茅根汤,治温病有热,饮水暴冷 者方。
茅根 葛根(各切半升)
上二味,以水四升,煮取二升,稍温饮之, 止则停。
治温病热未除,重被暴寒,寒毒入胃,热蕴结不散,变 者方。
单煮梓皮,稍稍饮之佳。温病积饮冷,冷结胃中,热入肾中,变壮热大 者,服梓皮温
得止也。夫肾中有热者,病瘥后,足心皮喜剥脱去,头发秃落,是其证也。
茅根橘皮汤,治春夏天行寒毒伤于胃,胃冷变 方。
白茅根(切,一升) 橘皮(三两) 桂心(二两) 葛根(二两)
上四味,切,以水六升,煮取三升,分温服三合,数连服之,尽复合, 止乃停耳。微
有热减桂一两。
知母解肌汤,治温热病头痛,骨肉烦疼,口燥心闷者;或者夏月天行毒,外寒内热者;
或已下之,余热未尽者;或热病自得痢,有虚热烦渴者方。
麻黄(二两,去节) 知母(三两) 葛根(三两) 石膏(三两,碎,裹) 甘草(二
两,炙)
上五味,切,以水七升,煮取三升,分为三服。若已下及自得下,虚热未歇者,除麻黄,
加知母、葛根,病热未除因梦泄者,可除麻黄加白薇、人参各二两则止。忌海藻、菘菜。
葛根橘皮汤,治冬温未即病,至春被积寒所折,不得发,至夏得热,其春寒解,冬温毒
始发出,肌中斑烂瘾疹如锦纹而咳,心闷呕,但吐清汁,宜服此汤则静方。
葛根(二两) 橘皮(二两) 杏仁(二两,去尖皮及两仁) 麻黄(二两,去节) 知
母(二
两) 黄芩(二两) 甘草(二两,炙)
上七味,切,以水七升,煮取三升,分温三服,呕闷吐当先定,便且消息。忌海藻、菘
菜。
治温毒发斑。赤斑者五死一生,黑斑者十死一生,大疫难救,黑奴丸方。
麻黄(三两,去节) 大黄(二两) 芒硝(一两,别下) 黄芩(一两) 釜底墨(一
两,研
入)
上七味,捣末,用蜜和如弹子大,新汲水五合,研一丸服之。若渴但与水,须臾当寒,
寒讫便汗,则解。日移五丈不觉,更服一丸。此治六日胸中常大热口噤,名坏病,医所不治,
服
治天行,若已五六日不解,头痛壮热,四肢烦疼,不得饮食,大黄汤方。
大黄(半两) 黄连(半两,去毛) 黄柏(半两) 栀子(半两,擘)
上四味,切,以水八升,煮取六七沸,纳豉一升,葱白七茎,煮取三升,分三服。此许
推然方,神良。又治伤寒已五六日,头痛壮热,四肢烦疼,取汗,并宜老小。忌猪肉、冷水。
正朝屠苏酒法,令人不病温疫。
大黄(五分) 川椒(五分) 术 桂(各三分) 桔梗(四分) 乌头(一分) 菝
(二分)
七物细切,以绡囊贮之,十二月晦日正中时,悬置井中至泥,正晓拜庆前出之,正旦取
药置酒中,屠苏饮之于东向。药置井中能迎岁,可世无此病,此华佗法。武帝有方验中,从
小至大,少随所堪,一人饮一家无患,饮药三朝。一方有防风一两。
屠苏酒,此华佗方也。元旦饮之,辟疫疠一切不正之气。
造法∶用赤术、桂心七钱五分,防风一两,菝 五钱,蜀椒、桔梗、大黄五钱七分、乌
头二钱五分,赤小豆十四枚,以三角绛囊盛之,除夜悬井底,元旦取出置酒中,煎数沸。举
家东向,从少至长,次第饮之,药滓还投井中,岁饮此水,一世无病。
茅根汤,治疗温热病体内有热,因突然饮用冷水导致的病症的方剂。
白茅根、葛根(各切半升)
以上两味药,用水四升,煎煮至取二升药液,稍温后服用,症状停止即停药。
治疗温热病热邪未除,又加盖厚被遭受暴寒侵袭,寒毒进入胃中,热邪蕴结不散,导致病情变化的方剂。
单煮梓树皮,慢慢饮用效果佳。温热病积饮冷水,冷结于胃中,热邪进入肾中,导致身体壮热的患者,服用梓皮汤可使症状停止。如果肾中有热,疾病痊愈后,足心皮肤喜欢剥脱脱落,头发秃落,这就是其证候表现。
茅根橘皮汤,治疗春夏季节时行寒毒伤及胃腑,导致胃冷进而引发变证的方剂。
