病源伤寒百合病者，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。其状意欲食，复不能食，常默默欲得卧，复不得卧，欲出行，而复不能行，饮食
或有美时，或有不用时，闻饮食臭，或如强健人，而欲卧，复不得眠，如有寒，复如无寒，
如有热，复如无热，至朝日苦，小便赤黄，百合之病诸药不能疗，得药则剧而吐利，如有神
灵所加也，身形如和，其人脉微数，每尿辄头痛，其病六十日乃愈，若尿时头不痛，淅淅然
如寒者，四十日愈，若尿时快然但眩者，二十日愈，其证或未病而预见，或病四五日而出，
或病二十日一月日复见，其状恶寒而呕者，病在上焦也，二十三日当愈，其状腹满微喘，大
便硬，三四日一大便，时复小溏者，病在中焦也，六十三日当愈，其状小便淋沥难者，病在
下焦也，四十三日当愈，各随其证以疗之耳。（并出第八卷中）
仲景伤寒论疗百合之病，诸药不能疗，若得药则剧而吐痢，如有神灵所加也，身体仍和
，脉微数，每尿时辄头痛，六十日乃愈，尿时头不痛，淅淅然者，四十日愈，尿时快然，但
头眩者，二十日愈，其证或未病而预见，或病四五日而出，或病二十日一月复见者，悉疗之。
又发汗已更发者，百合知母汤主之方。
百合（七枚擘） 知母（三两）
上二味以泉水洗，先渍百合经一宿，上当白沫，泻却其汁，更以好泉水二升，煮取一升，
去滓，置之一处，别以泉水二升，煮知母取一升，去滓，二味汁相和，煮取一升半分温再服
之。（短剧千金同）
又下之已更发者，百合滑石代赭汤主之方。
百合（七枚擘以泉水渍一宿上当白泔出去之） 滑石（三两碎） 代赭（如弹丸一枚碎）
上三味先以泉水二升，煮百合取一升，去滓，置一厢，又以泉水二升，煮和二味取一升
，去滓，合煎取一升半，分再服。（千金短剧同）
又吐之已更发者，百合鸡子汤主之方。
百合（七枚）
上一味依前法，泉水二升，煮取一升，去滓，扣鸡子一枚，取中黄纳百合汤中搅，令调
温再服之。（千金同）
又不吐不下不发汗，病形如初，百合生地黄汤主之方。
百合（七枚）
上一味依前法，渍以泉水二升，煮取一升，生地黄汁一升二味汁相和，煮取一升半，温
分再服，一服中病者，更勿服也。大盒饭出恶沫。（千金短剧并同）
又百合病一月不解，变成渴者。
以渍百合水洗身法，其后千金方中一味是，后服栝蒌牡蛎散，其次则是。（并出第十七
卷中）
短剧凡百合病见于阴而以阳法攻之，其阴不得解也，复发其汗，此为逆，其病难治，见
于阳而以阴法攻之，其阳不得解也，复下之，其病不愈。
千金百合病经一月不解变成渴者方。
百合根（切一升）
上一味，以水一斗渍一宿，以汁洗病患身也，洗身讫食白汤饼。（今 也）勿与盐豉
也
，渴不瘥，可用栝蒌根并牡蛎等分为散，饮调方寸匕，日三服。（短剧张仲景方同）
又疗百合病变而发热者方。
滑石（三两） 百合根（一两炙）
上二味末之饮下方寸匕，日三，微利者止勿服之，热即除，一本云，治百合病小便赤涩
，脐下坚急。
又百合病变腹中满痛者方。
但服百合根，随多少熬令色黄，末之饮调方寸匕，日三，满消痛止。（短剧同并出第十
卷中）
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：伤寒百合病方七首 类别：方剂
【待处理原文翻译】
疾病源流中关于伤寒百合病的记载，是指全身经络与百脉同出一源，因而共同致病。这通常是因为患过伤寒或虚劳大病后，身体未能完全康复，从而演变成此病。其症状表现为：想要进食却又吃不下，常常沉默不语想睡觉，却又睡不着；想要外出活动，却又无力行走；饮食有时觉得美味，有时又毫无胃口，甚至闻到食物的气味就反感；身体状态有时像健康人一样，但想睡却失眠；有时感觉发冷，有时又好像不冷；有时感觉发热，有时又好像不热；直到天亮时感到痛苦，小便颜色深黄。百合病用各种药物难以治愈，若用药不当则病情加重并出现呕吐腹泻，仿佛有神灵加害一般。患者身形外表看似正常，但脉象微数（细弱而快）。每次排尿时就会头痛，此病需六十日才能痊愈；如果排尿时头部不痛，只是感到阵阵恶寒，四十日可愈；如果排尿时感觉畅快但伴有头晕，二十日可愈。这种病症可能在发病前就预先显现，也可能在患病四五日后出现，或者患病二十天乃至一个月后才再次显现。如果症状表现为怕冷且呕吐，说明病位在上焦，二十三日应当痊愈；如果症状表现为腹部胀满、轻微气喘、大便干硬、三四天才解一次大便，偶尔又有少量稀便，说明病位在中焦，六十三日应当痊愈；如果症状表现为小便淋漓不畅，说明病位在下焦，四十三日应当痊愈。治疗时应根据具体证候进行调理。（以上内容出自第八卷）
张仲景《伤寒论》中治疗百合病的方法指出：各种药物难以治愈，若用药则病情加剧并出现呕吐腹泻，仿佛有神灵加害。身体外形依然平和，脉象微数，每次排尿时必然头痛，六十日方可痊愈；排尿时头不痛，感到阵阵恶寒的，四十日痊愈；排尿时感觉畅快，仅头部眩晕的，二十日痊愈。对于上述各种证候，无论是在未发病时预先显现，还是患病四五日后出现，或是患病二十天至一个月后复发，都予以治疗。
另外，经过发汗治疗后病情反复者，以百合知母汤为主治方剂。
百合（七枚，掰开） 知母（三两）
以上两味药，用泉水清洗，先将百合浸泡一夜，水面会出现白色泡沫，倒掉这些汁液，再用优质的泉水二升，煮取一升药液，滤去药渣，放在一边备用。另取泉水二升，煮知母取一升药液，滤去药渣。将两种药汁混合，再煮取一分半升（约1.5升），分两次温服。（《短剧方》《千金方》与此相同）
另外，经过攻下治疗后病情反复者，以百合滑石代赭汤为主治方剂。
百合（七枚，掰开，用泉水浸泡一夜，水面出现白色浑浊液后倒掉） 滑石（三两，捣碎） 代赭石（如弹丸大小一枚，捣碎）
