紫雪
蘇恭方，錄自《外臺秘要(yao)》
【組成】 黃金百兩(liang)(liang)(3.1kg) 寒(han)水(shui)石(shi)三(san)斤(1.5kg) 石(shi)膏三(san)斤(1.5kg) 磁石(shi)三(san)斤(1.5kg) 滑石(shi)三(san)斤(1.5kg) 玄參一斤(500g) 羚羊角五(wu)兩(liang)(liang),屑(150g) 水(shui)牛角濃縮粉五(wu)兩(liang)(liang),屑(150g) 升(sheng)麻一斤(500g) 沉香五(wu)兩(liang)(liang)(150g) 丁香一兩(liang)(liang)(30g) 青木(mu)香五(wu)兩(liang)(liang)(150g) 甘草八兩(liang)(liang)，炙(240g)
【用藥(yao)】 上(shang)十三味(wei)，以(yi)(yi)水(shui)一(yi)(yi)斛(hu)，先(xian)煮(zhu)五(wu)(wu)種金石(shi)藥(yao)，得四(si)(si)斗，去(qu)滓后(hou)內(nei)八(ba)物,煮(zhu)取(qu)一(yi)(yi)斗五(wu)(wu)升(sheng)(sheng)(sheng)，去(qu)滓。取(qu)硝石(shi)四(si)(si)升(sheng)(sheng)(sheng)(2kg)，芒硝亦(yi)可，用樸硝精(jing)者十斤(jin)(5kg)投汁中(zhong)，微火上(shang)煮(zhu)，柳木(mu)篦攪，勿住手，有七升(sheng)(sheng)(sheng)，投入(ru)木(mu)盆中(zhong)，半日(ri)欲凝(ning)，內(nei)成(cheng)研朱砂三兩(90g)，細(xi)(xi)(xi)研麝香(xiang)(xiang)(xiang)五(wu)(wu)分(1.5g)，內(nei)中(zhong)攪調，寒之二(er)日(ri)成(cheng)霜雪紫色。病人強(qiang)壯者，一(yi)(yi)服(fu)(fu)二(er)分(0.6g)，當利熱毒(du);老弱人或熱毒(du)微者，一(yi)(yi)服(fu)(fu)一(yi)(yi)分(0.3g)，以(yi)(yi)意節之(現(xian)代(dai)用法：以(yi)(yi)上(shang)16味(wei)，石(shi)膏、寒水(shui)石(shi)、滑石(shi)、磁(ci)石(shi)砸成(cheng)小(xiao)(xiao)塊，加水(shui)煎煮(zhu)3次(ci)。玄參(can)、木(mu)香(xiang)(xiang)(xiang)、沉香(xiang)(xiang)(xiang)、升(sheng)(sheng)(sheng)麻、甘(gan)草(cao)、丁香(xiang)(xiang)(xiang)用石(shi)膏等煎液煎煮(zhu)3次(ci)，合并煎液，濾過，濾液濃縮(suo)成(cheng)膏，芒硝、硝石(shi)粉碎，兌入(ru)膏中(zhong)，混(hun)勻，干燥(zao)，粉碎成(cheng)中(zhong)粉或細(xi)(xi)(xi)粉;羚羊角銼研成(cheng)細(xi)(xi)(xi)粉;朱砂水(shui)飛成(cheng)極細(xi)(xi)(xi)粉;將水(shui)牛角濃縮(suo)粉、麝香(xiang)(xiang)(xiang)研細(xi)(xi)(xi)，與上(shang)述粉末配(pei)研，過篩(shai)，混(hun)勻即得。每瓶(ping)裝1.5g。口服(fu)(fu)，1次(ci)1.5~3g，1日(ri)2次(ci);周歲小(xiao)(xiao)兒(er)1次(ci)0.3g，5歲以(yi)(yi)內(nei)小(xiao)(xiao)兒(er)每增1歲，遞增0.3g，1日(ri)1次(ci);五(wu)(wu)歲以(yi)(yi)上(shang)小(xiao)(xiao)兒(er)酌情服(fu)(fu)用)。
【功用(yong)】 清(qing)熱開竅，熄(xi)風鎮(zhen)痙。
【主(zhu)治】 溫(wen)熱(re)(re)(re)病，熱(re)(re)(re)閉(bi)心(xin)包及(ji)熱(re)(re)(re)盛(sheng)動風證。高熱(re)(re)(re)煩躁(zao)，神昏譫語(yu)，痙(jing)厥，口渴(ke)唇焦，尿赤便閉(bi)，舌質紅(hong)絳，苔黃燥，脈數有力(li)或弦，以及(ji)小兒熱(re)(re)(re)盛(sheng)驚厥。
