夫狐惑之病。或初得状似伤寒。或因伤寒而变。然皆虫证也。虫蚀其喉为惑。使人声嗄。
虫蚀其下部为狐。使人咽干。其候皆默默欲眠。不得卧。起居不安。恶饮食。面目乍赤乍白
乍黑是也。此由伤寒病内热。饮食少。肠胃空虚。而虫为之不安。故随所食上下部。而病名
狐惑也。
病患默默欲眠。目不能闭。起居不安。其声嗄。或咽干。此名狐惑伤寒也。狐惑与湿
皆虫证。初得状如伤寒。或因伤寒变成其疾。其候默默欲眠。目不能闭。起居不安。虫蚀其
喉为惑。其声嗄。虫蚀下部为狐。其咽干。狐惑之病。并恶饮食。面目乍赤乍白乍黑是其证
也。大抵伤寒病。腹内热。入食少。肠胃空虚。三虫行作求食。蚀人五脏及下部。为 病。
其候齿无色。舌上尽白。甚者唇黑有疮。四肢沉重。忽忽喜眠。虫蚀其肛。烂见五脏则死。
当数其上下唇。上唇有疮。虫蚀其脏也。下唇有疮。虫蚀其肛也。杀人甚急。多因下利而得。
治
伤寒不发汗。变成狐惑之病。其气如伤寒。默默欲眠。目不得闭。起卧不安。其毒在喉
咽为惑病。在阴肛者为狐病。狐惑之病。并恶饮食。不欲闻食臭。其面目翕赤翕白翕黑。毒
食于上者。则声哑也。一作嗄。毒食下部者。则干咽也。此由温毒瓦斯所为。食于上者。泻心
汤主之。食于下者。苦参汤淹洗之。食于肛外者熏之。并用雄黄三片。稍置瓦瓶中。炭灰火
烧。向肛熏之。并服汤也。
歌曰。狐惑伤寒声哑嗄。唇口生疮诚可怕。上唇食脏下食肛。医师治疗应无价。
又论云。上唇生疮。虫食其脏。或云喉。曰惑。下唇有疮。虫食其肛。或云阴。曰狐。
通用。
多眠四证先看脉。若是风温情嘿嘿。太阳外证欲解时。更有少阴与狐惑。
脉浮自汗风温也。葳蕤汤。脉细者。太阳外已解也。小柴胡汤。但浮无汗者。麻黄汤。
沉细者。少阴四逆汤。
歌曰。蛔厥乌梅及理中。脏寒恶冷吐长虫。咽干声哑名狐惑。湿 唇疮限数终。
又论云。蛔厥证。属厥阴。病家有寒。妄发其汗。或汗后身热。又复汗之。以致胃中虚
冷。故长虫逆上。饥不欲食。食即吐虫。其乍静乍烦者。虫或上而止也。虫闻食臭必出。所
以食则吐虫也。张氏有言。厥阴为病。消渴。气上冲心。饥不欲食。食则吐蛔。吐蛔既出之
于胃。令腹有消渴之证何哉。盖热在上焦。致使下焦虚寒无热耳。设或大便硬结。是亦蕴毒
使然。又不可指为燥粪。但用生料理中汤加大黄。入蜜以利之。白术干姜所以辅大黄也。治
法先服理中丸。次用乌梅丸。若误下之。利不止。则用四逆汤。又法。理中丸加茯苓、枳壳、
乌梅。渴者加栝蒌根。狐惑与湿 。皆虫证也。状如伤寒。多因伤寒下利变坏成之。盖腹中
有热。入食无多。肠胃空虚。故三虫求食。而食人之五脏也。其候四肢沉重。并恶饮食。默
默欲眠。目不能闭。舌白齿晦。面目间赤白黑色。变易不常。虫蚀下部为狐。下唇有疮。其
咽干。虫蚀其脏为惑。上唇有疮。其声哑。湿 条例。是谁调理有方。此越人所以望而惊也。
治。桃仁汤。黄连犀角汤。雄黄锐散。备用而已。金液丹方。状治湿 。盖硫黄能杀腹中
诸
虫。无汤者与之。
方
黄芩汤 治伤寒不发汗。后变成狐惑。脉数。无热微烦。目赤。但欲眠睡。咽干不
能食。
黄芩(去黑心) 射干(各一两) 黄连(去须炒二分) 甘草(炙锉) 前胡(去芦
头) 青竹
茹知母(焙各半两) 上粗捣筛。每服五钱。以水一盏半。煎至八分。去滓。食前温服。
犀角汤 治伤寒不发汗。后变成狐惑。毒瓦斯发盛。恶闻饮食。咽中干痛。胸胁满
闷。
犀角(镑三分) 黄连(去须炒) 芍药 木通(锉) 木香 枳实(去瓤麸炒) 射
干人参
半夏(汤洗七次炒干各半两) 上粗捣筛。每服五钱。水一盏半。生姜枣大。枣一枚。擘碎。
煎至八分。去滓。食前温服。
桃仁汤 治伤寒狐惑。默默欲眠。目不瞑。恶饮食。面目乍赤乍白乍黑。齿无色。
舌上白。声哽。咽干。此因大病后。肠胃空虚。三焦虫求食。蚀人五脏。蚀其喉则为
惑。其声哽。
桃仁(去皮尖双仁炒) 槐子 艾(各二两) 上 咀如麻豆大。每服五钱。水一盏半。
枣
子三枚。擘破。煎至八分。去滓。温服。一方。用生姜三片同煎。
治伤寒狐惑。毒蚀下部。痛痒不止。宜用熏洗方。
枳壳(二两) 苦参(三两) 槐白皮(二两) 上细锉。用水一斗。煎取七升。去滓。
熏洗
下部。
又方
槐白皮 柳白皮 桑白皮 桃白皮(各一两) 上细锉。用水二斗。煎取一斗。去滓。
熏
洗下部。
治伤寒狐惑。毒蚀下部。肛外如 。痛痒不止方。
以雄黄半两。用瓶子一个。口稍大者。纳入灰上。如装香火。雄黄烧之。候烟出。以瓶
口当病处熏之。
半夏汤 治伤寒发汗不解。变成狐惑。寒热无常。心中躁闷。不欲饮食。
半夏(汤洗七次炒干) 木通(锉) 桃仁(汤浸去皮尖双仁炒) 附子(炮裂去尖锉)
桂
(去粗皮) 葛根 枳壳(去瓤麸炒) 黄芩(去黑心各半两) 羚羊角(镑一分) 升麻
(一分半)
麻黄(三分) 上锉如麻豆大。每服五钱。水一盏半。生姜一枣大。擘碎。煎至八分。去滓。
温服。
雄黄导气散 治伤寒狐惑。下部 疮。
雄黄(研) 青葙子 苦参 黄连(各半两) 桃仁(去皮尖双仁炒研一分) 上捣研
为散。
以生艾捣汁和。枣子大绵裹。导下部。 蓄汁和更佳。冬月无艾。只用散裹亦得。
雄黄丸 治伤寒狐惑。微烦。默默欲卧。毒瓦斯上攻。咽干声嗄。下蚀湿 。或便浓
血。
雄黄(研) 当归(锉炒各三分) 芦荟(研) 麝香(研各一分) 槟榔(锉半两) 上
捣研为
末。煮面糊和丸。如梧桐子大。每服十五丸至二十丸。食前。温粥饮下。日三。
柴胡散 治伤寒狐惑。神思昏闷。大便难。肌肤热。
柴胡(去苗) 大黄(锉炒各八钱) 赤芍药 槟榔(锉) 枳实(麸炒去瓤各一两) 半
夏
(半两姜汁浸令透焙) 上为散。每服二钱。浓煎苦楝根调下。米饮亦得。
地榆汤 治伤寒不发汗。变成狐惑。毒瓦斯上攻。喉咽疼痛。下利不止。
地榆 黄连(去须) 木香(各半两) 白术(一分半) 甘草(炙锉) 阿胶(炙燥
各一分)
上粗捣筛。每服五钱。水一盏半。生姜一枣大。拍碎。煎至八分。去滓。食前温服。
撩膈汤 治伤寒狐惑。病在上焦。
甘草(半两生用) 苦参(一两) 上细锉。用浆水一盏半。煎至八分。去滓。五更初
服。
良久即吐。
茯神散(出圣惠方)治伤寒狐惑病。脉数者不可灸。或因火为邪。即加烦热。
故血妄行于脉
茯神(一两) 半夏(三分汤洗七次去滑) 黄芩 人参(去芦头) 麦门冬(去心焙)
黄连
(去须各一两) 甘草(炙微赤锉) 知母(各三分) 上为散。每服五钱。以水一大盏。
入生姜
半
治伤寒发汗不出。毒瓦斯在脏。或毒瓦斯攻于咽喉。为狐惑证。令人干呕。心烦。恶闻
食气。不
黄连(去须) 薰草(各二两) 上细锉。以醋浆水二大盏。渍之一宿。煮取一大盏。
去滓。
分为三服。不计时候。温服。
黄连散 治伤寒毒瓦斯未散。欲变为狐惑。目赤。面色斑斑如锦纹。
黄连(去须) 木通(锉各半两) 犀角屑 川升麻(各三分) 黄芩 大青 茯神 甘
草
(炙微赤锉各半两) 百合(三分) 上为散。每服五钱。以水一大盏。入生姜半分。竹叶
二十
七片
前胡散(出圣惠方)治伤寒不经发汗。变成狐惑。六七日不解。寒热来去。胸
胁满痛。默默
前胡(半两去芦头) 半夏(一两汤洗七次去滑) 黄芩(三分) 人参(一两去芦头)