以上三味药，先用泉水二升，煮百合取一升药液，滤去药渣，放在一边。再用泉水二升，煮其余两味药取一升药液，滤去药渣。将三种药汁合并煎煮，取一分半升，分两次服用。（《千金方》《短剧方》与此相同）
另外，经过催吐治疗后病情反复者，以百合鸡子汤为主治方剂。
百合（七枚）
以上一味药，依照前面的方法，用泉水二升，煮取一升药液，滤去药渣。取鸡蛋一枚，只取蛋黄放入百合汤中搅拌，使其调和均匀，分两次温服。（《千金方》与此相同）
另外，既未催吐、未攻下、也未发汗，病情表现如初者，以百合生地黄汤为主治方剂。
百合（七枚）
以上一味药，依照前面的方法，用泉水二升浸泡，煮取一升药液。加入生地黄汁一升，将两种药汁混合，煮取一分半升，分两次温服。如果服用一次后病愈，不要再服用。服药后可能会排出恶浊的泡沫。（《千金方》《短剧方》与此相同）
另外，百合病持续一个月未愈，转变为口渴症状的。
采用浸泡百合的水洗浴身体的方法，这是后来《千金方》中的一味药用法，之后服用栝楼牡蛎散，其次是这种方法。（以上内容出自第十七卷）
《短剧方》指出：凡是百合病见于阴证而以阳法（如发汗）攻治的，其阴邪不得解除，反而再次发汗，这是逆治，病情难治；见于阳证而以阴法（如攻下）攻治的，其阳邪不得解除，反而攻下，病情不愈。
《千金方》中治疗百合病经一个月未愈转变为口渴的方剂。
百合根（切制，一升）
以上一味药，用水一斗浸泡一夜，用泡过的水清洗病患的身体。洗完澡后吃白汤饼（今本注：不要加盐和豆豉）。如果口渴仍未缓解，可用栝楼根和牡蛎等份研为散剂，用温水调服一方寸匕，每日三次服用。（《短剧方》及张仲景方与此相同）
另外，治疗百合病变化而出现发热的方剂。
滑石（三两） 百合根（一两，炙烤）
以上两味药研为细末，每次用温水调服一方寸匕，每日三次。如果出现轻微腹泻则停止服用，热邪即可消除。另一版本记载，主治百合病小便赤涩，脐下坚硬急迫。
另外，治疗百合病变化而出现腹中胀满疼痛的方剂。
只服用百合根，根据适量将其熬至颜色变黄，研为细末，用温水调服一方寸匕，每日三次，腹胀消除、疼痛停止即止。（《短剧方》与此相同，均出自第十卷）
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Seven Formulas for Cold Damage and Baihe Disease
Category: Formulas
[English Translation]
Regarding the etiology of Cold Damage and Baihe Disease (Lily Disease), it is stated that the meridians and all vessels share a single origin, thus disease affects them collectively. This condition typically arises after suffering from Cold Damage or consumptive diseases where recovery is incomplete, leading to this ailment. The symptoms include: desiring to eat but being unable to do so; often remaining silent and wishing to sleep, yet unable to sleep; desiring to go out but lacking the strength to walk; sometimes finding food palatable, at other times having no appetite, and even feeling aversion to the smell of food; the physical state may appear healthy, yet insomnia persists; sometimes feeling cold, then not cold; sometimes feeling hot, then not hot; suffering until dawn, with dark yellow urine. Baihe Disease is difficult to cure with various medications; improper medication exacerbates the condition, causing vomiting and diarrhea, as if afflicted by spirits. The body shape appears normal, but the pulse is faint and rapid (Wei Shu). Headache occurs with each urination; the disease resolves in sixty days. If there is no headache during urination but rather a sensation of chilliness (Xi Xi Ran), it resolves in forty days. If urination brings relief but is accompanied by dizziness, it resolves in