(合一十三法)
千金翼疗少阴病一二日,口中和,其背恶寒者,当灸之服附子汤方。
大附子(二枚炮) 茯苓 芍药(各二两) 人参(二两) 白术(四两)
上五味切,以水八升,煮取三升,温服一升,日三服,忌猪肉桃李雀肉酢。
又疗少阴病二三日咽痛者,可与甘草汤,不瘥,可与桔梗汤方。
甘草汤方。
甘草(二两)
上一味切,以水三升,煮取一升半,服七合,日三服,忌海藻菘菜。
又桔梗汤方。
大桔梗(一两) 甘草(炙三两)
上二味切,以水三升,煮取一升,分两服,吐脓血瘥。忌猪肉海藻菘菜。
又疗少阴病二三日至四五日腹痛,小便不利,下利不止而便脓血,桃花汤方
赤石脂(一斤一半全用绵裹一半筛末) 干姜(一两切) 粳米(一升)
上三味以水七升,煮取米熟,去滓,取七合,纳赤石脂末一方寸匕,日三服。(伤寒论
千金崔氏范汪同)
又疗少阴病得之二三日以上,心中烦不得卧者,黄连阿胶汤主之方。
黄连(四两) 黄芩(一两) 鸡子中黄(二枚) 芍药(二两) 阿胶(三两炙一云
三片)
上五味切,以水六升,先煮三味,取二升,去滓,纳阿胶煮烊尽,小冷纳鸡子黄搅令相
得,温服七合,日三服。忌猪肉冷水。(并出第十一卷中)
又疗伤寒五六日中风,往来寒热,胸胁苦满,嘿嘿不欲饮食,心烦喜呕,或胸中烦而不
呕,或渴,或腹中痛,或胁下痞坚,或心下卒悸,小便不利,或不渴,外有微热或咳,小柴
胡汤方。
柴胡(八两) 半夏(洗半斤) 生姜 黄芩 人参 甘草(炙各三两) 大枣(十二
枚擘)
上七味切,以水一斗二升,煮取六升,去滓,更煎取三升,温服一升,日三服,但胸中
烦而不呕者,去半夏人参加栝蒌实一枚,若渴者,去半夏加人参,合前成四两半,栝蒌根四
两,若腹中痛者,去黄芩,加芍药三两,若胁下痞坚者,去大枣,加牡蛎六两,若心下卒悸,
小便不利者,去黄芩,加茯苓四两,若不渴,外有微热者,去人参,加桂心三两,温覆取微
汗,若咳者,去人参大枣生姜,加五味子半升,干姜二两。忌羊肉饧海藻菘菜。(崔氏深师
同)
又疗伤寒五六日大下之后,身热不去,心中结痛,此为未解,栀子豉汤方。
肥栀子(十四枚擘) 香豉(四合绵裹)
上二味,以水四升,先煮栀子取二升半,去滓,纳豉,更煮取一升半,去滓,温分再服
,若一服得吐余更勿服之,若呕者,用后栀子加生姜汤。(伤寒论备急同伤寒兼疗不得眠)
又栀子生姜汤方。
肥栀子(十四枚擘) 香豉(四合) 生姜(五两切)
上三味,以水四升,煮栀子生姜,取二升半,去滓,纳豉,更煮取一升半去滓,温分再
服,若一服安,即勿服。(伤寒论同并疗虚烦不得眠耳)
又伤寒六七日结胸热实其脉沉紧,心下痛,按之如石坚,宜陷胸汤主之方。
大黄(六两切) 甘遂末(一钱) 芒硝(一升)
上三味,以水六升,先煮大黄,取二升,去滓,纳芒硝,煮一二沸,乃纳甘遂,小温分
再服,得快利,止后服。
又伤寒若吐若下后,七八日不解,热结在里,表里俱热,时时恶风大渴,舌上干燥而烦
,欲饮水数升者白虎加人参汤主之。
又诸衄血家,不可与白虎汤,虚者亦不可与卒得之腹痛而利者,但可温之。
又伤寒无大热,而口干渴心烦,其背微恶寒者,白虎汤主之。
又伤寒脉浮,发热无汗,其表不解者,不可与白虎汤,渴欲饮水,无表证者,白虎汤主
之方。
知母(六两) 石膏(一升碎绵裹) 甘草(三两炙) 粳米(六合)
上四味切,以水一斗二升,煮取米熟,去米纳药,煮取六升,去滓,分六服,日三服。
忌海藻菘菜。(千金伤寒论备急文仲崔氏范汪经心录同诸家无疗天行之病)
又白虎加人参汤方。
石膏 粳米(各一升) 知母(六两) 人参(三两) 甘草(二两炙)
上五味切,以水一斗二升,煮米熟,纳药,煮取六升,去滓,分服一升,日三服此方立
秋后,立春前,不可行白虎汤,正二三月时尚冷,亦不可与服。与之则呕利而腹痛。忌海藻
菘菜。
又疗伤寒八九日下之后胸满烦惊,小便不利,谵语,一身尽重,不可转侧,柴胡加龙骨
牡蛎汤方。
柴胡(四两) 黄芩 生姜 龙骨 人参 牡蛎(熬) 铅丹 桂心 茯苓(各一两半)
半
夏(二合半汤洗) 大枣(六枚擘) 大黄(二两)
上十二味切,以水八升,煮取四升,纳大黄,切如博棋子,煮取二升,去滓,温分再
服,忌羊肉饧生葱酢物。
又阳明病,发热而汗出,此为热越,不能发黄也,但头汗出,其身无有,剂颈而还,小
便不利,渴引水浆,此为瘀热在里,身必发黄,宜服茵陈汤方。
茵陈(六两) 大肥栀子(十四枚擘) 大黄(二两)
上三味切,以水一斗二升,先煮茵陈,减六升,去滓,纳诸药煮取三升,分三服,小便
当利如皂荚沫,状色正赤,一宿腹减,黄从小便去。(并出第九卷中)
(共十三首方剂)
《千金翼方》治疗少阴病发病一两天,口中感觉平和,但背部怕冷的,应当施灸并服用附子汤。
