吴又可书中,有舍病治药之论,此第知其一耳。而抑知瘟疫之有所因者,更非一说之所能尽
也。盖有因食、因酒、因痰、因惊、因郁、因气、因思水不与、因饮水过多、因过服凉药、因误
服温补、因服诸药错误、因信巫祝担搁,种种因由,未可更仆,皆当暂舍其所患之瘟,而求其弊,
以治其因也。食宜消之,酒宜解之,痰宜化之,惊宜镇之,郁宜开之,气宜顺之,水宜行之,寒
宜温之,热宜凉之,再佐以治瘟疫之药始得,非全抛而舍之之谓也。更有兼食、兼饮、兼痰、兼
水等症,而卒难得汗者,治法略同。但又当以治瘟疫为主,而治兼之药佐之矣。总之,务要寒热
温凉之不差,脏腑经络之不惑,方可以起死人而肉白骨也。是亦在乎神而明之者。
凡自古饥馑之后,或兵氛师旅之余,及五运之害制,六气之乖违,两间厉气与人事交并而瘟
疫始成焉。人触之辄病,症候相同,而饥寒辛苦之辈感者居多,年高虚怯之人感之偏重,是皆有
毒瓦斯以行乎间,此毒又非方书所载阳毒、阴毒之谓。未病之先,已中毒瓦斯,第伏而不觉,既病之
时,毒瓦斯勃发,故有变现诸恶候。汗下之后,余毒往往未尽,故有自复之患。是毒瓦斯与瘟疫相为
终始者也。兹定金豆解毒煎以解其毒势,且能清热。并不用芩、连、栀、柏而热已杀(杀,音晒。)
矣。
金豆解毒煎(自定新方。)
金银花(二三钱) 绿豆(皮,二钱) 生甘草(一钱) 陈皮(一钱) 蝉蜕(去足翅,八分)
井花水(清晨首汲。)煎。或再加僵蚕(浸去涎。)一钱。
银花能清热解毒,疗风止渴。绿豆甘寒亦清热解毒之品,兼行十二经,祛逐疫毒,无微不入。
甘草解一切毒,入凉剂则能清热,亦能通行十二经,以为银花、绿豆之佐。陈皮调中理气,使营
卫无所凝滞。蝉蜕取其性之善退轻浮,易透肌肤,可散风热,开肌滑窍,使毒瓦斯潜消也。此方于瘟
疫九传中,皆可加减消息用之。
绿糖饮(自定新方。)五谷皆可入药,如白虎汤之用粳米,白术散之用薏仁,牡蛎散之用浮小麦,
疏凿饮之用赤豆,阿胶散之用糯米,以及麦芽、黄卷、饴醯等项,靡不各效其能以见于世。甚至于
面合曲则称之曰神。黍酿酒则推之曰圣。取精用宏,未可更仆数矣。独绿豆之功能,世鲜有知者。
何绿豆之蹇于遇乎?绿豆性虽清凉而不寒苦,且善于解毒退热,除烦止渴,利小水,独于治瘟疫为
尤宜焉。张景岳有绿豆饮,载在新方寒阵中,虽极赞其妙,但惜加入食盐,以之治瘟反益发渴,而
绿豆之功能隐矣。今易以洋糖,则既能解毒,且兼凉散,瘟疫初终,俱可服食,乃平易中之最佳最
捷方也,至于穷乡僻壤,农家者流,以及寒士征人,仓卒苦无医药,用此亦可渐次汗解,即服药
者,兼服此饮,更能添助药力,以成厥功。经症未明者服之,亦总不犯禁忌,诚治瘟疫之良剂,幸
毋以平浅而忽之也。
绿豆不拘多少,白糖酌加。(绿豆功全在皮,毋去之。)将绿豆煮酽汤,取出,加洋糖与饮,
冷热随病者之便。以此代茶,渴即与饮,饥则拌糖,并食其豆。
吴又可的著作中,有“舍病治药”的论述,这仅仅知道其中一方面罢了。然而,人们难道不知道瘟疫是有其致病原因的,这些原因更不是一两种说法所能穷尽的。大概有因饮食不当、因饮酒过度、因痰湿内阻、因惊恐、因情志抑郁、因气机阻滞、因想喝水却喝不到(渴欲饮水不得)、因饮水过多、因过量服用寒凉药物、因误服温补药物、因服用各种药物错误、因迷信巫祝而耽误治疗等种种缘由,多得无法一一列举,都应当暂时放下对瘟疫本身的治疗,去探究其弊端,从而针对病因进行治疗。对于饮食积滞适宜用消导法,酒毒适宜用解酒法,痰湿适宜用化痰法,惊恐适宜用镇惊法,郁结适宜用开郁法,气滞适宜用顺气法,水饮适宜用利水法,寒邪适宜用温里法,热邪适宜用清热法,再辅以治疗瘟疫的药物才可以,这并不是完全抛弃病因不管的意思。更有兼有饮食、饮酒、痰湿、水饮等症状,且最终难以出汗的患者,治疗方法大致相同。但又应当以治疗瘟疫为主,而以治疗兼症的药物为辅。总之,务必做到寒热温凉的辨证没有差错,脏腑经络的认识没有迷惑,才可以使死人复生、枯骨长肉。这也在于那些能够神妙领悟并明察事理的人。
大凡自古以来饥荒之后,或战乱军队之余,以及五运六气的危害制约,六气的乖违失常,天地间的厉气与人事相互交并,瘟疫才得以形成。人一旦接触就会生病,症状表现相同,其中饥饿寒冷、辛苦劳作的人群感染居多,年老体弱之人感染后病情偏重,这都是因为有“毒瓦斯”在天地间流行,这种毒又不同于医书中记载的阳毒、阴毒。在未发病之前,已经中毒瓦斯,只是潜伏而不觉察;既已发病之时,毒瓦斯猛烈发作,所以显现出各种恶候。经过发汗或攻下治疗后,余毒往往未尽,所以有复发之患。这种毒瓦斯与瘟疫是相伴始终的。现在制定“金豆解毒煎”来解除其毒势,并且能清热。并不使用黄芩、黄连、栀子、黄柏,而热势就已经消退了(杀,音晒)。
金豆解毒煎(自定新方。)
金银花(二三钱) 绿豆(皮,二钱) 生甘草(一钱) 陈皮(一钱) 蝉蜕(去足翅,八分)
井花水(清晨第一次汲取的水。)煎煮。或者再加僵蚕(浸洗去除涎液。)一钱。
金银花能清热解毒,治疗风邪,止渴。绿豆甘寒,也是清热解毒的药物,兼行十二经脉,祛除驱逐疫毒,无孔不入。甘草能解一切毒,加入凉性药剂中则能清热,也能通行十二经脉,作为金银花、绿豆的佐使药。陈皮调理中焦、理顺气机,使营卫之气无所凝滞。蝉蜕取其性质善于退散轻浮之邪,容易透达肌肤,可疏散风热,开通肌表滑窍,使毒瓦斯潜然消散。此方在瘟疫九种传变过程中,都可以加减斟酌使用。