甘草
(三分炙微赤锉) 当归(一两) 上为散。每服五钱。以水一大盏。入生姜半分。枣三枚。
煎
至
又方(出圣惠方)
人参(去芦头一两) 陈橘皮(汤浸去白瓤焙各一两) 枳壳(麸炒微黄去瓤) 赤芍
药当
归(锉微炒) 半夏(汤洗七次去滑) 前胡(去芦头各三分) 上为散。每服五钱。以水
一大盏。
入生姜半分。煎至五分。去滓。不计时候。温服。
赤芍药散(出圣惠方)治伤寒不经发汗。后成狐惑。默默欲眠。起则不安。咽
中干。心腹满
赤芍药(一两) 枳壳(三分麸炒微黄) 半夏(半两汤洗七次去滑) 黄芩(半两) 前
胡
(一两去芦头) 甘草(半两炙微赤锉) 上为散。每服五钱。水一大盏。入生姜半分。枣
三枚。
煎
又方(出圣惠方)
薰草 黄连(去须各一两) 黄芩(三分) 石膏(二两) 葛根(锉) 柴胡(各一
两去苗)
上为散。每服五钱。以水一大盏。入生姜半分。枣二枚。煎至五分。去滓。不计时候。温服。
羚羊角散(出圣惠方)治伤寒不经发汗。十日以上。变成狐惑。腹胀。面赤。
恶闻食气。
羚羊角屑(半两) 木通(锉) 桑根白皮 大腹皮(锉) 柴胡(去苗各半两) 石
膏(一两)
川朴硝(半两) 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
半夏散(出圣惠方)治伤寒不经发汗。后成狐惑。下痢。腹中 坚。干呕。肠
鸣。
半夏(一两汤洗七次去滑) 黄芩 人参(去芦头) 干姜(炮制锉) 黄连(去须微
炒各三
分) 甘草(半两炙微赤锉) 上为散。每服五钱。以水一中盏。入生姜半分。煎至六分。
去
滓。不计时候。温服。
知母散(出圣惠方)治伤寒狐惑病。咽喉干痛。唇口破裂。或吐脓血者。
知母(一两) 石膏(二两) 甘草(炙微赤锉) 黄芩(各三分) 上为散。每服五
钱。以水
一大盏。入糯米一百粒。煎至五分。去滓。不计时候。温服。
又方(出圣惠方)
茅根(一两锉) 子芩(三分) 羚羊角屑(半两) 石膏(一两) 甘草(半两炙微
赤锉) 上
为散。每服五钱。以水一大盏。入竹叶二七片。煎至五分。去滓。温服。不计时候。
木通散(出圣惠方)治伤寒服冷药过多。寒气在脏。手足厥冷。爪甲梢青。踟
蹰之间变成狐
木通(锉一两) 吴茱萸(半两汤浸七次焙干微炒) 桂心(一两) 细辛(半两) 甘
草(三
分炙微赤锉) 上为散。每服五钱。以水一大盏。入枣二枚。葱白二茎。煎至五分。去滓。
不计时候。温温频服。
又方(出圣惠方)
附子(炮裂去皮脐) 白术(各三分) 桂心(半两) 吴茱萸(汤浸七次焙炒半两) 细
辛
(一分) 木通(三分锉) 上为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去
滓。
不计时候。温服。
又方(出圣惠方)
干姜(炮) 甘草(炙微赤锉) 附子(炮裂去皮脐各半两) 细辛 桂心 白术(各
三分)
上为散。每服五钱。以水一大盏。入豉五十粒。葱白二茎。生姜半分。煎至五分。去滓。不
计时候。温服。
治伤寒发汗。心中躁闷。复发壮热。大肠不通。咽中干痛。变成狐惑方。(出圣
惠
方)
皂荚(二梃去黑皮涂酥炙黄焦去子) 川大黄(锉碎微炒半两) 槟榔 木香(各一分)
上
为散。每服不计时候。以温生姜汤调下二钱。
鳖甲散(出圣惠方)治伤寒不解。变成狐惑。默默欲睡则不安。咽喉干痛。口
内生疮。恶闻
鳖甲(二分涂醋炙令黄去裙 ) 川升麻(半两) 葳蕤 黄连(去须) 当归(锉微
炒) 赤
芍药 桂心 犀角屑 贝齿 茯神 秦艽(去苗) 甘草(炙微赤锉各一分) 柴胡(去苗)
麻
黄(
赤小豆当归散(出金匮方)治伤寒狐惑病。脉数。汗出微烦。默默但欲卧。三
四日。眼赤如
赤小豆(三两炒熟) 当归(一两半锉微炒) 上为散。每服不计时候。以温水调下二
钱。
浆水服亦可。
治伤寒不经汗出。变成狐惑。毒瓦斯下蚀肛门。痒痛至甚。或下脓血。(出圣惠方)
槟榔末 杏仁 朱砂 上研令匀。用黑饧和丸如枣核大。先用椿根、槐白皮各二两。以
水一斗。煎十余沸。去滓。熏洗。然后将药纳肛门中。一日一易之。
狐惑病,初起时症状类似伤寒。有的因患伤寒后转变而来。但本质上都是虫证。虫侵蚀咽喉称为“惑”,导致声音嘶哑。虫侵蚀下部(阴部或肛门)称为“狐”,导致咽干。其临床表现均为神情沉默想睡觉,却又无法安卧,起居不安,厌恶饮食,面色时而发红、时而发白、时而发黑。这是由于伤寒病体内有热,进食减少,肠胃空虚,致使寄生虫活动不安,随所食之物上下移动,因此病名叫做狐惑。
患者神情沉默想睡觉,眼睛却睁不开,起居不安,声音嘶哑,或者咽干,这叫做狐惑伤寒。狐惑病与湿痹(此处原文可能有误,通常指狐惑与阴阳毒或相关湿热病,但依文意理解为另一种虫证或湿热病)都是虫证。初起症状像伤寒,或因伤寒转变为这种疾病。其表现为神情沉默想睡觉,眼睛不能闭合,起居不安。虫侵蚀咽喉为惑,声音嘶哑;虫侵蚀下部为狐,咽干。狐惑病患者都厌恶饮食,面色忽红忽白忽黑是其证候。大抵来说,伤寒病患者腹内发热,进食少,肠胃空虚,三虫(泛指肠道寄生虫)行动觅食,侵蚀人的五脏及下部,从而致病。其表现牙齿颜色无光泽,舌苔满布白色,严重的嘴唇发黑并生疮,四肢沉重,精神恍惚喜欢睡觉。虫侵蚀肛门,若腐烂至见五脏则死。应当经常检查上下嘴唇:上唇有疮,说明虫侵蚀内脏;下唇有疮,说明虫侵蚀肛门。此病杀人非常急骤,多因腹泻而得。
治疗方面:
伤寒不发汗,转变为狐惑病。其气机表现如伤寒,神情沉默想睡觉,眼睛不能闭合,坐卧不安。毒性在咽喉的为惑病,在阴部肛门的为狐病。狐惑病患者都厌恶饮食,不想闻食物的气味,面色忽红忽白忽黑。毒邪侵蚀上部,则声音嘶哑(一作嗄)。毒邪侵蚀下部,则咽干。这是由温毒之气所致。毒邪在上部的,用泻心汤主治;毒邪在下部的,用苦参汤浸洗;毒邪在肛外的,用雄黄熏治。具体方法是用雄黄三片,稍置于瓦瓶中,用炭灰火焚烧,对着肛门熏蒸。同时服用汤药。
歌诀说:狐惑伤寒声音哑又涩,唇口生疮实在可怕。上唇之疮蚀内脏,下唇之疮蚀肛门,医师的治疗应价值连城。
又有论述说:上唇生疮,虫蚀内脏,或者说喉,称为“惑”;下唇有疮,虫蚀肛门,或者说阴部,称为“狐”。两者通用。
多眠的四种证候先看脉象:如果是风温,病情默默沉闷;太阳外证欲解之时,还有少阴病与狐惑病。脉浮且自汗的是风温,用葳蕤汤;脉细的,说明太阳外证已解,用小柴胡汤;仅浮而无汗的是伤寒表实,用麻黄汤;脉沉细的是少阴病,用四逆汤。
歌诀说:蛔厥用乌梅丸及理中汤,脏寒恶冷吐长虫。咽干声哑名为狐惑,湿痹唇疮有限数终了。
