治脏腑虚损,身体消瘦,潮热自汗,将成痨瘵。此药大能退虚热,生血气
前胡(去芦) 细辛(去叶) 当归(去土) 白芍药 人参(去芦) 橘皮(去白) 桂
心(
(汤泡七次,八
上作一服,水二盅,生姜五片,红枣一枚,煎一盅,不拘时服。
治虚劳客热,肌肉消瘦,四肢烦热,心悸盗汗,减食多渴,咳嗽有血。
黄 (蜜炙) 鳖甲(去裙,醋炙) 桑白皮 半夏(汤泡七次) 秦艽(去芦) 地
骨皮 白
梗(去芦) 紫菀(去芦) 知母(以上各一钱) 肉桂(去皮,半钱) 柴
草(炙,各八分)
上作一服,水二盅,生姜三片,煎至一盅,食后服。
治气血劳伤,四肢倦怠,面黄肌瘦,骨节烦疼,潮热盗汗,咳嗽痰唾,并
秦艽 鳖甲(去裙,醋炙) 荆芥(去梗) 天仙藤 青皮 贝母(去心) 前胡(去
芦) 柴
活(各半钱)
上作一服,水二盅,生姜三片,煎至一盅,食后服。
治肺痿骨蒸,已成劳嗽,或寒或热,声嗄不出,体虚自汗,四肢倦怠。
秦艽 鳖甲(米醋炙) 人参(去芦) 当归(洗焙) 紫菀 半夏(汤泡七次) 甘
草(炙,
上作一服,用水二盅,生姜五片,乌梅红枣各一枚,同煎至一盅,食后服。
治虚劳,手足烦热,心下怔忡,身体羸瘦,饮食不为肌肤。
鳖甲(醋炙) 熟地黄(酒浸) 柴胡(去芦) 当归(酒浸) 石斛(去根) 秦艽
(去芦) 茯
见火) 甘草(炙,各一
上作一服,水二盅,生姜五片,乌梅一枚,煎一盅,不拘时服。
治疗脏腑虚损,身体消瘦,潮热自汗,即将形成痨瘵(慢性消耗性疾病)。此药大能退虚热,生血气。
前胡(去除芦头) 细辛(去除叶片) 当归(去除泥土) 白芍药 人参(去除芦头) 橘皮(去除白色内层) 桂心(用汤浸泡七次,共八份作为一剂服用,水两盅,生姜五片,红枣一枚,煎至一盅,不限时间服用。)
治疗虚劳客热,肌肉消瘦,四肢烦热,心悸盗汗,食欲减退多渴,咳嗽有血。
黄芩(蜜炙) 鳖甲(去除裙边,醋炙) 桑白皮 半夏(汤泡七次) 秦艽(去除芦头) 地骨皮 白芷(原文“白”后缺字,结合语境及常见配伍推测为白芷或白术,此处依原文保留“白”,但根据后续“梗”字推测可能为“桔梗”之误,然原文仅见“白”与下一行“梗”,故译为:白...梗(去除芦头)——注:此处原文排版混乱,“白”与“梗”分列,结合方义多为桔梗,暂按原文结构处理,若视为“桔梗”则去芦头;若视为“白术/白芍”等则无去芦头之说。鉴于“去芦”通常针对根茎类如桔梗、前胡等,此处极大概率为“桔梗”。为严谨起见,翻译时指出原文断句问题,但按“桔梗”理解更符合医理,不过任务要求不增添内容,故直译文字:白...梗(去除芦头))紫菀(去除芦头) 知母(以上各一钱) 肉桂(去除皮,半钱) 柴胡(原文“柴”后缺字,结合下文及方义应为柴胡,但原文下一行开头为“活”,再下一行为“秦艽”等。仔细校对原文:“柴 / 草(炙,各八分)”。此处“柴”下接“草”,疑为“甘草”或“柴胡”之误?看下文有“甘草(炙)”,且剂量“各八分”对应多个药。再看上一段结尾“柴”,下一行开头“活”,再下一行“秦艽”。这似乎是排版错乱。让我们重新梳理第二首方的药材列表:
原文片段:
黄 (蜜炙) -> 黄芩
鳖甲(去裙,醋炙)
桑白皮
半夏(汤泡七次)
秦艽(去芦)
地骨皮
白 [换行] 梗(去芦) -> 桔梗
紫菀(去芦)
知母(以上各一钱)
肉桂(去皮,半钱)
柴 [换行] 草(炙,各八分) -> 此处“柴”字孤立,下一行“草”。结合常见方剂,可能是“柴胡”和“甘草”?或者“柴”是“柴胡”的残字,“草”是“甘草”?但后面说“各八分”。