白茅根(切,一升)、橘皮(三两)、桂心(二两)、葛根(二两)
以上四味药,切碎,用水六升,煎煮至取三升药液,分三次温服,每次三合,连续多次服用,服完后再重新配制,症状停止才停药。如果有轻微热象,减少桂一两。
知母解肌汤,治疗温热病出现头痛,骨肉烦痛,口干舌燥心中闷乱的患者;或者夏季时行毒气,外感寒邪内蕴热邪的患者;或者已经经过泻下治疗,余热未尽的患者;或者热病自然发生痢疾,伴有虚热烦渴的患者。
麻黄(二两,去节)、知母(三两)、葛根(三两)、石膏(三两,捣碎,用布包)、甘草(二两,炙)
以上五味药,切碎,用水七升,煎煮至取三升药液,分为三次服用。如果已经经过泻下或自然腹泻,虚热未歇止的,去掉麻黄,增加知母、葛根;如果病热未除且因梦遗泄精的,可以去除麻黄,增加白薇、人参各二两则症状停止。忌食海藻、菘菜(白菜)。
葛根橘皮汤,治疗冬温病当时未立即发病,到了春季被积寒所折损,不得发散,到了夏季得到热气,春季的寒邪解除,冬季的温毒才开始发出,肌肤中出现斑烂瘾疹如锦纹一样并伴有咳嗽,心中闷乱呕吐,只吐出清稀汁液的,适宜服用此汤则病情安静。
葛根(二两)、橘皮(二两)、杏仁(二两,去尖皮及双仁)、麻黄(二两,去节)、知母(二两)、黄芩(二两)、甘草(二两,炙)
以上七味药,切碎,用水七升,煎煮至取三升药液,分三次温服,呕吐闷乱的症状应当先安定,然后酌情观察。忌食海藻、菘菜(白菜)。
治疗温毒发斑。赤色斑疹者五死一生,黑色斑疹者十死一生,大瘟疫难以救治,黑奴丸方剂。
麻黄(三两,去节)、大黄(二两)、芒硝(一两,另下)、黄芩(一两)、釜底墨(一两,研细加入)
以上七味药(注:原文此处计数有误,实为五味,但依原文“上七味”记录),捣成粉末,用蜂蜜调和如弹子大小,用新汲水五合,研磨一丸服用。如果口渴只给喝水,片刻之后会感到寒冷,寒冷过后就会出汗,则病解。如果过了半天(日移五丈)感觉不明显,再服用一丸。这是治疗六天胸中常有大热、口噤不开,称为坏病,医生无法治疗的病症,服用此方。
治疗时行疫病,如果已经五六天未解,头痛壮热,四肢烦痛,不能饮食,大黄汤方剂。
大黄(半两)、黄连(半两,去毛)、黄柏(半两)、栀子(半两,掰开)
以上四味药,切碎,用水八升,煎煮六七沸,加入豆豉一升,葱白七茎,煎煮至取三升药液,分三次服用。这是许推然的方剂,神效良验。又治疗伤寒已经五六天,头痛壮热,四肢烦痛,需要取汗,老少皆宜。忌食猪肉、冷水。
正朝屠苏酒法,让人不患温疫。
大黄(五分)、川椒(五分)、术(白术)、桂(桂枝/肉桂,各三分)、桔梗(四分)、乌头(一分)、菝葜(二分)
将七味药细切,用丝绸囊装好,在十二月晦日正中时候,悬挂置入井中直到泥底,正月初一清晨拜庆之前取出,元旦当天取药放入酒中,面向东方饮用屠苏酒。药物置于井中能迎接岁首,可使得世间无此病,这是华佗的方法。武帝有验证过的方子,从小孩到大人,根据各自承受能力依次饮用,一人饮用全家无患,连饮三天。另一版本有一两防风。
屠苏酒,这是华佗的方子。元旦饮用,辟除疫疠一切不正之气。
制作方法:用赤术、桂心七钱五分,防风一两,菝葜五钱,蜀椒、桔梗、大黄五钱七分、乌头二钱五分,赤小豆十四枚,用三角形深红色囊盛装,除夕夜悬挂于井底,元旦取出放入酒中,煎煮数沸。全家面向东方,从幼到长,依次饮用,药渣还投入井中,每年饮用此井水,一辈子无病。
Mao Gen Tang (White Imperata Decoction), a formula for treating warm diseases with internal heat caused by suddenly drinking cold water.
