荆防败毒散
荆防败毒散人参 羌独前柴芎桔梗
茯苓枳壳同甘草 寒甚加葱共得名
治时毒初起,头眩恶寒,腮、项肿痛,脉浮者服之。
荆芥 防风 羌活 独活 前胡 柴胡 川芎 桔梗 茯苓 枳壳(各一钱) 甘草 人参(各五分)
姜三片,水二钟,煎八分,食远服,寒甚加葱三枝。
五利大黄汤
五利大黄汤黄芩 升麻栀子朴硝评
时毒 肿大便秘 服之敢取即安宁
治时毒 肿赤痛,烦渴便秘,脉实有力者服之。
大黄(煨) 黄芩 升麻(各二钱) 芒硝 栀子(各二钱三分)
水二钟,煎八分,空心服,未利者,渣再煎服。
连翘消毒饮
连翘消毒饮芎归 赤芍牛蒡薄荷随
黄芩花粉桔梗草 枳壳升麻共所根据
治时毒表里二症俱罢,余肿不消,疼痛不退者。
连翘 川芎 当归 赤芍药 牛蒡子 薄荷 黄芩 天花粉 甘草 枳壳 桔梗(各一钱) 升麻(五分)
水二钟,煎八分,食后服,便燥者加酒炒大黄。
防风通圣散
防风通圣将军芍 薄荷芎归草朴硝
桔梗栀翘芩白术 荆芥麻黄滑石膏
治时毒恶寒发热,烦躁口干,表里脉症俱实者。
防风 白芍 薄荷 川芎 桔梗 山栀 黄芩 白术 当归 连翘 荆芥 麻黄 滑石 石膏(各一钱)
甘草(五分) 芒硝(一钱五分) 大黄(酒炒,二钱)
水二钟,煎八分,空心温服。
普济消毒饮
普济消毒饮芩连 玄草参陈牛子攒
柴桔翘蓝并马勃 升麻姜蚕共水煎
治时毒、疫疠初觉憎寒发热,肢体沉重,次传头面作肿;或咽喉不利,舌干口燥,烦渴不宁者服。
黄芩 黄连(各二钱) 人参(一钱) 陈皮(去白) 玄参 甘草 柴胡 桔梗(炒,各一钱五分)
连翘 牛蒡子 马勃 板蓝根 升麻 姜蚕(各五分)
水二钟,煎八分,食后服。如大便燥加酒煨大黄一钱或二钱,以利为度;肿势甚者,宜砭去恶血。
通气散
通气散内用玄胡 羊踯躅花与藜芦
川芎牙皂共为末 捻于鼻内嚏无危
治时毒 肿疼痛,咽喉不利,语言不爽者用之。
玄胡索(一钱五分) 川芎 牙皂角(各五分) 藜芦(三分) 羊踯躅花(二钱五分)
为细末,用纸拈蘸药少许, 于鼻内取嚏为效。
托里消毒散(见肿疡门)
治时毒表里俱解,肿尚不退,欲其作脓者服之。
牛蒡子汤
牛蒡子汤用葛根 还将管仲共相呈
江西豆豉同甘草 煎尝时毒可安宁
治时毒热甚肿痛,脉浮数而无力者宜服之。
葛根 管仲 甘草 江西豆豉 牛蒡子(半生半熟,研,各二钱)
水二钟,煎八分,食后服。
十全大补汤(见溃疡门)
治时毒溃后,脓水清稀,形容消瘦,脾胃虚弱,饮食减少,虚热不睡,自汗、盗汗及不收敛者服之。
方剂组成:荆芥、防风、羌活、独活、前胡、柴胡、川芎、桔梗、茯苓、枳壳,各一钱;甘草、人参,各五分。
煎服法:加生姜三片,水两碗,煎至八分满,饭后服用。若恶寒症状严重,加入葱白三根。
主治:治疗时毒(感受时令疫毒之邪所致的外科疾患)初起阶段,出现头晕目眩、怕冷、腮部及颈部肿胀疼痛、脉象浮等症者服用。
方剂组成:大黄(煨制)、黄芩、升麻,各二钱;芒硝、栀子,各二钱三分。
煎服法:水两碗,煎至八分满,空腹服用。若服药后大便仍未通利,药渣再次煎煮服用。
主治:治疗时毒引起的红肿热痛、心烦口渴、大便秘结、脉象实而有力者服用。
方剂组成:连翘、川芎、当归、赤芍药、牛蒡子、薄荷、黄芩、天花粉、甘草、枳壳、桔梗,各一钱;升麻,五分。
煎服法:水两碗,煎至八分满,饭后服用。若大便干燥者,加入酒炒大黄。
主治:治疗时毒表证和里证均已解除,但余留的肿胀不消退、疼痛不缓解的情况。
方剂组成:防风、白芍、薄荷、川芎、桔梗、山栀、黄芩、白术、当归、连翘、荆芥、麻黄、滑石、石膏,各一钱;甘草,五分;芒硝,一钱五分;大黄(酒炒),二钱。
煎服法:水两碗,煎至八分满,空腹温服。
主治:治疗时毒伴有怕冷发热、烦躁口干、表证和里证的脉象与症状均表现为实证者。
方剂组成:黄芩、黄连,各二钱;人参,一钱;陈皮(去白)、玄参、甘草、柴胡、桔梗(炒),各一钱五分;连翘、牛蒡子、马勃、板蓝根、升麻、姜蚕(僵蚕),各五分。
煎服法:水两碗,煎至八分满,饭后服用。如果大便干燥,加入酒煨大黄一钱或二钱,以大便通利为度;如果肿胀严重,适宜用砭石刺破排出恶血。
