
汁入辰砂少许调服。其他如月经、房室、荤腥、油气以及漆气、烟气、锣钹、金镇、
生人、六畜等,俱在禁忌之类。
(十八)痘证预防诸秽,宜用枣子烧烟熏之,既可解不正之气,更能荣卫和畅,开胃进食。如为房室、
经水、生产诸秽所犯者,但频烧自解。若防发痒则以桦皮相和烧之。为酒厌者,则以
葛根、茵陈烧烟解之。为五辛厌者,则以生姜烧烟解之。为尸气及疠气所犯者,则以大黄、苍术烧烟解之。
为狐犬牲畜厌者,则烧枫球解之。又总解诸秽,以乳香烧烟熏之,以胡荽酒喷之。
(十九)痘证有成脓而溃烂者,因痘出太甚,皮肤不固,脓汁淋漓,疼痛不已,不可着席者,宜卧芭
蕉叶上,用败草散贴之,或白龙散裹帛扑之。痘出已定,而脓汁淋漓不能干敛,大便不通者,宜牛黄丹利之。
若脓血杂流者,宜百花膏、生肌散之属。 后患此,为余毒失于解利,宜消毒散。痂久不落者,用
百花膏。夏月痘烂生虫,及为诸虫咬伤,臭恶不可近者,宜蝉花
散,外用生寒水石细末干掺之。至有 裂出血者,大便不通,宜
四顺清凉饮。小便如血,宜犀角地黄汤。总之溃烂出血,皆为有余之火所致,身必发热,恶寒者则绝少也。
(二十)痘证疮色黑陷,多由邪火太炽,真水枯涸所致,宜夺命五毒丹、一字金丹,外用胭脂蘸拭疮上。
痘初出时,毒盛攒聚成片,形色黑溃者,急用针刺破,吮去黑血,以四圣散涂之。
毒壅心者,用玳瑁水磨浓汁一盒,入 猪心血一皂子大,以紫草浓煎汤,作一次服之。总之,痘疮黑陷,
实者可酌用承气汤,虚者可酌用十全大补汤,均外用胡荽酒喷衣,或用水杨煎汤浴之。
(二十一)痘疮毒火,有上走空窍者,则痘疮入目,在白睛上者不必治,久当自去,在黑轮上者宜急
治之。初见点时,有痘丛生目中者,急用移痘丹移之;若痘已入目,宜用决明散;目生
翳者,宜用拨云散;目红肿者,宜用细茶叶、绿豆、银花三味口嚼敷之;目痛者,宜用翳子草捣烂,左眼
痛塞右鼻孔,右眼痛塞左鼻孔。至痘疮出多达灌浆时,自然眼闭不开,若干 后仍不开
者,此毒瓦斯上攻于目,急宜清解,甚者凉隔散加荆芥、牛蒡、蝉衣以下之。至痘证有目睛上钓者,在七日以
内者,多难救治,七日以后,可十全六七也。
(二十二)痘证毒火,有上蒸于肺,以致喉头结痘失音者,宜射干鼠粘子汤; 后余毒犹盛,上
攻咽喉,致肿痛干涩,声音不出者,宜甘露饮;痘生鼻孔,先用皂角末吹入,再用黄蜡塞
之,或用硼砂、檀香共为末吹之;痘生舌上,用硼砂、儿茶、人中白焙过共为末掺之。
(二十三)痘证阴阳之辨,最宜体察入微。凡痘属阴寒者,身肢不热,口鼻皆冷,面唇、溺尿、爪甲
俱色现青白,厥利冷不臭,痘色灰白根脚无红晕者是也。凡痘属阳热者,身必壮热,面
唇皆赤,口干好饮,神气昏愦,吐血衄血,痘色紫黑, 赤枯焦者是也。至阳极似阴,则恶寒战栗必有气
臭、烦躁、便秘等热象可寻,而阴极似阳,则面红气浮而必有痘色娇淡,口气清冷等寒
象可求也。
(二十四)痘证治法,宜有标本先后之分。疮出稠密,由于气不匀血不周者,则当活血匀气兼行解毒;
及利久不止,渐成坏症者,当以救里发表兼进,此标本兼治之法也。气血充实,但疮壅而不易出者,则专以
托里解毒为主;疮势太盛,咽喉肿痛者,则专以清利咽喉为主;大小便秘,烦躁喘呼者,则专以利下为
主;疮势太甚,自利频数不止者,则单治自利为主,此急则治标之法也。疮已起发而气不足者,即补其气,
血不足者,即补其血,此缓则治本之法也。疮势太甚,烦渴不止者,则以解毒为主,而兼治其渴,此先本后
标之法也。痘陷泄泻,则先救其里,后攻其表,此先标后本之法也。以上各条,能扩而充之,治法自井然不紊矣。
附方
甲、关于外治者
(一)痧痘倒 ,出不快者,用胡荽酒喷法(见前),或用水杨枝煎汤,并可止痛。
(二)痘疮欲出之时,预防入目,用黄柏膏。黄柏一两,绿豆粉、红花各二两,甘草四两,研为细
末,生油调膏,涂眼四周,神妙。或用胭脂取汁,涂眼四周。目红肿者,用金银花、胭
脂、人乳汁取灯芯蘸点之。生翳者,硼砂为末,灯芯蘸点之。
(三)痘生前阴者,用鸭涎沫之,男子用公鸭嗄气,数次即
消。女人用雄黄研末,清油搅匀,鸭毛蘸擦之。
(四)痘证痒塌,用川椒、艾叶、红枣(去核)、芫荽、茵陈、乳香、白芷梢、陈香橼、安息香各
二钱,共为细末,作纸燃熏照,虽痒塌之痘,火到痒除;或用荆芥穗为末,撒纸上,卷成
筒糊粘纸头,熏照痒处,略烧痒处亦佳。
(五)痘疮痒破结 ,痂不易落者,宜淡蜜水调滑石末以鸡
羽扫疮上,其痂易落,且无瘢痕。痘将结 ,干硬而痛者,宜以
酥揩抹之,或猪脂熬膏涂之。
(六)白龙散 用水牛粪晒干,烧枯存性,搽患处。治痘破损及痘后余毒。又用枯白矾、黄丹、
龙骨各五钱,麝香一钱,研为极细末,治脓耳 耳,先用棉杖子拭尽脓水,然后掺入,勿令风入。
(七)白螺散 治痘湿不收,用陈年土墙内白螺壳不拘多少,去土洗净,火 赤,
取出存性,研为末,干掺之。