Bai Mao Gen (Rhizoma Imperatae Cylindricae, 白茅根) and Ge Gen (Puerariae Lobatae Radix, 葛根) (each half sheng, cut).
Take the above two herbs, add four sheng of water, decoct to obtain two sheng of liquid, drink when slightly warm, and stop taking it when symptoms cease.
A formula for treating warm diseases where heat has not been eliminated, followed by sudden exposure to cold under heavy quilts, causing cold toxin to enter the stomach, with heat accumulating and knotting without dispersing, leading to pathological changes.
Boil Zi Pi (Cortex Catalpae, 梓皮) alone; drinking it slowly is beneficial. In warm diseases involving accumulation of cold drinks, with cold knotting in the stomach and heat entering the kidney, resulting in severe fever, taking Zi Pi can stop the condition. If there is heat in the kidney, after recovery from illness, the skin on the soles of the feet tends to peel off, and hair falls out; this is the manifestation of the syndrome.
Mao Gen Ju Pi Tang (White Imperata and Tangerine Peel Decoction), a formula for treating seasonal cold toxins injuring the stomach during spring and summer, causing stomach cold and subsequent pathological changes.
Bai Mao Gen (Rhizoma Imperatae Cylindricae, 白茅根) (cut, one sheng), Ju Pi (Pericarpium Citri Reticulatae, 橘皮) (two liang), Gui Xin (Lignum Cinnamomi Cassiae, 桂心) (two liang), Ge Gen (Puerariae Lobatae Radix, 葛根) (two liang).
Cut the above four herbs, add six sheng of water, decoct to obtain three sheng of liquid, divide into three doses, take warm, each dose three he, continue taking multiple times until finished, then prepare again; stop only when symptoms cease. If there is slight heat, reduce Gui Xin by one liang.
Zhi Mu Jie Ji Tang (Anemarrhenae Muscle-Relieving Decoction), a formula for treating warm diseases presenting with headache, irritability and pain in bones and muscles, dry mouth, and mental oppression; or for summer seasonal toxic qi with external cold and internal heat; or for cases where purgation has already been performed but residual heat remains; or for patients with natural dysentery following a febrile disease accompanied by deficiency heat, irritability, and thirst.
Ma Huang (Ephedrae Herba, 麻黄) (two liang, remove joints), Zhi Mu (Anemarrhenae Rhizoma, 知母) (three liang), Ge Gen (Puerariae Lobatae Radix, 葛根) (three liang), Shi Gao (Gypsum Fibrosum, 石膏) (three liang, crushed, wrapped in cloth), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) (two liang, honey-fried).
Cut the above five herbs, add seven sheng of water, decoct to obtain three sheng of liquid, divide into three doses. If purgation has occurred or spontaneous diarrhea has happened, and deficiency heat persists, remove Ma Huang and increase Zhi Mu and Ge Gen. If heat persists and seminal emission occurs due to dreams, remove Ma Huang and add Bai Wei (Cortex Glehniae, 白薇) and Ren Shen (Ginseng Radix, 人参) each two liang to stop the condition. Avoid Hai Zao (Sargassum, 海藻) and Song Cai (Brassica rapa var. pekinensis, 菘菜).
Ge Gen Ju Pi Tang (Pueraria and Tangerine Peel Decoction), a formula for treating winter-warm disease that did not manifest immediately, was suppressed by accumulated cold in spring, failed to disperse, and upon summer heat, the spring cold resolved and winter-warm toxin emerged, causing macular eruptions and urticaria resembling brocade patterns in the skin, cough, mental oppression, vomiting, and expulsion of clear fluid. Taking this decoction will calm the condition.
Ge Gen (Puerariae Lobatae Radix, 葛根) (two liang), Ju Pi (Pericarpium Citri Reticulatae, 橘皮) (two liang), Xing Ren (Prunus Armeniaca Seed, 杏仁) (two liang, remove tips, skins, and twin kernels), Ma Huang (Ephedrae Herba, 麻黄) (two liang, remove joints), Zhi Mu (Anemarrhenae Rhizoma, 知母) (two liang), Huang Qin (Scutellariae Radix, 黄芩) (two liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) (two liang, honey-fried).
Cut the above seven herbs, add seven sheng of water, decoct to obtain three sheng of liquid, divide into three warm doses. Vomiting and oppression should settle first, then observe cautiously. Avoid Hai Zao (Sargassum, 海藻) and Song Cai (Brassica rapa var. pekinensis, 菘菜).