【方(fang)(fang)解】 本(ben)方(fang)(fang)證(zheng)(zheng)因溫病邪(xie)熱(re)(re)(re)(re)(re)熾盛，內閉心(xin)(xin)包(bao)，引動肝(gan)風(feng)(feng)所致(zhi)。邪(xie)熱(re)(re)(re)(re)(re)熾盛，心(xin)(xin)神(shen)被擾(rao)，故(gu)神(shen)昏(hun)譫語，高熱(re)(re)(re)(re)(re)煩躁;熱(re)(re)(re)(re)(re)極動風(feng)(feng)，故(gu)痙(jing)(jing)厥(jue)抽(chou)搐;熱(re)(re)(re)(re)(re)盛傷津(jin)(jin)(jin)，故(gu)口渴唇焦，尿(niao)赤、便閉。小兒熱(re)(re)(re)(re)(re)盛驚厥(jue)亦(yi)屬邪(xie)熱(re)(re)(re)(re)(re)內閉，肝(gan)風(feng)(feng)內動之(zhi)(zhi)侯(hou)。本(ben)方(fang)(fang)證(zheng)(zheng)既有熱(re)(re)(re)(re)(re)閉心(xin)(xin)包(bao)，又見熱(re)(re)(re)(re)(re)盛動風(feng)(feng)，故(gu)以清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)開(kai)竅(qiao)(qiao)，熄(xi)風(feng)(feng)鎮(zhen)痙(jing)(jing)為(wei)治(zhi)。方(fang)(fang)中(zhong)犀角功專清(qing)(qing)(qing)心(xin)(xin)涼血解毒(du)(du)，羚羊角長(chang)于(yu)涼肝(gan)熄(xi)風(feng)(feng)止(zhi)(zhi)痙(jing)(jing)，麝(she)香(xiang)芳香(xiang)開(kai)竅(qiao)(qiao)醒神(shen)，三藥合(he)(he)用，是(shi)為(wei)清(qing)(qing)(qing)心(xin)(xin)涼肝(gan)、開(kai)竅(qiao)(qiao)熄(xi)風(feng)(feng)的常用組合(he)(he)，針對高熱(re)(re)(re)(re)(re)、神(shen)昏(hun)、痙(jing)(jing)厥(jue)等(deng)主證(zheng)(zheng)而設，共為(wei)君(jun)藥。生(sheng)(sheng)石膏、寒(han)水石、滑石清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)瀉火，滑石且(qie)可導熱(re)(re)(re)(re)(re)從小便而出;玄參、升麻清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)解毒(du)(du)，其中(zhong)玄參尚(shang)能養陰生(sheng)(sheng)津(jin)(jin)(jin)，升麻又可清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)透邪(xie)，俱為(wei)臣藥。方(fang)(fang)中(zhong)清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)藥選用甘(gan)寒(han)、咸寒(han) 之(zhi)(zhi)品，而不(bu)用苦(ku)寒(han)直折，不(bu)僅避免苦(ku)燥(zao)傷陰，而且(qie)兼(jian)具生(sheng)(sheng)津(jin)(jin)(jin)護液之(zhi)(zhi)用，對熱(re)(re)(re)(re)(re)盛津(jin)(jin)(jin)傷之(zhi)(zhi)證(zheng)(zheng)，寓(yu)有深意。佐以木香(xiang)、丁(ding)香(xiang)、沉香(xiang)行氣通竅(qiao)(qiao)，與麝(she)香(xiang)配(pei)伍，增強開(kai)竅(qiao)(qiao)醒神(shen)之(zhi)(zhi)功;朱砂、磁石重鎮(zhen)安神(shen)，朱砂并能清(qing)(qing)(qing)心(xin)(xin)解毒(du)(du)，磁石又能潛鎮(zhen)肝(gan)陽，與君(jun)藥配(pei)合(he)(he)以加強除煩止(zhi)(zhi)痙(jing)(jing)之(zhi)(zhi)效;更(geng)用樸硝、硝石泄熱(re)(re)(re)(re)(re)散結以“釜底抽(chou)薪”，可使(shi)邪(xie)熱(re)(re)(re)(re)(re)從腸(chang)腑(fu)下泄，原書指出服(fu)后“當利熱(re)(re)(re)(re)(re)毒(du)(du)”。炙甘(gan)草益氣安中(zhong)，調和(he)諸藥，并防寒(han)涼傷胃(wei)之(zhi)(zhi)弊，為(wei)佐使(shi)藥。原方(fang)(fang)應(ying)用黃金，乃取鎮(zhen)心(xin)(xin)安神(shen)之(zhi)(zhi)功。諸藥合(he)(he)用，心(xin)(xin)肝(gan)并治(zhi)，于(yu)清(qing)(qing)(qing)熱(re)(re)(re)(re)(re)開(kai)竅(qiao)(qiao)之(zhi)(zhi)中(zhong)兼(jian)具熄(xi)風(feng)(feng)鎮(zhen)痙(jing)(jing)之(zhi)(zhi)效，既開(kai)上竅(qiao)(qiao)，又通下竅(qiao)(qiao)，是(shi)為(wei)本(ben)方(fang)(fang)配(pei)伍特點。