(八)百花膏 落痘疮痂。用石蜜不拘多少,略用汤和,时时以鹅翎刷之。
(九)灭瘢救苦散 灭瘢痕。用蜜佗僧、滑石各二两,白芷五钱,研为细末,湿则干掺,干则白蜜调敷。
(十)败草散 解痘疮毒。用多年屋上烂茅草,或墙上烂草,不拘多少,择净者磨为末掺之。
(十一)吹口散 治口疳、牙疳,及痘生口内。用青黛、黄连、孩儿茶、冰片,研为末吹之。
(十二)除夕黄昏时用大乌鱼(即鳢鱼)一尾,小者二三尾,煮汤浴儿,循身俱到,不可嫌腥,后
以清水洗去,可免痘患。
乙、关于内服者
(一)预防痘症之法,宜服三豆汤,或辰砂散,或代天宣化
丸,则痘毒自轻,将来虽出,自亦易起易收,无陷伏郁遏流连之患。
三豆汤 预防痘疮,并治痘后痈毒红肿。
赤小豆 黑大豆 绿豆(各一升) 甘草(三两,生锉)
先将三豆淘净,同甘草用水(或雪水)八升,煮豆熟为度,去甘草,将豆晒干,入汁再浸再晒,汁
尽为度,逐日取豆,水煮,任意食之。
辰砂散
辰砂一钱,丝瓜三寸(近蒂连子烧灰存性)研为末,蜜水调下,或以紫草甘草汤调服,预防痘疮,多者
可少,少者可免。
代天宣化丸
人中黄(甲己年为君) 黄芩(乙庚年为君) 黄柏(丙辛年为君) 栀子仁(丁壬年为君) 黄连(戊
癸年为君) 苦参(佐) 荆芥穗(佐) 防风(佐) 连翘(酒洗,佐) 山豆
根(佐) 牛蒡子(酒淘炒,佐) 紫苏叶(佐)
制法∶先取视其年所属,取其药以为君,其余主岁者为臣,为君者倍之,为臣者半之,为佐如臣
四分之三,于冬至日修合,研为末,取雪水煮升麻,和竹沥调神曲为丸,辰砂、雄黄为衣,竹叶汤下。
(二)小儿出痘,预防失音,体弱者宜预服十奇散,热壅毒甚者宜甘桔汤加牛蒡子、玄参、荆芥
之属,使气道整肃,自无此患。
十奇散 滋养气血,调和脾胃,拔疮毒速出。
黄 人参 当归(各一钱) 姜川朴 桔梗 川芎 防风 白芷 甘草(各一钱) 桂心(三分)
甘桔汤 见本章第一节。
(三)出痘而口噤不语者,用吴茱萸煎汤服之。
(四)桂枝汤 治太阳病头痛发热,有汗恶风,或微恶寒,脉浮弱而数,卫气不和,宜发汗者。
桂枝 芍药 生姜 甘草 大枣
(五)升麻汤 发表。治时邪头痛、足冷、发热、肢疼,脉数,阳明经热下利,及痘疹初起,或
在疑似之间,或未经解利而疮毒已发,宜与解散者。
升麻 白芍 甘草(各二钱) 生葛根(三钱) 加生姜 葱白
(六)百祥丸 治小儿疮疹,黑陷寒战,喘胀便秘,切牙戛齿,身黄紫肿。
红牙大戟,不拘多少,阴干,浆水煮软,去骨,日中晒干,复纳汁,煮汁尽,焙干,研末,枣肉或
滴水和丸,如黍米大,每服一二十丸,不拘时芝麻研煎汤送下。
(七)四苓散 见本章第三节。
(八)异功散 治小儿气虚气滞,脾胃虚热,口舌生疮,或弄舌流涎,惊搐痰嗽,睡时露睛,手足
并冷,饮食少思,吐泻不止。
人参 白术 茯苓 甘草 陈皮(各等分,锉散)
清水煎服。
(九)犀角消毒饮 治痘疮发疔,胃热咽肿便秘。
犀角(七分) 连翘 鼠粘子(各一钱) 荆芥(六分) 甘草 防风(各五分) 忍冬(一钱五分)
(十)导赤散 见本章第一节。
(十一)羌活汤 治痘疹未报点时,热甚,头痛腹胀。
羌活 防风(各八分) 荆芥 紫苏(各七分) 川芎(四分) 赤芍(六分)
枳壳(八分) 山楂(一钱) 木通(五分) 生甘草(三分) 加白葱、生姜,清水煎服。
(十二)消毒饮 见本章第一节。
(十三)犀角地黄汤 治伤寒温病,热伤血分,吐血,衄血,蓄血,瘀血,溺血,妇人倒经,血崩,赤
淋,小儿痘疹,以及喉痧重证,痧透咽烂,火灼液亏者。
犀角屑 生地黄 丹皮 芍药
小肠淋沥出血或衄血,食后临卧时用茅根煎服。热盛如狂善忘,加大黄、黄连、黄芩;瘀血停胸,加
醋制大黄;腹中有瘀血未下,加桃仁、红花、酒制大黄;口鼻出血,加大蓟、茅
根、藕汁、扁柏、童便,并磨京墨搅令黑色服;小便溺血加小蓟。
(十四)补中益气汤 治气虚,气少,气高,气喘,内伤劳
倦,阴虚发热,头痛口渴,表热自汗,畏风恶寒,体倦语懈,食少无味,心烦脉大,一切中气不足者。
黄 人参 甘草 当归身 橘皮 升麻 柴胡 白术 加生姜 大枣
(十五)保元汤 见前。
(十六)椒梅丸 治痘为虫 ,不得发出。
秦椒(三钱) 乌梅 黄连(各一钱)
共研细末,饴糖为丸,如黍米大。
(十七)紫草承气汤 治痘疮干紫,喘满便秘。
紫草 枳实 浓朴 大黄
(十八)大黄甘草汤 治食已即吐,及痘为痰闷,不得发出。
大黄 甘草
按∶食已即吐,宜用大黄四倍于甘草,专取大黄之沉降也。痰闷痘闭,宜用大黄再倍于甘草,反
借甘草之上溢也。
(十九)白虎化斑汤 治痘为火闷,不得发出。
生石膏 知母 生甘草 蝉蜕 麻黄 生大黄 黄芩 连翘 玄参 竹叶
(二十)快斑汤 治痘毒盛,起发迟而作痒。
紫草 甘草 木通 人参 芍药 蝉衣
(二十一)透肌散 透肌肤,发斑疹。
紫草茸 绿升麻 粉甘草(各一钱)
