治阳明病脉浮,发热,渴欲饮水;少阴病下利六七日,咳而呕渴,心烦不得眠者。
猪苓 茯苓 泽泻 滑石 阿胶(各一两)
上五味,以水四升,先煮四味,取二升,去滓,纳阿胶溶,温服七合,日三服。
赵羽皇曰∶仲景制猪苓汤,以行阳明、少阴二经水热,然其旨全以益阴,不专利水。(二
语
津
竭
亦于胃家养阴;佐以二苓之淡渗者行之,既疏浊热,而不留其瘀壅,亦润真阴,而不苦其枯
燥,源清而流有不清者乎?顾太阳利水用五苓者,以太阳职司寒水,故急加桂以温之,是暖
肾以行水之也;阳明、少阴之用猪苓,以二经两关津液,特用阿胶、滑石以润之,是滋养无
形,以行有形也。(妙义环生。)利水虽同,寒温迥别,惟明者知之。
治阳明症,汗出,渴欲饮水,脉洪大浮滑,不恶寒,反恶热。
石膏(一斤碎绵裹) 知母(六两) 甘草(二两炙) 粳米(六合)
上五味,以水一斗,煮米熟汤成,去滓,服一升,日三服。
柯韵伯曰∶邪入阳明,故反恶热,热越故汗出,因邪热烁其精液,故渴欲饮水,邪盛而
实,
又
脾
知母气寒主
之缓其寒,
佐,阴寒之
白虎为西方
甘草、粳米
治太阳中热,汗出,恶寒,身热而渴者, 是也。
知母(六两) 石膏(一斤) 甘草(二两) 粳米(六合) 人参(三两)
上五味,以水如前煮服法。
赵以德曰∶汗出、恶寒、身热而不渴者,中风也;汗出,恶寒,而渴者,中 也。其症
相似
人参汤
恶寒
也。
之源
Treats Yangming disease presenting with a floating pulse, fever, and thirst with desire to drink water; as well as Shaoyin disease presenting with diarrhea for six or seven days, accompanied by cough, vomiting, thirst, irritability, and inability to sleep.
Zhu Ling (Polypori), Fuling (Poria), Zexie (Alismatis Rhizoma), Huashi (Talcum), Ejiao (Colla Corii Asini) (each 1 liang).
Take the above five herbs, add four sheng of water, first decoct the first four herbs, reduce to two sheng, strain off the dregs, add Ejiao until dissolved, take warm, seven ge per dose, three times daily.
Zhao Yuhuang stated: Zhang Zhongjing formulated Zhu Ling Tang to circulate water-heat in the Yangming and Shaoyin meridians; however, its main purport lies entirely in nourishing Yin, not merely in promoting diuresis. (In cases where body fluids are exhausted, it also nourishes the Yin of the Stomach system; assisted by the bland-draining properties of Fuling and Zhu Ling to guide the pathogen, it both disperses turbid heat without leaving stasis and obstruction, and moistens True Yin without causing dryness through bitter-cold damage. If the source is clear, how can the flow be turbid? Conversely, when treating water retention in Taiyang disease with Wu Ling San, it is because Taiyang governs cold-water metabolism, thus Gui Zhi is urgently added to warm it, which is warming the Kidney to move water; whereas using Zhu Ling Tang for Yangming and Shaoyin diseases is because these two meridians concern body fluids, specifically employing Ejiao and Huashi to moisten them. This is nourishing the formless [Yin] to move the formed [pathogenic water]. (Profound meanings arise continuously.) Although both promote diuresis, one is cold and the other warm, differing significantly; only those with clarity of understanding know this.
Treats Yangming syndrome presenting with sweating, thirst with desire to drink water, a surging-large-floating-slippery pulse, aversion to cold absent but aversion to heat present.
Shi Gao (Gypsum Fibrosum) (one jin, crushed, wrapped in cotton), Zhimu (Anemarrhenae Rhizoma) (six liang), Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) (two liang, honey-fried), Jingmi (Oryza Sativa) (six he).
Take the above five herbs, add ten dou of water, decoct until the rice is cooked and the soup is ready, strain off the dregs, take one sheng per dose, three times daily.
Ke Yunbo stated: When pathogens enter the Yangming meridian, there is aversion to heat; because heat escapes outward, there is sweating; because pathogenic heat scorches essence and fluids, there is thirst with desire to drink water; the pathogen is abundant and excess... [Text fragment]: Zhimu is cold in nature and governs... to moderate its coldness... assisting... yin-cold... Baihu represents the West... Gancao, Jingmi...
Treats Taiyang Zhongre (Heatstroke/Sunstroke) presenting with sweating, aversion to cold, body heat, and thirst; this refers to [Baihu Jia Renshen Tang].
Zhimu (Anemarrhenae Rhizoma) (six liang), Shi Gao (Gypsum Fibrosum) (one jin), Gancao (Glycyrrhizae Radix et Rhizoma) (two liang), Jingmi (Oryza Sativa) (six he), Renshen (Ginseng Radix) (three liang).
Take the above five herbs, decoct and administer according to the previous method.
Zhao Yi de stated: Sweating, aversion to cold, body heat but no thirst indicates Wind-stroke (Zhong Feng); sweating, aversion to cold, and thirst indicate Heatstroke (Zhong Shu). Their symptoms are similar... aversion to cold... origin.