主治:治疗时毒、疫疠(具有强烈传染性的外感病邪)初期感觉憎寒发热、肢体沉重,随后蔓延至头面部发生肿胀;或者咽喉不利、舌干口燥、烦躁口渴不安者服用。
方剂组成:玄胡索,一钱五分;川芎、牙皂角,各五分;藜芦,三分;羊踯躅花,二钱五分。
用法:研成细末,用纸捻蘸取少量药物,纳入鼻内,以引起打喷嚏为有效。
主治:治疗时毒引起的肿胀疼痛、咽喉不利、语言不清爽者使用。
托里消毒散(见肿疡门章节)
主治:治疗时毒表证和里证均已解除,但肿胀仍然不退,希望其化脓者服用。
方剂组成:葛根、管仲(土贝母)、甘草、江西豆豉、牛蒡子(半生半熟,研磨,各二钱)。
煎服法:水两碗,煎至八分满,饭后服用。
主治:治疗时毒热势严重导致肿痛,脉象浮数但无力者适宜服用。
十全大补汤(见溃疡门章节)
Jingfang Baidu San (Scutellaria and Saposhnikovia Decoction for Overcoming Toxins)
Formula Composition: Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Fuling (Poria), Zhike (Aurantii Fructus Immaturus), each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), each 0.5 qian.
Preparation and Administration: Add three slices of Shengjiang (Zingiberis Rhizoma Recens), two bowls of water, decoct until one-eighth remains. Take after meals. If aversion to cold is severe, add three stalks of Congbai (Allii Fistulosi Bulbus).
Indications: For early stage of Shidu (Toxic Heat caused by seasonal epidemic pathogens), presenting with dizziness, aversion to cold, swelling and pain in the cheeks and neck, and a floating pulse.
Wuli Dahuang Tang (Five-Advantage Rhubarb Decoction)
Formula Composition: Dahuang (Rhei Radix et Rhizoma, baked), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), each 2 qian; Mangxiao (Natrii Sulfas), Zhizi (Gardeniae Fructus), each 2.3 qian.
Preparation and Administration: Two bowls of water, decoct until one-eighth remains. Take on an empty stomach. If bowel movement is not achieved, decoct the dregs again and take.
Indications: For Shidu characterized by redness, swelling, heat, pain, irritability, thirst, constipation, and a full, forceful pulse.
