集验疗伤寒时气温疫,头痛壮热脉盛,始得一二日者方。
真丹砂(一两末)
上一味,以水一斗煮之,取一升顿服之,覆取汗,忌生冷物。(千金同)
又疗疫气伤寒三日以后不解者方。
好豉(一升绵裹) 葱白(切一升)
上二味,童子小便五升,煮取二升,分再服,覆取汗,神效。(千金同)
又疗伤寒五六日斑出以后汤方。
猪胆(三合) 鸡子(一枚) 苦酒(三合)
上三物,合和煎,令三沸,强人尽服之,羸人煎六七沸,分为两服,取汗出为效。(文
仲备急千金同)
又疗伤寒七八日不解,默默烦闷,腹中有干粪,谵语,大柴胡汤方。
柴胡 半夏(汤洗各八两) 生姜(四两) 知母 芍药 大黄 葳蕤(各二两) 甘
草(炙)
上十味切,以水一斗,煮取三升,去滓,温服一升,日三服。忌海藻菘菜羊肉饧。(范
汪加人参三两余并同千金用芍药不用枳实)
又疗伤寒热病十日以上,发汗不解及吐下后诸热不除及下利不止斑出方。
大青(四两) 甘草(炙二两) 阿胶(炙珠二两) 豉(一升绵裹)
上四味切,以水八升,煮二味,取三升半,去滓,纳豉煮三沸,去滓,乃纳胶令溶,分
温三服,欲尽更作,当使有余,渴者当饮,但除热止吐下无毒。忌海藻菘菜。(肘后深师千
金同出第二卷中)
【集验方五首】
治疗伤寒、时行温病及瘟疫,出现头痛、高热、脉象盛大,且在发病初起一两天内的方剂。
真丹砂(一两,研成粉末)
以上一味药,用水一斗煎煮,取汁一升,一次性服下,服药后覆盖衣被以促使出汗,忌食生冷食物。(《千金方》中记载相同)
又用于治疗疫病性质的伤寒,发病三天后病情仍未缓解的方剂。
优质豆豉(一升,用绵布包裹) 葱白(切段,一升)
以上两味药,加入童子小便五升,煎煮至剩余二升,分两次服用,服药后覆盖衣被以促使出汗,效果神奇。(《千金方》中记载相同)
又用于治疗伤寒发病五六天后,斑疹发出后的汤剂。
猪胆(三合) 鸡蛋(一枚) 苦酒(醋,三合)
以上三味药,混合在一起煎煮,煮沸三次,体质强壮的人一次全部服下,体质虚弱的人煎煮六七沸,分为两份服用,以出汗为见效标志。(《文仲备急方》与《千金方》记载相同)
又用于治疗伤寒七八天仍未缓解,神情沉默且心中烦闷,腹中有干燥粪便,胡言乱语的大柴胡汤方剂。
柴胡 半夏(用汤水洗过,各八两) 生姜(四两) 知母 芍药 大黄 葳蕤(玉竹,各二两) 甘草(炙过的)
以上十味药切碎,用水一斗,煎煮至剩余三升,滤去药渣,温热服用一升,每日服用三次。忌食海藻、白菜、羊肉和饴糖。(范汪方中加人参三两,其余均同;《千金方》中使用芍药而不使用枳实)
又用于治疗伤寒热病十天以上,发汗后病邪未解,以及呕吐、泻下之后各种热邪未除,以及腹泻不止、斑疹发出的方剂。
大青(四两) 甘草(炙过的,二两) 阿胶(炙成珠状,二两) 豆豉(一升,用绵布包裹)
以上四味药切碎,用水八升,先煎煮前三味药,取汁三升半,滤去药渣,放入豆豉再煮沸三次,滤去药渣,然后放入阿胶使其溶化,分三次温服,如果药液喝完需要重新制作,应当让药液有剩余,口渴时可以饮水,此方能清热止吐泻,无毒。忌食海藻和白菜。(《肘后备急方》、《深师方》、《千金方》均出自第二卷中)
[Five Verified Prescriptions]
Prescription for treating Shanghan (Cold Damage), seasonal warm diseases, and epidemics, characterized by headache, high fever, and a full pulse, applicable when the disease has just begun within one or two days.
Cinnabar (1 liang, ground into powder)
Take the above single herb, boil it in 1 dou of water, reduce to obtain 1 sheng, and take it all at once. Cover with blankets to induce sweating. Avoid raw and cold foods. (Same as recorded in *Qianjin Fang*)
Another prescription for treating epidemic-type Shanghan that remains unresolved after three days.
High-quality Fermented Soybean (1 sheng, wrapped in silk gauze) Scallion White (cut, 1 sheng)
Take the above two herbs, add 5 sheng of urine from an uncircumcised boy, boil until reduced to 2 sheng, divide into two doses, and take them. Cover with blankets to induce sweating; this is extremely effective. (Same as recorded in *Qianjin Fang*)
Another decoction for treating Shanghan after macules/rashes appear on the fifth or sixth day.
Pig Gallbladder (3 he) Chicken Egg (1 piece) Vinegar (3 he)
Combine the above three ingredients and boil, allowing three boils. Persons of strong constitution should consume it all at once; persons of weak constitution should boil for six or seven boils and divide into two doses. The effect is indicated by sweating. (Same as recorded in *Wenzhen Beiji Fang* and *Qianjin Fang*)
Da Chai Hu Tang (Major Bupleurum Decoction) for treating Shanghan that remains unresolved after seven or eight days, presenting with taciturnity, mental restlessness, dry feces in the abdomen, and delirium.
Chai Hu (Bupleuri Radix) Ban Xia (Pinelliae Rhizoma, washed with hot water, each 8 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 4 liang) Zhi Mu (Anemarrhenae Rhizoma) Shao Yao (Paeoniae Radix Alba) Da Huang (Rhei Radix et Rhizoma) Wei Rui (Polygonati Odorati Rhizoma, each 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Cut the above ten herbs, boil in 1 dou of water, reduce to obtain 3 sheng, filter out the dregs, and take 1 sheng warm. Take three times daily. Avoid Algae, Brassica vegetables, mutton, and maltose syrup. (Fan Wang's formula adds Renshen [Ginseng Radix] 3 liang, otherwise identical; *Qianjin Fang* uses Shaoyao but does not use Zhishi [Aurantii Fructus Immaturus]*)
Another prescription for treating Shanghan febrile diseases lasting more than ten days, where sweating fails to resolve the condition, or where heat persists after vomiting and purging, or where diarrhea continues unceasingly and macules/rashes appear.
Da Qing (Isatidis Folium, 4 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang) E Jiao (Colla Corii Asini, honey-fried into beads, 2 liang) Chi (Fermented Soybean, 1 sheng, wrapped in silk gauze)
Cut the above four herbs, boil in 8 sheng of water. First boil the first three herbs, reduce to obtain 3.5 sheng, filter out the dregs. Add Chi and boil for three boils, then filter out the dregs. Finally, add E Jiao and stir until dissolved. Divide into three warm doses. If the medicine is finished, prepare more, ensuring there is some left over. Drink if thirsty. This formula clears heat, stops vomiting and diarrhea, and is non-toxic. Avoid Algae and Brassica vegetables. (Same as recorded in *Zhouhou Beiji Fang*, *Shenshi Fang*, and *Qianjin Fang*, originating from Volume II)