解散除热方。
白鸭通(五升,沸汤二斗半淋之,澄清取汁二斗) 豉(三升) 麻黄(八两) 栀子
仁(二
十枚)
上七味,五味 咀,以鸭通汁煮取六升,去滓纳豉煮三沸,分服五合。若觉体冷小便
快,止后服。若热犹盛,小便赤促,服之不限五合,宜小劳,当渐进食,不可令食少,但勿
便多耳。
治盛热实,大小便赤方。
升麻 大黄 黄连 黄柏 甘草(各三两) 黄芩(四两) 芍药(六两) 栀子仁(十
四枚)
竹
上十一味, 咀,以水三斗,先煮鸭通、竹叶,取一斗二升,去滓澄清,取一斗,次
纳药,煮取三升,分三服。若上气者,加杏仁五合,腹满加石膏三两。
治药发热困方(《翼方》云∶凡散数发热无赖下去之。又云∶诸丹及金石等同
用之)。
黍米三升作糜,以成煎猪脂一斤和,令调,宿不食,旦空腹食之,令饱,晚当下药神良。
不尽热发,更合服之。
又方 肥猪肉(五斤) 葱白 薤(各半斤)
上三味,合煮,治如食法,宿不食,旦服之令尽,不尽,明日更服。
又方 治压药发动数数患热困,下之之方。
以猪肾脂一具,不令中水,以火炙,承取汁,适寒温一服三合,每日夜五六服,多至五
六升,二日稍随大便下。
又方 作肥猪肉 一升,调如常法,平旦空腹顿服令尽,少时腹中雷鸣,鸣定药随
以器盛取,用水淘石。不尽,更作如前服之。
【解散除热方】
白鸭通(五升,用二斗半沸水淋洗,澄清后取汁二斗) 豆豉(三升) 麻黄(八两) 栀子仁(二十枚)
以上七味药,将五味药切碎,用鸭通汁煎煮至六升,滤去药渣,加入豆豉再煮三沸,分次服用五合。如果感觉身体变冷、小便通畅,就停止后续服药。如果热势仍然旺盛、小便短赤,服药量不限五合,宜适当活动身体,应当逐渐进食,不要让吃得过少,只是不要吃得过多罢了。
【治盛热实,大小便赤方】
升麻 大黄 黄连 黄柏 甘草(各三两) 黄芩(四两) 芍药(六两) 栀子仁(十四枚) 竹叶
以上十一味药,切碎,用水三斗,先煎煮鸭通和竹叶,取汁一斗二升,滤去药渣并澄清,取汁一斗,然后纳入其他药物,煎煮至三升,分三次服用。如果有气逆症状的,加杏仁五合;腹部胀满的,加石膏三两。
【治药发热困方】(《千金翼方》说:凡是服散剂后发热无赖,需用下法去除。又说:各种丹剂和金石类药物同用时。)
黍米三升煮成粥,与炼好的猪脂一斤混合调和,前一晚禁食,早晨空腹食用使其吃饱,晚上再服用泻下药,效果神良。如果热感未尽,再配制服用。
又一方:肥肉(五斤) 葱白 薤(各半斤)
以上三味药,一起煮制,按食用方法处理,前一晚禁食,早晨空腹一次性服完,如果没吃完,第二天再服。
又一方:治疗因压制药物发动而频繁患热困的下法方。
用一副猪肾脂,不让其接触水,用火烤炙,承接流出的油脂,温度适宜时一次服用三合,每天早晚共服五六次,总量可达五六升,两天后稍随大便排出。
又一方:制作肥肉一升,按常规方法调和,清晨空腹一次性顿服喝完,不久腹中雷鸣,鸣响停止后用药器盛取,用水淘洗石头。如果没排尽,再像前面那样配制服用。
[Decomposition and Heat-Resolving Formula]
Anas platyrhynchos Tong (5 sheng, poured over with 2.5 dou of boiling water, strained to obtain 2 dou of juice) Chixiao Dou (Fermented Soybean, 3 sheng) Ephedrae Herba (Mahuang, 8 liang) Gardeniae Fructus (Zhizi, 20 kernels)
The above seven ingredients: five of them are cut into pieces. Decoct in the Anas platyrhynchos Tong juice until 6 sheng remain. Remove the dregs, add Chixiao Dou, boil for three boils, and divide into doses of 5 he. If one feels the body becoming cold and urination becomes smooth, stop taking subsequent doses. If heat remains intense and urination is scanty and red, do not limit the dose to 5 he; mild physical exertion is appropriate, food intake should be gradually increased, avoiding both excessive scarcity and excess.
[Formula for Treating Excessive Heat and Fullness with Red Urine and Stool]
Cimicifugae Rhizoma (Shengma) Rheum Palmatum Radix et Rhizoma (Dahuang) Coptidis Rhizoma (Huanglian) Phellodendri Chinensis Cortex (Huangbai) Glycyrrhizae Radix et Rhizoma (Gancao) [each 3 liang] Scutellariae Radix (Huangqin, 4 liang) Paeoniae Radix Alba (Baishao, 6 liang) Gardeniae Fructus (Zhizi, 14 kernels) Bambusae Folium (Zhuye)
The above eleven ingredients are cut into pieces. Decoct in 3 dou of water. First decoct Anas platyrhynchos Tong and Bambusae Folium to obtain 1.2 dou. Strain and clarify to obtain 1 dou. Then add the remaining herbs and decoct to obtain 3 sheng. Divide into three doses. For symptoms of rebellious Qi, add Armeniacae Semen Amarum (Xingren, 5 he). For abdominal fullness, add Gypsum Fibrosum (Shigao, 3 liang).
[Formula for Treating Fever and Exhaustion Caused by Medication]
(As stated in *Qianjin Yifang*: "Whenever fever persists after taking powder preparations, purgation should be used to remove it. Also: when various cinnabar pills and mineral drugs are used together.")
Setaria italica Grain (Shumi, 3 sheng) cooked into porridge, mixed with 1 jin of refined Porcine Adipose (Zhuzhi), and blended well. Fast overnight. Eat until full on an empty stomach in the morning. Administer a purgative at night for excellent effect. If heat is not completely resolved, prepare and take another dose.
Another formula: Porcine Fat (Fei Zhurou, 5 jin) Allii Macrostemonis Bulbus (Congbai) Allii Macrostemonis Bulbus (Xie) [each 0.5 jin]
Boil the above three ingredients together and process as food. Fast overnight. Take all on an empty stomach in the morning. If not fully consumed, take again the next day.
Another formula: A purgative method for treating frequent heat exhaustion caused by the activation of suppressed drugs.
Use one portion of Renal Adipose Tissue (Zhushen Zhi). Keep it free from water. Roast over fire to collect the melted fat. When the temperature is suitable, take 3 he per dose. Take 5-6 times daily (morning and evening). The total amount may reach 5-6 sheng. After two days, it will gradually pass out with the stool.
Another formula: Prepare 1 sheng of Porcine Fat, blend according to standard methods. Take all at once on an empty stomach at dawn. Soon, borborygmus (rumbling in the abdomen) will occur. After the rumbling stops, use a vessel to collect the contents and wash stones with water. If not fully expelled, prepare and take again as before.