张文仲葛氏疗伤寒及温病,头痛壮热脉盛,始得一二日方。
破鸡子一枚,着冷水半升中,搅令相得,别煮一升水令沸,以鸡子水投其汤中急搅调适
寒温,顿服覆取汗。(备急同)
又疗伤寒二三日以上,至七八日不解者,可服小柴胡汤方。
柴胡(半斤) 人参 甘草(炙) 黄芩 生姜(各二两) 半夏(五合洗) 大枣(十
二枚擘)
上七味切,以水一斗二升,煮取三升,分三服,微覆取汗,半日便瘥,不瘥更服一剂,
忌羊肉饧海藻菘菜。(备急范汪千金翼方重)
又疗伤寒温病等三日以上,胸中满,陶氏云,若伤寒温病已三四日,胸中恶欲令吐者服
酒胆方。
苦酒(半升) 猪胆(一枚)
上二味,和尽服之,吐则愈,神验,支云去毒瓦斯妙。(胡洽集验备急千金同)
又疗伤寒近效方,凡胸中恶痰饮伤寒热病瘴疟须吐者方。
盐末(一大匙)
上一味,以生熟汤调下,须臾则吐,吐不快明旦更服,甚良。(备急同)
又瓜蒂散主伤寒胸中痞塞,宜吐之方。
瓜蒂 赤小豆(各一两)
上二味,捣散白汤服一钱匕,取得吐去病瘥止。(备急经心录范汪同)
又疗伤寒已四五日,头痛体痛,肉热如火,病入肠胃,宜利泻之方。
生麦门冬(一升去心) 生地黄(切一升) 知母(二两) 生姜(五两半) 芒硝(二
两半)
上五味,以水八升,煮取二升半,纳芒硝,煎五沸,分五服,取利为度。忌芜荑。(备
急同)
又疗伤寒五日以上宜取下利,陶氏云,若汗出大便坚而谵语方。
大黄四两 浓朴(二两炙) 枳实四枚(炙)
上三味以水四升,煮取一升二合,分两服,通者一服止。(此是仲景方备急范汪同与前
千金崔氏方重)
又疗伤寒八九日不瘥,名为败伤寒,诸药不能消者方。
鳖甲(炙) 蜀升麻 前胡 乌梅 枳实(炙) 犀角(屑) 黄芩(各二两) 甘草
(一两炙
)生地黄(八合)
上九味切,以水七升,煮取二升半,分五服,日三服夜二服。忌海藻菘菜苋菜芜荑。(
备急方同)
又若十余日不大便者,服承气丸方。
大黄 杏仁(去皮尖各二两) 枳实(一两炙) 芒硝(一合)
上四味捣下筛,蜜和丸如弹子,以生姜汤六七合,研一丸服之,须臾即通,不通更服一
丸,取通为度。(备急同)
又疗晚发伤寒,三月至年末为晚发方。
生地黄(一斤打碎) 栀子(二十枚擘) 升麻(三两) 柴胡 石膏(各五两)
上五味切,以水八升,煮取三升分五服,频频服,若不解更服,若头面赤,去石膏,用
干葛四两,无地黄,用豉一升,煮取三升,分三服,忌芜荑。(备急同并出第二卷中)
张文仲的葛氏疗法治疗伤寒及温病,症状为头痛、高热、脉象盛大,适用于发病初起的一两天。
取鸡蛋一枚,放入半升冷水中,搅拌使其混合均匀,另煮一升水至沸腾,将鸡蛋水倒入沸汤中迅速搅拌,调节至适宜的温度,一次性服用并覆盖身体以获取汗出。(此法与《备急方》相同)
又用于治疗伤寒二三天以上,甚至七八天仍未痊愈的情况,可服用小柴胡汤方。
柴胡(半斤) 人参 甘草(炙烤) 黄芩 生姜(各二两) 半夏(五合,洗净) 大枣(十二枚,掰开)
以上七味药切碎,用水一斗二升,煎煮取汁三升,分三次服用,轻微覆盖身体以获取汗出,半天即可痊愈,若未愈再服一剂,忌食羊肉、饴糖、海藻、菘菜。(此方与《备急方》、《范汪方》、《千金翼方》重复)
又用于治疗伤寒、温病等发病三天以上,胸中胀满的情况。陶氏说,如果伤寒、温病已经三四天,胸中有恶感想要呕吐的,服用酒胆方。
苦酒(半升) 猪胆(一枚)
以上两味药,混合后全部服下,吐出来就好了,非常灵验,支氏说去除毒气瓦斯很妙。(此方与《胡洽方》、《集验方》、《备急方》、《千金方》相同)
又用于治疗伤寒的近效方,凡是胸中有恶痰、饮邪、伤寒热病、瘴疟需要催吐的情况的方子。
盐末(一大匙)
以上一味药,用生水和熟水调匀后服下,一会儿就会呕吐,如果吐得不痛快,第二天早上再服,效果很好。(此方与《备急方》相同)
又用瓜蒂散主治伤寒导致的胸中痞塞,适宜采用催吐法的方子。
瓜蒂 赤小豆(各一两)
以上两味药,捣碎成散剂,用白开水送服一钱匕,取得呕吐、病邪排出即停止服药。(此方与《备急方》、《经心录》、《范汪方》相同)
又用于治疗伤寒已四五日,头痛、身体疼痛,肌肉发热如火,病邪进入肠胃,适宜通利泻下的方子。
生麦门冬(一升,去心) 生地黄(切块一升) 知母(二两) 生姜(五两半) 芒硝(二两半)
以上五味药,用水八升,煎煮取汁二升半,加入芒硝,再煎煮五次沸腾,分五次服用,以大便通利为度。忌食芜荑。(此方与《备急方》相同)
又用于治疗伤寒五日以上适宜采取通下利的方法,陶氏说,如果有出汗、大便坚硬且谵语的情况的方子。
大黄四两 浓朴(二两,炙烤) 枳实四枚(炙烤)
以上三味药,用水四升,煎煮取汁一升二合,分两次服用,大便通畅则停服一次。(这是张仲景的方子,与《备急方》、《范汪方》相同,与前文《千金方》崔氏方重复)
又用于治疗伤寒八九天未愈,称为败伤寒,各种药物不能消除病邪的情况的方子。
鳖甲(炙烤) 蜀升麻 前胡 乌梅 枳实(炙烤) 犀角(锉屑) 黄芩(各二两) 甘草(一两,炙烤) 生地黄(八合)
以上九味药切碎,用水七升,煎煮取汁二升半,分五次服用,白天服三次,晚上服两次。忌食海藻、菘菜、苋菜、芜荑。(此方与《备急方》相同)
又如果十多天不大便的,服用承气丸方。
大黄 杏仁(去皮尖各二两) 枳实(一两,炙烤) 芒硝(一合)
以上四味药捣碎过筛,用蜂蜜和成药丸如弹子大小,用生姜汤六七合,研磨一丸服用,一会儿就通畅,如果不通再服一丸,以通畅为度。(此方与《备急方》相同)
又用于治疗晚发伤寒,从三月到年末发病称为晚发的方子。
