夫时气毒瓦斯从脏腑中出。攻于手足。手足则 热赤肿疼痛也。人五脏六腑。并荣输皆出
于手足指。故毒瓦斯从内出。而攻于手足也。
治时气毒攻手足。赤肿疼痛欲断方。
豉(半斤) 羊肉(一斤)
上以水一斗同煮。候肉熟。以汁看冷暖得所。以渍手足。日三度。
又方。
上掘地作坑子。深三尺。大小容两足。烧中令热。以酒灌坑中。着屐踞坑上。衣拥勿令
泄气。日再作之。
又方。
上以羊肉桃叶煮取汁渍之。加盐少许尤佳。
治时气热毒攻手足。肿热疼痛欲脱方。
虎杖(三斤锉)
上以水三斗。煮取二斗。去滓。温渍手足三度。
又方。
苦参(一斤锉)
上以酒一斗。煮五七沸。去滓。温温渍之。日三四度。
治时气热毒攻手足。 热疼痛方。
上煮马通汁渍之。日三度。
又方。
上以猪膏和马通涂之。亦佳。
治时气热毒攻手足。肿痛似脱。不可忍方。
上以猪蹄一具。去毛净洗。锉碎。葱白一握切。以水一斗。煮五七沸。去猪蹄等。稍热
渍之。
又方。
黄柏(半斤细锉)
上以水三斗。煮十沸。用渍手足瘥。
治时气毒攻手足。肿痛欲脱方。
上以生牛肉裹之。肿消痛止。
夫时气吐下之后。表里俱虚。热毒乘虚入于肠胃。则下痢黄赤。或下脓血。遍身壮热。
脐腹 痛。其脉弱者自愈。脉沉弦者必下重。脉大者为未止。此皆热毒瓦斯所为也。
治时气热毒攻于肠胃。下痢不止。宜服升麻散方。
川升麻 当归(锉微炒) 黄连(去须微炒) 甘草(炙微赤锉) 赤芍药 桂心 黄
柏(微
炙锉各半两)
上件药。捣筛为散。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服之。
治时气诸痢不止。宜服龙骨散方。
龙骨 黄连(去须微炒) 黄柏(微炙锉) 当归(锉微炒) 阿胶(杵碎炒令黄燥)
(以上各
用
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气大肠实热。下血不止。脐下 痛。宜服槲叶散方。
槲叶(一两) 地榆(三分锉) 木贼(三分锉) 当归(三分锉) 赤芍药(三分) 伏
龙肝(
三分)
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治时气四五日。大热下痢。宜服黄连散方。
黄连(去须微炒) 黄柏(微炙锉) 艾叶(微炒) 黄芩(以上各一两) 龙骨(二
两)
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治时气热毒。痢脓血。腹中疼痛。宜服木香散方。
木香(半两) 黄连(一两去须微炒) 青橘皮(半两汤浸去白瓤焙) 栀子仁(一分)
地榆
(半两)
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治时气热毒痢。宜服黄连丸方。
黄连(二两去须微炒) 当归(一两锉微炒) 黄芩(一两) 赤石脂(二两) 龙骨
(一两)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服不计时候。以粥饮下三十丸。
治时气下痢不能食方。
乌梅肉(十枚微炒) 黄连(二两去须微炒)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服不计时候。以粥饮下三十丸。
治时气热毒下痢方。
当归(二两锉微炒) 黄连〔二(三)两去须微炒〕 黄柏(二两锉炙)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。入蜜一茶匙。再煎一
两沸。放温。不计时候服。
治时气赤白痢方。
鳖甲(二两涂醋炙微黄去裙 ) 阿胶(一两捣碎炒令黄燥) 赤小豆(一合炒熟)
上件药。捣细罗为散。每服不计时候。以粥饮调下三钱。
时气病(感受四时不正之气所致的急性外感热病)的毒邪从脏腑中发出,攻冲于手足,导致手足发热、发红、肿胀、疼痛。人的五脏六腑以及营卫气血的输注通道,都通达于手足指端。因此,毒邪从体内发出,而攻冲于手足。
治疗时气毒邪攻冲手足,出现赤红肿胀疼痛甚至感觉肢体将断的方剂:
豆豉(半斤)、羊肉(一斤)。
以上药物用水一斗共同煎煮,待肉煮熟后,根据药汁的温度冷热适宜,用来浸泡手足,每天三次。
又一方:
在地上挖一个坑,深三尺,大小能容纳两只脚。在坑中烧火使其变热,用酒浇灌坑中,穿上木屐蹲坐在坑上,用衣物包裹身体以防热气泄漏。每天进行两次。
又一方:
用羊肉和桃叶煎煮取汁,用来浸泡患处。加入少许盐效果更佳。
