聨珠類聚方 下
type: CreativeWork
main entity of page: https://archivebase.ldas.jp/utokyo/kano/resource/kyushu-4773169
text: 焼 する 和 聯珠類聚方 同断 一冊 白虎湯治大渇引飲煩躁者 減画 知母 十六、 六六 石膏 甘草 二 粳米 六合準 十二両 第書所 右四味以水 一斗煮米熟湯成去滓温服一升日三服一 ( 二三陽合病腹 篇下 一傷寒脈浮滑此表有熱裏有寒 満身重難以転側口不仁而面垢識語遺尿発汗 則謙語下之則額上生汗手足逆冷若自汗出者一 陽明 陽四 篇 三傷寒脉滑而厥者裏有熱也 厥陰 篇 東洞先生云以上三条非白虎湯証乃於白虎加一 〔参湯条下弁之又曰煎法可従白虎加益加杷枝湯」 傷寒論中白虎湯之証不具也千金方挙其証也 一條矣今従之 石膏部 五考 石膏主治煩渇也房治謙語煩躁身熱歴観諸 方石膏主治煩渇也明矣凡病煩躁者身熟者濃 語者及発狂者歯痛者頭痛者咽痛者其有煩渇 之證也得石膏而其効覈焉名医別録言石膏 性大寒自後医者怖之遂至于置而不用焉仲景 氏挙白虎湯之証曰無大熱越婢湯之証亦云而 二方主用石膏然則仲景氏之用薬不以其性之 寒熱也可以見已余也篤信而好古於是乎為渇 家而無熱者投以石膏之剤病已而未見其害也 方炎暑之時有患大渇臥飲而渇不止者則使其 服石膏未煩渇頓止而不復見其害也石膏之液 渇而不足怖也斯可以知己 白虎加人葭湯治本方證而心下痞鞭者 於白席湯方内加人参三両 一服桂枝湯大汗出後大煩渇不解脉洪大者壮二 傷寒病若吐若下後七八日不解熱結在裏表裡 俱熱時々悪風大湯一乾燥而煩飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲飲 義都三傷寒無大熱口燥渇心煩背微悪寒者同 四〕傷寒」脈浮発無汁「其表不解者不可与白虎 湯渇欲飲水無表証者白虎加人参湯主之間 上同 陽明病脈浮而緊咽癰口苦腹満而喘発熱汗出 不悪寒反悪熱身重若発汗則躁心憤憤反議語 若加焼鍼必怖暢煩躁不得眠若下之則胃中空 一虚客気動膈心中懊懐舌上胎者梔子致湯主之 若渇欲飲水口乾舌燥者自虎加人参湯主之若 脈浮発熱渇欲飲水小便不利者猪苓湯主之脾 篇為則按已上四章千金方作白虎湯主 之外台亦同而方後曰傷寒論方今従之 陽中熱者腸是也汗出悪寒身熱而渇 屋黒 一明 陽 明 膈篇 東洞先生云此方白虎湯證而心下痞鞭者主之 傷寒論曰傷寒脉浮発熱無汗其表不解者不可レ 与白虎湯渇欲飲水無表証者自虎加人参湯主 之為則按上云不可与白虎湯下云白席加人渡 湯主之上下恐有錯誤也於是考諸千金方揚傷 一寒論之全文而白虎加人参湯作白虎湯是也今日 従之 石膏部 五考 白虎加人参湯四条之下俱是無 有人護之證蓋張仲景之用人葭三両必有心下 痞鞭之證此方独不因此考覈千金方外台秘要 共作白虎湯主之故今尽従之 互考 白虎加桂枝湯治白虎湯證而上衝者 人葭部 於白虎湯方内加桂枝三両右以水一斗五升 煮取八升去滓温服 温瘧者其脈如平」身無寒但熱骨節疼煩時嘔咳 雁 東洞先生云当有煩渇衝逆証一 篇 小「承気湯治腹湯治腹満而大便鞭者 大黄 内 厚札 門 二 所 三枚準 已上三味以水四升 枳実 三冊 煮取一升二合去滓分温二服初服湯当更衣不 爾者尽飲之「若更衣者勿服之「 一「傷寒」不大便六七日頭痛有熱者与承気湯其小 一便清者「知不在裏仍在表也」当須発汗」番頭痛者 中 中 同国宮桂枝湯 陽明病脈遅雖汗出不悪寒 者其身必重短気腹満而喘有潮蒸者」此外欲解 可攻裏也手足厭然而汗出者此大便已鞭也大 承気湯主之若汗多微発熱悪寒者外未解也其 熱不潮未可与承気湯若腹大満不通者可与小 承気湯「微和胃気勿令大泄正 陽明 病 陽明病潮 熱大便微鞭者可與大承気湯不鞭者不与之若 不大便六七日恐有燥屎欲知之法少与小承気 湯々入腹中転失気者此有燥屎乃可攻之若不 転失気者此但初頭鞭後必溏不可攻之攻之必 腹満不能食也欲飲水者与水則減其後発熱者 必大便復鞭而少也以小承気湯和之不転失気 者慎不可攻也同四陽明病其人多汗以津液外 出胃中燥大便必鞭鞭則譫語小承気湯主之若 一服謙語止度莫復服 上同 十一陽明病」議語発潮熱 脈滑而疾者小承気湯主之因与承気湯一升腹 中転失気者更服一升若不転失気勿更与之明 日不大便脉反微渋者裡虚也為難治不可更与 上同 太陽病若吐若下若発汗微煩小 上同 便数大便因鞭者与小承気湯和之愈旧 七得病 二三日脈弱無「太陽」柴胡証煩躁心下鞭至四五 日雖能食以小承気湯少々与微和之令小安至 六日与承気湯一升若不大便六七日小便少者 雖不能食但初頭較後必溏未定成鞭攻之必溏 須小便利屎定鞭乃可攻之空大承気湯同八下 利識語者有燥屎也 厥陰 大便不通喊数議語 嘔吐 篇 附方 仲景氏用承気湯也大実大満結毒在腹則大承 気湯其用枳実五枚唯腹満不通則小承気湯其 枳実 用枳実也三枚枳実主治結実斯可以見已 部互 考 大黄主通利結毒也茲能治胸満腹満腹痛及便 閉小便不利旁治発黄瘀血腫膿歴観諸方張 仲景氏用大黄者特以利毒而已故各陪其…
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