【運用】
1.辨證要點：本方(fang)為治(zhi)療熱(re)閉(bi)心(xin)包，熱(re)盛動風(feng)證的常用(yong)(yong)方(fang)。臨床應用(yong)(yong)以(yi)高熱(re)煩躁，神(shen)昏譫語，痙(jing)厥，舌紅絳，脈數實為辨證要點。本方(fang)服(fu)用(yong)(yong)過(guo)量有損傷(shang)元(yuan)氣之弊(bi)，甚(shen)者可出現大汗，肢冷，心(xin)悸，氣促等癥，故應中病即(ji)止。孕婦禁用(yong)(yong)。
2.加減運(yun)用：若本方(fang)證(zheng)伴見(jian)氣(qi)陰兩傷者(zhe)，宜以生脈(mo)散煎湯送服本方(fang)，或本方(fang)與生脈(mo)注射液同(tong)用，以防其內閉外脫。
3.現代運用：常用于(yu)治療各種發熱性(xing)(xing)感染性(xing)(xing)疾病，如流行(xing)性(xing)(xing)腦脊髓(sui)膜(mo)炎、乙(yi)型腦炎的(de)(de)極期、重(zhong)癥(zheng)肺炎、猩紅熱、化膿性(xing)(xing)感染等疾患的(de)(de)敗血癥(zheng)期，肝昏迷以(yi)及小兒高熱驚(jing)厥、小兒麻(ma)疹(zhen)熱毒熾盛(sheng)所致的(de)(de)高熱神(shen)昏抽搐。
【附方】
小兒(er)回春丹(《敬修堂藥說》) 川貝(bei)母(mu) 陳皮(pi) 木香 白豆蔻(kou) 枳殼 法半(ban)夏 沉香 天(tian)竹黃 僵蠶 全蝎 檀(tan)香各一(yi)兩(liang)(liang)二錢(qian)(qian)(qian)半(ban)(各37.5g) 牛黃 麝(she)香各四錢(qian)(qian)(qian)(各12g) 膽南星二兩(liang)(liang)(60g) 鉤藤八兩(liang)(liang)(240g) 大黃二兩(liang)(liang)(60g) 天(tian)麻一(yi)兩(liang)(liang)二錢(qian)(qian)(qian)半(ban)(37.5g) 甘草八錢(qian)(qian)(qian)七分半(ban)(26g) 朱砂適量 上藥為小丸，每(mei)(mei)丸重0.09g。口服，周歲以下，每(mei)(mei)次1丸;1~2歲，每(mei)(mei)次2丸，每(mei)(mei)日(ri)2~3次。功用(yong)：開竅定驚(jing)(jing)，清熱化痰(tan)。主(zhu)治：小兒(er)急驚(jing)(jing)風，痰(tan)熱蒙蔽心竅證(zheng)。發熱煩躁，神昏驚(jing)(jing)厥，或反胃嘔吐，夜啼(ti)吐乳，痰(tan)嗽哮(xiao)喘，腹痛泄瀉。
紫(zi)雪丹(dan)與小兒(er)回春丹(dan)均能(neng)清(qing)(qing)熱(re)(re)開竅，熄風止痙，臨(lin)證皆以高(gao)熱(re)(re)煩躁(zao)、神昏痙厥、舌紅脈(mo)實(shi)為辨證要點(dian)。紫(zi)雪丹(dan)主治(zhi)(zhi)溫熱(re)(re)病(bing)熱(re)(re)閉心包并見(jian)熱(re)(re)盛動(dong)風之(zhi)(zhi)侯，多用犀(xi)角、石膏、寒(han)水石、滑石、玄(xuan)參、升麻等藥，長(chang)于清(qing)(qing)熱(re)(re)解毒;而小兒(er)回春丹(dan)主治(zhi)(zhi)外(wai)感時邪，痰熱(re)(re)蒙蔽心竅之(zhi)(zhi)小兒(er)急(ji)驚(jing)風，病(bing)機特點(dian)為“熱(re)(re)、痰、風、驚(jing)”四字(zi)，多用牛黃(huang)、天竹黃(huang)、膽南星、川貝母、法半(ban)夏等清(qing)(qing)熱(re)(re)豁痰之(zhi)(zhi)品，長(chang)于定驚(jing)化痰，為小兒(er)急(ji)驚(jing)風之(zhi)(zhi)驗(yan)方(fang)。
【文獻摘要】
1.原書主治
《外臺秘(mi)要》卷18引自“蘇(su)恭方”：“療(liao)腳氣毒(du)遍(bian)內外，煩熱(re)，口中(zhong)生(sheng)瘡，狂易叫走，及(ji)解諸石草熱(re)藥(yao)毒(du)發，邪(xie)熱(re)卒(zu)黃等。瘴疫毒(du)癘，卒(zu)死溫瘧(nve)，五尸五注(zhu)，心腹諸疾(ji)，絞(jiao)刺切痛，蠱(gu)毒(du)鬼(gui)魅，野(ye)道熱(re)毒(du)，小兒驚癇，百(bai)病最良方。”
