(吴氏加减)
治瘟病发痉者。
僵蚕(酒炒三钱) 蝉蜕(十个) 制军(四钱) 元明粉(二钱) 柴胡(一钱五分)
川连
黄芩
冲。
以上温症及类伤寒症。已具大略。以备参考。所有风温一症。与冬温同类。故不复赘。
又脚
四逆
厥阴
柴胡 赤芍 枳实 甘草(炒各等分)为末。开水调下。每服四钱。加酒少许。
干姜(五钱) 泡淡附子(五钱) 炙甘草(二钱)水煎。冷服。如面赤格阳于上者。
加葱白
以通阳。如脉伏不出者。加人参五味子以复脉。呕
当归 桂枝 芍药 细辛(各一钱) 炙甘草 木通(各二钱)加大枣四枚煎。如内有
久寒
者。加生姜三片。泡淡。吴茱萸(八分)水煎温服。
一凡伤寒合病并病。必有两经之症象。或兼两经之形色脉候可见。宜两经之方药。如太
阴太
一凡阳明腑症。谵语。便秘。口燥唇裂。两目如火。循衣摸床。急下之以发 疹。余以
腑阳
元明粉(三钱) 大黄(五钱) 连翘(二钱) 焦栀子(三钱) 黄芩(一钱五分) 炙
甘草
(五分)
梗。
治同。
一凡太阳腑症。膀胱之气不化。口渴。宜五苓散以化气治之。如热结膀胱。小腹胀痛如
狂。
(吴氏加减法)
治疗瘟疫病出现痉挛症状的。
僵蚕(用酒炒制三钱) 蝉蜕(十个) 制军(四钱,即大黄) 元明粉(二钱) 柴胡(一钱五分)
川连(黄连)
黄芩
冲服(指将药末直接吞服或调入汤剂中服用)。
以上温热病症及类似伤寒的病症,已经具备大致的论述。以备参考。所有风温这一病症,与冬温属于同类,所以不再赘述。
又有脚气病……
四逆汤……
厥阴经……
柴胡 赤芍 枳实 甘草(炒制后各等分)研为细末。开水调服。每次服用四钱。加入少许酒。
干姜(五钱) 泡淡附子(五钱,即经过炮制去毒的附子) 炙甘草(二钱)用水煎煮。冷服。如果面部发红,呈现格阳于上的假热症状。
加葱白
以通达阳气。如果脉搏潜伏不出。加人参、五味子以恢复脉象。呕吐……
当归 桂枝 芍药 细辛(各一钱) 炙甘草 木通(各二钱)加大枣四枚一起煎煮。如果体内有
久寒
(长期存在的寒邪)
者。加生姜三片,泡淡。吴茱萸(八分)用水煎煮温服。
一、凡是伤寒合病并病,必定有两经的症状表现。或者兼有两经的形色脉候可见。适宜使用两经的方药。如太阴经和……
一、凡是阳明腑实证,出现谵语(神志不清说胡话)、便秘、口燥唇裂、两眼如火、循衣摸床(意识障碍时的无意识动作),急需攻下以祛除邪气。我对于
腑阳(阳明腑实之阳气/邪热)
元明粉(三钱) 大黄(五钱) 连翘(二钱) 焦栀子(三钱) 黄芩(一钱五分) 炙
甘草
(五分)
梗(桔梗)
治疗原则相同。
一、凡是太阳腑证,膀胱气化功能失常,口渴。适宜用五苓散来化气行水治疗。如果热结膀胱,小腹胀痛且伴有如狂(精神躁动)的症状。
(Wu's Modified Formula)
Treats epidemic febrile diseases presenting with spasms.
Bombyx Batryticatus (Jiangcan, 僵蚕) stir-fried in wine (3 qian), Cicada Slough (Chan Tui, 蝉蜕) (10 pieces), Prepared Rhubarb (Zhi Jun, 制军) (4 qian), Natrii Sulfas (Yuan Ming Fen, 元明粉) (2 qian), Bupleurum Root (Chai Hu, 柴胡) (1.5 qian),
Coptis Rhizome (Chuan Lian, 川连),
Scutellaria Root (Huang Qin, 黄芩).