治疗时气热毒攻冲手足,肿胀发热疼痛甚至感觉肢体将脱落的方剂:
虎杖(三斤,锉碎)。
以上药物用水三斗,煎煮取二斗药汁,去掉药渣,趁温热浸泡手足,每天三次。
又一方:
苦参(一斤,锉碎)。
以上药物用酒一斗,煎煮五到七沸,去掉药渣,趁温热浸泡,每天三到四次。
治疗时气热毒攻冲手足,发热疼痛的方剂:
煎煮马粪汁(马通汁)来浸泡患处,每天三次。
又一方:
用猪油调和马粪汁涂抹患处,也很好。
治疗时气热毒攻冲手足,肿痛剧烈如同脱落般难以忍受的方剂:
猪蹄一只,去毛洗净,切碎;葱白一把,切碎。用水一斗,煎煮五到七沸,去掉猪蹄等杂物,稍加热后浸泡患处。
又一方:
黄柏(半斤,细锉)。
以上药物用水三斗,煎煮十沸,用来浸泡手足,直至痊愈。
治疗时气毒邪攻冲手足,肿痛欲脱的方剂:
用生牛肉包裹患处,肿消痛止。
当时气病经过呕吐或泻下治疗后,表里俱虚,热毒乘虚侵入肠胃,就会导致下痢色黄赤,或者下脓血,全身壮热,脐腹部疼痛。如果脉象微弱,病情会自愈;脉象沉弦的,必然伴有里急后重;脉象大的,说明病势未止。这些都是热毒邪气所致。
治疗时气热毒攻冲肠胃,下痢不止,宜服用升麻散方:
川升麻、当归(锉碎微炒)、黄连(去须微炒)、甘草(炙至微赤锉碎)、赤芍药、桂心、黄柏(微炙锉碎,各半两)。
以上药物捣筛为散剂。每次服用半两,用水一大盏,煎至五分水量,去掉药渣,不限时候,温服。
治疗时气各种痢疾不止,宜服用龙骨散方:
龙骨、黄连(去须微炒)、黄柏(微炙锉碎)、当归(锉碎微炒)、阿胶(杵碎炒至黄燥)(以上各用量原文缺失,依惯例应为等分或适量)。
以上药物捣粗罗为散剂。每次服用五钱,用水一大盏,煎至五分水量,去掉药渣,不限时候,温服。
治疗时气大肠实热,下血不止,脐下疼痛,宜服用槲叶散方:
槲叶(一两)、地榆(三分,锉碎)、木贼(三分,锉碎)、当归(三分,锉碎)、赤芍药(三分)、伏龙肝(三分)。
以上药物捣细罗为散剂。每次不限时候,用米粥汤调下二钱。
治疗时气四五日,大热伴下痢,宜服用黄连散方:
黄连(去须微炒)、黄柏(微炙锉碎)、艾叶(微炒)、黄芩(以上各一两)、龙骨(二两)。
以上药物捣细罗为散剂。每次不限时候,用米粥汤调下二钱。
治疗时气热毒,痢下脓血,腹中疼痛,宜服用木香散方:
木香(半两)、黄连(一两,去须微炒)、青橘皮(半两,汤浸去白瓤焙干)、栀子仁(一分)、地榆(半两)。
以上药物捣细罗为散剂。每次不限时候,用米粥汤调下二钱。
治疗时气热毒痢,宜服用黄连丸方:
黄连(二两,去须微炒)、当归(一两,锉碎微炒)、黄芩(一两)、赤石脂(二两)、龙骨(一两)。
以上药物捣罗为末,炼蜜和丸,如梧桐子大小。每次不限时候,用米粥汤送下三十丸。
治疗时气下痢不能进食的方剂:
乌梅肉(十枚,微炒)、黄连(二两,去须微炒)。
以上药物捣罗为末,炼蜜和丸,如梧桐子大小。每次不限时候,用米粥汤送下三十丸。
治疗时气热毒下痢的方剂:
当归(二两,锉碎微炒)、黄连(三两,去须微炒)、黄柏(二两,锉碎炙)。
以上药物捣粗罗为散剂。每次服用五钱,用水一大盏,煎至五分水量,去掉药渣,加入一茶匙蜂蜜,再煎一两沸,放温,不限时候服用。
治疗时气赤白痢的方剂:
鳖甲(二两,涂醋炙至微黄去裙边)、阿胶(一两,捣碎炒至黄燥)、赤小豆(一合,炒熟)。
以上药物捣细罗为散剂。每次不限时候,用米粥汤调下三钱。
When the pathogenic factors of seasonal qi (acute febrile diseases caused by abnormal qi of the four seasons) emanate from the zang-fu organs, they attack the hands and feet, causing heat, redness, swelling, and pain in the extremities. The meridians of the five zang and six fu organs, as well as the transport points of ying and wei (nutritive and defensive qi), all connect to the fingers and toes. Therefore, toxic pathogens emerge from the interior and attack the hands and feet.
