论一首 方六十九首
论曰∶凡是五石散先名寒食散者,言此散宜寒食冷水洗取寒,唯酒欲清,热饮之,不尔
,即百病生焉。服寒食散,但冷将息,即是解药热实大盛热,服三黄汤也。
治石发动上气热实不解心腹满,小便赤,大便赤,大便不利,痞逆冲胸,口中焦燥目赤
方∶
大黄(一两) 黄连 黄芩 芒硝 甘草(炙,各二两)
上五味, 咀,以水五升煮取二升半,再服。凡用大黄、芒硝,临汤熟纳之。
治石发热旧小三黄汤,杀石热胜前方,除实不及前方∶
大黄(二两,一方一两) 黄芩(二两,一方一两) 栀子(十四枚,擘) 豉(三升,
绵裹)
上四味, 咀,以水六升,先煎药数沸后,纳豉,煮取二升,分二服,取瘥止。
治热杀石气下去实兼发汗解肌中风热气汤方∶
大黄(三两) 黄芩(二两) 栀子(十四枚,擘) 豉(一升,绵裹) 麻黄(去节)
甘草(
炙,各二两)
上六味, 咀,以水九升,煮麻黄,去上沫,纳诸药,煮取四升,纳豉三沸,分三服。
得下,止。
治虚石发,内有客热胸中痞,外有风湿不解,肌中急挛,黄芩汤方∶
黄芩(二两) 栀子(十四枚,擘) 葱白(一握) 豉(一升,绵裹)
上四味, 咀,以水七升,煮豉三沸,去滓,纳诸药,煮取三升,分二服。不止,更为
之。
治虚劳下焦有热,骨节疼痛,肌急内痞,小便不利,大便数而少,吸吸口燥少气折石热
汤方∶
大麻(五合,去皮) 豉(二升,绵裹)
上二味,研麻子碎,以水四升,合煮,取一升五合,分三服,服三剂即止。
论一首 方六十九首
论述一篇,方剂六十九首。
论述说:凡是五石散(由五种矿物药组成的散剂),原先称为寒食散,意思是服用这种散剂后适宜吃冷食、喝冷水来清洗身体以获取寒气,只有酒要清淡,热着喝它,如果不这样做,各种疾病就会产生。服用寒食散,只要用冷静的态度调养休息,这就是解除药物引起的热实邪气大盛的热毒,需要服用三黄汤(由大黄、黄连、黄芩组成的清热泻火方剂)。
治疗石药发动导致上逆之气、热实邪气不解、心腹胀满、小便颜色深红、大便颜色深红、大便不通畅、痞塞气逆冲撞胸部、口中焦躁干燥、眼睛发红:
方剂:
大黄(一两) 黄连 黄芩 芒硝 甘草(炙烤,各二两)
以上五味药,切碎,用水五升煮取二升半,分两次服用。凡是用到大黄、芒硝时,在汤药快熟时放入。
治疗石药发热的小三黄汤,此方能消除石药热毒胜过前面的方子,但除实邪的效果不如前面的方子:
大黄(二两,另一版本为一两) 黄芩(二两,另一版本为一两) 栀子(十四枚,掰开) 豉(三升,用绵布包裹)
以上四味药,切碎,用水六升,先煎煮药物几沸后,放入豉,煮取二升,分两次服用,病愈即停。
治疗热毒杀死石药之气,下行实邪兼发汗解肌治疗中风热气汤方:
大黄(三两) 黄芩(二两) 栀子(十四枚,掰开) 豉(一升,用绵布包裹) 麻黄(去节) 甘草(炙烤,各二两)
以上六味药,切碎,用水九升,先煮麻黄,去掉上面的浮沫,加入其他药物,煮取四升,放入豉煮三沸,分三次服用。如果大便通畅,就停止服用。
治疗虚性石药发作,体内有客热导致胸中痞塞,体外有风湿邪气未解,肌肉拘急挛缩,黄芩汤方:
黄芩(二两) 栀子(十四枚,掰开) 葱白(一把) 豉(一升,用绵布包裹)
以上四味药,切碎,用水七升,先煮豉三沸,去掉药渣,加入其他药物,煮取三升,分两次服用。如果不停止症状,再制作服用。
治疗虚劳导致下焦有热,骨节疼痛,肌肉拘急内部痞塞,小便不利,大便次数多而量少,呼吸急促口干少气,折石热汤方:
大麻仁(五合,去皮) 豉(二升,用绵布包裹)
以上两味药,研碎麻子,用水四升,一起煮,取一升五合,分三次服用,服用完三剂就停止。
One Treatise, Sixty-Nine Prescriptions
Treatise: It is said that the "Five Minerals Powder" (a powder composed of five mineral drugs), originally named "Cold Food Powder," implies that after taking this powder, one should consume cold food and drink cold water to cleanse the body and acquire coldness. The wine consumed should be light and taken warm; otherwise, various diseases will arise. When taking Cold Food Powder, one should maintain a calm state and rest properly to resolve the excessive heat and excess pathogenic factors caused by the drug's toxicity. Sanhuang Tang (Three-Yellow Decoction) should be administered.
