痢疾亦治。巴豆三粒,黄蜡三钱,共捣烂成膏,贴脐上,用绢帕缚住,半日即愈。如噤
口不食者,加麝香三厘,用前药同贴。
又方∶香白芷、干姜各一钱,共研细末,以蜜为膏。先用酒洗脐,温微热后贴膏,用鞋
底烘热熨膏上,气通即愈。
痢疾最忌黄连,服则倒胃难治。然倪涵初先生痢疾三方均有此味,似不相宜,胃弱者宜
斟酌用之。
痢为险恶之症,生死所关,不惟时医治之失宜,而古今治法千家,多不得其道,是以不
能速收全效。今立方何以为奇?不泥成法故奇也。立论何以为妙?不胶成说故妙也。然其药
品
初起煎方∶川黄连(去芦)、条黄芩、生白芍、山楂肉各一钱二分,陈枳壳(去穣)、紫
浓
三分,
煎服。此方
木香三分
不必再
于左。
加减煎方∶川莲、黄芩、白芍(酒炒)各六分,山楂肉一钱,橘红、青皮、槟榔、地榆
各四分,甘草(炙)三分,当归五分,桃仁粉六分,红花三分,木香(磨兑)二分,水三碗,
煎
补理煎方∶川莲、条芩各酒炒六分,芍药(酒炒)四分,橘红六分,全当归、人参(无
则
以上三方,随用辄效,其有不效者,必初时投参、术等补剂太早,补塞邪气在内,久而
正气已虚,邪气益盛,缠绵不已,欲补而涩之则助邪,欲清而疏之则愈滑,遂至于不可救药
,虽有奇方,无如之何,则初投温补杀之也。如妇人有胎者,去桃仁、红花、槟榔等味。
痢疾也可以治疗。取巴豆三粒,黄蜡三钱,共同捣烂成膏状,贴在肚脐上,用丝帕绑紧固定,半天即可痊愈。如果是噤口痢(指下痢而饮食不进者)不能进食的,加入麝香三厘,与前药一同贴敷。
又一方:香白芷、干姜各一钱,共同研成细末,用蜂蜜调成膏状。先用酒清洗肚脐,待温热微热后贴上药膏,用鞋底烘热熨烫在药膏上,气机通畅即愈。
痢疾最忌讳使用黄连,服用后会损伤胃气导致难以治疗。然而倪涵初先生的痢疾三方中均含有黄连这一味药,似乎不太适宜,脾胃虚弱者应当斟酌使用。
痢疾是一种险恶严重的病症,关乎生死,不仅时医治疗不当,而且古今治疗方法虽多,大多未得其要领,因此不能迅速取得全效。如今立方的奇妙之处何在?不拘泥于成法所以奇妙。立论的精妙之处何在?不固守旧说所以精妙。
其药品及方剂如下:
初起煎方:川黄连(去芦头)、条黄芩、生白芍、山楂肉各一钱二分,陈枳壳(去瓤)、紫浓(此处原文可能有误,结合上下文及常见配伍,疑为“紫苏”或特定药材,但依原文直译保留“紫浓”,注:古籍中“紫浓”极少见,可能为“紫草”或“浓朴”之误,此处严格按原文“紫浓”处理,若需通顺可理解为某种紫色浓性药物,但在实体提取中仅提取明确名称)、木香三分,水煎服。此方不必再……(原文此处有残缺或排版错乱,“于左”等字疑似排版残留)。
加减煎方:川黄连、黄芩、白芍(酒炒)各六分,山楂肉一钱,橘红、青皮、槟榔、地榆各四分,甘草(炙)三分,当归五分,桃仁粉六分,红花三分,木香(磨汁兑入)二分,水三碗,煎服。
补理煎方:川黄连、条黄芩各酒炒六分,芍药(酒炒)四分,橘红六分,全当归、人参(若无则……)(原文此处截断,推测为人参缺省时的替代或用法说明,按现有文本翻译)。
以上三方,随用随有效。如果有无效的,必定是初期过早投用了人参、白术等补益药剂,导致邪气被补塞在体内,时间久了正气已虚,邪气更加旺盛,缠绵难愈。想要补益而收敛则会助长邪气,想要清热而疏利则会加重滑脱,于是到了不可救药的地步,虽然有奇方,也无能为力,这是初期误用温补造成的后果。如妇女怀孕者,去掉桃仁、红花、槟榔等药味。
Dysentery can also be treated. Take three seeds of Crotonis Fructus (Badou, 巴豆) and three qian of yellow beeswax, pound them together into a paste, apply it to the navel, and secure it with a silk cloth. Recovery occurs within half a day. For cases of "Jinkou Li" (dysentery with inability to eat), add three li of Moschus (Shexiang, 麝香) and apply together with the aforementioned medicine.
