橘皮 炙甘草各一两 人参二两 生姜四两
以水六升,煮取二升,去滓,分三服。忌海藻、菘花。
其症为面青,四肢厥冷,腹痛身冷。用∶
大附子二枚(炮制去皮脐)
为末,每服三钱,姜汁半盏送下,以脐下如火暖为度。
本症为汗后覆盖不密,致腰背及四肢搐搦。用∶
牛蒡根十条 麻黄 牛膝 天南星各六钱
锉细,再入陈酒一碗,于盆内同研,以新布绞汁,以炭火烧药至黑色,每服一钱,温酒
下,日凡三服。
本症为心下痞满,痛引两胁。以∶
芫花 甘遂 大戟各等分
为末,大枣十枚,水一碗半,煎取八分,去滓。身强者服一钱;弱者五分,宜平旦。
胸膈胀满,痛不可近。用∶
海蛤 滑石 甘草各一两 芒硝五钱
共为末,每服二钱,鸡子白调下。
生附子一两(去皮脐炮) 干姜一两
每服三钱,水二碗,煎取一碗,温服。
阴症伤寒,即夹色伤寒;俗名夹阴伤寒。先因欲事,后感寒邪,阳衰阴胜,六脉沉伏。
小腹绞痛,四肢逆冷,男子肾囊或女子乳头内缩,或手足弯曲紫黑,黑甚则牙紧气绝。宜急
下∶
人参 干姜各一两 生附子一枚(剖为八片)
水四碗半,煎取一碗,顿服。须臾自脉出而身温矣。
本症为男女伤寒病,新瘥未平复,与之交接而得病者,其在男子病新瘥未平复,而妇人
与之交接得病者,名阳易;妇人病新瘥未平复,而男子与之交接者,名阴易。其状身重,小
腹里急,或引阴中拘挛,热上冲胸,头重不能举,眼内生曦,四肢拘急,不速治多死。妇人
阳易,方宜用∶
干姜四两
捣末,汤和一顿服;温复汗出得解。
男子阴易,宜用∶
薤白一大握 鼠粪十四枚
以水五升,煮取二升,尽饮之。温卧汗出便愈。
又男子阴易,可取女人中 近阴处烧之,取其灰为散,服方寸匕,日三,小便即利,阴
头微肿,此为愈也。若女人病,可取男子 如前法,酒水服。
橘皮、炙甘草各一两,人参二两,生姜四两。
用水六升,煎煮至剩余二升,滤去药渣,分三次服用。忌食海藻、菘花。
其症状表现为面色青紫,四肢厥冷,腹痛且身体发冷。使用:
大附子二枚(炮制后去皮和脐部)
研成细末,每次服用三钱,用姜汁半盏送服,以肚脐下感觉如火般温暖为度。
本症是由于发汗后覆盖衣物不严密,导致腰背及四肢抽搐痉挛。使用:
牛蒡根十条,麻黄、牛膝、天南星各六钱
切碎,再加入陈年酒一碗,在盆中共同研磨,用新布绞取汁液,用炭火将药烧至黑色,每次服用一钱,温酒送下,每日共服用三次。
本症表现为心窝部痞塞胀满,疼痛牵引至两侧胁肋。使用:
芫花、甘遂、大戟各等分
研成细末,大枣十枚,水一碗半,煎煮至剩余八分,滤去药渣。体质强壮者服用一钱;体质虚弱者服用五分,宜在清晨空腹时服用。
胸膈部位胀满,疼痛剧烈到无法触碰。使用:
海蛤、滑石、甘草各一两,芒硝五钱
共同研成细末,每次服用二钱,用鸡蛋清调服。
生附子一两(去皮、去脐并炮制),干姜一两。
每次服用三钱,水二碗,煎煮至剩余一碗,温服。
阴证伤寒,即夹色伤寒;俗称夹阴伤寒。先因房事,后感寒邪,阳气衰微,阴气盛极,六脉沉伏。
小腹绞痛,四肢逆冷,男子睾丸收缩或女子乳头内缩,或手足弯曲呈紫黑色,黑得厉害则牙关紧闭、气息断绝。应当紧急攻下:
人参、干姜各一两,生附子一枚(剖成八片)
水四碗半,煎煮至剩余一碗,一次性顿服。片刻之后脉搏自现而身体转温。
本症是指男女患伤寒病,刚痊愈尚未完全恢复时,进行房事而再次患病的情况。其中男子病初愈未平复,与妇人房事得病的,称为阳易;妇人病初愈未平复,与男子房事得病的,称为阴易。其症状表现为身体沉重,小腹里急拘紧,或牵引阴部拘挛,热气上冲胸部,头部沉重不能抬起,眼内生翳,四肢拘急,若不迅速治疗多会死亡。妇人患阳易,方剂适宜用:
干姜四两
捣成细末,用开水调和,一次服完;保暖令其出汗即可解除。
男子患阴易,适宜用:
薤白一大把,鼠粪十四枚
用水五升,煎煮至剩余二升,全部饮下。温覆卧床出汗便痊愈。
另外男子患阴易,可取女人阴道口附近部位烧成灰,取其灰作为散剂,服用一方寸匕,每日三次,小便通畅,阴头轻微肿胀,这就是痊愈的表现。若是女人患病,可取男子相应部位如前法处理,用酒水送服。
Tangerine Peel (Chenpi), Honey-fried Licorice Root (Zhi Gancao) each 1 liang, Ginseng Root (Renshen) 2 liang, Fresh Ginger Rhizome (Shengjiang) 4 liang.
