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Chapter 23 of 29
伤寒杂病论
Lily disease is characterized by "the hundred vessels sharing one origin" – all the body's channels and vessels originate from the same source. Therefore, once out of balance, it affects all the vessels and gives rise to various symptoms. The patient wants to eat but cannot, often remains silent, wants to lie down but cannot rest peacefully, and wants to walk but cannot take steps; sometimes food smells fragrant, and at other times they dislike the smell of food; they feel cold but are not truly cold, and feel hot but are not truly hot; they have a bitter taste in the mouth, with yellow-red urine. Many medications prove ineffective, and after taking medicine they may vomit or have diarrhea severely, as if possessed by a spirit, yet on external examination there is no obvious severe illness; the pulse is thin and rapid.
If headache occurs during urination, recovery is expected in about sixty days; if there is no headache during urination but only slight aversion to cold with discomfort as if splashed with cold water, recovery is expected in about forty days; if urination is free-flowing with only dizziness, recovery is expected in about twenty days. These manifestations may appear before the onset of other illnesses, or may appear four to five days, twenty days, or even a month after an illness; treatment should be differentiated according to the current presenting patterns.
Original Attached Formulas (⚠️ The following formulas are recorded in ancient texts and are provided solely for theoretical study; they do not constitute modern medicinal guidance)
Lily and Anemarrhena Decoction (Baihe Zhimu Tang): When lily disease appears after sweat-inducing therapy, the original text prescribes this formula.
Ingredients: Seven lilies (fresh bulbs), three liang of Anemarrhena rhizome.
Preparation: First wash the lilies with water and soak overnight; after white foam emerges, pour off the water. Separately, boil the lilies in two sheng of spring water to obtain one sheng, then remove the residue. Separately, boil Anemarrhena in two sheng of spring water to obtain one sheng, then remove the residue. Combine and decoct both together to obtain one sheng and five ge, and take warm in two divided doses.
Lily, Talc, and Hematite Decoction (Baihe Huashi Daizhe Tang): When lily disease appears after purging therapy, the original text prescribes this formula.
Ingredients: Seven lilies, three liang of talc, hematite the size of a pellet (crushed, wrapped in cotton).
Preparation: First wash and boil the lilies according to the previous method. Separately, boil one sheng of spring water and serve warm in two doses. (The original text likely indicates boiling spring water with the medicines, then straining and combining.)
Lily and Egg Yolk Decoction (Baihe Jizi Huang Tang): When lily disease appears after emetic therapy, the original text prescribes this formula.
Ingredients: Seven lilies, one egg yolk.
Preparation: First wash and boil the lilies according to the previous method, remove the residue, and stir in the egg yolk and administer in one dose.
Lily and Rehmannia Decoction (Baihe Dihuang Tang): When lily disease is in its initial form without prior sweating, vomiting, or purging, the original text prescribes this formula.
Ingredients: Seven lilies, one sheng of fresh rehmannia juice.
Preparation: First boil the lilies according to the previous method and remove the residue, then add the rehmannia juice and decoct to obtain one sheng and five ge, to be taken warm in two divided doses. Stop when the disease is treated; do not continue. The stools should become black and lacquer-like.
Lily External Wash Formula (Baihe Xi Fang): When lily disease has lasted one month or more without resolution, with thirst, the original text uses this formula for external washing.
Ingredients: One sheng of lily.
Preparation: Soak in one dou of water overnight, then wash the body with it. After washing, eat cooked noodles (boiled pancakes) without salt or fermented beans.
Trichosanthes and Oyster Powder (Gualou Muli San): If thirst is not resolved after using the wash formula, the original text prescribes this formula.
Ingredients: Trichosanthes root (Tianhuafen) and oyster (calcined) in equal parts.
Preparation: Grind into a powder; take one square-inch spoon (Fangcun Bi) with rice water (white beverage), three times daily.
Lily and Talc Powder (Baihe Huashi San): When lily disease manifests with fever, the original text prescribes this formula.
Ingredients: One liang of lily (honey-prepared), two liang of talc.
Preparation: Grind into a powder; take one square-inch spoon with water, three times daily. Mild diarrhea should occur; stop after the fever subsides.
The treatment principle for lily disease: When manifestations present with yin pattern, rescue with yang methods; when manifested with yang pattern, rescue with yin methods. If yang signs but one attacks yin with emesis or sweating, this is contrary treatment. This distinguishes the treatment based on actual systemic balance.
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The hallmark of lily disease is the view that "the hundred vessels share one common origin" — all the body's mai (vessels/channels) stem from a single source, so dysfunction spreads widely throughout the network and produces many varied symptoms. In this state, a patient may want to eat but cannot; often remain silent and withdrawn; want to lie down yet find no rest; want to walk yet feel unable to lift the feet. Sometimes food may seem desirable, at other times the smell of food brings aversion. One may feel cold yet not be truly cold, or feel hot yet not truly be feverish. The mouth tastes bitter and the urine is darkened and reddish. Medications of many kinds prove useless; taking them may instead provoke violent vomiting or diarrhea. It appears as if possessed by some spirit, and yet no obvious signs of severe illness are found on the outside; the pulse is thin and rapid (wei-shu).
There are clues related to urination: if there is headache with each urination, recovery may be expected in about sixty days; if there is no headache but the person feels slight chills and as if bathed or splashed by cold water, around forty days are expected; if all is unobstructed during urination but with slight dizziness, recovery may come in about twenty days. Such symptoms may also precede another illness, or break out in the wake of illness from the fourth day onward, or approximately on the fifth, twentieth day, or resurface even a month later — each manifestation to be differentiated and treated on basis of current presentation of evidence, can only time matters; they should be assessed anyway on clinical presentation-of-meridian-conditions.
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Original Companion Formulas (⚠️ caution: following prescriptions date to premodern books, supplied carefully for textual study after historical frame-reference any comparable steps fully, no contemporary pharmacological guidance embedded in this output, purposely formatted accordingly)
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Ingredients: Seven union-rooted lily bulbs, three liang of zhīmǔ (Anemarrhenae Rhizoma).
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