《景岳全书》中有 法,止治伤寒结胸一症。而抑知此法不第治结胸为然。凡瘟
疫用药后,弗即汗解,俟六七日,应汗不汗,觉心腹中稍有闷痛等症,用 熨之法,往往大汗
而愈,是亦一瘟疫取汗之良方也。盖内通而外未有不解者。且不特此也,举凡瘟疫伤寒,诸结胸
痞气,支结脏结,其有中气虚弱不任用药攻击者,以此法治之,则滞行邪散,其效如神。并治杂
症。不论寒热,胸胁心腹 痛、版闷皆效。
生葱 生姜 生萝卜(如无,以子代之。)
锦按∶原方云葱姜各数两,萝卜倍之。愚意不如随症加减更妙。如有表邪或气滞者,生葱为君;
寒多者,生姜为君;痰食滞者,萝卜为君。泛用各等分,或葱多些亦可。
上用各数两,共捣微烂,过烂则成水难包。入锅炒热住火,用布包出一半,熨患处。冷则将锅
中热者再包出熨之,轮流更换,觉透为度,无不开通,汗出而愈。
古有汗吐下三法,而汗居其首者,以邪之中人,非汗莫解也。吐虽有散意,尚待汗以成厥功。
下之有急时,因难汗而始用。此是不论伤寒、瘟疫,而汗之之功,为甚巨矣。瘟疫虽不宜强发其
汗,但有时伏邪中溃,欲作汗解,或其人秉赋充盛,阳气冲激,不能顿开者,得取汗之方以接济
之,则汗易出,而邪易散矣。兹谨择和平无碍数方以备用。倘瘟疫之轻者,初觉即取而试之,又
安知不一汗而解乎。
姜梨饮 治久汗不出。
大梨一个 生姜一块
同捣汁入童便一盅,重汤顿服。
取汗方 用新青布一块,冷水或黄连水浸过,略挤干,置胸上良久,布热即易之,须臾,当
汗出,或作战汗而解。夏月极热用此法,他时斟酌用之。凡瘟症,热在上中焦皆可用之,清热解
毒,邪解而汗出,非能发汗也。
又取汗方
苍术 羌活 白矾
等分,生姜汁为丸,弹子大。每用一丸,男左女右,紧攥,对前阴处。再吃葱汤取汗。
点眼取汗方
冰片(一分) 枯矾(一钱) 粉草(钱半)
共为细末,蘸无根水点眼角,先饮百沸水一二碗,点后,两手紧搬两肩,屈膝片时即汗。
二三次,汗透即愈。
塞鼻手握出汗方 谵语,循衣摸床,形如醉人,且如猴像,呃逆目赤。俗云猴
症,实阳毒也。
麝香 黄连 朱砂(各三分) 斑蝥(一分)
共为细末,枣肉为丸。银朱三分为衣,作两丸,用绢包,一塞鼻内,男左女右。一握手中,
出汗即愈。
松峰按∶此即俗云猴药也。然此名不见经传,细参其方,亦未可浓非,故亦能取效。麝香
以开窍,黄连以清热,朱砂以逐邪,用斑蝥之毒以攻疫毒,枣以和营卫,银朱以发散,颇有至理存
焉。
葱头粳米粥 治时瘟取汗。
白粳米(一碗) 葱头(连须二十根)
加水煮粥,煮一滚,滚服取汗。(曾出汗者不用。)
洋糖百解饮 治瘟疫并伤寒。
白糖(五钱)
阴症,葱汤下。阳症,百沸汤下。暑症并中热、中 ,( ,暑热也。太阳中热为 ,其症汗出
恶寒,身热而作渴。)新汲水下。虚症,米汤下。实症,陈皮汤下。伤食,山楂汤下。结胸,淡盐
汤下。蛔厥,乌梅花椒汤下。紧沙腹痛,新汲水下。血崩,锅脐煤汤下。
掌中金 治伤寒、瘟疫,不论阴阳,已传经与未传经。
苍术 姜(瘟病用生者,伤寒用干者。) 白矾(飞) 银朱(原方无此。添加入。)
等分为末。先饮热绿豆浓汤,次将药末五分(五分可疑。)男左女右,摊手心内,搦紧,夹腿腕
侧卧,盖被取汗。
瘟疫初觉,葱白数根生捣,能饮者用黄酒,不饮者滚水冲服。