2.方論選錄
吳瑭《溫(wen)病條辨》卷1：“諸石利水火(huo)而(er)(er)(er)(er)通下(xia)竅。磁(ci)石、元參補(bu)肝腎之(zhi)陰，而(er)(er)(er)(er)上濟(ji)君火(huo)。犀(xi)角、羚羊瀉心(xin)、膽之(zhi)火(huo)。甘草和諸藥而(er)(er)(er)(er)敗毒，且緩肝急(ji)。諸藥皆降，獨用(yong)一(yi)味升麻，蓋欲降先升也。諸香化穢濁(zhuo)，或開(kai)上竅，或開(kai)下(xia)竅，使神明不(bu)致坐困于濁(zhuo)邪而(er)(er)(er)(er)終不(bu)克(ke)復其(qi)明也。丹(dan)砂色赤(chi)，補(bu)心(xin)而(er)(er)(er)(er)通心(xin)火(huo)，內含(han)汞(gong)而(er)(er)(er)(er)補(bu)心(xin)體，為坐鎮之(zhi)用(yong)。諸藥用(yong)氣，硝獨用(yong)質者(zhe)，以(yi)其(qi)水鹵結成(cheng)，性峻而(er)(er)(er)(er)易消，瀉火(huo)而(er)(er)(er)(er)散結也。”
【臨床報道】
運用(yong)紫(zi)(zi)(zi)雪口(kou)服(fu)(fu)液(ye)(紫(zi)(zi)(zi)雪散(san)原方(fang)去朱砂(sha)后(hou)研制(zhi)(zhi)而(er)成的(de)新制(zhi)(zhi)劑(ji)(ji))治(zhi)(zhi)(zhi)療(liao)(liao)外感高(gao)熱(re)證102例(li)為治(zhi)(zhi)(zhi)療(liao)(liao)組(zu)(zu)(zu)(zu)，用(yong)紫(zi)(zi)(zi)雪散(san)治(zhi)(zhi)(zhi)療(liao)(liao)本病31例(li)作(zuo)(zuo)對(dui)(dui)照組(zu)(zu)(zu)(zu)，通過對(dui)(dui)比(bi)觀察發現(xian)：紫(zi)(zi)(zi)雪口(kou)服(fu)(fu)液(ye)具(ju)有(you)：1顯著的(de)清熱(re)解毒作(zuo)(zuo)用(yong);治(zhi)(zhi)(zhi)療(liao)(liao)組(zu)(zu)(zu)(zu)痊愈率(lv)(lv)達(da)70.59%，總(zong)有(you)效(xiao)(xiao)(xiao)(xiao)率(lv)(lv)達(da)91.17%，均(jun)略(lve)高(gao)于(yu)(yu)對(dui)(dui)照組(zu)(zu)(zu)(zu)而(er)無差(cha)異(yi)，表明(ming)其(qi)口(kou)服(fu)(fu)液(ye)和(he)其(qi)散(san)劑(ji)(ji)一樣，具(ju)有(you)顯著的(de)清熱(re)解毒功(gong)效(xiao)(xiao)(xiao)(xiao)。2較好(hao)的(de)退熱(re)作(zuo)(zuo)用(yong)：治(zhi)(zhi)(zhi)療(liao)(liao)組(zu)(zu)(zu)(zu)體溫開始下降時間(jian)及恢復正常時間(jian)均(jun)略(lve)短于(yu)(yu)對(dui)(dui)照組(zu)(zu)(zu)(zu)而(er)無差(cha)異(yi)，表明(ming)其(qi)口(kou)服(fu)(fu)液(ye)和(he)其(qi)散(san)劑(ji)(ji)一樣具(ju)有(you)較好(hao)的(de)退熱(re)效(xiao)(xiao)(xiao)(xiao)果(guo)(guo)(guo)。3明(ming)顯的(de)改善血象(xiang)(xiang)效(xiao)(xiao)(xiao)(xiao)果(guo)(guo)(guo)：高(gao)熱(re)過程中(zhong)出現(xian)的(de)部(bu)分(fen)血象(xiang)(xiang)異(yi)常者(zhe)，治(zhi)(zhi)(zhi)療(liao)(liao)組(zu)(zu)(zu)(zu)復常率(lv)(lv)達(da)82.26%，高(gao)于(yu)(yu)對(dui)(dui)照組(zu)(zu)(zu)(zu)，表明(ming)其(qi)口(kou)服(fu)(fu)液(ye)對(dui)(dui)血象(xiang)(xiang)的(de)改善效(xiao)(xiao)(xiao)(xiao)果(guo)(guo)(guo)，略(lve)優于(yu)(yu)其(qi)散(san)劑(ji)(ji)。