Lianqiao Xiaodu Yin (Forsythia Detoxification Drink)
Formula Composition: Lianqiao (Forsythiae Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Niubangzi (Arctii Fructus), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix), Tianhuafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), each 1 qian; Shengma (Cimicifugae Rhizoma), 0.5 qian.
Preparation and Administration: Two bowls of water, decoct until one-eighth remains. Take after meals. If stool is dry, add Jiudahuang (Rhubarb stir-fried with wine).
Indications: For Shidu where both exterior and interior symptoms have subsided, but residual swelling persists and pain does not cease.
Fangfeng Tongsheng San (Saposhnikovia Universal Salvation Powder)
Formula Composition: Fangfeng (Saposhnikoviae Radix), Baishao (Paeoniae Radix Alba), Bohe (Menthae Haplocalycis Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Lianqiao (Forsythiae Fructus), Jingjie (Schizonepetae Spica), Mahuang (Ephedrae Herba), Huashi (Talcum), Shigao (Gypsum Fibrosum), each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma), 0.5 qian; Mangxiao (Natrii Sulfas), 1.5 qian; Dahuang (Rhei Radix et Rhizoma, wine-fried), 2 qian.
Preparation and Administration: Two bowls of water, decoct until one-eighth remains. Take warm on an empty stomach.
Indications: For Shidu accompanied by aversion to cold and fever, irritability, dry mouth, where both exterior and interior pulses and symptoms indicate excess patterns.
Puji Xiaodu Yin (Universal Benefit Detoxification Drink)
Formula Composition: Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), each 2 qian; Renshen (Ginseng Radix), 1 qian; Chenpi (Citri Reticulatae Pericarpium, white part removed), Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix, stir-fried), each 1.5 qian; Lianqiao (Forsythiae Fructus), Niubangzi (Arctii Fructus), Mabo (Belamcandae Stamen), Banlangen (Isatidis Radix), Shengma (Cimicifugae Rhizoma), Jiangcan (Bombyx Batryticatus), each 0.5 qian.
Preparation and Administration: Two bowls of water, decoct until one-eighth remains. Take after meals. If stool is dry, add Jiuweidahuang (Rhubarb baked with wine) 1 or 2 qian, aiming for bowel evacuation. If swelling is severe, it is appropriate to use Bianfa (stone needle therapy) to drain bad blood.
Indications: For early stages of Shidu or Yili (epidemic pestilence), initially feeling aversion to cold and fever, heavy limbs, subsequently spreading to head and face causing swelling; or throat obstruction, dry tongue and mouth, irritability, and unrelenting thirst.
Tongqi San (Ventilation Powder)
Formula Composition: Xiansu (Corydalis Rhizoma), 1.5 qian; Chuanxiong (Ligustici Chuanxiong Rhizoma), Yazaojiao (Gleditsiae Sinensis Spina), each 0.5 qian; Lilu (Veratrum Nigrum), 0.3 qian; Yangzhizhu (Daphne Odora Flower), 2.5 qian.
Usage: Grind into fine powder. Dip a small amount onto a paper wick and insert into the nose to induce sneezing as efficacy.
Indications: For Shidu causing swelling and pain, throat obstruction, and unclear speech.
Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) (See Swollen Ulcer Section)
Indications: For Shidu where both exterior and interior pathogens are resolved, but swelling persists, intended to promote suppuration.
Niubangzi Tang (Arctii Fructus Decoction)
Formula Composition: Gegen (Puerariae Lobatae Radix), Guanzhong (Stemonae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangxi Douchi (Fermented Soybean from Jiangxi), Niubangzi (Arctii Fructus, half raw half cooked, ground), each 2 qian.
Preparation and Administration: Two bowls of water, decoct until one-eighth remains. Take after meals.
Indications: For Shidu with severe heat causing swelling and pain, with a floating, rapid, yet weak pulse.
Shiquan Dabu Tang (Complete Ten Tonics Decoction) (See Ulcer Section)
Indications: For post-ulceration of Shidu, presenting with clear and thin pus, emaciation, spleen and stomach deficiency, reduced appetite, deficiency heat causing insomnia, spontaneous sweating, night sweats, and non-healing wounds.