twenty days. These manifestations may appear before the onset of illness, emerge four to five days after onset, or recur after twenty days or a month. If the symptoms include aversion to cold and vomiting, the pathology is in the Upper Jiao (Upper Burner), and resolution is expected in twenty-three days. If the symptoms include abdominal fullness, slight wheezing, hard stool, defecation only once every three to four days, occasionally with loose stools, the pathology is in the Middle Jiao (Middle Burner), and resolution is expected in sixty-three days. If the symptoms include difficult, dribbling urination, the pathology is in the Lower Jiao (Lower Burner), and resolution is expected in forty-three days. Treatment should follow the specific syndrome patterns. (Excerpted from Volume 8)
Zhang Zhongjing’s *Shanghan Lun* (Treatise on Cold Damage) states regarding the treatment of Baihe Disease: Various drugs are ineffective; if administered, the condition worsens with vomiting and dysentery, as if possessed. The body remains physically calm, the pulse is faint and rapid, and headache accompanies each urination; resolution takes sixty days. If there is no headache during urination but a sensation of chilliness, resolution takes forty days. If urination brings relief but only dizziness remains, resolution takes twenty days. All these syndromes, whether appearing pre-onset, emerging four to five days post-onset, or recurring after twenty days to a month, are treated accordingly.
Furthermore, for cases relapsing after sweating therapy, Baihe Zhi Mu Tang (Lily and Anemone Decoction) is the primary formula.
Baihe (Lilii Bulbus, 7 bulbs, split) Zhi Mu (Anemarrhenae Rhizoma, 3 liang)
Wash the two ingredients with spring water. Soak the Lily bulb overnight; white foam will appear on the surface. Discard this liquid. Add 2 sheng of good spring water, decoct to obtain 1 sheng of liquid, remove the dregs, and set aside. Separately, add 2 sheng of spring water to Anemarrhena, decoct to obtain 1 sheng of liquid, and remove the dregs. Mix the two liquids, decoct together to obtain 1.5 sheng, and take half warm, divided into two doses. (Identical to *Duanju Fang* and *Qianjin Fang*)
Furthermore, for cases relapsing after purgative therapy, Baihe Huashi Daizhe Tang (Lily, Talcum, and Hematite Decoction) is the primary formula.