4良(liang)好(hao)的(de)安(an)全性：治(zhi)(zhi)(zhi)療(liao)(liao)過程中(zhong)，兩組(zu)(zu)(zu)(zu)均(jun)未見明(ming)顯的(de)不良(liang)反應，表明(ming)其(qi)口(kou)服(fu)(fu)液(ye)和(he)其(qi)散(san)劑(ji)(ji)一樣具(ju)有(you)良(liang)好(hao)的(de)安(an)全性。由此表明(ming)紫(zi)(zi)(zi)雪口(kou)服(fu)(fu)液(ye)具(ju)有(you)清熱(re)解毒等(deng)顯著效(xiao)(xiao)(xiao)(xiao)果(guo)(guo)(guo)，并(bing)略(lve)優于(yu)(yu)紫(zi)(zi)(zi)雪散(san)，這(zhe)可能與口(kou)服(fu)(fu)液(ye)經胃吸收(shou)迅速而(er)完全，能迅速發揮治(zhi)(zhi)(zhi)療(liao)(liao)效(xiao)(xiao)(xiao)(xiao)應有(you)密切關(guan)系。[方(fang)琦，等(deng).紫(zi)(zi)(zi)雪口(kou)服(fu)(fu)液(ye)(減朱砂(sha))治(zhi)(zhi)(zhi)療(liao)(liao)外感高(gao)熱(re)證102例(li)。實用(yong)中(zhong)西醫結合雜志(zhi) 1997;10(1)：81]
【實驗研究】
紫雪丹對五聯疫苗造型大耳兔的體溫，與對照組比較有極顯著性差異(P<0.01)，4小時降溫效果有顯著性差異地優于復方阿斯匹林(P<0.05)。[許俊杰，等.古典清熱方對家兔體溫的影響。中藥通報 1986;11(1):51]另有實驗表明紫雪丹能明顯對抗戊四氮及硝酸士的寧引起的小鼠驚厥，延長發生驚厥時間，降低驚厥率和死亡率(P<0.01)。[李云谷，等.紫雪散質量標準及藥理作用的研究。中成藥研究，1985;(1):12]
應該是紫(zi)(zi)雪(xue)散(san) 吧，絕(jue)對(dui)沒(mei)有(you)柴(chai)雪(xue)散(san)的。 找(zhao)了很久絕(jue)對(dui)沒(mei)有(you)柴(chai)雪(xue)散(san) 紫(zi)(zi)雪(xue)丹，又名紫(zi)(zi)雪(xue)散(san)，來(lai)源于(yu)(yu)(yu)(yu)宋(song)代(dai)《太(tai)平惠民和(he)劑(ji)局方(fang)》。內(nei)(nei)含磁石(shi)、硝(xiao)石(shi)、樸硝(xiao)、石(shi)膏(gao)、滑石(shi)、寒(han)水(shui)(shui)石(shi)、升麻(ma)(ma)、玄參、炙甘草、羚羊角、犀(xi)角、青木香(xiang)、沉香(xiang)、朱砂、麝香(xiang)、丁(ding)香(xiang)等。具有(you)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)、鎮痙開(kai)竅(qiao)的功(gong)效。傳(chuan)統應用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)高熱(re)(re)(re)(re)煩躁(zao)，神(shen)志不清(qing)(qing)，驚(jing)風抽搐，小(xiao)兒急(ji)驚(jing)風等病癥。近年(nian)來(lai)發(fa)現該藥(yao)(yao)(yao)(yao)(yao)外(wai)(wai)敷(fu)(fu)(fu)(fu)對(dui)以下(xia)疾病有(you)特(te)效，現介(jie)紹如下(xia)。 治小(xiao)兒發(fa)熱(re)(re)(re)(re)：取(qu)紫(zi)(zi)雪(xue)散(san)1 支(zhi)(zhi)，加(jia)(jia)(jia)入(ru)(ru)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)窩(wo)(wo)內(nei)(nei)，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，24小(xiao)時換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，一般用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)1天(tian)(tian)體(ti)溫(wen)(wen)即(ji)(ji)可(ke)(ke)(ke)下(xia)降(jiang)至(zhi)正常范圍。該法可(ke)(ke)(ke)迅速有(you)效地(di)控(kong)制高熱(re)(re)(re)(re)，減(jian)少并發(fa)癥，且(qie)無副作用(yong)(yong)(yong)(yong)(yong)(yong)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)，瀉下(xia)通便。 