胁热下利。脐下热。大便赤黄。或有肠垢者。治用仲景黄芩汤。
黄芩(三两) 芍药(二两) 甘草(二两)
上锉。每服五钱。水二盏。枣子三枚。煎至八分。服。如呕。加半夏、生姜。
热毒入胃。下利脓血。治用仲景黄连阿胶汤。
黄连(四两) 黄芩(一两) 芍药(二两) 阿胶(三两)
鸡子黄(二个)
水五升。先煮三物取二升。去滓。入胶炀尽小冷。纳鸡黄令相得。温服七合。日三服。一方无
芍药、鸡子黄。有栀子仁半两。
寒毒下利。脐下寒。腹胀满。大便或黄白。或清黑、或有青谷。治用理中汤。或四逆汤。或白
通汤。(二方见前)
【仲景理中汤】
人参 干姜 甘草(炙) 白术(各等分)
上锉。每服五钱。水一盏半。煎八分。去渣。稍热服。空心食前。病重者加附子。
应汗不汗。内有瘀血。故鼻衄。治用活人书犀角地黄汤主之。
芍药(三钱) 生地黄(半两) 犀角(一两。如无。以升麻代之)
牡丹皮(一两)
上锉。每服五钱。水一盏半。煎至八分。有热狂。加黄芩二两。
藏寒蛔上入膈。吐蛔。此胃寒乃胃虚寒。非实寒也。治用仲景理中丸。
人参 干姜 甘草(炙) 白术(各三两)
上四味细末。蜜丸。每服一两作四丸。以沸汤研一丸温服。日三四服。夜二服。
【仲景乌梅丸】
乌梅(三百个) 细辛 附子(炮) 官桂
人参 黄柏(各六两) 当归 蜀椒(各四两。炒出汗)
干姜(十两) 黄连(十六两)
上用苦酒浸乌梅一宿。去核。蒸捣成泥。余药为细末。和匀。入熟蜜。杵二千下。丸如桐子大
。米汤送下十丸。日三服。稍加至二十丸。
Vomiting accompanied by cold hands and feet, or irritability. Treatment utilizes Sini Tang (Four Reversal Decoction). (Formula seen previously)
Hypochondriac heat with diarrhea, heat in the umbilical region, reddish-yellow stools, or presence of intestinal mucus/pus. Treatment utilizes Zhang Zhongjing's Huangqin Tang (Scutellaria Decoction).
Huangqin (Scutellariae Radix) (3 liang) Shaoyao (Paeoniae Radix) (2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, prepared) (2 liang)
The above herbs are sliced. Each dose is 5 qian, boiled with 2 zhan of water and 3 dates, until reduced to 8/10 volume. Take orally. If vomiting occurs, add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens).
Heat-toxin entering the stomach causing diarrhea with pus and blood in stool. Treatment utilizes Zhang Zhongjing's Huanglian Ejiao Tang (Coptis and Donkey-hide Gelatin Decoction).
Huanglian (Coptidis Rhizoma) (4 liang) Huangqin (Scutellariae Radix) (1 liang) Shaoyao (Paeoniae Radix) (2 liang) Ejiao (Colla Corii Asini) (3 liang)
Jizi Huang (Ovi Galli Albumen) (2 yolks)
Add 5 sheng of water. First boil the first three ingredients to obtain 2 sheng of liquid. Strain. Add gelatin and melt completely over heat, then cool slightly. Incorporate egg yolks and mix well. Take 7 ge warm, three times daily. Another version excludes Shaoyao and Jizi Huang, but includes Banliang of Zhizi Ren (Gardeniae Semen).
Cold-toxin causing diarrhea, cold sensation below the umbilicus, abdominal distension and fullness, stools may be yellow-white, clear-black, or contain undigested green grains. Treatment utilizes Lizhong Tang (Regulate the Middle Decoction). Or Sini Tang (Four Reversal Decoction). Or Baitong Tang (White Through Decoction). (The latter two formulas seen previously)
[Zhang Zhongjing's Lizhong Tang]
Renshen (Ginseng Radix et Rhizoma) Ganjiang (Zingiberis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma) (equal parts each)
The above herbs are sliced. Each dose is 5 qian, boiled with 1.5 zhan of water until reduced to 8/10 volume. Strain. Take while slightly warm. On an empty stomach or before meals. For severe cases, add Fuzi (Aconiti Lateralis Radix Praeparata).
Failure to sweat when sweating is indicated, leading to internal blood stasis, resulting in epistaxis. Treatment utilizes Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) from Huoren Shu as the primary formula.
Shaoyao (Paeoniae Radix) (3 qian) Shengdihuang (Rehmanniae Radix) (0.5 liang) Xijiao (Rhinocerotis Cornu) (1 liang. If unavailable, substitute with Shengma [Cimicifugae Rhizoma])
Mudanpi (Moutan Cortex) (1 liang)
The above herbs are sliced. Each dose is 5 qian, boiled with 1.5 zhan of water until reduced to 8/10 volume. If there is heat-induced mania, add Huangqin (Scutellariae Radix) 2 liang.
Visceral cold causes roundworms to ascend into the diaphragm, resulting in vomiting of worms. This is Stomach Cold, specifically Deficiency-Cold of the Stomach, not Excess-Cold. Treatment utilizes Zhang Zhongjing's Lizhong Wan (Regulate the Middle Pill).
Renshen (Ginseng Radix et Rhizoma) Ganjiang (Zingiberis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma) (each 3 liang)
The above four ingredients are ground into fine powder. Form pills with honey. Each dose is 1 liang, divided into four pills. Dissolve one pill in boiling water and take warm. Three to four times daily, twice at night.
[Zhang Zhongjing's Wumei Wan]
Wumei (Mume Fructus) (300 pieces) Xixin (Asari Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Guigui (Cinnamomi Ramulus)
Renshen (Ginseng Radix et Rhizoma) Huangbai (Phellodendri Cortex) (each 6 liang) Danggui (Angelicae Sinensis Radix) Shujiao (Zanthoxyli Pericarpium) (each 4 liang, stir-fried until "sweat" appears)
Ganjiang (Zingiberis Rhizoma) (10 liang) Huanglian (Coptidis Rhizoma) (16 liang)
Soak Wumei in Kujiu (bitter wine) overnight. Remove pits. Steam and pound into a paste. Grind remaining herbs into fine powder, mix evenly, add cooked honey, and pound for 2000 strikes. Form pills the size of tung seeds. Take 10 pills with rice soup, three times daily. Gradually increase to 20 pills.