王海藏治杨师三朝三大醉,至醒,发大渴,饮冷水冰茶各三杯,遂病,便血约一盆。先
用吴茱萸丸,又用平胃五苓各半散,三大服血止。后复为白痢,又与神应丸,四服白痢乃止
。或曰∶何不用黄连之类以解毒,而反用温热之剂?予曰∶若用寒凉,其疾必大变,盖寒毒
内伤,复用寒凉,非其治也。况血为寒所凝,浸入大肠而下,得温乃行,所以用温热其血自
止。经曰∶治病必求其本,此之谓也。胃既得温,其血不凝而自行,各守其乡也。观此治法
,可见治血痢者,岂可偏执为热乎?又海藏曰∶暑月久血痢,不可用黄连,阴在内也。
《夷坚甲志》云∶昔虞丞相自渠川被召,途中冒暑,得泄痢连月,萝壁间有韵语云∶暑
毒在脾,温气连脚,不泄则痢,不痢则疟。独炼雄黄,蒸饼和药,甘草作汤,服之安乐。别
作治疗,医家大错。如方制药,其疾随愈。按∶此说颇奇,虽未及用,姑亦录之,以存其法
。
《唐太宗实录》云∶贞观中,上病气痢,久未痊,服众医药不应,因下诏访问,时金吾
长张宝藏曾困此疾,即具疏以乳煎荜茇方。上服之,立效,宣下宰臣与五品官,魏征难之,
逾六月不拟。上疾复发,复进之又平。因问左右曰∶进方人有功,未见除授,何也?征惧曰
∶未知文武二吏。上怒曰∶治得宰相,不妨授三品,我岂不及汝耶?即命与三品文官,授鸿
胪寺卿。其方用牛乳半斤,荜茇三钱,同煎减半,空腹顿服。
王海藏治疗杨师,连续三天喝得大醉,等到酒醒后,感到极度口渴,饮用了三杯冷水和三杯冰茶,随即患病,便血量约有一盆。先用吴茱萸丸,后又用平胃散与五苓散各半的合方,服用三次后出血停止。后来再次出现白痢,又给予神应丸,服用四次后白痢才停止。有人问:“为什么不用黄连之类来解毒,反而使用温热的药剂?”我说:“如果使用寒凉药,病情必定发生剧烈变化,因为寒毒已经内伤身体,再复用寒凉药物,不是正确的治法。况且血液被寒气凝滞,渗入大肠而下泄,得到温热才能运行,所以使用温热药,血液自然停止下泄。《内经》说:治病必须探求根本,说的就是这个道理。胃得到温暖,血液不再凝滞而自行运行,各守其位。看这种治疗方法,可见治疗血痢的人,怎么能偏执地认为都是热证呢?”另外海藏还说:“暑天长期患血痢,不可用黄连,这是因为阴邪在内。”
《夷坚甲志》记载:从前虞丞相从渠川被召入朝,途中冒着酷暑,得了泄痢长达数月,在墙壁上看到一首韵语写道:“暑毒在脾,温气连脚,不泄则痢,不痢则疟。独炼雄黄,蒸饼和药,甘草作汤,服之安乐。别作治疗,医家大错。如方制药,其疾随愈。”按照这个说法颇为奇特,虽然未曾试用,姑且记录下来,以保存这种方法。
《唐太宗实录》记载:贞观年间,皇上患有气痢,久未痊愈,服用各种药物都不见效,于是下诏询问,当时金吾长张宝藏曾受此病困扰,就呈上疏奏,提供用乳汁煎煮荜茇的方子。皇上服用后,立刻见效,宣示给宰臣及五品以上官员看,魏征对此表示异议,拖延了六个月没有拟定任命。皇上的病复发,再次进献此方,病情随即平复。皇上问身边的人说:“进献方子的人有功劳,却没有见授予官职,这是为什么?”魏征害怕地说:“不知道是文官还是武官。”皇上发怒说:“治好宰相的病,不妨授予三品官职,我难道还不如你吗?”立即命令授予三品文官职位,授任鸿胪寺卿。该方子用法是:牛乳半斤,荜茇三钱,一同煎煮至减半,空腹一次性服用。
Wang Haicang treated Master Yang, who had been heavily intoxicated for three consecutive days. Upon waking, he experienced intense thirst and drank three cups of cold water and three cups of iced tea. Subsequently, he fell ill with hematochezia (blood in stool), losing approximately one basin of blood. Initially, Wuzhuyu Wan (Evodia Pill) was administered, followed by a half-and-half combination of Pingwei San (Powder to Level the Stomach) and Wuling San (Five-Ingredient Powder with Poria). After three doses, the bleeding stopped. Later, he developed dysentery with white discharge (white dysentery). Shenying Wan (Miraculous Response Pill) was given, and after four doses, the white dysentery ceased. Someone asked, "Why not use Coptis Rhizome (Huanglian) and similar herbs to detoxify, but instead use warm-hot agents?" I replied, "If cold-cool agents were used, the disease would surely change drastically. Since cold pathogenic factors have injured the interior internally, using cold-cool medicines again is not the correct treatment. Moreover, blood coagulates due to cold; when it infiltrates the large intestine and flows downward, it moves only upon receiving warmth. Therefore, using warm-hot agents allows the blood to stop flowing naturally. The Classic says: 'In treating diseases, one must seek the root cause.' This is what is