1.论曰∶百合病者,百脉一宗,悉致其病也。意欲食复不能食,常默然,欲卧不能卧,欲行不能行,饮食
或有美时,或有不用闻食臭时,如寒无寒,如热无热,口苦,小便赤,诸药不能治,得药则剧吐利,如有神灵者,身形
如和,其脉微数。每溺时头痛者,六十日乃愈;若溺时头不痛,淅然者,四十日愈;若溺快然,但头眩者,二
十日愈。其证或未病而预见,或病四五日而出,或病二十日或一月微见者,各随证治之。
2.百合病,发汗后者,百合知母汤主之。
百合知母汤方
百合(七枚,擘) 知母(三两,切)
上先以水洗百合,渍一宿,当白沫出去其水,更以泉水二升,煎取一升,去滓;别以泉水二升煎知母,取一
升去滓;后合和煎取一升五合,分温再服。
3.百合病,下之后者,滑石代赭汤主之。
滑石代赭汤方
百合(七枚,擘) 滑石(三两,碎,绵裹) 代赭石(如弹丸大一枚,碎,绵裹)
上先以水洗百合,渍一宿,当白沫出,去其水,更以泉水二升煎取一升,去滓;别以泉水二升煎滑石、代赭,
取一升去滓,后合和重煎取一升五合,分温服。
4.百合病,吐之后者,用后方主之。
百合鸡子汤方
百合(七枚,擘) 鸡子黄(七枚)
上先以水洗百合,渍一宿,当白沫出,去其水,更以泉水二升煎取一升,去滓,纳鸡子黄,搅匀煎五分,温服。
5.百合病,不经吐、下、发汗,病形如初者,百合地黄汤主之。
百合地黄汤方
百合(七枚,擘) 生地黄汁(一升)
上以水洗百合,渍一宿,当白沫出,去其水,更以泉水二升煎取一升,去滓,纳地黄汁,煎取一升五合,分
温再服,中病勿更服,大便常如漆。
6.百合病,一月不解,变成渴者,百合洗方
主之。
百合洗方
上以百合一升,以水一斗渍之一宿,以洗身,洗已,食煮饼,勿以盐豉也。
7.百合病,渴不瘥者,栝蒌牡蛎散主之。
栝蒌牡蛎散方
栝蒌根 牡蛎(熬,等分)
上为细末,饮服方寸匕,日三服。
8.百合病,变发热者(一作∶发寒热,)百合滑石散主之。
百合滑石散方
百合(一两,炙) 滑石(三两)
上为散,饮服方寸匕,日三服,当微利者止服,热则除。
9.百合病,见于阴者,以阳法救之;见于阳者,以阴法救之。见阳攻阴,复发其汗,此为逆,见阴攻阳,
乃复下之,此亦为逆。
10.狐惑之为病,状如伤寒,默默欲眠,目不得闭,卧起不安。蚀于喉为惑,蚀于阴为狐。不欲饮食,恶闻
食臭,其面目乍赤、乍黑、乍白。蚀于上部则声喝(一作嗄,)甘草泻心汤主之。
甘草泻心汤方
甘草(四两) 黄芩 人参 干姜(各三两) 黄连(一两) 大枣(十二枚) 半夏(半升)
上七味,水一斗,煮取六升,去滓,再煎,温服一升,日三服。
11.蚀于下部则咽干,苦参汤洗之。
苦参汤方
苦参一升以水一斗,煎取七升,去滓。熏洗,日三。
12.蚀于肛者,雄黄熏之。
雄黄
上一味,为末,筒瓦二枚合之,烧向肛熏之。(《脉经》云∶病患或从呼吸上蚀其咽,或从下焦蚀其肛阴。
蚀上为惑,蚀下为狐,狐惑病者,猪苓散主之。)
13.病者脉数,无热,微烦,默默但欲卧,汗出。初得之三四日,目赤如鸠眼,七八日,目四 黑,若能食
者,脓已成也。赤小豆当归散主之。
赤小豆当归散方
赤小豆(三升,浸令芽出,曝干) 当归
上二味,杵为散,浆水服方寸匕,日三服。
14.阳毒之为病,面赤斑斑如锦文,咽喉痛,唾脓血。五日可治,七日不可治。升麻鳖甲汤主之。
15.阴毒之为病,面目青,身痛如被杖,咽喉痛。五日可治,七日不可治,升麻鳖甲汤去雄黄蜀椒主之。
升麻鳖甲汤方
升麻(二两) 当归(一两) 蜀椒(炒去汗,一两) 甘草(二两) 鳖甲(手指大一片,炙) 雄黄(半
两,研)
上六味,以水四升,煮取一升,顿服之,老小再服。取汗。
(《肘后》、《千金方》∶阳毒用升麻汤,无鳖甲有桂;阴毒用甘草汤,无雄黄。)