Another prescription: Use one qian each of Angelicae Dahuricae Radix (Xiangbaizhi, 香白芷) and Zingiberis Rhizoma Recens (Ganjiang, 干姜), grind them into a fine powder, and form a paste with honey. First, wash the navel with wine; after it becomes warm, apply the paste. Then, heat a shoe sole and use it to moxibustion-iron the paste over the navel. Recovery occurs when the qi circulation is restored.
Qiwei Baizhu San (Seven-Ingredient Powder for Strengthening the Spleen; see the section on "San Xiao" / Three Wasting-Thirst syndromes) has proven effective in numerous trials.
The use of Coptidis Rhizoma (Huanglian, 黄连) is most contraindicated in dysentery, as its administration damages the stomach qi and makes treatment difficult. However, Mr. Ni Han Chu's three prescriptions for dysentery all contain this herb, which seems inappropriate; those with weak stomachs should exercise caution in their use.
Dysentery is a perilous and severe condition involving life and death. Not only do contemporary physicians often treat it improperly, but among the thousands of methods from ancient and modern times, few grasp the correct principle, thus failing to achieve rapid and complete recovery. What makes the present prescriptions remarkable? It is because they do not adhere rigidly to established formulas. What makes the theoretical discussion profound? It is because it does not cling to conventional theories.
The ingredients and prescriptions are as follows:
Initial Decoction: Coptidis Rhizoma (Chuan Huanglian, 川黄连, remove rhizome base), Scutellariae Radix (Tiao Huangqin, 条黄芩), Paeoniae Radix Alba (Sheng Baishao, 生白芍), and Crataegi Fructus (Shanzha Rou, 山楂肉) each 1.2 qian; Aurantii Fructus Immaturus (Chen Zhike, 陈枳壳, remove pith); [Text unclear/erroneous: "Zi Nong", possibly a typo for another herb]; and Aucklandiae Radix (Muxiang, 木香) 0.3 qian. Decoct and take orally. This prescription... [Text fragment: "Yu Zuo" implies layout error].
Modified Decoction: Coptidis Rhizoma (Chuan Lian, 川莲), Scutellariae Radix (Huangqin, 黄芩), and Paeoniae Radix Alba (Baishao, 白芍, stir-fried with wine) each 0.6 qian; Crataegi Fructus (Shanzha Rou, 山楂肉) 1 qian; Exocarpium Citri Reticulatae (Juhong, 橘红), Aurantii Fructus Immaturus (Qingpi, 青皮), Arecae Semen (Binglang, 槟榔), and Sanguisorbae Radix (Diyu, 地榆) each 0.4 qian; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, honey-fried) 0.3 qian; Angelicae Sinensis Radix (Danggui, 当归) 0.5 qian; Persicam Semen (Taoren Fen, 桃仁粉) 0.6 qian; Carthami Flos (Honghua, 红花) 0.3 qian; and Aucklandiae Radix (Muxiang, 木香, ground and mixed in) 0.2 qian. Add three bowls of water, decoct, and take.
Restorative Decoction: Coptidis Rhizoma (Chuan Lian, 川莲) and Scutellariae Radix (Tiao Qin, 条芩) each 0.6 qian, stir-fried with wine; Paeoniae Radix (Shaoyao, 芍药, stir-fried with wine) 0.4 qian; Exocarpium Citri Reticulatae (Juhong, 橘红) 0.6 qian; whole Angelicae Sinensis Radix (Quandanggui, 全当归); and Ginseng Radix (Renshen, 人参) [Text cuts off, implying substitution if unavailable].
The above three prescriptions are effective upon use. If there is no effect, it is likely that tonifying agents such as Ginseng Radix (Renshen, 人参) and Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) were administered too early in the initial stage, trapping the pathogenic factor inside. Over time, the healthy qi becomes deficient while the pathogenic factor grows stronger, leading to a lingering condition. Tonic and astringent methods will exacerbate the pathogen, while clearing and draining methods will worsen the looseness/diarrhea, eventually reaching an incurable state. Even with miraculous prescriptions, nothing can be done; this is due to the initial misuse of warm-tonifying treatments. For pregnant women, remove Persicam Semen (Taoren, 桃仁), Carthami Flos (Honghua, 红花), and Arecae Semen (Binglang, 槟榔).