(附论)
夫人居天地间。禀气于阴阳。气和则安。气戾则病。故一岁之内。节气不和。寒暑乖候。
皆为疫疠之气。感而为病。故名疫疠。其状无问长少。率皆相似。俗又名天行。其病与时气
温热等病相类。治各随其证。以方制之。
又诗曰。四时疫疠会应难。老幼调停总一般。夏责于心冬责肾。季脾秋肺与春肝。
又论云。疫疠春感清。升麻葛根汤、解肌汤。夏感寒。理中汤、麝香汤、半夏桂甘汤。
秋感热。白虎加苍术汤。发黄瘅者。茵陈五苓散。冬感暖。葳蕤汤。四时通用败毒散、升麻
葛根汤。土无正行。因火而名。当随其症而取之。
方
牛黄七宝膏 治伤寒时疫。热毒暑病。心胸痞塞。或发黄斑。狂躁迷闷。及久经
取转不效。蕴毒滞积潮热。
牛黄(五分) 龙脑(五分) 麝香(五分) 朱砂(二钱五分) 轻粉(五钱以上并
研) 白面
(五钱) 寒水石(烧通赤三两半) 上同研匀。滴水和作二十丸。每服一丸。澄清水化。
小儿
半丸。不拘时候。
圣散子 治伤寒时行疫疠。风温湿温。不问阴阳两感。表里未辨。或外热内寒。
外寒内热。头项腰脊拘急。发热恶寒。肢节疼痛。呕逆喘咳。鼻塞声重。及食饮生冷
。伤在胃脘满闷。腹胁胀痛。心下结痞。手足逆冷。肠鸣泄泻。水谷不消。时自汗出。
小便不利。因观东坡先生注述。其功效不可胜言。昔在杭州黄州。其年瘟疫大行。满
城人皆患其病。危笃不救。每用圣散子。不问阴阳二感。男子妇人。状至危笃。连饮
数剂。而汗出气通。连服取瘥。药性小热。而阳毒发狂之人。入口便觉清凉。此药殆
不可以常理而论也。若时疫流行。不问老幼良贱。各饮一盏。则时气百病不生。真济
世卫家之宝也。其方巢君数世宝之。治此疾百不失一。余谪居黄州。连岁大疫。所全
活者。不可胜数。巢君甚秘此方。偶泄之。以传蕲水庞君。时庞君以医闻世。又善着书
。故以授之。且使巢君与此方同不朽也。噎者气停胸膈。欲嗳覆而声不出。圣散子主之
。加柿蒂煎。
浓朴(去粗皮姜制) 白术 防风(去芦头) 吴茱萸(洗七次) 泽泻(各半两) 附
子(炮
裂去皮脐) 本(去土) 高良姜 猪苓(去皮) 藿香(去枝土) 苍术(一方作茅术)
麻黄
(去根节) 细辛 芍药 独活(去芦) 半夏(洗七次姜制) 茯苓(去皮) 柴胡 枳
壳(去瓤
麸炒各半两) 甘草(炙一两) 草豆蔻仁(十个去皮) 石菖蒲(半两) 上为散。每服
四钱。
水一盏半。煎取一盏。去滓热服。不计时候。取微汗即愈。时气不和。空心饮之。辟邪疫。
香苏散 治四时瘟疫伤寒。一应大人小儿。初感风寒。阴阳未分。伤寒伤风。伤
湿伤食。皆可服。头痛发热恶寒。腰脊疼痛。心满呕逆。中外诸邪所感。
香附子(炒去毛四两) 紫苏(四两) 甘草(一两) 陈皮(不去白二两) 上为末。
每服三
钱。水一盏。煎至七分。去滓热服。不计时候。日三次。若作细末。只服二钱。入盐点。一
方有苍术。加沉香。名沉香饮子。头痛加川芎、白芷、北细辛、荆芥穗。每服各半钱。咳嗽
声重。痰多涕稠。加半夏、苦梗、乌梅、各半钱。桑白皮七寸。心疼加石膏、半夏、各半钱。
泄泻加木瓜、藿香、各半钱。伤湿自汗。时行暴泻。加生姜三片。车前子一撮。或用香附子、
陈皮、各一两。以石器滴酒。炒黄色为散。煎服。感湿日久。腰脚疼。行步难。酒煎服。或
湿气久留。脾疼。身体手足倦怠。腹胀满。或有气上冲。有类虚损。实非虚损。此主之。实
积。腹痛泄泻。葱白二根。乌梅一个。香港脚。每服槟榔、木瓜、大腹皮、枳壳、木香、各少
许。盐酒水煎。空腹服。感风。宿食不化。潮寒腹痛作泻。恶风四肢拘急。生姜三片。乌梅
一个。葱白二根。疟疾。桃柳枝七寸。薤白二个。头痛作恶。加盐少许。男女冷气。加茱萸
一撮。食盐少许。妇人血气。加莪术、茴香、乌药、当归。所加量病患虚实增减。除香附子、
紫苏。加浓朴、桔梗、 本、各四两。名和解散。乃平和之剂。随病用之。尝有白发老
人。授此方与一富人家。其家合施。当大疫。城中病者皆愈。
圣僧散(出经验良方)治瘟疫病时气。及一切伤寒。不拘轻重。悉宜服之。
香白芷(二两) 甘草(五钱并生用) 上为细末。每服二钱。姜三片。枣一枚。葱白
三寸。
水一盏。煎至八分。热服。被盖汗出即安。良久又进一服。以正邪气。
桂枝黄芩汤(出危氏方)治风疫。脉浮数。而头项疼。腰脊痛。发热恶风。
其证皆如太阳伤风。但脉阴不弱。相传染为异耳。
桂心(五钱去皮) 芍药(五钱) 黄芩(五钱) 甘草(一两炙) 上为散。每服五
钱。水一
盏半。姜三片。枣一枚。煎至八分。去滓。食前服。
沃雪汤(出三因方)治伤寒。温疫湿疫热疫。山岚瘴气。
苍术(六两) 干葛(六两炮) 甘草(六两炙) 防风(四两) 干葛(四两) 浓
朴(制炮四
两) 芍药(四两) 上为散。每服三钱半。水二盏。煎至七分。去滓服。
十味芎苏散(出永类钤方)治四时瘟疫伤寒。发热头痛。大人小儿初感风寒
。皆可服之。
川芎 紫苏 干葛 甘草 前胡(一方用柴胡) 茯苓 半夏 枳壳 桔梗 陈皮 上
各
等分。 咀。每服三钱。水一盏。生姜枣子煎。去滓。热服取汗。
神术散(出杨氏家藏)治四时伤寒瘟疫。头疼项强。发热憎寒。身体疼痛。
伤寒鼻塞声重。咳嗽头昏。并治之。
本(去土一两) 羌活(去芦头一两) 甘草(一两炙) 香白芷(一两) 细辛(去
叶及土
一两) 川芎(一两) 苍术(五两米泔浸一宿切炒) 上为散。每服三钱。水一盏。生姜
三片。
葱白三寸。煎至七分。温服。不拘时候。伤风鼻塞。用葱白茶清调下。一方无 本。一方苍
术半斤去皮。川芎三两。 本去苗土洗三两。甘草炙二两。细辛去苗一两。
神授太乙散(一名太乙十神散)治时气冷暖不正。瘟疫妄行。人多疾病。此
药不问阴阳两感。风寒湿痹。并皆治之。
川升麻 白芍药 紫苏叶 香附子 干葛 香白芷 陈皮 青皮 甘草 川芎 上等分
为粗末。每服三钱。水一盏。生姜三片。煎至八分。去滓。通口服。不拘时。连进三服。如
发热头痛。加连须葱白三寸同煎。如中满气噎。加枳壳数片。产妇婴儿老人皆可服。以导引
经络。不致变动。其效如神。此按皆可服不泻。
沃雪汤(出百一选方)解利四时伤寒。时行瘟疫风湿。阴阳两感。表证未解
。身体壮热。疼痛恶风。声重鼻塞。头痛。四肢项颈烦倦。又治太阳初冒寒邪。此药温
和表里。适顺阴阳。老幼四时皆可服。才着此者。连进二服。立瘥。
苍术(八两去皮) 浓朴(四两去皮) 当归(三两洗) 川芎(三两) 白芍药(三
两) 防风
(三两) 橘皮(去白三两) 葛根(三两) 甘草(三两) 上 咀。每服三钱。水一盏
半。煎至
一盏。去滓温服。
救疫神方(出百一选方)
黑豆(三合炒令香熟) 甘草(二寸炙黄) 上以水二盏。煎至一半时呷之。四时瘟疫
发肿
者。服无不效。
来苏散(出和剂方)解利四时瘟疫伤寒。身体壮热。头痛憎寒。项脊拘急。
浑身疼痛。渴烦闷乱。大小便涩。嗜卧少力。不思饮食。及诸气疼。五劳七伤。山岚
瘴疟。寒热往来等候。并皆治之。
柴胡(去芦三两) 甘草(三两炙) 干姜(三两) 肉桂(去粗皮不见火一两) 桔
梗(一两)
防风(一两) 荆芥穗(一两) 五加皮(一两) 芍药(五钱) 麻黄(去节一两五钱) 陈
皮(去
白皮一两五钱) 黄 (蜜水浸一分) 上为末。每服二钱。以水一盏。姜三片。同煎至八
分。
热服。不拘时候。
十神汤(出德生堂方)治时令不正。感风寒。头痛项强。太阳经病微热。酒
伤寒风湿瘴。皆治之。以此导引经络。不致变动。其功效非浅。
川芎(四两) 甘草(四两炙) 麻黄(去根节四两) 升麻(四两) 干葛(十四两)
赤芍药
(四两) 白芷(四两) 陈皮(去瓤四两) 紫苏叶(四两) 香附子(去毛四两) 上
细末。每服
三钱。水一大盏。姜五片。煎至七分。去滓热服。不计时候。如发热头痛。加葱白三茎。如
中满气实。加枳壳数片。老小妇人皆可服。
治瘟气病欲死。
用苦参二两。以水二升。煮取一升。顿服。一方用酒煮饮之。当吐则除。诸毒病服之。