细切,清水煎服。
(二十二)参 内托散 治痈疽不溃,或溃后感冒风邪,及痘疹触秽伏陷,寒战切牙,饮水泻渴者。
人参 黄 当归 川芎 紫草 浓朴 防风 桔梗 白芷 肉桂 木香 甘草
(二十三)化毒汤 治小儿痘疮。
紫草茸 升麻 甘草
一方加蝉蜕、地骨皮、黄芩、木通。
(二十四)二宝散 治痘疮色紫,发热鼻衄,小便如血,口渴, 语,及痘顶色白,肉红肿而痘反
不肿,或黑陷不起。
犀角 生玳瑁
磨汁频服,即愈。痘顶色白或黑陷不起,研为末,入猪心血少许,紫草汤调下。
(二十五)大鼠粘子汤 治痘色红,根散不长发。
鼠粘子(钱半) 当归(七分) 黄 连翘(各一钱) 柴胡 黄芩 地骨皮(各八分)
(二十六)攻毒汤 治痘出不快,伏陷倒 ,大便实者。
大鳝鱼头 丹雄鸡头 鲜笋尖(各三五枚)
加生姜三五片,饮汁。
(二十七)承气汤 治阳明实证。
大黄 枳实 芒硝 浓朴
(二十八)理中汤 治中焦脾胃虚寒,不能运化,呕吐泄泻,不饮不食,胸痹胸痞,腹痛痰多,伤
寒直中太阴,自利不渴,寒霍乱四肢逆冷,自汗,脉虚,便血痢等症。
人参 白术 甘草 干姜
痘形饱满充实的,属于血热证,治疗应当凉血解毒;如果痘色不红活,乳食不进,痘形不足的,属于虚寒证,治疗应当温补。这是治疗痘疮瘙痒的大法。
(十六)痘疮出现倒陷,有毒陷、血陷、黑陷、白陷、灰陷、顶陷的区别,寒热性质各不相同,虚实差异很大,应当详细辨别。
(十七)痘证的禁忌条目繁多,尤其忌讳接触秽浊之气。因为人体的营卫之气,遇到芳香之物则通行顺畅,遇到秽浊之气则凝滞不通。痘疮这一病症,既然完全依赖气血和畅才能容易痊愈,如果营卫凝滞,那么热毒就无法发泄,必然导致各种变证百出;即使是过于芳香的药物,也会耗散元气,这些情况都不可触犯。如果在痘发四五天时,痘疮受到秽恶之气侵犯,变成焦紫色,突然发生喘急的,应当取嫩丝瓜皮蒂,焙干研成粉末,用蜂蜜调服,以通利解除秽浊。如果痘色变为灰白色,抓痒难忍的,应当用附子、黄芪煎服,以温暖烘托正气。如果触犯了香类物品,痘顶焦黑且奇痒的,应当用升麻、苍耳子浓煎后洗浴,酌情选用生地、防风、蝉蜕、当归、白芍、人参、黄芪、赤豆、红花、橘皮、甘草等药物,水煎服用。如果触犯了尸气,痘疮陷伏,口中吐沫的,急忙用芫荽、大枣、熟艾烧烟熏之,并用芫荽、生姜酒煮汁,加入少许辰砂调服。其他的如月经、房事、荤腥、油气以及漆气、烟气、锣钹声、金属撞击声、生人、六畜等,都属于禁忌之列。
(十八)预防痘证的各种秽气,应当用枣子烧烟熏之,既可以解除不正之气,又能使营卫和畅,开胃进食。如果是被房事、经水、生产等秽气所犯,只要频繁焚烧枣子即可自行化解。如果要预防发痒,可以将桦皮一起焚烧。如果是被酒气厌恶所犯,就用葛根、茵陈烧烟来化解。如果是被五辛(葱、蒜、韭、薤、兴渠)厌恶所犯,就用生姜烧烟来化解。如果是被尸气及疠气所犯,就用大黄、苍术烧烟来化解。如果是被狐犬牲畜厌恶所犯,就焚烧枫球来化解。又有一种总解诸秽的方法,是用乳香烧烟熏之,用胡荽酒喷洒衣物。
(十九)痘证有化成脓而溃烂的,是因为痘发出太甚,皮肤不坚固,脓汁淋漓,疼痛不止,不能着席的,应当卧在芭蕉叶上,用败草散贴敷,或者用白龙散裹帛扑撒。痘已发出定型,但脓汁淋漓不能干燥收敛,大便不通的,应当用牛黄丹通利。如果脓血混杂流出的,应当用百花膏、生肌散之类的药物。后来患此病,是因为余毒未能及时解利,应当用消毒散。结痂久久不落的,用百花膏。夏季痘烂生虫,以及被各种虫子咬伤,臭恶不可靠近的,应当用蝉花散,外用生寒水石细末干掺。如果有裂口出血的,大便不通的,应当用四顺清凉饮。小便如血的,应当用犀角地黄汤。总之,溃烂出血,都是由于有余之火所致,身体必定发热,恶寒的情况极少。
(二十)痘证疮色黑陷,多由邪火太盛,真水枯涸所致,应当用夺命五毒丹、一字金丹,外用胭脂蘸拭疮上。痘初出时,毒盛攒聚成片,形色黑溃的,急忙用针刺破,吮去黑血,用四圣散涂之。毒壅在心者,用玳瑁水磨浓汁一盒,加入猪心血一皂子大,用紫草浓煎汤,一次服下。总之,痘疮黑陷,实证的可酌情用承气汤,虚证的可酌情用十全大补汤,均外用胡荽酒喷衣,或者用水杨煎汤洗浴。
(二十一)痘疮毒火,有向上走窜空窍的,则痘疮入目,在白睛上的不必治疗,久了自然会去除,在黑轮(瞳孔周围)上的应当急忙治疗。初见痘点时,有痘丛生眼中的,急忙用移痘丹移之;如果痘已入目,应当用决明散;目生翳膜的,应当用拨云散;目红肿的,应当用细茶叶、绿豆、银花三味药口嚼敷之;目痛的,应当用翳子草捣烂,左眼痛塞右鼻孔,右眼痛塞左鼻孔。到痘疮出多达灌浆时,自然眼闭不开,如果若干天后仍不睁开,这是毒瓦斯上攻于目,急忙应当清解,严重的用凉隔散加荆芥、牛蒡、蝉衣以下之。至于痘证有目睛上吊的,在七日以内的,大多难以救治,七日以后,可以治愈六七成。