绿糖饮(自定新方。)五谷都可以入药,如白虎汤中使用粳米,白术散中使用薏仁,牡蛎散中使用浮小麦,疏凿饮中使用赤小豆,阿胶散中使用糯米,以及麦芽、黄卷、饴糖等项,无不各自发挥其功效而见于世间。甚至面粉发酵曲称为“神”,黍酿酒推为“圣”。取精用宏,多得无法一一列举。唯独绿豆的功能,世人很少知晓。为什么绿豆如此遭遇坎坷呢?绿豆性质虽然清凉但不寒苦,且善于解毒退热,除烦止渴,通利小便,唯独在治疗瘟疫方面尤为适宜。张景岳有绿豆饮,记载在新方“寒阵”中,虽然极力称赞其妙处,但可惜加入了食盐,用它治疗瘟疫反而更加引发口渴,而绿豆的功能就被掩盖了。现在改用洋糖(白糖),则既能解毒,又兼有凉散之功,瘟疫初起和末期,都可以服用,这是平易之中最佳最快捷的方子。至于穷乡僻壤,农家百姓,以及贫寒读书人和出征士兵,仓促间苦于没有医药,用此方也可以逐渐通过汗法解表。即使服药者,兼服此饮,更能增添助长药力,以成就疗效。经证尚未明确者服用它,也总不违反禁忌,确实是治疗瘟疫的良好药剂,希望不要因为平淡浅近而忽视它。
绿豆不拘多少,白糖酌情添加。(绿豆的功效全在皮上,不要去掉皮。)将绿豆煮成浓汤,取出汤汁,加入洋糖饮用,冷热随病人方便而定。以此代替茶,口渴就给饮用,饥饿就拌糖,连豆一起吃。
Wu Youke's writings contain the discussion of "abandoning the disease to treat the medication," but this only knows one aspect. Do people not also know that plagues have specific causes, which cannot be exhausted by just one or two theories? Generally, there are causes such as improper diet, excessive drinking, phlegm retention, fright, emotional depression, qi stagnation, thirst for water but inability to drink, excessive water intake, overuse of cold medicines, mistaken use of warm and tonifying medicines, errors in taking various medicines, and delays due to believing in shamans and prayers. These various reasons are too numerous to count. One should temporarily set aside the treatment of the plague itself and seek the underlying flaw to treat the cause. For food stagnation, digestion is appropriate; for alcohol toxicity, detoxification is appropriate; for phlegm, transformation is appropriate; for fright, sedation is appropriate; for depression, opening is appropriate; for qi stagnation, smoothing is appropriate; for water retention, promoting flow is appropriate; for cold, warming is appropriate; for heat, cooling is appropriate. Then, assisting with medicines for treating the plague is effective. This does not mean completely abandoning the cause. Furthermore, in cases where there are concurrent symptoms of food, drink, phlegm, and water, and sweating is difficult to achieve, the treatment method is roughly the same. However, one must prioritize treating the plague and assist with medicines for the concurrent conditions. In summary, one must ensure no error in distinguishing cold, heat, warmth, and coolness, and no confusion regarding zang-fu organs and meridians, so as to revive the dead and regenerate bones. This depends on those who can divine and understand profoundly.
