治食鱼伤,泄泻不止,气刺奔冲;及妇人产前、产后腹痛,血气等疾,用温酒下;产后
败血冲心,用败蒲煎汤下;安胎,以糯米饮调下;孕妇脾泄泻痢,煎陈米饮调下,食前。
乌药 白芷(炒) 枳壳 白术(炒) 良姜(炒) 甘草 莪术(有孕减半)
等分为细末,每服二钱,温酒调下。
治脏寒、泄泻不止,服诸药无效。(亦可治男子)
肉豆蔻(面裹煨香)
不以多少碾细,入陈米,白饮捣,令得所丸如绿豆大,空心,煮粟米饮吞下百丸。本
家累以此药救人,有效。
治秋夏之间,脾胃伤冷,水谷不分,泄泻不止。胃苓散。(亦疗男子)
五苓散、平胃散。(并见《局方》)
上合,和姜、枣煎,空心服妙。(陈日华方)
治久泄不止,服诸药无效。仆累试之,有效。
人参 肉豆蔻 干姜 浓朴 甘草 陈橘皮(各一两) 川芎 桂心 诃子 北茴香(各
半两)
上为细末,每服三钱。水一小盏,姜三片,枣一枚,煎至六分服。(方出石道人)
治脏腑冷极及久冷伤惫,口疮、下泄、米谷不化,饮食无味,肌肉瘦悴,心多嗔恚,妇
人产后虚冷下泄及一切水泄、冷痢。
木香 破故纸(炒,各一两) 良姜 缩砂仁 浓朴(制,各三分) 赤芍药 橘红 桂
心白术(各半两) 胡椒 吴茱萸(汤炮七次,各一分) 肉豆蔻(四个) 槟榔(一个)
上为散,每服三钱。用不经水猪肝四两许,去筋膜,批为薄片,重重掺药置一鼎中。入
浆水一碗,醋一茶脚许盖覆。煮肝熟,入盐一钱,葱白三茎,细切;生姜弹子许,拍破同
煮,水欲尽,空心为一服,冷食之。初服微泻不妨,亦是逐下冷气,少时自止。经年冷痢、
滑泻,只是一服。渴即饮粥汤,忌生冷、油腻物。如不能食冷物,即添少浆暖服。嘉兴谢医
得此方,恶其繁,只用浆水煮猪肝,丸如梧桐子大,粥饮下五十丸,其效亦若。暴泻痢只是
一服。唯热痢、热泻不治。
赵府傅上与下 ,婺州人也。宜人病泄泻不止,如附子、木香、诃子、肉豆蔻、龙骨等
药及诸丹服之皆无效。召仆诊之,肝肾脉虚弱,此肝肾虚也。府傅云∶其说见在何经?仆曰
∶诸方论泄痢,皆是言脾胃病,不过谓风冷、湿毒之所侵入及饮食伤滞,遇肠虚则泄痢,而
不知肝肾气虚亦能为泄痢。古书所载甚明,不可不辨。经曰∶泄痢前后不止,肾虚也。又曰
∶诸厥固泄,皆属于下。下谓下焦肝肾之气也。门户束要,肝之气也;守司于下,肾之气也
。肝气厥而上行,故下焦不能禁固而泄痢。肾为胃关,门户不要,故仓廪不藏也。若病泄痢
,其源或出于此。而专以脾胃药治之,则谬固千里矣。遂服木香散,数服而愈。
[Five-fragrant Powder] Treats diarrhea that does not stop due to injury from eating fish, with qi stabbing and rushing upward; as well as abdominal pain before and after childbirth in women, blood and qi disorders, etc. Administer with warm wine; for postpartum foul lochia (Bai Pu) rushing to the heart, administer with decoction of Bai Pu; for calming the fetus, mix with rice gruel; for pregnant women with spleen deficiency diarrhea and dysentery, mix with decoction of aged rice, taken before meals.
Wuyao (Linderae Radix), Baizhi (Angelicae Dahuricae Radix) (stir-fried), Zhike (Aurantii Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried), Liangjiang (Alpiniae Officinarum Rhizoma) (stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Ezhu (Curcumae Rhizoma) (reduce dose by half during pregnancy).
Grind all ingredients into fine powder in equal parts. Take 2 qian each time, mixed with warm wine.
Treats coldness of the zang organs, continuous diarrhea, ineffective after taking other medicines. (Can also treat men.)
Roudoukou (Myristicae Semen) (wrapped in flour and roasted until fragrant).
Take an appropriate amount, grind into fine powder, add aged rice, mash with plain water to form pills the size of mung beans. Swallow 100 pills on an empty stomach with cooked millet drink. My family has used this medicine to save people for generations, and it is effective.
