水蛭(三十枚,炒褐色) 虻虫(三十枚,去翅足,炒) 桃仁(二十枚,去皮尖) 大
黄(三
两酒浸)
蓄血发黄者,此方主之。
阳邪瘀热在里,少腹硬满,小便自利而发黄者,为蓄血发黄。苦走血,咸软坚,故用水
蛭、虻虫以逐败血。滑利肠,寒下热,故用桃仁、大黄以下血热。他如伤寒门桃仁承气汤亦
可酌用。
陈皮(去白) 浓朴(姜汁炒) 三棱(醋炒) 苍术(泔浸七日) 莪术(醋炒) 青
皮(各五
两) 甘草(一两炙) 香附(一斤,醋炒) 针砂(二两,醋炒红七次)
忌犬肉、果菜。
此调理谷疽、酒疸之方也。
方名温中者,主疗湿郁于中之义也。水谷酒食,无非湿化,传化得宜则治,一或积于中
宫,则遏少火,热而病黄矣。故用苍术、香附、陈皮、青皮、浓朴,以平胃中之敦阜而利其
气,气利则水谷不滞。用三棱、莪术以削坚,削坚则积滞渐除。用针砂者,一借其兑金之令,
以
绿矾(半斤,火 通红) 枣肉(二斤,煮,去皮捣烂丸) 平胃散(四两,为衣)
每服三十丸,姜汤下。
谷疸身目俱黄,此方亦良。
水谷癖积于中,抑遏肝肾之火,久久郁热,故身目俱黄。是方也,绿矾咸寒,能软痰癖
而胜湿热。枣肉甘温,能益脾胃而补中宫。平胃散者,苍术、浓朴、陈皮、甘草也。苍术、
浓朴,所以平胃家敦阜之气而除积饮。陈皮、甘草,一以利气,一以和中,乃调胃之意也!
Leech (Shuizhi, Hirudo) (30 pieces, stir-fried until brown)
Dragonfly larva (Mengchong, Ophiogomphus cecilia) (30 pieces, wings and legs removed, stir-fried)
Peach kernel (Taoren, Semen Persicae) (20 pieces, skin and尖 [tips] removed)
Rhubarb root (Dahuang, Radix et Rhizoma Rhei) (3 liang, soaked in wine)
For jaundice caused by blood stasis accumulation, this formula is the primary treatment.
When yang pathogenic factors and stagnant heat accumulate internally, presenting with hardness and fullness in the lower abdomen, patent urination, yet accompanied by jaundice, it is termed "jaundice due to blood stasis" (Xuxue Huangdan). Bitter substances enter the blood level, and salty substances soften hardness; therefore, Leech and Dragonfly larva are used to expel ruined blood. Slippery substances lubricate the intestines, and cold substances descend to clear heat; therefore, Peach kernel and Rhubarb root are used to purge blood-heat. Alternatively, Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) from the Treatise on Cold Damage may also be considered for use.
Tangerine peel (Chenpi, Pericarpium Citri Reticulatae) (white pith removed)
Magnolia bark (Houpo, Cortex Magnoliae Officinalis) (stir-fried with ginger juice)
Burreed tuber (Sanleng, Rhizoma Sparganii) (stir-fried with vinegar)
Atractylodes rhizome (Cangzhu, Rhizoma Atractylodis) (soaked in rice water for seven days)
Curcuma zedoaria rhizome (Ezhu, Rhizoma Curcumae Zedoariae) (stir-fried with vinegar)
Green tangerine peel (Qingpi, Pericarpium Citri Reticulatae Viride) (each of the above five liang)
Licorice root (Gancao, Radix Glycyrrhizae Uralensis) (1 liang, honey-roasted)
Cyperus rhizome (Xiangfu, Rhizoma Cyperi Rotundi) (1 jin, stir-fried with vinegar)
Needle sand (Zhensha, Magnetitum prepared) (2 liang, stir-fried with vinegar until red, repeated seven times)
Avoid consuming dog meat, fruits, and vegetables.
This is a formula for regulating Gu Dan (Grain Jaundice) and Jiu Dan (Alcohol Jaundice).
The name "Wen Zhong" (Warm the Middle) signifies the primary function of treating dampness stagnating in the middle jiao. Water, grain, and alcohol all transform into dampness; if transportation and transformation are proper, health is maintained. However, if they accumulate in the middle palace (spleen/stomach), they obstruct the "shao huo" (mineral fire/physiological fire), generating heat that leads to jaundice. Therefore, Atractylodes rhizome, Cyperus rhizome, Tangerine peel, Green tangerine peel, and Magnolia bark are used to flatten the excessive qi in the stomach and promote its flow; once qi flows freely, water and grain do not stagnate. Burreed tuber and Curcuma zedoaria rhizome are used to reduce hardness; reducing hardness gradually eliminates stagnation. Needle sand is used primarily to borrow its metal attribute (Dui trigram) to...
Vitamin B-rich green alum (Lüfan, Vitriolum Ferrum Oxidatum et Sulfuricum) (half jin, fired until red hot)
Jujube flesh (Zaorou, Fructus Jujubae pulp) (2 jin, boiled, skin removed, pounded into paste for pill coating)
Ping Wei San (Flat Stomach Powder) (4 liang, used as pill coating)
Take 30 pills per dose, washed down with ginger decoction.
For Gu Dan presenting with yellowing of both body and eyes, this formula is also effective.
Stagnation of water and grain in the middle jiao suppresses the fire of the liver and kidneys; over time, depression generates heat, causing the body and eyes to turn yellow. In this formula, Lüfan is salty and cold, capable of softening phlegm-stagnation and overcoming damp-heat. Jujube flesh is sweet and warm, capable of benefiting the spleen and stomach and nourishing the middle palace. Ping Wei San consists of Atractylodes rhizome, Magnolia bark, Tangerine peel, and Licorice root. Atractylodes rhizome and Magnolia bark are used to flatten the excessive qi of the stomach and eliminate accumulated fluids. Tangerine peel and Licorice root, one promoting qi flow and the other harmonizing the middle, embody the intention of regulating the stomach.