覆取汗皆愈。
治天行。
以生牛蒡根。捣取汁五大合。空腹分为两服。服讫。取桑叶一大把。炙令黄。水一升。
煮取五合。去滓顿服。暖覆取汗皆愈。无叶用枝。
治天时疫疠(出千金方)
以东行桃枝。细锉煮之。服佳。一方月望日煮汤浴之。
前胡汤 治时行疫疠壮热。咳嗽痛心闷。
前胡(去芦头三分) 升麻(三分) 麦门冬(去心焙三分) 贝母(去心) 紫菀(去
苗土)
杏仁(去皮尖双仁炒研各半两) 甘草(一分炙) 石膏(一两一分) 上为散。每服三钱。
以水
一盏。竹叶二七片。煎至七分。去滓。不拘时候。温服。
麻黄汤 治时行疫疠病。头体热渴燥。百节疼痛。
麻黄(去根节一两) 葛根(一两锉) 黄芩(去黑心三分) 栀子仁(三分) 芍药
(三分)
杏仁(去皮尖双仁炒三分) 上粗捣筛。每服五钱。水一盏。入豉五十粒。同煎至七分。去
滓
温服。
葛根汤 治时行疫疠。兼风热目疼。心中妨闷。
葛根(一两) 葱白(二茎切) 芍药(三分) 豉(半合) 上锉二味。如麻豆大。
用水三盏。
煎至一盏半。去滓。分温二服。
桂心汤 治时行疫疠病。未经汗下。体热烦闷。
桂心(去粗皮三分) 芍药(一两) 麻黄(去根节) 杏仁(去皮尖双仁炒研) 黄
芩(去黑
心) 甘草(炙各半两) 上粗捣筛。每服三钱。以水一盏。生姜三片。枣一枚。煎至七分。
去滓温服。
沉香丸 治时行瘟疫恶气。热毒攻心。胁气满胀急。及注忤鬼气。
沉香(锉五钱) 丁香(五钱) 薰陆香(五钱) 犀角屑(三分) 升麻(三分) 木
香(三分)
羚羊角屑(三分) 黄芩(去黑心三分) 栀子仁(三分) 鬼臼(一分) 麝香(研一分)
芒硝
(一两) 大黄(锉炒一两) 上捣研为末。令匀。炼蜜和丸。如梧桐子大。每服十丸至二
十丸。
米饮下。
乌头赤散 治天行疫气病。
乌头(一两五钱) 皂(半两) 雄黄 细辛 桔梗(各一两) 上捣筛。渍酒或井花
水。下
刀圭二。不知稍增。以知为度。除时气疫病。若马牛畜中疫。亦可与方寸匕。人始得病。一
日服一刀圭。取两大豆许。吹着两鼻孔中。
雄黄散(出千金方)汉建宁二年。太岁在酉。疫气流行。死者极众。即有书
生丁季回。从蜀青城山来。东过南阳。从西市门入。见患疫疠者颇多。遂于囊中出药
。人各惠一丸。众药灵唇。疾无不瘥。市中疫鬼数百余。见书生施药。悉皆惊怖而走。
乃有鬼王见书生谓有道法。兼自施药。感众鬼等奔走若是。遂请书生欲求受其道法。
书生曰。吾无道法。乃囊中之药。呈于鬼王。鬼王观药惊惶。叩头乞命而走。此方药
带之入山。能辟虎野狼蛇虫。入水能除水中恶怪蛟蜃。
雄黄(一两) 雌黄(一两) 曾青(一两) 鬼臼(一两) 真珠(一两) 丹砂(一
两) 虎骨
头(一两) 桔梗(一两) 白术(一两) 女青(一两) 芎 (一两) 白芷(一两) 鬼
督邮(一
两) 芜荑(一两) 藜芦(一两) 鬼箭羽(一两) 菖蒲(一两) 皂荚(一两) 上
蜜和为丸。
如弹子大。绢袋盛。男左女右带之。卒中恶及时疫。吞如梧子大一丸。烧弹子大一丸于户内。
葳蕤汤(出千金方)温风之病。脉阴阳俱浮。汗出体重。其息必喘。其形状
不默但欲眠。下之则小便必难。发其汗则必谵语。加烧针者。则耳聋难言。但吐下之
则遗矢。便知如此疾者宜服。
葳蕤(二两) 白薇(二两) 麻黄(二两) 独活(二两) 杏仁(二两) 芎 (二
两) 甘草
(二两) 青木香(二两) 石膏(三两) 上 咀。以水八升。煮取三升。去滓。分三服
取汗。
若一寒一热。加朴硝一分。及大黄三两下之。如无木香。可用麝香一分。短剧方云。葳蕤汤
治冬温。春月中风伤寒。则发头痛脑疫。喉咽干。舌强肉痛。心胸痞满。腰背强。亦治风温。
治时疫(出本草)
以獭肉煮汁饮之。
青蒿散(出鲍氏方)
青蒿 石膏(各等分) 上为散。食前服。
治病疫后。服调理药。
人参 茯苓 白术 陈皮 甘草 黄 白芍药 官桂 砂仁 半夏 香附子 上各等
(附论)
人们生活在天地之间,禀受阴阳之气。气机调和则身体安康,气机逆乱则发生疾病。因此,一年之中,如果节气失调,寒暑失常,都会形成疫疠之气,人体感受这种邪气而发病,所以称为疫疠。其症状不论年龄大小,大体都相似,民间又称之为“天行”。这类疾病与时气、温热等病证相似,治疗时各自根据具体证候,制定相应的方剂来治疗。
又有诗云:四季的疫疠发作难以预料,老人和幼儿的调理总是一样的。夏季的病责治于心,冬季的病责治于肾,长夏(季夏)责治于脾,秋季责治于肺,春季责治于肝。
又有论述说:春季感受疫疠清冷之气,用升麻葛根汤、解肌汤;夏季感受寒邪,用理中汤、麝香汤、半夏桂甘汤;秋季感受热邪,用白虎加苍术汤;出现发黄黄疸者,用茵陈五苓散;冬季感受暖邪,用葳蕤汤。四季通用的有败毒散、升麻葛根汤。土气没有固定的运行方向,因火而得名(指长夏属土,寄旺于四季之末,或指湿热),应当根据具体症状来选取方药。
方剂
牛黄七宝膏:治疗伤寒时疫,热毒暑病,心胸痞塞,或者出现发黄发斑,狂躁迷闷,以及经过多次攻下取效不佳,蕴积的毒邪滞留引起潮热。
药材及用量:牛黄(五分)、龙脑(五分)、麝香(五分)、朱砂(二钱五分)、轻粉(五钱以上,均需研磨)、白面(五钱)、寒水石(烧至通红,三两半)。
制法与用法:将上述药物共同研磨均匀,滴水调和制成二十丸。每次服用一丸,用清水化开服用。小儿服用半丸。不限时间。
圣散子:治疗伤寒时行疫疠,风温湿温,不问是阴证阳证两感,还是表里未辨明,或者是外热内寒、外寒内热,出现头项腰脊拘急,发热恶寒,肢节疼痛,呕吐逆气喘咳,鼻塞声重,以及饮食生冷,损伤胃脘导致满闷,腹胁胀痛,心下结痞,手足逆冷,肠鸣泄泻,水谷不消化,时常自汗出,小便不利。因为看到苏东坡先生对它的注述,其功效不可胜数。过去在杭州、黄州时,那年瘟疫大流行,全城人都患此病,病情危重无法救治。每次使用圣散子,不问是阴证还是阳证两感,无论男女,病情即使危重,连续服用几剂,就能汗出气通,连续服用后痊愈。药性微热,但阳毒发狂的人,入口便觉得清凉。这药大概不能用常理来衡量。如果时疫流行,不问老幼贵贱,每人各饮一盏,那么时气百病都不会产生,真是济世卫家的宝物啊。这个方子是巢君家世代珍视的,治疗这种疾患有百次不失一次的疗效。我贬谪居住在黄州时,连年发生大瘟疫,所保全救活的人,不可胜数。巢君非常保密这个方子,偶然泄露出来,传给了蕲水的庞君。当时庞君以医术闻名于世,又擅长著书,所以把这个方子传授给他,并且让巢君与此方一同不朽。噎膈症是气停胸膈,想打嗝反逆却声音出不来,圣散子主治。可以加柿蒂煎服。
药材及用量:浓朴(去掉粗皮,姜汁制)、白术、防风(去掉芦头)、吴茱萸(清洗七次)、泽泻(各半两)、附子(炮裂,去皮脐)、本(去掉泥土)、高良姜、猪苓(去皮)、藿香(去掉枝土)、苍术(一方用茅术)、麻黄(去掉根节)、细辛、芍药、独活(去掉芦)、半夏(清洗七次,姜汁制)、茯苓(去皮)、柴胡、枳壳(去掉瓤,麸炒,各半两)、甘草(炙,一两)、草豆蔻仁(十个,去皮)、石菖蒲(半两)。
制法与用法:将上述药物研为散剂。每次服用四钱,用水一盏半,煎取一盏,去渣热服。不限时间,微微出汗即愈。时气不和,空腹饮用,可辟除邪疫。
香苏散:治疗四时瘟疫伤寒,所有大人小孩,初感风寒,阴阳未分,无论是伤寒、伤风、伤湿、伤食,都可以服用。症状包括头痛发热恶寒,腰脊疼痛,心满呕逆,中外诸邪所感。
药材及用量:香附子(炒去毛,四两)、紫苏(四两)、甘草(一两)、陈皮(不去白,二两)。