Formula for treating seasonal qi toxic pathogens attacking the hands and feet, causing redness, swelling, and severe pain:
Fermented Soybean Paste (Douchi, 8 liang) and Mutton Meat (1 jin).
Boil these together in one dou of water until the meat is cooked. Adjust the temperature of the decoction to be suitable, and soak the hands and feet in it three times a day.
Another formula:
Dig a pit in the ground, three chi deep, large enough to accommodate both feet. Heat the bottom with fire, pour wine into the pit, wear wooden clogs, and squat over the pit. Wrap clothing around the body to prevent heat loss. Repeat twice daily.
Another formula:
Decoct mutton meat and peach leaves, and use the juice to soak the affected area. Adding a small amount of salt is even better.
Formula for treating seasonal qi heat-toxic pathogens attacking the hands and feet, causing swelling, heat, and severe pain:
Polygonum cuspidatum Rhizome et Radix (Huzhang, 3 jin, crushed).
Decoct in three dou of water until two dou remain. Strain the dregs. Soak the hands and feet in the warm liquid three times a day.
Another formula:
Sophora Root (Kushen, 1 jin, crushed).
Decoct in one dou of wine for five to seven boils. Strain the dregs. Soak in the warm liquid three to four times a day.
Formula for treating seasonal qi heat-toxic pathogens attacking the hands and feet, causing heat and pain:
Decoct horse manure juice (Matong Zhi) and soak the affected area three times a day.
Another formula:
Apply pig fat mixed with horse manure juice to the affected area; this is also effective.
Formula for treating seasonal qi heat-toxic pathogens attacking the hands and feet, causing unbearable swelling and pain resembling detachment:
Take one pig's trotter, remove hair, wash clean, and crush. Take a handful of green onion whites, chopped. Decoct in one dou of water for five to seven boils. Remove the trotter and other solids. Soak the affected area when slightly warm.
Another formula:
Phellodendron Bark (Huangbai, 0.5 jin, finely crushed).
Decoct in three dou of water for ten boils. Use to soak the hands and feet until recovery.
Formula for treating seasonal qi toxic pathogens attacking the hands and feet, causing swelling and pain resembling detachment:
Wrap the affected area with raw beef. The swelling will subside and pain will cease.
After vomiting or purging in seasonal qi disease, both the exterior and interior become deficient. Heat-toxin enters the stomach and intestines through this deficiency, resulting in dysentery with yellow-red stool, or pus and blood in the stool, accompanied by high fever throughout the body and abdominal pain. If the pulse is weak, the condition will heal spontaneously; if the pulse is deep and wiry, there will definitely be tenesmus; if the pulse is large, the disease has not yet ceased. These are all caused by heat-toxin pathogens.
Shengma San Powder for treating seasonal qi heat-toxin attacking the stomach and intestines with persistent dysentery:
Cimicifugae Rhizoma (Chuan Shengma), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Coptidis Rhizoma (Huanglian, de-veined and lightly stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and crushed), Paeoniae Radix Rubra (Chishao), Cinnamomi Cortex (Guixin), Phellodendri Chinensis Cortex (Huangbai, lightly roasted and crushed, each 0.5 liang).
Pulverize the above herbs into a powder. Take 0.5 liang per dose. Decoct in one da zhan of water until reduced to 0.5 fen volume. Strain. Take warm at any time.