又有论述说:蛔厥证,属于厥阴经。病人家有寒,误发其汗,或者汗后身热,又再次发汗,导致胃中虚冷,所以长虫逆上。感到饥饿但不想吃东西,吃了就吐虫。病人有时安静有时烦躁,是因为虫子有时上行停止。虫子闻到食物气味必然出来,所以吃东西就吐虫。张氏有言:厥阴为病,消渴,气上冲心,饥饿不想吃东西,吃了就吐蛔虫。既然蛔虫已经从胃中吐出,为什么腹部还有消渴的症状呢?这是因为热在上焦,导致下焦虚寒无热。如果大便硬结,这也是蕴毒所致,又不能指为燥屎,只需用生料理中汤加大黄,加入蜂蜜来通便。白术、干姜是用来辅助大黄的。治疗方法先服理中丸,次用乌梅丸。如果误用下法,腹泻不止,则用四逆汤。又一种方法:理中丸加茯苓、枳壳、乌梅。口渴者加栝蒌根。狐惑与湿痹,都是虫证。症状像伤寒,多因伤寒下利变坏而成。因为腹中有热,进食不多,肠胃空虚,所以三虫求食,吃人的五脏。其表现四肢沉重,厌恶饮食,神情沉默想睡觉,眼睛不能闭合,舌苔白牙齿晦暗,面色间杂赤白黑色,变化无常。虫侵蚀下部为狐,下唇有疮,咽干;虫侵蚀内脏为惑,上唇有疮,声音嘶哑。湿痹的条例,是谁调理有方?这就是扁鹊(越人)望诊而惊讶的原因。治疗可用桃仁汤、黄连犀角汤、雄黄锐散,备用即可。金液丹方,也是治疗湿痹的方法。大概硫黄能杀灭腹中各种虫子,没有汤药时就给它服用。
方剂:
黄芩汤:治疗伤寒不发汗,后来变成狐惑。脉数,无热微烦,目赤,只想睡觉,咽干不能进食。
组成:黄芩(去黑心)、射干(各一两),黄连(去须炒二分),甘草(炙锉),前胡(去芦头),青竹茹、知母(焙各半两)。将药材粗捣筛。每服五钱,用水一盏半,煎至八分,去渣,饭前温服。
犀角汤:治疗伤寒不发汗,后来变成狐惑。毒瓦斯发盛,厌恶闻饮食,咽中干痛,胸胁满闷。
组成:犀角(镑三分),黄连(去须炒),芍药,木通(锉),木香,枳实(去瓤麸炒),射干、人参、半夏(汤洗七次炒干各半两)。将药材粗捣筛。每服五钱,水一盏半,生姜一块枣大小,大枣一枚,掰碎,煎至八分,去渣,饭前温服。
桃仁汤:治疗伤寒狐惑。神情沉默想睡觉,眼睛不闭,厌恶饮食,面色忽红忽白忽黑,牙齿无色,舌上白,声音哽咽,咽干。这是大病后,肠胃空虚,三焦虫求食,侵蚀人五脏。侵蚀其喉则为惑,声音哽咽。
组成:桃仁(去皮尖双仁炒),槐子,艾(各二两)。将药材切碎如麻豆大。每服五钱,水一盏半,枣子三枚,掰破,煎至八分,去渣,温服。另一法,用生姜三片同煎。
治疗伤寒狐惑,毒邪侵蚀下部,痛痒不止,宜用熏洗方。
组成:枳壳(二两),苦参(三两),槐白皮(二两)。将药材细锉,用水一斗,煎取七升,去渣,熏洗下部。
又一方:
槐白皮、柳白皮、桑白皮、桃白皮(各一两)。将药材细锉,用水二斗,煎取一斗,去渣,熏洗下部。
治疗伤寒狐惑,毒邪侵蚀下部,肛外如鼠乳状,痛痒不止方。
用雄黄半两,用一个瓶子,口稍大的,放入灰上,像装香火一样,烧雄黄。等烟出来,以瓶口对着患处熏之。
半夏汤:治疗伤寒发汗不解,变成狐惑。寒热无常,心中躁闷,不欲饮食。
组成:半夏(汤洗七次炒干),木通(锉),桃仁(汤浸去皮尖双仁炒),附子(炮裂去尖锉),桂(去粗皮),葛根,枳壳(去瓤麸炒),黄芩(去黑心各半两),羚羊角(镑一分),升麻(一分半),麻黄(三分)。将药材锉如麻豆大。每服五钱,水一盏半,生姜一块枣大小,掰碎,煎至八分,去渣,温服。
雄黄导气散:治疗伤寒狐惑,下部生疮。
组成:雄黄(研),青葙子,苦参,黄连(各半两),桃仁(去皮尖双仁炒研一分)。将药材捣研为散。用生艾捣汁调和,做成枣核大,裹在绵中,导入下部。蓄积的汁液调和更好。冬天无艾,只用散裹也可以。
雄黄丸:治疗伤寒狐惑,微烦,神情沉默想卧,毒瓦斯上攻,咽干声哑,下蚀湿痹,或者便脓血。
组成:雄黄(研),当归(锉炒各三分),芦荟(研),麝香(研各一分),槟榔(锉半两)。将药材捣研为末,煮面糊和丸,如梧桐子大。每服十五丸至二十丸,饭前,温粥送下,每日三次。
柴胡散:治疗伤寒狐惑,神思昏闷,大便难,肌肤热。
组成:柴胡(去苗),大黄(锉炒各八钱),赤芍药,槟榔(锉),枳实(麸炒去瓤各一两),半夏(半两姜汁浸令透焙)。将药材为散。每服二钱,浓煎苦楝根调下,米饮也可以。
地榆汤:治疗伤寒不发汗,变成狐惑。毒瓦斯上攻,喉咽疼痛,下利不止。
组成:地榆,黄连(去须),木香(各半两),白术(一分半),甘草(炙锉),阿胶(炙燥各一分)。将药材粗捣筛。每服五钱,水一盏半,生姜一块枣大小,拍碎,煎至八分,去渣,饭前温服。
撩膈汤:治疗伤寒狐惑,病在上焦。
组成:甘草(半两生用),苦参(一两)。将药材细锉,用浆水一盏半,煎至八分,去渣,五更初服。过一会儿就会呕吐。
茯神散(出自《圣惠方》):治疗伤寒狐惑病。脉数者不可灸。或因火邪,即加烦热,故血妄行于脉中。
组成:茯神(一两),半夏(三分汤洗七次去滑),黄芩,人参(去芦头),麦门冬(去心焙),黄连(去须各一两),甘草(炙微赤锉),知母(各三分)。将药材为散。每服五钱,以水一大盏,入生姜半...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
治疗伤寒发汗不出,毒瓦斯在脏,或毒瓦斯攻于咽喉,为狐惑证。令人干呕,心烦,厌恶闻食气。
组成:黄连(去须),薰草(各二两)。将药材细锉,以醋浆水二大盏,浸泡一夜,煮取一大盏,去渣,分为三服,不计时候,温服。
黄连散:治疗伤寒毒瓦斯未散,欲变为狐惑。目赤,面色斑斑如锦纹。
组成:黄连(去须),木通(锉各半两),犀角屑,川升麻(各三分),黄芩,大青,茯神,甘草(炙微赤锉各半两),百合(三分)。将药材为散。每服五钱,以水一大盏,入生姜半分,竹叶二十七片...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
前胡散(出自《圣惠方》):治疗伤寒不经发汗,变成狐惑。六七日不解,寒热往来,胸胁满痛,神情沉默。
组成:前胡(半两去芦头),半夏(一两汤洗七次去滑),黄芩(三分),人参(一两去芦头),甘草(三分炙微赤锉),当归(一两)。将药材为散。每服五钱,以水一大盏,入生姜半分,枣三枚,煎至...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
又一方(出自《圣惠方》):
人参(去芦头一两),陈橘皮(汤浸去白瓤焙各一两),枳壳(麸炒微黄去瓤),赤芍药,当归(锉微炒),半夏(汤洗七次去滑),前胡(去芦头各三分)。将药材为散。每服五钱,以水一大盏,入生姜半分,煎至五分,去渣,不计时候,温服。
赤芍药散(出自《圣惠方》):治疗伤寒不经发汗,后成狐惑。神情沉默想睡觉,起来则不安,咽中干,心腹满。
组成:赤芍药(一两),枳壳(三分麸炒微黄),半夏(半两汤洗七次去滑),黄芩(半两),前胡(一两去芦头),甘草(半两炙微赤锉)。将药材为散。每服五钱,水一大盏,入生姜半分,枣三枚,煎...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
又方(出自《圣惠方》):
薰草,黄连(去须各一两),黄芩(三分),石膏(二两),葛根(锉),柴胡(各一两去苗)。将药材为散。每服五钱,以水一大盏,入生姜半分,枣二枚,煎至五分,去渣,不计时候,温服。
羚羊角散(出自《圣惠方》):治疗伤寒不经发汗,十日以上,变成狐惑。腹胀,面赤,厌恶闻食气。
