伤寒服汤药而下利不止,心下痞坚,服泻心汤。竟复以他药下之,利不止,医以理中与
之而利益甚,理中治中焦,此利在下焦治之方∶
禹余粮 赤石脂(各一斤,碎)
上二味以水六升煮取二升,分三服,复利不止者,当利其小便。
治伤寒后下利脓血方∶
阿胶(一两) 黄柏(二两) 黄连(四两) 栀子仁(十四枚)
上四味 咀,以水六升煮取二升,去滓,纳阿胶更煎,令消,分为三服。(《甲乙》方
无黄柏,有黄芩。)
治赤白下脓,小儿得之三日皆死,此有 虫在下部方∶
麝香 矾石 巴豆 附子 真珠 雄黄(等分
上六味治合,取桑条如箭竿长三寸,以绵缠头二寸,唾濡绵展,取药着绵上,纳谷道中
半日,复易之,日再,神效。
治伤寒六七日,其人大下后脉沉迟,手足厥逆,下部脉不至,咽喉不利,唾脓血,泄
利不止,为难治者方。
麻黄 知母 葳蕤(亦作菖蒲) 黄芩(各三两) 升麻 芍药 当归 干姜 石膏 茯
苓白术 桂心 甘草 麦冬
(各二两《伤寒论》作天门冬)
上十四味 咀,以水一斗先煮麻黄减二升,去上沫,纳诸药煮取三升,分服一升,微
取汗愈。
治温毒及伤寒内虚外热攻胃,下黄赤汁及烂肉汁赤滞下,伏气腹痛诸热毒方∶
栀子(二十枚) 豉(一升) 薤白(一握)
上三味以水四升,先煮栀子、薤白令熟,次纳豉煮取二升半,分三服,频服取瘥。
治病后虚肿方∶
豉五升 醇酒一斗
上二味煮三沸,及热顿服。不耐酒者随性覆取汗。
治汗不止方∶
地黄三斤切,以水一斗煮取三升,分作三服。
又方 白术叶作饮饮之。
又方 白术方寸匕,以饮服之。
治卒得汗不止方∶
以温酒服牛羊脂愈。(一云服牛羊屎亦止。)
治盗汗及汗无时方∶
以韭根四十九枚,水二升煮一升,顿服之。
又方 豉一升,以酒二升渍三日,服不瘥,更合服,不过三剂即止。
止汗方∶
杜仲 牡蛎(等分)
上二味治下筛,临夜卧,以水服五钱匕。
伤寒病服用汤药后,导致腹泻不止,胃脘部痞塞坚硬,曾服用泻心汤。之后又用其他药物攻下,腹泻仍不止,医生用理中汤治疗,结果腹泻更加严重。因为理中汤主要治疗中焦病变,而此处的腹泻位于下焦,应使用以下方剂治疗:
禹余粮、赤石脂(各一斤,捣碎)
以上两味药,用水六升,煮取二升药液,分三次服用。如果服后腹泻仍不止,应当采用利小便的方法治疗。
治疗伤寒后出现下利脓血的方剂:
阿胶(一两)、黄柏(二两)、黄连(四两)、栀子仁(十四枚)
以上四味药,切碎,用水六升,煮取二升药液,去掉药渣,加入阿胶继续煎煮,使其溶化,分三次服用。(《甲乙经》的方子中没有黄柏,而是有黄芩。)
治疗赤白痢疾伴有脓血,小儿患此病三天内多死亡,这是因为下部有寄生虫的方剂:
麝香、矾石、巴豆、附子、真珠、雄黄(各等分)
以上六味药研合均匀,取桑树枝条如箭竿长三寸,用棉絮缠绕头部二寸,用唾液湿润棉头,将药物附着在棉头上,纳入肛门内,保留半天时间,再更换一次,每天两次,效果极佳。
治疗伤寒六七天,病人经过剧烈攻下后,脉象沉迟,手足厥冷,下部脉搏摸不到,咽喉不利,唾吐脓血,泄泻不止,属于难治的情况,使用以下方剂:
麻黄、知母、葳蕤(也作菖蒲)、黄芩(各三两)、升麻、芍药、当归、干姜、石膏、茯苓、白术、桂心、甘草、麦冬
(各二两,《伤寒论》中写作天门冬)
以上十四味药,切碎,用水一斗,先煮麻黄,减少二升水量,去掉上浮的泡沫,加入其余药物,煮取三升药液,每次服用一升,微微出汗即愈。
治疗温毒以及伤寒内虚外热攻冲胃部,排出黄红色汁液及腐烂肉汁样的赤色滞下,伏气腹痛等各种热毒的方剂:
栀子(二十枚)、豉(一升)、薤白(一把)
以上三味药,用水四升,先煮栀子和薤白至熟,然后加入豉,煮取二升半药液,分三次服用,频繁服用直至痊愈。
治疗病后身体虚肿的方剂:
豉五升、醇酒一斗
以上两味药煮沸三次,趁热一次性服下。不能饮酒的人可根据自身情况覆盖衣被取汗。
治疗汗出不止的方剂:
地黄三斤切片,用水一斗,煮取三升药液,分三次服用。
另一个方子:用白术叶煮水饮用。
又一个方子:用白术一方寸匕的量,用水送服。
治疗突然汗出不止的方剂:
用温酒送服牛羊脂肪可愈。(另一种说法是服用牛羊粪便也能止住。)
治疗盗汗及无定时出汗的方剂:
用韭根四十九枚,水二升,煮取一升,一次性服下。
另一个方子:豉一升,用酒二升浸泡三天,服用后若未痊愈,再配制服用,不超过三剂即可停止。
After taking herbal decoctions for a cold injury (Shanghan), diarrhea persists, accompanied by fullness and hardness in the epigastrium. The Xie Xin Tang (Drain the Epigastrium Decoction) was administered. Subsequently, other purgative medicines were used, yet the diarrhea did not cease. The physician treated it with Lizhong Tang (Regulate the Middle Decoction), but the diarrhea worsened. Since Lizhong Tang treats disorders of the Middle Jiao (Middle Burner), and this diarrhea is located in the Lower Jiao (Lower Burner), the following formula should be used:
Yu Yu Liang (Magnetitum) and Chi Shi Zhi (Halloysitum Rubrum) (each 1 jin, crushed).