大附子(两枚,炮制) 茯苓 芍药(各二两) 人参(二两) 白术(四两)
以上五味药切碎,用水八升,煮取三升药液,每次温服一升,每日服三次。忌食猪肉、桃李肉、雀肉及醋类食物。
又治疗少阴病二三天出现咽痛的,可以给予甘草汤;如果症状未缓解,可以给予桔梗汤。
甘草汤方:
甘草(二两)
以上一味药切碎,用水三升,煮取一升半药液,每次服七合,每日服三次。忌食海藻和白菜(菘菜)。
又是桔梗汤方:
大桔梗(一两) 甘草(炙用三两)
以上两味药切碎,用水三升,煮取一升药液,分两次服用,直到吐出脓血症状好转为止。忌食猪肉、海藻和白菜(菘菜)。
又治疗少阴病二三天到四五天,出现腹痛,小便不利,腹泻不止且大便带有脓血的,用桃花汤治疗。
赤石脂(一斤,一半完整用绵布包裹,一半研成细末) 干姜(一两,切碎) 粳米(一升)
以上三味药,用水七升,煮至米熟,滤去药渣,取七合药液,加入一方寸匕的赤石脂细末,每日服三次。(此方与《伤寒论》、《千金方》、崔氏、范汪记载相同)
又治疗少阴病得病二三天以上,心中烦躁、无法入睡的,以黄连阿胶汤为主治方。
黄连(四两) 黄芩(一两) 鸡蛋黄(两个) 芍药(二两) 阿胶(三两,炙用,一说为三片)
以上五味药切碎,用水六升,先煮前三味药,取二升药液,滤去药渣,加入阿胶煮至完全溶化,稍凉后加入鸡蛋黄,搅拌均匀,每次温服七合,每日服三次。忌食猪肉和冷水。(均出自第十一卷)
又治疗伤寒五六天或中风,出现寒热往来(忽冷忽热),胸胁部苦闷胀满,神情沉默不想饮食,心烦且喜欢呕吐,或者胸中烦闷但不呕吐,或者口渴,或者腹中疼痛,或者胁下痞硬,或者心下突然悸动,小便不利,或者不渴,体表有轻微发热或咳嗽的,用小柴胡汤治疗。
柴胡(八两) 半夏(洗净半斤) 生姜 黄芩 人参 甘草(炙用各三两) 大枣(十二枚,掰开)
以上七味药切碎,用水一斗二升,煮取六升药液,滤去药渣,再煎取三升药液,每次温服一升,每日服三次。如果仅是胸中烦闷而不呕吐的,去掉半夏,加入一枚瓜蒌实;如果口渴的,去掉半夏,加入人参,与前药合计成四两半,再加瓜蒌根四两;如果腹中疼痛的,去掉黄芩,加入芍药三两;如果胁下痞硬的,去掉大枣,加入牡蛎六两;如果心下突然悸动、小便不利的,去掉黄芩,加入茯苓四两;如果不渴、体表有轻微发热的,去掉人参,加入桂心三两,覆盖衣被取微汗;如果咳嗽的,去掉人参、大枣、生姜,加入五味子半升、干姜二两。忌食羊肉、饴糖、海藻和白菜(菘菜)。(与崔氏、深师记载相同)
又治疗伤寒五六天经过猛烈泻下之后,身体发热不退,心中结聚疼痛,这是病邪未解,用栀子豉汤治疗。
肥栀子(十四枚,掰开) 香豉(四合,用绵布包裹)
以上两味药,用水四升,先煮栀子取二升半药液,滤去药渣,加入香豉,再煮取一升半药液,滤去药渣,分两次温服。如果一次服药后引起呕吐,剩下的不要服用。如果呕吐的,使用后面的栀子加生姜汤。(与《伤寒论》、《备急千金要方》相同,兼治不得眠)
又是栀子生姜汤方:
肥栀子(十四枚,掰开) 香豉(四合) 生姜(五两,切碎)
以上三味药,用水四升,煮栀子和生姜,取二升半药液,滤去药渣,加入香豉,再煮取一升半药液,滤去药渣,分两次温服。如果一次服药后症状安定,就不要再服。(与《伤寒论》相同,主要治疗虚烦不得眠)
又是伤寒六七天,形成结胸证,表现为热实证,脉象沉紧,心下疼痛,按压时像石头一样坚硬,适宜用陷胸汤治疗。
大黄(六两,切碎) 甘遂末(一钱) 芒硝(一升)
以上三味药,用水六升,先煮大黄,取二升药液,滤去药渣,加入芒硝,煮一二沸,然后加入甘遂,分两次小量温服。如果得到快速通便的效果,停止后续服用。
又是伤寒,经过催吐或泻下后,七八天病邪未解,热邪结聚在体内,表里都发热,时常怕风,极度口渴,舌面干燥且烦躁,想要喝几升水的,用白虎加人参汤治疗。
又是各种鼻出血的患者,不可给予白虎汤;体质虚弱者也不可用;突然发生腹痛伴腹泻的,只可温补治疗。
又是伤寒没有大热,但口干渴、心烦,背部微微怕冷的,用白虎汤治疗。
又是伤寒脉浮,发热无汗,表证未解的,不可给予白虎汤;口渴想喝水,且无表证的,用白虎汤治疗。
知母(六两) 石膏(一升,捣碎后用绵布包裹) 甘草(三两,炙用) 粳米(六合)
以上四味药切碎,用水一斗二升,煮至米熟,捞出米粒放入药物,再煮取六升药液,滤去药渣,分六次服用,每日服三次。忌食海藻和白菜(菘菜)。(与《千金方》、《伤寒论》、《备急千金要方》、文仲、崔氏、范汪、《经心录》等记载相同,各家无治疗天行病的记载)
又是白虎加人参汤方:
石膏 粳米(各一升) 知母(六两) 人参(三两) 甘草(二两,炙用)
