《病源》温病劳复,谓病新瘥,津液未复,血气尚虚,因劳动早,更生于热,热气还入
经络,复成病也。
又凡得温毒病新瘥,脾胃尚虚,谷气未复,若食犬、猪、羊肉并肠血,及肥鱼、炙脂腻
,必大下痢,下痢则不可复救,又食饼、饵炙、 枣栗诸生果难消物,则不能消化,停积在
于肠胃,便胀满结实,大小便不通,因更发热,复成病也,非但杂食,梳头洗浴诸劳事等,
皆须慎之。(如桃、李、生葱、生菜、海藻、菘菜、雀肉等俱在所忌,并出第十卷中)
《千金》论曰,凡热病新瘥及大病之后,食猪肉及肠血、肥鱼、炙腻必大下痢,医所不
能疗也,必至于死。若食饼饵、粢黍、饴脯、炙脍、枣粟诸果,及坚实难消之物,胃气尚虚
弱,不能消化,必更结热,适以药下之,则胃虚冷,大利难禁,不下之必死,下之复危,皆
难救也,热病及大病之后,多坐此死,不可不慎也。病新瘥后,但得食糜粥,宁可少食令饥
,慎勿饱,不得他有所食,虽思之勿与,引日转久,可渐食羊肉糜,若羹汁雉兔鹿肉,不可
食猪、狗肉也。新瘥后当静卧,慎勿早起,勿令人梳头澡洗,非但体劳,亦不可多语言,用
心使意劳,凡此皆令人劳复。有人得病已瘥而未健,诣华敷视脉,曰,虽瘥尚虚未复,阳气
不足,勿为劳事,余劳尚可,御内则死,临死当吐舌数寸。其妻闻其夫病除,从百余里来省
之,止宿交接,中间三日发病,舌出数寸而死。病新瘥未满百日,气力未平复,而以房室者
,略无不死,及热病房室,名阴阳易之病,皆难疗多死。(《古今录验》、《集验》同)
又疗重病新瘥早起劳,及饮食多,致复欲死方。
烧鳖甲末服方寸匕。忌苋菜。(《肘后》、《集验》、文仲《备急》同,出第十卷中)
《深师》疗温病瘥愈食复病。麻黄散方。
麻黄(十分去节) 大黄(十五分炙) 附子(一分炮) 浓朴(二分炙) 苦参(六
分) 石膏
(六分碎,绵裹) 乌头(六分炮)
上七味,捣筛,以酒若米汁和服方寸匕,日三夜二服。(出第十四卷中)
《古今录验》疗热病复。麻子汤。(吴正服效方)
麻子(一升) 豉(一升) 牡鼠屎(一十一枚)
上三味,以水五升,煮取二升半,分温三服,立愈,试之有神验。(《肘后》同)
又大黄丸方
大黄(一两蒸之二斗米下) 巴豆(五十枚去心、皮,熬) 硝石(三分熬,无者以芒
硝代
之) 桂心(二分) 干姜(二分炮)
上五味,捣筛四味,别捣巴豆令如泥,合和以蜜更捣二千杵,丸如梧子。一丸,汤服之
。但热在膈上当吐,在膈下当利,豫作粥。如服他吐下丸法,服药两食顷不吐下,以热饮动
之。若不得吐下,可更服一丸半,能药,壮人可二丸,此药优于他下药丸,故宜大小。下多
,冷粥解之,若有疮,绵挺如指,蜜和一丸涂挺头,且纳疮中,KT 出之,不瘥更作。温
病不得大便,服之得下,佳,宿食不消亦服之,飞尸、遁尸,浆服半丸,日一,应须臾止,
心腹胀满痛,服一丸,疟者依发日先宿勿食,清晨服一丸,丁壮人服二丸,得吐下,忍饥过
发时乃食。妇人产后血结中,奔走起上下,或绝产无子,或月经不调,面目青黄,服半丸。
小儿淋沥寒热,胪胀大腹,不欲食,食不生肌,三四岁者如麻子服一丸,日一,六七岁儿服
二丸,比三十日心腹诸病瘥,儿小半之愈,大良。忌野猪肉、芦笋、生葱。(出第三卷中)
《诸病源候论》中关于温病劳复的论述,是指疾病刚刚痊愈,津液尚未恢复,血气依然虚弱,因为过早劳动,再次产生热邪,热气重新侵入经络,导致疾病复发。
此外,凡是患有温毒病刚痊愈的人,脾胃功能仍然虚弱,谷气(饮食精气)尚未恢复,如果食用狗肉、猪肉、羊肉以及肠血,还有肥鱼、烤制的油腻食物,必然会导致严重腹泻,一旦严重腹泻就无法救治;另外如果食用饼类、糕点、烤肉、枣栗等难以消化的生冷水果,也会导致无法消化,停滞积聚在肠胃中,造成腹部胀满坚硬,大小便不通畅,因此再次发热,疾病复发。不仅仅是杂食,梳头、洗浴等各种劳累的事情,都必须谨慎避免。(如桃子、李子、生葱、生菜、海藻、白菜、雀肉等都在禁忌之列,详细内容见第十卷)。
《千金方》论述说,凡是热病刚痊愈及大病之后,食用猪肉及肠血、肥鱼、烤制的油腻食物,必然导致严重腹泻,这是医生也无法治疗的,最终会导致死亡。如果食用饼饵、黍米、麦芽糖干肉、烤肉、枣粟等果实,以及坚硬难消化的食物,由于胃气依然虚弱,不能消化,必然再次结聚热邪,此时如果用药物攻下,则会导致胃虚寒,严重腹泻无法控制;如果不攻下则必死无疑,攻下又会加重危险,都难以救治。热病及大病之后,很多人因此死亡,不可不谨慎。疾病刚痊愈后,只能吃稀粥,宁可少吃保持轻微饥饿感,千万不要吃撑,不得吃其他食物,即使想吃也不要给。过一段时间逐渐可以食用羊肉糜,如果是肉汤类的野鸡、兔子、鹿肉也可以,但不能吃猪肉、狗肉。新痊愈后应当安静卧床,切勿早起,不要让人梳头洗澡,不仅是身体劳累,也不宜多说话,用心思虑过度劳累,凡此种种都会导致劳复。有人得病已经痊愈但身体尚未强健,去请教华敷诊脉,华敷说:“虽然病愈,但体内依然虚弱未恢复,阳气不足,不要从事劳累之事,一般的劳累还可以承受,但如果进行房事则会致死,临死前舌头会伸出数寸长。”他的妻子听说丈夫病好了,从百余里外赶来探望,留宿并发生性行为,中间过了三天发病,舌头伸出数寸而死。疾病刚痊愈未满一百天,气力尚未平复恢复,如果有房事行为,几乎没有不死的情况。如果在热病期间或热病初愈时行房事,称为“阴阳易”病,都难以治疗且多致死。(《古今录验》、《集验方》观点相同)。