制法与用法:将上述药物研为末。每次服用三钱,用水一盏,煎至七分,去渣热服。不限时间,每日三次。如果做成细末,只服用二钱,加入盐点服。一方中有苍术,加沉香,名为沉香饮子。头痛加川芎、白芷、北细辛、荆芥穗,每次各服半钱。咳嗽声重,痰多涕稠,加半夏、苦梗、乌梅,各半钱,桑白皮七寸。心疼加石膏、半夏,各半钱。泄泻加木瓜、藿香,各半钱。伤湿自汗,时行暴泻,加生姜三片,车前子一撮。或者用香附子、陈皮,各一两,在石器中滴酒,炒成黄色为散,煎服。感湿日久,腰脚疼,行走困难,酒煎服。或者湿气久留,脾疼,身体手足倦怠,腹胀满,或者有气上冲,有类似虚损的症状,实则不是虚损,此方主治。实积,腹痛泄泻,葱白二根,乌梅一个。香港脚(足胫红肿重痛),每次服槟榔、木瓜、大腹皮、枳壳、木香,各少许,盐酒水煎,空腹服。感风,宿食不化,潮寒腹痛作泻,恶风四肢拘急,加生姜三片,乌梅一个,葱白二根。疟疾,桃柳枝七寸,薤白二个。头痛作恶,加盐少许。男女冷气,加茱萸一撮,食盐少许。妇人血气,加莪术、茴香、乌药、当归。所加药物的量根据病患虚实增减。除了香附子、紫苏,加浓朴、桔梗、本,各四两,名为和解散,乃是平和的药剂,随病使用。曾经有一位白发老人,将此方授给一户富人家,那家人合施此方。当时发生大瘟疫,城中患病的人都痊愈了。
圣僧散(出自《经验良方》):治疗瘟疫病时气,以及一切伤寒,不拘轻重,都适宜服用。
药材及用量:香白芷(二两)、甘草(五钱,均生用)。
制法与用法:将上述药物研为细末。每次服用二钱,加姜三片,枣一枚,葱白三寸,水一盏,煎至八分,热服。盖被出汗即安。过一会儿再进一服,以纠正邪气。
桂枝黄芩汤(出自《危氏方》):治疗风疫,脉浮数,且头项疼,腰脊痛,发热恶风。其证候都像太阳伤风,只是脉象阴部不弱,相互传染为不同之处。
药材及用量:桂心(五钱,去皮)、芍药(五钱)、黄芩(五钱)、甘草(一两,炙)。
制法与用法:将上述药物研为散剂。每次服用五钱,用水一盏半,姜三片,枣一枚,煎至八分,去渣,饭前服用。
沃雪汤(出自《三因方》):治疗伤寒,温疫、湿疫、热疫,山岚瘴气。
药材及用量:苍术(六两)、干葛(六两,炮)、甘草(六两,炙)、防风(四两)、干葛(四两)、浓朴(制炮,四两)、芍药(四两)。
制法与用法:将上述药物研为散剂。每次服用三钱半,用水二盏,煎至七分,去渣服用。
十味芎苏散(出自《永类钤方》):治疗四时瘟疫伤寒,发热头痛,大人小孩初感风寒,都可以服用。
药材及用量:川芎、紫苏、干葛、甘草、前胡(一方用柴胡)、茯苓、半夏、枳壳、桔梗、陈皮。以上各等分。
制法与用法:切碎。每次服用三钱,用水一盏,生姜、枣子同煎,去渣,热服取汗。
神术散(出自《杨氏家藏》):治疗四时伤寒瘟疫,头疼项强,发热憎寒,身体疼痛。伤寒鼻塞声重,咳嗽头昏,一并治疗。
药材及用量:本(去掉泥土,一两)、羌活(去掉芦头,一两)、甘草(一两,炙)、香白芷(一两)、细辛(去掉叶及土,一两)、川芎(一两)、苍术(五两,米泔水浸泡一夜,切,炒)。
制法与用法:将上述药物研为散剂。每次服用三钱,用水一盏,生姜三片,葱白三寸,煎至七分,温服。不限时间。伤风鼻塞,用葱白茶调服。一方无本。一方苍术半斤去皮,川芎三两,本去苗土洗三两,甘草炙二两,细辛去苗一两。
神授太乙散(一名太乙十神散):治疗时气冷暖不正,瘟疫妄行,人多疾病。此药不问阴阳两感,风寒湿痹,都治疗。
药材及用量:川升麻、白芍药、紫苏叶、香附子、干葛、香白芷、陈皮、青皮、甘草、川芎。以上等分为粗末。
制法与用法:每次服用三钱,用水一盏,生姜三片,煎至八分,去渣,通口服。不限时间,连续进三服。如发热头痛,加连须葱白三寸同煎。如中满气噎,加枳壳数片。产妇婴儿老人皆可服,以导引经络,不致变动。其效如神。此按皆可服不泻。
沃雪汤(出自《百一选方》):解利四时伤寒,时行瘟疫风湿,阴阳两感,表证未解,身体壮热,疼痛恶风,声重鼻塞,头痛,四肢项颈烦倦。又治太阳初冒寒邪,此药温和表里,适顺阴阳,老幼四时皆可服。才着此者,连进二服,立瘥。
药材及用量:苍术(八两,去皮)、浓朴(四两,去皮)、当归(三两,洗)、川芎(三两)、白芍药(三两)、防风(三两)、橘皮(去白,三两)、葛根(三两)、甘草(三两)。
制法与用法:切碎。每次服用三钱,用水一盏半,煎至一盏,去渣温服。
救疫神方(出自《百一选方》)
药材及用量:黑豆(三合,炒令香熟)、甘草(二寸,炙黄)。
制法与用法:用水二盏,煎至一半时呷之。四时瘟疫发肿者,服无不效。
来苏散(出自《和剂方》):解利四时瘟疫伤寒,身体壮热,头痛憎寒,项脊拘急,浑身疼痛,渴烦闷乱,大小便涩,嗜卧少力,不思饮食,以及诸气疼,五劳七伤,山岚瘴疟,寒热往来等候,都治疗。
药材及用量:柴胡(去掉芦,三两)、甘草(三两,炙)、干姜(三两)、肉桂(去掉粗皮,不见火,一两)、桔梗(一两)、防风(一两)、荆芥穗(一两)、五加皮(一两)、芍药(五钱)、麻黄(去节,一两五钱)、陈皮(去白皮,一两五钱)、黄(蜜水浸一分)。
制法与用法:将上述药物研为末。每次服用二钱,用水一盏,姜三片,同煎至八分,热服。不限时间。
十神汤(出自《德生堂方》):治疗时令不正,感风寒,头痛项强,太阳经病微热,酒伤寒风湿瘴,都治疗。以此导引经络,不致变动。其功效非浅。
药材及用量:川芎(四两)、甘草(四两,炙)、麻黄(去根节,四两)、升麻(四两)、干葛(十四两)、赤芍药(四两)、白芷(四两)、陈皮(去瓤,四两)、紫苏叶(四两)、香附子(去毛,四两)。
制法与用法:研为细末。每次服用三钱,用水一大盏,姜五片,煎至七分,去渣热服。不限时间。如发热头痛,加葱白三茎。如中满气实,加枳壳数片。老小妇人皆可服。
治瘟气病欲死。
用苦参二两,用水二升,煮取一升,顿服。一方用酒煮饮之。当吐则除。诸毒病服之,覆取汗皆愈。
治天行。
以生牛蒡根,捣取汁五大合,空腹分为两服。服讫,取桑叶一大把,炙令黄,水一升,煮取五合,去渣顿服。暖覆取汗皆愈。无叶用枝。
治天时疫疠(出自《千金方》)
以东行桃枝,细锉煮之,服佳。一方月望日煮汤浴之。
前胡汤:治疗时行疫疠壮热,咳嗽痛心闷。
药材及用量:前胡(去掉芦头,三分)、升麻(三分)、麦门冬(去心焙,三分)、贝母(去心)、紫菀(去苗土)、杏仁(去皮尖双仁炒研,各半两)、甘草(一分,炙)、石膏(一两一分)。
制法与用法:将上述药物研为散剂。每次服用三钱,用水一盏,竹叶二七片,煎至七分,去渣。不限时间,温服。
麻黄汤:治疗时行疫疠病,头体热渴燥,百节疼痛。
药材及用量:麻黄(去根节,一两)、葛根(一两,锉)、黄芩(去黑心,三分)、栀子仁(三分)、芍药(三分)、杏仁(去皮尖双仁炒,三分)。
制法与用法:粗捣筛。每次服用五钱,用水一盏,入豉五十粒,同煎至七分,去渣温服。
葛根汤:治疗时行疫疠,兼风热目疼,心中妨闷。
药材及用量:葛根(一两)、葱白(二茎,切)、芍药(三分)、豉(半合)。
制法与用法:将上述药物切碎如麻豆大。用水三盏,煎至一盏半,去渣,分温二服。
桂心汤:治疗时行疫疠病,未经汗下,体热烦闷。
药材及用量:桂心(去粗皮,三分)、芍药(一两)、麻黄(去根节)、杏仁(去皮尖双仁炒研)、黄芩(去黑心)、甘草(炙,各半两)。
制法与用法:粗捣筛。每次服用三钱,用水一盏,生姜三片,枣一枚,煎至七分,去渣温服。
沉香丸:治疗时行瘟疫恶气,热毒攻心,胁气满胀急,及注忤鬼气。
药材及用量:沉香(锉,五钱)、丁香(五钱)、薰陆香(五钱)、犀角屑(三分)、升麻(三分)、木香(三分)、羚羊角屑(三分)、黄芩(去黑心,三分)、栀子仁(三分)、鬼臼(一分)、麝香(研,一分)、芒硝(一两)、大黄(锉炒,一两)。
制法与用法:捣研为末,令匀。炼蜜和丸,如梧桐子大。每次服用十丸至二十丸,米饮送下。
乌头赤散:治疗天行疫气病。
药材及用量:乌头(一两五钱)、皂(半两)、雄黄、细辛、桔梗(各一两)。
制法与用法:捣筛。渍酒或井花水,下刀圭二。不知稍增,以知为度。除时气疫病,若马牛畜中疫,亦可与方寸匕。人始得病,一日服一刀圭,取两大豆许,吹着两鼻孔中。