丹矾取汗方 治瘟疫。
黄丹 胡椒 白矾(各一两) 马蜂窝(五钱)
为末。葱捣成膏,手捏,男左女右,对小便处,取汗效。
桃枝浴法 治瘟疫初感,发热恶寒、无汗者。取东南桃枝煎汤,趁热浴之。
发汗散 治一切瘟疫伤寒。
雄黄(四分) 辰砂(二钱) 火硝(四分) 麝香(一分) 金箔(五张)
共研极细末,收瓷瓶内,无令出气。遇时疫,男左女右点大眼角,盖被即出汗。
普救五瘟丹 专点伤寒、瘟疫。用水蘸药点两眼角一次,不汗再点,必汗出。
冰片(六分) 牛黄(一钱) 麻黄(二钱四厘) 琥珀(一钱五厘) 生甘草(三钱五分)
共为细末,瓷瓶收贮。
又发汗方 瘟疫始得一二日,头痛,壮热,脉盛。朱砂(一钱)
水三盅,煎一盅,去砂饮之,盖被取汗。忌生血物。
又方 朱砂末,酒调遍身涂之,向火坐,得汗即愈。
又方 头痛、壮热、脉盛,干艾叶水煎服。
又方 生牛蒡根汁,空腹服讫,取桑叶一把,炙,水煎服。无叶用枝。
又方 头痛壮热,生葛根汁一盅,豉三钱,水一盅,共煎一盅服。如心烦热,加栀子一二钱。
又方 头痛、烦热,皂角烧、研,新汲水一盅,姜汁、蜜各少许,共和皂角末二钱服。先以热
水浴淋,次服药取汗。
止汗法 瘟病如大汗不止,将发入水盆中,足露于外,宜少盖。用炒麸、糯米粉,龙骨、牡蛎 ,
共为细末。和匀,周身扑之,汗自止,免致亡阳之患。
疗瘟神应丹 (发瘟汗最速。)
壮年人身汗泥,丸绿豆大七粒,姜一片,黄蒿心七个,水一碗煎送。(一说男病用女,女病用男。
一说纯用男人。存参。)
《景岳全书》中记载了熨法,原本仅用于治疗伤寒结胸这一病症。然而人们不知道的是,这种方法不仅适用于结胸。凡是瘟疫患者用药后,未能立即通过发汗解除病邪,等到六七天时,应当发汗却未出汗,感觉心腹部稍有闷痛等症状时,使用熨法,往往能大汗淋漓而痊愈,这也是治疗瘟疫取汗的一个良方。因为内部通畅,外部病邪没有不解的道理。不仅如此,举凡瘟疫和伤寒引起的各种结胸、痞气、支结、脏结等症,其中那些中气虚弱、不能承受药物攻伐的患者,用此法治之,能使滞涩之气运行、邪气消散,效果神奇。同时也治疗杂症。不论寒热,对于胸胁心腹疼痛、板闷都有效。
生葱、生姜、生萝卜(如果没有生萝卜,可用萝卜籽代替)。
锦按:原方说葱、姜各数两,萝卜加倍。我认为不如根据症状加减更妙。如果有表邪或气滞的,以生葱为主药;寒邪多的,以生姜为主药;痰食停滞的,以萝卜为主药。一般使用各等分,或者葱多一点也可以。
以上药材各数两,一起捣烂至微碎,太烂则成水状难以包裹。放入锅中炒热后离火,用布包出一半,熨烫患处。变冷后将锅中热的再包出熨烫,轮流更换,感觉到透热为度,没有不通畅的,出汗后痊愈。
古代有汗、吐、下三法,而发汗排在首位,是因为邪气侵入人体,不发汗无法解除。吐法虽有发散之意,但仍需等待发汗来完成其功效。下法有紧急时使用的时候,是因为难以发汗才使用的。这是说不论是伤寒还是瘟疫,发汗的功效是非常巨大的。瘟疫虽然不适宜强行发汗,但有时伏邪从内溃散,想要通过发汗解除,或者其人禀赋充盛,阳气冲激,不能立刻开通的,得到取汗的方剂来辅助,那么汗就容易出来,邪气也容易消散。这里谨慎选择几个平和无碍的方子以备选用。如果瘟疫较轻的,刚觉得不适就拿来试用,又怎么知道不会一汗而解呢?