又记载治疗重病刚痊愈因早起劳累,以及饮食过多导致复发几乎死亡的方剂。
烧鳖甲研成末,服用一方寸匕。忌食苋菜。(《肘后备急方》、《集验方》、文仲《备急方》观点相同,见第十卷)。
《深师方》治疗温病痊愈后因饮食不当复发的病症。麻黄散方。
麻黄(十分,去节) 大黄(十五分,炙) 附子(一分,炮) 浓朴(二分,炙) 苦参(六分) 石膏(六分,碎,用绵包裹) 乌头(六分,炮)
以上七味药,捣碎筛细,用酒或米汁调和,服用一方寸匕,每日三次,夜间两次服用。(见第十四卷)。
《古今录验》治疗热病复发。麻子汤。(吴正服用有效的方子)
麻子(一升) 豆豉(一升) 牡鼠屎(十一枚)
以上三味药,用水五升,煮取二升半,分三次温服,立即痊愈,试验非常灵验。(《肘后备急方》相同)。
又记载大黄丸方。
大黄(一两,用两斗米蒸制) 巴豆(五十枚,去心、皮,炒制) 硝石(三分,熬制,没有的用芒硝代替) 桂心(二分) 干姜(二分,炮制)
以上五味药,将除巴豆外的四味捣碎筛细,单独将巴豆捣烂如泥,混合后用蜂蜜再捣两千杵,制成梧桐子大小的丸药。每次一丸,用汤水送服。如果热邪在膈上应当催吐,在膈下应当通便,预先准备好粥。像服用其他吐下丸药的方法一样,服药后两个进食的时间段内如果没有吐泻反应,用热饮促使它发作。如果不能吐泻,可以再服用一粒半,体质强壮的人可以服用两粒。此药优于其他的下药丸,所以剂量可大可小。如果泻下过多,喝冷粥来缓解。如果有疮疡,制作棉条如手指粗细,将一丸药蜜涂在棉条头部,塞入疮口中,取出,不好再制作。温病导致大便不通,服用此药能通便,效果很好;宿食不消也服用此药;飞尸、遁尸病症,用浆水送服半丸,每日一服,片刻即可停止;心腹胀满疼痛,服用一丸;疟疾患者依发作日期前一天晚上禁食,清晨服用一丸,青壮年人服用两丸,出现吐泻反应,忍住饥饿度过发作期后再进食。妇人产后血结于中,奔走起卧不定,或者绝产无子,或者月经不调,面目青黄,服用半丸。小儿淋沥寒热,腹部胀大,不想吃东西,吃了不长肌肉,三四岁的儿童如麻子大小服用一丸,每日一服,六七岁儿童服用两丸,三十天内心腹各种疾病痊愈,幼儿减半也能治愈,效果很好。忌食野猪肉、芦笋、生葱。(见第三卷)。
According to the *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), "recrudescence of labor" in warm diseases refers to a condition where, shortly after recovery, body fluids have not yet replenished and blood and qi remain deficient. Due to premature physical exertion, heat is generated anew; this pathogenic heat re-enters the meridians and collaterals, causing the disease to recur.
Furthermore, for those who have just recovered from warm toxic diseases, the spleen and stomach remain weak, and the vital energy derived from grain (Gu Qi) has not yet recovered. If one consumes dog meat, pork, mutton, intestinal blood, fatty fish, or roasted greasy foods, it will inevitably lead to severe diarrhea. Once severe diarrhea occurs, it becomes incurable. Additionally, if one eats cakes, pastries, roasted meats, jujubes, chestnuts, and other hard-to-digest