此症若降火,则由脾而入于大肠,必变为便血之症,方用清火止泻汤∶
茯苓(一两) 人参(二钱) 砂仁(三粒) 黄连(三钱)
水煎服。
此症若降寒,则又引入肾,而流于膀胱,必变为遗尿之症,法宜散寒止吐,方用止呕散寒汤∶
白术(二两) 人参(五钱) 附子(一钱) 干姜(一钱) 丁香(五分)
水煎服。
此方散寒而用补脾之品,则寒不能上越,而亦不得下行,势不得不从脐出也。
人有食入而即出者,乃肾水虚不能润喉,故喉燥而即出也。方用∶
熟地(二两) 山萸(五钱) 山药(一两) 丹皮(三钱) 茯苓(五钱) 泽泻(三钱) 麦冬(五钱)
五味子(一钱)
水煎服。
又有食久而反出者,乃肾火虚不能温脾,故脾寒而反出也。方用∶
熟地(二两) 山萸(一两) 山药(六钱) 丹皮(三钱) 茯苓(三钱) 泽泻(三钱) 附子(三钱) 肉
桂(三钱)
水煎服。
此症满身皆肿,按之如泥者是也。若不急救,水流四肢,不得从膀胱而出,则为死症矣。方用决流汤∶
黑丑(二钱) 甘遂(二钱) 肉桂(一两) 车前子(一两)
水煎服。
一剂而水流斗余,二剂而痊愈,断不可与三剂也,与三剂反杀之矣。盖牵牛、甘遂,最善利水,又加之肉桂、
车前子,引水以入膀胱,利水而不走气,不使牛、遂之过猛也。二剂之后,须用五苓散调理二剂,再以六君子汤补
脾可也。更须忌食盐三月,犯之则不救矣。
If this syndrome is treated by clearing fire, the pathogenic factor will enter from the Spleen into the Large Intestine, inevitably transforming into hematochezia (blood in stool). The prescription used is Qinghuo Zhixie Tang (Fire-Clearing Diarrhea-Stop Decoction): Poria (1 liang), Ginseng Radix et Rhizoma (2 qian), Amomi Fructus Rotundus (3 grains), Coptidis Rhizoma (3 qian). Decoct with water and take orally.
If this syndrome is treated by dispersing cold, the pathogenic factor will be introduced into the Kidney and flow into the Bladder, inevitably transforming into enuresis (involuntary urination). The treatment method should be to disperse cold and stop vomiting, using the prescription Zhiou Sanhan Tang (Vomiting-Stopping Cold-Dispersing Decoction): Atractylodis Macrocephalae Rhizoma (2 liang), Ginseng Radix et Rhizoma (5 qian), Aconiti Lateralis Radix Praeparata (1 qian), Zingiberis Rhizoma (1 qian), Caryophylli Flos (0.5 qian). Decoct with water and take orally. This formula uses splea-tonifying herbs while dispersing cold, so that the cold cannot ascend rebelliously nor descend downward; thus, it must exit through the umbilicus.
Some individuals vomit food immediately after ingestion. This occurs because Kidney Water deficiency fails to moisten the throat, causing dryness of the throat and immediate expulsion of food. The prescription used is: Rehmanniae Radix Praeparata (2 liang), Corni Fructus (5 qian), Dioscoreae Rhizoma (1 liang), Moutan Cortex (3 qian), Poria (5 qian), Alismatis Rhizoma (3 qian), Ophiopogonis Radix (5 qian), Schisandrae Fructus (1 qian). Decoct with water and take orally.
Others vomit food after it has remained in the stomach for a long time. This occurs because Kidney Fire deficiency fails to warm the Spleen Earth, resulting in Spleen Cold and subsequent regurgitation. The prescription used is: Rehmanniae Radix Praeparata (2 liang), Corni Fructus (1 liang), Dioscoreae Rhizoma (6 qian), Moutan Cortex (3 qian), Poria (3 qian), Alismatis Rhizoma (3 qian), Aconiti Lateralis Radix Praeparata (3 qian), Cinnamomi Cortex (3 qian). Decoct with water and take orally.
This syndrome manifests as generalized edema, where pressing the skin leaves an indentation like mud. If not urgently treated, fluid accumulation spreads to the four limbs and cannot exit via the Bladder, leading to a fatal condition. The prescription used is Jueliu Tang (Flow-Deciding Decoction): Pharbitidis Semen (Qian Niu Zi, 2 qian), Kansui Radix (2 qian), Cinnamomi Cortex (1 liang), Plantaginis Semen (1 liang). Decoct with water and take orally. After one dose, more than one dou of fluid is expelled; after two doses, recovery is achieved. It is absolutely forbidden to administer a third dose, as doing so would be lethal. Qian Niu Zi (Pharbitidis Semen) and Kansui Radix are most effective at promoting diuresis; combined with Cinnamomi Cortex and Plantaginis Semen to guide water into the Bladder, they promote diuresis without depleting Qi, preventing the excessive potency of Qian Niu Zi and Kansui Radix. After two doses, Wuling San (Five-Ingredient Powder with Poria) should be used for regulation for two doses, followed by Liujunzi Tang (Six-Gentlemen Decoction) to tonify the Spleen. Furthermore, salt must be strictly avoided for three months; violation of this prohibition renders the condition incurable.