治阴中伏阳。
硫黄(舶上者) 水银(各一两) 陈皮(去白) 青皮(去白,各半两,末)
上先将硫黄铫子内熔,次下水银,用铁杖子打匀,令无星,倾入黑茶盏内,研细,入二
味匀研,用浓面糊丸如桐子大,每服三十丸。如烦躁,冷盐汤下。如阴证,冷艾汤下。
顷年乡人李信道得疾,六脉沉不见,深按至骨,则沉紧有力。头疼身温烦躁,指末皆冷
,中
此证
则
药
阳
治妇人室女伤寒发热,或发寒热,经水适来,或适断,昼则明了,夜则谵语,如见鬼状
。亦治产后恶露方来,忽尔断绝。
柴胡(一两一分,去苗,洗净) 人参(去芦) 半夏(汤洗七次) 黄芩(去皮) 甘
草(炙)
上粗末,每服五钱,水二盏,生姜五片,枣二个,同煎至八分,去滓温服。
辛亥中寓居毗陵,学官王仲礼,其妹病伤寒发寒热,遇夜则如有鬼物所凭,六七日忽昏
塞,涎响如引锯,牙关紧急,瞑目不知人,疾势极危,召予视。予曰∶得病之初,曾值月经
来否?其家云∶月经方来,病作而经遂止,得一二日,发寒热,昼虽静。夜则有鬼祟。从昨
日来
昼
胸
两时顷,涎下得睡省人事,次授以小柴胡加地黄汤,三服而热除,不汗而自解矣。(一呷散
附卷末)
又记一妇人患热入血室证,医者不识,用补血调气药,涵养数日,遂成血结胸。或劝用
前药。予曰∶小柴胡用已迟,不可行也。无已,则有一焉。刺期门穴斯可矣。予不能针,请
善针
相搏
谵语
方
今
人书》海蛤散治血结胸。
期门二穴,直两乳第二肋间,是穴肝经脾经阴维之会。妇人伤寒,过经不解,当针期门
使经不传,可针四分。又治胸中烦热,奔 上下,霍乱泄利,腹坚硬,喘不得卧,胁下积气
,产后余疾,饮食不下,胸胁支满,心中切痛,可灸五壮。
治疗阴寒内盛、阳气被郁伏于内的病证。
硫黄(来自海外的优质品)一两,水银一两,陈皮(去除白色果皮),青皮(去除白色果皮),各半两,研成细末。
先将硫黄放入铫子(一种煎药器具)中熔化,然后加入水银,用铁棍搅拌打匀,直到看不见水银颗粒为止,倒入黑色的茶盏中,研磨细腻,再加入陈皮和青皮两种药粉均匀研磨,用浓稠的面糊作为粘合剂,制成如梧桐子大小的丸药。每次服用三十丸。如果伴有烦躁症状,用冷的盐汤送服。如果是阴寒证,用冷的艾叶汤送服。
早年同乡人李信道患病,六脉沉伏难以触及,深按至骨部时,脉象沉紧而有力。头痛,身体发热,烦躁不安,手指末端发冷。
此证属于……(原文此处有残缺/错乱,推测为描述阴阳格拒或真寒假热之象)。
治疗妇女及未婚女子患伤寒出现发热,或者寒热往来,月经适逢来潮,或者刚刚结束;白天神志清醒,夜间则胡言乱语,如同看见鬼怪一般。也治疗产后恶露刚要排出,突然中断的情况。
柴胡(一两一分,去除苗头,洗净),人参(去除芦头),半夏(用汤水洗七次),黄芩(去除外皮),甘草(炙烤)。
将上述药材捣碎成粗末,每次取五钱,加水两盏,生姜五片,大枣二个,共同煎煮至剩余八分水量,滤去药渣,温服。
辛亥年间,我寓居在毗陵,学官王仲礼的妹妹患有伤寒,出现寒热往来,每到夜晚就像有鬼物附身一样,过了六七天忽然昏塞,喉间痰声辘辘像拉锯的声音,牙关紧闭,闭眼不知人事,病情极其危重,请我去诊治。我说:“得病之初,是否正值月经来潮?”家属说:“月经刚开始来,发病后月经就停止了,过了一两天,出现寒热,白天虽然安静,但夜间就有鬼祟作怪。”从昨天开始……(原文此处有残缺)……白天……胸部……两个时辰左右,痰涎下行后得以入睡并恢复意识,随后给予小柴胡加地黄汤,服用三剂后热退,未出汗而病自愈。(一呷散附于卷末)。
又记得有一位妇人患“热入血室”证,医生不认识,使用了补血调气的药物,调养数日后,遂形成“血结胸”。有人劝我用前面的方药。我说:“用小柴胡汤已经太迟了,不可再使用。如果不行的话,还有一个办法。针刺期门穴就可以了。”我不会针灸,便请擅长针灸的人……(原文此处有残缺)……邪正相搏……谵语……方……今……人书》海蛤散治血结胸。
期门穴有两个,位于两侧乳头第二肋间隙处,是肝经、脾经、阴维脉交会之处。妇女患伤寒,经过经期而未解,应当针刺期门穴,使病邪不传变,可进针四分。又治疗胸中烦热,奔豚气上下冲逆,霍乱泄泻,腹部坚硬,喘息不能卧,胁下积气,产后余疾,饮食不下,胸胁支撑胀满,心中剧烈疼痛,可艾灸五壮。
Treats the condition of Yang Qi trapped within Yin (Yin Zhong Fu Yang).
