治脾胃伏火,口燥唇干,口疮口臭,烦渴易饥,热在肌肉(口为脾窍,唇者,脾之外候,
口燥干,口疮口臭,皆属脾火;脾热故烦渴易饥,病名中消;脾主肌肉,故热在肉分,轻按
重按
益气
踝,
前热
阴;
肠热
则腰
防风(四两) 藿香(七钱) 山栀(炒黑,一两) 石膏(五钱) 甘草(二钱。)
为末,微炒
此足太阴、阳明药也。山栀清心肺之火,使屈曲下行,从小便出;藿香理脾肺之气,去
上焦
取其升浮能发脾中伏火,又能于土中泻木也(木盛克土,防风能散肝火。吴鹤皋曰∶或问脾
中伏火,何以不用黄连,余曰∶燥矣。又问既恶燥,何以用防风,余曰∶东垣有言,防风乃
风药中
故用石
钱乙泻黄散∶白芷 防风 升麻 枳壳 黄芩(钱半) 石斛(一钱二分) 半夏(一
钱) 甘草(七分。)治同前证;或唇口皱 皴裂(脾之华在唇。 ,动也,风也;皴裂,
火也。白芷、升麻皆阳明药,防风祛风而散脾火,燥在唇口,故从其性而升发之也;黄芩泻
中上之热,枳壳利中上之气,半夏能燥能润,发表开郁,石斛清脾平胃、退热补虚,甘草和
脾,兼能泻火,亦火郁发之之义也。治口病诸药∶脾热则口甘,生地、芍药、黄连泻脾,神
曲莱菔消食郁;肝热则口酸,黄连、龙胆泻肝;心热则口苦,柴胡、龙胆、黄芩、黄连泻心;
肺热则口辛,黄芩、栀子泻肺;芍药泻脾,麦冬清心;肾热则口咸,知母、乌 骨泻肾;胃
热则口淡,茯苓、白术,半夏、生姜燥脾胜湿;口涩,黄芩泻火,葛根生津,防风、薄荷疏
风,栝蒌、茯苓行痰。
Treats latent fire in the Spleen and Stomach, manifesting as dryness of the mouth and lips, oral ulcers, foul breath, irritability, thirst, and a tendency to hunger. The heat resides in the muscle layer (The mouth is the orifice of the Spleen; the lips are the external manifestation of the Spleen. Dryness of the mouth, oral ulcers, and foul breath all belong to Spleen Fire; Spleen Heat causes irritability, thirst, and easy hunger, a condition named "Zhong Xiao" [Middle Consumptive Syndrome]; the Spleen governs the muscles, thus the heat is in the flesh).
[Formula Composition]
Fangfeng (Saposhnikoviae Radix, 4 liang), Huoxiang (Agastaches Herba, 7 qian), Shanzhi (Gardeniae Fructus, stir-fried until black, 1 liang), Shigao (Gypsum Fibrosum, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Grind into powder, lightly stir-fry, and take.
[Explanation]
This formula acts on the Foot-Taiyin Splein Meridian and Foot-Yangming Stomach Meridian. Shanzhi clears Heart and Lung Fire, guiding it downward through the small intestine for excretion via urine; Huoxiang regulates Qi in the Spleen and Lungs, removing heat from the Upper Jiao. Its ascending and floating nature helps disperse latent fire in the Spleen and drains Liver Wood within the Earth element (Excessive Wood overacts on Earth; Fangfeng disperses Liver Fire. Wu Hegao stated: One may ask why Huanglian is not used for latent Spleen Fire? I reply that Huanglian is drying. Another question: Since we dislike dryness, why use Fangfeng? I reply: Li Dongyuan said that Fangfeng is a moistening wind herb, hence its use).
Qian Yi's Xiehuang San: Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Zhike (Aurantii Fructus Immaturus), Huangqin (Scutellariae Radix, 1.5 qian), Shihu (Dendrobii Caulis, 1.2 qian), Banxia (Pinelliae Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.7 qian).
It treats the same conditions as above; or when there is wrinkling and cracking of the lips and mouth (The brilliance of the Spleen manifests in the lips. Wrinkling indicates movement/change; cracking indicates Fire. Baizhi and Shengma are Yangming herbs; Fangfeng dispels wind and scatters Spleen Fire. Since dryness is located at the lips and mouth, its nature is followed by ascending and dispersing; Huangqin drains heat from the Middle and Upper Jiao; Zhike promotes the flow of Qi in the Middle and Upper Jiao; Banxia can both dry dampness and moisten, release the exterior and open depression; Shihu clears the Spleen, harmonizes the Stomach, reduces fever, and tonifies deficiency; Gancao harmonizes the Spleen and also drains fire. This also embodies the principle of "dispersing constrained Fire").
Analysis of various herbs for treating oral diseases:
If Spleen Heat causes a sweet taste in the mouth, use Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), and Huanglian (Coptidis Rhizoma) to drain Spleen Fire, and Shenqu (Massa Medicata Fermentata) and Laifuzi (Raphani Semen) to resolve food stagnation;
If Liver Heat causes a sour taste, use Huanglian and Longdancao (Gentianae Radix) to drain Liver Fire;
If Heart Heat causes a bitter taste, use Chaihu (Bupleuri Radix), Longdancao, Huangqin, and Huanglian to drain Heart Fire;
If Lung Heat causes a pungent taste, use Huangqin and Zhizi (Gardeniae Fructus) to drain Lung Fire;
Shaoyao drains the Spleen, Maidong (Ophiopogonis Radix) clears the Heart;
If Kidney Heat causes a salty taste, use Zhimu (Anemarrhenae Rhizoma) and Wu [missing character] Gu to drain Kidney Fire;
If Stomach Heat causes a bland taste, use Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia, and Shengjiang (Zingiberis Rhizoma Recens) to dry the Spleen and overcome dampness;
If the mouth feels astringent, use Huangqin to drain fire, Gegen (Puerariae Lobatae Radix) to generate fluids, Fangfeng and Bohe (Menthae Haplocalycis Herba) to disperse wind, Gualou (Trichosanthis Fructus) and Fuling to move phlegm.