(附论)
夫时气病。八九日以上不解者。或者诸经络重感之病。或已发汗吐下之后。毒瓦斯未尽。
所以病不能除。或一经受病未便相传。致使停滞累日。病证不改。皆当察其证候而治之也。
方
前胡散(出圣惠方)治时气八九日不解。心腹坚满。身体疼痛。内外有热。
烦呕不安。
前胡(一两去芦头) 半夏(一两汤洗七次去滑) 枳壳(三分麸炒微黄去瓤) 赤芍
药(三
分) 黄芩(三分) 麦门冬(一两去心) 上为散。每服五钱。以水一大盏。入生姜半分。
竹
茹一分。煎至五分。去滓。不计时候。温服。
治时气八九日。烦躁壅闷喘粗方。(出圣惠方)
桔梗(一两去芦头) 甘草(三分炙微赤锉) 麻黄(一两去根节) 杏仁(一两汤浸
去皮尖
双仁麸炒微黄) 黄芩(三分) 麦门冬(一两去心) 上为散。每服五钱。以水一大盏。
煎至
五分。去滓。不计时候。温服。
柴胡散(出圣惠方)治时气八九日。骨热。四肢烦疼。背膊劳闷。手足无力
。不能饮食。
柴胡(一两去苗) 黄 (一两锉) 赤茯苓(三分) 秦艽(半两去苗) 地骨皮(半
两) 黄
连(三分去须) 葛根(半两锉) 枳壳(半两麸炒微黄去瓤) 川大黄(三分锉碎微炒) 鳖
甲
(一两半涂醋炙黄去裙 ) 甘草(三分) 上为散。每服五钱。以水一大盏。煎至五分。
去滓。
不计时候。温服。
鳖甲散(出圣惠方)治时气八九日。肢节疼痛。热毒不止。乍寒乍热。乍剧
乍轻。发动如疟。
鳖甲(二两涂醋炙微黄去裙 ) 知母(一两) 黄芩(一两) 乌梅肉(一两微炒) 柴
胡
(一两去苗) 常山(一两) 地骨皮(一两) 赤芍药(一两) 牛膝(一两去苗) 甘
草(五钱炙
微赤锉) 上为散。每服五钱。以水一中盏。煎至五分。去滓。不计时候。温服。
黑奴丸(出圣惠方)治时气八九日已后。口干狂语。唯饮冷水。
麻黄(去根节) 川大黄(锉碎微炒) 川朴硝 梁上尘 灶突墨 釜底墨 小麦(炒
令黄
各一两) 上为散。炼蜜和丸如弹子大。每服不计时候。以新汲水研下一丸。服后更与新汲
水。任意饮之。汗出为效。
(附论)
所谓时气病,若经过八九日以上仍未痊愈的,可能是各条经络再次感受外邪所致;或者是已经经过发汗、催吐、泻下等治法之后,体内的毒邪尚未清除干净。
因此疾病无法消除。或者某一经络受病后尚未传变至其他经络,导致病邪停滞多日,病症表现没有改变。这些情况都应当仔细诊察其证候特点来进行治疗。
方剂
前胡散(出自《圣惠方》),用于治疗时气病经过八九日仍未解除,出现心腹部坚硬胀满,身体疼痛,体内体外均有发热,心烦呕吐且不安宁的症状。
药材:前胡(一两,去除芦头)、半夏(一两,用汤水清洗七次以去除滑腻感)、枳壳(三分,用麸皮炒至微黄并去除瓤)、赤芍药(三分)、黄芩(三分)、麦门冬(一两,去除心)。以上药物研磨成散剂。每次服用五钱,用水一大盏,加入生姜半分、竹茹一分,煎煮至剩余五分水量,滤去药渣。不限时间,温服。
治疗时气病经过八九日,出现烦躁、气机壅塞闷乱、呼吸粗促的方剂。(出自《圣惠方》)
药材:桔梗(一两,去除芦头)、甘草(三分,炙烤至微红并切碎)、麻黄(一两,去除根和节)、杏仁(一两,用水浸泡后去皮尖及双仁部分,用麸皮炒至微黄)、黄芩(三分)、麦门冬(一两,去除心)。以上药物研磨成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时间,温服。
柴胡散(出自《圣惠方》),用于治疗时气病经过八九日,出现骨蒸潮热,四肢烦扰疼痛,背部和两胁劳损闷胀,手脚无力,不能进食的症状。
药材:柴胡(一两,去除苗)、黄芪(一两,切碎)、赤茯苓(三分)、秦艽(半两,去除苗)、地骨皮(半两)、黄连(三分,去除须)、葛根(半两,切碎)、枳壳(半两,用麸皮炒至微黄并去除瓤)、川大黄(三分,切碎并微炒)、鳖甲(一两半,涂醋炙至微黄并去除裙边)、甘草(三分)。以上药物研磨成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时间,温服。
鳖甲散(出自《圣惠方》),用于治疗时气病经过八九日,出现肢体关节疼痛,热毒不止,时而发冷时而发热,病情时而加重时而减轻,发作起来像疟疾一样。
药材:鳖甲(二两,涂醋炙至微黄并去除裙边)、知母(一两)、黄芩(一两)、乌梅肉(一两,微炒)、柴胡(一两,去除苗)、常山(一两)、地骨皮(一两)、赤芍药(一两)、牛膝(一两,去除苗)、甘草(五钱,炙烤至微红并切碎)。以上药物研磨成散剂。每次服用五钱,用水一中盏,煎煮至剩余五分水量,滤去药渣。不限时间,温服。
