秦艽 白术 归尾(酒洗) 桃仁(研)一两 枳实(面炒) 皂角子(烧,存性) 泽
泻五钱 地榆三钱
面糊丸。
凡痔漏之疾,多起于湿热下注,然又有本体阴虚者。一味去风燥湿,反致劫阴。况服皂
角子者,令人每发眩晕。此方立意虽佳,然阴虚者,未可轻投也。
芍药一两 归尾 黄芩 黄连五钱 大黄三钱 木香 槟榔 甘草(炙)二钱 桂一钱
五分
此即通因通用之法。湿热郁蒸,气血瘀壅,故下利而后重。行血理气,则血止而后重自
除矣。
苍术(泔浸炒)三两 地榆(炒黑)一两
每一两煎。
一燥湿,一凉血,亦治下利之正法。然止此二味,尚未足以扶土和营也。
小蓟 蒲黄(炒黑) 藕节 滑石 木通 当归 生地黄 栀子(炒) 淡竹叶 甘草
各五分
清心与小肠之热,滋肾水而通膀胱,自可以治淋而止痛。
柴胡五钱 当归 栝蒌根 穿山甲(炮)二钱 甘草 红花二钱 桃仁五十(去皮尖,
研) 大黄一两(酒浸)
每服一两,加酒煎。
治跌扑损伤之法,破瘀第一,行气次之,活血生新又次之。此方再加一、二味行气之药
更佳
防风一钱二分 桂枝 麻黄 杏仁(去皮尖,炒研) 芎 (酒洗) 白芍(酒炒) 人
参甘草(炙) 黄芩(酒炒) 防己八分 附子四分
每服三钱,加姜、枣煎。
天地之气,郁而必宣。风也者,乃大块噫气,鼓荡万物者也。然有和风,有烈风,有怪
厉之风,有微柔之风。和风,则不疾不徐,人纵感之,不为大害;烈风,则咸知畏避,受者
反少;怪厉之风本不常有;惟微柔之风,最易中人,微则难防,柔则善入。虚人腠理不密,
外风乘隙而投,由表及里,病亦由浅入深。前于《医醇剩义》中已将中络、中经、中腑、中
脏之症,缕析条分,兹不复赘。但于各方后,窃附管见。小续命汤,乃治六经中风之通剂,
方中补气血,去风寒,清湿热之药俱备,非各分门类之专方。易老加减法,亦不过示人以用
药之大凡。至于入腑、入脏之症,则固未尝议及也。
Qinjiao (Gentianae Macrophyllae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guiwei (Angelicae Sinensis Radix, tail part) [washed with wine], Taoren (Persicae Semen) [ground] each 1 liang; Zhishi (Aurantii Fructus Immaturus) [stir-fried with flour], Zaojiaozizi (Gleditsiae Sinensis Spina) [burned, retaining its nature] each 5 qian; Zexie (Alismatis Rhizoma) 3 qian; Diyu (Sanguisorbae Radix) 3 qian.
These herbs are processed into pills using wheat paste.
Any disease of hemorrhoids and fistulas (Zhilou) mostly originates from damp-heat pouring downward. However, patients may also have a constitution of Yin deficiency. If one solely uses wind-dispelling and dryness-resolving herbs, it will instead deplete the Yin. Moreover, taking Zaojiaozizi often causes dizziness and vertigo. Although the intention behind this formula is good, it should not be administered lightly to those with Yin deficiency.
Shaoyao (Paeoniae Radix Alba) 1 liang; Guiwei (Angelicae Sinensis Radix, tail part), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) each 5 qian; Dahuang (Rhei Radix et Rhizoma) 3 qian; Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) [roasted] each 2 qian; Guizhi (Cinnamomi Ramulus) 1 qian 5 fen.
This employs the method of "treating obstruction with unblocking agents" (Tong Yin Tong Yong). When damp-heat stagnates and steams, causing Qi and Blood stasis and congestion, diarrhea accompanied by tenesmus occurs. By promoting blood circulation and regulating Qi, bleeding stops and tenesmus naturally resolves.
Cangzhu (Atractylodis Rhizoma) [soaked in rice water and stir-fried] 3 liang; Diyu (Sanguisorbae Radix) [charred] 1 liang.
Decoct 1 liang per dose.
One herb dries dampness, while the other cools blood; this is also a standard method for treating dysentery/diarrhea. However, relying on only these two herbs is insufficient to strengthen the Spleen (Earth) and harmonize the Ying (Nutritive) level.
Xiaoji (Cirsii Herba), Puhuang (Typhae Pollen) [charred], Oujie (Nelumbinis Node), Huashi (Talcum), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Zhizi (Gardeniae Fructus) [stir-fried], Danzhuye (Lophatheri Herba), Gancao (Glycyrrhizae Radix et Rhizoma) each 5 fen.
Clearing the heat of the Heart and Small Intestine, nourishing Kidney Water, and unblocking the Bladder can naturally treat strangury (Lin syndrome) and relieve pain.
Chaihu (Bupleuri Radix) 5 qian; Danggui (Angelicae Sinensis Radix), Gualougen (Trichosanthis Radix), Chuanshanjia (Manis Squama) [processed] each 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma), Honghua (Carthami Flos) each 2 qian; Taoren (Persicae Semen) 50 pieces [skin and tips removed, ground]; Dahuang (Rhei Radix et Rhizoma) 1 liang [soaked in wine].
Take 1 liang per dose, decocted with wine.
The treatment of traumatic injuries prioritizes breaking blood stasis first, regulating Qi secondarily, and promoting blood circulation to generate new tissue thirdarily. This formula would be even more effective if one or two Qi-regulating herbs were added.
Fangfeng (Saposhnikoviae Radix) 1 qian 2 fen; Guizhi (Cinnamomi Ramulus), Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum) [skin and tips removed, stir-fried and ground], Chuanxiong (Ligustici Chuanxiong Rhizoma) [washed with wine], Baishao (Paeoniae Radix Alba) [stir-fried with wine], Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [roasted], Huangqin (Scutellariae Radix) [stir-fried with wine], Fangji (Stephaniae Tetrandrae Radix) 8 fen; Fuzi (Aconiti Lateralis Radix Praeparata) 4 fen.
Take 3 qian per dose, decocted with fresh ginger and Chinese jujube.
The Qi of Heaven and Earth, when stagnant, must be vented. Wind is the breath of the great void that agitates all things. However, there are gentle winds, fierce winds, strange/malignant winds, and subtle/soft winds. Gentle winds are neither fast nor slow; even if humans are exposed to them, they cause little harm. With fierce winds, people know to fear and avoid them, so fewer get affected. Strange/malignant winds are rare. Only subtle/soft winds easily invade humans; their subtlety makes them hard to guard against, and their softness allows them to penetrate deeply. In deficient individuals, the interstices (Couli) are not tight; external wind takes advantage of gaps to enter, moving from the exterior to the interior, and the disease progresses from superficial to deep levels. Previously, in *Yi Chun Sheng Yi*, I have analyzed and listed the symptoms of wind-stroke affecting the collaterals, meridians, fu-organs, and zang-organs in detail, so I will not repeat them here. I merely append my humble opinions after each formula. Xiao Xuming Tang (Minor Continuation Life Decoction) is a general formula for treating wind-stroke across the Six Channels. It contains herbs to tonify Qi and Blood, dispel wind-cold, and clear damp-heat; it is not a specialized formula for specific categories. The modification methods by Yilao (Zhang Yuansu) merely demonstrate the general principles of medication. As for symptoms involving invasion of the fu-organs and zang-organs, they were indeed not discussed.