黄连(四两) 黄芩(一两) 芍药(二两) 鸡子黄(二枚) 阿胶(三两)
上五味以水五升。先煮三物。取二升。去滓。纳胶烊尽。小冷纳鸡子黄搅令相得。温服七合。日三服。
此汤本治少阴温热之证以其阴邪炎威伤犯真阴。故二三日以上便见心烦不得卧。所以始病之际。即用芩连□□□药
兼芍药阿胶鸡子黄。以滋养阴血也。然□□□七日后。热传少阴。伤其阴血者。亦可取用与□□□实用承气汤法。虽虚
实补泻悬殊。而祛热滋阴之意则一耳。
白头翁□□黄连 黄柏 秦皮(各二两)
上四味。以水□□□取二升。去滓。温服一升。不愈更服。
厥阴热利下□□□欲饮水者。阴虚生热也。故宜苦寒之剂治之□□作阳虚而用温剂也。所以用白头翁以升。水气之
下。陷秦皮以坚肝肾之滑脱。连柏以泄肠胃之湿热较少阴证便脓血桃花煎之用干姜。迥乎角立也。盖少阴之水气下奔。
虽为热邪。故可用从治之法。厥阴之风气。摧拔。木火 。内动是以不可复用辛温。鼓激其势也。
牡蛎(熬) 泽泻 栝蒌根 蜀漆(洗去腥) 葶苈(熬) 海藻(洗去咸) 商陆根(熬各等)
上七味。异捣下筛为散更入臼中治之。白饮和服方寸匕。小便利。止后服日三。
Huanglian (Coptidis Rhizoma, 4 liang), Huangqin (Scutellariae Radix, 1 liang), Shaoyao (Paeoniae Radix, 2 liang), JiZihuang (Ovi Albumen, 2 pieces), Ejiao (Colla Corii Asini, 3 liang).
Take the above five ingredients with five sheng of water. First decoct the first three ingredients to obtain two sheng of liquid. Strain out the dregs. Add Ejiao and melt it completely. When the liquid has cooled slightly, add JiZihuang and stir until well mixed. Take seven he of the warm decoction orally, three times a day.
This decoction is originally used to treat Shaoyin warm-heat syndromes (diseases caused by warm-heat pathogens affecting the Shaoyin channel), because yin pathogens with fierce inflammation damage the true yin. Therefore, after two or three days of onset, symptoms such as mental restlessness (xin fan) and insomnia (bu de wo) appear. Thus, at the initial stage of the disease, Huangqin and Huanglian are used to clear heat and purge fire, combined with Shaoyao, Ejiao, and JiZihuang to nourish yin and blood. However, if the illness persists for more than seven days and the heat transmits to Shaoyin, damaging yin and blood, this formula can also be adopted. This is similar to the practical application of Chengqi Tang (Gastrointestinal Draining Decoction). Although there is a significant difference between deficiency/excess and tonification/draining, the intention of clearing heat and nourishing yin remains the same.
Baitouweng (Pulsatillae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Qinpi (Fraxini Cortex, each 2 liang).
Take the above four ingredients with an appropriate amount of water, decoct to obtain two sheng of liquid. Strain out the dregs. Take one sheng of the warm decoction orally. If not cured, take another dose.
Jueyin hot dysentery (re li) with purulent and bloody stool, accompanied by thirst (yu yin shui), indicates heat generated from yin deficiency. Therefore, bitter-cold agents should be used for treatment, rather than mistakenly treating it as yang deficiency and using warming agents. Thus, Baitouweng is used to lift the sinking qi of water, Qinpi is used to astringe the slipping and loss of control in the liver and kidney, while Huanglian and Huangbai are used to drain damp-heat from the intestines and stomach. This stands in stark contrast to the use of Ganjiang (Zingiberis Rhizoma) in Taohua Jian (Peach Blossom Decoction) for Shaoyin syndrome with purulent and bloody stool. Generally, although the downward rush of water qi in Shaoyin is caused by heat pathogens, the method of following the pathogen's trend (cong zhi) can be applied. In Jueyin, wind qi causes destruction and uprooting, with wood-fire moving internally; therefore, acrid-warm agents cannot be reused, as they would agitate and exacerbate the condition.
Muli (Ostreae Concha, calcined), Zexie (Alismatis Rhizoma), Gualougen (Trichosanthis Radix), Shuqi (Perillae Herba, washed to remove fishy odor), Tingli (Semen Lepidii et Descurainiae, calcined), Haizao (Sargassum, washed to remove saltiness), Shanglugen (Phytolaccae Radix, calcined, equal parts).
The above seven ingredients are separately crushed, sifted into powder, and then further ground together in a mortar. Mix with white rice drink (bai yin) and administer one fangcun bi per dose. Stop subsequent doses when urination becomes smooth. Take three times a day.