Treats spleen and stomach injured by cold between autumn and summer, indistinguishable water and grain, continuous diarrhea. Use Weiling San (Stomach-Calm Powder). (Also treats men.)
Wuling San (Five-Ingredient Powder with Poria) and Pingwei San (Calm-the-Stomach Powder). (Both seen in *Ju Fang*).
Combine the above two formulas, decoct with ginger and jujube, take on an empty stomach for best results. (Formula from Chen Rihua.)
Treats chronic diarrhea that does not stop, ineffective after taking other medicines. I have tested it myself, and it is effective.
Renshen (Ginseng Radix), Roudoukou (Myristicae Semen), Jiangjiang (Zingiberis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Ramulus), Hezi (Terminalia Chebulae Fructus), Beihuixiang (Foeniculi Fructus) (each 0.5 liang).
Grind all into fine powder. Take 3 qian each time. Decoct with one small cup of water, three slices of ginger, and one jujube until reduced to 60%, then take. (Formula from Shi Daoren.)
Treats extreme coldness of the zang and fu organs and exhaustion from long-term cold injury, mouth ulcers, diarrhea, undigested food, loss of taste in food, emaciation, irritability, postpartum deficiency-cold diarrhea in women, and all types of watery diarrhea and cold dysentery.
Muxiang (Aucklandiae Radix), Poguzhi (Psoraleae Fructus) (stir-fried, each 1 liang), Liangjiang (Alpiniae Officinarum Rhizoma), Suosharen (Amomi Fructus Rotundus), Houpo (Magnoliae Officinalis Cortex) (processed, each 3 fen), Chi Shaoyao (Paeoniae Radix Rubra), Juhong (Citri Reticulatae Pericarpium Rubrum), Guixin (Cinnamomi Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 0.5 liang), Hujiao (Piperis Longi Fructus), Wuzhuyu (Evodiae Fructus) (soaked in water seven times, each 1 fen), Roudoukou (Myristicae Semen) (four pieces), Binglang (Arecae Semen) (one piece).
Grind all into powder. Take 3 qian each time. Take about 4 liang of pig liver that has not been exposed to menstrual blood, remove fascia, slice thinly, layer with the medicine in a vessel. Add one bowl of fermented rice water (Jiangshui) and a tea-footful of vinegar, cover tightly. Boil the liver until cooked, add 1 qian salt, three stalks of scallion white cut finely; ginger the size of a bullet crushed, boil together. When the water is nearly gone, this constitutes one dose. Eat it cold. Mild diarrhea upon the first dose is acceptable, as it expels cold qi, and will stop shortly. For chronic cold dysentery or slippery diarrhea, only one dose is needed. Drink porridge soup when thirsty; avoid raw, cold, and greasy foods. If unable to eat cold food, add a little Jiangshui and serve warm. Doctor Xie from Jiaxing obtained this formula but disliked its complexity, so he simply boiled pig liver in Jiangshui, made pills the size of paulownia seeds, and took 50 pills with porridge drink; the effect was similar. For acute diarrhea and dysentery, only one dose is needed. However, it does not treat heat dysentery or heat diarrhea.
Zhao Fu Fu was a servant from Wuzhou. His wife suffered from continuous diarrhea. Medicines such as Fuzi (Aconiti Lateralis Radix Praeparata), Muxiang (Aucklandiae Radix), Hezi (Terminalia Chebulae Fructus), Roudoukou (Myristicae Semen), Longgu (Fossilia Os Mastodi et Ossis Femoris), and various Dan pills were all ineffective. I was summoned to diagnose her pulse and found the Liver and Kidney pulses weak, indicating Liver and Kidney deficiency. The servant asked: "Which meridian does this theory belong to?" I said: "All previous discussions on diarrhea and dysentery attribute them to Spleen and Stomach diseases, stating that wind-cold, damp-toxin invasion, and dietary stagnation cause diarrhea when the intestines are deficient. They do not realize that Qi deficiency of the Liver and Kidneys can also cause diarrhea and dysentery. Ancient texts state this clearly, and it must be distinguished. The *Classic* says: 'Diarrhea and dysentery that do not stop from front to back are due to Kidney deficiency.' It also says: 'All厥逆, retention, or discharge belong to the Lower Jiao.' The Lower Jiao refers to the Qi of the Liver and Kidneys. The constriction of the gateways is governed by Liver Qi; the guarding and controlling below is governed by Kidney Qi. When Liver Qi rebels and moves upward, the Lower Jiao cannot secure and control, leading to diarrhea and dysentery. The Kidney is the gate of the Stomach; if the gateway is not secured, the granaries cannot store. If the source of diarrhea and dysentery lies here, treating it solely with Spleen and Stomach medicines would be a mistake of a thousand miles." Thus, she took Muxiang San (Aucklandia Powder), recovered after several doses.