黑奴丸(出自《圣惠方》),用于治疗时气病经过八九日以后,出现口干、胡言乱语,只愿饮用冷水的情况。
药材:麻黄(去除根和节)、川大黄(切碎并微炒)、川朴硝、梁上尘、灶突墨、釜底墨、小麦(炒至微黄,以上各一两)。以上药物研磨成散剂。用炼蜜调和制成如弹子大小的丸剂。每次服用不限时间,用新汲取的凉水将一丸研化送服。服药后继续饮用新汲取的凉水,随意饮用,以出汗为见效标志。
(Attached Discussion)
Regarding "Shi Qi" (Seasonal Pathogenic Factors) disease, if it persists for eight or nine days without resolution, it may be due to the re-infection of various meridians by pathogenic factors. Alternatively, it may occur after sweating, vomiting, or purging therapies have been applied, yet the toxic pathogens remain incomplete. Consequently, the illness cannot be eradicated. Or, a disease affecting one meridian has not yet transmitted to others, causing stagnation for several days with unchanged clinical manifestations. In all such cases, treatment must be guided by careful observation of the syndrome patterns.
Prescriptions
Qianhu San (Anterior Peony Powder, from *Shenghui Fang*): Indicated for "Shi Qi" disease persisting for eight or nine days, presenting with hardness and fullness in the heart and abdomen, body pain, internal and external heat, irritability, vomiting, and restlessness.
Ingredients: Qian Hu (Peucedani Radix, 1 liang, remove rhizome), Ban Xia (Pinelliae Rhizoma, 1 liang, wash seven times with decoction to remove slipperiness), Zhi Ke (Aurantii Fructus, 3 fen, stir-fry with bran until slightly yellow, remove pith), Chi Shao Yao (Paeoniae Radix Rubra, 3 fen), Huang Qin (Scutellariae Radix, 3 fen), Mai Men Dong (Ophiopogonis Tuber, 1 liang, remove heart). Grind the above into powder. Take 5 qian per dose. Add 1 da zhen (large cup) of water, 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and 1 fen of Zhu Ru (Bambusae Caulis in Taeniam), decoct until 0.5 zhen remains. Strain and take warm at any time.
Formula for treating "Shi Qi" disease after eight or nine days, characterized by irritability, qi stagnation, oppression, coarse breathing (from *Shenghui Fang*).