1. 论述说:百合病,是因为全身血脉同源于心肺,如今都受到了邪气侵袭而发病。患者想要吃东西却又吃不下,常常沉默寡言,想睡觉却睡不安稳,想行走却不能行走,饮食有时觉得味道鲜美,有时又厌恶食物的气味,感觉像冷又不冷,感觉像热又不热,口苦,小便颜色深红,各种药物都不能治愈,服药后反而剧烈呕吐或腹泻,好像有神灵附体一样,身体外形看似正常,但脉象微数。每次小便时如果头痛,六十天才能痊愈;如果小便时头不痛,只是感到怕冷(淅然恶寒),四十天痊愈;如果小便顺畅,只有头晕目眩,二十天痊愈。这种病症有的在发病前就预先出现症状,有的在发病四五日后才显现,有的在发病二十日或一个月后才轻微出现,应当根据具体证候进行治疗。
2. 百合病,经过发汗治疗后的,用百合知母汤主治。
百合知母汤方
百合(七枚,掰开) 知母(三两,切片)
以上两味药,先用水清洗百合,浸泡一夜,待出现白色泡沫后倒掉水,再用泉水二升,煎取一升药液,去渣;另外用泉水二升煎煮知母,取一升药液去渣;然后将两种药液混合,再煎取一升五合,分两次温服。
3. 百合病,经过泻下治疗后的,用滑石代赭汤主治。
滑石代赭汤方
百合(七枚,掰开) 滑石(三两,捣碎,用丝绵包裹) 代赭石(如弹丸大一枚,捣碎,用丝绵包裹)
以上三味药,先用水清洗百合,浸泡一夜,待出现白色泡沫后倒掉水,再用泉水二升煎取一升药液,去渣;另外用泉水二升煎煮滑石、代赭石,取一升药液去渣;然后将药液混合,再次煎煮取一升五合,分次温服。
4. 百合病,经过催吐治疗后的,用后方(百合鸡子汤)主治。
百合鸡子汤方
百合(七枚,掰开) 鸡蛋黄(七个)
以上两味药,先用水清洗百合,浸泡一夜,待出现白色泡沫后倒掉水,再用泉水二升煎取一升药液,去渣,纳入鸡蛋黄,搅拌均匀煎煮至五分量,温服。
5. 百合病,未经过催吐、泻下、发汗治疗,病情表现如初的,用百合地黄汤主治。
百合地黄汤方
百合(七枚,掰开) 生地黄汁(一升)
以上两味药,用水清洗百合,浸泡一夜,待出现白色泡沫后倒掉水,再用泉水二升煎取一升药液,去渣,纳入地黄汁,煎取一升五合,分两次温服,病愈即停服,大便常呈黑色如漆状。
6. 百合病,一个月未愈,转变为口渴症状的,用百合洗方主治。
百合洗方
以上一味药,用百合一升,加水一斗浸泡一夜,用来洗浴身体,洗完后,吃煮好的面条(煮饼),不要用盐和豆豉调味。
7. 百合病,口渴症状未缓解的,用栝蒌牡蛎散主治。
栝蒌牡蛎散方
栝蒌根 牡蛎(煅烧,等分)
以上两味药,研成细末,用米汤送服一方寸匕,每日三次。
8. 百合病,出现发热症状的(一说:出现寒热往来),用百合滑石散主治。
百合滑石散方
百合(一两,炙烤) 滑石(三两)
以上两味药,研为散剂,用米汤送服一方寸匕,每日三次,当出现轻微通利现象时停止服用,热邪即可消除。
9. 百合病,表现为阴证特征的,用阳法来救治;表现为阳证特征的,用阴法来救治。见到阳证却攻伐阴分,又再次发汗,这是逆治;见到阴证却攻伐阳分,又再次使用泻下法,这也是逆治。
10. 狐惑病的症状,类似伤寒,默默想睡觉,眼睛却无法闭合,躺下坐起都不安宁。腐蚀咽喉部位称为惑,腐蚀前后阴部位称为狐。不想吃东西,厌恶闻到食物气味,面色时而发红、时而发黑、时而发白。腐蚀在上部(咽喉)则声音嘶哑,用甘草泻心汤主治。
甘草泻心汤方
甘草(四两) 黄芩 人参 干姜(各三两) 黄连(一两) 大枣(十二枚) 半夏(半升)
以上七味药,加水一斗,煮取六升药液,去渣,再煎煮浓缩,温服一升,每日三次。
11. 腐蚀在下部(前后阴)则咽喉干燥,用苦参汤清洗。
苦参汤方
苦参一升,加水一斗,煎取七升药液,去渣。先熏后洗,每日三次。
12. 腐蚀在肛门部位的,用雄黄熏蒸治疗。
雄黄
以上一味药,研成粉末,用两片筒瓦相对合拢,对着肛门进行熏蒸。(《脉经》记载:病人有的从呼吸上部腐蚀咽喉,有的从下焦腐蚀肛门。腐蚀上部为惑,腐蚀下部为狐,狐惑病患者,猪苓散主治。)
