开关格通隔绝,治中焦实热闭塞,上下不通,不吐不下,腹满膨膨喘急方
川大黄(切,以水一升浸) 黄芩 泽泻 升麻 芒硝(各三两) 羚羊角 栀子(各
四两)
元参(八两) 地黄汁(一升)
上九味 咀,以水七升,煮取二升三合,下大黄更煮两沸,去滓,下硝,分三服。
治中焦热下痢水谷方。
蓝青汁(三升) 川连(八两) 黄柏(四两) 乌梅肉 地肤子 地榆 白术(各二
两) 阿
胶(
上八味为末,以蓝青汁和微火煎,丸如杏仁大,饮服三丸,日二。以七月七日合大良,
当并手丸之。
治中焦寒洞泄下痢,或因霍乱后泻黄白无度,腹中虚痛方。
黄连 酸石榴皮 地榆 阿胶(各四两) 黄柏 当归 浓朴 干姜(各三两)
上八味 咀,以水九升,煮取三升,去滓,下阿胶更煎取烊,分三服。
治四肢不可举动,多汗洞痢方∶
灸大横随年壮,穴在挟脐两边各二寸五分。
论曰∶下焦如渎(渎者如沟,水决泄也),其气起胃下脘,别回肠,注于膀胱而渗入焉。
故水谷者,常并居于胃中成糟粕,而俱下于大肠,主足太阳,灌渗津液,合膀胱,主出不主
入,别于清浊,主肝肾之病候也。若实则大小便不通利,气逆不续,呕吐不禁,故曰走哺。
若虚则大小便不止,津液气绝。人饮酒入胃,谷未熟而小便独先下者何?盖酒者,熟谷之液
也。其气悍以滑,故后谷入而先谷出也,所以热则泻于肝,寒则补于肾也。
[Formula Name] Kai Guan Ge Tong Ge Jue (Opening the Obstruction and Unblocking the Blockage), a formula for treating severe heat accumulation in the Middle Jiao causing blockage, obstruction of ascent and descent, absence of both vomiting and defecation, abdominal distension with fullness, and rapid breathing.
Rhubarb Radix et Rhizoma (sliced, soaked in one sheng of water) Scutellariae Radix (Huangqin) Alisma Rhizoma (Zexie) Cimicifugae Rhizoma (Shengma) Mirabilite (Mangxiao) [each 3 liang] Antelope Horn (Lingyangjiao) Gardeniae Fructus (Zhizi) [each 4 liang]
Scrophulariae Radix (Yuanshen) Juice of Rehmanniae Radix Preparata (Dihuang Zhi) [1 sheng]
The above nine ingredients are coarsely crushed, decocted in seven sheng of water to obtain two sheng and three he of liquid. Add Rhubarb Radix et Rhizoma and boil for two more boils. Strain the dregs, add Mirabilite, and divide into three doses.
[Formula Name] A formula for treating dysentery with undigested food residues caused by heat in the Middle Jiao.
Indigo Naturalis Juice (Lanqing Zhi) [3 sheng] Coptidis Rhizoma (Chuanlian) [8 liang] Phellodendri Cortex (Huangbai) [4 liang] Mesgae Fructus Pruni Mume (Wumei Rou) Kochiae Fructus (Difuzi) Sanguisorbae Radix (Diyu) Atractylodis Macrocephalae Rhizoma (Baizhu) [each 2 liang] Colla Corii Asini (Ejiao) [appropriate amount]
The above eight ingredients are ground into powder, mixed with Indigo Naturalis Juice, and decocted over low heat. Form pills the size of apricot kernels. Take three pills per dose with warm water, twice daily. Prepared on the seventh day of the seventh lunar month is most effective; knead with both hands during preparation.
[Formula Name] A formula for treating profuse watery diarrhea and dysentery caused by cold in the Middle Jiao, or yellowish-white uncontrolled diarrhea following cholera-like syndrome, accompanied by empty pain in the abdomen.
Coptidis Rhizoma (Huanglian) Pericarpium Granati Acidi (Suan Shiliu Pi) Sanguisorbae Radix (Diyu) Colla Corii Asini (Ejiao) [each 4 liang] Phellodendri Cortex (Huangbai) Angelicae Sinensis Radix (Danggui) Magnoliae Officinalis Cortex (Noupu) Zingiberis Rhizoma Recens (Ganjiang) [each 3 liang]
The above eight ingredients are coarsely crushed, decocted in nine sheng of water to obtain three sheng of liquid. Strain the dregs, add Colla Corii Asini, and continue decocting until fully dissolved. Divide into three doses.
[Therapeutic Method] For treating inability to move the limbs, excessive sweating, and profuse diarrhea:
Moxibustion at Dahuang (ST25), number of moxa cones based on the patient's age. The point is located 2.5 cun lateral to either side of the umbilicus.
[Discussion] The Lower Jiao functions like a ditch (du refers to a ditch, indicating the discharge of water). Its qi originates from the lower epigastrium of the Stomach, diverges into the ileum, and pours into the Bladder where it seeps in.
Therefore, food and drink usually reside together in the Stomach to form waste, which then descends together into the Large Intestine. The Large Intestine governs the Foot-Taiyang channel, infuses and渗 (seeps) fluids, combines with the Bladder, and primarily governs excretion rather than intake, separating clear from turbid, and governing pathological manifestations related to the Liver and Kidney. In excess conditions, there is difficulty in urination and defecation, rebellious qi that fails to descend, and uncontrollable vomiting, known as "Zou Bu" (running feeding/overflowing). In deficiency conditions, there is incontinence of urine and feces, and exhaustion of fluids and qi. When a person drinks alcohol, it enters the Stomach, yet urine is excreted before the grain is digested. Why? Because alcohol is the fluid of cooked grain. Its qi is fierce and slippery, so although it enters the stomach after the grain, it exits before the grain. Thus, in heat conditions, the Liver is purged; in cold conditions, the Kidney is tonified.