此止疟最妙之方也。若汗散既多,元气不复,或以衰老,或以弱质,而疟有不能止
俱宜用,此化暴善后之第一方也。
人参 白术(炒) 当归(各三四钱) 何首乌(制五钱) 炙甘草(八分) 用阴阳
水各一盏,煎
者或加制附子
加黄芩。如肾
尽,而留连难
各一盏煎服,
去白术甘草,加生姜陈皮,名何人饮,治同。
(仲景) 治伤寒服汤药,下利不止,心下痞硬,服泻心汤已,复以他药下之
(以上言再治之误。) 医以理中与之,利益甚。(言愈误也。) 理中者,理中焦
下焦,赤石脂禹余粮汤主之。复利不止者,当利其小便。(难经曰∶中焦中脘,主
下焦者,当膀胱上口,主分别清浊,主出而不内,以传道也。灵枢曰∶水谷者,
中,成糟粕而俱下于大小肠。而成下焦,渗而俱下,济泌别汁,循下焦而渗入膀
利在下焦者,膀胱不渗,而下焦滑脱也。余粮甘平,消痞硬而镇脏腑。石脂甘温
收滑脱。乃利仍不止者,膀胱不渗,而水谷不分也。利小便者,导其水而分消之
行其所有事也。)
赤石脂(一斤碎) 禹余粮(一斤碎) 水六升。煮二升。去渣。分三服。
涩可去脱,重可达下,二物涩以止脱,重以固下,甘以益气,(李先知云∶下焦有病患
难会
This is the most exquisite formula for arresting malaria. If excessive sweating has depleted the primordial qi, preventing its recovery, or if the malaria persists due to advanced age and frailty, or a weak constitution, this formula is suitable for all such cases. It is the premier formula for resolving acute conditions and managing convalescence.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried), Dang Gui (Angelicae Sinensis Radix) [each 3-4 qian], He Shou Wu (Polygoni Multiflori Preparata Radix) [5 qian, processed], Zhi Gan Cao (Prepared Licorice Root) [8 fen]. Use one cup of Yin-Yang water (a mixture of freshly drawn well water and rainwater or river water) and one cup of Yang water, decoct until one cup remains, remove the dregs, and take orally. If there is Kidney Yang deficiency, add Zhi Fu Zi (Prepared Aconite Lateral Root); if there are signs of heat, add Huang Qin (Scutellariae Radix). If Bai Zhu and Gan Cao are omitted and Sheng Jiang (Zingiberis Rhizoma Recens) and Chen Pi (Citri Reticulatae Pericarpium) are added, it is named He Ren Yin (He Ren Decoction), with identical indications.
(Zhang Zhongjing) In the treatment of Shang Han (Cold Damage), after administering herbal decoctions, persistent diarrhea occurs accompanied by epigastric fullness and hardness. After taking Xie Xin Tang (Drain the Epigastrium Decoction), further purgatives were incorrectly administered. (The above describes errors in secondary treatment.) The physician then administered Li Zhong Tang (Regulate the Middle Decoction), resulting in worsened diarrhea. (This indicates further mismanagement.) Li Zhong Tang regulates the Middle Jiao (Middle Burner). For disorders of the Lower Jiao (Lower Burner), Chi Shi Zhi Yu Liang Tang (Red Halloysite and Hematite Decoction) should be used as the primary treatment. If diarrhea persists despite this, promoting urination should be attempted. (*Nan Jing* states: The Zhong Wan point of the Middle Jiao governs... The Lower Jiao is located at the opening of the bladder, governing the separation of clear and turbid substances, primarily expelling waste without reabsorption, thereby facilitating transmission. *Ling Shu* states: Food and drink enter the Middle Jiao, transform into residue, and descend together into the large and small intestines. This forms the Lower Jiao, where fluids are filtered and descend together, separating juices, circulating through the Lower Jiao, and seeping into the bladder. If pathology lies in the Lower Jiao, it is because the bladder fails to filter, leading to Lower Jiao sliding and loss of control. Yu Liang (Hematite) is sweet and neutral, capable of dissipating fullness and stabilizing the zang-fu organs. Chi Shi Zhi (Red Halloysite) is sweet and warm, capable of astringing sliding loss. If diarrhea still does not cease, it is because the bladder fails to filter, resulting in the failure to distinguish between water and grain. Promoting urination guides the water out, dispersing and eliminating it, allowing the bladder to perform its proper function.)
Chi Shi Zhi (Red Halloysite) [1 jin, crushed], Yu Liang (Hematite) [1 jin, crushed]. Add 6 sheng of water, boil to obtain 2 sheng, remove dregs, and divide into three doses.
Astringents can resolve sliding loss; heavy substances can reach the lower body. These two herbs use their astringent properties to stop sliding loss, their heaviness to secure the lower jiao, and their sweetness to benefit qi. (Li Xianzhi stated: When pathology exists in the Lower Jiao... it is difficult to comprehend.)