生地黄(一斤,打碎) 栀子(二十枚,掰开) 升麻(三两) 柴胡 石膏(各五两)
以上五味药切碎,用水八升,煎煮取汁三升,分五次服用,频繁服用,如果病不解再服,如果出现头面发红,去掉石膏,改用干葛四两,如果没有地黄,用豆豉一升,煎煮取汁三升,分三次服用,忌食芜荑。(此方与《备急方》相同,均出自第二卷中)
Zhang Wenzhong's Ge Shi therapy treats Taiyang disease (disease of the Taiyang channel) and warm disease, with symptoms of headache, high fever, and surging pulse. It is prescribed for the first one or two days after onset.
Take one chicken egg, place it in half a sheng of cold water, stir until well mixed. Boil another one sheng of water separately. Pour the egg-water into the boiling soup, stir rapidly, and adjust to a suitable temperature. Take it all at once, cover the body to induce sweating. (Same as Beiji Fang)
Also treats Taiyang disease persisting for more than two or three days, up to seven or eight days without resolution; Xiao Chai Hu Tang (Minor Bupleurum Decoction) may be administered.
Chai Hu (Bupleuri Radix, half jin), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root, roasted), Huangqin (Scutellariae Radix), Shengjiang (Fresh Ginger, each two liang), Banxia (Pinelliae Rhizoma, five he, washed), Dazao (Jujubae Fructus, twelve pieces, split).
The above seven ingredients are cut, boiled in one dou two sheng of water, decocted to obtain three sheng of liquid. Divide into three doses. Cover slightly to induce mild sweating. Recovery occurs within half a day; if not recovered, administer another dose. Avoid mutton, malt sugar, seaweed, and Songcai (Brassica pekinensis). (Same as Beiji Fang, Fan Wang Qianjin Yi Fang)
Also treats Taiyang disease and warm disease persisting for more than three days, characterized by fullness in the chest. Shi says that if Taiyang disease or warm disease has persisted for three or four days, and there is a sensation of disgust in the chest with an urge to vomit, Jiu Dan Tang (Wine and Pig Gallbladder Decoction) should be taken.
Ku Jiu (Vinegar, half sheng), Zhu Dan (Pig Gallbladder, one piece).
Mix the above two ingredients and take them all. Vomiting leads to cure; it is highly effective. Zhi says it is excellent for removing toxic qi. (Same as Hu Qia Ji Yan Bei Ji Qian Jin)
Also treats a near-effective formula for Taiyang disease: any case requiring emesis due to evil phlegm-fluid retention, Taiyang heat disease, or miasma malaria.