raw fruits, digestion will fail. These substances will stagnate and accumulate in the intestines and stomach, causing abdominal distension and hardness, and obstruction of both urination and defecation. Consequently, fever may return, leading to disease recurrence. It is not only about improper diet; one must also be cautious with activities such as combing hair and bathing. (Foods such as peaches, plums, raw green onions, raw vegetables, kelp, Chinese cabbage, and sparrow meat are all prohibited; see Volume 10 for details).
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states that after the recent recovery from febrile diseases or major illnesses, consuming pork, intestinal blood, fatty fish, or roasted greasy foods will inevitably cause severe diarrhea, which physicians cannot treat, leading to death. If one consumes cakes, millet, malt sugar jerky, roasted meat, jujubes, chestnuts, and other hard-to-digest items, the weak stomach qi will fail to digest them, leading to the accumulation of heat. If purgatives are then administered, the stomach becomes cold and deficient, resulting in uncontrollable severe diarrhea. If purgatives are not used, death is certain; if they are used, the condition becomes critical. Both scenarios are difficult to rescue. Many die from febrile and major illnesses due to these errors; caution is essential. After recent recovery, one should only consume thin gruel. It is better to eat little and remain slightly hungry rather than overeating. No other foods should be consumed; even if desired, they should not be given. Over time, mutton gruel can be gradually introduced. Soups made from pheasant, rabbit, or venison are acceptable, but pork and dog meat must be avoided. One should rest quietly in bed after recovery, avoiding early rising. One should not have hair combed or take baths. Besides physical fatigue, excessive talking and mental exertion should also be avoided, as all these factors can lead to recrudescence of labor.