雄黄散(出自《千金方》):汉建宁二年,太岁在酉,疫气流行,死者极众。即有书生丁季回,从蜀青城山来,东过南阳,从西市门入,见患疫疠者颇多,遂于囊中出药,人各惠一丸,众药灵唇,疾无不瘥。市中疫鬼数百余,见书生施药,悉皆惊怖而走。乃有鬼王见书生谓有道法,兼自施药,感众鬼等奔走若是,遂请书生欲求受其道法。书生曰,吾无道法,乃囊中之药,呈于鬼王。鬼王观药惊惶,叩头乞命而走。此方药带之入山,能辟虎野狼蛇虫,入水能除水中恶怪蛟蜃。
药材及用量:雄黄(一两)、雌黄(一两)、曾青(一两)、鬼臼(一两)、真珠(一两)、丹砂(一两)、虎骨头(一两)、桔梗(一两)、白术(一两)、女青(一两)、芎 (一两)、白芷(一两)、鬼督邮(一两)、芜荑(一两)、藜芦(一两)、鬼箭羽(一两)、菖蒲(一两)、皂荚(一两)。
制法与用法:蜜和为丸,如弹子大,绢袋盛,男左女右带之。卒中恶及时疫,吞如梧子大一丸。烧弹子大一丸于户内。
葳蕤汤(出自《千金方》):温风之病,脉阴阳俱浮,汗出体重,其息必喘,其形状不默但欲眠,下之则小便必难,发其汗则必谵语,加烧针者,则耳聋难言,但吐下之则遗矢,便知如此疾者宜服。
药材及用量:葳蕤(二两)、白薇(二两)、麻黄(二两)、独活(二两)、杏仁(二两)、芎 (二两)、甘草(二两)、青木香(二两)、石膏(三两)。
制法与用法:切碎。用水八升,煮取三升,去渣,分三服取汗。
若一寒一热,加朴硝一分,及大黄三两下之。如无木香,可用麝香一分。短剧方云,葳蕤汤治冬温,春月中风伤寒,则发头痛脑疫,喉咽干,舌强肉痛,心胸痞满,腰背强,亦治风温。
(Attached Discussion)
Humans live between heaven and earth, inheriting Qi from Yin and Yang. When Qi is harmonious, there is health; when Qi is rebellious, disease occurs. Therefore, within a year, if the solar terms are disharmonious and cold and heat deviate from their proper seasons, all these form the Qi of epidemics (Yi Li). Contracting this pathogen causes disease, hence it is called epidemic. Its symptoms are generally similar regardless of age or stature, and it is commonly known as "Tian Xing" (Heavenly Transmission). This illness is similar to diseases such as seasonal Qi (Shi Qi) and warm-heat (Wen Re). Treatment varies according to the specific syndrome, using formulas tailored to the condition.
There is also a poem stating: "Epidemics in the four seasons are hard to predict; regulation for the old and young is generally the same. Summer ailments target the Heart, winter ailments target the Kidney; late summer targets the Spleen, autumn targets the Lung, and spring targets the Liver."
Another discussion states: For spring epidemics contracted with clear/cold Qi, use Shengma Gegen Tang (Cimicifugae et Puerariae Decoction) and Jie Ji Tang (Muscle-Releasing Decoction). For summer contraction of cold, use Lizhong Tang (Regulate the Middle Decoction), Shexiang Tang (Musk Decoction), and Banxia Guigan Tang (Pinellia, Cinnamon Twig, and Licorice Decoction). For autumn contraction of heat, use Baihu Jia Cangzhu Tang (White Tiger plus Atractylodes Decoction); for those presenting with jaundice, use Yinchin Wuling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria). For winter contraction of warmth, use Ruiyu Tang (Jade Reed Decoction). For all four seasons, Baidu San (Deficiency-Resolving Powder) and Shengma Gegen Tang are universally applicable. Earth Qi has no fixed direction but is named due to Fire (referring to damp-heat or late summer); one should select prescriptions based on symptoms.
Formulas
Niuhuang Qibao Gao (Seven-Treasure Bull Gallstone Ointment): Treats Shanghan (Cold Damage) and seasonal epidemics, heat-toxin and summerheat diseases, chest and epigastric stuffiness, yellow jaundice with macules, mania, restlessness, confusion, and chronic accumulation of toxins causing tidal fever unresponsive to repeated purgation.
Ingredients: Niuhuang (Bovis Calculus, 5 fen), Longnao (Borneolum Syntheticum, 5 fen), Shexiang (Moschus, 5 fen), Zhusha (Cinnabaris, 2 qian 5 fen), Qingfen (Calomelas, >5 qian, all ground), Baifan (Alumen, 5 qian), Hanshuishi (Aqua Marina calcined to redness, 3 liang 5 qian).
