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Jingui Yaolue · Essentials from the Golden Cabinet
4. Nüe Fever · Pulses, Signs and Treatment
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The Master says: The nüe pulse is naturally wiry. Wiry and rapid means more heat; wiry and slow more cold. Wiry, small and tight recovers with purging; wiry and slow may be warmed; wiry and tight may receive induced sweat, needling and moxibustion; floating and large emesis. Wiry and rapid is wind's outbreak, settled through dietary care.
For nüe reckoned by the month, onset on day one should recover by day fifteen; if not, by month's end. What if it still does not recover?
The Master replies: It has bound into fixed or mobile accumulations, named Mother of Nüe. Treat urgently; Biejia Jian Wan is suitable.
Note: The source's month/day sequence is retained without selecting a modern calendar.
Biejia Jian Wan Formula
Biejia 12 fen, roasted; Wushan 3 fen, burned; Huangqin 3 fen; Chaihu 6 fen; Shufu 3 fen, roasted; Ganjiang 3 fen; Dahuang 3 fen; Shaoyao 5 fen; Guizhi 3 fen; Tingli 1 fen, roasted; Shiwei 3 fen, hairs removed; Houpo 3 fen; Mudan 5 fen, core removed; Qumai 2 fen; Ziwei 3 fen; Banxia 1 fen; Renshen 1 fen; Zhechong 5 fen, roasted; Ejiao 3 fen, roasted; Fengwo 4 fen, roasted; Chixiao 12 fen; Qianglang 6 fen, roasted; Taoren 2 fen.
Powder the twenty-three ingredients. Take forge-hearth ash 1 dou and clear wine 1 hu and 5 dou; soak the ash. When the wine has diminished by half, add Biejia and cook until disintegrated like glue or lacquer. Squeeze out the liquid, add the other medicinals and cook into pills the size of wutong seeds. Take seven on an empty stomach, three times daily.
The Master says: Yin qi isolated and cut off, yang qi arising alone, causes heat, short qi, vexation and distress, hot hands and feet and desire to vomit. It is named dan-nüe. If there is heat only, no cold, pathogenic qi hides within Heart and lodges outwardly between flesh divisions, wasting the person and stripping flesh.
Warm nüe has a pulse like normal, heat without bodily cold, painful, vexed joints and occasional vomiting. Baihu Jia Guizhi Tang governs.
Baihu Jia Guizhi Tang Formula
Zhimu 6 liang; Gancao 2 liang, roasted; Shigao 1 jin; Jingmi 2 he; Guizhi 3 liang, bark removed.
Chop. Per dose take 5 qian with 1.5 zhan water, boil to eight tenths of a zhan, strain and take warm. Sweating brings recovery.
Nüe with much cold is named female nüe. Shuqi San governs.
Shuqi San Formula
Shuqi, washed to remove its rank odor; Yunmu, burned for two days and nights; Longgu, equal portions.
Pound the three to powder. Before an attack take half a qianbi with fermented-grain water. For warm nüe add Shuqi half a fen; at the approach of an attack take 1 qianbi.
Note from Essentials of the Outer Terrace · Formula 9
Supplement from Essentials of the Outer Terrace: Muli Tang, for female nüe.
Muli 4 liang; Mahuang 4 liang, joints removed; Gancao 2 liang; Shuqi 3 liang.
With 8 sheng water first boil Shuqi and Mahuang, removing surface foam, to obtain 6 sheng. Add the others and boil to obtain 2 sheng. Take 1 sheng warm. If vomiting occurs, take no more.
Note from Essentials of the Outer Terrace · Formula 10
Supplement from Essentials of the Outer Terrace: Chaihu Qu Banxia Jia Gualou Tang, for nüe developing thirst, also depletion nüe.
Chaihu 8 liang; Renshen, Huangqin and Gancao 3 liang each; Gualou root 4 liang; Shengjiang 2 liang; Dazao 12 fruits.
Boil the seven ingredients in 1 dou and 2 sheng water to obtain 6 sheng. Strain and boil again to obtain 3 sheng. Take 1 sheng warm twice daily.
Note from Essentials of the Outer Terrace · Formula 11
Supplement from Essentials of the Outer Terrace: Chaihu Gui Jiang Tang, for nüe with much cold and slight heat, or cold without heat. One preparation is said to act marvelously.
Chaihu half a jin; Guizhi 3 liang, bark removed; Ganjiang 2 liang; Gualou root 4 liang; Huangqin 3 liang; Muli 3 liang, roasted; Gancao 3 liang, roasted.
Boil the seven ingredients in 1 dou and 2 sheng water to obtain 6 sheng, strain and boil again to obtain 3 sheng. Take 1 sheng warm three times daily. The first dose brings slight vexation; after another, sweating and recovery.
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