用生薄荷(半两)猪牙皂角(二两)捶碎水一升二味一处浸取汁研成膏瓜蒂末(一两)
藜芦
(二两)朱砂(半两)将膏子搜和丸如龙眼大以朱砂为衣温酒化下一丸甚者二丸以吐为度得
吐
醒不醒不可救或谓中风无吐法引金虎碧霞为戒且如卒暴涎生声如引锯牙关紧急气闭不行汤
不能入命在须臾执以无吐法可乎但不当用银粉药恐损脾坏人四肢耳罗谦甫方有粉霜铅粉无
芦治法同
用瓜蒂(七十五个)赤小豆(七十五粒)人参(去芦五分)甘草(生用二钱五分)治痰
饮酒
积食劳留饮停滞或寒结胸中热郁所化
用防风(三两)瓜蒂(三两)藜芦(一两或五钱)治痰涎壅盛用此吐之以吐为度不必尽
剂
室暖不透风处用吐至以好醋葱汤解之
用瓜蒂丁香(各七枚)小豆为末黑豆许于鼻少时黄水出瘥治身面四肢浮肿杀虫去鼻
肉阴黄黄胆及暴急黄
用苦参(二分)甘草(一分半)瓜蒂(二十枚)赤豆(二七粒)疗伤寒汗出不渴三四日
胸中
吐者当吐不止作葱豉汁解之忌海藻松菜
用赤小豆(三十枚)茯苓(六铢)瓜蒂(四铢)雄黄(二铢)甘草(五铢炙)栝蒌(四
铢)用水三升
先煮小豆茯苓取汁八合合后四药捣为散取前汁调半钱匕适寒温服之须臾当吐则
大小便正黑一方云疗久黄胆
用瓜蒂(三分)赤小豆(四分熬)雄黄(四两研)捣筛为散空心温浆水服一钱匕半当吐
止
加至二钱匕寮卒中恶心腹绞刺痛气急胀奄奄欲绝
取生薄荷(半两)、猪牙皂角(二两),捣碎后加入水一升,将这两味药浸泡在一起,提取汁液并研磨成膏状。加入瓜蒂末(一两)、藜芦(二两)、朱砂(半两),用上述药膏调和,制成如龙眼大小的大丸剂,以朱砂为外衣。服用时温酒化开一丸,病情严重者服两丸,以呕吐为限度。若服药后能吐出则苏醒,若不能吐出则无法救治。有人称中风没有吐法,引用金虎、碧霞作为警戒;但如果是突然暴发的痰涎上涌,声音像拉锯一样,牙关紧闭,气机闭塞,汤药无法进入,生命危在旦夕,此时坚持说不能用吐法,可以吗?只是不应当使用银粉类药物,恐怕会损伤脾胃、毁坏四肢。罗谦甫的方剂中含有粉霜、铅粉,不含藜芦,治疗方法相同。
取瓜蒂(七十五个)、赤小豆(七十五粒)、人参(去芦头,五分)、甘草(生用,二钱五分)。用于治疗痰饮、饮酒过度、积食、劳倦导致的留饮停滞,或者寒邪结于胸中、热郁所化的病证。
取防风(三两)、瓜蒂(三两)、藜芦(一两或五钱)。用于治疗痰涎壅盛之证,使用此方催吐,以呕吐为限度,不必服完全部剂量。应在温暖且不透风的室内进行,催吐后用好醋和葱汤来解药性。
取瓜蒂(各七枚)、丁香(各七枚),将小豆研成细末,取如黑豆大小的量纳入鼻中,片刻后会有黄水流出,即可痊愈。用于治疗身体、面部及四肢浮肿,杀虫,去除鼻息肉,治疗阴黄、黄疸以及暴发性急黄。
取苦参(二分)、甘草(一分半)、瓜蒂(二十枚)、赤豆(十四粒)。治疗伤寒汗出后不口渴,经过三四天,胸中不适需要催吐的情况。当催吐不止时,可用葱豉汁来解药性。忌食海藻、松菜。
取赤小豆(三十枚)、茯苓(六铢)、瓜蒂(四铢)、雄黄(二铢)、甘草(五铢,炙)、栝蒌(四铢)。用水三升,先煮赤小豆和茯苓,取汁八合,然后加入其余四味药,捣碎过筛制成散剂。取前面的药汁调服半钱匕,温度适宜时服用。不久应当呕吐,此时大小便呈正黑色。另一说法称此方可治疗久治不愈的黄疸。
取瓜蒂(三分)、赤小豆(四分,炒熟)、雄黄(四两,研细),捣碎过筛制成散剂。空腹时用温浆水送服一钱匕半,应当呕吐即止。若无效可加至二钱匕。用于治疗卒中恶气,心腹绞痛刺痛,气急腹胀,气息奄奄欲绝之证。
Take Sheng Bohe (Raw Menthae Haplocalycis Herba, 0.5 liang) and Zhu Ya Zao Jiao (Toothed Soap Pod, 2 liang), crush them, add one sheng of water, soak the two herbs together, extract the juice, and grind into a paste. Add Gua Di powder (1 liang), Li Lu (Veratrum nigrum, 2 liang), and Zhu Sha (Cinnabar, 0.5 liang). Mix with the paste to form pills the size of longan fruits, coated with Zhu Sha. Dissolve one pill in warm wine for administration; for severe cases, administer two pills. The treatment should cease once vomiting occurs. If the patient vomits, they will regain consciousness; if they do not vomit, rescue is impossible. Some argue that apoplexy (Zhong Feng) does not warrant emetic therapy, citing Jin Hu and Bi Xia as warnings. However, in cases of sudden accumulation of phlegm-fluids causing a sawing sound, locked jaw, blocked qi mechanism, and inability to ingest decoctions, with life hanging by a thread, can one insist on prohibiting emetics? One should merely avoid using Yin Fen (Silver Powder) as it may damage the spleen and stomach and impair the limbs. Luo Qianfu's formula contains Fen Shuang (Calomel) and Qian Fen (Lead White) but excludes Li Lu; the therapeutic principle remains the same.
