夫时气病者。因湿毒瓦斯盛。蓄于脾胃。有热则新谷 蒸。不能消化。大小便结涩。故令
身面变黄。或如橘色。或如桃枝色也。
治时气壮热。腹满。心下硬。不能食。发黄。宜服秦艽散方。
秦艽(去苗) 柴胡(去苗) 芎 桔梗(去芦头) 葛根 黄芩 甘草(炙微赤锉)
川大
黄(锉碎微炒) 桑根白皮(以上各一两)
上件药。细锉和匀。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气五六日。壮热。骨节烦疼连心。两胁气胀急。硬痛。不能食。变为黄。宜
服柴胡
柴胡(去苗) 枳实(麸炒令微黄) 栝蒌根 黄芩 栀子仁 茵陈 龙胆(去芦头) 川
大
黄(锉碎微炒)(各一两) 甘草(半两炙微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气三日外。若忽觉心满。坚硬。脚手心热。则变为黄。不疗杀人。宜服栀子
散方。
栀子仁 紫草 白藓皮 黄芩 秦艽(去苗)(各一两) 甘草(半两炙微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。煎五分。去滓。不计时候。温服。
治时气热毒不解。心胸躁闷。变为黄。宜服茵陈丸方。
茵陈(一两) 川大黄(二两锉碎微炒) 豉(一合) 栀子仁(一两) 鳖甲(一两
涂醋炙令
黄去裙 ) 川芒硝(二两) 杏仁(一两汤浸去皮尖双仁麸炒微黄)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服不计时候。以竹叶汤下三十丸。以利
为度。
治时气遍身发黄。心膈烦热。宜服大黄丸方。
川大黄(锉碎微炒) 黄连(去须) 黄芩 黄柏(锉) 曲衣 栀子仁(以上各一两)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温水下三十丸。
治时气发黄。宜服此方。
甜葶苈(二两隔纸炒令紫色) 川大黄(二两锉碎微炒)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服不计时候。以温水下二十丸。以利为
度。
又方。
上以生小麦苗捣绞取汁。每服一小盏。日三四服。即愈。
治时气三日外。若忽觉心满坚硬。脚手心热。则变为黄。不治杀人。宜服此方。
瓜蒂(七枚)
上捣罗为末。用一大豆许。吹鼻两孔中。令黄水出。残末水调服之。得吐黄水一二升。
即瘥。
又方。\x
上以萱草根苗捣绞取汁。二小盏。分为三服。以利为度。
时气病,是由于湿毒之气旺盛,积聚在脾胃之中。体内有热邪,则新摄入的谷物被蒸腾,无法正常消化,导致大小便干结涩滞,因此使身体和面部呈现黄色,有的像橘子皮的颜色,有的像桃枝的颜色。
治疗时气病出现高热、腹部胀满、胃脘部硬满、不能进食、发黄的症状,适宜服用秦艽散方。
药材:秦艽(去除苗头)、柴胡(去除苗头)、川芎、桔梗(去除芦头)、葛根、黄芩、甘草(炙至微红并切碎)、川大黄(切碎并微炒)、桑根白皮(以上各一两)。
制法与用法:将上述药物细切并混合均匀。每次服用半两,加水一大盏,煎煮至剩余五分药液,滤去药渣。不分时候,温服。
治疗时气病经过五六天,出现高热、骨节烦痛且疼痛牵连心脏部位、两侧胁肋部气机胀急、硬痛、不能进食,进而变为发黄的症状,适宜服用柴胡散方。
药材:柴胡(去除苗头)、枳实(麸炒至微黄)、栝蒌根、黄芩、栀子仁、茵陈、龙胆(去除芦头)、川大黄(切碎并微炒)(以上各一两)、甘草(半两,炙至微红并切碎)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用五钱,加水一大盏,煎煮至剩余五分药液,滤去药渣。不分时候,温服。
治疗时气病三天以后,如果突然感觉心下胀满、坚硬,手脚心发热,就会变为发黄。如果不治疗会致死,适宜服用栀子散方。
药材:栀子仁、紫草、白鲜皮、黄芩、秦艽(去除苗头)(以上各一两)、甘草(半两,炙至微红并切碎)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用五钱,加水一大盏,煎煮五分,滤去药渣。不分时候,温服。
治疗时气病热毒不解,心胸烦躁闷乱,进而变为发黄的症状,适宜服用茵陈丸方。
药材:茵陈(一两)、川大黄(二两,切碎并微炒)、豆豉(一合)、栀子仁(一两)、鳖甲(一两,涂醋炙至黄色,去除裙边)、川芒硝(二两)、杏仁(一两,汤浸去皮尖及双仁,麸炒至微黄)。
制法与用法:将上述药物捣碎研磨成粉末,用炼蜜调和做成丸剂,大小如梧桐子。每次服用不分时候,用竹叶汤送服三十丸,以大便通畅为度。
治疗时气病全身发黄,心膈部烦热的症状,适宜服用大黄丸方。
药材:川大黄(切碎并微炒)、黄连(去除须根)、黄芩、黄柏(切碎)、神曲衣、栀子仁(以上各一两)。
制法与用法:将上述药物捣碎研磨成粉末,用炼蜜调和做成丸剂,大小如梧桐子。不分时候,用温水送服三十丸。
治疗时气病发黄,适宜服用此方。
