疳疾伤脾因作泻，先清后补为妙诀，初宜清热和中汤，久泻参苓白术捷。
[注]
疳泻之证多缘积热伤脾，以致水榖不分，频频作泻，
法当清热渗湿，以清热和中汤主之，
若泻久不愈，当渐为调理，参苓白术散主之。
(清热和中汤) 白术土炒 陈皮 厚朴姜炒 赤苓 黄连 神麴炒
谷芽炒 史君子 生甘草 泽泻 引用灯心水煎服。
(方歌)
疳久泄泻名疳泻，清热和中功甚捷，白术陈厚赤苓连，柛榖史君草泽泻。
(参苓白术散) 方见脾疳。
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疳证门
疳疾肿胀面浮光，传化失宜脾肺伤，气逆喘欬胸膈满，御苑匀气服最良。
[注]
疳病肿胀之证，多因传化失宜，以致肺脾两伤，
现证气逆喘欬，胸膈痞闷，肚腹肿胀，面色浮光，
宜用御苑匀气散治之，其肿胀自消矣。
(御苑匀气散) 桑皮蜜炒 桔梗 赤苓 甘草生 藿香 陈皮 木通 引用姜皮灯心水煎服。
(方歌)
疳久脾虚肿胀生，御苑匀气有奇功，桑皮桔梗赤苓草，藿香陈皮合木通。
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疳证门
疳疾日久频下痢，多缘肠胃热凝滞，或赤或白腹窘急，香连导滞为妙剂。
[注]
疳痢之由，皆因热结肠胃所致，
故痢时或赤或白，腹中窘痛，
急用香连导滞汤治之，其痢自愈。
(香连导滞汤) 青皮炒 陈皮 厚朴姜炒 川黄连姜炒 生甘草 山查 神麴炒
木香煨 槟榔 大黄 引用灯心水煎服。
(方歌)
疳久下痢名疳痢，香连导滞功最良，青陈厚朴川连草，查麴木香槟大黄。
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疳证门
Gan disease damaging the Spleen and Stomach causes diarrhea; clearing heat first and tonifying later is the exquisite principle. Initially, Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction) is suitable, while Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) acts swiftly for chronic diarrhea.
[Note]
The syndrome of Gan diarrhea often arises from accumulated heat damaging the Spleen, resulting in the failure to separate clear from turbid fluids and grains, leading to frequent diarrhea.
The treatment method should be to clear heat and leach out dampness, primarily using Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction).
If the diarrhea persists for a long time without healing, gradual regulation is required, primarily using Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder).
(Clear Heat and Harmonize the Middle Decoction [Qingre Hezhong Tang]) Ingredients: Atractylodis Macrocephalae Rhizoma stir-fried with soil (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex stir-fried with ginger juice (Houpo), Poria (Chiling), Coptidis Rhizoma (Huanglian), Crataegi Fructus stir-fried (Shenqu), Oryzae Fructus Germinatus stir-fried (Guyaya), Quisqualis Fructus (Shijunzi), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Alismatis Rhizoma (Zexie). Preparation: Decoct with Junci Arillus (Dengxincao) water as a guide.
(Prescription Song)
Chronic diarrhea due to Gan is named Gan diarrhea,
Clearing heat and harmonizing the middle has very swift efficacy.
Atractylodis Macrocephalae Rhizoma, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Poria, Coptidis Rhizoma,
Crataegi Fructus, Oryzae Fructus Germinatus, Quisqualis Fructus, Glycyrrhizae Radix et Rhizoma, Alismatis Rhizoma.
(Ginseng, Poria, and Atractylodes Macrocephala Powder [Shenling Baizhu San]) See the chapter on "Spleen Gan."
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Gan Syndrome Section
Gan disease causing swelling with a puffy and lustrous face results from impaired transmission and transformation, injuring both the Lung and Spleen. Qi rebellion, wheezing, cough, and chest fullness occur; taking Yuanyuan Yunqi San (Imperial Garden Regulating Qi Powder) is most beneficial.
[Note]
The syndrome of swelling in Gan disease is mostly due to impaired transmission and transformation, causing injury to both the Lung and Spleen.
Current symptoms include Qi rebellion, wheezing, cough, chest oppression, abdominal distension and swelling, and a puffy, lustrous complexion.
It is appropriate to treat it with Yuanyuan Yunqi San (Imperial Garden Regulating Qi Powder), after which the swelling will naturally subside.
(Imperial Garden Regulating Qi Powder [Yuanyuan Yunqi San]) Ingredients: Mori Cortex stir-fried with honey (Sangpiao), Platycodonis Radix (Jiegeng), Poria (Chiling), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Pogostemonis Herba (Huoxiang), Citri Reticulatae Pericarpium (Chenpi), Akebiae Caulis (Mutong). Preparation: Decoct with Zingiberis Pericarpium (Jiangpi) and Juncii Arillus (Dengxincao) water as guides.
(Prescription Song)
Chronic Gan leads to Spleen deficiency and generates swelling,
Imperial Garden Regulating Qi Powder possesses miraculous efficacy.
Mori Cortex, Platycodonis Radix, Poria, Glycyrrhizae Radix et Rhizoma,
Pogostemonis Herba, Citri Reticulatae Pericarpium, combined with Akebiae Caulis.
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Gan Syndrome Section
Chronic Gan disease frequently presents with dysentery, mostly caused by heat stagnation in the Intestines and Stomach. The stool may be red or white, accompanied by abdominal urgency and pain; Xianglian Daozhi Tang (Costus and Coptis Guiding Out Stagnation Decoction) is an excellent prescription.
[Note]
The cause of Gan dysentery lies entirely in heat accumulation in the Intestines and Stomach.
Therefore, during dysentery, the stool may be red or white, accompanied by abdominal cramping and pain.
Urgently treat it with Xianglian Daozhi Tang (Costus and Coptis Guiding Out Stagnation Decoction), and the dysentery will heal itself.
(Costus and Coptis Guiding Out Stagnation Decoction [Xianglian Daozhi Tang]) Ingredients: Aurantii Fructus Immaturus stir-fried (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex stir-fried with ginger juice (Houpo), Coptidis Rhizoma stir-fried with ginger juice (Chuanlianhuan), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Crataegi Fructus (Shanzha), Crataegi Fructus stir-fried (Shenqu), Costi Radix baked (Muxiang), Arecae Semen (Binglang), Rheum Palmatum Rhizoma et Radix (Dahuang). Preparation: Decoct with Junci Arillus (Dengxincao) water as a guide.
(Prescription Song)
Chronic Gan presenting with dysentery is named Gan dysentery,
Costus and Coptis Guiding Out Stagnation Decoction has the best efficacy.
Aurantii Fructus Immaturus, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Coptidis Rhizoma, Glycyrrhizae Radix et Rhizoma,
Crataegi Fructus, Crataegi Fructus stir-fried, Costi Radix, Arecae Semen, Rheum Palmatum Rhizoma et Radix.
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Gan Syndrome Section