疫邪三焦兼受,营卫失度,体虚防厥。
犀角 连翘 川贝母 元参 银花 鲜菖蒲
舌白灰刺,肢痉牵厥,神识少慧如寐,嘿嘿呓语。秽邪欲闭宜开,久延胃气已乏,辟秽
须轻,辅以养胃。
人参 半夏 鲜菖蒲根汁 粳米 麦冬
口鼻吸入秽浊,着于膜府。不饥呕逆,中焦病也。宜通浊痹为正法,忌清凉发散。
杏仁 草果仁 槟榔 藿香 蔻仁 制半夏 浓朴 姜汁
鼻煤舌缩,耳聋神呆,环口裂血,津液被劫,必渐昏昧。邪已入络,所谓内闭外脱。
犀角尖 元参 银花露 鲜生地 连翘 石菖蒲
又化服至宝丹
秽浊闭塞胸膈,神迷昏厥,速速开窍。
牛黄丸。
热蕴三焦,烦渴不寐,遍体赤斑,两脉搏数。
犀角尖 生地 连翘 金银花 羚羊角 元参 花粉 菖蒲根
营虚斑伏不透,咽痛呕恶,议《金匮》升麻鳖甲汤。
升麻(一钱) 归身(二钱) 川椒(三分) 鳖甲(四钱) 赤芍(一钱)
热久阴伤,津液不承,咳呛,舌红罩黑,不饥不食,肌肤甲错,渴饮不休,当滋胃汁以
供肺,惟甘寒为宜。
麦冬 桑叶 蔗汁 花粉 梨汁
久郁内伤,着于时令之湿热。舌焦黄,头痛汗出腰痛,乃内外两因之病,最防昏厥。
羚羊角 黑栀皮 黄芩 石菖蒲 连翘仁 郁金
秽浊热气,蔽塞神昏,舌黄呃逆。势甚险笃,先用万氏清心牛黄丸一服。
时气兼劳倦悒郁,舌黄,气促身痛。当以内伤为重,禁风药。
杏仁 栝蒌皮 黑栀 桔梗 枳实 滑石
温邪入里,昏昏似寐,并不大热渴饮。必夹湿气,故身痛耳聋。当宜通其里,莫以发散
消导,大犯湿温劫津之戒。
杏仁 栀皮 香豉 连翘 郁金 淡芩
风温湿热,状如疟症。神昏妄言烦渴,已非表病。木防己汤主之。
木防己 黑栀 土蒌皮 石膏 连翘 杏仁
脉右大,舌黄不渴,呕吐粘痰,神躁,语言不清,身热不除。此劳倦内伤,更感温邪,
浓朴 广皮 六一散 石菖蒲根汁 白蔻仁 茯苓 淡竹叶
此湿温也,湿着关节为痛,湿阻气隧为痞闷,湿留肠胃为下利,湿蒸则里热如火,是以
光。积劳阳气大伤,肠风营阴耗泄。体虚而兼六淫之邪,颇为重症。大旨以和阳明、厥阴为
枯黄芩 川楝皮 制半夏 广皮白 生白芍 乌梅肉 茯苓 川黄柏
湿邪骨骱发红瘰,胸聚浊痰,消浊未已,用木防己汤。
木防己 杏仁 生米仁 生石膏 滑石 寒水石 通草(五钱,煎汤代水)
疫邪同时侵犯三焦,导致营卫失调,因体质虚弱需防止出现厥证。
犀角、连翘、川贝母、元参、银花、鲜菖蒲。
舌苔白灰且生刺,肢体痉挛牵引甚至发生厥逆,神志稍清但似睡非睡,默默自语说胡话。秽浊之邪欲闭阻心神宜用开窍法,但病程迁延日久胃气已虚,祛秽须用轻剂,辅以养胃之法。
人参、半夏、鲜菖蒲根汁、粳米、麦冬。
口鼻吸入秽浊之气,停留在膜原府络。不饥饿且呕吐逆气,这是中焦病变。应当以通泄浊痹为正治法则,忌用清凉发散药物。
杏仁、草果仁、槟榔、藿香、蔻仁、制半夏、浓朴、姜汁。
鼻孔发黑,舌头收缩,耳聋神呆,口唇周围裂口出血,津液被劫夺,必然逐渐陷入昏昧。邪气已深入络脉,这就是所谓的内闭外脱。
犀角尖、元参、银花露、鲜生地、连翘、石菖蒲。
另外化服至宝丹。
热邪蕴结于三焦,烦躁口渴无法入睡,全身出现赤色斑疹,两手脉搏动快速。
犀角尖、生地、连翘、金银花、羚羊角、元参、花粉、菖蒲根。
营血虚弱,斑疹伏留不透发,咽喉疼痛,恶心呕吐,建议采用《金匮要略》中的升麻鳖甲汤。
升麻(一钱)、归身(二钱)、川椒(三分)、鳖甲(四钱)、赤芍(一钱)。
热邪日久损伤阴液,津液不能上承,咳嗽气喘,舌红罩有黑色,不饥饿不想进食,肌肤粗糙如鳞甲,口渴饮水不止,应当滋养胃汁以供养肺脏,只有甘寒性质的药物适宜。
麦冬、桑叶、蔗汁、花粉、梨汁。
久郁导致内伤,附着于时令的湿热之邪。舌苔焦黄,头痛出汗腰痛,这是内外两种病因共同作用的疾病,最需防止昏厥。
羚羊角、黑栀皮、黄芩、石菖蒲、连翘仁、郁金。
秽浊热气蔽塞心神导致昏迷,舌苔黄且有呃逆。病情非常危险严重,先用万氏清心牛黄丸服用一次。
时气病兼有劳倦忧郁,舌苔黄,气短身体疼痛。应当以内伤为重,禁用风药。
杏仁、栝蒌皮、黑栀、桔梗、枳实、滑石。
温邪入里,昏昏沉沉似睡非睡,并没有大热和口渴饮水的症状。必定夹杂湿气,所以身体疼痛、耳聋。应当适宜通利其里,不要使用发散消导之法,以免大犯湿温病劫夺津液的禁忌。
杏仁、栀皮、香豉、连翘、郁金、淡芩。
风温湿热,症状像疟疾。神志昏迷胡言乱语烦躁口渴,已经不是表证。主治方剂为木防己汤。
木防己、黑栀、土蒌皮、石膏、连翘、杏仁。
脉象右侧大而舌苔黄但不渴,呕吐粘痰,神志躁动,语言不清,身热不退。这是劳倦内伤,又感受温邪,
浓朴、广皮、六一散、石菖蒲根汁、白蔻仁、茯苓、淡竹叶。
这是湿温病,湿气附着关节导致疼痛,湿气阻滞气机通道导致痞闷,湿气停留肠胃导致下利,湿气蒸腾则里热如火,因此(原文此处可能有缺字或语意未尽,结合下文推测指面色或舌色异常)枯黄。积劳导致阳气大伤,肠风导致营阴耗泄。体质虚弱又兼受六淫之邪,属于颇为严重的病症。大旨在于调和阳明、厥阴。
黄芩、川楝皮、制半夏、广皮白、生白芍、乌梅肉、茯苓、川黄柏。
湿邪导致骨节发红瘰疬,胸部积聚浊痰,消除浊邪尚未痊愈,使用木防己汤。
木防己、杏仁、生米仁、生石膏、滑石、寒水石、通草(五钱,煎汤代水)。
