黄连(四两) 黄芩(二两) 芍药(二两) 阿胶(三两) 鸡子黄(二枚) 上五味,以水六升,先煮三物,
煮取二升,去渣,纳胶烊尽,小冷,纳鸡子黄,小冷而纳鸡子黄,则不至凝结而相和。搅令相得,温服七合,日三服。
少阴病,得之二、三日以上,心中烦,不得卧,黄连阿胶汤主之。此少阴传经之热邪,扰动少阴之
气,故以降火养阴为治,而以鸡子黄引药下达。
赤石脂(一斤,一半全用,一半筛末) 干姜(一两) 粳米(一升) 上三味,以水七升,煮米令熟,去渣、纳
赤石脂末,方寸匕,温服七合,日三服、若一服愈,余勿服。兼末服,取其留滞收涩。
少阴病,下利,便脓血者,寒热不调,则大肠为腐,故成脓血,与下利清谷绝不同。桃花汤主之。
《本草》∶赤石脂∶疗下利赤白。
少阴病,二、三日至四、五日,腹痛,小便不利,下利不止,便脓血者,桃花汤主之。
半夏(洗) 桂枝(去皮) 甘草(炙) 上三味,等分,各别捣筛;已合治之,白饮和服方寸匕,日三服。
若不能散服者,以水一升,煎七沸,纳散两方寸匕,更煮三沸,下火,令小冷,少少咽之。治上之药,当小其剂。
少阴病,咽中痛,足少阴之脉,循喉咙,挟舌本。半夏散及汤主之。《本草》∶半夏治喉咽肿痛。桂枝
治喉痹,此乃咽喉之主药,后人以二味为禁药,何也?
Huanglian (Coptidis Rhizoma, four liang) Huangqin (Scutellariae Radix, two liang) Shaoyao (Paeoniae Radix Alba, two liang) Ejiao (Colla Corii Asini, three liang) Jizihuang (Ovi Galli Albumen, two pieces) The above five herbs are boiled in six sheng of water. First, boil the first three herbs until two sheng remain. Strain out the dregs, add Ejiao and melt it completely. When the decoction has cooled slightly, add the Ovi Galli Albumen. If added when too hot, the albumen will coagulate and fail to mix well. Stir thoroughly to ensure uniformity. Take seven ge warm, three times a day.
Shaoyin disease (disease pattern involving the Shaoyin channel), presenting after two or more days with mental restlessness and inability to sleep, is primarily treated with Huanglian Ejiao Tang. This condition involves heat pathogen transmitted into the Shaoyin channel, disturbing the Qi of Shaoyin. Therefore, the treatment principle is to descend heart fire and nourish yin, using Ovi Galli Albumen to guide the medicinal action downward.
Chishizhi (Halloysitum Rubrum, one jin; half used whole, half sifted into powder) Ganjiang (Zingiberis Rhizoma, one liang) Jingmi (Oryza Sativa var. glutinosa, one sheng) The above three herbs are boiled in seven sheng of water until the rice is cooked. Strain out the dregs, then add the Halloysitum Rubrum powder. Administer one fangcun bi per dose. Take seven ge warm, three times a day. If symptoms resolve after one dose, discontinue the remaining medication. Mixing the powder into the decoction utilizes its astringent and retaining properties.
In Shaoyin disease, if diarrhea occurs accompanied by pus and blood in the stool, it results from disharmony of cold and heat causing putrefaction in the large intestine, forming pus and blood. This is distinctly different from diarrhea with undigested food. It is primarily treated with Taohua Tang.
Bencao states: Halloysitum Rubrum treats dysentery with red and white discharge.
In Shaoyin disease, progressing from two to five days, if abdominal pain, difficulty in urination, persistent diarrhea, and pus and blood in the stool occur, it is primarily treated with Taohua Tang.
Banxia (Pinelliae Rhizoma, washed) Guizhi (Cinnamomi Ramulus, peeled) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) The above three herbs are taken in equal parts, each separately pounded and sifted, then mixed together. Mix with Baiyin (rice water) and administer one fangcun bi of the powder per dose, three times a day.
If the powder cannot be taken dry, boil one sheng of water for seven boils, add two fangcun bi of the powder, boil for another three boils, remove from heat, let cool slightly, and swallow slowly in small amounts. Medications treating the upper jiao should have reduced dosages.
For Shaoyin disease manifesting as throat pain, since the Foot-Shaoyin Kidney channel traverses the throat and surrounds the root of the tongue, Banxia San Ji Tang is primarily indicated. Bencao states: Pinelliae Rhizoma treats soreness and swelling of the throat and pharynx. Cinnamomi Ramulus treats throat obstruction (houbi). These two are primary herbs for throat diseases; why did later practitioners prohibit their use?