赤石脂(一斤碎) 禹余粮(一斤碎)
上二味。以水六升。煮取二升。去滓。分三服。
伤寒服汤药。下利不止。心下痞硬。服泻心汤已。复以他药下之。利不止。医以理中与
之。
利益甚。理中者理中焦。此利在下焦。赤石脂禹粮汤主之。复利不止者。当利其小便。按此
段经文。本已自解明白。利在下焦。关闸尽撤。急当固下焦之脱。石脂余粮固涩之品。性
皆重坠。直走下焦。拦截谷道。修其关闸。此以土胜水之法。若复利不止。则又当通支河
水道。以杀其下奔之势。而关闸始得完固。
甘草(四两炙) 生姜(二两切) 桂枝(三两去皮) 麦冬(半斤去心) 麻子仁(半斤) 人
参(二两) 阿胶(二两) 大枣(十二枚擘) 生地黄(一斤)
上九味。以清酒七升。水八升。先煎八味。取三升。去滓。内胶烊销尽。温服一升。日
三服。一名复脉汤。
伤寒脉结代。心动悸者。炙甘草汤主之。按脉结代而心动悸。则心悸非水饮搏结之心悸
。而
为中气虚馁之心悸矣。经衣冠文物以结阴代阴。昭揭病因。证津液衰竭。阴气不交于阳。已可概
见。君以炙甘草。坐镇中州。而生地麦冬麻仁大枣人参阿胶之属。一派甘寒之药。滋阴复液
。但阴无阳则不能化气。故复以桂枝生姜。宣阳化阴。更以清酒通经隧。则脉复而悸自安矣
。
Red Stone Lip (Chi Shi Zhi) (one jin, crushed) Yu Yu Liang (one jin, crushed)
These two ingredients. Boil in six sheng of water to obtain two sheng. Remove the dregs. Divide into three doses.
In shaoyang disease, after taking herbal decoctions, diarrhea persists unceasingly, accompanied by a stuffy and hard sensation in the epigastrium. After taking Xiexin Tang (Drain the Epigastm Decoction), the physician again used other purgatives, resulting in persistent diarrhea. The physician administered Lizhong Tang (Regulate the Middle Decoction).
The diarrhea worsened. Lizhong Tang regulates the middle jiao; this diarrhea is located in the lower jiao. It should be treated with Chishizhi Yuyuliang Tang (Red Stone Lip and Hematite Decoction). If the diarrhea still does not stop, one should promote urination to stop the diarrhea. According to this passage from the classic, the explanation is already clear. The diarrhea is in the lower jiao, where the "gate" has completely collapsed, requiring urgent consolidation of the collapse in the lower jiao. Chi Shi Zhi and Yu Yu Liang are astringent substances with heavy and sinking properties, acting directly on the lower jiao to intercept the intestinal tract and repair the "gate." This is a method of using Earth to overcome Water. If the diarrhea still persists, one should then open the collateral channels for water metabolism to curb the downward rushing tendency, so that the "gate" can be fully secured.
Gancao (Licorice Root) (four liang, honey-fried) Shengjiang (Fresh Ginger) (two liang, sliced) Guizhi (Cinnamon Twig) (three liang, bark removed) Maidong (Ophiopogon Tuber) (half jin, heart removed) Huomaren (Hemp Seed) (half jin) Renshen (Ginseng Root) (two liang) Ejiao (Donkey-hide Gelatin) (two liang) Dazao (Jujube Fruit) (twelve pieces, split) Shengdihuang (Rehmannia Root) (one jin)
These nine ingredients. Use seven sheng of clear wine and eight sheng of water. First decoct the first eight ingredients to obtain three sheng. Remove the dregs. Add Ejiao and melt it completely. Take one sheng warm at a time, three times a day. Also known as Fumai Tang (Pulse-Recovering Decoction).
In shaoyang disease, if the pulse is knotted or intermittent (Jie Dai Mai) and there is palpitations (Xin Dong Ji), Zhigancao Tang (Honey-Fried Licorice Decoction) should be used. Considering the knotted/intermittent pulse and palpitations, this palpitations is not caused by the binding of fluid retention (Shui Yin), but rather by deficiency and weakness of the Middle Qi. The classic text uses "binding of Yin and substitution of Yin" to reveal the etiology, indicating exhaustion of body fluids and failure of Yin Qi to interact with Yang, which can be inferred. Gancao serves as the sovereign herb, anchoring the Middle Jiao (Spleen and Stomach). Ingredients such as Shengdi, Maidong, Huomaren, Dazao, Renshen, and Ejiao are all sweet-cold herbs aimed at nourishing Yin and restoring fluids. However, without Yang, Yin cannot transform into Qi. Therefore, Guizhi and Shengjiang are added to disseminate Yang and transform Yin. Furthermore, clear wine is used to unblock the meridians and collaterals, thereby restoring the pulse and calming the palpitations.