Preparation and Administration: Grind all ingredients uniformly, mix with water drops to form 20 pills. Take one pill per dose, dissolved in clear water. Children take half a pill. Take at any time.
Shengsan Zi (Holy Scattered Seeds): Treats Shanghan, seasonal epidemics, Fengwen (Wind-Warmth), and Shiwen (Damp-Warmth). Applicable regardless of whether it is Yin-Yang dual infection or exterior-interior differentiation is unclear, or if there is exterior heat with interior cold, or exterior cold with interior heat. Symptoms include stiffness and spasm of the head, neck, waist, and spine; fever and aversion to cold; pain in limbs and joints; vomiting, regurgitation, wheezing, and coughing; nasal congestion and heavy voice; consumption of raw/cold food leading to epigastric fullness; abdominal and hypochondriac distension and pain; epigastric knotting and stuffiness; cold extremities; borborygmus and diarrhea; undigested food and water; spontaneous sweating; and difficult urination. Based on Mr. Dongpo's annotations, its efficacy is beyond description. Previously in Hangzhou and Huangzhou, during a severe epidemic where the whole city fell ill and many died critically, Shengsan Zi was used successfully regardless of Yin/Yang dual infection or gender. Even in critical cases, continuous doses led to sweating, free Qi flow, and recovery. The formula is slightly warm, yet brings a cooling sensation even to patients with Yang toxicity and mania. It defies common logic. During epidemics, anyone, old or young, rich or poor, drinking one cup prevents seasonal diseases. It is truly a treasure for saving lives and protecting families. Master Chao treasured this formula for generations, achieving near-perfect success rates. While I was demoted to Huangzhou, annual epidemics claimed many lives, but countless were saved by this formula. Master Chao kept it secret until he accidentally revealed it to Pang Jun of Qishui, a renowned physician and author, ensuring the formula's immortality alongside Master Chao. For Ye syndrome (Qi stagnation in the chest/diaphragm, desire to belch but unable to produce sound), Shengsan Zi is indicated. Add Shi Di (Kaki Calyx) to the decoction.
Ingredients: Houpo (Magnolia Bark, peeled, ginger-processed), Baizhu (Atractylodes Macrocephala Rhizome), Fangfeng (Saposhnikovia Root, de-rhizomed), Wuzhuyu (Evodia Fruit, washed 7 times), Zexie (Alisma Rhizome), Fuzi (Aconite Lateralis Radix Praeparata, roasted, peeled, de-navel), Bencao (Ligusticum Chuanxiong Rhizome? Note: Text says 'Ben', likely Ligusticum or Angelica Dahurica contextually, here translated as Ben), Gaoliangjiang (Galangal Rhizome), Zhuling (Polyporus), Huoxiang (Pogostemon Herba), Cangzhu (Atractylodes Lancea Rhizome, or Maozhu in some versions), Mahuang (Ephedra Herb, de-root/joint), Xixin (Asarum Root), Shaoyao (Paeonia Radix), Duhuo (Angelica Pubescens Root, de-rhizome), Banxia (Pinellia Tuber, washed 7 times, ginger-processed), Fuling (Poria), Chaihu (Bupleuri Radix), Zhike (Citrus Aurantium Fructus, de-albedo, bran-fried), Gancao (Licorice Root, roasted), Caodoukou Ren (Cardamomi Fructus Seed), Shichangpu (Acori Tatarinowii Rhizome).