姜梨饮:治疗久汗不出。
大梨一个,生姜一块。
一起捣汁,加入童便一盅,隔水炖热顿服。
取汗方:用新青布一块,用冷水或黄连水浸过,略挤干,放在胸口上很久,布热了就换一块,一会儿,应当出汗,或者出现战栗后出汗而解。夏天极热时用此法,其他时候斟酌使用。凡是瘟症,热在上焦和中焦都可以用此法,清热解毒,邪气解除而汗出,并不是直接发汗的方法。
又一个取汗方:
苍术、羌活、白矾。
等分,用生姜汁做成丸,如弹子大小。每次用一丸,男左女右,紧紧攥在手里,对着前阴处。再喝葱汤取汗。
点眼取汗方:
冰片(一分)、枯矾(一钱)、粉草(钱半)。
一起研成细末,蘸无根水点眼角,先喝一二碗滚开水,点后,两手紧搬两肩,屈膝片刻即出汗。二三次,汗透即愈。
塞鼻手握出汗方:谵语,循衣摸床,形状像醉人,又像猴子,呃逆目赤。俗称为猴症,实际上是阳毒。
麝香、黄连、朱砂(各三分)、斑蝥(一分)。
一起研成细末,用枣肉做成丸。用银朱三分做外衣,做成两丸,用绢包裹,一丸塞入鼻内,男左女右。一丸握在手中,出汗即愈。
松峰按:这就是俗称的猴药。然而这个名字不见于经典,仔细研究这个方子,也不可以完全否定,所以也能取得疗效。麝香用来开窍,黄连用来清热,朱砂用来驱邪,用斑蝥的毒性来攻疫毒,枣用来调和营卫,银朱用来发散,颇有至理存在。
葱头粳米粥:治疗时瘟取汗。
白粳米(一碗)、葱头(连须二十根)。
加水煮粥,煮开后,趁热服用取汗。(已经出过汗的不适用。)
洋糖百解饮:治疗瘟疫并伤寒。
白糖(五钱)。
阴症,用葱汤送服。阳症,用滚开水送服。暑症并中热、中暑(中暑,指暑热。太阳经受暑热称为中暑,症状是出汗、恶寒、身热且口渴),用新汲水下服。虚症,用米汤送服。实症,用陈皮汤送服。伤食,用山楂汤送服。结胸,用淡盐水送服。蛔厥,用乌梅花椒汤送服。紧沙腹痛,用新汲水下服。血崩,用锅脐煤汤送服。
掌中金:治疗伤寒、瘟疫,不论阴阳,已传经与未传经。
苍术、姜(瘟病用生的,伤寒用干的)、白矾(飞过的)、银朱(原方没有这个,添加进去)。
等分为末。先喝热绿豆浓汤,然后将药末五分(五分存疑)摊在手心内,捏紧,夹腿腕侧卧,盖被取汗。
瘟疫初觉,葱白数根生捣,能喝酒的用黄酒,不能喝酒的用滚水冲服。
丹矾取汗方:治疗瘟疫。
黄丹、胡椒、白矾(各一两)、马蜂窝(五钱)。
研成末。葱捣成膏,用手捏,男左女右,对着小便处,取汗有效。
桃枝浴法:治疗瘟疫初感,发热恶寒、无汗者。取东南方向的桃枝煎汤,趁热洗澡。
发汗散:治疗一切瘟疫伤寒。
雄黄(四分)、辰砂(二钱)、火硝(四分)、麝香(一分)、金箔(五张)。
一起研成极细末,收在瓷瓶内,不要让气体跑出来。遇到时疫,男左女右点大眼角,盖被即出汗。
普救五瘟丹:专门治疗伤寒、瘟疫。用水蘸药点两眼角一次,不出汗再点,必定出汗。
冰片(六分)、牛黄(一钱)、麻黄(二钱四厘)、琥珀(一钱五厘)、生甘草(三钱五分)。
一起研成细末,用瓷瓶收贮。
又一个发汗方:瘟疫始得一二日,头痛,壮热,脉盛。朱砂(一钱)。
水三盅,煎成一盅,去掉朱砂渣饮用,盖被取汗。忌吃生血物。
又一个方:生牛蒡根汁,空腹服完,取桑叶一把,炙烤,水煎服。没有叶子用枝条。
又一个方:头痛壮热,生葛根汁一盅,豆豉三钱,水一盅,共煎成一盅服。如果心烦热,加栀子一二钱。
又一个方:头痛、烦热,皂角烧后研末,新汲水一盅,姜汁、蜜各少许,共和皂角末二钱服。先用热水洗浴淋身,然后服药取汗。
止汗法:瘟病如大汗不止,将身体浸入水盆中,脚露在外面,宜少盖被子。用炒麸、糯米粉、龙骨、牡蛎,共为细末。和匀,扑在周身,汗自止,避免亡阳的祸患。
疗瘟神应丹(发瘟汗最速)。
壮年人身上的汗泥,做成绿豆大七粒,姜一片,黄蒿心七个,水一碗煎送。(一说男病用女的汗泥,女病用男的汗泥。一说纯用男人的汗泥。存参。)
In *Jingyue Quanshu* (Complete Works of Zhang Jingyue), the moxibustion-warming method (Yun Fa) is recorded, originally intended only for treating one syndrome of Taiyang disease: Jie Xiong (chest binding). However, it is unknown that this method is not only applicable to Jie Xiong. Whenever patients with plague (Wenyi) do not resolve through sweating immediately after medication, and after six or seven days, when sweating should occur but does not, accompanied by slight stuffiness and pain in the heart and abdomen, using the Yun Fa often results in profuse sweating and recovery. Thus, it is also an excellent prescription for inducing sweating in plague treatment. Because internal unblocking leads to external resolution. Furthermore, for all kinds of Jie Xiong, Pi Qi (stagnant qi), Zhi Jie (branch binding), and Zang Jie (organ binding) caused by plague and Taiyang disease, especially those patients with weak Middle Qi who cannot withstand aggressive medication, this method can make stagnant qi move and evil disperse, with miraculous effects. It also treats miscellaneous diseases. Regardless of cold or heat, it is effective for pain and stiffness in the chest, hypochondrium, heart, and abdomen.