There was a case where a patient had recovered but remained unwell. He consulted Hua Fu for pulse diagnosis. Hua Fu said, "Although the illness has subsided, you are still deficient and not fully recovered, with insufficient yang qi. Do not engage in strenuous activities. General fatigue is tolerable, but sexual intercourse will lead to death. Upon death, your tongue will protrude several inches." His wife, hearing of his recovery, traveled over a hundred li to visit him. They stayed together and engaged in sexual intercourse. Three days later, he fell ill, his tongue protruded several inches, and he died. If sexual activity occurs within one hundred days of recent recovery, before strength has returned, death is almost inevitable. This condition, occurring during or immediately after a febrile disease, is called "Yin-Yang Exchange Disease" (Yin Yang Yi Bing), which is difficult to treat and often fatal. (*Gu Jin Lu Yan* and *Ji Yan Fang* agree).
Another prescription is provided for treating recrudescence caused by early rising and exertion after a serious illness, or by excessive food intake, nearly leading to death.
Burn tortoise shell into powder and administer one fang cun bi (a square-inch measure). Avoid amaranth. (*Zhou Hou Bei Ji Fang*, *Ji Yan Fang*, and Wen Zhong's *Bei Ji Fang* concur; see Volume 10).
The *Shen Shi Fang* treats recurrence due to improper diet after recovery from warm diseases. Ma Huang San (Ephedra Powder).
Ma Huang (Ephedrae Herba, 10 parts, nodes removed) Da Huang (Rhei Radix et Rhizoma, 15 parts, processed with heat) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 part, processed) Hou Po (Magnoliae Officinalis Cortex, 2 parts, processed with heat) Ku Shen (Sophorae Flavescentis Radix, 6 parts) Shi Gao (Gypsum Fibrosum, 6 parts, crushed, wrapped in silk) Wu Tou (Aconiti Radix, 6 parts, processed)
Grind the seven ingredients into fine powder. Mix with wine or rice water and administer one fang cun bi. Take three times daily and twice at night. (See Volume 14).
*Gu Jin Lu Yan* treats recrudescence of febrile diseases. Ma Zi Tang (Hemp Seed Decoction). (Effective formula used by Wu Zheng).
Ma Zi (Cannabis Fructus, 1 sheng) Chi Shao (Sojae Semen Preparatum, 1 sheng) Mu Shu Shi (Excrement of Male Rat, 11 pieces)
Boil the three ingredients in five sheng of water until two and a half sheng remain. Divide into three warm doses. The effect is immediate and highly effective. (*Zhou Hou Bei Ji Fang* concurs).
Another prescription: Da Huang Wan (Rhubarb Pill).
Da Huang (Rhei Radix et Rhizoma, 1 liang, steamed with two dou of rice) Ba Dou (Crotonis Fructus, 50 seeds, heart and skin removed, fried) Xiao Shi (Natrii Sulfas, 3 parts, refined; use Mang Xiao/Mirabilite if unavailable) Gui Xin (Cinnamomi Ramulus, 2 parts) Gan Jiang (Zingiberis Rhizoma, 2 parts, processed)
Grind the four ingredients (excluding Ba Dou) into powder. Independently grind Ba Dou into a paste. Mix with honey and pound for two thousand strokes to form pills the size of mulberry seeds. Administer one pill with decoction. If heat is above the diaphragm, expect vomiting; if below, expect purgation. Prepare porridge in advance. Follow standard procedures for emetic/purgative pills. If no reaction after two meal periods, stimulate with hot drinks. If still no reaction, administer another half pill. Robust adults may take two pills. This formula is superior to other purgatives, allowing flexible dosing. If purgation is excessive, alleviate with cold porridge. For sores, apply a pill mixed with honey to a cotton swab inserted into the sore. For constipation due to warm diseases, this promotes bowel movement. For retained food, it aids digestion. For Fei Shi (Flying Corpse) or Dun Shi (Lurking Corpse) pathogens, administer half a pill with cereal liquid once daily; relief comes quickly. For abdominal distension and pain, take one pill. For malaria, fast the day before the expected attack, take one pill in the morning; robust adults take two pills. Eat only after enduring hunger through the attack phase. For postpartum blood stasis, irregular menstruation, infertility, or cyanotic-yellow complexion, take half a pill. For children with dribbling urine, chills and fever, abdominal distension, anorexia, and failure to thrive (ages 3-4), take one pill the size of hemp seed daily; ages 6-7 take two pills. Cures various abdominal diseases within thirty days; reduce dose for younger infants. Excellent efficacy. Avoid wild boar meat, asparagus, and raw green onions. (See Volume 3).