组成:羚羊角屑(半两),木通(锉),桑根白皮,大腹皮(锉),柴胡(去苗各半两),石膏(一两),川朴硝(半两)。将药材为散。每服五钱,以水一大盏,煎至五分,去渣,不计时候,温服。
半夏散(出自《圣惠方》):治疗伤寒不经发汗,后成狐惑。下痢,腹中坚,干呕,肠鸣。
组成:半夏(一两汤洗七次去滑),黄芩,人参(去芦头),干姜(炮制锉),黄连(去须微炒各三分),甘草(半两炙微赤锉)。将药材为散。每服五钱,以水一中盏,入生姜半分,煎至六分,去渣,不计时候,温服。
知母散(出自《圣惠方》):治疗伤寒狐惑病,咽喉干痛,唇口破裂,或者吐脓血者。
组成:知母(一两),石膏(二两),甘草(炙微赤锉),黄芩(各三分)。将药材为散。每服五钱,以水一大盏,入糯米一百粒,煎至五分,去渣,不计时候,温服。
又方(出自《圣惠方》):
茅根(一两锉),子芩(三分),羚羊角屑(半两),石膏(一两),甘草(半两炙微赤锉)。将药材为散。每服五钱,以水一大盏,入竹叶二七片,煎至五分,去渣,温服,不计时候。
木通散(出自《圣惠方》):治疗伤寒服冷药过多,寒气在脏,手足厥冷,爪甲梢青,踟蹰之间变成狐惑。
组成:木通(锉一两),吴茱萸(半两汤浸七次焙干微炒),桂心(一两),细辛(半两),甘草(三分炙微赤锉)。将药材为散。每服五钱,以水一大盏,入枣二枚,葱白二茎,煎至五分,去渣,不计时候,温温频服。
又方(出自《圣惠方》):
附子(炮裂去皮脐),白术(各三分),桂心(半两),吴茱萸(汤浸七次焙炒半两),细辛(一分),木通(三分锉)。将药材为散。每服五钱,以水一大盏,入生姜半分,煎至五分,去渣,不计时候,温服。
又方(出自《圣惠方》):
干姜(炮),甘草(炙微赤锉),附子(炮裂去皮脐各半两),细辛,桂心,白术(各三分)。将药材为散。每服五钱,以水一大盏,入豉五十粒,葱白二茎,生姜半分,煎至五分,去渣,不计时候,温服。
治疗伤寒发汗,心中躁闷,复发壮热,大肠不通,咽中干痛,变成狐惑方。(出自《圣惠方》)
组成:皂荚(二梃去黑皮涂酥炙黄焦去子),川大黄(锉碎微炒半两),槟榔,木香(各一分)。将药材为散。每服不计时候,以温生姜汤调下二钱。
鳖甲散(出自《圣惠方》):治疗伤寒不解,变成狐惑。神情沉默想睡则不安,咽喉干痛,口内生疮,厌恶闻...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
组成:鳖甲(二分涂醋炙令黄去裙襕),川升麻(半两),葳蕤,黄连(去须),当归(锉微炒),赤芍药,桂心,犀角屑,贝齿,茯神,秦艽(去苗),甘草(炙微赤锉各一分),柴胡(去苗),麻黄...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
赤小豆当归散(出自《金匮方》):治疗伤寒狐惑病。脉数,汗出微烦,神情沉默只想卧。三四日,眼赤如...(原文此处似有缺漏,依常规补全逻辑,但严格按原文翻译)
组成:赤小豆(三两炒熟),当归(一两半锉微炒)。将药材为散。每服不计时候,以温水调下二钱。用浆水服也可以。
治疗伤寒不经汗出,变成狐惑。毒瓦斯下蚀肛门,痒痛至甚,或者下脓血。(出自《圣惠方》)
槟榔末,杏仁,朱砂。上研令匀。用黑饧和丸如枣核大。先用椿根、槐白皮各二两,以水一斗,煎十余沸,去渣,熏洗。然后将药纳肛门中,一日一易之。
The disease of Huhuo (Fox-Hu Syndrome), in its initial stage, presents symptoms similar to Shanghan (Cold Damage). It may arise from a transformation following Shanghan. However, it is essentially a parasitic syndrome. When parasites erode the throat, it is called "Huo" (Hu), causing hoarseness. When parasites erode the lower part (genitals or anus), it is called "Hu" (Fox), causing dryness of the throat. The clinical manifestations include a silent demeanor with a desire to sleep yet an inability to rest peacefully, restlessness in daily activities, aversion to food and drink, and facial complexion that alternates between red, white, and black. This occurs because internal heat from Shanghan reduces food intake, leaving the intestines and stomach empty, allowing parasites to move restlessly up and down with the ingested food, hence the name Huhuo.
Patients exhibit a silent demeanor with a desire to sleep, yet their eyes cannot close; they are restless in daily activities, have hoarse voices, or suffer from dry throats. This is termed Huhuo Shanghan. Both Huhuo and Shibai (Damp-Bi) are parasitic syndromes. The initial symptoms resemble Shanghan, or it may transform into this disease after Shanghan. Manifestations include a silent demeanor with a desire to sleep, inability to close the eyes, and restlessness. Parasites eroding the throat cause Hoarseness (Huo); parasites eroding the lower part cause Dry Throat (Hu). Patients with Huhuo generally dislike food and drink, and the alternating facial complexion of red, white, and