药材:甜葶苈(二两,隔纸炒至紫色)、川大黄(二两,切碎并微炒)。
制法与用法:将上述药物捣碎研磨成粉末,用炼蜜调和做成丸剂,大小如梧桐子。每次服用不分时候,用温水送服二十丸,以大便通畅为度。
又一方。
取新鲜小麦苗捣碎绞取汁液。每次服用一小盏,每日三四次,即可痊愈。
治疗时气病三天以后,如果突然感觉心下胀满坚硬,手脚心发热,就会变为发黄。如果不治疗会致死,适宜服用此方。
药材:瓜蒂(七枚)。
制法与用法:将瓜蒂捣碎研磨成粉末。取如大豆大小的药粉,吹入两个鼻孔中,令黄色的水流出。剩余的粉末用水调服。若能吐出黄水一二升,疾病即愈。
又一方。
取萱草根和苗捣碎绞取汁液。共得两小盏,分三次服用。以大便通畅为度。
Shiqi Bing (Time-related Qi disease) is caused by the prevalence of damp-toxic qi, which accumulates in the Spleen and Stomach. When internal heat exists, newly ingested grains are steamed but cannot be digested properly, leading to constipation and difficult urination. Consequently, the body and face turn yellow, resembling the color of an orange peel or peach branches.
For Shiqi Bing presenting with high fever, abdominal fullness, epigastric hardness, inability to eat, and jaundice, Qinjiao San (Gentian Powder) is indicated.
Ingredients: Qinjiao (Radix Gentianae Macrophyllae), Chaihu (Radix Bupleuri), Xiong (Radix Chuanxiong), Jiegeng (Radix Platycodonis), Gegen (Radix Puerariae), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae Preparata), Chuan Dahuang (Radix et Rhizoma Rhei Preparata), Sangbaipipi (Cortex Morii Radicis). Each of the above ingredients weighs one liang.
Preparation and Administration: Finely chop and mix the ingredients evenly. Take half a liang per dose. Add one da zhan (approx. 200ml) of water, decoct until five fen (approx. 100ml) remains. Strain the dregs. Take warm, regardless of meal times.
For Shiqi Bing after five to six days, presenting with high fever, severe joint pain radiating to the heart region, distension and acute hard pain in the hypochondrium, inability to eat, and subsequent jaundice, Chaihu San (Bupleurum Powder) is indicated.
Ingredients: Chaihu (Radix Bupleuri), Zhishi (Fructus Aurantii Immaturus Preparatus), Gualougen (Radix Trichosanthis), Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gossampini), Yichen (Herba Artemisiae Scopariae), Longdan (Radix et Rhizoma Gentianae), Chuan Dahuang (Radix et Rhizoma Rhei Preparata). Each weighs one liang. Gancao (Radix Glycyrrhizae Preparata) weighs half a liang.
