属血热,湿热。
凉血 四物加黄芩、红花、南星。
温 筋寒者温之。
湿热,痰,无血而虚,气弱,瘀血。
燥湿 东垣健步丸。
导痰 二陈加仙术、白术、竹沥、炒黄柏之类。
补血 四物加炒柏、仙术,下补阴丸。或四斤丸、八味丸,或四物中加桃仁、红花。
补气 益气汤加仙术、炒柏。
下 显仁丸。甚者,丹车丸,行后便收拾调理。
灸 三里、肺俞。
针 须停待气至一二时或三时方可。中渎二穴,环跳二穴。
伤食有有余,有不足,伤力者,多不足。
下 食有余郁积,先下之,甚者,备急丹、承气下。伤力初得,甚者,当归承气汤。
调理 食过伤元气,东垣枳术丸、橘皮枳术丸。热物,芩连枳术丸。
补 补中益气汤。伤力用桑白皮、参、术、陈皮、当归,加降火药。
宣 食在上不得下。
消导 在中焦。
痰之为物,随气升降,无处不到,亦有脾虚而痰饮作者。有五饮。
宣 寸脉实当吐。痰在上,泻亦不去,吐中有发散之意。桔梗、参芦、瓜蒂、藜芦、
牙茶选用。
消导 食积∶瑞竹堂化痰丸、钱氏白饼子。痰在四肢,非竹沥不开。在胁下,非白
芥
子不能达。热痰∶青黛、黄连、滚痰丸,二陈加芩连。湿痰∶小胃丹、神佑丸,轻者二陈汤
。寒痰∶姜桂丸、温中丸、五套丸。风痰∶青州白丸子、玉壶丸、天南星丸。惊痰∶辰砂化
痰丸、保生锭子。
发散 风寒外感,金沸草散、三拗汤。因郁,参苏饮。
下 祛痰丸。有痰实似邪祟狂证,涤痰丸、大利膈丸、蠲饮枳实丸。有悬饮内痛,十
枣汤,或三因控涎丹。
理气 四七汤、苏子降气汤。
滋阴 半夏止能泄痰之标,不能治痰之本,肾气丸以主之。海粉,热痰能降,湿痰能
燥,结痰能软,顽痰能消,可入丸子,不可入煎药。
镇坠痰饮 升降阴阳 灵砂丹、黑锡丹、来复丹。
Belongs to Blood Heat (Xue Re) and Damp-Heat (Shi Re).
Cool Blood (Liang Xue): Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Honghua (Carthami Flos), and Nanting (Arisaematis Rhizoma Praeparatum).
For Cold in the Sinews (Jin Han), apply Warming methods.
Involves Damp-Heat, Phlegm, deficiency without Blood Stasis, Qi Deficiency, or Blood Stasis.
Dry Dampness: Dongyuan Jianbu Wan (Dongyuan’s Stride-Enhancing Pill).
Guide out Phlegm: Erchen Tang (Two Aged Decoction) added with Xianzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhuli (Bambusae Caulis in Taenia Succus), and Chao Huangbai (Phellodendri Cortex Praeparata).
Nourish Blood: Siwu Tang added with Chao Huangbai and Xianzhu, taken with Buyin Wan (Nourish Yin Pill). Alternatively, use Sijin Wan (Four Jin Pills), Bawei Wan (Eight Ingredients Pill), or add Taoren (Persicae Semen) and Honghua to Siwu Tang.
Tonify Qi: Yiqi Tang (Benefit Qi Decoction) added with Xianzhu and Chao Huangbai.
Purge: Xianren Wan. For severe cases, Danche Wan; after bowel movement is cleared, proceed with regulation and conditioning.
Moxibustion: Zusanli (ST36), Feishu (BL13).
Acupuncture: One must wait for Deqi (arrival of Qi sensation) for one to two hours, or three hours, before proceeding. Zhongdu (GB38) x2, Huantiao (GB30) x2.
Food retention involves Excess (You Yu) and Deficiency (Bu Zu). Injuries from overexertion are mostly Deficient.
Purge: For food excess with stagnation, first purge. For severe cases, use Beiji Dan or Chengqi Tang. For initial injury from exertion, severe cases use Danggui Chengqi Tang.
Regulate: Food overconsumption damaging Yuan Qi (Original Qi), use Dongyuan Zhizhu Wan or Jupi Zhizhu Wan. For heat-inducing foods, use Qinlian Zhizhu Wan.
Tonify: Buzhong Yiqi Tang. For exertion injuries, use Sangbaipi (Morus Albae Cortex), Renshen (Ginseng Radix et Rhizoma), Baizhu, Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), added with Fire-descending herbs.
Vomit/Disperse: When food is stuck in the Upper Jiao and cannot descend.
Digest and Guide out: For Middle Jiao issues.
Phlegm as a pathogenic factor ascends and descends with Qi, reaching everywhere. It can also be produced due to Spleen Deficiency leading to Phlegm-Fluids (Tan Yin). There are five types of Fluid retention.
Vomit/Disperse: If Cun (Inch) pulse is Excessive, vomiting should be induced. Phlegm in the Upper Jiao cannot be removed by purging; vomiting contains dispersing intent. Use Jiegeng (Platycodonis Radix), Shenlu (Ginseng Radix et Rhizoma Caulis), Gudi (Cocculus Trichocarpus), Lili (Veratrum Radix), or Yacha.
Digest and Guide out: Food accumulation causing phlegm: Ruizhutang Huatan Wan, Qianshi Baibingzi. Phlegm in the four limbs requires Zhuli to open it. Phlegm in the hypochondrium requires Baijiezi (Sinapis Semen) to reach it. Heat Phlegm: Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Untan Wan, Erchen Tang added with Qinlian. Damp Phlegm: Xiaowei Dan, Shenyao Wan, mild cases Erchen Tang. Cold Phlegm: Jianggui Wan, Wenzhong Wan, Wutao Wan. Wind Phlegm: Qingzhou Baiwanzi, Yuhu Wan, Tiantanxing Wan. Shock Phlegm: Chensha Huatan Wan, Baosheng Dingzi.
Disperse Exterior: Wind-Cold external contraction, use Jinfeicao San or San'ao Tang. Due to constraint, use Renshen Su Yin.
Purge: Qutan Wan. For Phlegm Excess resembling demonic madness, use Ditang Wan, Dali Ge Wan, Juan Yin Zhishi Wan. For Huan Yin (Suspension Fluid) with internal pain, use Shizao Tang or Sanyin Kongyan Dan.
Regulate Qi: Siqi Tang, Suzi Jiangqi Tang.
Nourish Yin: Banxia (Pinelliae Rhizoma) only clears the branch of Phlegm, not the root; treat the root with Shenqi Wan. Haifen (Sargassum Herba) can reduce Heat Phlegm, dry Damp Phlegm, soften Knotted Phlegm, and eliminate Stubborn Phlegm; suitable for pills, not for decoctions.
Suppress and Sink Phlegm-Fluids, Regulate Yin and Yang: Lingsha Dan, Heixi Dan, Laifu Dan.