Taken by mixing into liquid or swallowing directly.
The above discusses warm diseases and syndrome patterns resembling cold damage in general outline, for reference. All wind-heat conditions are of the same category as winter-warmth, thus no further elaboration is made.
Furthermore, regarding foot disease...
Sini Decoction (Si Ni Tang, 四逆汤)...
Jueyin Meridian...
Bupleurum Root (Chai Hu, 柴胡), Red Peony Root (Chi Shao, 赤芍), Immature Bitter Orange (Zhi Shi, 枳实), Licorice Root (Gan Cao, 甘草) stir-fried, all in equal parts, ground into powder. Mixed with boiling water to take. Each dose is 4 qian. Add a small amount of wine.
Dried Ginger (Gan Jiang, 干姜) (5 qian), Prepared Aconite Root (Fu Zi, 附子) soaked to reduce toxicity (5 qian), Honey-fried Licorice Root (Zhi Gan Cao, 炙甘草) (2 qian). Decoct in water. Take cold. If there is facial redness indicating floating Yang heat above (Ge Yang Yu Shang, 格阳于上),
Add Scallion White (Cong Bai, 葱白)
to unblock and diffuse Yang Qi. If the pulse is hidden and not palpable, add Ginseng Root (Ren Shen, 人参) and Schisandra Fruit (Wu Wei Zi, 五味子) to restore the pulse. Vomiting...
Angelica Sinensis Root (Dang Gui, 当归), Cinnamon Twig (Gui Zhi, 桂枝), Peony Root (Shao Yao, 芍药), Asarum Root (Xi Xin, 细辛) (each 1 qian), Honey-fried Licorice Root (Zhi Gan Cao, 炙甘草), Akebia Stem (Mu Tong, 木通) (each 2 qian). Add four Jujube fruits (Da Zao, 大枣) and decoct. If there is
long-standing cold (Jiu Han, 久寒)
inside, add three slices of Fresh Ginger (Sheng Jiang, 生姜), soaked. Evodia Fruit (Wu Zhu Yu, 吴茱萸) (8 fen). Decoct in water and take warm.
One: Whenever Cold Damage involves combined diseases (He Bing, 合病) and concurrent diseases (Bing Bing, 并病), symptoms of two meridians must be present. Or signs, colors, and pulse conditions of two meridians can be observed simultaneously. It is appropriate to use formulas targeting both meridians. For example, Taiyin Meridian and...
One: Whenever Yangming Fu-organ excess syndrome occurs, presenting with delirium (Man Yu, 谵语), constipation, dry mouth and cracked lips, eyes burning like fire, picking at bedclothes and empty air (Xun Yi Mo Chuang, 循衣摸床), urgent purgation is required to expel pathogenic factors. Regarding
Yangming Fu-Yang (Fu Yang, 腑阳)
Natrii Sulfas (Yuan Ming Fen, 元明粉) (3 qian), Rhubarb (Da Huang, 大黄) (5 qian), Forsythia Fruit (Lian Qiao, 连翘) (2 qian), Scorched Gardenia Fruit (Jiao Zhi Zi, 焦栀子) (3 qian), Scutellaria Root (Huang Qin, 黄芩) (1.5 qian), Honey-fried
Licorice Root (Zhi Gan Cao, 炙甘草)
(0.5 qian),
Platycodon Root (Jie Geng, 桔梗).
The treatment principle is the same.
One: Whenever Taiyang Fu-organ syndrome occurs, where Bladder Qi transformation fails, leading to thirst, it is suitable to use Wuling San (Five-Ling Powder) to transform Qi and treat it. If heat binds in the Bladder, causing lower abdominal distension and pain accompanied by manic-like behavior (Ru Kuang, 如狂):
Cinnamon Twig (Gui Zhi, 桂枝) (0.8 fen), Polyporus (Zhu Ling, 猪苓) (4 qian), Poria (Fu Ling, 茯苓) (3 qian), Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (2 qian), Alisma Rhizome (Ze Xie, 泽泻) (3 qian). Decoct in water.