本症为伤寒病新瘥,津液未复,血气尚虚,若劳动早,更复成病,故云复也。宜用∶
鼠屎二十一枚 香豉一升 栀子七枚 大黄三两
以水五升,煎取二升七合,分三服,微取汗,数试异验。
本症为伤寒病新瘥,脾胃尚虚,谷气未复,若食猪肉、肠、血、肥鱼及油脂物,必大下
利,医所不能治,必至于死。若食饼饵、粢饴脯、脍炙、枣、栗诸果物,坚实之物,胃气虚
弱,不能消化,必更结热,适以药下之,则胃气虚冷,大利难禁。不下必死,下之又复危险,
不可不慎。宜用∶
香豉五合 炙甘草 桂心各二两 大黄四两 芒硝半斤
以水六升,煮取二升,去滓。先食,适寒温饮一升,日再。忌海藻,菘菜,生葱等物。
百合病者,谓无经络百脉,一宗悉致病也。皆因伤寒虚劳,大病之后,不平复,变成斯
病也。其状如欲食复不能食,欲卧不得卧,欲出行而不能出行,如有寒复如无寒,如有热复
如无热,诸药不能疗,得药则剧而吐利,行持坐卧,神灵式凭。治法以百合为主,而佐以知
母者,为治已经发汗后,更发之法。方用∶
百合七枚 知母三两
先用泉水洗渍百合一宿,去其水;更以泉水二升,煮取一升,去滓;次以水二升,煮知
母得一升;与百合汁和,复煮取一升半,分二次服。若已经下后,更发者则如前法浸煮百合
七枚外,可更以滑石三两、代赭一两,用水二升,煮取一升,和百合汁复煮,得一升半,如
前法服之。又百合病已经吐后更发者,亦如前法,先浸煮百合七枚,乃以鸡子黄纳汁中,搅
匀分再服。又若百合病始,不经发汗、吐、下,其病如初者,可仍如前法,先浸煮百合,次
以生地黄汁一升,与百合汁相和,再煮取一升半,温分再服。一服中病可,勿更服,大盒饭
出恶沫。
本证候是伤寒病刚刚痊愈,津液尚未恢复,气血依然虚弱,如果过早劳动,病情再次发作,所以称为“复”。适宜使用:
鼠屎二十一枚,香豉一升,栀子七枚,大黄三两。
用水五升,煎煮取药液二升七合,分三次服用,微微出汗,多次尝试可见奇异疗效。
本证候是伤寒病刚刚痊愈,脾胃依然虚弱,谷气(饮食精气)尚未恢复,如果食用猪肉、猪肠、血制品、肥鱼以及油脂类食物,必然导致严重腹泻,这是医生难以治疗的,最终会导致死亡。如果食用饼饵、饴糖干肉、生肉片烤肉、枣、栗等水果坚果等坚硬之物,因胃气虚弱,无法消化,必然再次产生内热,此时若恰好用泻下药治疗,则会使胃气虚寒,导致严重腹泻难以控制。不泻下必死,用泻下药又再次陷入危险,不可不谨慎。适宜使用:
香豉五合,炙甘草、桂心各二两,大黄四两,芒硝半斤。
用水六升,煮取药液二升,滤去药渣。在进食前,待药液温度适宜时饮服一升,每日两次。忌食海藻、白菜、生葱等物。
百合病,是指全身经络百脉,因同一根源致病。都是因为伤寒虚劳,大病之后,未能平复痊愈,变成这种病。其症状像想吃却吃不下,想睡却睡不着,想外出却不能外出,好像有寒又像没有寒,好像有热又像没有热,各种药物不能治愈,服药后反而剧烈呕吐腹泻,行动坐卧之间,精神恍惚如被神灵附体。治疗方法以百合为主,辅以知母,是因为在治疗已经发汗后,需要再次发汗的方法。方剂组成:
百合七枚,知母三两。
先用泉水浸泡百合一整夜,倒掉水;再用泉水二升,煮取药液一升,滤去药渣;接着用水二升,煮知母取药液一升;将知母汁与百合汁混合,再煮取药液一升半,分两次服用。如果已经经过泻下治疗后,需要再次发汗的,则照前述方法浸泡煮百合七枚外,可再加滑石三两、代赭一两,用水二升,煮取药液一升,与百合汁混合再煮,得一升半,照前述方法服用。另外百合病已经经过催吐治疗后再次发作的,也照前述方法,先浸泡煮百合七枚,然后将鸡蛋黄加入药汁中,搅拌均匀分两次服用。还有如果百合病初期,未经过发汗、催吐、泻下,病情如初的,可以仍照前述方法,先浸泡煮百合,接着用生地黄汁一升,与百合汁混合,再煮取药液一升半,温服分两次。一次服药后病愈即可,不要继续服用,大便通常会排出恶浊泡沫。
This syndrome refers to the condition shortly after the recovery from *Shanghan* (Cold Damage disease), where body fluids have not yet recovered, and Qi and Blood remain deficient. If physical labor is undertaken too early, the illness recurs; hence it is termed "Fu" (Recurrence). The appropriate prescription is:
Murius Excrement (Shushi) 21 pieces, Fermented Soybean (Xiangchi) 1 sheng, Gardenia (Zhizi) 7 pieces, Rhubarb (Dahuang) 3 liang.