治中暑(shu)：取(qu)紫(zi)(zi)雪(xue)散(san)1支(zhi)(zhi)，加(jia)(jia)(jia)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)窩(wo)(wo)內(nei)(nei)，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，一般用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao) 1天(tian)(tian)體(ti)溫(wen)(wen)即(ji)(ji)可(ke)(ke)(ke)下(xia)降(jiang)至(zhi)正常范圍。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)中暑(shu)發(fa)熱(re)(re)(re)(re)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解暑(shu)。 治癌性(xing)(xing)發(fa)熱(re)(re)(re)(re)：取(qu)紫(zi)(zi)雪(xue)散(san)1 支(zhi)(zhi)，柴(chai)胡粉10克(ke)，加(jia)(jia)(jia)入(ru)(ru)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)雙(shuang)手心及肚(du)臍(qi)(qi)窩(wo)(wo)內(nei)(nei)，敷(fu)(fu)(fu)(fu)料覆蓋，膠布(bu)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，連(lian)(lian)(lian)續用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)2～3大。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)，通腑泄熱(re)(re)(re)(re)。 治小(xiao)兒肺(fei)炎(yan)(yan)：取(qu)紫(zi)(zi)雪(xue)散(san)1 支(zhi)(zhi)，吳茱萸(yu)10克(ke)。將吳茱萸(yu)研為(wei)細末，與紫(zi)(zi)雪(xue)散(san)混合(he)均勻，加(jia)(jia)(jia)入(ru)(ru)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)拌勻成糊(hu)狀(zhuang)，而(er)后貼敷(fu)(fu)(fu)(fu)患(huan)兒雙(shuang)足心涌泉穴(xue)及肚(du)臍(qi)(qi)孑L窩(wo)(wo)內(nei)(nei)，敷(fu)(fu)(fu)(fu)料覆蓋，膠布(bu)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)2次(ci)(ci)(ci)，早晚(wan)各 1次(ci)(ci)(ci)，連(lian)(lian)(lian)續用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)1—2天(tian)(tian)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)宣肺(fei)，化痰止(zhi)(zhi)咳(ke)(ke)。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)肺(fei)炎(yan)(yan)發(fa)熱(re)(re)(re)(re)、咳(ke)(ke)嗽(sou)氣促。 治急(ji)性(xing)(xing)扁(bian)桃體(ti)炎(yan)(yan)：取(qu)紫(zi)(zi)雪(xue)散(san)1支(zhi)(zhi)，加(jia)(jia)(jia)入(ru)(ru)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)窩(wo)(wo)內(nei)(nei)，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1—2 次(ci)(ci)(ci)，連(lian)(lian)(lian)續外(wai)(wai)敷(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)2-3天(tian)(tian)即(ji)(ji)可(ke)(ke)(ke)，可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)，消腫止(zhi)(zhi)痛。