13. 病人脉象数,无发热,轻微烦躁,默默只想睡觉,出汗。刚得病三四天,眼睛发红像斑鸠的眼睛,七八天后,眼周发黑,如果能吃东西,说明脓已经形成。用赤小豆当归散主治。
赤小豆当归散方
赤小豆(三升,浸泡令其发芽,晒干) 当归
以上两味药,捣碎研为散剂,用浆水送服一方寸匕,每日三次。
14. 阳毒的病,面部红斑斑驳如锦缎花纹,咽喉疼痛,吐出脓血。五天可以治疗,七天不可治疗。用升麻鳖甲汤主治。
15. 阴毒的病,面目青暗,身体疼痛如同被棍棒打过,咽喉疼痛。五天可以治疗,七天不可治疗,用升麻鳖甲汤去掉雄黄、蜀椒主治。
升麻鳖甲汤方
升麻(二两) 当归(一两) 蜀椒(炒去汗,一两) 甘草(二两) 鳖甲(手指大一片,炙烤) 雄黄(半两,研磨)
以上六味药,加水四升,煮取一升药液,一次性服下,老人小孩可分两次服用。以出汗为效。
(《肘后备急方》、《千金方》记载:阳毒用升麻汤,无鳖甲而有桂枝;阴毒用甘草汤,无雄黄。)
1. The treatise states: Baihe Bing (Lily Disease) occurs when all meridians, originating from a single source (Heart and Lung), are affected by pathogenic factors. Patients desire to eat but cannot; they remain silent; they desire to lie down but cannot sleep soundly; they desire to walk but cannot move freely. Their appetite varies, sometimes finding food palatable, other times being repulsed by the smell of food. They feel as if cold but are not actually cold, feel as if hot but are not actually hot. There is bitter taste in the mouth, dark red urine, and various medications fail to cure the condition. Administration of drugs often leads to severe vomiting or diarrhea, as if possessed by spirits. The physical appearance seems normal, yet the pulse is slightly rapid. If headache occurs during urination, recovery takes sixty days; if there is no headache during urination but rather a sensation of chilliness (Xiran), recovery takes forty days; if urination is smooth with only dizziness, recovery takes twenty days. Symptoms may appear before the disease fully manifests, or emerge four to five days after onset, or become faintly visible after twenty days or a month. Treatment should be tailored to the specific syndrome.