black are characteristic signs. Generally, patients with Shanghan have internal abdominal heat, eat little, and have empty intestines and stomachs. The "Three Worms" (a general term for intestinal parasites) move about seeking food, eroding the five zang organs and the lower parts, thereby causing disease. Signs include teeth lacking luster, a tongue coated entirely with white fur, severe cases showing black lips with sores, heavy limbs, mental confusion with a tendency to sleep. If parasites erode the anus to the point where the five zang organs are visible, death ensues. One should frequently examine the upper and lower lips: sores on the upper lip indicate erosion of the viscera; sores on the lower lip indicate erosion of the anus. This disease kills rapidly, often resulting from diarrhea.
Treatment:
If Shanghan is not treated with sweating methods, it may transform into Huhuo. The qi dynamics resemble Shanghan, with a silent demeanor, desire to sleep, inability to close eyes, and restlessness. Toxicity located in the throat constitutes the Huo disease; toxicity in the yin/anus constitutes the Hu disease. Patients with Huhuo dislike food and drink, do not wish to smell food odors, and have faces that alternate between red, white, and black. Toxicity attacking the upper part causes hoarseness (also written as sha). Toxicity attacking the lower part causes dry throat. This is caused by warm toxic qi. For toxicity in the upper part, Xixin Tang (Drain the Heart Decoction) is the primary treatment. For toxicity in the lower part, Kushen Tang (Sophora Decoction) is used for soaking/washing. For toxicity outside the anus, Xionghuang (Realgar) fumigation is used. Specifically, place three pieces of Realgar in a small clay bottle, burn with charcoal ash fire, and fumigate the anus towards the smoke. Simultaneously administer decoctions.
A verse states:
"Huhuo Shanghan brings hoarse and raspy voice,
Sores on lips and mouth are truly fearful.
Upper lip sores erode the viscera, lower lip sores erode the anus,
Physicians' treatments should be priceless."
Another discussion states: Sores on the upper lip indicate worms eroding the viscera, or throat, called "Huo". Sores on the lower lip indicate worms eroding the anus, or yin, called "Hu". They are used interchangeably.
For multiple sleeping conditions, first observe the pulse. If it is Fengwen (Wind-Warmth), the condition is silently heavy. When the Taiyang exterior syndrome is resolving, consider Shaoyin disease and Huhuo. Floating pulse with spontaneous sweating indicates Wind-Warmth; use Weiyu Tang (Jade Yucca Decoction). Fine pulse indicates Taiyang exterior has resolved; use Xiaochaihu Tang (Minor Bupleurum Decoction). Floating pulse without sweating indicates Taiyang excess; use Mahuang Tang (Ephedra Decoction). Deep and fine pulse indicates Shaoyin disease; use Sini Tang (Frigid Extremities Decoction).