Epidemic pathogens simultaneously affect the Sanjiao (Triple Burner), causing a dysfunction of Ying and Wei (Defensive and Nutritive Qi). Due to constitutional deficiency, there is a risk of Jue syndrome (cold extremities or syncope).
Rhino Horn (Xijiao), Forsythia Fruit (Lianqiao), Fritillaria Bulb (Chuanbeimu), Scrophularia Root (Yuanshen), Honeysuckle Flower (Yinhua), Fresh Acorus Rhizome (Xianchangpu).
The tongue coating is white-gray with prickles; limbs are spasmodic and pulling, leading to convulsions or syncope. Consciousness is slightly clear but resembles sleep; muttering delirium occurs. The foul pathogen tends to close off the mind, requiring opening methods. However, prolonged illness has depleted Stomach Qi, so resolving foulness must be mild, assisted by nourishing Stomach methods.
Ginseng Root (Renshen), Pinellia Tuber (Banxia), Juice of Fresh Acorus Root (Xianchangpu Genzhi), Rice Grain (Jingmi), Ophiopogon Tuber (Maidong).
Foul turbidity inhaled through the mouth and nose settles in the membrane source (Membranous Origin/Moyuan). Lack of appetite and vomiting/regurgitation indicate a disease of the Middle Jiao. The correct method is to unblock turbid obstruction; cool and dispersing agents are contraindicated.
Apricot Seed (Xingren), Areca Seed (Caoguoren), Betel Nut (Binglang), Patchouli Leaf (Huoxiang), Cardamom Seed (Kouren), Processed Pinellia Tuber (Zhibanxia), Magnolia Bark (Nongpi), Ginger Juice (Jiangzhi).
Blackening of the nostrils, shrinking of the tongue, deafness, and dull spirit; cracking and bleeding around the mouth indicate that Body Fluids have been plundered. Gradual coma will ensue. The pathogen has entered the collaterals, described as "internal closure and external collapse."
Tip of Rhino Horn (Xijiao Jian), Scrophularia Root (Yuanshen), Honeysuckle Dew (Yinhualu), Fresh Rehmannia Root (Xianshengdi), Forsythia Fruit (Lianqiao), Calamus Rhizome (Shichangpu).
Additionally, dissolve and administer Zhibao Dan (Precious Treasure Pill).
Foul turbidity blocks the chest and diaphragm; mental confusion and fainting require rapid opening of the orifices.
Niuhuang Wan (Calculus Bovis Pill).
Heat accumulates in the Sanjiao (Triple Burner); irritability, thirst, and insomnia occur. Red macules cover the body; pulses at both wrists are rapid.