2. For Baihe Bing (Lily Disease) following sweating therapy, Baihe Zhi Mu Tang (Lily and Anemone Decoction) is indicated.
Baihe Zhi Mu Tang Formula
He Baihe (Lilii Bulbus, seven bulbs, split) Zhi Mu (Anemarrhenae Rhizoma, three liang, sliced)
First, wash He Baihe (Lilii Bulbus) and soak it overnight. Discard the water when white foam appears. Add two sheng of spring water, decoct to obtain one sheng, and strain. Separately, decoct Zhi Mu (Anemarrhenae Rhizoma) in two sheng of spring water to obtain one sheng, and strain. Mix the two decoctions and decoct again to obtain one sheng and five he. Divide into two doses and take warm.
3. For Baihe Bing (Lily Disease) following purgative therapy, Huashi Daizhe Tang (Talcum and Hematite Decoction) is indicated.
Huashi Daizhe Tang Formula
He Baihe (Lilii Bulbus, seven bulbs, split) Huashi (Talcum, three liang, crushed, wrapped in silk) Daizheshi (Hematitum, size of a bullet, one piece, crushed, wrapped in silk)
First, wash He Baihe (Lilii Bulbus) and soak it overnight. Discard the water when white foam appears. Add two sheng of spring water, decoct to obtain one sheng, and strain. Separately, decoct Huashi (Talcum) and Daizheshi (Hematitum) in two sheng of spring water to obtain one sheng, and strain. Mix the decoctions and decoct again to obtain one sheng and five he. Take warm in divided doses.
4. For Baihe Bing (Lily Disease) following emetic therapy, use the subsequent formula (Baihe Jizi Tang).
Baihe Jizi Tang Formula
He Baihe (Lilii Bulbus, seven bulbs, split) Jizi Huang (Yolks of Chicken Eggs, seven)
First, wash He Baihe (Lilii Bulbus) and soak it overnight. Discard the water when white foam appears. Add two sheng of spring water, decoct to obtain one sheng, and strain. Add Jizi Huang (Yolk of Chicken Egg), stir evenly, and decoct until reduced to five fen. Take warm.
5. For Baihe Bing (Lily Bing) not treated with emetics, purgatives, or diaphoretics, where the presentation remains unchanged, Baihe Dihuang Tang (Lily and Rehmannia Decoction) is indicated.
Baihe Dihuang Tang Formula
He Baihe (Lilii Bulbus, seven bulbs, split) Sheng Dihuangzhi (Fresh Radix Rehmanniae Juice, one sheng)
Wash He Baihe (Lilii Bulbus) and soak it overnight. Discard the water when white foam appears. Add two sheng of spring water, decoct to obtain one sheng, and strain. Add Sheng Dihuangzhi (Fresh Radix Rehmanniae Juice), decoct to obtain one sheng and five he. Divide into two doses and take warm. Stop administration once the illness is cured. Stool will often be black like lacquer.
6. For Baihe Bing (Lily Disease) persisting for a month and transforming into thirst, Baihe Xi Fang (Lily Washing Prescription) is indicated.
Baihe Xi Fang
Use one sheng of He Baihe (Lilii Bulbus), soak in ten dou of water overnight, and use the liquid to wash the body. After washing, consume boiled noodles (Zhu Bing) without salt or fermented soybeans (Chi).
7. For Baihe Bing (Lily Disease) with persistent thirst, Gualou Muli San (Trichosanthes Root and Oyster Shell Powder) is indicated.
Gualou Muli San Formula
Gualougen (Radix Trichosanthis) Muli (Concha Ostreae, calcined, equal parts)
Grind into fine powder. Take one fangcun bi with rice water, three times daily.
8. For Baihe Bing (Lily Disease) presenting with fever (alternatively: chills and fever), Baihe Huashi San (Lily and Talcum Powder) is indicated.
Baihe Huashi San Formula
Baihe (Lilii Bulbus, one liang, roasted) Huashi (Talcum, three liang)
Grind into powder. Take one fangcun bi with rice water, three times daily. Discontinue use when mild bowel movement occurs; the heat will then be eliminated.