Shihuang (Lapis Aureum, imported from overseas) 1 liang, Shuiyin (Hydrargyrum) 1 liang, Chenpi (Citri Reticulatae Pericarpium, with white pith removed), Qingpi (Citri Reticulatae Pericarpium Viride, with white pith removed), each 0.5 liang, ground into fine powder.
First, melt Shihuang in a diaozi (a type of porcelain or metal crucible for decoction). Then add Shuiyin and stir vigorously with an iron rod until uniform and no visible mercury droplets remain. Pour into a black tea bowl, grind finely, then mix evenly with the two powdered herbs. Use thick wheat paste as a binder to form pills the size of paulownia seeds. Take 30 pills per dose. If accompanied by irritability, take with cold salt water. If it is a Yin-cold pattern, take with cold mugwort water.
In previous years, my fellow townsman Li Xindao fell ill. His six pulses were deep and imperceptible; pressing deeply to the bone revealed a deep, tight, and forceful pulse. He suffered from headache, warm body, irritability, and cold fingertips.
This pattern involves... [Text fragment/corruption here, likely describing true cold/false heat or yin-yang separation].
Treats women and unmarried girls suffering from Shanghan (Cold Damage) with fever, or alternating chills and fever, where menstruation has just begun or just ended; during the day consciousness is clear, but at night they speak deliriously, seeing ghosts. It also treats postpartum lochia that begins to flow but suddenly stops.
Chaihu (Bupleuri Radix, 1 liang 1 fen, with sprouts removed and washed), Renshen (Ginseng Radix, with rhizome removed), Banxia (Pinelliae Rhizoma, washed seven times in boiling water), Huangqin (Scutellariae Radix, with skin removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Grind the above herbs into coarse powder. For each dose, use 5 qian, add 2 zhan of water, 5 slices of fresh ginger, and 2 jujubes. Decoct together until 8 fen remains, strain, and take warm.
During the Xinhai year, residing in Piling, the sister of Wang Zhongli, a school official, suffered from Shanghan with alternating chills and fever. At night, she appeared possessed by spirits. After six or seven days, she suddenly became comatose, with rattling phlegm sounds like sawing, trismus (lockjaw), eyes closed and unresponsive. The condition was critical. I was summoned to examine her. I asked: "At the onset of illness, did your menstruation begin?" The family replied: "Menstruation had just started, but ceased when the illness began. After one or two days, chills and fever developed. She was quiet during the day but had 'spiritual disturbances' at night." From yesterday... [Text fragment] ...during the day... chest... After about two hours, phlegm drained, she slept, regained consciousness, and was then given Xiao Chai Hu Jia Di Huang Tang (Minor Bupleurum Decoction plus Rehmannia Pill). After three doses, the fever subsided, and she recovered without sweating. (Yi Xi San is attached at the end of the volume.)
I also recall a woman suffering from Re Ru Xue Shi (Heat Entering the Blood Chamber). The physician failed to recognize this and used blood-nourishing and qi-regulating herbs. After several days of nourishment, it transformed into Xue Jie Xiong (Blood Stasis Blocking the Chest). Someone advised using the aforementioned formula. I said: "Using Xiao Chai Hu Tang is now too late; it cannot be administered. If necessary, there is one alternative: puncture the Qimen acupoint." I am not skilled in acupuncture, so I requested someone proficient... [Text fragment] ...struggle between pathogenic and righteous Qi... delirium... formula... modern... book Hai Ge San treats Blood Stasis Blocking the Chest.
Qimen (Liv-14) consists of two points, located in the second intercostal space directly below the nipples. This point is the intersection of the Liver Meridian, Spleen Meridian, and Yin Linking Vessel. In women with Shanghan, if the condition persists beyond the menstrual period, Qimen should be punctured to prevent transmission. Depth of insertion: 4 fen. It also treats vexation and heat in the chest, Ben Tun (Roving Pig) moving up and down, cholera-like diarrhea, abdominal hardness, wheezing inability to lie flat, accumulation of Qi under the hypochondrium, residual postpartum diseases, inability to eat, distension and fullness in the chest and hypochondrium, and severe pain in the heart region. Moxibustion: 5 moxa cones.