A verse states:
"Jueyu (Reversal Cold) uses Wumei Wan (Mume Pill) and Lizhong Tang,
Visceral cold, aversion to cold, vomiting long worms.
Dry throat and hoarse voice named Huhuo,
Shibi lip sores have limited duration."
Another discussion states: Jueyu syndrome belongs to the Jueyin channel. If the patient's family has cold, and sweating is wrongly induced, or if fever persists after sweating and sweating is repeated, it leads to deficiency-cold in the stomach. Thus, long worms rebel upwards. The patient feels hungry but does not want to eat; eating causes vomiting of worms. The patient alternates between quiet and irritable because the worms sometimes move up and stop. Worms emerge upon smelling food, hence vomiting worms after eating. Zhang Shi said: Jueyin disease involves thirst, qi rushing up to the heart, hunger without desire to eat, and vomiting roundworms after eating. Since the roundworms have been vomited out of the stomach, why is there still a thirst symptom in the abdomen? This is because heat is in the Upper Jiao, causing deficiency-cold and lack of heat in the Lower Jiao. If stool is hard and knotted, this is also due to accumulated toxicity, not merely dry feces. Use raw material Lizhong Tang plus Dahuang (Rhubarb Root), adding honey to promote bowel movement. Baizhu (Atractylodes Rhizome) and Ganjiang (Dried Ginger) assist Dahuang. Treatment method: First take Lizhong Wan (Regulate the Middle Pill), then use Wumei Wan. If mistakenly purged and diarrhea continues, use Sini Tang. Another method: Lizhong Wan plus Fuling (Poria), Zhike (Bitter Orange Peel), Wumei (Mume Fruit). If thirsty, add Gualougen (Trichosanthes Root). Huhuo and Shibi are both parasitic syndromes. Symptoms resemble Shanghan, often resulting from deterioration after Shanghan-induced diarrhea. Because there is heat in the abdomen, little food is eaten, intestines and stomach are empty, so the Three Worms seek food and eat the five zang organs. Signs include heavy limbs, aversion to food, silent desire to sleep, inability to close eyes, white tongue coating, dull teeth, facial complexion changing irregularly among red, white, and black colors. Parasites eroding the lower part constitute Hu, with sores on the lower lip and dry throat; parasites eroding the viscera constitute Huo, with sores on the upper lip and hoarse voice. Regarding Shibi regulations, who regulates it effectively? This is why Yue Ren (Bian Que) was startled upon observation. Treatments include Taoren Tang (Peach Kernel Decoction), Huanglian Xijiao Tang (Coptis and Rhinoceros Horn Decoction), Xionghuang Ruisan (Realgar Sharp Powder), for backup use. Jin Ye Dan (Golden Liquid Pill) is also a method for treating Shibi. Essentially, Sulfur can kill various worms in the abdomen; if no decoction is available, give it directly.
Formulas:
Huangqin Tang (Scutellaria Decoction): Treats Shanghan not sweated, later transforming into Huhuo. Pulse is rapid, no fever but slight irritability, red eyes, only wanting to sleep, dry throat, inability to eat.
Ingredients: Huangqin (Scutellaria Root, remove black heart), Shegan (Belamcanda Rhizome) (1 liang each); Huanglian (Coptis Rhizome, remove stamens, stir-fry 2 fen); Gancao (Licorice Root, roasted and crushed); Qianhu (Peucedani Radix, remove rhizome head); Qingzhuru (Green Bamboo Shavings), Zhimu (Anemarrhenae Rhizome, baked) (0.5 liang each). Coarsely grind and sieve. Take 5 qian per dose, with 1.5 cups of water, decoct to 0.8 cup, remove dregs, take warm before meals.
Xijiao Tang (Rhinoceros Horn Decoction): Treats Shanghan not sweated, later transforming into Huhuo. Toxic qi is vigorous, aversion to food smells, dry and painful throat, chest and hypochondriac fullness.
Ingredients: Xijiao (Rhinoceros Horn, shaved 3 fen); Huanglian (remove stamens, stir-fry); Shaoyao (Peony Root); Mutong (Akebia Caulis, crushed); Muxiang (Aucklandiae Radix); Zhishi (Immature Bitter Orange, remove pulp, bran-fried); Shegan, Renshen (Ginseng Radix), Banxia (Pinellia Tuber, wash seven times in hot water, stir-fry dry) (0.5 liang each). Coarsely grind and sieve. Take 5 qian per dose, with 1.5 cups of water, ginger piece size of a date, one jujube, broken, decoct to 0.8 cup, remove dregs, take warm before meals.
Taoren Tang (Peach Kernel Decoction): Treats Shanghan Huhuo. Silent desire to sleep, eyes open, aversion to food, face alternating red/white/black, colorless teeth, white tongue, choking voice, dry throat. Caused by emptiness of intestines/stomach after severe illness, Three Jiao worms seeking food, eroding five zang organs. Eroding throat causes Huo, choking voice.
Ingredients: Taoren (Peach Seed, remove skin/apex, double-kernel, stir-fry), Huaizi (Stylocodi Fructus), Ai (Artemisiae Argyi Folium) (2 liang each). Cut into hemp-bean size. Take 5 qian per dose, with 1.5 cups of water, three jujubes, broken, decoct to 0.8 cup, remove dregs, take warm. Alternative: Add three slices of fresh ginger.
Treat Shanghan Huhuo, toxicity eroding lower part, unceasing pain and itching. Use fumigation/wash formula.
Ingredients: Zhike (Bitter Orange Peel, 2 liang), Kushen (Sophora Root, 3 liang), Huaibai Pi (Phellodendron Bark, 2 liang). Finely cut, boil in one dou of water until seven sheng remain, remove dregs, fumigate and wash lower part.
Another Formula:
Huaibai Pi, Liubai Pi (Willow Bark), Sangbai Pi (Mulberry Root Bark), Taobai Pi (Peach Tree Bark) (1 liang each). Finely cut, boil in two dou of water until one dou remains, remove dregs, fumigate and wash lower part.
Treat Shanghan Huhuo, toxicity eroding lower part, anus like rat-milk, unceasing pain and itching.
Use 0.5 liang of Xionghuang (Realgar). Place in a bottle with a slightly wide mouth, put on ashes, burn like incense. When smoke emerges, hold bottle mouth to the lesion to fumigate.
Banxia Tang (Pinellia Decoction): Treats Shanghan sweating ineffective, transforming into Huhuo. Alternating chills and fever, mental restlessness, loss of appetite.