Since ancient times, after famines, or following military campaigns and wars, as well as the harmful constraints of the Five Movements (Wu Yun) and the deviation of the Six Qi (Liu Qi), when the malignant qi between heaven and earth intersects with human affairs, plagues begin to form. People who come into contact with it fall ill immediately, presenting identical symptoms. Those who suffer from hunger, cold, and hard labor are mostly affected, while elderly and frail individuals suffer more severely. This is because a "toxic vapor" circulates among them. This toxicity is not what is referred to as Yang Toxicity or Yin Toxicity recorded in medical books. Before illness occurs, one has already been poisoned by the toxic vapor, but it remains latent and unnoticed. When illness sets in, the toxic vapor erupts, manifesting various severe symptoms. After sweating or purging treatments, residual toxicity often remains incomplete, leading to relapse. Thus, this toxic vapor and the plague are continuous throughout. Here, we establish Jin Dou Jie Du Decoction (Golden Bean Detoxification Decoction) to resolve its toxic potential and clear heat. It achieves this without using Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Zhi Zi (Gardeniae Fructus), or Huang Bai (Phellodendri Cortex), yet the heat is already subdued (sha, pronounced 'shai').
Jin Dou Jie Du Decoction (Self-prescribed New Formula.)
Jin Yin Hua (Honeysuckle Flower) (2-3 qian)
Lu Dou (Green Bean, peel) (2 qian)
Sheng Gan Cao (Raw Licorice Root) (1 qian)
Chen Pi (Aged Tangerine Peel) (1 qian)
Chan Tui (Cicada Slough, remove feet and wings) (8 fen)
Jing Hua Shui (Well Water drawn at dawn.) Decoct. Alternatively, add Jiang Can (Bombyx Batryticatus) (soaked to remove saliva) (1 qian).
Jin Yin Hua clears heat and resolves toxicity, treats wind, and stops thirst. Lu Dou is sweet and cold, also a substance for clearing heat and resolving toxicity, circulating through the Twelve Meridians, driving away epidemic toxins, penetrating everywhere. Gan Cao resolves all toxins; when added to cooling formulas, it clears heat and also circulates through the Twelve Meridians, acting as an assistant to Jin Yin Hua and Lu Dou. Chen Pi regulates the middle jiao and directs qi, preventing stagnation of Ying and Wei. Chan Tui utilizes its nature to easily disperse light and floating pathogens, penetrate the skin, dissipate wind-heat, open muscle pores, allowing the toxic vapor to dissolve secretly. This formula can be modified and used flexibly across the nine transmissions of plague.
Lu Tang Yin (Green Sugar Drink) (Self-prescribed New Formula.)
The five grains can all enter medicine, such as Jing Mi (Rice Grain) in Bai Hu Tang (White Tiger Decoction), Yi Ren (Coix Seed) in Bai Zhu San (Atractylodes Macrocephala Powder), Fu Xiao Mai (Floating Wheat) in Mu Li San (Oyster Shell Powder), Chi Dou (Red Bean) in Shu Zao Yin (Draining and Scouring Decoction), Nu Mi (Glutinous Rice) in E Jiao San (Donkey-Hide Gelatin Powder), as well as Mai Ya (Malt), Huang Juan (Yellowed Bean Sprouts), and Yi Xi (Malt Syrup), none of which fail to show their efficacy in the world. Even dough fermentation yeast is called "Shen" (Divine), and millet wine brewing is praised as "Sheng" (Sage). Extracting essence and using broadly, they are too numerous to list. Only the function of Lu Dou is rarely known by the world. Why is Lu Dou so unfortunate in its encounters? Although Lu Dou is cool but not cold and bitter, it excels at resolving toxicity, reducing fever, relieving irritability and thirst, and promoting urination. It is particularly suitable for treating plague. Zhang Jingyue had a Lu Dou Yin, recorded in the new formula collection "Han Zhen" (Cold Array), praising its wonders, but unfortunately adding salt, which, when treating plague,反而 increases thirst, obscuring the function of Lu Dou. Now replacing it with Yang Tang (Western Sugar/White Sugar), it can both resolve toxicity and have a cooling dispersing effect. It can be taken at both the beginning and end of plague, making it the best and quickest among simple formulas. For remote villages, farmers, poor scholars, and soldiers, who suddenly lack medicine, this can gradually induce sweating to resolve the exterior. Even for those taking other medicines, taking this drink concurrently can enhance medicinal power to achieve success. For those whose syndrome differentiation is not yet clear, taking it violates no taboos. It is indeed a good agent for treating plague; do not ignore it because it is plain and simple.
Lu Dou (Green Beans) as needed, Yang Tang (White Sugar) added according to preference. (The efficacy of Lu Dou lies entirely in the peel, do not remove it.) Boil Lu Dou into a thick soup, take out the liquid, add Yang Tang and drink. Temperature (hot or cold) follows the patient's convenience. Use this as tea; give when thirsty. When hungry, mix with sugar and eat the beans together.