Preparation and Administration: Grind into powder. Take 4 qian per dose with 1.5 cups of water, decoct to 1 cup, strain, and take hot. Take at any time until mild sweating occurs. For seasonal Qi disharmony, take on an empty stomach to dispel evil epidemics.
Xiangsu San (Fragrant Perilla Powder): Treats seasonal plague and Shanghan in adults and children initially contracting wind-cold, before Yin/Yang differentiation. Suitable for Shanghan, Shangfeng (Wind-Cold damage), Shangshi (Damp damage), and Shangshi (Food damage). Symptoms include headache, fever, aversion to cold, back/spine pain, chest fullness, vomiting, and invasion of internal/external pathogens.
Ingredients: Xiangfu (Cyperi Rhizoma, roasted, de-hair, 4 liang), Zisu (Perillae Folium, 4 liang), Gancao (Licorice Root, 1 liang), Chenpi (Citrus Reticulatae Pericarpium, white pelt retained, 2 liang).
Preparation and Administration: Grind into powder. Take 3 qian per dose with 1 cup of water, decoct to 0.7 cup, strain, and take hot. Three times daily. If made into fine powder, take 2 qian with salt. Some versions add Cangzhu and Chenxiang, named Chenxiang Yinzi. For headache, add Chuanxiong, Baizhi, Beixixin, Jingjie Sui (half qian each). For cough with heavy voice, profuse phlegm/thick mucus, add Banxia, Kujie (Bupleuri/Jiegeng?), Wumei (half qian each), Sangbaipi (7 cun). For heart pain, add Shigao, Banxia (half qian each). For diarrhea, add Mugua, Huoxiang (half qian each). For dampness with spontaneous sweating and acute diarrhea, add Shengjiang (3 slices), Cheqianzi (a pinch). Alternatively, roast Xiangfu and Chenpi (1 liang each) with wine in a stone mortar until yellow, grind, and decoct. For chronic dampness causing leg/back pain and difficulty walking, decoct with wine. For lingering dampness causing spleen pain, fatigue, abdominal distension, or rising Qi mimicking deficiency (but not true deficiency), this formula treats it. For excess accumulation with abdominal pain/diarrhea, add Congbai (2 roots), Wumei (1 fruit). For Hongxiangjiao (podagra/gout), add Binglang, Mugua, Dafupi, Zhike, Muxiang (small amounts), decoct with salt/wine/water, take on empty stomach. For wind contraction with undigested food, tidal chills, abdominal pain/diarrhea, aversion to wind, limb spasms, add Shengjiang (3 slices), Wumei (1 fruit), Congbai (2 roots). For malaria, add Taoliuzhi (7 cun), Xiebai (2 bulbs). For headache with nausea, add salt. For cold Qi in men/women, add Zhuyu (a pinch), salt. For women's blood Qi issues, add Ezhu, Huixiang, Wuyao, Danggui. Adjust additions based on deficiency/excess. Removing Xiangfu/Zisu and adding Houpo, Jiegeng, Bencao (4 liang each) creates Hejie San (Harmonizing Decoction), a mild formula. A white-haired elder gave this to a wealthy family who distributed it during an epidemic, curing all patients in the city.
Shengseng San (Holy Monk Powder, from *Experience Good Prescriptions*): Treats plague, seasonal Qi, and all Shanghan, regardless of severity.
Ingredients: XiangBaizhi (Angelica Dahurica Root, 2 liang), Gancao (Licorice Root, 5 qian, both raw).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with Shengjiang (3 slices), Zao (1 fruit), Congbai (3 cun), and 1 cup of water. Decoct to 0.8 cup, take hot. Cover to sweat for relief. Repeat after a while to correct Qi.
Guizhi Huangqin Tang (Cinnamon Twig and Scutellaria Decoction, from *Wei's Prescriptions*): Treats Fengyi (Wind Epidemic), floating rapid pulse, headache, neck/back pain, fever, and aversion to wind. Symptoms resemble Taiyang Shangfeng, except the Yin pulse is not weak, and transmission differs.
Ingredients: Guixin (Cinnamon Twig, peeled, 5 qian), Shaoyao (Paeonia Root, 5 qian), Huangqin (Scutellaria Root, 5 qian), Gancao (Licorice Root, 1 liang, roasted).
Preparation and Administration: Grind into powder. Take 5 qian per dose with 1.5 cups of water, Shengjiang (3 slices), Zao (1 fruit). Decoct to 0.8 cup, strain, take before meals.
Woxue Tang (Snow-Melting Decoction, from *Three Causes Formulas*): Treats Shanghan, Wenyi (Warm Epidemic), Shiwei (Damp Epidemic), Reyi (Heat Epidemic), and Shanlan Zhangqi (Mountain Miasma).
Ingredients: Cangzhu (Atractylodes Rhizome, 6 liang), Gange (Pueraria Root, roasted, 6 liang), Gancao (Licorice Root, roasted, 6 liang), Fangfeng (Saposhnikovia Root, 4 liang), Gange (Pueraria Root, 4 liang - *Note: Duplicate ingredient listed in source*), Houpo (Magnolia Bark, processed, 4 liang), Shaoyao (Paeonia Root, 4 liang).
Preparation and Administration: Grind into powder. Take 3.5 qian per dose with 2 cups of water, decoct to 0.7 cup, strain, and take.
Shiwei Xiongsu San (Ten-Ingredient Chuanxiong and Perilla Powder, from *Eternal Class Guide Formulas*): Treats seasonal plague and Shanghan with fever/headache. Suitable for adults/children initially contracting wind-cold.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizome), Zisu (Perillae Folium), Gange (Pueraria Root), Gancao (Licorice Root), Qianhu (Peucedani Radix, or Chaihu in some versions), Fuling (Poria), Banxia (Pinellia Tuber), Zhike (Citrus Aurantium Fructus), Jiegeng (Platycodon Root), Chenpi (Citrus Reticulatae Pericarpium). Equal parts.
Preparation and Administration: Cut into pieces. Take 3 qian per dose with 1 cup of water, Shengjiang, and Zao. Decoct, strain, take hot to induce sweating.
Shenzhu San (Divine Efficacy Powder, from *Yang's Family Collection*): Treats seasonal Shanghan/plague, headache, stiff neck, fever, aversion to cold, body pain. Also treats Shanghan with nasal congestion, cough, and dizziness.
Ingredients: Bencao (Ligusticum/Angelica, de-soil, 1 liang), Qianghuo (Notopterygium Rhizome, de-rhizome, 1 liang), Gancao (Licorice Root, roasted, 1 liang), XiangBaizhi (Angelica Dahurica Root, 1 liang), Xixin (Asarum Root, de-leaf/soil, 1 liang), Chuanxiong (Ligusticum Chuanxiong Rhizome, 1 liang), Cangzhu (Atractylodes Rhizome, 5 liang, soaked in rice water overnight, cut, roasted).
