此症脾土燥,大肠涩,不可用硝、黄等药。宜用枳实二钱,水二碗煎七分,不拘时服。
体弱者少服。
以补中安胎为主,白芍二钱,生地、川芎、当归各一钱水煎服。如发热而渴者为热,本
方加条芩一钱),不渴者为寒,本方加干姜五分,乌梅一个为引。
如渴泄久不止者,台党二钱,白术三钱,甘草八分,白芍(酒炒)、茯苓各钱半,诃子
肉
如久泄大渴者,茯苓、炙草各一钱,藿香五分,木香、干姜各二钱半,水煎时时服之。
以清热和胎,行气养血为主,虚坐努力者,防其损胎。用当归黄芩芍药汤∶当归、黄芩
、黄连、白芍、焦术、枳壳、茯苓、生地、陈皮、生草各一钱,木香五分,乌梅一个,水煎
,空心服。
如久痢不止,用黄连阿胶汤∶黄连(炒)、阿胶(炒)、台党、白术、茯苓各一钱,干姜
(
又方∶用鸡蛋一个,破孔如指头大,以银簪搅匀,加入黄丹五分,用纸封口,在饭上蒸
熟食之即愈,神效非常。
又方∶荷叶蒂七个,烧枯存性,研末酒下,极效。
凡孕妇病疟,不可轻用截药,恐致损胎。用柴胡知母汤∶柴胡钱半,台党、黄芩、归身
、知母、白术各一钱,甘草五分,姜、枣引,水煎,多服,以平为期。
如疟久不退转甚者,用七圣散∶柴胡、黄芩、炙草、知母、常山、酒炒。草果仁各钱半
,真乌梅三个(去核),水酒各半煎,临发五更服之,宜露一夜荡温服。忌生冷、鸡鱼。或
用卷十五疟疾门外治各方最稳而效。
这种病症是由于脾土干燥、大肠涩滞所致,不可使用芒硝、大黄等泻下药。适宜用枳实二钱,加水两碗煎至七分,随时服用。
体质虚弱者应减少剂量服用。
治疗以补益中气、安胎为主,用白芍二钱,生地、川芎、当归各一钱,加水煎服。如果发热且口渴的属于热证,在本方基础上加黄芩一钱;不口渴的属于寒证,在本方基础上加干姜五分,乌梅一个作为引经药。
如果是长期腹泻不止且伴有口渴,用党参二钱,白术三钱,甘草八分,酒炒白芍和茯苓各一钱半,诃子肉(原文此处似有缺漏,按语境推测为配伍或用法,但依原文仅提取实体)……(注:原文“诃子肉”后接“如久泄大渴者”,中间可能缺失具体用量或连接词,此处忠实翻译原文结构)。
如果是长期腹泻且极度口渴,用茯苓、炙甘草各一钱,藿香五分,木香、干姜各二钱半,加水煎煮,时时服用。
治疗以清热、调和胎元、行气养血为主,对于虚坐努责(想排便却排不出)的情况,要防止损伤胎元。使用当归黄芩芍药汤:当归、黄芩、黄连、白芍、焦白术、枳壳、茯苓、生地、陈皮、生甘草各一钱,木香五分,乌梅一个,加水煎煮,空腹服用。
如果是长期痢疾不止,使用黄连阿胶汤:炒黄连、炒阿胶、党参、白术、茯苓各一钱,干姜(原文此处似有缺漏,按语境推测为配伍,但依原文仅提取实体)……
另一方法:用一个鸡蛋,破孔如手指头大小,用银簪搅匀,加入黄丹五分,用纸封口,在饭上蒸熟食用即可痊愈,效果非常神奇。
又一方:七个荷叶蒂,烧枯保留药性,研成粉末,用酒送服,效果极佳。
凡是孕妇患疟疾,不可轻易使用截疟药,恐怕会损伤胎元。使用柴胡知母汤:柴胡一钱半,党参、黄芩、当归身、知母、白术各一钱,甘草五分,生姜、大枣作为引经药,加水煎煮,多服用,以病情平稳为标准。
如果疟疾日久不退反而加重,使用七圣散:柴胡、黄芩、炙甘草、知母、常山、酒炒草果仁各一钱半,真乌梅三个(去核),水和酒各半煎煮,在发作前的五更天服用,宜露置一夜后温服。忌食生冷、鸡肉、鱼类。或者参考卷十五疟疾门外的各种治疗方法,最为稳妥有效。
This condition is caused by dryness of the Spleen Earth and astringency of the Large Intestine; it is inadvisable to use purgatives such as Mirabilite (Natrii Sulfas) or Rhubarb Radix et Rhizoma. It is appropriate to use Aurantii Fructus Immaturus (Zhi Shi) 2 qian, decocted in two bowls of water until reduced to seven-tenths, taken at any time.
Those with weak constitutions should take a smaller dose.