以上五味药切碎,用水一斗二升,煮米熟,放入药物,煮取六升药液,滤去药渣,分次服用一升,每日服三次。此方立秋后、立春前不可使用。正二月间天气尚冷,也不可服用。如果服用会导致呕吐、腹泻和腹痛。忌食海藻和白菜(菘菜)。
又治疗伤寒八九天经过泻下之后,出现胸满、烦躁惊悸,小便不利,说胡话,全身沉重,不能翻身转侧的,用柴胡加龙骨牡蛎汤治疗。
柴胡(四两) 黄芩 生姜 龙骨 人参 牡蛎(煅烧) 铅丹 桂心 茯苓(各一两半) 半夏(二合半,汤洗) 大枣(六枚,掰开) 大黄(二两)
以上十二味药切碎,用水八升,煮取四升药液,加入大黄,切成骰子大小的块,煮取二升药液,滤去药渣,分两次温服。忌食羊肉、饴糖、生葱和醋类食物。
又是阳明病,发热且出汗,这是热邪向外发散,不会发黄。但如果仅头部出汗,身体无汗,汗出仅到颈部即止,小便不利,口渴想喝水浆,这是瘀热在体内,身体一定会发黄,适宜服用茵陈汤。
茵陈(六两) 大肥栀子(十四枚,掰开) 大黄(二两)
以上三味药切碎,用水一斗二升,先煮茵陈,水量减少六升,滤去药渣,加入其他药物,煮取三升药液,分三次服用。小便应当通畅如皂荚沫状,颜色正红,一夜之后腹部减轻,黄色从小便排出。(均出自第九卷)
(Thirteen Formulas in Total)
Qianjin Yi Fang treats Shaoyin disease occurring for one or two days, where the mouth feels normal but there is aversion to cold on the back. Moxibustion should be applied, and Fuzi Tang (Aconite Decoction) should be administered.
Da Fuzi (Aconiti Lateralis Radix Praeparata, two pieces, processed) Fuling (Poria) Shaoyao (Paeoniae Radix Alba, two liang each) Renshen (Ginseng Radix et Rhizoma, two liang) Baizhu (Atractylodis Macrocephalae Rhizoma, four liang)
The above five herbs are cut, boiled in eight sheng of water until three sheng remain. Take one sheng warm, three times a day. Avoid pork, peach/plum meat, sparrow meat, and vinegar.
Also treats Shaoyin disease occurring for two or three days with sore throat. Gancao Tang (Licorice Decoction) may be given; if not relieved, Jiegeng Tang (Platycodon Decoction) may be given.
Gancao Tang Formula:
Gancao (Licorice Root, two liang)
The above single herb is cut, boiled in three sheng of water until one and a half sheng remain. Take seven ge, three times a day. Avoid Haizao (Sargassum) and Songcai (Chinese Cabbage).
Here is also Jiegeng Tang Formula:
Da Jiegeng (Platycodonis Radix, one liang) Gancao (Licorice Root, honey-fried, three liang)
The above two herbs are cut, boiled in three sheng of water until one sheng remains. Divide into two doses. Symptoms improve when pus and blood are vomited. Avoid pork, Haizao (Sargassum), and Songcai (Chinese Cabbage).
