五皮饮用五般皮。陈茯姜桑大腹奇。(陈皮茯苓皮姜皮桑白皮大腹皮。)或用五加易桑白。
脾虚肤胀此方宜。(脾不能为胃行其津液。故水肿。半身以上宜汗。半身以下宜利小便。此
方于泻水之中。仍寓调补之意。皆用皮者。水溢皮肤。以皮行皮也。)
陈修园曰。此方出华元化中藏经。颇有意义。宜审其寒热虚实。而加寒温补泻之品。
治肥盛之人。湿痰为患。痰喘胀满。
二陈汤用夏和陈。益以茯苓甘草臣。(半夏二钱。陈皮一钱。茯苓三钱炙。甘草八分。
加姜
陈修园曰。此方为祛痰之通剂也。痰之本。水也。茯苓制水以治其本。痰之动。湿也。
茯苓渗湿以镇其动。方中只此一味。是治痰正药。其余半夏降逆。陈皮顺气。甘草调中。皆
取之以为茯苓之佐使耳。故仲景书。凡痰多者俱加茯苓。呕者。俱加半夏。古圣不易之法也。
今人不穷古训。以半夏为祛痰之专品。仿稀涎散之法。制以明矾。致降逆之品。反为涌吐。
堪发一叹。以此方为三阳解表之剂。服之留邪生热。至死不悟。余于真方桂枝汤下已详言之。
兹不复赘。
萆 厘清主石蒲。草梢乌药智仁俱。(乌药益智仁石菖蒲萆 各等分。甘草梢减半。)煎
成又入盐些少。(加盐少许。)淋浊流连数服驱。(遗精。白浊。)
汪 庵曰。萆 能泄厥阴阳明湿热。去浊厘清。乌药疏逆气而止便数。益智固脾肾而开
郁
此以疏泄为禁止者也。
Wupi San (Five-Bark Powder) consists of five types of barks. They are Chenpi (Exocarpium Citri Reticulatae), Fuling Pi (Poria with Hostwood), Jiang Pi (Pericarpium Zingiberis Recens), Sangbaipi (Cortex Mori Radicis), and Dafupi (Fructus Trogopterori), which form a unique combination. (Chenpi, Fuling Pi, Jiang Pi, Sangbaipi, Dafupi.) Alternatively, Wujia Pi (Cortex Acanthopanacis) can be used to replace Sangbaipi.
This formula is suitable for treating skin edema caused by Spleen deficiency. (Because the Spleen cannot transport fluids for the Stomach, edema results. Edema above the middle body is suitable for diaphoresis, while edema below the middle body is suitable for promoting urination. This formula contains the intent of regulation and tonification amidst its water-draining action. All ingredients use bark parts because water overflows into the skin; using barks treats skin with barks, following the principle of similarity.)
Chen Xiuyuan stated: This formula originates from Hua Yuanhua's *Zhongzang Jing* (Classic of the Middle Viscera) and holds profound meaning. One should carefully distinguish between cold, heat, excess, and deficiency, and then add appropriate herbs for cooling, warming, tonifying, or purging.
(Two-Chen Decoction) Treats conditions in obese individuals caused by damp-phlegm, such as phlegm-induced wheezing and chest/abdominal distension.
Erchen Tang (Two-Chen Decoction) uses Banxia (Pinelliae Rhizoma) and Chenpi (Exocarpium Citri Reticulatae), assisted by Fuling (Poria) and Gancao (Glycyrrhizae Radix et Rhizoma). (Banxia 2 qian, Chenpi 1 qian, Fuling 3 qian roasted, Gancao 8 fen. Add fresh ginger.)
Chen Xiuyuan stated: This formula is a general agent for resolving phlegm. The root of phlegm is water; Fuling controls water to treat the root. The movement of phlegm stems from dampness; Fuling drains dampness to stabilize its movement. Among the ingredients, only this one herb is the true medicine for treating phlegm. The others, Banxia for descending rebellious qi, Chenpi for smoothing qi, and Gancao for harmonizing the middle, serve merely as assistants and guides to Fuling. Therefore, in Zhang Zhongjing’s writings, whenever there is excessive phlegm, Fuling is added; whenever there is vomiting, Banxia is added. This is an unchangeable method of the ancient sages. Modern people do not explore ancient teachings, mistakenly regarding Banxia as the exclusive drug for resolving phlegm. Imitating the method of Xixian San (Thin Saliva Powder), they process it with Mingfan (Alumen), causing a drug intended to descend rebellious qi to instead induce vomiting. This is truly lamentable. Some further mistake this formula for a solution-releasing agent for the Three Yang meridians; taking it causes pathogenic factors to linger and generate heat, leading to death without realization. I have explained this in detail under the annotation for the authentic Guizhi Tang (Cinnamon Twig Decoction), so I will not repeat it here.
Bixie Fenqing Yin (Dioscorea Hypoglauca Clearing Turbid Decoction) primarily uses Shichangpu (Rhizoma Acori Tatarinowii), along with Gancao Shao (Radix Glycyrrhizae with tip), Wuyao (Linderae Radix), and Yizhiren (Semen Alpiniae Oxyphyllae). (Wuyao, Yizhiren, Shichangpu, Bixie each in equal parts; Gancao Shao in half amount.) After decoction, add a small amount of salt. (Add a little salt.) It drives away lingering stranguria and turbid urine after several doses. (Spermatorrhea, leukorrhea/turbid urine.)
Wang Ang stated: Bixie (Dioscoreae Hypoglaucae Rhizoma) can drain damp-heat from the Jueyin and Yangming meridians, removing turbidity and clarifying the clear orifices. Wuyao (Linderae Radix) disperses rebellious qi and stops frequent urination; Yizhiren (Semen Alpiniae Oxyphyllae) secures the Spleen and Kidney and opens up depression.
This formula achieves restriction (of leakage) through dispersion and drainage.