Take Gua Di (75 seeds), Chi Xiao Dou (Red Adzuki Beans, 75 grains), Ren Shen (Ginseng Root, 5 fen, rhizome removed), and Gan Cao (Licorice Root, 2.5 qian, raw). This formula treats phlegm-fluids, excessive alcohol consumption, food stagnation, labor-induced retained fluids, or cold binding in the chest transformed by heat depression.
Take Fang Feng (Saposhnikoviae Radix, 3 liang), Gua Di (7.5 grams equivalent), and Li Lu (Veratrum nigrum, 1 liang or 5 qian). Treat copious phlegm-fluids obstruction. Use this formula to induce vomiting until the limit is reached; there is no need to consume the entire dose. Administer in a warm room without drafts. After inducing vomiting, resolve the toxicity with vinegar and scallion soup.
Take Gua Di (7 pieces) and Ding Xiang (Caryophylli Flos, 7 pieces). Grind Chi Xiao Dou (Adzuki Bean) into powder. Insert a quantity the size of a black soybean into the nostril. After a short while, yellow fluid will discharge, indicating recovery. Treat edema of the body, face, and limbs; expel parasites; remove nasal polyps; treat Yin Jaundice, Dan Huang (Jaundice), and acute sudden Jaundice.
Ku Shen (Sophorae Flavescentis Radix, 2 fen), Gan Cao (Licorice Root, 1.5 fen), Gua Di (20 pieces), and Chi Dou (Adzuki Bean, 14 grains). Treat Tai Yang disease where sweating has occurred without thirst, persisting for three to four days, requiring emesis for chest discomfort. If vomiting persists, resolve it with Cong Chi Jiang (Scallion and Fermented Soybean Decoction). Avoid Hai Zao (Sargassum) and Song Cai (Pine vegetables).
Chi Xiao Dou (Adzuki Bean, 30 pieces), Fu Ling (Poria, 6 zhu), Gua Di (4 zhu), Xiong Huang (Realgar, 2 zhu), Gan Cao (Licorice Root, 5 zhu, honey-fried), and Gua Lou (Trichosanthis Fructus, 4 zhu). Add three sheng of water. First decoct Chi Xiao Dou and Fu Ling to obtain eight he of juice. Combine with the other four herbs, pound into a powder. Mix half a qian bi (measure) of the powder with the previously obtained juice. Take at a suitable temperature. Vomiting should occur shortly after, resulting in normal black stool and urine. Another source states this treats chronic Dan Huang (Jaundice).
Gua Di (3 fen), Chi Xiao Dou (Adzuki Bean, 4 fen, roasted), and Xiong Huang (Realgar, 4 liang, finely ground). Pound and sieve into a powder. Take one and a half qian bi with warm Jiang Shui (fermented grain liquid) on an empty stomach. Stop when vomiting occurs. If ineffective, increase to two qian bi. Treat sudden attack of evil qi, causing heart and abdominal colic, stabbing pain,急促 breathing, abdominal distension, and a critical state resembling imminent death.