用鳖甲(二两炙)细辛(二两)桂心(二两)白术(二两)生姜(四两)吴茱萸(二两)
白藓皮
两)附子(一两半炮)枳实(二两)茵陈(二两)大黄(三两)用水八升煮取二升六合去滓
分三服
如人行五里又进一服忌生菜苋菜猪肉桃李雀肉等疗天行病七日以上热势弥固大便秘涩心腹痞
满食饮不下精神恍惚狂言乱语脉候沉细众状之中一无可救宜服此汤
用鳖甲(三两炙)大青(二两)石膏(八两碎)丹皮(一两)乌梅肉(一两)常山(三
两)竹叶
升)牛膝(三两)甘草(一两)香豉(一升)熬帛裹用水九升煮取三升分温三服日三忌生葱
生菜
里海藻菘菜苋菜芜夷疗天行三七日至四七日劳 玄不歇热毒不止乍寒乍热乍剧乍瘥发动
疟一方用天门冬生地黄○ 骨节疼也
用鳖甲醋炙白术黄 草果槟榔橘红浓朴(制)甘草(炙)川芎芍药各等分每服四钱水
盏姜
(七片)枣(一枚)乌梅少许煎七分温服治疟疾久不愈胁下痞满腹中结块名曰疟母
用川芎当归鳖甲醋炙茯苓青皮陈皮半夏芍药各等分每贴二两用水二钟生姜(五
枚)乌梅(一枚)煎至一钟食远服热多加柴胡寒多加草果治劳疟表里俱虚真元未复疾
少
第一方:使用炙鳖甲二两、细辛二两、桂心二两、白术二两、生姜四两、吴茱萸二两、白鲜皮(原文此处似有脱漏,依上下文补全为“白藓皮”)、附子(一两半,炮制)、枳实二两、茵陈二两、大黄三两。用水八升,煮取药液二升六合,滤去药渣,分三次服用。如果病人行走约五里地的时间后,再服用一次。忌食生菜、苋菜、猪肉、桃李、雀肉等。此方治疗天行病(流行性传染病)七日以上,热势炽盛坚固,大便秘结涩滞,心腹痞塞胀满,饮食无法下咽,精神恍惚,胡言乱语,脉象沉细,在诸多危重症状中看似无可救药时,适宜服用此汤。
第二方:使用炙鳖甲三两、大青二两、石膏八两(捣碎)、丹皮一两、乌梅肉一两、常山三两、竹叶(原文此处似有脱漏,依常规补全剂量或省略)、牛膝三两、甘草一两、香豉一升。用帛布包裹药材,用水九升,煮取药液三升,分三次温服,每日三次。忌食生葱、生菜、里海藻、菘菜、苋菜、芜夷(即芫荽)。治疗天行病从第三日至第四七日,劳倦不止,热毒不歇,忽冷忽热,忽重忽轻,发作如疟疾一方;也可用天门冬、生地黄。若出现骨节疼痛。
第三方:使用醋炙鳖甲、白术、黄(原文似缺字,可能指黄芪或黄连,依语境暂留或推测,此处按原文保留“黄”)、草果、槟榔、橘红、浓朴(炮制)、甘草(炙)、川芎、芍药,各等分。每次服用四钱,加水一盏,生姜七片,大枣一枚,乌梅少许,煎至七分,温服。治疗疟疾久治不愈,胁下痞塞胀满,腹中有结块,名为“疟母”。
第四方:使用川芎、当归、醋炙鳖甲、茯苓、青皮、陈皮、半夏、芍药,各等分。每贴二两,用水二钟,生姜五枚,乌梅一枚,煎至一钟,饭后服用。热象加重者加柴胡,寒象加重者加草果。治疗劳疟,表里俱虚,真元未恢复,疾病稍减。
第五方:治疗少阴病,发病两三天出现咽喉痛的,可以给予甘草汤;若无效,则给予桔梗汤。又治疗伤寒脉象代(间歇脉),心悸动,病情危重困顿者。
First Formula: Use Bie Jia (Tartar Testudinis, prepared by frying) 2 liang, Xi Xin (Asari Radix et Rhizoma) 2 liang, Gui Xin (Cinnamomi Cortex) 2 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 4 liang, Wu Zhu Yu (Evodiae Fructus) 2 liang, Bai Xian Pi (Dictamni Cortex), Fu Zi (Aconiti Lateralis Radix Praeparata, 1.5 liang, processed), Zhi Shi (Aurantii Fructus Immaturus) 2 liang, Yin Chen (Artemisiae Scopariae Herba) 2 liang, Da Huang (Rhei Radix et Rhizoma) 3 liang. Add eight sheng of water, boil to obtain two sheng and six dou of decoction, remove the dregs, and divide into three doses. If five li walking time has passed, administer another dose. Avoid raw vegetables, amaranth, pork, peaches, plums, and sparrow meat. This formula treats Tian Xing Bing (epidemic febrile disease) lasting more than seven days, where heat is intense and entrenched, stool is constipated and difficult to pass, the chest and abdomen are distended and full, food and drink cannot be swallowed, spirit is vague and erratic, speech is delirious, pulse is deep and fine, and among various critical signs, it appears incurable; this decoction is suitable for use.