Raw Scallion (Cong Bai), Raw Ginger (Sheng Jiang), Raw Radish (Luo Bo) (if unavailable, use radish seeds).
Jin's Note: The original formula states several liang each of scallion and ginger, double the amount of radish. I believe it is better to adjust according to symptoms. If there are exterior pathogens or qi stagnation, Raw Scallion is the sovereign herb; if there is much cold, Raw Ginger is the sovereign herb; if there is phlegm-food stagnation, Radish is the sovereign herb. Generally, equal parts are used, or slightly more scallion is acceptable.
Take several liang of each of the above herbs, pound them until slightly broken down. If pounded too finely, they become watery and difficult to wrap. Stir-fry in a pot until hot, then remove from fire. Wrap half in cloth and apply as a warm compress to the affected area. When it cools, take the hot portion from the pot again, wrapping and applying it. Rotate and replace until a penetrating warmth is felt. There will be no blockage remaining; sweating occurs and the patient recovers.
Anciently, there were three methods: Sweating (Han), Vomiting (Tu), and Purgation (Xia), with Sweating ranked first because when pathogens invade the human body, they cannot be resolved without sweating. Although Vomiting has a dispersing intent, it still awaits sweating to complete its efficacy. Purgation is used in emergencies when sweating is difficult. This indicates that regardless of whether it is Taiyang disease or plague, the merit of sweating is immense. Although plague generally does not suit forced sweating, sometimes latent pathogens break out from within, desiring to resolve via sweating, or the individual has robust constitution with surging Yang Qi that cannot open immediately, obtaining a prescription to induce sweating can assist, making sweat easy to produce and pathogens easy to disperse. Here, I have carefully selected several mild and harmless prescriptions for备用 (backup use). If the plague is mild, try it at the first sign of discomfort; how could it not resolve with a single bout of sweating?
Ginger-Pear Drink (Jiang Li Yin): Treats prolonged absence of sweating.
One large Pear (Li), one piece of Ginger (Sheng Jiang).
Pound together to extract juice, add one cup of Child's Urine (Tong Bian), stew over water and drink in one dose.