The treatment focuses on tonifying the Middle Jiao and calming the fetus. Use Paeoniae Radix Alba (Bai Shao) 2 qian, Rehmanniae Radix (Sheng Di), Chuanxiong Rhizome (Chuan Xiong), and Angelicae Sinensis Radix (Dang Gui) each 1 qian, decocted in water and taken orally. If there is fever accompanied by thirst, it indicates Heat syndrome; add Scutellariae Radix (Huang Qin) 1 qian to this formula. If there is no thirst, it indicates Cold syndrome; add Zingiberis Rhizoma (Gan Jiang) 0.5 qian and Mume Fructus (Wu Mei) one piece as a guiding herb.
If chronic diarrhea persists with prolonged thirst, use Codonopsis Radix (Tai Dang) 2 qian, Atractylodis Macrocephalae Rhizoma (Bai Zhu) 3 qian, Glycyrrhizae Radix et Rhizoma (Gan Cao) 0.8 qian, Paeoniae Radix Alba (Jiu Chao) and Poria (Fu Ling) each 1.5 qian, and Terminalia Chebulae Fructus (He Zi Rou)... [Note: Original text structure implies missing dosage/connection for He Zi Rou before next clause].
If chronic diarrhea is accompanied by extreme thirst, use Poria (Fu Ling) and Roasted Licorice Root (Zhi Gan Cao) each 1 qian, Pogostemonis Herba (Huo Xiang) 0.5 qian, and Aucklandiae Radix (Mu Xiang), Zingiberis Rhizoma (Gan Jiang) each 2.5 qian, decocted in water and taken frequently.
The treatment focuses on clearing heat, harmonizing the fetus, promoting Qi circulation, and nourishing blood. For tenesmus due to deficiency (Xu Zuo Nu Ze), care must be taken to prevent fetal damage. Use Danggui Huangqin Shaoyao Tang: Angelicae Sinensis Radix (Dang Gui), Scutellariae Radix (Huang Qin), Coptidis Rhizoma (Huang Lian), Paeoniae Radix Alba (Bai Shao), Fried Atractylodis Macrocephalae Rhizoma (Jiao Zhu), Aurantii Fructus (Zhi Qiao), Poria (Fu Ling), Rehmanniae Radix (Sheng Di), Tangerine Peel (Chen Pi), Raw Licorice Root (Sheng Gan Cao) each 1 qian, Aucklandiae Radix (Mu Xiang) 0.5 qian, and Mume Fructus (Wu Mei) one piece, decocted in water and taken on an empty stomach.
For persistent chronic dysentery, use Huanglian Ejiao Tang: Stir-fried Coptidis Rhizoma (Chao Huang Lian), Donkey-hide Gelatin (Chao Ejiao), Codonopsis Radix (Tai Dang), Atractylodis Macrocephalae Rhizoma (Bai Zhu), and Poria (Fu Ling) each 1 qian, Zingiberis Rhizoma (Gan Jiang)... [Note: Original text structure implies missing dosage/connection for Gan Jiang before next clause].
Another prescription: Take one chicken egg, make a hole the size of a finger, stir well with a silver hairpin, add Minium (Huang Dan) 0.5 qian, seal with paper, steam thoroughly over rice until cooked, and eat. This yields miraculous results.
Yet another prescription: Burn seven lotus leaf stalks (He Ye Di) until charred but retaining their medicinal properties, grind into powder, and take with wine. This is extremely effective.
Whenever a pregnant woman suffers from malaria, do not lightly use antimalarial drugs that arrest the attack, lest they damage the fetus. Use Chaihu Zhimu Tang: Bupleuri Radix (Chai Hu) 1.5 qian, Codonopsis Radix (Tai Dang), Scutellariae Radix (Huang Qin), Angelicae Sinensis Radix (Gui Shen), Anemarrhenae Rhizoma (Zhi Mu), and Atractylodis Macrocephalae Rhizoma (Bai Zhu) each 1 qian, Glycyrrhizae Radix et Rhizoma (Gan Cao) 0.5 qian, with Ginger (Jiang) and Jujube (Zao) as guides, decocted in water, taken in large amounts until the condition stabilizes.
If the malaria persists for a long time and worsens, use Qisheng San: Bupleuri Radix (Chai Hu), Scutellariae Radix (Huang Qin), Roasted Licorice Root (Zhi Gan Cao), Anemarrhenae Rhizoma (Zhi Mu), Dichroae Radix (Chang Shan), and Arecae Semen (Cao Guo Ren) fried with wine each 1.5 qian, three real Mume Fructus (Wu Mei) (pitted), decocted in half water and half wine, taken at the fifth watch (Wu Geng) just before the paroxysm, preferably exposed overnight and taken warm. Avoid cold/raw foods, chicken, and fish. Alternatively, refer to the external treatments for malaria in Volume 15, which are the most stable and effective.