(夷坚志) 治消渴有虫。
苦楝根 取新白皮一握,切焙,入麝香少许煎。空心服,虽困顿不妨。取下虫三四条,
类蛔
消渴一证,有虫耗其津液而成者。盖饮醇食炙,积成胃热,湿热生虫,理固有之,临病
宜谛
治腹痛胃痛,干痛有时。(干痛者,不吐不泻而但痛也。有时者,淡食而饥则痛。
而饱则否,此为虫也。)
雄黄 槟榔 白矾 等分,饭丸,每服五分。
雄黄之辛毒,槟榔之苦降,白矾之酸涩,皆杀虫之品也,故合用以治之。(吴鹤皋曰∶
古方
也。
虫吐
也。
葙子
也。
妇人诸病,本与男子无异。而其有异者,则唯经带胎产之属,不得不另详方论。此外杂
证,
药,
(金匮) 治妇人少腹寒,久不受胎。兼治崩中去血,或月水来过多,及至期不来。(
金匮曰∶妇人年五十所,病下利,数十日不止。暮即发热,少腹里急,腹满手掌烦热,唇口
干燥。何也?曰∶此病属带下。何以故?曾经半产,瘀血在少腹不去。何以知之?其唇口干
燥
人
起
属
也
无
发
因而少腹里急,下多亡阴者有之,腹满脾虚者有之。用手烦热,阴虚者有之。若唇口乃营气
所主,下利之病,不应见此。然而有是证,又合之少腹里急,手掌烦热,明是血瘀而火郁。
所以心得之而掌热,脾得之而唇口干燥。故曰其证唇口燥。故知之。药用温经汤者,因半产
之虚,而积冷气结,血乃瘀而不去,故以归芍芎调血,吴茱桂枝,以温其血分之气,而行其
瘀。肺为气主,麦冬阿胶,以补其本。土以统血,参甘以补其虚,丹皮以去标热。然下利已
久,脾气有伤,故以姜半正脾气。名曰温经汤,治其本也。唯温经,故凡血分虚寒而不调者
,皆主之。)
吴茱萸(三两) 当归 芎 芍药 人参 桂枝 阿胶 丹皮 生姜 甘草(二两) 麦
冬(
*Yijian Zhi* records: Treatment for Xiao Ke (Wasting and Thirsting Syndrome) accompanied by intestinal parasites.
Take a handful of the fresh white bark of *Toosendan Fructus* (Kuanlgen, 苦楝根), cut it, bake it, add a small amount of *Moschus* (Shexiang, 麝香), and decoct. Take on an empty stomach; even if the patient feels fatigued or distressed, it is not harmful. Expel three or four worms, resembling Ascaris lumbricoides (Hui Chong, 蛔虫).
The syndrome of Xiao Ke (Wasting and Thirsting Syndrome) can be caused by parasites consuming body fluids. Generally, drinking rich wine and eating roasted foods accumulate to form Stomach Heat; damp-heat generates parasites, which is theoretically sound. Clinicians should examine this carefully.
Treatment for abdominal pain and stomach pain, where pain occurs at specific times. ("Dry pain" refers to pain without vomiting or diarrhea. "At specific times" means pain occurs when hungry after eating bland food, but ceases when full; this indicates parasitic disease.)
Use Realgar (Xionghuang, 雄黄), Areca Seed (Binglang, 槟榔), and Alum (Baifan, 白矾) in equal parts. Form pills with rice paste. Take 5 fen per dose.
Realgar's pungent toxicity, Areca Seed's bitter descending nature, and Alum's sour and astringent properties are all substances that kill parasites; hence they are combined to treat this condition. (Wu Hegao stated: This is an ancient formula.)
Regarding symptoms of worm-induced vomiting... [Text incomplete]
Xiangzi... [Text incomplete]
Various diseases in women are essentially no different from those in men. However, the differences lie specifically in menstruation, leukorrhea, pregnancy, and childbirth, requiring separate detailed discussions on formulas and theories. Other miscellaneous syndromes... [Text incomplete] medicines... [Text incomplete]
*Jin Gui Yao Lue* records: Treatment for coldness in the lower abdomen of women, leading to long-term infertility. It also treats Bing Zhong Chu Xue (Metrorrhagia and Metrostaxis), excessive menstrual flow, or delayed menstruation. (*Jin Gui Yao Lue* states: A woman around fifty years old suffers from diarrhea for dozens of days without cessation. She experiences evening fever, urgency and fullness in the lower abdomen, vexatious heat in the palms, and dryness of the lips and mouth. Why? The answer is: This disease belongs to Dai Xia (Leukorrhea/Chronic Gynecological Disease). Why? Because she previously had a miscarriage, and blood stasis remains in the lower abdomen. How do we know? From the dryness of the lips and mouth... Person... Rise... Belongs... Also... No... Emit... Consequently, urgency and fullness in the lower abdomen; excessive downward discharge leads to Yin depletion in some cases; abdominal fullness indicates Spleen deficiency in others; vexatious heat in palms indicates Yin deficiency. If the lips and mouth are governed by Ying Qi, diarrhea should not present this way. However, given these symptoms combined with lower abdominal urgency/fullness and palm heat, it is clearly Blood Stasis with constrained Fire. Thus, the Heart manifests palm heat, and the Spleen manifests lip/mouth dryness. Therefore, it is said the symptom is dry lips/mouth. From this, one knows. The reason for using Wen Jing Tang is due to post-miscarriage deficiency, causing accumulated cold qi to knot, leading to stagnant blood that does not move. Therefore, use Dang Gui, Bai Shao, and Chuan Xiong to regulate blood; Wu Zhu Yu and Gui Zhi to warm the Qi of the blood level and move stasis. The Lung is the master of Qi; Mai Dong and E Jiao are used to tonify the root. Earth governs blood; Ren Shen and Gan Cao are used to tonify deficiency; Dan Pi is used to clear superficial heat. However, since diarrhea has persisted for a long time, Spleen Qi is damaged, so Sheng Jiang and Ban Xia are used to rectify Spleen Qi. Named Wen Jing Tang, it treats the root. Because it warms the meridians, it is indicated for any condition of deficiency-cold in the blood level causing irregularity.)
Eucommia Bark (Wu Zhu Yu, 吴茱萸) (3 liang), Angelica Root (Dang Gui, 当归), Ligusticum Rhizome (Chuan Xiong, 芎), Peony Root (Bai Shao, 芍药), Ginseng Root (Ren Shen, 人参), Cinnamon Twig (Gui Zhi, 桂枝), Donkey-Hide Gelatin (E Jiao, 阿胶), Moutan Cortex (Dan Pi, 丹皮), Fresh Ginger (Sheng Jiang, 生姜), Licorice Root (Gan Cao, 甘草) (2 liang), Ophiopogon Tuber (Mai Dong, 麦冬)...