Longgu San Powder for treating various types of persistent dysentery due to seasonal qi:
Os Draconis (Longgu), Coptidis Rhizoma (Huanglian, de-veined and lightly stir-fried), Phellodendri Chinensis Cortex (Huangbai, lightly roasted and crushed), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Asini Corii Colla (Ejiao, pounded and roasted until yellow and dry) [quantities missing in original text].
Coarsely pulverize the above herbs. Take 5 qian per dose. Decoct in one da zhan of water until reduced to 0.5 fen volume. Strain. Take warm at any time.
Huye San Powder for treating excessive heat in the large intestine due to seasonal qi, with persistent bloody stool and lower abdominal pain:
Quercus variabilis Leaf (Huye, 1 liang), Sanguisorbae Radix (Diyu, 3 fen, crushed), Equiseti Herba (Muzai, 3 fen, crushed), Angelicae Sinensis Radix (Danggui, 3 fen, crushed), Paeoniae Radix Rubra (Chishao, 3 fen), Longum Farris Figuli (Fulonggan, 3 fen).
Finely pulverize the above herbs. Take 2 qian per dose at any time, mixed with rice gruel broth.
Huanglian San Powder for treating seasonal qi with high fever and dysentery after four to five days:
Coptidis Rhizoma (Huanglian, de-veined and lightly stir-fried), Phellodendri Chinensis Cortex (Huangbai, lightly roasted and crushed), Artemisiae Argyi Folium (Aiye, lightly stir-fried), Scutellariae Radix (Huangqin) [each 1 liang], Os Draconis (Longgu, 2 liang).
Finely pulverize the above herbs. Take 2 qian per dose at any time, mixed with rice gruel broth.
Muxiang San Powder for treating seasonal qi heat-toxin dysentery with pus and blood in stool and abdominal pain:
Aucklandiae Radix (Muxiang, 0.5 liang), Coptidis Rhizoma (Huanglian, 1 liang, de-veined and lightly stir-fried), Citri Reticulatae Pericarpium Viride (Qingju Pi, 0.5 liang, soaked in hot water, white pith removed, dried), Gardeniae Fructus (Zhizi Ren, 1 fen), Sanguisorbae Radix (Diyu, 0.5 liang).
Finely pulverize the above herbs. Take 2 qian per dose at any time, mixed with rice gruel broth.
Huanglian Wan Pills for treating seasonal qi heat-toxin dysentery:
Coptidis Rhizoma (Huanglian, 2 liang, de-veined and lightly stir-fried), Angelicae Sinensis Radix (Danggui, 1 liang, crushed and lightly stir-fried), Scutellariae Radix (Huangqin, 1 liang), Halloysit Rubra (Chishizhi, 2 liang), Os Draconis (Longgu, 1 liang).
Pulverize the above herbs into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 30 pills per dose at any time, washed down with rice gruel broth.
Formula for treating seasonal qi dysentery with inability to eat:
Fructus Mume (Wumei Rou, 10 pieces, lightly stir-fried), Coptidis Rhizoma (Huanglian, 2 liang, de-veined and lightly stir-fried).
Pulverize the above herbs into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 30 pills per dose at any time, washed down with rice gruel broth.
Formula for treating seasonal qi heat-toxin dysentery:
Angelicae Sinensis Radix (Danggui, 2 liang, crushed and lightly stir-fried), Coptidis Rhizoma (Huanglian, 3 liang, de-veined and lightly stir-fried), Phellodendri Chinensis Cortex (Huangbai, 2 liang, crushed and roasted).
Coarsely pulverize the above herbs. Take 5 qian per dose. Decoct in one da zhan of water until reduced to 0.5 fen volume. Strain. Add one teaspoon of honey, boil for one or two more boils. Let cool to warm temperature. Take at any time.
Formula for treating seasonal qi red and white dysentery:
Testudinis et Carapax et Plastrum (Biejia, 2 liang, coated with vinegar, roasted until slightly yellow, skirt removed), Asini Corii Colla (Ejiao, 1 liang, pounded and roasted until yellow and dry), Phaseoli Semen Rubrum (Chixiaodou, 1 he, roasted until cooked).
Finely pulverize the above herbs. Take 3 qian per dose at any time, mixed with rice gruel broth.