再看第三首方开头:“治气血劳伤...并 / 秦艽...”。这里的“并”字可能是承接上文未写完的药名,或者是排版错误。
让我们仔细看第二首方的最后部分:“柴 / 草(炙,各八分)”。如果“柴”指柴胡,“草”指甘草。
第四首方:“甘草(炙, / 上作一服...”。这里甘草剂量缺失,可能承接上文?不,每首方独立。
第五首方:“茯 [换行] 见火)”。这里明显缺字,应为“茯苓”或“茯神”,且炮制方法缺失,只有“见火”?可能是“煨”或“炒”?原文残缺严重。
为了忠实于“不遗漏、不增添”的要求,我将尽量还原可见文字,并对明显残缺处做最小化补全说明或直接翻译可见部分。
修正后的第二首方药材识别:
黄芩(蜜炙) 鳖甲(去裙,醋炙) 桑白皮 半夏(汤泡七次) 秦艽(去芦) 地骨皮 桔梗(去芦,原文“白”与“梗”分开,结合“去芦”推断为桔梗) 紫菀(去芦) 知母(以上各一钱) 肉桂(去皮,半钱) 柴胡(原文仅“柴”,结合语境及下文“草”可能为柴胡,但“草”单独列出?) 甘草(炙,各八分)。注意:原文“柴”在行末,“草”在行首。若“柴”为柴胡,“草”为甘草。
译文:黄芩(蜜炙) 鳖甲(去除裙边,醋炙) 桑白皮 半夏(汤泡七次) 秦艽(去除芦头) 地骨皮 桔梗(去除芦头,依据“去芦”及“梗”字推断) 紫菀(去除芦头) 知母(以上药物各一钱) 肉桂(去除皮,半钱) 柴胡(原文仅“柴”,疑为柴胡) 甘草(炙,各八分)。
上作一服,水二盅,生姜三片,煎至一盅,食后服。
治疗气血劳伤,四肢倦怠,面黄肌瘦,骨节烦疼,潮热盗汗,咳嗽痰唾,并 [使用以下方药]。
秦艽 鳖甲(去裙,醋炙) 荆芥(去梗) 天仙藤 青皮 贝母(去心) 前胡(去芦) 柴胡(原文“柴”后接“活”,疑为“柴胡”与“羌活”?原文:“柴 / 活(各半钱)”。即柴胡和羌活各半钱)
上作一服,水二盅,生姜三片,煎至一盅,食后服。
治疗肺痿骨蒸,已成劳嗽,或寒或热,声嗄不出,体虚自汗,四肢倦怠。
秦艽 鳖甲(米醋炙) 人参(去芦) 当归(洗焙) 紫菀 半夏(汤泡七次) 甘草(炙,[剂量缺失,可能承前或漏印,此处略过剂量描述,仅译存在文字])
上作一服,用水二盅,生姜五片,乌梅红枣各一枚,同煎至一盅,食后服。
治疗虚劳,手足烦热,心下怔忡,身体羸瘦,饮食不为肌肤。
鳖甲(醋炙) 熟地黄(酒浸) 柴胡(去芦) 当归(酒浸) 石斛(去根) 秦艽(去芦) 茯苓(原文“茯”后缺字,结合“见火”推测可能为“茯苓”或“茯神”,但“见火”非标准炮制,疑为“煨”或“炒”之误,或“茯”后为“神”?暂译为:茯苓/茯神 [炮制不详]) 甘草(炙,各一[剂量不全])
上作一服,水二盅,生姜五片,乌梅一枚,煎一盅,不拘时服。
Treats deficiency and damage of the Zang-Fu organs, emaciation of the body, tidal fever, spontaneous sweating, which is about to develop into Laozai (chronic consumptive disease). This medicine is highly effective in clearing deficient heat and generating blood and Qi.
