(仲景)
治阳明病脉浮发热,渴欲饮水,小便不通(成氏曰∶脉浮发热,上焦热也;渴欲饮水,
中焦热也;小便不利,热结下焦,津液不通也。《准绳》曰∶此浮字误也,是脉字下脱一不
字也
泽
寒
不
昂
明篇,亦用治少阴渴利,取其降火行水,则利自止,烦渴自退,乃泻少阴之腑,以安少阴之
经
药乎?且改脉浮为不浮,方书中无此文法)∶少阴病下利六七日,咳而呕渴,心烦不得眠下
利不渴者,里寒也;渴者,阳邪入里;心烦不眠,知挟热也;咳而渴呕,有停饮也;渴而(下
利,知小便必不利,是热邪已入膀胱也,宜利小便,则热降而便实;通治湿热黄胆,口渴溺
赤)。
猪苓 茯苓 泽泻 滑石 阿胶(各一两)
此足太阳、阳明药也。热上壅则下不通,下不通热益上壅;又湿郁则为热,热蒸更为湿
,故
泽
胶
曰∶以诸药过燥,故又加阿胶以存津液(按∶徐之才曰∶燥可去湿,桑白皮、赤小豆之类是
也。王好古曰∶滑石为至燥之剂。盖皆以行水之药为燥,而不以燥热之药为燥也。故陶隐居
欲于十剂之外加寒热二剂,愚所着《本草备要》,则以热药为燥剂,而以行水属通剂矣。五
苓泻湿胜,故用桂术;猪苓泻热胜,故用滑石)。
(Zhang Zhongjing)
Treats Yangming disease presenting with a floating pulse, fever, thirst with desire to drink water, and dysuria (Cheng Wuji states: A floating pulse and fever indicate heat in the Upper Jiao; thirst with desire to drink indicates heat in the Middle Jiao; dysuria indicates heat binding in the Lower Jiao with blocked fluid metabolism. *Zhunsheng* states: The character "floating" here is erroneous; it should be that the character "pulse" is missing the character "not" below it. In the *Ming Pian* of the *Shanghan Lun*, it is also used to treat Shaoyin disease with thirst and diarrhea, taking advantage of its ability to descend fire and promote water metabolism, thereby stopping diarrhea and relieving irritability and thirst. Is this a method of draining the Fu organ of Shaoyin to calm the Jing channel of Shaoyin? Moreover, changing "floating pulse" to "non-floating pulse" has no precedent in formula literature.)
Shaoyin disease with diarrhea for six or seven days, accompanied by cough, vomiting, thirst, irritability, and insomnia. (If diarrhea occurs without thirst, it is an interior cold syndrome; if there is thirst, yang pathogenic factors have entered the interior; irritability and insomnia indicate the presence of heat pathogens; cough, thirst, and vomiting indicate retained fluids; if there is thirst accompanied by diarrhea, it can be inferred that urination must be difficult, indicating that heat pathogens have entered the Bladder. It is appropriate to promote diuresis, so that heat descends and stool solidifies. It is also generally used to treat damp-heat jaundice with thirst and dark red urine.)
Zhu Ling (Polyporus), Fu Ling (Poria), Ze Xie (Alisma Rhizome), Hua Shi (Talcum), E Jiao (Donkey-hide Gelatin) (each 1 liang).
This prescription acts on the Foot-Taiyang and Foot-Yangming channels. When heat obstructs upward, flow downward is blocked; when flow downward is blocked, heat further obstructs upward. Furthermore, dampness stagnation generates heat, and steaming heat exacerbates dampness. (Xu Zhicai states: Because various herbs are overly drying, Donkey-hide Gelatin is added to preserve body fluids. Note: Xu Zhicai stated that dryness can remove dampness, such as Sang Bai Pi (Mori Cortex) and Chi Xiao Dou (Vigna angularis). Wang Haogu stated that Talcum is an extremely drying agent. Generally, they regarded diuretic herbs as drying, rather than heat-drying herbs. Therefore, Tao Hongjing wished to add Cold and Heat categories outside the Ten Categories; in my *Bencao Bei Yao*, I classified heat herbs as drying agents and diuretics as unblocking agents. Wu Ling San addresses excessive dampness, thus using Gui Zhi (Cinnamomi Ramulus) and Bai Zhu (Atractylodis Macrocephalae Rhizome); Zhu Ling Tang addresses excessive heat, thus using Hua Shi (Talcum)).