Sweating Prescription (Qu Han Fang): Take a piece of new blue cloth, soak it in cold water or Coptis Decoction (Huang Lian Shui), squeeze slightly dry, place on the chest for a long time. Replace when the cloth becomes hot. Within a short while, sweat should appear, or the patient may experience shaking chills followed by sweating and resolution. Use this method during extreme summer heat; use cautiously at other times. For all plague syndromes where heat is in the Upper and Middle Jiao, this can be used to clear heat and resolve toxicity. The pathogens resolve and sweat appears; it does not directly induce sweating.
Another Sweating Prescription:
Atractylodes Rhizome (Cang Zhu), Notopterygium Root (Qiang Huo), Alum (Bai Fan).
Equal parts, made into pills the size of a bullet using Ginger Juice (Sheng Jiang Zhi). Use one pill per dose. Men hold in the left hand, women in the right hand, tightly clenched against the anterior yin region. Then drink Scallion Soup (Cong Tang) to induce sweating.
Eye-Dotting Sweating Prescription (Dian Yan Qu Han Fang):
Borneol (Bing Pian, 1 fen), Calcined Alum (Ku Fan, 1 qian), Licorice Root (Fen Cao, 1.5 qian).
Grind into fine powder. Dip in "Rootless Water" (Wu Gen Shui - rainwater/snowmelt) and dot into the corners of the eyes. First, drink one or two bowls of boiling water. After dotting, grasp both shoulders tightly with hands, bend knees for a moment, and sweat will appear. After two or three applications, penetrating sweat indicates recovery.
Nasal-Clogging and Hand-Holding Sweating Prescription (Sai Bi Shou Wo Chu Han Fang): Delirium, grasping at bedclothes, appearance like a drunkard, resembling a monkey, hiccups, red eyes. Commonly called "Monkey Syndrome," actually it is Yang Toxin (Yang Du).
Musk (She Xiang, 3 fen), Coptis Rhizome (Huang Lian, 3 fen), Cinnabar (Zhu Sha, 3 fen), Mylabris (Ban Mao, 1 fen).
Grind into fine powder, bind with Date Meat (Zao Rou) to form pills. Coat with 3 fen of Vermilion (Yin Zhu). Make two pills, wrap in silk. Insert one into the nose (men left, women right). Hold the other in the hand. Recovery occurs upon sweating.
Songfeng's Note: This is commonly known as Monkey Medicine. Although this name is not found in classics, careful study of the formula shows it cannot be entirely dismissed, thus it can achieve efficacy. Musk opens orifices; Coptis clears heat; Cinnabar expels evil; the toxicity of Mylabris attacks epidemic toxins; Dates harmonize Ying and Wei; Vermilion disperses. There is profound logic herein.
Scallion Head and Glutinous Rice Porridge (Cong Tou Jing Mi Zhou): Treats seasonal plague to induce sweating.
White Glutinous Rice (Jing Mi, one bowl), Scallion Heads (Cong Tou, twenty roots with hairs).
Add water and cook into porridge. Once boiled, drink while hot to induce sweating. (Do not use if already sweating.)
Western Sugar Hundred-Rescue Drink (Yang Tang Bai Jie Yin): Treats plague and Taiyang disease.
White Sugar (Bai Tang, 5 qian).
For Yin Syndromes, take with Scallion Soup. For Yang Syndromes, take with boiling water. For Summerheat Syndromes and Zhong Re/Zhong Shu (Summerheat refers to summer heat. Taiyang Summerheat is called Zhong Shu; symptoms include sweating, aversion to cold, fever, and thirst), take with fresh well water. For Deficiency Syndromes, take with Rice Soup. For Excess Syndromes, take with Tangerine Peel Soup (Chen Pi Tang). For Food Stagnation, take with Hawthorn Soup (Shan Zha Tang). For Jie Xiong, take with light salt water. For Hui Jue (roundworm convulsion), take with Osmunda Plum and Sichuan Pepper Soup. For tight sand abdominal pain, take with fresh well water. For Metrorrhagia, take with Pot Bottom Soot Soup (Guo Qi Mei Tang).
Gold in Palm (Zhang Zhong Jin): Treats Taiyang disease and plague, regardless of Yin/Yang, whether transmitted meridians or not.
Atractylodes Rhizome (Cang Zhu), Ginger (Jiang) (Use raw for plague, dried for Taiyang disease), Alum (Bai Fan, refined), Vermilion (Yin Zhu) (Not in original formula, added here).
