妇人伤寒血结胸膈,揉而痛不可抚近。
海蛤 滑石 甘草(炙,各一两) 芒硝(半两)
上为末,每服二钱,鸡子清调下。
小肠通利,则胸膈血散;膻中血聚,则小肠壅。小肠壅膻中血不流行,宜此方。若小便
血数行,更宜桂枝红花汤,发其汗则愈。《活人书》云此方疑非仲景方,然其言颇有理,姑
存之。桂枝红花汤只桂枝汤中加红花一捻。
治太阳病汗过不解,头眩筋惕肉 。
茯苓(去皮) 芍药(各三分) 附子(一枚,炮,去皮脐,用四之一) 白术(半两)
上粗末,抄五钱,生姜五片,水一盏半,煎八分,去滓温服。若小便利者去茯苓,下利
者去
分。
乡里有姓京者,以鬻绳为业。子年三十,初得病身微汗,脉弱恶风。医以麻黄药与之,
汗遂不止,发热心多惊悸,夜不得眠,谵语不识人,筋惕肉 ,振振动摇。医者又进惊风药。
予
为
退余热,生津液,止烦渴。
地骨皮(去心) 黄芩(去皮) 麦门冬(用水 去心) 青黛 车前子 乌梅肉 蒲
黄(炒)
上为末,炼蜜丸如弹子,非时含化一丸,或熟水化服。
治大病后虚羸少气,呕逆欲吐。
石膏(四两,杵碎) 半夏(七钱半,汤洗七次) 人参(半两,去芦) 麦门冬(二
两,用
水去心) 淡竹叶(半把) 甘草(半两,炙) 呕者加生姜一两半。
上锉如麻豆大,每服五钱,水一盏半,粳米一百余粒,煮至八分,米熟汤成,去滓温服
妇女患伤寒病,导致血液瘀结于胸膈部位,按压时疼痛剧烈,甚至不能让人靠近触碰。
将上述药物研成细末,每次服用二钱,用鸡蛋清调服。
小肠通畅利泄,则胸膈的瘀血得以消散;膻中部位血液积聚,则会导致小肠壅塞不通。若小肠壅塞且膻中气血运行不畅,适宜使用此方。如果小便带血且频繁排出,更适宜使用桂枝红花汤,通过发汗的方法即可痊愈。《活人书》中说此方怀疑不是张仲景的原方,但其中的论述颇有道理,暂且保留它。桂枝红花汤只是在桂枝汤中加入一撮红花。
治疗太阳病经过发汗治疗后病情仍未解除,出现头晕目眩、肌肉跳动等症状。
茯苓(去皮)、芍药(各三分)、附子(一枚,炮制,去皮和脐,取四分之一)、白术(半两)
将上述药物捣成粗末,取五钱,加入生姜五片,水一盏半,煎煮至八分满,滤去药渣,温服。如果小便通利的,去掉茯苓;如果腹泻的,去掉白术。
乡里有一位姓京的人,以卖绳子为业。他的儿子三十岁,起初患病时身体微微出汗,脉象虚弱,怕风。医生给他用了麻黄类的药物,结果汗出不止,发热,心中经常惊悸,夜晚无法入睡,说胡话不认识人,肌肉跳动,身体震颤动摇。医生又给他用了治惊风的药物。我替他……退去余热,生津液,止住烦渴。
地骨皮(去心)、黄芩(去皮)、麦门冬(用水浸泡后去心)、青黛、车前子、乌梅肉、蒲黄(炒制)
将上述药物研成细末,用炼蜜制成如弹丸大小的药丸,随时含化一丸,或用温水送服。
石膏(四两,捣碎)、半夏(七钱半,用开水清洗七次)、人参(半两,去芦头)、麦门冬(二两,用水浸泡后去心)、淡竹叶(半把)、甘草(半两,炙烤)、呕吐者加生姜一两半。
将上述药物锉成麻豆大小的颗粒,每次服用五钱,水一盏半,粳米一百多粒,煮至八分满,米粒煮熟汤成,滤去药渣,温服。
Women suffering from cold damage (Shanghan) with blood stasis knotting in the chest and diaphragm experience severe pain upon palpation, such that they cannot tolerate anyone approaching or touching them.
Haige (Sanguinae Concha), Shishi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Mangxiao (Natrii Sulfas, 0.5 liang).
Grind the above into powder. Take 2 qian per dose, mixed with egg white for administration.
When the Small Intestine is unobstructed and patent, the blood stasis in the chest and diaphragm dissipates; when blood gathers at Danzhong (Pericardium region), it causes obstruction in the Small Intestine. If the Small Intestine is obstructed and blood does not circulate freely in the Danzhong area, this formula is indicated. If hematuria occurs frequently, Guizhi Honghua Tang (Cinnamon Twig and Safflower Decoction) is more appropriate; resolving the exterior through sweating will lead to recovery. The *Liuren Shu* states that this formula is suspected not to be by Zhang Zhongjing, but its reasoning is quite sound, so it is retained here. Guizhi Honghua Tang consists of adding a pinch of Honghua (Carthami Flos) to Guizhi Tang (Cinnamon Twig Decoction).
Treating Taiyang disease where sweating has failed to resolve the condition, resulting in dizziness and muscle twitching.
Fuling (Poria), Shaoyao (Paeoniae Radix Alba, each 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, skin and umbilicus removed, use one-quarter), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang).
Coarsely grind the above. Take 5 qian, add five slices of Shengjiang (Zingiberis Rhizoma Recens), and 1.5 zhen of water. Decoct until 0.8 zhen remains, strain, and take warm. If urination is clear and frequent, remove Fuling. If diarrhea occurs, remove Baizhu.
In my hometown, there was a man surnamed Jing who made a living selling ropes. His son, aged thirty, initially presented with slight sweating, a weak pulse, and aversion to wind. The physician administered herbs containing Ephedrae Herba (Mahuang), causing profuse sweating that did not stop. He developed fever, frequent palpitations, insomnia, delirious speech with inability to recognize people, muscle twitching, and tremulous shaking. The physician then administered medicines for treating convulsions. I treated him to... dissipate residual heat, generate body fluids, and relieve thirst and irritability.
Digupi (Lycii Cortex), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix, soaked in water and heart removed), Qingdai (Indigo Naturalis), Cheqianzi (Plantaginis Semen), Wumei (Mume Fructus), Puhuang (Typhae Pollen, stir-fried).
Grind the above into powder. Mix with refined honey to form pills the size of quail eggs. Contain one pill in the mouth as needed, or dissolve in warm water and drink.
Treating weakness and emaciation with shortness of breath, nausea, and vomiting after a major illness.
Shigao (Gypsum Fibrosum, 4 liang, crushed), Banxia (Pinelliae Rhizoma, 7.5 qian, washed seven times with boiling water), Renshen (Ginseng Radix et Rhizoma, 0.5 liang, radix removed), Maidong (Ophiopogonis Radix, 2 liang, soaked in water and heart removed), Danye (Bambusae Folium, half a handful), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried). Add Shengjiang (Zingiberis Rhizoma Recens, 1.5 liang) if vomiting is present.
Cut the above into pieces the size of hemp seeds. Take 5 qian per dose, with 1.5 zhen of water and over 100 grains of Jingsmi (Oryza Sativa Germ). Decoct until 0.8 zhen remains, until the rice is cooked and the decoction is ready. Strain and take warm.