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)急(ji)性(xing)(xing)扁(bian)桃體(ti)炎(yan)(yan)所致發(fa)熱(re)(re)(re)(re)患(huan)兒。 治流行感冒發(fa)熱(re)(re)(re)(re)：取(qu)紫(zi)(zi)雪(xue)散(san)1—2支(zhi)(zhi)，加(jia)(jia)(jia)入(ru)(ru)適量(liang)(liang)(liang)清(qing)(qing)水(shui)(shui)調為(wei)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)孔(kong)內(nei)(nei)，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，一般用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)1天(tian)(tian)體(ti)溫(wen)(wen)即(ji)(ji)可(ke)(ke)(ke)下(xia)降(jiang)至(zhi)正常范圍，叮清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)。 治麻(ma)(ma)疹：取(qu)紫(zi)(zi)雪(xue)散(san)1—2 支(zhi)(zhi)，加(jia)(jia)(jia)入(ru)(ru)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)孔(kong)處，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，連(lian)(lian)(lian)續用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)2-3天(tian)(tian)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)麻(ma)(ma)疹發(fa)熱(re)(re)(re)(re)。 治風疹：取(qu)紫(zi)(zi)雪(xue)散(san)1支(zhi)(zhi)，加(jia)(jia)(jia)入(ru)(ru)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)孔(kong)內(nei)(nei)，敷(fu)(fu)(fu)(fu)料覆蓋，膠布(bu)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，連(lian)(lian)(lian)續用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)2-3天(tian)(tian)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)，透疹。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)風疹發(fa)熱(re)(re)(re)(re)者。治幼(you)兒急(ji)疹：取(qu)紫(zi)(zi)雪(xue)散(san) 1—2支(zhi)(zhi)，加(jia)(jia)(jia)清(qing)(qing)水(shui)(shui)適量(liang)(liang)(liang)調為(wei)稀(xi)(xi)糊(hu)狀(zhuang)，外(wai)(wai)敷(fu)(fu)(fu)(fu)于(yu)(yu)(yu)(yu)肚(du)臍(qi)(qi)孔(kong)處，傷(shang)濕(shi)止(zhi)(zhi)痛膏(gao)固(gu)(gu)定(ding)(ding)(ding)，每(mei)(mei)(mei)天(tian)(tian)換(huan)藥(yao)(yao)(yao)(yao)(yao)1次(ci)(ci)(ci)，連(lian)(lian)(lian)續用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)2-3天(tian)(tian)。可(ke)(ke)(ke)清(qing)(qing)熱(re)(re)(re)(re)解毒(du)(du)(du)，退(tui)疹。適用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)幼(you)兒急(ji)疹所致發(fa)熱(re)(re)(re)(re)者。 找(zhao)了很久，也(ye)不容(rong)易啊，點(dian)個贊~(≧▽≦)/~ 吧。
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