(二十二)痘证毒火,有向上蒸腾于肺,以致喉头结痘失音的,应当用射干鼠粘子汤;后来余毒犹盛,上攻咽喉,致肿痛干涩,声音不出来的,应当用甘露饮;痘生在鼻孔,先用皂角末吹入,再用黄蜡塞之,或者用硼砂、檀香共为末吹之;痘生在舌上,用硼砂、儿茶、人中白焙过共为末掺之。
(二十三)痘证阴阳的辨别,最宜体察入微。凡是痘属阴寒的,身肢不热,口鼻皆冷,面唇、溺尿、爪甲俱色现青白,厥利冷且不臭,痘色灰白根脚无红晕的就是。凡是痘属阳热的,身体必定壮热,面唇皆赤,口干好饮,神气昏愦,吐血衄血,痘色紫黑,干枯焦灼的就是。至于阳极似阴,则恶寒战栗必有气臭、烦躁、便秘等热象可寻,而阴极似阳,则面红气浮而必有痘色娇淡,口气清冷等寒象可求也。
(二十四)痘证治法,应当有标本先后的区分。疮出稠密,由于气不匀血不周的,则应当活血匀气兼行解毒;以及利久不止,渐成坏症的,应当以救里发表兼进,这是标本兼治的方法。气血充实,但疮壅而不易出的,则专以托里解毒为主;疮势太盛,咽喉肿痛的,则专以清利咽喉为主;大小便秘,烦躁喘呼的,则专以利下为主;疮势太甚,自利频数不止的,则单治自利为主,这是急则治标的方法。疮已起发而气不足的,即补其气,血不足的,即补其血,这是缓则治本的方法。疮势太甚,烦渴不止的,则以解毒为主,而兼治其渴,这是先本后标的方法。痘陷泄泻,则先救其里,后攻其表,这是先标后本的方法。以上各条,能扩而充之,治法自然井然有序不紊乱。
附方
甲、关于外治者
(一)痧痘倒陷,出不快的,用胡荽酒喷法(见前),或者用水杨枝煎汤,并可止痛。
(二)痘疮欲出之时,预防入目,用黄柏膏。黄柏一两,绿豆粉、红花各二两,甘草四两,研为细末,生油调膏,涂眼四周,神妙。或者用胭脂取汁,涂眼四周。目红肿的,用金银花、胭脂、人乳汁取灯芯蘸点之。生翳的,硼砂为末,灯芯蘸点之。
(三)痘生前阴的,用鸭涎沫之,男子用公鸭嗄气,数次即消。女人用雄黄研末,清油搅匀,鸭毛蘸擦之。
(四)痘证痒塌,用川椒、艾叶、红枣(去核)、芫荽、茵陈、乳香、白芷梢、陈香橼、安息香各二钱,共为细末,作纸燃熏照,虽痒塌之痘,火到痒除;或者用荆芥穗为末,撒纸上,卷成筒糊粘纸头,熏照痒处,略烧痒处亦佳。
(五)痘疮痒破结痂,痂不易落的,宜淡蜜水调滑石末以鸡羽扫疮上,其痂易落,且无瘢痕。痘将结痂,干硬而痛的,宜以酥揩抹之,或猪脂熬膏涂之。
(六)白龙散 用水牛粪晒干,烧枯存性,搽患处。治痘破损及痘后余毒。又用枯白矾、黄丹、龙骨各五钱,麝香一钱,研为极细末,治脓耳聤耳,先用棉杖子拭尽脓水,然后掺入,勿令风入。
(七)白螺散 治痘湿不收,用陈年土墙内白螺壳不拘多少,去土洗净,火煅赤,取出存性,研为末,干掺之。
(八)百花膏 落痘疮痂。用石蜜不拘多少,略用汤和,时时以鹅翎刷之。
(九)灭瘢救苦散 灭瘢痕。用蜜佗僧、滑石各二两,白芷五钱,研为细末,湿则干掺,干则白蜜调敷。
(十)败草散 解痘疮毒。用多年屋上烂茅草,或墙上烂草,不拘多少,择净者磨为末掺之。
(十一)吹口散 治口疳、牙疳,及痘生口内。用青黛、黄连、孩儿茶、冰片,研为末吹之。
(十二)除夕黄昏时用大乌鱼(即鳢鱼)一尾,小者二三尾,煮汤浴儿,循身俱到,不可嫌腥,后以清水洗去,可免痘患。
乙、关于内服者
(一)预防痘症之法,宜服三豆汤,或辰砂散,或代天宣化丸,则痘毒自轻,将来虽出,自亦易起易收,无陷伏郁遏流连之患。
三豆汤 预防痘疮,并治痘后痈毒红肿。
赤小豆 黑大豆 绿豆(各一升) 甘草(三两,生锉)
先将三豆淘净,同甘草用水(或雪水)八升,煮豆熟为度,去甘草,将豆晒干,入汁再浸再晒,汁尽为度,逐日取豆,水煮,任意食之。
辰砂散
辰砂一钱,丝瓜三寸(近蒂连子烧灰存性)研为末,蜜水调下,或以紫草甘草汤调服,预防痘疮,多者可少,少者可免。
代天宣化丸
人中黄(甲己年为君) 黄芩(乙庚年为君) 黄柏(丙辛年为君) 栀子仁(丁壬年为君) 黄连(戊癸年为君) 苦参(佐) 荆芥穗(佐) 防风(佐) 连翘(酒洗,佐) 山豆根(佐) 牛蒡子(酒淘炒,佐) 紫苏叶(佐)
制法∶先取视其年所属,取其药以为君,其余主岁者为臣,为君者倍之,为臣者半之,为佐如臣四分之三,于冬至日修合,研为末,取雪水煮升麻,和竹沥调神曲为丸,辰砂、雄黄为衣,竹叶汤下。
(二)小儿出痘,预防失音,体弱者宜预服十奇散,热壅毒甚者宜甘桔汤加牛蒡子、玄参、荆芥之属,使气道整肃,自无此患。
十奇散 滋养气血,调和脾胃,拔疮毒速出。
黄芪 人参 当归(各一钱) 姜川朴 桔梗 川芎 防风 白芷 甘草(各一钱) 桂心(三分)
甘桔汤 见本章第一节。
(三)出痘而口噤不语的,用吴茱萸煎汤服之。
(四)桂枝汤 治太阳病头痛发热,有汗恶风,或微恶寒,脉浮弱而数,卫气不和,宜发汗者。
桂枝 芍药 生姜 甘草 大枣