Also treats Shaoyin disease from two or three days to four or five days, presenting with abdominal pain, difficult urination, incessant diarrhea with pus and blood in the stool. Taohua Tang (Peach Blossom Decoction) is used.
Chishizhi (Halloysitum Rubrum, one jin; half whole wrapped in silk, half sifted into powder) Ganjiang (Zingiberis Rhizoma Recens, one liang, cut) Jingmi (Oryza Sativa, one sheng)
The above three herbs are boiled in seven sheng of water until the rice is cooked. Strain the dregs, take seven ge of the liquid, add one fangcun bi of Chishizhi powder. Take three times a day. (Same as Shanghan Lun, Qianjin, Cui Shi, Fan Wang)
Also treats Shaoyin disease lasting more than two or three days, with vexation in the heart and inability to sleep. Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) is the primary treatment.
Huanglian (Coptidis Rhizoma, four liang) Huangqin (Scutellariae Radix, one liang) Jizi Zhonghuang (Egg Yolk, two pieces) Shaoyao (Paeoniae Radix Alba, two liang) Ejiao (Colla Corii Asini, three liang, fried; said to be three slices)
The above five herbs are cut, boiled in six sheng of water. First boil the first three herbs until two sheng remain. Strain the dregs, add Ejiao and boil until completely dissolved. Let cool slightly, add egg yolks and stir well. Take seven ge warm, three times a day. Avoid pork and cold water. (All from Volume 11)
Also treats Shanghan (Cold Damage) after five or six days, or Fengzhong (Wind Strike), presenting with alternating chills and fever, fullness and distress in the chest and hypochondrium, silent desire not to eat, mental irritability and frequent vomiting, or alternatively chest vexation without vomiting, thirst, abdominal pain, hardness and fullness under the hypochondrium, sudden palpitation in the epigastrium, difficult urination, no thirst, slight external fever, or cough. Xiaochaihu Tang (Minor Bupleurum Decoction) is used.