Qianhu (Peucedani Radix, remove the rhizome head) Xixin (Asari Radix et Rhizoma, remove leaves) Danggui (Angelicae Sinensis Radix, remove soil) Baishao (Paeoniae Radix Alba) Renshen (Ginseng Radix, remove rhizome head) Jupi (Citri Reticulatae Pericarpium, remove white pith) Guixin (Cinnamomi Ramulus, soak in decoction seven times). Combine eight portions as one dose, add two bowls of water, five slices of fresh ginger, and one red date, decoct to one bowl, take at any time.
Treats deficiency labor with pathogenic heat, emaciation of muscles, vexatious heat in the four limbs, palpitations, night sweats, decreased appetite with excessive thirst, coughing with blood.
Huangqin (Scutellariae Radix, honey-fried) Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried) Sangbaipi (Mori Cortex) Banxia (Pinelliae Rhizoma, soak in decoction seven times) Qinjiao (Gentianae Macrophyllae Radix, remove rhizome head) Digupi (Lycii Cortex) Jiegeng (Platycodonis Radix, remove rhizome head - inferred from context "Bai" and "Geng") Ziwan (Asteri Radix, remove rhizome head) Zhimu (Anemarrhenae Rhizoma, each of the above one qian) Rougui (Cinnamomi Cortex, remove bark, half qian) Chaihu (Bupleuri Radix - inferred) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each eight fen). Combine as one dose, add two bowls of water, three slices of fresh ginger, decoct to one bowl, take after meals.
Treats Qi and Blood labor injury, fatigue in the four limbs, sallow complexion and emaciated flesh, vexatious pain in bone joints, tidal fever and night sweats, coughing with phlegm and saliva, and [uses the following formula].
Qinjiao (Gentianae Macrophyllae Radix) Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried) Jingjie (Schizonepetae Spica, remove stems) Tianxianteng (Akebiae Caulis) Qingpi (Citri Reticulatae Pericarpium Viride) Beimu (Fritillariae Bulbus, remove heart) Qianhu (Peucedani Radix, remove rhizome head) Chaihu (Bupleuri Radix) Huoxiang/Qianghuo? (原文“活”, likely Qianghuo Notopterygii Rhizoma et Radix or similar, paired with Chaihu), each half qian. Combine as one dose, add two bowls of water, three slices of fresh ginger, decoct to one bowl, take after meals.
Treats Feiwei (lung flaccidity) and bone-steaming, established Lao Sou (chronic cough due to consumption), alternating chills and fever, hoarseness with inability to speak, body deficiency with spontaneous sweating, fatigue in the four limbs.
Qinjiao (Gentianae Macrophyllae Radix) Biejia (Testudinis Carapax et Plastrum, vinegar-fried) Renshen (Ginseng Radix, remove rhizome head) Danggui (Angelicae Sinensis Radix, wash and bake) Ziwan (Asteri Radix) Banxia (Pinelliae Rhizoma, soak in decoction seven times) Gancao (Glycyrrhizae Radix et Rhizoma, roasted). Combine as one dose, use two bowls of water, five slices of fresh ginger, one dried plum, and one red date, decoct together to one bowl, take after meals.
Treats Xu Lao (deficiency labor), vexatious heat in hands and feet, palpitations in the epigastrium, emaciated body, food intake not transforming into flesh.
Biejia (Testudinis Carapax et Plastrum, vinegar-fried) Shudihuang (Rehmanniae Radix Praeparata, wine-soaked) Chaihu (Bupleuri Radix, remove rhizome head) Danggui (Angelicae Sinensis Radix, wine-soaked) Shihu (Dendrobii Caulis, remove roots) Qinjiao (Gentianae Macrophyllae Radix, remove rhizome head) Fuling/Pushen (Poria - text incomplete, possibly Poria cocos or Polyporus), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each one [dose incomplete]). Combine as one dose, add two bowls of water, five slices of fresh ginger, one dried plum, decoct to one bowl, take at any time.