Baihe (Lilii Bulbus, 7 bulbs, split, soaked in spring water overnight, discard the white turbid liquid) Huashi (Talcum, 3 liang, crushed) Daizhe (Hematitum, one pill-sized piece, crushed)
First, use 2 sheng of spring water to decoct the Lily bulb to obtain 1 sheng of liquid, remove the dregs, and set aside. Then, use 2 sheng of spring water to decoct the remaining two ingredients to obtain 1 sheng of liquid, remove the dregs. Combine all liquids and decoct to obtain 1.5 sheng, divide into two doses. (Identical to *Qianjin Fang* and *Duanju Fang*)
Furthermore, for cases relapsing after emetic therapy, Baihe Jizi Tang (Lily and Egg Yolk Decoction) is the primary formula.
Baihe (Lilii Bulbus, 7 bulbs)
Follow the previous method: use 2 sheng of spring water to decoct the Lily bulb to obtain 1 sheng of liquid, remove the dregs. Take one egg, extract the yolk, add it to the Lily decoction, stir well, and take half warm, divided into two doses. (Identical to *Qianjin Fang*)
Furthermore, for cases where neither emesis, purgation, nor sweating was used, and the condition remains unchanged, Baihe Shengdihuang Tang (Lily and Rehmannia Decoction) is the primary formula.
Baihe (Lilii Bulpus, 7 bulbs)
Follow the previous method: soak in 2 sheng of spring water, decoct to obtain 1 sheng of liquid. Add 1 sheng of fresh Rehmannia juice (Sheng Dihuang Zhi), mix the two liquids, decoct to obtain 1.5 sheng, and take half warm, divided into two doses. If the disease is cured after one dose, do not take more. Evil frothy substances may be excreted. (Identical to *Qianjin Fang* and *Duanju Fang*)
Furthermore, for Baihe Disease persisting for one month without resolution, transforming into thirst:
Use the water in which the Lily bulb was soaked to wash the patient's body. This is a method found in later editions of *Qianjin Fang*. Subsequently, consume Gualou Muli San (Trichosanthes Root and Oyster Shell Powder); this is the secondary method. (Excerpted from Volume 17)
*Duanju Fang* states: If Baihe Disease presents with Yin characteristics but is treated with Yang methods (such as sweating), the Yin pathogen cannot be resolved; repeating sweating is contraindicated, making the disease difficult to treat. If it presents with Yang characteristics but is treated with Yin methods (such as purgation), the Yang pathogen cannot be resolved; repeating purgation leads to non-resolution.
*Qianjin Fang* formula for Baihe Disease persisting for one month and transforming into thirst:
Baihe Gen (Radix Lilii, cut, 1 sheng)
Soak one dou of water with the Radix Lilii overnight. Use this water to wash the patient's body. After washing, eat plain wheat noodles (Note: Do not add salt or fermented soybeans). If thirst does not subside, use equal parts of Trichosanthes Root (Gualou Gen) and Oyster Shell (Muli) ground into powder. Take one fangcun bi (a square-inch measure) mixed with water, three times daily. (Identical to *Duanju Fang* and Zhang Zhongjing's formulas)
Furthermore, a formula for treating Baihe Disease complicated by fever:
Huashi (Talcum, 3 liang) Baihe Gen (Radix Lilii, 1 liang, roasted)
Grind the two ingredients into powder. Take one fangcun bi mixed with water, three times daily. Stop administration if mild diarrhea occurs; the heat will then dissipate. Another version states it treats Baihe Disease with red, scanty, and painful urination, and hardness/urgency below the umbilicus.
Furthermore, a formula for treating Baihe Disease complicated by abdominal fullness and pain:
Consume only Radix Lilii. Roast an appropriate amount until yellow, grind into powder. Take one fangcun bi mixed with water, three times daily. Discontinue when fullness subsides and pain stops. (Identical to *Duanju Fang*, excerpted from Volume 10)