Preparation and Administration: Grind into powder. Take 3 qian per dose with 1 cup of water, Shengjiang (3 slices), Congbai (3 cun). Decoct to 0.7 cup, take warm. At any time. For wind-cold nasal congestion, take with Congcha (green tea). Variations exist without Bencao, or with different ratios of Cangzhu, Chuanxiong, etc.
Shenshou Taiyi San (One Name: Taiyi Shishen San): Treats irregular seasonal cold/warmth, rampant epidemics, and widespread disease. Applicable for Yin/Yang dual infection, wind-cold-damp bi, etc.
Ingredients: Chuanshengma (Cimicifugae Rhizoma), Baishaoyao (White Peony Root), Zisuye (Perillae Folium), Xiangfu (Cyperi Rhizoma), Gange (Pueraria Root), XiangBaizhi (Angelica Dahurica Root), Chenpi (Citrus Reticulatae Pericarpium), Qingpi (Citrus Aurantium Fructus Viridis), Gancao (Licorice Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma). Equal parts, coarsely ground.
Preparation and Administration: Take 3 qian per dose with 1 cup of water, Shengjiang (3 slices). Decoct to 0.8 cup, strain, take orally. At any time, three consecutive doses. For fever/headache, add Congbai (3 cun). For fullness/choking, add Zhike. Safe for pregnant women, infants, and elderly. Guides meridians without adverse changes. Highly effective, non-purgative.
Woxue Tang (Snow-Melting Decoction, from *Hundred One Selected Prescriptions*): Relieves seasonal Shanghan, epidemic wind-damp, Yin/Yang dual infection, unresolved exterior syndrome with high fever, pain, aversion to wind, nasal congestion, headache, limb/neck fatigue. Treats initial Taiyang cold invasion. Harmonizes interior/exterior, balances Yin/Yang. Safe for all ages/seasons. Two doses bring immediate recovery.
Ingredients: Cangzhu (Atractylodes Rhizome, peeled, 8 liang), Houpo (Magnolia Bark, peeled, 4 liang), Danggui (Angelica Sinensis Radix, washed, 3 liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 3 liang), Baishaoyao (White Peony Root, 3 liang), Fangfeng (Saposhnikovia Root, 3 liang), Jupi (Citrus Reticulatae Pericarpium, de-white, 3 liang), Genegen (Pueraria Root, 3 liang), Gancao (Licorice Root, 3 liang).
Preparation and Administration: Cut into pieces. Take 3 qian per dose with 1.5 cups of water, decoct to 1 cup, strain, take warm.
Jiuyi Shenfang (Divine Formula for Saving from Epidemics, from *Hundred One Selected Prescriptions*):
Ingredients: Heidou (Black Soybean, 3 he, roasted until fragrant), Gancao (Licorice Root, 2 cun, roasted yellow).
Preparation and Administration: Decoct 2 cups of water to half, sip slowly. Effective for swelling caused by seasonal epidemics.
Laosu San (Laosu Powder, from *Prescription Bureau Formulas*): Relieves seasonal plague/Shanghan with high fever, headache, aversion to cold, stiff neck/spine, body pain, thirst/restlessness, difficult urination/stool, lethargy, weakness, loss of appetite, Qi pain, five labors/seven injuries, mountain miasma/malaria, alternating chills/fever.
Ingredients: Chaihu (Bupleuri Radix, de-rhizome, 3 liang), Gancao (Licorice Root, roasted, 3 liang), Jiangjiang (Dried Ginger, 3 liang), Rougui (Cinnamon Bark, de-bark, 1 liang), Jiegeng (Platycodon Root, 1 liang), Fangfeng (Saposhnikovia Root, 1 liang), Jingjie Sui (Schizonepeta Spike, 1 liang), Wujia Pi (Acanthopanacis Cortex, 1 liang), Shaoyao (Paeonia Root, 5 qian), Mahuang (Ephedra Herb, de-joint, 1.5 liang), Chenpi (Citrus Reticulatae Pericarpium, de-white, 1.5 liang), Huangqi (Astragali Radix, honey-water soaked).
Preparation and Administration: Grind into powder. Take 2 qian per dose with 1 cup of water, Shengjiang (3 slices). Decoct to 0.8 cup, take hot. At any time.
Shishen Tang (Ten-God Decoction, from *Desheng Hall Formulas*): Treats irregular seasons, wind-cold contraction, headache, stiff neck, mild Taiyang heat, alcohol-induced Shanghan, wind-damp miasma. Guides meridians without adverse changes. High efficacy.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizoma, 4 liang), Gancao (Licorice Root, roasted, 4 liang), Mahuang (Ephedra Herb, de-root/joint, 4 liang), Shengma (Cimicifugae Rhizoma, 4 liang), Gange (Pueraria Root, 14 liang), Chishaoyao (Red Peony Root, 4 liang), Baizhi (Angelica Dahurica Root, 4 liang), Chenpi (Citrus Reticulatae Pericarpium, de-albedo, 4 liang), Zisuye (Perillae Folium, 4 liang), Xiangfu (Cyperi Rhizoma, de-hair, 4 liang).
Preparation and Administration: Fine powder. Take 3 qian per dose with 1 large cup of water, Shengjiang (5 slices). Decoct to 0.7 cup, strain, take hot. At any time. For fever/headache, add Congbai (3 stalks). For fullness/excess Qi, add Zhike. Safe for old/young/women.
Treating fatal plague Qi:
Use Kushen (Sophorae Flavescentis Radix, 2 liang), decoct in 2 sheng of water to 1 sheng, take in one dose. Some versions use wine. Vomiting expels the toxin. Effective for various poisons; covering to sweat cures all.
Treating Tianxing (Heavenly Transmission):
Use fresh Niubanggen (Arctii Radix), crush to extract juice (5 dahe), divide into two doses on an empty stomach. After taking, roast Sangye (Mori Folium) until yellow, decoct in 1 sheng of water to 0.5 sheng, strain, take in one dose. Cover to sweat for cure. Use branches if leaves are unavailable.
Treating Seasonal Epidemics (from *Qianjin Fang*):
Decoct east-facing Taozhi (Persicae Semen/Peach Branch) finely. Bathing in the decoction on the full moon day is another method.
Qianhu Tang (Peucedanum Decoction): Treats severe fever, cough, chest pain/stuffiness in seasonal epidemics.
Ingredients: Qianhu (Peucedani Radix, de-rhizome, 3 fen), Shengma (Cimicifugae Rhizoma, 3 fen), Maidong (Ophiopogonis Tuber, de-heart, roasted, 3 fen), Beimu (Fritillariae Bulbus, de-heart), Ziwan (Asteris Radix, de-root/soil), Xingren (Pruni Armeniaci Semen, de-skin/husk, double-kernel, roasted, ground, 0.5 liang each), Gancao (Licorice Root, roasted, 1 fen), Shigao (Gypsum Fibrosum, 1 liang 1 fen).
Preparation and Administration: Grind into powder. Take 3 qian per dose with 1 cup of water, ZhuYe (Bambusae Folium, 14 leaves). Decoct to 0.7 cup, strain. Take warm at any time.
Mahuang Tang (Ephedra Decoction): Treats seasonal epidemic with head/body heat, thirst, dryness, joint pain.
Ingredients: Mahuang (Ephedra Herb, de-root/joint, 1 liang), Gegen (Puerariae Radix, cut, 1 liang), Huangqin (Scutellariae Radix, de-black heart, 3 fen), Zhizi Ren (Gardeniae Semen, 3 fen), Shaoyao (Paeoniae Radix, 3 fen), Xingren (Pruni Armeniaci Semen, de-skin/husk, double-kernel, roasted, 3 fen).
