治伤寒厥逆。
太阴元精石(一两) 硫黄(一两) 硝石(一两,各为末) 腻粉(半两)
上四味,依次第布在干熨斗内,用纸盖覆,慢火煨久,候药上有黄芽生起,便止,倾乳
钵内,闭气,细研五七百下,用蒸饼为丸,如皂子大,若伤寒脉候微细,四肢冷逆者,及曾
经转泻者,煎艾汤约一盏,先热吃艾汤一半,细嚼一丸,以汤下之,须臾汗出便瘥,重者二
丸必愈,神妙。
解伤寒圣济总录云∶治伤寒阴证,脉候沉细。
麻黄(去节) 陈皮(去白炙) 大黄(生) 甘草(炙) 干姜(炮) 茱萸 官桂
(去粗皮) 芍药(生) 附子(炮,去皮脐) 半夏(汤洗七遍
上十味,唯麻黄多于众药一倍,余药减用一半,同捣为末,每服一大钱,水一盏,入生
姜三片,枣一枚,煎至七分,热服,如出汗,须候汗干,可去盖覆。凡才觉伤寒,四肢头目
骨节疼痛,便服此药,如人行五里许,再服,或连吃三服,立见汗出,便瘥。若患阴毒伤寒
,更入退阴散半钱,同煎,或伤冷伤食,头昏气满,及心腹诸疾,服之无有不见效者。
川乌头(炮) 干姜(各半两
上二味,同为粗散,炒令转色,放冷,再捣细末,每服一钱,水一盏,盐一捻,煎半盏
,去滓,温服。此药大治阴毒伤寒,手足逆冷,脉息沉细,头痛腰重,连吃三服。若小小伤
冷,每服一匙,入正元散,盐一捻,若阴毒伤寒咳逆,煎一服,细细热呷,立止。
治疗伤寒引起的四肢厥冷。
太阴元精石(一两) 硫黄(一两) 硝石(一两,各研为细末) 腻粉(半两)
以上四味药,依次铺放在干燥的熨斗内,用纸覆盖,用慢火长时间煨烤,等到药面上生出黄色的芽状物时,立即停止加热,将药物倒入乳钵中,屏住呼吸,细细研磨五七百下,用蒸饼作为粘合剂制成丸药,大小如皂荚子。如果是伤寒脉象微细、四肢冰冷逆冷的患者,以及曾经发生腹泻的患者,煎煮艾叶汤约一盏量,先趁热喝下一半艾叶汤,然后细嚼一丸药,用剩下的汤送服,不久后出汗病就好了,病情重的服用两丸必定痊愈,效果神妙。
参考《圣济总录》解伤寒方:治疗伤寒阴证,脉象沉细。
麻黄(去节) 陈皮(去白并炙) 大黄(生用) 甘草(炙) 干姜(炮制) 吴茱萸 官桂(去粗皮) 芍药(生用) 附子(炮制,去皮和脐) 半夏(汤洗七遍)
以上十味药,只有麻黄的用量是其他药物的两倍,其余药物减半使用,一起捣碎成细末。每次服用一大钱,用水一盏,加入生姜三片、大枣一枚,煎至七分满,热服。如果出汗,必须等汗干后,才可以去掉盖被。凡是刚觉得得了伤寒,四肢、头目、骨节疼痛,就服用此药,大约行走五里路的时间后,再服用一次,或者连续服用三次,立刻就会出汗,病就好了。如果是患阴毒伤寒,再加入退阴散半钱,一同煎煮;或者是受寒伤食,头晕气胀,以及心腹各种疾病,服用此药没有不见效的。
川乌头(炮制) 干姜(各半两)
以上两味药,共同捣成粗散,炒至颜色改变,放凉后,再捣成细末。每次服用一钱,用水一盏,盐一捏,煎至半盏,滤去药渣,温服。此药主要治疗阴毒伤寒,手足逆冷,脉息沉细,头痛腰重,连续服用三次。如果是轻微的受寒,每次服用一匙,加入正元散,盐一捏;如果是阴毒伤寒引起的咳嗽气逆,煎煮一服药,细细地热饮,立刻停止。
Treats cold limbs (Jue Ni) caused by Shanghan (Cold Damage).
Taiyin Yuanjing Shi (Lapis Specularis, 1 liang), Liuhuang (Sulfur, 1 liang), Xiaoshi (Niter, 1 liang, each ground into powder), Nifen (Calomel, 0.5 liang).
The above four ingredients are successively spread in a dry ironing pan, covered with paper, and slowly roasted over low heat for a long time. When yellow shoots appear on the medicine, stop heating immediately. Pour the medicine into a mortar, hold your breath, and grind finely five to seven hundred times. Use steamed dough as a binder to make pills the size of soap beans. For patients with Shanghan presenting with faint and thin pulses and cold, inverted limbs, or those who have previously experienced diarrhea, decoct mugwort water (Ai Ye Tang) to approximately one cup. First, drink half of the warm mugwort water, then chew one pill thoroughly and swallow it with the remaining liquid. Sweating will occur shortly thereafter, indicating recovery. For severe cases, two pills will ensure a cure; this is miraculous.
Referencing the *Shengji Zonglu* formula for resolving Shanghan: Treats Yin syndrome of Shanghan, with deep and thin pulses.
Mahuang (Ephedrae Herba, de-stemmed), Chenpi (Citri Reticulatae Pericarpium, pith removed and stir-fried), Dahuang (Rhei Radix et Rhizoma, raw), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried), Ganjiang (Zingiberis Rhizoma, processed), Zhuyu (Evodiae Fructus), Guanzi Gui (Cinnamomi Cortex, outer bark removed), Shaoyao (Paeoniae Radix Alba, raw), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and bud removed), Banxia (Pinelliae Tuber, washed seven times in hot water).
Among these ten ingredients, only Mahuang is used in double the quantity of the others, while the remaining nine are halved. Pound them together into a fine powder. Take one large qian per dose. Add one cup of water, three slices of fresh ginger, and one jujube. Decoct until reduced to seventy percent volume, and take warm. If sweating occurs, wait until the sweat dries before removing covers. Whenever one first feels the onset of Shanghan, accompanied by pain in the limbs, head, eyes, bones, and joints, take this medicine. After walking for about five li, take another dose, or take three consecutive doses. Sweating will occur immediately, leading to recovery. If suffering from Yin Du Shanghan (Yin Toxin Cold Damage), add half a qian of Tuiyin San and decoct together. It is also effective for conditions caused by cold injury or food stagnation, such as dizziness, qi distension, and various heart and abdominal disorders.
Chuan Wutou (Aconiti Radix, processed), Ganjiang (Zingiberis Rhizoma, 0.5 liang each).
Grind the above two ingredients into a coarse powder, stir-fry until the color changes, allow to cool, and then grind into a fine powder. Take one qian per dose. Add one cup of water and a pinch of salt. Decoct until reduced to half a cup, strain, and take warm. This medicine primarily treats Yin Du Shanghan, characterized by cold limbs, deep and thin pulses, headache, and heavy sensation in the waist. Take three consecutive doses. For mild cold injuries, take one spoonful per dose, mixed with Zhengyuan San and a pinch of salt. For coughing and rebellious qi caused by Yin Du Shanghan, decoct one dose and sip it slowly while hot; symptoms will cease immediately.