Ingredients: Jie Geng (Platycodonis Radix, 1 liang, remove rhizome), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fry until slightly red and crush), Ma Huang (Ephedrae Herba, 1 liang, remove roots and joints), Xing Ren (Armeniacae Semen Amarum, 1 liang, soak in water, remove skin and tips, use single kernel, stir-fry with bran until slightly yellow), Huang Qin (Scutellariae Radix, 3 fen), Mai Men Dong (Ophiopogonis Tuber, 1 liang, remove heart). Grind the above into powder. Take 5 qian per dose. Add 1 da zhen of water, decoct until 0.5 zhen remains. Strain and take warm at any time.
Chaihu San (Bupleuri Decoction, from *Shenghui Fang*): Indicated for "Shi Qi" disease after eight or nine days, presenting with bone-steaming fever, vexing pain in the four limbs, fatigue and oppression in the back and ribs, weakness in hands and feet, and inability to eat.
Ingredients: Chai Hu (Bupleuri Radix, 1 liang, remove sprouts), Huang Qi (Astragali Radix, 1 liang, slice), Chi Fu Ling (Poria with Red Heart, 3 fen), Qin Jiao (Gentianae Macrophyllae Radix, 0.5 liang, remove sprouts), Di Gu Pi (Lycii Cortex, 0.5 liang), Huang Lian (Coptidis Rhizoma, 3 fen, remove roots), Ge Gen (Puerariae Lobatae Radix, 0.5 liang, slice), Zhi Ke (Aurantii Fructus, 0.5 liang, stir-fry with bran until slightly yellow, remove pith), Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, slice and stir-fry slightly), Bie Jia (Testudinis et Carapacis et Plastrum, 1.5 liang, coat with vinegar, fry until slightly yellow, remove skirt), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen). Grind the above into powder. Take 5 qian per dose. Add 1 da zhen of water, decoct until 0.5 zhen remains. Strain and take warm at any time.
Biejia San (Testudinis Decoction, from *Shenghui Fang*): Indicated for "Shi Qi" disease after eight or nine days, presenting with pain in limbs and joints, unceasing heat toxicity, alternating chills and fever, fluctuating severity of symptoms, and attacks resembling malaria.
Ingredients: Bie Jia (Testudinis et Carapacis et Plastrum, 2 liang, coat with vinegar, fry until slightly yellow, remove skirt), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Huang Qin (Scutellariae Radix, 1 liang), Wu Mei Rou (Mume Fructus Flesh, 1 liang, stir-fry slightly), Chai Hu (Bupleuri Radix, 1 liang, remove sprouts), Chang Shan (Dichroae Radix, 1 liang), Di Gu Pi (Lycii Cortex, 1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, 1 liang, remove sprouts), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian, honey-fry until slightly red and crush). Grind the above into powder. Take 5 qian per dose. Add 1 zhong zhen (medium cup) of water, decoct until 0.5 zhen remains. Strain and take warm at any time.
Heinu Wan (Black Slave Pill, from *Shenghui Fang*): Indicated for "Shi Qi" disease after eight or nine days, presenting with dry mouth, delirious speech, and a craving only for cold water.
Ingredients: Ma Huang (Ephedrae Herba, remove roots and joints), Chuan Da Huang (Rhei Radix et Rhizoma, slice and stir-fry slightly), Chuan Po Xiao (Natrii Sulfas), Liang Shang Chen (Dust from Beams), Zao Tu Mo (Soot from Chimney Flues), Fu Di Mo (Soot from Pot Bottoms), Xiao Mai (Tritici Capillaris, stir-fry until yellow; each of these ingredients is 1 liang). Grind the above into powder. Mix with refined honey to form pills the size of marbles. Take one pill at any time, grinding it down with newly drawn cool water. After ingestion, continue to drink newly drawn cool water as desired. Sweating indicates efficacy.