Yan Mo (Salt powder, one large spoon).
Take this single ingredient, mix with raw and cooked water, and ingest. Vomiting will occur shortly. If vomiting is insufficient, take again the next morning; very effective. (Same as Beiji Fang)
Also uses Gua Di San (Melon Seed Powder) to treat chest oppression and blockage caused by Taiyang disease, indicating the suitability of emetic therapy.
Gua Di (Thladianthidis Fructus), Chi Xiao Dou (Adzuki Bean, each one liang).
Crush the above two ingredients into powder. Take one qian bi with white boiled water. Induce vomiting until the pathogen is expelled and the illness resolves. (Same as Beiji Jing Xin Lu Fan Wang)
Also treats Taiyang disease persisting for four or five days, with headache, body pain, flesh hot as fire, and pathogen entering the stomach and intestines, indicating the need for purgative therapy.
Sheng Mai Men Dong (Ophiopogonis Radix, fresh, one sheng, heart removed), Sheng Di Huang (Rehmanniae Radix, fresh, cut one sheng), Zhi Mu (Anemarrhenae Rhizoma, two liang), Sheng Jiang (Fresh Ginger, five and a half liang), Mang Xiao (Natrii Sulfas, two and a half liang).
Boil the above five ingredients in eight sheng of water, decoct to obtain two and a half sheng. Add Mang Xiao, boil five times. Divide into five doses. Stop when bowel movement is achieved. Avoid Euphorbiae Humifusae Herba. (Same as Beiji Fang)
Also treats Taiyang disease persisting for more than five days, indicating the need for purgation. Shi says this applies to cases with sweating, hard stool, and delirium.
Da Huang (Rhei Radix et Rhizoma, four liang), Nong Po (Moutan Cortex, two liang, roasted), Zhi Shi (Aurantii Fructus Immaturus, four pieces, roasted).
Boil the above three ingredients in four sheng of water, decoct to obtain one sheng two he. Divide into two doses. If bowel movement occurs, stop after one dose. (This is Zhongjing's formula, same as Beiji Fan Wang, repeats with previous Qianjin Cui Shi Fang)
Also treats Taiyang disease persisting for eight or nine days without recovery, termed Bai Tai Yang (Defeated Taiyang disease), where various medicines fail to eliminate the pathogen.
Bie Jia (Testudinis Carapax et Plastrum, roasted), Shu Sheng Ma (Polygoni Multiflori Caulis, from Shu), Qian Hu (Peucedani Radix), Wu Mei (Mume Fructus), Zhi Shi (Aurantii Fructus Immaturus, roasted), Xi Jiao (Rhino Ceratostigma, shaved), Huangqin (Scutellariae Radix, each two liang), Gancao (Licorice Root, one liang, roasted), Sheng Di Huang (Rehmanniae Radix, fresh, eight he).
Cut the above nine ingredients, boil in seven sheng of water, decoct to obtain two and a half sheng. Divide into five doses. Take three times during the day and twice at night. Avoid seaweed, Songcai, Amaranthus, and Euphorbiae Humifusae Herba. (Same as Beiji Fang)
Also for cases of no bowel movement for ten-plus days, use Cheng Qi Wan (Cheng Qi Pill).
Da Huang (Rhei Radix et Rhizoma), Xing Ren (Prunus Armeniacae Semen, skin and tip removed, two liang each), Zhi Shi (Aurantii Fructus Immaturus, one liang, roasted), Mang Xiao (Natrii Sulfas, one he).
Crush and sieve the above four ingredients. Mix with honey to form pills the size of a bullet. Grind one pill in six or seven he of Fresh Ginger Decoction and take. Bowel movement occurs shortly. If not, take another pill. Stop when movement is achieved. (Same as Beiji Fang)
Also treats Late-Onset Taiyang Disease, defined as onset from March to year-end.
Sheng Di Huang (Rehmanniae Radix, fresh, one jin, crushed), Zhi Zi (Gardeniae Fructus, twenty pieces, split), Sheng Ma (Cimicifugae Rhizoma, three liang), Chai Hu (Bupleuri Radix), Shi Gao (Gypsum Fibrosum, five liang each).
Cut the above five ingredients, boil in eight sheng of water, decoct to obtain three sheng. Divide into five doses. Take frequently. If unresolved, continue taking. If head and face become red, remove Shi Gao and use Gan Ge (Puerariae Lobatae Radix, four liang). If Di Huang is unavailable, use Chi Dou Chi (Perillae Folium, fermented, one sheng). Boil to obtain three sheng, divide into three doses. Avoid Euphorbiae Humifusae Herba. (Same as Beiji Fang, both from Volume II)