For treating warm-toxin induced macules. Red macules indicate five deaths to one survival; black macules indicate ten deaths to one survival; major epidemics are difficult to save. Hei Nu Wan (Black Slave Pill) formula.
Ma Huang (Ephedrae Herba, 麻黄) (three liang, remove joints), Da Huang (Rhei Radix et Rhizoma, 大黄) (two liang), Mang Xiao (Natrii Sulfas, 芒硝) (one liang, added separately), Huang Qin (Scutellariae Radix, 黄芩) (one liang), Fu Di Mo (Furnace Bottom Ink, 釜底墨) (one liang, ground and added).
Grind the above ingredients into powder, mix with honey to form pills the size of a bullet. Take one pill ground in five ge of fresh well water. If thirsty, give only water; shortly thereafter, chills will occur, followed by sweating, and the disease will resolve. If no effect is felt after half a day, take another pill. This treats "huai bing" (ruined disease) characterized by constant high heat in the chest and lockjaw for six days, which physicians cannot treat.
Da Huang Tang (Rhubarb Decoction), for treating seasonal epidemics where symptoms persist after five to six days, presenting with headache, severe fever, limb irritability and pain, and inability to eat.
Da Huang (Rhei Radix et Rhizoma, 大黄) (half liang), Huang Lian (Coptidis Rhizoma, 黄连) (half liang, remove hairs), Huang Bo (Phellodendri Cortex, 黄柏) (half liang), Zhi Zi (Gardeniae Fructus, 栀子) (half liang, broken).
Cut the above four herbs, add eight sheng of water, boil for six or seven boils, add Chi Dou (Fermented Soybean, 豆豉) one sheng and Cong Bai (Allii Fistulosi Bulbus, 葱白) seven stems, decoct to obtain three sheng of liquid, divide into three doses. This is Xu Tuiran's formula, divine and excellent. It also treats cold damage persisting for five to six days with headache, severe fever, limb irritability and pain, inducing sweat; suitable for both old and young. Avoid pork and cold water.
Zheng Chao Tu Su Jiu (New Year's Day Tusu Wine) method, preventing people from contracting warm epidemics.
Da Huang (Rhei Radix et Rhizoma, 大黄) (five fen), Chuan Jiao (Zanthoxyli Pericarpium, 川椒) (five fen), Zhu (Atractylodis Rhizoma, 术), Gui (Cinnamomi Cortex, 桂) (each three fen), Jie Geng (Platycodonis Radix, 桔梗) (four fen), Wu Tou (Aconiti Lateralis Radix Praeparata, 乌头) (one fen), Ba Qian (Smilacis Glabrae Rhizoma, 菝葜) (two fen).
Finely cut the seven herbs, store in a silk bag. At noon on the last day of the twelfth lunar month, suspend the bag in a well down to the mud. Retrieve it before morning ceremonies on New Year's Day. Place the medicine in wine on New Year's Day and drink facing east. Placing the medicine in the well welcomes the new year, potentially eradicating the disease; this is Hua Tuo's method. Emperor Wu had a verified formula: drink from youngest to oldest according to tolerance; if one person drinks, the whole family is safe. Drink for three days. Another version includes Fang Feng (Saposhnikoviae Radix, 防风) one liang.
Tu Su Jiu (Tusu Wine), Hua Tuo's formula. Drinking it on New Year's Day expels epidemic miasma and all abnormal qi.
Preparation: Use Chi Zhu (Atractylodis Macrocephalae Rhizoma, 赤术) and Gui Xin (Lignum Cinnamomi Cassiae, 桂心) seven qian five fen, Fang Feng (Saposhnikoviae Radix, 防风) one liang, Ba Qian (Smilacis Glabrae Rhizoma, 菝葜) five qian, Shu Jiao (Zanthoxyli Pericarpium, 蜀椒), Jie Geng (Platycodonis Radix, 桔梗), Da Huang (Rhei Radix et Rhizoma, 大黄) five qian seven fen, Wu Tou (Aconiti Lateralis Radix Praeparata, 乌头) two qian five fen, Chi Xiao Dou (Vigna Angularis Seed, 赤小豆) fourteen seeds. Store in a triangular crimson bag. Suspend at the bottom of a well on New Year's Eve. Retrieve on New Year's Day, place in wine, boil for several boils. The whole family faces east, drinking from youngest to oldest in order. Return the dregs to the well. Drinking this well water annually ensures a lifetime free of disease.