治悬饮,咳唾引胁下痛。又治支饮,咳烦胸中痛,至百日一岁,其脉弦者。
芫花(微炒) 甘遂 大戟(炒)
上等分为末。水一盏半,枣十个,煎至八分,去枣调药,壮人一钱,羸人半钱,平旦温
服;不下者,次日更加半钱。下后糜粥自养;若已下,不可与之。
治溢饮,身体疼重,汗不出,拘急痛。
麻黄(去节汤,七钱半) 桂心 甘草(炙,各二钱半) 石膏(鸡子大) 杏仁(四十个,炒,去皮尖)
上为锉散。每服四大钱,水一盏半,姜五片,枣二枚,煎七分,去滓,空腹服,温覆。
一服汗者,勿再服;复服,汗出多,亡阳虚逆,恶风烦躁,不得眠也。
治溢饮、支饮,倚息不得卧,及喘满者。
麻黄(去节汤) 芍药 细辛 桂心 干姜(炮) 甘草(炙,各三钱三字) 五味子(二钱) 半
夏(汤洗七次,三钱)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,
空腹服。渴者,去半夏,加栝蒌根三钱三字;微利,去麻黄,加芫花一鸡子大,炒入;噎者
,去麻黄,加附子一枚,炮;小便不利者,去麻黄,加茯苓半两;喘者,去麻黄,加杏仁三
钱三字;咳而上气,肺胀,其脉浮,心下有水气者,胸中痛引缺盆,加石膏二钱半研。
治膈间支饮。其人喘满,心下痞坚,面色黧黑,其脉沉紧,得之数十日,医吐下之不愈。
汉防己(三两) 桂心(二两) 人参(四两) 石膏(六两)
上四味为锉散。每服四大钱,水一盏半,煮七分,去滓,温服。虚者即愈,实者三日复发。
再服不愈,宜去石膏,加茯苓四两、芒硝一两半,微利则愈。
Treats Xuan Yin (Hydrops with fluid accumulation in the hypochondrium), characterized by pain in the hypochondrium radiating during coughing and expectoration. Also treats Zhi Yin (Hydrops with fluid obstructing the chest and diaphragm), characterized by cough, restlessness, chest pain, persisting for one hundred days to a year, with a wiry pulse (Xian Mai).
Yuan Hua (Genkwa Flos, slightly stir-fried) Gansui (Radix Kansui) Daji (Radix Euphorbiae Humifusae, stir-fried)
Grind the above three herbs into fine powder in equal proportions. Use one and a half bowls of water and ten Jujubes (Fructus Ziziphi Jujubae), decoct until reduced to eight-tenths. Remove the Jujubes and use the decoction to mix with the medicine powder. For robust individuals, take one Qian; for frail individuals, take half a Qian. Take warm on an empty stomach at dawn. If there is no bowel movement, increase the dose by half a Qian the next day. After purgation, nourish the body with millet porridge. Do not administer if purgation has already occurred.
Treats Yi Yin (Hydrops with fluid overflowing to the limbs and skin), characterized by heavy body pain, absence of sweating, and stiff, painful spasms.
Mahuang (Ephedrae Herba, nodes removed, washed with boiling water, 7.5 Qian) Guixin (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2.5 Qian) Shigao (Gypsum Fibrosum, size of a chicken egg) Xingren (Armeniacae Semen Amarum, 40 seeds, stir-fried, peel and apricot kernels removed)
Grind the above herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water, five slices of Ginger (Zingiberis Rhizoma), and two Jujubes (Fructus Ziziphi Jujubae). Decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach. Cover with blankets to induce sweating.
If sweating occurs after one dose, do not take another. Re-administration may cause excessive sweating, leading to collapse of Yang (Wang Yang), deficiency and reversal, aversion to wind, irritability, and insomnia.
Treats Yi Yin (Hydrops with fluid overflowing to the limbs and skin) and Zhi Yin (Hydrops with fluid obstructing the chest and diaphragm), characterized by orthopnea (inability to lie flat due to breathing difficulty) and wheezing with chest fullness.
Mahuang (Ephedrae Herba, nodes removed, washed with boiling water) Shaoyao (Paeoniae Radix) Xixin (Asari Radix et Rhizoma) Guixin (Cinnamomi Ramulus) Ganjiang (Zingiberis Rhizoma, processed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 Qian 3 Zhu) Wuweizi (Schisandrae Fructus, 2 Qian) Banxia (Pinelliae Rhizoma, washed seven times with boiling water, 3 Qian)
Grind the above herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water. Decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach.
For thirst, remove Banxia (Pinelliae Rhizoma) and add Gualougen (Trichosanthis Radix, 3 Qian 3 Zhu). For mild diarrhea, remove Mahuang (Ephedrae Herba) and add Yuan Hua (Genkwa Flos, size of a chicken egg, stir-fried). For a sensation of obstruction in the throat, remove Mahuang (Ephedrae Herba) and add Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed). For difficult urination, remove Mahuang (Ephedrae Herba) and add Fuling (Poria, half Liang). For wheezing, remove Mahuang (Ephedrae Herba) and add Xingren (Armeniacae Semen Amarum, 3 Qian 3 Zhu). For cough with rebellious Qi, lung distension, floating pulse, and fluid retention in the epigastrium causing chest pain radiating to the Clavicular Fossa (Qie Ren), add Shigao (Gypsum Fibrosum, 2.5 Qian, ground).
Treats Zhi Yin (Hydrops with fluid obstructing the inter-diaphragmatic region). The patient suffers from wheezing and chest fullness, epigastric stiffness and hardness, dark complexion, and a deep, tight pulse. The condition has persisted for dozens of days and was not cured by previous emetic or purgative treatments by physicians.
Fangji (Stephaniae Tetrandrae Radix, 3 Liang) Guixin (Cinnamomi Ramulus, 2 Liang) Renshen (Ginseng Radix, 4 Liang) Shigao (Gypsum Fibrosum, 6 Liang)
Grind the above four herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water. Decoct until reduced to seven-tenths, remove the dregs, and take warm. Those with deficiency will be cured; those with excess pathogenic factors may relapse after three days.
If repeated administration fails to cure, remove Shigao (Gypsum Fibrosum) and add Fuling (Poria, 4 Liang) and Mangxiao (Natrii Sulfas, 1.5 Liang). Mild purgation indicates recovery.