(五)升麻汤 发表。治时邪头痛、足冷、发热、肢疼,脉数,阳明经热下利,及痘疹初起,或在疑似之间,或未经解利而疮毒已发,宜与解散者。
升麻 白芍 甘草(各二钱) 生葛根(三钱) 加生姜 葱白
(六)百祥丸 治小儿疮疹,黑陷寒战,喘胀便秘,切牙戛齿,身黄紫肿。
红牙大戟,不拘多少,阴干,浆水煮软,去骨,日中晒干,复纳汁,煮汁尽,焙干,研末,枣肉或滴水和丸,如黍米大,每服一二十丸,不拘时芝麻研煎汤送下。
(七)四苓散 见本章第三节。
(八)异功散 治小儿气虚气滞,脾胃虚热,口舌生疮,或弄舌流涎,惊搐痰嗽,睡时露睛,手足并冷,饮食少思,吐泻不止。
人参 白术 茯苓 甘草 陈皮(各等分,锉散)
清水煎服。
(九)犀角消毒饮 治痘疮发疔,胃热咽肿便秘。
犀角(七分) 连翘 鼠粘子(各一钱) 荆芥(六分) 甘草 防风(各五分) 忍冬(一钱五分)
(十)导赤散 见本章第一节。
(十一)羌活汤 治痘疹未报点时,热甚,头痛腹胀。
羌活 防风(各八分) 荆芥 紫苏(各七分) 川芎(四分) 赤芍(六分)
枳壳(八分) 山楂(一钱) 木通(五分) 生甘草(三分) 加白葱、生姜,清水煎服。
(十二)消毒饮 见本章第一节。
(十三)犀角地黄汤 治伤寒温病,热伤血分,吐血,衄血,蓄血,瘀血,溺血,妇人倒经,血崩,赤淋,小儿痘疹,以及喉痧重证,痧透咽烂,火灼液亏者。
犀角屑 生地黄 丹皮 芍药
小肠淋沥出血或衄血,食后临卧时用茅根煎服。热盛如狂善忘,加大黄、黄连、黄芩;瘀血停胸,加醋制大黄;腹中有瘀血未下,加桃仁、红花、酒制大黄;口鼻出血,加大蓟、茅根、藕汁、扁柏、童便,并磨京墨搅令黑色服;小便溺血加小蓟。
(十四)补中益气汤 治气虚,气少,气高,气喘,内伤劳倦,阴虚发热,头痛口渴,表热自汗,畏风恶寒,体倦语懈,食少无味,心烦脉大,一切中气不足者。
黄芪 人参 甘草 当归身 橘皮 升麻 柴胡 白术 加生姜 大枣
(十五)保元汤 见前。
(十六)椒梅丸 治痘为虫扰,不得发出。
秦椒(三钱) 乌梅 黄连(各一钱)
共研细末,饴糖为丸,如黍米大。
(十七)紫草承气汤 治痘疮干紫,喘满便秘。
紫草 枳实 浓朴 大黄
(十八)大黄甘草汤 治食已即吐,及痘为痰闷,不得发出。
大黄 甘草
按∶食已即吐,宜用大黄四倍于甘草,专取大黄之沉降也。痰闷痘闭,宜用大黄再倍于甘草,反借甘草之上溢也。
(十九)白虎化斑汤 治痘为火闷,不得发出。
生石膏 知母 生甘草 蝉蜕 麻黄 生大黄 黄芩 连翘 玄参 竹叶
(二十)快斑汤 治痘毒盛,起发迟而作痒。
紫草 甘草 木通 人参 芍药 蝉衣
(二十一)透肌散 透肌肤,发斑疹。
紫草茸 绿升麻 粉甘草(各一钱)
细切,清水煎服。
(二十二)参芪内托散 治痈疽不溃,或溃后感冒风邪,及痘疹触秽伏陷,寒战切牙,饮水泻渴者。
人参 黄芪 当归 川芎 紫草 浓朴 防风 桔梗 白芷 肉桂 木香 甘草
(二十三)化毒汤 治小儿痘疮。
紫草茸 升麻 甘草
一方加蝉蜕、地骨皮、黄芩、木通。
(二十四)二宝散 治痘疮色紫,发热鼻衄,小便如血,口渴,谵语,及痘顶色白,肉红肿而痘反不肿,或黑陷不起。
犀角 生玳瑁
磨汁频服,即愈。痘顶色白或黑陷不起,研为末,入猪心血少许,紫草汤调下。
(二十五)大鼠粘子汤 治痘色红,根散不长发。
鼠粘子(钱半) 当归(七分) 黄芪 连翘(各一钱) 柴胡 黄芩 地骨皮(各八分)
(二十六)攻毒汤 治痘出不快,伏陷倒陷,大便实的。
大鳝鱼头 丹雄鸡头 鲜笋尖(各三五枚)
加生姜三五片,饮汁。
(二十七)承气汤 治阳明实证。
大黄 枳实 芒硝 浓朴
(二十八)理中汤 治中焦脾胃虚寒,不能运化,呕吐泄泻,不饮不食,胸痹胸痞,腹痛痰多,伤寒直中太阴,自利不渴,寒霍乱四肢逆冷,自汗,脉虚,便血痢等症。
人参 白术 甘草 干姜
Where the pustules are full and robust, it belongs to Blood Heat (Xu Re), and treatment should focus on cooling the blood and resolving toxicity. If the color is not ruddy and vibrant, milk and food intake are poor, and the pustules are insufficient in form, it belongs to Deficiency Cold (Xu Han), and treatment should focus on warming and tonifying. This is the general principle for treating itching in smallpox.