Ingredients: Banxia (wash seven times, stir-fry dry), Mutong (crushed), Taoren (soak in hot water, remove skin/apex, double-kernel, stir-fry), Fuzi (Aconite Lateralis Radix Praeparata, roast crack, remove apex, crush), Guizhi (Cinnamon Twig, remove rough bark), Gegen (Puerariae Radix), Zhike (remove pulp, bran-fried), Huangqin (remove black heart) (0.5 liang each); Lingyangjiao (Saiga Tataricae Cornu, shaved 1 fen); Shengma (Cimicifugae Rhizoma, 1.5 fen); Mahuang (Ephedrae Herba, 3 fen). Crush into hemp-bean size. Take 5 qian per dose, with 1.5 cups of water, ginger piece size of a date, broken, decoct to 0.8 cup, remove dregs, take warm.
Xionghuang Daoqi San (Realgar Guiding Qi Powder): Treats Shanghan Huhuo, sores in lower part.
Ingredients: Xionghuang (ground), Qingxiangzi (Celosiae Semen), Kushen, Huanglian (0.5 liang each); Taoren (remove skin/apex, double-kernel, stir-fry, ground 1 fen). Grind into powder. Mix with juice of fresh Artemisia argyi, form into pill size of a date, wrap in cotton, insert into lower part. Accumulated juice is better. In winter without mugwort, just wrap powder.
Xionghuang Wan (Realgar Pill): Treats Shanghan Huhuo, slight irritability, silent desire to lie down, toxic qi attacking upward, dry throat, hoarse voice, lower erosion Shibi, or pus/blood in stool.
Ingredients: Xionghuang (ground), Danggui (Angelica Sinensis Radix, crush stir-fry 3 fen each); Lushen (Aloe), Shexiang (Musk, ground 1 fen each); Binglang (Areca Seed, crush 0.5 liang). Grind into powder, mix with wheat paste to form pills size of Sophora seeds. Take 15-20 pills per dose, before meals, with warm porridge water, three times daily.
Chaihu San (Bupleurum Powder): Treats Shanghan Huhuo, mental confusion, difficult defecation, skin heat.
Ingredients: Chaihu (Bupleuri Radix, remove seedlings), Dahuang (Rhei Radix et Rhizoma, crush stir-fry 8 qian each); Chi Shaoyao (Red Peony Root), Binglang (crush), Zhishi (bran-fried remove pulp 1 liang each); Banxia (0.5 liang, soak in ginger juice thoroughly, bake). Grind into powder. Take 2 qian per dose, mixed with strong decoction of Toosendan Fructus root, or rice water.
Diyu Tang (Sanguisorba Decoction): Treats Shanghan not sweated, transforming into Huhuo. Toxic qi attacking upward, sore throat, continuous diarrhea.
Ingredients: Diyu (Sanguisorbae Radix), Huanglian (remove stamens), Muxiang (0.5 liang each); Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 fen); Gancao (roast crush); Ejiao (Donkey-hide Gelatin, roast dry 1 fen each). Coarsely grind and sieve. Take 5 qian per dose, with 1.5 cups of water, ginger piece size of a date, smashed, decoct to 0.8 cup, remove dregs, take warm before meals.
Liao Ge Tang (Diaphragm-Lifting Decoction): Treats Shanghan Huhuo, disease in Upper Jiao.
Ingredients: Gancao (Licorice Root, raw 0.5 liang), Kushen (Sophora Root, 1 liang). Finely cut, decoct in 1.5 cups of fermented grain water to 0.8 cup, remove dregs. Take at dawn (5-7 AM). Vomiting will occur after some time.
Fushen San (Poria Powder) (from *Shenghui Fang*): Treats Shanghan Huhuo. Rapid pulse contraindicates moxibustion. Fire pathogen adds irritability and heat, causing blood to run wild in vessels.
Ingredients: Fushen (Poria with Hostwood, 1 liang); Banxia (wash seven times, remove slipperiness 3 fen); Huangqin, Renshen (remove rhizome head), Maidong (Ophiopogonis Radix, remove heart, bake), Huanglian (remove stamens 1 liang each); Gancao (roast slightly red, crush); Zhimu (Anemarrhenae Rhizoma, 3 fen each). Grind into powder. Take 5 qian per dose, with one large cup of water, add half... [Text incomplete in source].
Treats Shanghan sweating failure, toxic qi in viscera, or attacking throat, forming Huhuo syndrome. Causes dry retching, irritability, aversion to food smells.
Ingredients: Huanglian (remove stamens), Xuncao (Vetiveria Radix) (2 liang each). Finely cut, soak in two large cups of vinegar-grain water overnight, boil to one cup, remove dregs. Divide into three doses, take warm anytime.
Huanglian San (Coptis Powder): Treats Shanghan toxic qi not dispersed, about to transform into Huhuo. Red eyes, mottled face like brocade patterns.
Ingredients: Huanglian (remove stamens), Mutong (crush 0.5 liang each); Xijiao xie (Rhinoceros Horn chips), Chuanshengma (Cimicifugae Rhizoma, 3 fen each); Huangqin, Daqing (Isatidis Folium), Fushen, Gancao (roast slightly red, crush 0.5 liang each); Baihe (Lilii Bulbus, 3 fen). Grind into powder. Take 5 qian per dose, with one large cup of water, add half ginger, twenty-seven bamboo leaves... [Text incomplete in source].
Qianhu San (Peucedani Radix Powder) (from *Shenghui Fang*): Treats Shanghan not sweated, transforming into Huhuo. Six to seven days unresolved, alternating chills and fever, chest/hypochondriac fullness/pain, silent demeanor.
Ingredients: Qianhu (0.5 liang, remove rhizome head); Banxia (1 liang, wash seven times, remove slipperiness); Huangqin (3 fen); Renshen (1 liang, remove rhizome head); Gancao (3 fen, roast slightly red, crush); Danggui (Angelica Sinensis Radix, 1 liang). Grind into powder. Take 5 qian per dose, with one large cup of water, add half ginger, three jujubes, decoct to... [Text incomplete in source].
Another Formula (from *Shenghui Fang*):
Renshen (remove rhizome head 1 liang), Chenpi (Aged Tangerine Peel, soak in hot water, remove white pulp, bake 1 liang each); Zhike (bran-fried slightly yellow, remove pulp); Chi Shaoyao, Danggui (crush slightly stir-fry); Banxia (wash seven times, remove slipperiness); Qianhu (remove rhizome head 3 fen each). Grind into powder. Take 5 qian per dose, with one large cup of water, add half ginger, decoct to 0.5 cup, remove dregs, take warm anytime.
Chi Shaoyao San (Red Peony Powder) (from *Shenghui Fang*): Treats Shanghan not sweated, later becoming Huhuo. Silent desire to sleep, restlessness when rising, dry throat, fullness in heart/abdomen.
Ingredients: Chi Shaoyao (1 liang); Zhike (3 fen, bran-fried slightly yellow); Banxia (0.5 liang, wash seven times, remove slipperiness); Huangqin (0.5 liang); Qianhu (1 liang, remove rhizome head); Gancao (0.5 liang, roast slightly red, crush). Grind into powder. Take 5 qian per dose, one large cup of water, add half ginger, three jujubes, decoct... [Text incomplete in source].
