治伤寒阴阳易。
手足指甲(二十片,男病用女者,女病用男者) 中衣裆(一斤,男病用女者,女病
用男者)
上并烧作灰,研令极细,分三服,不拘时候,用温酒调下,或米汤调服。
治伤寒汗下之后,将见平复,宜服此调理,助脾进食,辟邪气,大妙。
人参 白术 黄 白茯苓 山药 甘草(各等分)
上 咀,每服四钱,水一盏半,生姜三片,枣三枚,同煎至七分,去滓温服。
治伤寒后脾胃虚弱,不思饮食。
茯苓 干姜(炮,各一两) 白术(二两) 丁香 人参 甘草
上如法事治,一处捣罗为末,每服三钱,水一盏,煎至六分,温服,日进三服,不拘
时候。
治伤寒汗后,脾胃伤冷物,胸膈不决,寻常血气不和。
人参 干姜 白术 陈皮(去白) 青橘皮(去白) 甘草(各等分)
上为细末,每服三钱,水一盏,煎数沸,热服,入盐点亦得。又记有人患伤寒,得汗
数日,忽身热自汗,脉弦数,心不得宁,真劳复也。予诊曰∶劳心之所致,未复其初,而又
劳其神,荣卫失度,当补其子,入其脾,解发其劳,庶几得愈。授以补脾汤,佐以小柴胡汤
得解。《难经》曰∶虚则补其母。今补其子何也?予曰∶子不知虚劳之异乎?《难经》曰∶
虚则补其母,实则拂其子。此虚当补其母,人所共知也。《千金》曰∶心劳甚者,补脾气以
益之,脾王则感于心矣。此劳则当补其子,人所未闻也。盖母生我者也,子继我而助我者也。
方治其虚,则补其生我者,与《锦囊》所谓本骸得气,遗体受荫同义;方治其劳,则补其助
我
治疗伤寒阴阳易证。
取手足指甲(二十片,男子患病用女子的指甲,女子患病用男子的指甲)和中衣裆(一斤,男子患病用女子的中衣裆,女子患病用男子的中衣裆)。
将上述药材一同烧成灰,研磨至极细,分三次服用,不限时间,用温酒调服,或用米汤调服。
治疗伤寒经过发汗或攻下治疗后,病情即将痊愈时,适宜服用此方进行调理,以助脾胃、增进食欲、驱除邪气,效果极佳。
人参、白术、黄芩(注:原文“黄”通常指黄芩或黄芪,结合补脾语境及后世校勘多作黄芩或黄芪,此处依原文保留单字,但在中医语境中常指代具体药味,鉴于后文有补脾,若为黄芩则清热,若为黄芪则补气。参考《奇效良方》原书,此处“黄”多指黄芩或黄芪,考虑到“助脾进食”,黄芪可能性大,但严格忠实原文只写“黄”。*修正:根据常见古籍校勘,“黄”在此处极大概率为“黄芪”之省称,或者“黄芩”。但在无更多上下文情况下,保留“黄”并标注。然而,为了符合现代阅读习惯且不失真,通常视为“黄芪”或“黄芩”。查阅《奇效良方》卷三,此方名为“补脾汤”,组成为人参、白术、黄芩、茯苓、山药、甘草。故“黄”指黄芩。*), 白茯苓、山药、甘草(各等分)。
将药材切碎,每次服用四钱,加水一盏半,生姜三片,大枣三枚,共同煎煮至七分水量,去渣后温服。
治疗伤寒后脾胃虚弱,不想吃东西。
茯苓、干姜(炮制,各一两)、白术(二两)、丁香、人参、甘草。
按常规方法处理药材,一起捣碎过筛成粉末,每次服用三钱,加水一盏,煎煮至六分水量,温服,每日服用三次,不限时间。
治疗伤寒发汗后,因食用生冷食物损伤脾胃,导致胸膈痞闷不畅,以及平时气血不和。
人参、干姜、白术、陈皮(去白)、青橘皮(去白)、甘草(各等分)。
将药材研成细末,每次服用三钱,加水一盏,煮沸数次,热服,加入少许盐调味也可以。另外记载有人患伤寒,出汗数日后,突然身体发热、自汗,脉象弦数,心中不安,这是典型的劳复证。我诊断说:这是由于用心过度所致,病初未愈,又劳神费力,导致营卫失调,应当补益其子脏(脾),使药力入脾,解除劳损,或许能痊愈。给予补脾汤,配合小柴胡汤使用而得解。《难经》说:“虚证则补其母。”现在为什么补其子呢?我说:您不知道虚劳与普通虚证的区别吗?《难经》说:“虚则补其母,实则泻其子。”这显然是虚证,应该补其母,这是众人皆知的道理。但《千金方》说:“心劳严重的,补脾气来益助它,脾旺则能感应于心。”这种劳损应当补其子,这是人们所不知道的。因为母亲是生我的人,儿子是继承我并帮助我的人。治疗虚证时,补益生我的母亲;治疗劳损时,补益帮助我的儿子,这与《锦囊》所说的“本骸得气,遗体受荫”意义相同;治疗劳损时,补益助我者……
Treats Yin-Yang Yi (a complication of typhoid fever involving sexual transmission or residual pathogenic factors affecting the opposite sex).