(16) Smallpox involution (Dao Xian) presents as toxin involution, blood involution, black involution, white involution, gray involution, and vertex involution. Their cold and heat natures differ significantly, and their deficiency and excess conditions are distinct; they must be carefully differentiated.
(17) There are numerous contraindications for smallpox, especially avoiding contact with foul odors. The body's Ying and Wei (Nutritive and Defensive Qi) flow freely upon encountering fragrant substances but stagnate when exposed to foul odors. Since smallpox recovery relies entirely on smooth Qi and Blood circulation, stagnation of Ying and Wei prevents the release of heat toxins, leading to various complications. Even excessive use of aromatic herbs can scatter Yuan Qi (Original Qi); thus, these must be avoided. If, on the fourth or fifth day, exposure to foul odors causes the pustules to turn scorched purple and sudden panting occurs, take tender loofah skin pedicles, dry them over fire, grind into powder, and take with honey to promote urination and resolve foulness. If the color turns grayish-white and itching is unbearable, decoct Fuzi (Aconite Lateralis Radix Preparata) and Huangqi (Astragali Radix) to warm and support the body. If exposed to aromatic substances causing scorched black vertices and severe itching, decoct Shengma (Cimicifugae Rhizoma) and Cang'erzi (Xanthii Fructus) for bathing, and optionally decoct Shengdi (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Chantui (Cicadae Periostracum), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma), Huangqi, Chidou (Adzuki Bean), Honghua (Carthami Flos), Juapi (Citri Reticulatae Pericarpium), and Gancao (Glycyrrhizae Radix et Rhizoma). If exposed to corpse qi causing involution and foaming at the mouth, urgently fumigate with Yansu (Coriandrum Sativum), Dazao (Ziziphi Jujubae Fructus), and Shuai Ai (Artemisiae Argyi Folium), and administer a decoction of Yansu and Shengjiang (Zingiberis Rhizoma Recens) in wine with a little Chen Sha (Cinnabar). Other contraindications include menstruation, sexual intercourse, meat/fish, oil fumes, lacquer fumes, smoke, gongs/cymbals, metal sounds, strangers, and domestic animals.
(18) To prevent foul odors in smallpox, burn dates for fumigation; this resolves abnormal qi, harmonizes Ying and Wei, and stimulates appetite. For contamination by sexual fluids, menstrual blood, or childbirth, frequent burning of dates resolves it. To prevent itching, burn birch bark. For aversion to alcohol fumes, burn Gegen (Puerariae Lobatae Radix) and Yinchen (Artemisiae Scopariae Herba). For aversion to Five Pungent Spices (Wu Xin), burn Shengjiang. For corpse or pestilential qi, burn Dahuang (Rhei Radix et Rhizoma) and Cangzhu (Atractylodis Rhizoma). For aversion from foxes/dogs/livestock, burn Fengqiu (Liquidambaris Fructus). To resolve all foulness generally, fumigate with Rushiang (Boswelliae Resina) and spray Huchu (Coriandrum Sativum) wine.
(19) Some smallpox cases involve suppuration and ulceration due to excessive eruption and weak skin, with dripping pus and unceasing pain preventing lying on mats. Lie on banana leaves and apply Baicao San (Decayed Grass Powder) or wrap with Bailong San (White Dragon Powder). If pustules have formed but pus continues to drip without drying, accompanied by constipation, use Niuhuang Dan (Calculus Bovis Pill) to purgatively clear. For mixed pus and blood, use Baihua Gao (Hundred Flowers Ointment) or Shengji San (Generate Flesh Powder). Later complications due to unresolved residual toxins require Xiaodu San (Detoxification Powder). For persistent scabs, use Baihua Gao. In summer, if ulcers breed worms or are bitten by insects with foul odor, use Chanhua San (Cordyceps Militaris Powder) and externally apply fine powder of Sheng Hanshui Shi (Calcitum). For fissures with bleeding and constipation, use Sishun Qingliang Yin (Four-Obedience Cooling Decoction). For hematuria, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). Generally, ulceration and bleeding result from Excess Fire, accompanied by fever; chills are rare.
(20) Black involution in smallpox is caused by excessive pathogenic fire and depletion of True Water (Kidney Yin). Use Duoming Wudu Dan (Life-Extending Five-Toxin Pill) or Yizi Jin Dan (One-Character Golden Pill), and externally wipe sores with Zhigan (Rubia Cordifolia). When pustules first erupt,聚集ing into dark, necrotic patches, puncture with needles, suck out black blood, and apply Sisheng San (Four Sages Powder). For toxin obstructing the Heart, mix one box of Dai Mao (Trionycis Carapax) water-milled juice with pig heart blood (size of a soap nut), and drink once with a strong decoction of Zicao (Lithospermi Radix). Generally, for solid-type black involution, use Chengqi Tang (Major Order the Qi Decoction); for deficient types, use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction). Externally spray clothes with Huchu wine or bathe in Shuiyang decoction.
(21) Smallpox toxin-fire may ascend to orifices, entering the eyes. Lesions on the sclera (white part) need no treatment and will resolve spontaneously; those on the cornea/pupil area (black wheel) require urgent treatment. At initial appearance, if pustules grow in the eye, use Yidou Dan (Move Pustule Pill) to move them. If already in the eye, use Jueming San (Bright Eye Powder). For eye nebula, use Boyun San (Part Cloud Powder). For red/swollen eyes, chew Xi Cha Ye (Fine Tea Leaves), Ludou (Mung Bean), and Yinhua (Lonicerae Japonicae Flos) and apply. For eye pain, mash Yizicao (Euphrasiae Herba) and insert left nostril for right eye pain, and vice versa. During the filling stage, eyes naturally close; if they remain closed after some days, toxic vapors have attacked the eyes; urgently clear and resolve. Severe cases use Liangge San (Cool the Diaphragm Powder) plus Jingjie (Schizonepetae Spica), Niubangzi (Arctii Fructus), and Chanyi (Cicadae Molt). If eyes roll upward within seven days, prognosis is poor; after seven days, six or seven out of ten may recover.