Tip of Rhino Horn (Xijiao Jian), Rehmannia Root (Shengdi), Forsythia Fruit (Lianqiao), Honeysuckle Flower (Jinyinhua), Antelope Horn (Lingyangjiao), Scrophularia Root (Yuanshen), Trichosanthes Root (Huafen), Acorus Root (Changpu Gen).
Ying (Nutritive) deficiency causes macules to remain latent and not erupt; sore throat and nausea/vomiting suggest using Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction) from *Jinkui Yaolue*.
Cimicifuga Rhizome (Shengma, 1 qian), Angelica Sinensis Root (Guishen, 2 qian), Sichuan Pepper (Chuanjiao, 3 fen), Turtle Carapace (Biejia, 4 qian), Red Peony Root (Chishao, 1 qian).
Prolonged heat injures Yin; fluids fail to ascend. Coughing and wheezing occur; the tongue is red with a blackish tint. Lack of appetite and refusal to eat, rough skin resembling fish scales, and incessant thirst indicate the need to nourish Stomach fluids to support the Lungs. Only sweet-cold substances are suitable.
Ophiopogon Tuber (Maidong), Mulberry Leaf (Sangye), Sugarcane Juice (Zheshi), Trichosanthes Root (Huafen), Pear Juice (Lizhi).
Long-standing stagnation causes internal injury, attaching to seasonal damp-heat. The tongue coating is scorched yellow; headache, sweating, and lower back pain indicate a disease of both internal and external factors. Coma and syncope must be closely guarded against.
Antelope Horn (Lingyangjiao), Gardenia Peel (Heizhipi), Scutellaria Root (Huangqin), Calamus Rhizome (Shichangpu), Forsythia Kernel (Lianqiaoren), Curcuma Tuber (Yujin).
Foul turbid heat blocks the spirit, causing coma; yellow tongue coating and hiccups indicate a critical condition. First, administer one dose of Wanshi Qingxin Niuhuang Wan (Wanshi Clear Heart Calculus Bovis Pill).
Seasonal qi combined with fatigue and depression presents with a yellow tongue, shortness of breath, and body pain. Internal injury should be prioritized; wind-dispersing drugs are prohibited.
Apricot Seed (Xingren), Trichosanthes Peel (Gualoupi), Gardenia (Heizhi), Platycodon Root (Jiegeng), Immature Bitter Orange (Zhishi), Talcum (Huashi).
Warm pathogen enters the interior; drowsiness resembles sleep without high fever or intense thirst. Dampness is likely involved, causing body pain and deafness. The interior should be unblocked; do not use dispersing or digesting methods, which violate the taboo of depleting fluids in damp-warmth diseases.
Apricot Seed (Xingren), Gardenia Peel (Zhipi), Fermented Soybean (Xiangchi), Forsythia Fruit (Lianqiao), Curcuma Tuber (Yujin), Light Scutellaria Root (Danqin).
Wind-warmth and damp-heat resemble malaria. Mental confusion, delirious speech, irritability, and thirst indicate this is no longer a exterior syndrome. Mufangji Tang (Stephania Tetrandra Decoction) is the primary treatment.
Stephania Tetrandra (Mufangji), Gardenia (Heizhi), Trichosanthes Peel (Tufuloupi), Gypsum (Shigao), Forsythia Fruit (Lianqiao), Apricot Seed (Xingren).
The pulse on the right is large; the tongue is yellow but there is no thirst. Vomiting of sticky phlegm, restlessness, and unclear speech with persistent fever indicate internal injury from fatigue compounded by warm pathogen invasion.
Magnolia Bark (Nongpi), Tangerine Peel (Guangpi), Liuyisan (Six-to-One Powder), Juice of Calamus Root (Shichangpu Genzhi), White Cardamom Seed (Baikouren), Poria (Fuling), Light Bamboo Leaves (Danzhuye).
This is damp-warmth. Dampness adhering to joints causes pain; dampness obstructing qi channels causes fullness/stuffiness; dampness remaining in the intestines and stomach causes diarrhea. Dampness steaming generates internal heat like fire... (text fragment). Accumulated fatigue severely damages Yang Qi; intestinal wind consumes and leaks Ying Yin. Constitutional deficiency combined with the six exogenous pathogens constitutes a serious condition. The general principle is to harmonize the Yangming and Jueyin meridians.
Scutellaria Root (Huangqin), Toosendan Fruit Peel (Chuanlianpi), Processed Pinellia Tuber (Zhibanxia), Tangerine Peel White (Guangpi Bai), Raw White Peony Root (Shengbaishao), Dark Plum Flesh (Wumei Rou), Poria (Fuling), Phellodendron Bark (Chuanhuangbai).
Dampness causes redness and nodules in the bone joints; turbid phlegm accumulates in the chest. Since eliminating turbidity is incomplete, use Mufangji Tang (Stephania Tetrandra Decoction).
Stephania Tetrandra (Mufangji), Apricot Seed (Xingren), Raw Coix Seed (Shengyiren), Raw Gypsum (Shengshigao), Talcum (Huashi), Aragonite (Han shuishishi), Tongcao (5 qian, decocted as water substitute).