猪肤(一斤) 上一味,以水一斗,煮取五升,去渣,加白蜜一升,白粉五合,当是米粉。熬香和令相
得,温分六服。
少阴病,下利咽痛,胸满心烦者,此亦中焦气虚,阴火上炎之症。猪肤汤主之。以甘咸纳之。
甘草(二两) 上一味,以水三升,煮取一升半,去渣、温服七合,日二服。
桔梗(一两) 甘草(二两) 上二味,以水三升、煮取一升,去渣,分温再服。
少阴病,二、三日,咽痛者,可与甘草汤。大甘为土之正味,能制肾水越上之火。
不瘥,与桔梗汤。佐以辛苦开散之品,《别录》云∶疗咽喉痛。
半夏(十四枚,洗,破如枣核) 鸡子(一枚,去黄,纳上苦酒,着鸡子壳中) 上二味,纳半夏,着苦酒中,
以鸡子壳置刀环中,安火上,令三沸,此等煮法,必有深意,疑即古所云禁方也。去渣,少少含咽之,不瘥,
更作三剂。
少阴病,咽中伤,生疮,疑即阴火喉癣之类。不能言语,声不出者,苦酒汤主之。咽中生疮,此必
迁延病久,咽喉为火所蒸腐,此非汤剂之所能疗,用此药敛火降气,内治而兼外治法也。
乌梅(三百枚) 细辛(六两) 干姜(十两) 当归(四两) 黄连(一斤) 附子(六枚,炮去皮) 蜀椒(四
两,出汗) 桂枝(六两,去皮) 人参(六两) 黄柏(六两) 上十味,异捣筛,合治之,以苦酒浸乌梅一宿。去
核蒸之五斗米下,饭熟捣成泥,和药令相得,纳臼中,与蜜杵二千下,丸如梧桐子大,先食饮服十丸,日三服,稍加至
二十丸,禁生冷滑物臭食等。
伤寒脉微而厥,至七、八日肤冷,阳气不卫。其人躁无暂安时者,此为脏厥,此症不治。非蛔厥也。
蛔厥者,其人当吐蛔。今病者静而复时烦,此为脏寒,蛔上入其膈,故烦,须臾复止,得食而呕又烦者,蛔
闻食臭出,其人常自吐蛔。蛔厥者,乌梅丸主之。又主久利。此治久利之圣方也。其能治蛔,诸药之性,
当于《神农本草》中细细审辨,诸方尽然,不复一一俱载。
[Pig Skin Decoction]
Zhu Fu (Pig Skin, 1 jin): Take this single ingredient, boil in 10 dou of water until reduced to 5 sheng, remove the dregs, add 1 sheng of white honey and 5 he of Bai Fen (likely rice flour). Stir-fry the rice flour until fragrant, mix well with the decoction, and take warm, divided into six doses.
In Shaoyin disease, presenting with diarrhea, sore throat, chest fullness, and irritability, this is a syndrome of deficiency of Qi in the Middle Jiao with Yin Fire flaming upward. Zhu Fu Tang (Pig Skin Decoction) is the primary formula. It uses sweet and salty flavors to anchor floating fire.
[Gan Cao Decoction]
Gan Cao (Licorice Root, 2 liang): Take this single ingredient, boil in 3 sheng of water until reduced to 1.5 sheng, remove the dregs, take 7 he warm per dose, twice daily.
[Jie Geng Decoction]
Jie Geng (Platycodon Root, 1 liang), Gan Cao (Licorice Root, 2 liang): Take these two ingredients, boil in 3 sheng of water until reduced to 1 sheng, remove the dregs, take warm, divided into two doses.
In Shaoyin disease, if sore throat occurs after two or three days, Gan Cao Tang (Licorice Decoction) may be administered. The sweet flavor is the true taste of Earth, capable of restraining the fire of Kidney Water that overflows upward.
If the condition does not improve, administer Jie Geng Tang (Platycodon Decoction). This supplements with bitter and acrid agents that open and disperse; *Bencao Jing Bie Lu* records its efficacy in treating sore throat.
[Ku Jiu Decoction]
Ban Xia (Pinellia Tuber, 14 pieces, washed and broken like jujube pits), Ji Zi (Chicken Egg, 1 piece, yolk removed, Ku Jiu added into the shell): Take these two ingredients, place Ban Xia in Ku Jiu (vinegar), set the eggshell containing the mixture in a knife ring, place over fire, and bring to three boils. This method of decoction likely holds profound meaning, suspected to be an ancient secret prescription. Remove dregs, hold in mouth and swallow slowly. If not cured, prepare three more doses.
In Shaoyin disease, if the throat is injured and sores form (suspected to be similar to Yin Fire laryngeal ulcers), and the patient cannot speak or produce sound, Ku Jiu Tang (Vinegar Decoction) is indicated. Sores forming in the throat result from prolonged illness where the throat is steamed and corroded by fire pathogens. This condition cannot be treated by ordinary decoctions; this medication acts to astringe and descend Qi, combining internal treatment with external application.
[Wumei Pill]
Wumei (Mume Fruit, 300 pieces), Xixin (Asarum Root, 6 liang), Jiangjiang (Dried Ginger, 10 liang), Danggui (Angelica Sinensis, 4 liang), Huanglian (Coptis Rhizome, 1 jin), Fuzi (Prepared Aconite Root, 6 pieces, processed and peeled), Shujiao (Sichuan Pepper, 4 liang, "sweated"), Guizhi (Cinnamon Twig, 6 liang, peeled), Renshen (Ginseng Root, 6 liang), Huangbai (Phellodendron Bark, 6 liang): Process the above ten ingredients separately by pounding and sieving, then combine. Soak Wumei in Ku Jiu (vinegar) overnight. Remove pits, steam over 5 dou of rice until cooked. Pound the fruit into a paste, mix thoroughly with the other medicines, place in a mortar, add honey, and pound for two thousand strikes to form pills the size of paulownia seeds. Take 10 pills before meals with warm water, three times daily, gradually increasing to 20 pills. Avoid cold, raw, slippery, and spoiled foods.
In Shanghan (Cold Damage) disease, if the pulse is faint and there is cold extremities, progressing to cold skin on the seventh or eighth day, this indicates Yang Qi failing to guard the exterior. If the patient is restless without any moment of peace, this is Zang Jue (Organ Cold Reversal), which is difficult to treat. This is not Hui Jue (Roundworm Reversal).
Patients with Hui Jue typically vomit roundworms. In this case, the patient is quiet but experiences intermittent irritability due to Cold in the Zang organs causing roundworms to ascend into the Diaphragm. The irritability ceases shortly. Vomiting and renewed irritability after eating occur because roundworms are attracted by the odor of food, leading to spontaneous vomiting of roundworms. For Hui Jue, Wumei Wan (Mume Pill) is the primary formula. It also treats chronic dysentery. This is a sacred formula for treating chronic dysentery. Regarding its efficacy against roundworms, the properties of the various herbs should be carefully examined in *Shennong Bencao Jing* (Divine Farmer's Materia Medica); this applies to all formulas, so they are not listed individually here.