(22) Smallpox toxin-fire ascending to the Lung causes throat pustules and loss of voice; use Shegan Niu Bang Zi Tang (Belamcanda and Arctius Decoction). If residual toxin remains strong, attacking the throat causing swelling, dryness, and aphonia, use Ganlu Yin (Sweet Dew Drink). For nasal pustules, blow Zaojiao Mo (Gleditsiae Sinensis Fructus powder) into the nose, then plug with Huangla (Beeswax), or blow Pengsha (Borax) and Tanxiang (Santalum Album) powder. For tongue pustules, apply Pengsha, Ercha (Camelliae Semen), and Renzhongbai (Uraei Depositum) roasted and powdered.
(23) Differentiating Yin and Yang in smallpox requires subtle observation. Yin-Cold type: limbs not hot, mouth/nose cold, face/lips/urine/nails cyan-white, cold diarrhea without odor, gray-white pustules without red base. Yang-Heat type: high fever, red face/lips, dry mouth/thirst, confused spirit, hematemesis/epistaxis, purple-black pustules, dry/scorched appearance. Extreme Yang resembling Yin shows chills/trembling but with foul odor, irritability, and constipation (heat signs). Extreme Yin resembling Yang shows red face and floating Qi but with pale pustules and cold breath (cold signs).
(24) Treatment principles distinguish root and branch. Dense eruptions due to uneven Qi/Blood require moving Blood, regulating Qi, and resolving toxicity. Chronic diarrhea leading to deterioration requires saving the interior and releasing the exterior simultaneously (treating both root and branch). With sufficient Qi/Blood but congested eruptions, focus on supporting interior and resolving toxicity. Severe eruptions with sore throat focus on clearing the throat. Constipation/agitation focuses on purging. Severe eruptions with profuse diarrhea focus solely on stopping diarrhea (urgent branch treatment). Post-eruption Qi/Blood deficiency requires tonification (slow root treatment). Severe eruptions with thirst prioritize detoxification while addressing thirst (root before branch). Involution with diarrhea saves the interior first, then releases the exterior (branch before root). Expanding these principles ensures orderly treatment.
Attached Formulas
A. External Treatments
(1) For mumps/smallpox involution with slow eruption: Huqu Wine spray (see above) or Shuiyang Branch decoction for pain relief.
(2) To prevent eye involvement during eruption: Huangbai Gao. Huangbai (Phellodendri Cortex) 1 liang, Ludou powder and Honghua each 2 liang, Gancao 4 liang. Grind fine, mix with raw oil into paste, apply around eyes. Alternatively, use Zhigan juice. For red/swollen eyes: apply lamp wick dipped in Jinyinhua, Zhigan, and human breast milk. For nebula: apply lamp wick dipped in Pengsha powder.
(3) For prepuce pustules: Apply duck saliva. Men: use male duck gas application. Women: apply Xionghuang (Realgar) powder mixed with sesame oil using duck feathers.
(4) For itchy/flattened pustules: Chuanjiao, Aye, Dazao (pitted), Yansu, Yinchen, Rushiang, Baizhisao, Chen Xiangyuan, Anshixiang each 2 qian. Grind fine, burn on paper for fumigation. Or use Jingjisui powder on rolled paper.
(5) For itchy/broken scabs: Apply talcum powder mixed with light honey using chicken feather. For hard/painful scabs: apply butter or pork fat ointment.
(6) Bailong San: Dry buffalo dung, burn to ash, apply to lesions. Also: Kubai Fan, Huangdan, Longgu each 5 qian, Shexiang 1 qian. Grind fine for otitis media with pus. Clean pus with cotton swab before application.
(7) Bailuo San: For moist non-healing pustules. Use old white snail shells from earthen walls, clean, calcine, grind, and apply dry.
(8) Baihua Gao: For falling scabs. Use rock sugar, dissolve slightly in water, brush with goose feather.
(9) Miecan Jiuku San: For scars. Mitengseng, Talcum each 2 liang, Baizhi 5 qian. Grind fine. Apply dry if wet, or mix with honey if dry.
(10) Baicao San: For detoxification. Use rotten thatch/grass from roofs/walls, clean, grind, and apply.
(11) Chuikou San: For mouth/dental ulcers and intraoral pustules. Qingdai, Huanglian, Haiercha, Bingpian. Grind and insufflate.
(12) New Year's Eve bath: Boil large snakehead fish (or 2-3 small ones), bathe child thoroughly, rinse with water to prevent smallpox.
B. Internal Medications
(1) Prevention: Sandou Tang, Chen Sha San, or Ditian Xuanhua Wan. These reduce toxin severity, facilitating easy eruption and resolution without involution.
Sandou Tang: Chixiaodou, Heidadou, Ludou (each 1 sheng), Sheng Gancao 3 liang. Wash beans, boil with water/snow water and licorice until cooked. Remove licorice, dry beans, soak in remaining liquid, repeat until liquid exhausted. Boil daily and eat freely.
Chen Sha San: Chen Sha 1 qian, Si Gua (pedicle end with seeds) burned to ash 3 cun. Grind, take with honey water or Zicao Gancao Tang. Prevents/reduces smallpox.
Ditian Xuanhua Wan: Based on Heavenly Stems/Earthly Branches year. Renshuang (Jia/Ji years), Huangqin (Yi/Geng), Huangbai (Bing/Xin), Zhizi Ren (Ding/Ren), Huanglian (Wu/Gui) as Sovereign. Kushen, Jingjisui, Fangfeng, Lianqiao, Shandougen, Niubangzi, Zisuye as Ministers/Assistants. Prepare on Winter Solstice. Grind, mix with snow water boiled Shengma, bamboo sap, and Shenqu pills. Coat with Chen Sha and Xionghuang. Take with Bamboo Leaf tea.
(2) Prevention of aphonia: Weak children take Shiqi San. Heat/toxin excess takes Ganjie Tang plus Niubangzi, Xuanshen, Jingjie.
Shiqi San: Huangqi, Renshen, Danggui (each 1 qian), Jiang Chunghou, Jiegeng, Chuanxiong, Fangfeng, Baizhi, Gancao (each 1 qian), Guixin 3 fen.
Ganjie Tang: See Section 1.
(3) Trismus/unable to speak: Wu Zhu Yu decoction.
(4) Guizhi Tang: Treats Taiyang disease headache/fever, sweating, wind aversion/mild cold aversion, floating/weak/rapid pulse, disharmonious Wei Qi, indicating need for diaphoresis.