Boil in 6 sheng of water, reduce to 2 sheng, remove dregs, and divide into three doses. Avoid consuming Algae (Haizao) and Cauliflower Flower (Songhua).
The symptoms include a cyanotic complexion, cold extremities, abdominal pain, and a cold body. Use:
Large Prepared Aconite Root (Da Fuzi) 2 pieces (processed, peel removed, umbilical scar removed).
Grind into powder. Take 3 qian per dose, delivered with half a zhan of ginger juice. The degree is reached when warmth like fire is felt below the navel.
This syndrome results from inadequate covering after sweating, leading to spasms and convulsions of the lower back, back, and limbs. Use:
Arctium Root (Niubanggen) 10 roots, Ephedra Herb (Mahuang), Achyranthes Root (Niuxi), Arisaema Rhizome (Tiannanxing) each 6 qian.
Chop finely, add one bowl of aged wine, grind together in a basin, squeeze out the juice with new cloth, and roast the medicine over charcoal until black. Take 1 qian per dose, delivered with warm wine, three times daily.
This syndrome presents as fullness and stuffiness in the epigastrium, with pain radiating to both hypochondria. Use:
Kadsura Flower Bud (Yuanhua), Kansui Root (Gansui), Euphorbia Root (Daji) in equal parts.
Grind into powder. With ten Jujubes (Dazao) and 1.5 bowls of water, decoct to obtain 0.8 bowl, remove dregs. Those with strong constitutions take 1 qian; those with weak constitutions take 0.5 qian, preferably taken at dawn on an empty stomach.
Fullness and distension in the chest and diaphragm, with pain so severe it cannot be touched. Use:
Clam Shell (Hai Ge), Talcum (Huashi), Licorice Root (Gancao) each 1 liang, Mirabilite (Mangxiao) 5 qian.
Grind together into powder. Take 2 qian per dose, mixed with egg white for delivery.
Platycodon Root (Jiegeng), Pinellia Tuber (Banxia), Tangerine Peel (Chenpi) each 3 qian, Fresh Ginger Rhizome (Shengjiang) 5 slices.
Decoct in two bowls of water and take.
Raw Prepared Aconite Root (Sheng Fuzi) 1 liang (peel removed, umbilical scar removed, processed), Dried Ginger Rhizome (Ganjiang) 1 liang.
Take 3 qian per dose, decoct in two bowls of water to obtain one bowl, take warm.
Yin-pattern Cold Damage (Yin Zheng Shanghan), also known as Sexual-intercourse-associated Cold Damage (Jia Se Shanghan); commonly called Yin-clamping Cold Damage (Jia Yin Shanghan). Initially due to sexual activity, subsequently contracting cold pathogenic factors, leading to decline of Yang and excess of Yin, with all six pulses deep and hidden.
Severe colicky pain in the lower abdomen, cold extremities, retraction of the scrotum in men or nipples in women, or flexion and purplish-black discoloration of hands and feet. If blackening is severe, jaw stiffness and cessation of breath occur. Urgent purgation is indicated:
Ginseng Root (Renshen), Dried Ginger Rhizome (Ganjiang) each 1 liang, Raw Prepared Aconite Root (Sheng Fuzi) 1 piece (cut into eight slices).
Decoct in 4.5 bowls of water to obtain one bowl, take in one dose. Shortly thereafter, the pulse will emerge and the body will become warm.
This syndrome refers to illness contracted by male or female patients who engage in sexual intercourse shortly after recovering from Cold Damage (Shanghan) before full recovery. When a man whose disease has just healed but not yet stabilized engages in intercourse with a woman and contracts the disease, it is named Yang Yi (Yang Transmission); when a woman whose disease has just healed but not yet stabilized engages in intercourse with a man and contracts the disease, it is named Yin Yi (Yin Transmission). The condition manifests as heavy body, urgency and tension in the lower abdomen, possibly drawing the genitalia into cramps, heat rushing up to the chest, heaviness of the head making it difficult to lift, opacity in the eyes, and rigidity of the four limbs. Without prompt treatment, death often ensues. For women suffering from Yang Yi, the appropriate formula uses:
Dried Ginger Rhizome (Ganjiang) 4 liang.
Pound into powder, mix with boiling water, take in one dose; cover warmly to induce sweating for resolution.
For men suffering from Yin Yi, use:
Allii Macrostemonis Bulbus (Xiebai) one large handful, Mouse Excrement (Shufen) 14 pieces.
Boil in 5 sheng of water, reduce to 2 sheng, drink completely. Lie warm to induce sweating for cure.
Alternatively, for men suffering from Yin Yi, burn the area near the vulva of a woman, collect the ash as a powder, take one fangcun bi (a measure roughly equivalent to a square inch spoonful), three times daily. Urination will become smooth, and slight swelling of the glans penis indicates cure. If the patient is a woman, take the corresponding part of a man using the same method, delivered with wine and water.