Another Formula (from *Shenghui Fang*):
Xuncao, Huanglian (remove stamens 1 liang each); Huangqin (3 fen); Shigao (Gypsum Fibrosum, 2 liang); Gegen (crush); Chaihu (remove seedlings 1 liang each). Grind into powder. Take 5 qian per dose, one large cup of water, add half ginger, two jujubes, decoct to 0.5 cup, remove dregs, take warm anytime.
Lingyangjiao San (Saiga Tataricae Cornu Powder) (from *Shenghui Fang*): Treats Shanghan not sweated, ten days or more, transforming into Huhuo. Abdominal distension, red face, aversion to food smells.
Ingredients: Lingyangjiao xie (0.5 liang); Mutong (crush); Sangbaipi (Mulberry Root Bark), Dafupi (Arecae Pericarpium, crush); Chaihu (remove seedlings 0.5 liang each); Shigao (Gypsum Fibrosum, 1 liang); Chuan Poxiao (Mirabilitum, 0.5 liang). Grind into powder. Take 5 qian per dose, one large cup of water, decoct to 0.5 cup, remove dregs, take warm anytime.
Banxia San (Pinellia Powder) (from *Shenghui Fang*): Treats Shanghan not sweated, later becoming Huhuo. Dysentery, hardness in abdomen, dry retching, borborygmus.
Ingredients: Banxia (1 liang, wash seven times, remove slipperiness); Huangqin, Renshen (remove rhizome head); Ganjiang (Dried Ginger, roast process crush); Huanglian (remove stamens slightly stir-fry 3 fen each); Gancao (0.5 liang, roast slightly red, crush). Grind into powder. Take 5 qian per dose, one medium cup of water, add half ginger, decoct to 0.6 cup, remove dregs, take warm anytime.
Zhimu San (Anemarrhenae Rhizoma Powder) (from *Shenghui Fang*): Treats Shanghan Huhuo, dry/painful throat, cracked lips/mouth, or vomiting pus/blood.
Ingredients: Zhimu (1 liang); Shigao (Gypsum Fibrosum, 2 liang); Gancao (roast slightly red, crush); Huangqin (3 fen each). Grind into powder. Take 5 qian per dose, one large cup of water, add one hundred glutinous rice grains, decoct to 0.5 cup, remove dregs, take warm anytime.
Another Formula (from *Shenghui Fang*):
Maogen (Imperatae Rhizoma, 1 liang, cut); Zixin (Scutellaria Root, 3 fen); Lingyangjiao xie (0.5 liang); Shigao (Gypsum Fibrosum, 1 liang); Gancao (0.5 liang, roast slightly red, crush). Grind into powder. Take 5 qian per dose, one large cup of water, add fourteen bamboo leaves, decoct to 0.5 cup, remove dregs, take warm anytime.
Mutong San (Akebia Caulis Powder) (from *Shenghui Fang*): Treats Shanghan taking too many cold medicines, cold qi in viscera, cold extremities, blueish nail tips, hesitatingly transforming into Huhuo.
Ingredients: Mutong (crush 1 liang); Wuzhuyu (Evodiae Fructus, soak in hot water seven times, bake dry slightly stir-fry 0.5 liang); Guixin (Cinnamon Cortex, 1 liang); Xixin (Asari Radix et Rhizoma, 0.5 liang); Gancao (3 fen, roast slightly red, crush). Grind into powder. Take 5 qian per dose, one large cup of water, two jujubes, two stalks of green onion white, decoct to 0.5 cup, remove dregs, take warm frequently anytime.
Another Formula (from *Shenghui Fang*):
Fuzi (Aconite Lateralis Radix Praeparata, roast crack remove peel/navel); Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen each); Guixin (Cinnamon Cortex, 0.5 liang); Wuzhuyu (soak in hot water seven times, bake stir-fry 0.5 liang); Xixin (Asari Radix et Rhizoma, 1 fen); Mutong (crush 3 fen). Grind into powder. Take 5 qian per dose, one large cup of water, add half ginger, decoct to 0.5 cup, remove dregs, take warm anytime.
Another Formula (from *Shenghui Fang*):
Ganjiang (Dried Ginger, roast); Gancao (roast slightly red, crush); Fuzi (Aconite Lateralis Radix Praeparata, roast crack remove peel/navel 0.5 liang each); Xixin, Guixin, Baizhu (3 fen each). Grind into powder. Take 5 qian per dose, one large cup of water, fifty soybeans, two stalks of green onion white, half ginger, decoct to 0.5 cup, remove dregs, take warm anytime.
Treats Shanghan sweating, mental restlessness, recurrent high fever, large intestine obstruction, dry/painful throat, transforming into Huhuo. (From *Shenghui Fang*)
Ingredients: Zhaojiao (Gleditsiae Sinensis Spina, two sticks remove black skin, coat with butter, roast yellow/brown/remove seeds); Chuandahuang (Rhei Radix et Rhizoma, crush slightly stir-fry 0.5 liang); Binglang (Areca Seed), Muxiang (Aucklandiae Radix, 1 fen each). Grind into powder. Take anytime, mix with warm ginger water, take 2 qian.
Biejia San (Softshell Turtle Shell Powder) (from *Shenghui Fang*): Treats Shanghan unresolved, transforming into Huhuo. Silent desire to sleep but restless, dry/painful throat, sores in mouth, aversion to... [Text incomplete in source].
Ingredients: Biejia (Softshell Turtle Shell, 2 fen, coat with vinegar, roast yellow, remove skirt); Chuanshengma (Cimicifugae Rhizoma, 0.5 liang); Weiyu (Polygonati Odorati Rhizoma), Huanglian (remove stamens), Danggui (Angelica Sinensis Radix, crush slightly stir-fry); Chi Shaoyao, Guixin, Xijiao xie, Beichi (Concha Meretricis et Cyprinae), Fushen, Qinjiao (Gentianae Macrophyllae Radix, remove seedlings); Gancao (roast slightly red, crush 1 fen each); Chaihu (remove seedlings); Mahuang (Ephedrae Herba)... [Text incomplete in source].
Chixiaodou Danggui San (Adzuki Bean and Angelica Powder) (from *Jinkui Fang*): Treats Shanghan Huhuo. Rapid pulse, slight sweating and irritability, silent desire to lie down. Three to four days, eyes red as... [Text incomplete in source].
Ingredients: Chixiaodou (Adzuki Bean, 3 liang, stir-fry cooked); Danggui (Angelica Sinensis Radix, 1.5 liang, crush slightly stir-fry). Grind into powder. Take anytime, mix with warm water, take 2 qian. Can also take with fermented grain water.
Treats Shanghan not sweating, transforming into Huhuo. Toxic qi eroding anus downward, severe itching/pain, or pus/blood in stool. (From *Shenghui Fang*)
Binglang end, Xingren (Apricot Seed), Zhusha (Cinnabar). Grind evenly. Mix with dark malt sugar to form pills size of date pit. First, use Cuntigen (Toosendan Root Bark) and Huaibai Pi (Phellodendron Bark) 2 liang each, boil in one dou of water for ten boils, remove dregs, fumigate/wash. Then insert medicine into anus, change once daily.