Guizhi, Shaoyao, Shengjiang, Gancao, Dazao.
(5) Shengma Tang: Releases exterior. Treats epidemic headache, cold feet, fever, limb pain, rapid pulse, Yangming channel heat diarrhea, early smallpox/rash, or uncertain cases needing dispersal.
Shengma, Baishao, Gancao (each 2 qian), Sheng Gegen 3 qian. Add Shengjiang, Congbai.
(6) Baixiang Wan: Pediatric rash, black involution, chills, panting/distension, constipation, teeth grinding, yellow-purple swelling.
Hongya Daji, dried, boiled in rice water, remove bone, sun-dry, re-boil in juice until dry, grind. Mix with jujube flesh or water into millet-sized pills. Take 10-20 pills with sesame decoction.
(7) Siling San: See Section 3.
(8) Yigong San: Pediatric Qi deficiency/stagnation, Spleen/Stomach deficiency heat, mouth ulcers, tongue protrusion/salivation, convulsions/phlegm cough, sleeping with eyes open, cold extremities, poor appetite, vomiting/diarrhea.
Renshen, Baizhu, Fuling, Gancao, Chenpi (equal parts). Decoct in water.
(9) Xijiao Xiaodu Yin: Smallpox carbuncles, Stomach heat, sore throat, constipation.
Xijiao 7 fen, Lianqiao, Niubangzi (each 1 qian), Jingjie 6 fen, Gancao, Fangfeng (each 5 fen), Rendong 1.5 qian.
(10) Daochi San: See Section 1.
(11) Qianghuo Tang: Pre-eruption high fever, headache, abdominal distension.
Qianghuo, Fangfeng (each 8 fen), Jingjie, Zisu (each 7 fen), Chuanxiong 4 fen, Chishao 6 fen, Zhiqiao 8 fen, Shanzha 1 qian, Mutong 5 fen, Sheng Gancao 3 fen. Add Congbai, Shengjiang. Decoct.
(12) Xiaodu Yin: See Section 1.
(13) Xijiao Dihuang Tang: Shanghan/Wenbing heat injuring Blood level, hematemesis, epistaxis, blood stasis, hematuria, retrograde menstruation, metrorrhagia, dysuria, pediatric smallpox, severe throat scarlet fever with throat rot/fluid depletion.
Xijiao, Sheng Dihuang, Danpi, Shaoyao.
For intestinal bleeding/epistaxis: Equisetum decoction after meals/before bed. For mania/amnesia: add Dahuang, Huanglian, Huangqin. For chest stasis: add vinegar-processed Dahuang. For abdominal stasis: add Taoren, Honghua, wine-processed Dahuang. For nose/mouth bleeding: add Daji, Equisetum, Lotus rhizome juice, Biota seed, child urine, and ink slurry. For hematuria: add Xiaoji.
(14) Buzhong Yiqi Tang: Qi deficiency, shortness of breath, internal injury from fatigue, Yin deficiency fever, headache/thirst, surface heat/sweating, wind aversion, fatigue/sluggish speech, poor appetite, irritability, large pulse.
Huangqi, Renshen, Gancao, Danggui Shen, Chenpi, Shengma, Chaihu, Baizhu. Add Shengjiang, Dazao.
(15) Baoyuan Tang: See above.
(16) Jiaomei Wan: Smallpox inhibited by parasites.
Qinjiao 3 qian, Wumei, Huanglian (each 1 qian). Grind, mix with malt sugar into pills.
(17) Zicao Chengqi Tang: Dry purple smallpox, panting/fullness, constipation.
Zicao, Zhishi, Nongpo, Dahuang.
(18) Dahuang Gancao Tang: Vomiting immediately after eating, smallpox blocked by phlegm.
Dahuang, Gancao.
Note: For vomiting, use 4x Dahuang to Gancao for descending action. For phlegm blockage, use 2x Dahuang to Gancao to utilize Gancao's upward overflow.
(19) Baihu Huaban Tang: Smallpox blocked by fire.
Sheng Shigao, Zhimu, Sheng Gancao, Chantui, Mahuang, Sheng Dahuang, Huangqin, Lianqiao, Xuanshen, Zhuye.
(20) Kuaiban Tang: Severe toxin, delayed eruption, itching.
Zicao, Gancao, Mutong, Renshen, Shaoyao, Chanyi.
(21) Touji San: Penetrates skin, erupts macules/rash.
Zicaorong, Lv Shengma, Fen Gancao (each 1 qian). Cut fine, decoct.
(22) Shenqi Neituo San: Non-suppurating abscesses, wind-cold after suppuration, smallpox involution from foulness, chills/teeth grinding, thirst/diarrhea.
Renshen, Huangqi, Danggui, Chuanxiong, Zicao, Nongpo, Fangfeng, Jiegeng, Baizhi, Rougui, Muxiang, Gancao.
(23) Huadu Tang: Pediatric smallpox.
Zicaorong, Shengma, Gancao.
Alternative: Add Chantui, Digupi, Huangqin, Mutong.
(24) Erbao San: Purple smallpox, fever, epistaxis, hematuria, thirst, delirium, white vertex/red swollen flesh/non-swelling pustule, or black involution.
Xijiao, Sheng Dai Mao.
Grind juice, take frequently. For white/black involution: grind powder, add pig heart blood, take with Zicao decoction.
(25) Da Niubangzi Tang: Red smallpox, scattered base, slow development.
Niubangzi 1.5 qian, Danggui 7 fen, Huangqi, Lianqiao (each 1 qian), Chaihu, Huangqin, Digupi (each 8 fen).
(26) Gongdu Tang: Slow eruption, involution, constipation.
Large eel head, red rooster head, fresh bamboo shoots (3-5 each). Add ginger slices, drink juice.
(27) Chengqi Tang: Yangming excess syndrome.
Dahuang, Zhishi, Mangxiao, Nongpo.
(28) Lizhong Tang: Middle Jiao Spleen/Stomach deficiency cold, failure to transform, vomiting/diarrhea, anorexia, chest oppression, abdominal pain/phlegm, Taiyin direct attack, spontaneous diarrhea without thirst, cold cholera with cold limbs, spontaneous sweating, weak pulse, bloody stool/dysentery.
Renshen, Baizhu, Gancao, Ganjiang.