(附论)
夫有病口甘者。此五气之溢也。名曰脾瘅。夫食入于阴。长气于阳。肥甘太过。令内热
而中
方
麦门冬煎 治脾瘅内热烦渴。
生麦门冬(汁) 生地黄(汁各半升) 蜜(半斤) 栝蒌根(二两) 地骨皮 黄
(锉) 葳蕤
膏(碎研) 凝水石(
去滓。次入前三味。再
竹叶汤 治脾瘅烦懊。口甘咽干烦渴。
淡竹叶(切一两) 柴胡(去苗二两) 犀角(镑屑) 芍药〔各一(半)两〕 黄芩
(去黑心) 大
至一盏。去滓。下朴硝
知母汤 治脾瘅身热。口甘咽干烦渴。
知母(一两半) 石膏(碎三两) 升麻(锉) 甘草(炙锉各一两) 竹叶(一握切)
白粳米(一
前胡汤 治脾瘅口甘。烦渴不止。
前胡(去芦头一两半) 赤茯苓(去黑皮二两) 桂〔去粗皮三钱(分)〕 犀角(镑
屑一两) 槟
五钱匕。水一盏半煎一
茯苓汤 治脾瘅。口甘咽干烦渴。
赤茯苓(去黑皮) 浓朴(去粗皮生姜汁炙锉各四两) 甘草(炙锉) 人参 黄芩(去
黑心各二
盏半。生姜三
葛根汤 治脾瘅。面黄口甘。烦渴不止。
葛干(锉二两半) 麻黄(去根节一两) 桂〔去粗皮三(分)钱〕 石膏(碎三两) 芍
药〔一两
不拘时温服。
麦门冬汤 治脾瘅发黄。口甘烦渴。
麦门冬(去心生用三两) 芍药 黄芩(去黑心各一两半) 栀子仁(五枚) 石膏(碎
三两) 犀
钱匕。食后
温
赤芍药汤 治脾瘅脏热。唇焦口渴。引饮不止。
赤芍药 生干地黄(焙各一两) 大黄(锉炒) 甘草(炙各半两) 上粗捣筛。每服
二钱匕。水
三和饮子 治脾瘅烦渴。
生姜(半两研取汁) 糯米(半合淘研) 蜜(一合) 上相合和。分为五服。以新水
一盏调下。
兰草汤 治脾瘅。口甘中满。
用兰草一两切。以水三盏。煎取一盏半。去滓。分温三服不拘时。
羚羊角丸 治脾瘅口甘。内热中满。
(Attached Discussion)
Those who suffer from a sweet taste in the mouth are experiencing an overflow of the Qi of the five Zang organs. This condition is named Pi Dan (Spleen Pheromona / Spleen Sweetness). When food enters the Yin (viscera), it nourishes them, while Yang (functions) promotes growth and activity. If the intake of rich, fatty, and sweet foods is excessive, it generates internal heat, leading to pathology in the Middle Jiao.
Ma Men Dong Jian (Ophiopogon Decoction): Treats internal heat, irritability, and thirst caused by Pi Dan.
Ingredients: Fresh juice of Ophiopogonis Radix (Ma Men Dong), fresh juice of Rehmanniae Radix (Sheng Di Huang), each half sheng; Honey, half jin; Radix Trichosanthis (Gua Lou Gen), two liang; Cortex Lycii (Di Gu Pi); Radix Scutellariae (Huang Qin), crushed; Rhizoma Anemarrhenae (Wei Yu) paste, crushed and ground.
Preparation and Administration: Strain the decoction, then add the first three ingredients, and boil again... [Text fragmentary].
Zhu Ye Tang (Bamboo Leaf Decoction): Treats irritability, sweet taste in the mouth, dry throat, and intense thirst caused by Pi Dan.
Ingredients: Light Bamboo Leaves (Dan Zhu Ye), cut, one liang; Bupleuri Radix (Chai Hu), de-veined, two liang; Cornu Rhinocerotis (Xi Jiao), shaved into flakes; Radix Paeoniae Rubra (Shao Yao), half liang each; Radix Scutellariae (Huang Qin), cleaned of black heart; Rhubarb (Da Huang)...
Preparation and Administration: Boil to one zhan, strain, add Natrii Sulfas (Pu Xiao)...