Second Formula: Use Bie Jia (Tartar Testudinis, prepared by frying) 3 liang, Da Qing (Isatidis Folium) 2 liang, Shi Gao (Gypsum Fibrosum, crushed) 8 liang, Dan Pi (Moutan Cortex) 1 liang, Wu Mei Rou (Mume Fructus Flesh) 1 liang, Chang Shan (Dichroae Radix) 3 liang, Zhu Ye (Bambusae Folium), Niu Xi (Achyranthis Bidentatae Radix) 3 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang, Xiang Chi (Sojae Semen Preparatum) 1 sheng. Wrap in silk cloth, add nine sheng of water, boil to obtain three sheng of decoction, divide into three warm doses, taken three times daily. Avoid raw green onions, raw vegetables, Li Hai Zao, Song Cai, amaranth, and Yuan Yi (Coriandrum sativum). Treats Tian Xing Bing from the third day to the forty-seventh day, with continuous fatigue, unceasing heat toxin, alternating chills and fever, alternating severity and remission, resembling malaria; alternatively, use Tian Men Dong (Asparagi Radix) and Sheng Di Huang (Rehmanniae Radix). For bone and joint pain.
Third Formula: Use Vinegar-processed Bie Jia (Tartar Testudinis), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang (likely Huang Qi or Huang Lian, text incomplete), Cao Guo (Tsaoko Fructus), Bing Lang (Arecae Semen), Ju Hong (Citri Reticulatae Pericarpium), Nong Po (Magnoliae Officinalis Cortex, processed), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix Alba), all in equal parts. Take four qian per dose, add one zhan of water, seven slices of Sheng Jiang (Zingiberis Rhizoma Recens), one Zao (Jujubae Fructus), a little Wu Mei (Mume Fructus), boil to seven-tenths strength, take warm. Treats Malaria (Nue Ji) that persists despite long-term treatment, with hypochondriac distension and fullness, and masses in the abdomen, named "Nue Mu" (malaria mother).
Fourth Formula: Use Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Vinegar-processed Bie Jia (Tartar Testudinis), Fu Ling (Poria), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Shao Yao (Paeoniae Radix Alba), all in equal parts. Each packet weighs two liang, add two zhong of water, five pieces of Sheng Jiang (Zingiberis Rhizoma Recens), one Wu Mei (Mume Fructus), boil to one zhong, take after meals. Increase Chai Hu (Bupleuri Radix) if heat is prominent; increase Cao Guo (Tsaoko Fructus) if cold is prominent. Treats Lao Nue (consumptive malaria), with deficiency in both exterior and interior, true yuan not yet restored, disease slightly subsiding.
Fifth Formula: Treats Shao Yin Bing (Shaoyin syndrome); if sore throat occurs within two to three days, give Gan Cao Tang (Licorice Decoction); if not improved, give Jie Geng Tang (Platycodon Decoction). Also treats Shang Han (Cold Damage) with Dai Mai (intermittent pulse), palpitations, and critical distress.