9. For Baihe Bing (Lily Disease) manifesting Yin characteristics, treat using Yang methods; for those manifesting Yang characteristics, treat using Yin methods. Attacking Yin when Yang signs are present, followed by inducing sweat, is a contraindicated error. Attacking Yang when Yin signs are present, followed by purgation, is also a contraindicated error.
10. Huhuo Bing (Fox-Hu Disease) presents similarly to Shanghan (Cold Damage), with silence, desire to sleep, inability to close the eyes, and restlessness upon lying down or rising. Erosion in the throat is called Huo; erosion in the genital or anal region is called Hu. There is loss of appetite and aversion to the smell of food. The complexion alternates between red, black, and white. Erosion in the upper part (throat) causes hoarseness; Gancao Xixin Tang (Licorice and Heart-Draining Decoction) is indicated.
Gancao Xixin Tang Formula
Gancao (Radix Glycyrrhizae, four liang) Huangqin (Radix Scutellariae) Renshen (Radix Ginseng) Jiangjiang (Rhizoma Zingiberis Recens, each three liang) Huanglian (Rhizoma Coptidis, one liang) Dazao (Fructus Jujubae, twelve pieces) Banxia (Rhizoma Pinelliae, half sheng)
Decoct the seven ingredients in ten dou of water to obtain six sheng. Strain, decoct again, and take one sheng warm, three times daily.
11. Erosion in the lower part causes dryness of the throat; treat with Kushen Tang (Sophora Decoction) for washing.
Kushen Tang Formula
Kushen (Radix Sophorae Flavescentis, one sheng) decocted in ten dou of water to obtain seven sheng. Strain. Use for fumigation and washing, three times daily.
12. Erosion in the anus is treated with Xionghuang fumigation.
Xionghuang (Realgar)
Grind into powder. Place between two tube-shaped tiles and fumigate towards the anus. (Mai Jing notes: Patients may have erosion in the throat from respiration (upper) or in the anus/genitals from the lower jiao. Upper erosion is Huo, lower erosion is Hu. For Huhuo Bing, Zhuling San is indicated.)
13. The patient has a rapid pulse, no fever, slight irritability, silence with desire to sleep, and sweating. Within three to four days of onset, the eyes turn red like a turtledove's eyes. By the seventh or eighth day, the corners of the eyes turn black. If the patient can eat, pus has formed. Chixiaodou Danggui San (Adzuki Bean and Angelica Powder) is indicated.
Chixiaodou Danggui San Formula
Chixiaodou (Semen Phaseoli Radiati, three sheng, soaked until sprouted, dried) Danggui (Radix Angelicae Sinensis)
Grind into powder. Take one fangcun bi with Jiangshui (fermented grain water), three times daily.
14. Yangdu (Yang Toxin) presents with facial mottled red spots like brocade patterns, sore throat, and expectoration of pus and blood. It is treatable within five days, but untreatable after seven days. Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction) is indicated.
15. Yindu (Yin Toxin) presents with blue-green complexion, body pain as if beaten with a club, and sore throat. It is treatable within five days, but untreatable after seven days. Shengma Biejia Tang minus Xionghuang (Realgar) and Shujiao (Zanthoxyli Pericarpium) is indicated.
Shengma Biejia Tang Formula
Shengma (Rhizoma Cimicifugae, two liang) Danggui (Radix Angelicae Sinensis, one liang) Shujiao (Pericarpium Zanthoxyli, stir-fried to remove moisture, one liang) Gancao (Radix Glycyrrhizae, two liang) Biejia (Carapax et Plastrum Testudinis, size of a finger, one piece, roasted) Xionghuang (Realgar, half liang, ground)
Decoct the six ingredients in four sheng of water to obtain one sheng. Take in one dose. Elderly and children may take half a dose. Induce sweating.
(Erhou Bei Ji Fang and Qianjin Fang note: For Yang Du, use Shengma Tang without Biejia but with Guizhi; for Yin Du, use Gancao Tang without Xionghuang.)