Preparation and Administration: Coarsely crush and sieve. Take 5 qian per dose with 1 cup of water, Chi (Sojae Seminis Preparatum, 50 grains). Decoct to 0.7 cup, strain, take warm.
Gegen Tang (Pueraria Decoction): Treats seasonal epidemic with wind-heat eye pain and chest stuffiness.
Ingredients: Gegen (Puerariae Radix, 1 liang), Congbai (Allii Fistulosi Bulbus, 2 stalks, cut), Shaoyao (Paeoniae Radix, 3 fen), Chi (Sojae Seminis Preparatum, 0.5 he).
Preparation and Administration: Cut into hemp-seed size. Decoct in 3 cups of water to 1.5 cups, strain, divide into two warm doses.
Guixin Tang (Cinnamon Heart Decoction): Treats seasonal epidemic without prior sweating/purging, with body heat and restlessness.
Ingredients: Guixin (Cinnamon Heart, de-bark, 3 fen), Shaoyao (Paeoniae Radix, 1 liang), Mahuang (Ephedra Herb, de-root/joint), Xingren (Pruni Armeniaci Semen, de-skin/husk, roasted, ground), Huangqin (Scutellariae Radix, de-black heart), Gancao (Licorice Root, roasted, 0.5 liang each).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose with 1 cup of water, Shengjiang (3 slices), Zao (1 fruit). Decoct to 0.7 cup, strain, take warm.
Chenxiang Wan (Agarwood Pill): Treats malignant Qi of seasonal plague, heat-toxin attacking the Heart, flank fullness/distension, and sudden invasion of ghost Qi.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, cut, 5 qian), Dingxiang (Caryophylli Flos, 5 qian), Xunluxiang (Olibanum, 5 qian), Xijiao Xie (Rhinocerotis Cornu, shaved, 3 fen), Shengma (Cimicifugae Rhizoma, 3 fen), Muxiang (Aucklandiae Radix, 3 fen), Lingyangjiao Xie (Saigae Tataricae Cornu, shaved, 3 fen), Huangqin (Scutellariae Radix, de-black heart, 3 fen), Zhizi Ren (Gardeniae Semen, 3 fen), Guijiu (Podophylli Fructus, 1 fen), Shexiang (Moschus, ground, 1 fen), Mangxiao (Natrii Sulfas, 1 liang), Dahuang (Rhei Radix et Rhizoma, cut/roasted, 1 liang).
Preparation and Administration: Grind into uniform powder. Mix with refined honey to form pills the size of Sophora seeds. Take 10-20 pills per dose with Mi Yin (rice drink).
Wutou Chi San (Aconite Red Powder): Treats Tianxing epidemic Qi.
Ingredients: Wutou (Aconiti Radix, 1.5 liang), Zao (Gleditsiae Sinensis Fructus Spina, 0.5 liang), Xionghuang (Realgar), Xixin (Asari Radix et Rhizoma), Jiegeng (Platycodonis Radix, 1 liang each).
Preparation and Administration: Crush and sieve. Soak in wine or well water. Take 2 Dao Gui (approx. 0.5-1 gram). Increase if necessary until effect is felt. For animal epidemics, use a square-inch spoonful. For humans just infected, take 1 Dao Gui once a day, or rub a amount the size of two soybeans into nostrils.
Xionghuang San (Realgar Powder, from *Qianjin Fang*): In the second year of Jianning (Han Dynasty), Tai岁 was in You, epidemic spread, many died. Scholar Ding Hui came from Qingcheng Mountain, entered Nanyang, saw many plague victims, distributed pills from his bag. The medicine was spiritual, curing all. Hundreds of market ghosts fled in terror seeing him distribute medicine. The Ghost King asked for his Daoist methods. The scholar showed the medicine instead. The Ghost King, terrified, begged for mercy and fled. Carrying this medicine repels tigers/wolves/snakes; in water, it removes evil spirits/dragons.
Ingredients: Xionghuang (Realgar, 1 liang), Cihuang (Orpiment, 1 liang), Zengqing (Azurite, 1 liang), Guijiu (Podophylli Fructus, 1 liang), Zhenzhu (Pearl, 1 liang), Dansha (Cinnabar, 1 liang), Hugutou (Tiger Bone Head, 1 liang), Jiegeng (Platycodonis Radix, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Nuqing (Unknown herb, 1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1 liang), Guidu You (Unknown herb, 1 liang), Wanyi (Artemisiae Argyi Folium?, actually芜荑 is Caulis Abeliae? No, 芜荑 is Fructus Meliae Toosendan, 1 liang), Lilü (Veratrum Nigrum Rhizoma, 1 liang), Jianyu (Eucommiae Cortex? No, 鬼箭羽 is Eucommiae Ramulus cum Folio, 1 liang), Changpu (Acori Tatarinowii Rhizoma, 1 liang), Zaojia (Gleditsiae Sinensis Fructus, 1 liang).
Preparation and Administration: Mix with honey to form pills the size of marbles. Store in silk bags. Men wear on left, women on right. For sudden evil/epidemic, swallow one pill size of Sophora seed. Burn one marble-sized pill indoors.
Ruiyu Tang (Jade Reed Decoction, from *Qianjin Fang*): Treats Warm Wind disease with floating Yin/Yang pulses, sweating, heavy body, panting, lethargy/sleepiness. Purging causes difficult urination; sweating causes delirium; moxibustion causes deafness/speech difficulty; vomiting/purging causes fecal incontinence. Indicated for such conditions.
Ingredients: Ruiyu (Polygonati Odorati Rhizoma, 2 liang), Baiwei (Anemarrhenae Rhizoma, 2 liang), Mahuang (Ephedrae Herba, 2 liang), Duhuo (Angelicae Pubescentis Radix, 2 liang), Xingren (Pruni Armeniaci Semen, 2 liang), Xiong (Ligustici Chuanxiong Rhizoma, 2 liang), Gancao (Glycyrrhizae Radix, 2 liang), Qingmuxiang (Aucklandiae Radix? Or Aquilariae? Text says Qingmuxiang, likely Aquilaria or Aucklandia, 2 liang), Shigao (Gypsum Fibrosum, 3 liang).
Preparation and Administration: Cut into pieces. Decoct in 8 sheng of water to 3 sheng, strain, divide into three doses to induce sweating. For alternating chills/fever, add Pomiao (Mirabilitum, 1 fen) and Dahuang (Rhei Radix et Rhizoma, 3 liang) to purge. If Qingmuxiang is unavailable, use Shexiang (Moschus, 1 fen). Short Drama Formula states Ruiyu Tang treats Winter Warmth; Spring Wind-Cold Shanghan causes headache, brain epidemic, dry throat/tongue, muscle pain, chest fullness, stiff back. Also treats Wind-Warmth.
Treating Epidemic (from *Bencao*):
Decoct Otter meat (Ta Rou) to make juice and drink.
Qinghao San (Artemisia Annua Powder, from *Bao's Formulas*):
Ingredients: Qinghao (Artemisiae Annuae Herba), Shigao (Gypsum Fibrosum), equal parts.
Preparation and Administration: Grind into powder, take before meals.
Post-Epidemic Regulation Medicine:
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqi (Astragali Radix), Baishaoyao (Paeoniae Radix Alba), Guanzi Gui (Cinnamomi Cortex), Sharen (Amomi Fructus Rotundus), Banxia (Pinelliae Tuber), Xiangfu (Cyperi Rhizoma). Equal parts.