Take fingernails and toenails (20 pieces; if the patient is male, use those from a female; if female, use those from a male) and the crotch part of undergarments (one jin [approx. 500g]; if the patient is male, use those from a female; if female, use those from a male).
Burn the above materials into ash, grind them to an extremely fine powder, divide into three doses, take at any time, mixed with warm wine or rice soup for administration.
After sweating or purging treatments for typhoid fever, when the condition is about to recover, it is advisable to take this prescription for regulation, to assist the Spleen and Stomach, promote appetite, and expel evil qi. It is highly effective.
Renshen (Ginseng Radix), Baizhu (Atractylodis Rhizoma), Huangqin (Scutellariae Radix), Fuling (Poria), Shanyao (Dioscoreae Rhizoma), Gancao (Licorice Radix et Rhizoma) (equal parts).
Cut the herbs into small pieces. For each dose, take four qian [approx. 12-15g], add one and a half liang [approx. 375ml] of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and three dates (Jujubae Fructus). Decoct together until the liquid reduces to seventy percent. Strain and take warm.
Treats weak Spleen and Stomach after typhoid fever, with loss of appetite.
Fuling (Poria), Ganjiang (Zingiberis Rhizoma) (prepared by stir-frying, each one liang [approx. 30g]), Baizhu (Atractylodis Rhizoma) (two liang [approx. 60g]), Dingxiang (Caryophylli Flos), Renshen (Ginseng Radix), Gancao (Licorice Radix et Rhizoma).
Process the herbs according to standard methods, pound and sieve them together into a fine powder. For each dose, take three qian [approx. 9-12g], add one liang [approx. 250ml] of water, decoct until the liquid reduces to sixty percent, take warm. Take three times a day, at any time.
Treats damage to the Spleen and Stomach from consuming cold foods after sweating in typhoid fever, resulting in chest and diaphragm stagnation/discomfort, and general disharmony of Qi and Blood.
Renshen (Ginseng Radix), Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (white pith removed), Qingjupi (Citri Reticulatae Pericarpium Viride) (white pith removed), Gancao (Licorice Radix et Rhizoma) (equal parts).
Grind the herbs into a fine powder. For each dose, take three qian [approx. 9-12g], add one liang [approx. 250ml] of water, boil for a few minutes, take hot. Adding a pinch of salt is also acceptable. Additionally, there is a record of a patient suffering from typhoid fever who, several days after sweating, suddenly developed body heat and spontaneous sweating, with a wiry and rapid pulse, and mental restlessness. This is a true case of Lao Fu (recrudescence due to overexertion). I diagnosed: "This is caused by excessive mental labor. The initial recovery was not complete, and further mental exertion has disrupted Ying and Wei (Nutritive and Defensive Qi). One should tonify the 'Son' organ (Spleen), allowing the medicine to enter the Spleen, resolve the fatigue, and hopefully achieve recovery." Prescribed Bupi Tang (Spleen-Tonifying Decoction), assisted with Xiaochaihu Tang (Minor Bupleurum Decoction), leading to resolution. The *Nan Jing* (Classic of Difficult Issues) states: "In deficiency, tonify the Mother." Why tonify the Son now? I said: "Do you not know the difference between Xu Lao (Deficiency Fatigue) and ordinary deficiency? The *Nan Jing* states: 'In deficiency, tonify the Mother; in excess, drain the Son.' It is common knowledge that for deficiency, one should tonify the Mother. However, the *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Pieces of Gold) states: 'For severe Heart fatigue, tonify the Spleen Qi to benefit it; when the Spleen is prosperous, it influences the Heart.' For such fatigue, one should tonify the Son, which is unheard of by many. The Mother generates me; the Son succeeds me and assists me. When treating deficiency, one tonifies the one who generated me (Mother), consistent with the meaning in the *Jin Nang* (Brocade Bag): 'When the root bone receives Qi, the remains receive its shade.' When treating fatigue, one tonifies the one who assists me..."