Chaihu (Bupleuri Radix, eight liang) Banxia (Pinelliae Rhizoma, washed, half jin) Shengjiang (Zingiberis Rhizoma Recens) Huangqin (Scutellariae Radix) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Root, fried, three liang each) Dazao (Jujubae Fructus, twelve pieces, split)
The above seven herbs are cut, boiled in twelve dou of water until six sheng remain. Strain the dregs, decoct again until three sheng remain. Take one sheng warm, three times a day. If only chest vexation without vomiting, remove Banxia and add one Gualou Shi (Trichosanthis Fructus). If thirsty, remove Banxia, add Renshen (totaling four and a half liang with previous amounts), and add Gualou Gen (Trichosanthis Radix, four liang). If abdominal pain, remove Huangqin and add Shaoyao (three liang). If hardness and fullness under the hypochondrium, remove Dazao and add Muli (Ostreae Concha, six liang). If sudden palpitation in the epigastrium and difficult urination, remove Huangqin and add Fuling (Poria, four liang). If no thirst but slight external fever, remove Renshen and add Guixin (Cinnamomi Ramulus, three liang); cover with blankets to induce slight sweating. If coughing, remove Renshen, Dazao, and Shengjiang, add Wuweizi (Schisandrae Fructus, half sheng) and Ganjiang (Zingiberis Rhizoma, two liang). Avoid mutton, maltose, Haizao (Sargassum), and Songcai (Chinese Cabbage). (Same as Cui Shi and Shen Shi)
Also treats Shanghan after five or six days following severe purgation, where body heat persists and there is knotted pain in the heart. This indicates the pathogen has not resolved. Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is used.
Fei Zhizi (Gardeniae Fructus, fourteen pieces, split) Xiangchi (Sojae Semen Preparatum, four he, wrapped in silk)
The above two herbs are boiled in four sheng of water. First boil Zhizi until two and a half sheng remain. Strain the dregs, add Chi, decoct again until one and a half sheng remain. Strain the dregs, take warm in two doses. If vomiting occurs after one dose, do not take the remainder. If vomiting occurs, use the subsequent Zhiji Jiangsheng Tang (Gardenia and Fresh Ginger Decoction). (Same as Shanghan Lun and Beiji; also treats insomnia)
Here is also Zhizi Jiangsheng Tang Formula:
Fei Zhizi (Gardeniae Fructus, fourteen pieces, split) Xiangchi (Sojae Semen Preparatum, four he) Shengjiang (Zingiberis Rhizoma Recens, five liang, cut)
The above three herbs are boiled in four sheng of water. Boil Zhizi and Shengjiang until two and a half sheng remain. Strain the dregs, add Chi, decoct again until one and a half sheng remain. Strain the dregs, take warm in two doses. If symptoms settle after one dose, do not take further. (Same as Shanghan Lun; mainly treats deficiency vexation and insomnia)
Also, Shanghan after six or seven days forming Jie Xiong (Chest Binding) with Heat Excess syndrome, pulse deep and tight, pain in the epigastrium, hardness like stone upon pressure. Xianxiong Tang (Pectoral Unbinding Decoction) is indicated.
Dahuang (Rhei Radix et Rhizoma, six liang, cut) Gansui Mo (Kansui Radix Powder, one qian) Mangxiao (Natrii Sulfas, one sheng)
The above three herbs are boiled in six sheng of water. First boil Dahuang until two sheng remain. Strain the dregs, add Mangxiao, boil for one or two boils, then add Gansui. Take warm in small divided doses twice. If rapid purgation occurs, stop taking further doses.
Also, Shanghan after emesis or purgation, unresolved after seven or eight days, heat knotting internally, heat in both exterior and interior, occasional aversion to wind, extreme thirst, dry tongue with vexation, desiring to drink several sheng of water. Baihu Jia Renshen Tang (White Tiger Plus Ginseng Decoction) is used.