Boil in 5 sheng of water until reduced to 2.7 sheng. Divide into three doses. Induce slight sweating; repeated trials show miraculous efficacy.
This syndrome refers to the condition shortly after recovery from *Shanghan*, where the Spleen and Stomach remain weak, and Gu Qi (Grain Essence/Qi derived from food) has not yet recovered. If pork, intestines, blood products, fatty fish, or oily foods are consumed, severe diarrhea will inevitably occur, which is difficult for physicians to treat and may lead to death. If cakes, malt sugar dried meat, raw minced meat, roasted meats, dates, chestnuts, and other hard-to-digest solid foods are eaten, the weak Stomach Qi cannot digest them, leading to internal heat accumulation. If laxatives are appropriately administered at this time, the Stomach Qi becomes cold and deficient, resulting in severe diarrhea that is difficult to control. Failure to purge leads to death, while purging again poses further danger; caution is essential. The appropriate prescription is:
Fermented Soybean (Xiangchi) 5 he, Roasted Licorice Root (Zhi Gancao) and Cinnamon Twig (Guixin) each 2 liang, Rhubarb (Dahuang) 4 liang, Mirabilite (Mangxiao) 0.5 jin.
Boil in 6 sheng of water until reduced to 2 sheng. Strain the dregs. Drink 1 sheng when the temperature is suitable before meals, twice daily. Avoid kelp (Haizao), Chinese cabbage (Songcai), and raw green onions (Shengcong).
*Baihe Bing* (Lily Disease) implies that the meridians and all vessels are affected by a single root cause. It arises from *Shanghan* and deficiency-wasting, occurring after a major illness fails to resolve completely. Its symptoms resemble an inability to eat despite wanting to, inability to sleep despite wanting to, inability to go out despite wanting to, appearing to have cold but actually having none, appearing to have heat but actually having none. Various medicines cannot cure it; administering medicine causes severe vomiting and diarrhea. During movement, sitting, or lying down, the spirit appears possessed or erratic. The treatment method uses Lily Bulb (Baihe) as the principal herb, assisted by Anemarrhena Root (Zhimu), because this addresses the need for a second diaphoresis after previous sweating therapy. The formula consists of:
Lily Bulb (Baihe) 7 pieces, Anemarrhena Root (Zhimu) 3 liang.
First, soak the Lily Bulb in spring water overnight, then discard the water. Boil with 2 sheng of spring water until reduced to 1 sheng, then strain. Separately, boil Anemarrhena Root in 2 sheng of water until reduced to 1 sheng. Mix the Anemarrhena decoction with the Lily Bulb juice, boil again until 1.5 sheng remains, and divide into two doses. If the patient has already undergone purgation and requires subsequent diaphoresis, follow the above method for soaking and boiling 7 Lily Bulbs, additionally adding Talcum (Huashi) 3 liang and Hematite (Daizhe) 1 liang. Boil these in 2 sheng of water until reduced to 1 sheng, mix with Lily Bulb juice, boil again to obtain 1.5 sheng, and administer as before. If the *Baihe Bing* recurs after emesis, follow the same method: first soak and boil 7 Lily Bulbs, then add Egg Yolk (Jizi Huang) into the juice, stir well, and divide into two doses. If the *Baihe Bing* is in its initial stage, without prior diaphoresis, emesis, or purgation, and the condition remains unchanged, follow the previous method: first soak and boil the Lily Bulb, then add Fresh Rehmannia Juice (Sheng Dihuang Zhi) 1 sheng, mix with Lily Bulb juice, boil again to obtain 1.5 sheng, and take warm, divided into two doses. If the disease resolves after one dose, do not continue administration; typically, foul froth will be discharged in the stool.