meant. When the stomach receives warmth, the blood does not coagulate but flows freely, each staying in its proper place. Observing this treatment method, one can see that those treating bloody dysentery cannot rigidly adhere to the notion that it is solely a heat syndrome." Additionally, Haicang stated, "In summer months, for prolonged bloody dysentery, Coptis Rhizome (Huanglian) should not be used, as the yin pathogen is within."
The *Yijian Jiazhi* records: Formerly, Chancellor Yu was summoned from Quchuan. On the journey, exposed to summer heat, he suffered from diarrhea and dysentery for months. He saw a verse inscribed on a wall which read: "Summer-toxin resides in the spleen, warm qi connects to the feet; without diarrhea there is dysentery, without dysentery there is malaria. Only refine Realgar (Xionghuang), mix with medicine using steamed dough, make decoction with Licorice Root (Gancao), take it and find peace. Other treatments are great errors by physicians. Prepare medicine according to this prescription, and the illness will heal immediately." This theory is quite peculiar; although it has not been tried, it is recorded here to preserve the method.
The *Veritable Records of Tang Taizong* states: During the Zhenyuan era, the Emperor suffered from Qi dysentery (dysentery associated with qi stagnation or deficiency), which persisted for a long time without recovery despite various medications. An edict was issued to inquire about cures. At that time, Zhang Baocang, the Chief of Jinwu Guard, had previously suffered from this ailment. He submitted a memorial presenting a formula where Bi Jie (Long Pepper Fruit) was decocted with milk. The Emperor took it and recovered immediately. The formula was presented to the Chancellors and officials of the fifth rank and above. Wei Zheng raised objections, delaying the decision for over six months. When the Emperor's illness recurred, the formula was administered again, and the condition subsided. The Emperor asked his attendants, "The person who offered the formula has merit, yet no appointment has been made. Why?" Fearing reprimand, Wei Zheng replied, "I do not know if he should be appointed as a civil or military official." The Emperor angrily said, "Having cured the Chancellor, he may well be granted a third-rank position. Am I inferior to you?" He immediately ordered the grant of a third-rank civil official position, appointing him as Minister of the Court of State Ceremonial (Honglu Si Qing). The formula uses half a jin (approx. 500g) of cow's milk and three qian (approx. 11.25g) of Long Pepper Fruit (Bijie), decocted together until reduced by half. It is taken in one dose on an empty stomach.