For patients with various types of nosebleeds, Baihu Tang should not be given. For those with deficiency, it should not be given. For sudden abdominal pain with diarrhea, only warming methods should be used.
Also, Shanghan with no high fever, but dry mouth and thirst, vexation, and slight aversion to cold on the back. Baihu Tang (White Tiger Decoction) is used.
Also, Shanghan with floating pulse, fever, no sweat, and unresolved exterior syndrome. Baihu Tang should not be given. For thirst desiring water and no exterior syndrome, Baihu Tang is used.
Zhimu (Anemarrhenae Rhizoma, six liang) Shigao (Gypsum Fibrosum, one sheng, crushed and wrapped in silk) Gancao (Licorice Root, fried, three liang) Jingmi (Oryza Sativa, six ge)
The above four herbs are cut, boiled in twelve dou of water until the rice is cooked. Remove the rice, add the herbs, boil until six sheng remain. Strain the dregs, divide into six doses, take three times a day. Avoid Haizao (Sargassum) and Songcai (Chinese Cabbage). (Same as Qianjin, Shanghan Lun, Beiji, Wen Zhong, Cui Shi, Fan Wang, Jingxin Lu; other texts do not treat Tianxing diseases)
Here is also Baihu Jia Renshen Tang Formula:
Shigao (Gypsum Fibrosum) Jingmi (Oryza Sativa, one sheng each) Zhimu (Anemarrhenae Rhizoma, six liang) Renshen (Ginseng Radix et Rhizoma, three liang) Gancao (Licorice Root, fried, two liang)
The above five herbs are cut, boiled in twelve dou of water until the rice is cooked. Add the herbs, boil until six sheng remain. Strain the dregs, take one sheng per dose, three times a day. This formula should not be used after Liqiu (Start of Autumn) and before Lichun (Start of Spring). In the first and second lunar months when it is still cold, it should not be taken. Taking it will cause vomiting, diarrhea, and abdominal pain. Avoid Haizao (Sargassum) and Songcai (Chinese Cabbage).
Also treats Shanghan after nine or eight days following purgation, presenting with chest fullness, vexation, fright, difficult urination, delirium, heaviness of the entire body, and inability to turn over. Chaihu Jia Longgu Muli Tang (Bupleurum Plus Dragon Bone and Oyster Shell Decoction) is used.
Chaihu (Bupleuri Radix, four liang) Huangqin (Scutellariae Radix) Shengjiang (Zingiberis Rhizoma Recens) Longgu (Fossilia Ossis Mastodi et Femoris) Renshen (Ginseng Radix et Rhizoma) Muli (Ostreae Concha, calcined) Qiandan (Plumbum Carbonas) Guixin (Cinnamomi Ramulus) Fuling (Poria, one and a half liang each) Banxia (Pinelliae Rhizoma, two and a half he, washed with water) Dazao (Jujubae Fructus, six pieces, split) Dahuang (Rhei Radix et Rhizoma, two liang)
The above twelve herbs are cut, boiled in eight sheng of water until four sheng remain. Add Dahuang, cut into dice-sized pieces, boil until two sheng remain. Strain the dregs, take warm in two divided doses. Avoid mutton, maltose, raw green onion, and acidic foods.
Also, Yangming disease with fever and sweating indicates heat dispersing outward, so jaundice will not occur. However, if only the head sweats, the body has no sweat, sweating stops at the neck, with difficult urination and thirst desiring fluids, this is stasis-heat inside the body, and jaundice will certainly occur. Yinchen Tang (Artemisiae Scopariae Decoction) is suitable.
Yinchen (Artemisiae Scopariae Herba, six liang) Da Fei Zhizi (Gardeniae Fructus, fourteen pieces, split) Dahuang (Rhei Radix et Rhizoma, two liang)
The above three herbs are cut, boiled in twelve dou of water. First boil Yinchen until the volume reduces by six sheng. Strain the dregs, add the other herbs, boil until three sheng remain. Divide into three doses. Urination should become smooth like soap pod foam, color bright red. After one night, abdominal distension decreases, and yellow pigment exits via urine. (All from Volume 9)