Grind into powder in equal parts. First drink thick hot Mung Bean Soup. Then spread 5 fen of the powder in the palm (note: 5 fen is questionable). Clench tightly. Lie on side with legs tucked, cover with blanket to induce sweating.
At the initial stage of plague, pound several raw Scallion Whites (Cong Bai). Those who can drink alcohol, use Yellow Wine; those who cannot, use boiling water to mix and drink.
Dan-Fan Sweating Prescription (Dan Fan Qu Han Fang): Treats plague.
Lead Oxide (Huang Dan), Black Pepper (Hu Jiao), Alum (Bai Fan) (1 liang each), Hornet Nest (Ma Feng Wo, 5 qian).
Grind into powder. Pound Scallion into paste, shape by hand. Men apply to left side, women to right side, against the urethral opening. Effective for inducing sweating.
Peach Branch Bath Method (Tao Zhi Yu Fa): Treats initial contraction of plague with fever, aversion to cold, and anhidrosis. Take peach branches from the southeast, decoct in water, and bathe while hot.
Sweating Powder (Fa Han San): Treats all plague and Taiyang disease.
Realgar (Xiong Huang, 4 fen), Cinnabar (Chen Sha, 2 qian), Saltpeter (Huo Xiao, 4 fen), Musk (She Xiang, 1 fen), Gold Leaf (Jin Bo, 5 sheets).
Grind into extremely fine powder, store in a porcelain bottle, ensuring no gas escapes. In case of epidemic, dot the outer corner of the eye (men left, women right), cover with blanket, and sweat will appear.
Puji Wuwen Dan (Universal Rescue Five Plagues Pill): Specifically for dotting in Taiyang disease and plague. Dot both eye corners once with water-dipped medicine. If no sweat, dot again; sweat will surely appear.
Borneol (Bing Pian, 6 fen), Cow Bezoar (Niu Huang, 1 qian), Ephedra Stem (Ma Huang, 2.4 li), Amber (Hu Po, 1.5 li), Raw Licorice Root (Sheng Gan Cao, 3.5 qian).
Grind into fine powder, store in a porcelain bottle.
Another Sweating Prescription: At the beginning of plague (1-2 days), headache, high fever, full pulse. Cinnabar (Zhu Sha, 1 qian).
Decoct in 3 cups of water until 1 cup remains. Remove Cinnabar dregs and drink. Cover with blanket to induce sweating. Avoid blood-generating foods.
Another Prescription: Cinnabar powder, mixed with wine, applied all over the body. Sit facing fire; recovery occurs upon sweating.
Another Prescription: For headache, high fever, full pulse, decoct dried Mugwort Leaves (Ai Ye) in water and drink.
Another Prescription: Drink fresh Arctium Root Juice (Niu Bang Gen Zhi) on an empty stomach. Then take a handful of Mulberry Leaves (Sang Ye), roast them, decoct in water, and drink. If leaves are unavailable, use branches.
Another Prescription: For headache and high fever, take 1 cup of fresh Kudzu Root Juice (Ge Gen Zhi), 3 qian of Fermented Soybeans (Chi), and 1 cup of water. Decoct until 1 cup remains and drink. If there is vexation and heat, add Gardenia (Zhi Zi) 1-2 qian.
Another Prescription: For headache and vexatious heat, burn Soap Pod (Zao Jiao), grind into powder. Mix 2 qian of powder with 1 cup of fresh well water, a little Ginger Juice (Jiang Zhi), and Honey (Mi). First, bathe with hot water, then take the medicine to induce sweating.
Stopping Sweat Method (Zhi Han Fa): If plague causes continuous profuse sweating, immerse the body in a basin of water, leaving feet exposed, and cover lightly. Use Bran (Chao Fu), Glutinous Rice Flour (Nuomi Fen), Dragon Bone (Long Gu), and Oyster Shell (Mu Li). Grind into fine powder. Mix evenly and dust over the entire body. Sweat will stop naturally, preventing collapse of Yang.
Liao Wen Shen Ying Dan (Healing Plague Divine Response Pill) (Fastest for inducing plague sweat).
Sweat mud from a young adult's body, formed into seven pills the size of mung beans. Take with one slice of Ginger and seven centers of Yellow Wormwood (Huang Hao Xin), decocted in one cup of water. (One theory says use female sweat mud for male illness, male for female. Another says use only male sweat mud. Keep for reference.)