Take the above two ingredients, add six sheng of water, boil to obtain two sheng of liquid, and divide into three doses. If the diarrhea persists after administration, promote urination to stop the diarrhea.
Formula for treating pus and blood in stool after cold injury:
Ejiao (Donkey-hide Gelatin) (1 liang), Huang Bo (Phellodendri Cortex) (2 liang), Huang Lian (Coptidis Rhizoma) (4 liang), Zhi Zi Ren (Gardeniae Semen) (14 seeds).
Take the above four ingredients, crush them, add six sheng of water, boil to obtain two sheng of liquid, remove the dregs, add Ejiao, and continue boiling until dissolved. Divide into three doses. (The formula in *Jia Yi Jing* does not contain Huang Bo, but contains Huang Qin (Scutellariae Radix)).
Formula for treating dysentery with red and white pus and blood; if children contract this disease, they often die within three days, indicating the presence of parasites in the lower part:
She Xiang (Moschus), Fan Shi (Alumen), Ba Dou (Crotonis Fructus), Fu Zi (Aconiti Lateralis Radix Praeparata), Zhen Zhu (Margarita), Xiong Huang (Realgar) (equal parts).
Process and mix the above six ingredients. Take a mulberry branch about three cun long like an arrow shaft, wrap two cun of its head with cotton, moisten the cotton tip with saliva, apply the medicine onto the cotton, and insert it into the anus. Leave it for half a day, then replace it. Apply twice daily; this yields miraculous results.
Formula for difficult cases of cold injury lasting six or seven days, where severe purging has led to a deep and slow pulse, cold limbs, absent pulse at the lower extremities, throat obstruction, spitting of pus and blood, and persistent diarrhea:
Ma Huang (Ephedrae Herba), Zhi Mu (Anemarrhenae Rhizoma), Wei Rui (Polygonati Odorati Rhizoma, also referred to as Chang Pu/Acori Tatarinowii Rhizoma here), Huang Qin (Scutellariae Radix) (each 3 liang), Sheng Ma (Cimicifugae Rhizoma), Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Gan Jiang (Zingiberis Rhizoma), Shi Gao (Gypsum Fibrosum), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Xin (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mai Dong (Ophiopogonis Radix).
(each 2 liang; *Shang Han Lun* writes Tian Men Dong (Asparagi Radix)).
Take the above fourteen ingredients, crush them, add one dou of water, first boil Ma Huang until reduced by two sheng, remove the foam on the surface, add the remaining herbs, and boil to obtain three sheng of liquid. Take one sheng per dose; recovery occurs with mild sweating.
Formula for treating warm toxin (Wendu) and cold injury with internal deficiency and external heat attacking the stomach, discharging yellow-red fluid and rotten meat-like bloody discharge, latent qi abdominal pain, and various heat toxins:
Zhi Zi (Gardeniae Fructus) (20 fruits), Chi (Sojae Semen Preparatum) (1 sheng), Xie Bai (Allii Macrostemonis Bulbus) (one handful).
Take the above three ingredients, add four sheng of water, first boil Zhi Zi and Xie Bai until cooked, then add Chi, boil to obtain two and a half sheng of liquid, divide into three doses, and take frequently until cured.
Formula for treating post-illness edema due to deficiency:
Chi (Sojae Semen Preparatum) (5 sheng), Chun Jiu (Pure Wine) (1 dou).
Boil the above two ingredients for three boils, drink while hot in one go. For those who cannot tolerate alcohol, cover with blankets to induce sweating according to tolerance.
Formula for treating incessant sweating:
Di Huang (Rehmanniae Radix) (3 jin), sliced, boiled in one dou of water to obtain three sheng of liquid, divided into three doses.
Another formula: Drink tea made from Bai Zhu Ye (Atractylodis Macrocephalae Folium).
Yet another formula: Take one fang cun bi (a square-inch measure) of Bai Zhu (Atractylodis Macrocephalae Rhizoma), taken with water.
Formula for treating sudden onset of incessant sweating:
Take cattle or sheep fat with warm wine to cure. (Another version says taking cattle or sheep feces also stops it.)
Formula for treating night sweats and irregular sweating:
Take 49 Jiugen (Allii Tuberosi Radix), boil in two sheng of water to obtain one sheng, drink in one go.
Another formula: Soak Chi (Sojae Semen Preparatum) (1 sheng) in two sheng of wine for three days. If not cured, prepare and take again; it will stop within three doses.
Sweat-stopping formula:
Du Zhong (Eucommiae Cortex), Mu Li (Ostreae Concha) (equal parts).
Process the above two ingredients, grind into powder, and sieve. Before bedtime, take five qian bi with water.