Preparation and Administration: Pound and sieve the ingredients into a powder. Take five qian per dose. Add one da zhan of water, decoct until five fen remains. Strain the dregs. Take warm, regardless of meal times.
If, after three days of Shiqi Bing, one suddenly feels fullness and hardness in the epigastrium, along with heat in the palms and soles, jaundice will develop. If untreated, it may be fatal. Zhizi San (Gardenia Powder) is indicated.
Ingredients: Zhizi Ren (Semen Gossampini), Zicao (Radix Arnebiae), Baixianpi (Cortex Dictamni), Huangqin (Radix Scutellariae), Qinjiao (Radix Gentianae Macrophyllae). Each weighs one liang. Gancao (Radix Glycyrrhizae Preparata) weighs half a liang.
Preparation and Administration: Pound and sieve the ingredients into a powder. Take five qian per dose. Add one da zhan of water, decoct for five minutes. Strain the dregs. Take warm, regardless of meal times.
For Shiqi Bing where heat-toxin persists, causing restlessness and oppression in the chest and heart, leading to jaundice, Yinchen Wan (Artemisia Pill) is indicated.
Ingredients: Yichen (Herba Artemisiae Scopariae) one liang; Chuan Dahuang (Radix et Rhizoma Rhei Preparata) two liang, chopped and lightly stir-fried; Chi (Folium Sojae Preparatum) one he; Zhizi Ren (Semen Gossampini) one liang; Biejia (Carapax et Plastrum Testudinis) one liang, coated with vinegar and stir-fried until yellow, removing the skirt edges; Chuan Mangxiao (Natrii Sulfas) two liang; Xingren (Semen Pruni Armeniacae) one liang, soaked in hot water, skin and tips removed, double-kernel checked, lightly stir-fried with bran until yellow.
Preparation and Administration: Pound and sieve the ingredients into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take thirty pills at any time, washed down with Zhu Ye Tang (Bamboo Leaf Decoction). Stop when bowel movement becomes free.
For Shiqi Bing presenting with generalized jaundice and irritability/heat in the chest and diaphragm, Dahuang Wan (Rhubarb Pill) is indicated.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei Preparata), Huanglian (Rhizoma Coptidis), Huangqin (Radix Scutellariae), Huangbai (Cortex Phellodendri), Qu Yi (Massa Medicata Fermentata), Zhizi Ren (Semen Gossampini). Each weighs one liang.
Preparation and Administration: Pound and sieve the ingredients into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take thirty pills at any time, washed down with warm water.
For Shiqi Bing presenting with jaundice, this formula is suitable.
Ingredients: Tingli (Semen Lepidii seu Descurainiae) two liang, stir-fried between papers until purple; Chuan Dahuang (Radix et Rhizoma Rhei Preparata) two liang, chopped and lightly stir-fried.
Preparation and Administration: Pound and sieve the ingredients into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take twenty pills at any time, washed down with warm water. Stop when bowel movement becomes free.
Another prescription:
Crush fresh Xiaomaimiao (Sprout of Triticum aestivum) and press to extract juice. Take one small zhan per dose, three to four times daily. The patient will recover.
For Shiqi Bing after three days, if one suddenly feels epigastric fullness and hardness, with heat in the palms and soles, jaundice will develop. If untreated, it may be fatal. This formula is indicated.
Ingredients: Gudi (Fructus Momordicae) seven pieces.
Preparation and Administration: Pound and sieve into powder. Take an amount the size of a large soybean, insufflate into both nostrils to allow yellow fluid to drain. Mix the remaining powder with water and ingest orally. If one to two sheng of yellow fluid is vomited, the disease will heal.
Another prescription:
Crush Xuancagen (Radix Hemerocallis) and its sprouts, press to extract juice. Obtain two small zhan, divide into three doses. Stop when bowel movement becomes free.