Zhi Mu Tang (Anemarrhena Decoction): Treats fever, sweet taste in the mouth, dry throat, and intense thirst caused by Pi Dan.
Ingredients: Rhizoma Anemarrhenae (Zhi Mu), one and a half liang; Gypsum Fibrosum (Shi Gao), crushed, three liang; Cimicifugae Rhizoma (Sheng Ma), crushed; Glycyrrhizae Radix et Rhizoma (Gan Cao), roasted and crushed, one liang each; Bamboo Leaves (Zhu Ye), one handful, cut; White Japonica Rice (Bai Jing Mi)...
Qian Hu Tang (Peucedani Decoction): Treats sweet taste in the mouth and unceasing thirst caused by Pi Dan.
Ingredients: Peucedani Radix (Qian Hu), de-rhizome, one and a half liang; Poria (Chi Fu Ling), de-black skin, two liang; Cinnamomi Ramulus (Gui Zhi), de-bark, three qian fen; Cornu Rhinocerotis (Xi Jiao), shaved flakes, one liang; Arecae Semen (Bing Lang)...
Preparation and Administration: Five qian bi, boil with one and a half zhan of water to one...
Fu Ling Tang (Poria Decoction): Treats sweet taste in the mouth, dry throat, and thirst caused by Pi Dan.
Ingredients: Poria (Chi Fu Ling), de-black skin; Magnoliae Officinalis Cortex (Nong Pu), de-bark, roasted with ginger juice and crushed, four liang each; Glycyrrhizae Radix et Rhizoma (Gan Cao), roasted and crushed; Ginseng Radix et Rhizoma (Ren Shen); Radix Scutellariae (Huang Qin), cleaned of black heart, two liang each...
Preparation and Administration: Boil to one and a half zhan, add three slices of Ginger...
Ge Gen Tang (Puerariae Decoction): Treats yellow complexion, sweet taste in the mouth, and unceasing thirst caused by Pi Dan.
Ingredients: Puerariae Radix (Ge Gen), crushed, two and a half liang; Ephedrae Herba (Ma Huang), de-root and joint, one liang; Cinnamomi Ramulus (Gui Zhi), de-bark, three qian fen; Gypsum Fibrosum (Shi Gao), crushed, three liang; Radix Paeoniae Rubra (Shao Yao), one liang...
Administration: Take warm at any time.
Ma Men Dong Tang (Ophiopogon Decoction): Treats jaundice, sweet taste in the mouth, and thirst caused by Pi Dan.
Ingredients: Ophiopogonis Radix (Ma Men Dong), de-heart, raw use, three liang; Radix Paeoniae Rubra (Shao Yao); Radix Scutellariae (Huang Qin), cleaned of black heart, one and a half liang each; Gardeniae Fructus (Zhi Zi Ren), five seeds; Gypsum Fibrosum (Shi Gao), crushed, three liang; Cornu Rhinocerotis (Xi Jiao)...
Administration: One qian bi per dose, after meals...
Chi Shao Yao Tang (Red Peony Root Decoction): Treats visceral heat, cracked lips, thirst, and unceasing drinking caused by Pi Dan.
Ingredients: Radix Paeoniae Rubra (Chi Shao Yao); Dried Rehmanniae Radix (Sheng Gan Di Huang), baked, one liang each; Rhubarb (Da Huang), crushed and stir-fried; Glycyrrhizae Radix et Rhizoma (Gan Cao), roasted, half liang.
Preparation and Administration: Coarsely grind and sieve the above. Take two qian bi per dose, with water...
San He Yin Zi (Three-Harmony Drink): Treats irritability and thirst caused by Pi Dan.
Ingredients: Ginger (Sheng Jiang), half liang, crushed for juice; Glutinous Rice (Nuo Mi), half he, washed and ground; Honey (Mi), one he.
Preparation and Administration: Mix and harmonize the above, divide into five doses. Take down with one zhan of fresh water.
Lan Cao Tang (Calamus Decoction): Treats sweet taste in the mouth and fullness in the chest caused by Pi Dan.
Administration: Use one liang of Calamus (Lan Cao), cut. Add three zhan of water, boil to obtain one and a half zhan. Strain, divide into three warm doses, take at any time.
Ling Yang Jiao Wan (Antelope Horn Pill): Treats sweet taste in the mouth, internal heat, and fullness in the chest caused by Pi Dan.