For symptoms arising from the activation of stone medicine, including rebellious Qi, unresolved heat-excess, abdominal fullness, dark red urine, dark red stool, difficult defecation, chest oppression with Qi rushing upward, dry and scorched mouth, and red eyes:
Prescription:
Rhei Radix et Rhizoma (Dahuang, 1 liang) Coptidis Rhizoma (Huanglian) Scutellariae Radix (Huangqin) Mirabilite (Mangxiao) Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, each 2 liang)
The above five herbs are coarsely crushed. Boil in 5 sheng of water to obtain 2.5 sheng. Take twice. When using Rhei Radix et Rhizoma and Mirabilite, add them when the decoction is nearly ready.
Xiaosanhuang Tang (Minor Three-Yellow Decoction) for treating fever caused by stone medicine. This prescription eliminates stone-heat more effectively than the previous one but is less effective in draining excess:
Rhei Radix et Rhizoma (Dahuang, 2 liang; another version says 1 liang) Scutellariae Radix (Huangqin, 2 liang; another version says 1 liang) Gardeniae Fructus (Zhizi, 14 pieces, broken open) Sojae Semen Praeparatum (Chi, 3 sheng, wrapped in silk cloth)
The above four herbs are coarsely crushed. Boil in 6 sheng of water. After boiling the herbs for a few minutes, add Chi. Boil until 2 sheng remains. Divide into two doses. Discontinue when cured.
Rejie Shishi Qi Xia Shi Jian Faxie Jieji Zhongfeng Reqi Tang (Heat-Clearing Stone-Neutralizing, Excess-Draining, Sweating, and Muscle-Releasing Decoction for Wind-Strike Heat):
Rhei Radix et Rhizoma (Dahuang, 3 liang) Scutellariae Radix (Huangqin, 2 liang) Gardeniae Fructus (Zhizi, 14 pieces, broken open) Sojae Semen Praeparatum (Chi, 1 sheng, wrapped in silk cloth) Ephedrae Herba (Mahuang, de-segmented) Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, each 2 liang)
The above six herbs are coarsely crushed. Boil in 9 sheng of water. First boil Mahuang, remove the foam on the surface, then add the remaining herbs. Boil until 4 sheng remains. Add Chi and boil for three boils. Divide into three doses. Discontinue if bowel movement occurs.
Huangqin Tang (Scutellaria Decoction) for deficiency-type stone medicine activation, with internal guest-heat causing chest oppression, external wind-dampness not resolved, and muscle tension and spasms:
Scutellariae Radix (Huangqin, 2 liang) Gardeniae Fructus (Zhizi, 14 pieces, broken open) Allii Fistulosi Bulbus (Congbai, one handful) Sojae Semen Praeparatum (Chi, 1 sheng, wrapped in silk cloth)
The above four herbs are coarsely crushed. Boil in 7 sheng of water. First boil Chi for three boils, strain, then add the other herbs. Boil until 3 sheng remains. Divide into two doses. If symptoms persist, prepare another dose.
Zheshe Re Tang (Stone-Heat-Resolving Decoction) for deficiency-fatigue with lower-jiao heat, joint pain, muscle tension, internal oppression, difficult urination, frequent but scanty stools, rapid breathing, dry mouth, and shortness of breath:
Cannabis Fructus (Dama, 5 he, peeled) Sojae Semen Praeparatum (Chi, 2 sheng, wrapped in silk cloth)
Crush the Cannabis Fructus. Boil with 4 sheng of water together until 1.5 sheng remains. Divide into three doses. Discontinue after three courses of treatment.