腹满嗌干
太阴以湿土主令,手太阴以辛金而化气于湿土,阳明盛则太阴化气而为燥,太
阴盛则阳明化气而为湿,故百病之在太阴皆是湿,而惟温病之在太阴则化湿为燥。以其冬水失藏,
相火泄而脾阴烁,春夏感病,营郁热旺,湿气自当愈耗。其经自足走胸,行身之前,布胃络嗌,
故病传太阴,则腹满而嗌干。太阴之湿夺于阳明之燥,燥亢湿枯必死。是宜清散皮毛,泄阳明之
燥,而滋太阴之湿也。黄酥丹主之。
黄酥丹 治太阴腹满嗌干,发热作渴。
浮萍(三钱) 生地(四钱) 炙草(一钱) 丹皮(二钱,酒洗) 芍药(二钱) 生姜(三钱)
流水煎大半杯,热服。一方去芍药加枣,名浮萍地黄汤。治同。
干燥发渴
少阴以君火主令,足少阴以癸水而化气于君火,阳盛则丁火司权而化热,阴盛则癸水违令而
生寒,故百病之在少阴多是寒,而惟温病之在少阴则化寒为热。以其冬不藏精,水亏火泄,春夏
感病,更值火旺水虚之候。其经贯肾络肺而系舌本,故
口燥舌干而渴。肾者主水,人身水火对列,水枯而火亢,则人亡矣。是宜清散皮毛,泄君火之亢
而益肾水之枯也。紫玉丹主之。
紫玉丹 治少阴口燥舌干,发热作渴。
浮萍(三钱) 生地(四钱) 知母(二钱,酒洗) 元参(三钱) 炙草(一钱) 天冬(二钱,去心)
生姜(三钱)
流水煎大半杯,热服,覆衣。一方加丹皮、花粉,去知母、甘草名浮萍天冬汤。治同。
Abdominal fullness and dry throat
The Taiyin meridian is governed by damp-earth. The Hand-Taiyin (Lung) meridian, belonging to Xin-Metal, transforms its qi within the damp-earth environment. When Yangming (Metal) qi is excessive, Taiyin qi transforms into dryness; when Taiyin (Earth) qi is excessive, Yangming qi transforms into dampness. Therefore, diseases located in Taiyin are generally associated with dampness, whereas warm diseases located in Taiyin transform dampness into dryness. This is because during winter, Kidney water fails to be stored properly, allowing ministerial fire to leak out and scorch Spleen yin. Contracting pathogens in spring and summer leads to stagnation of Ying (nutritive) qi and flourishing heat, which naturally further depletes body dampness. The Foot-Taiyin Spleen meridian travels from the foot to the chest, runs along the anterior aspect of the body, distributes to the Stomach, and connects with the throat. Thus, when pathogens transmit to Taiyin, abdominal fullness and dry throat occur. If Taiyin dampness is deprived by Yangming dryness, resulting in hyperactive dryness and depleted dampness, death is inevitable. Treatment should involve clearing and dispersing pathogenic factors from the skin and hair, draining Yangming dryness, and nourishing Taiyin dampness. Huangsu Dan (Yellow Butter Pill) is the primary formula.
Huangsu Dan: Treats Taiyin conditions characterized by abdominal fullness, dry throat, fever, and thirst.
Floating Duckweed (Sanqian / 3 qian), Shengdi (Siyuan / 4 qian), Zhi Cao (Zhi Gancao / 1 qian), Danpi (Erqian / 2 qian, washed with wine), Shaoyao (Erqian / 2 qian), Shengjiang (Sanqian / 3 qian).
Decoct with flowing water until half a cup remains, and take hot. Another prescription removes Shaoyao and adds Jujube, named Fuping Dihuang Tang (Floating Duckweed and Rehmannia Decoction). It treats the same conditions.
Dryness and thirst with fever
Shaoyin is governed by Sovereign Fire. The Foot-Shaoyin Kidney meridian, belonging to Gui-Water, transforms its qi within the Sovereign Fire environment. When yang is excessive, Ding-Fire (Heart Fire) assumes authority and generates heat; when yin is excessive, Gui-Water violates the seasonal order and generates cold. Therefore, diseases located in Shaoyin are mostly cold, whereas warm diseases located in Shaoyin transform cold into heat. This is because failing to store essence during winter leads to Kidney water deficiency and fire leakage. Contracting pathogens in spring and summer coincides with a period of flourishing fire and deficient water. The Foot-Shaoyin Kidney meridian penetrates the Kidney, connects with the Lung, and ties to the root of the tongue. Consequently, oral dryness, dry tongue, and thirst occur. The Kidney governs water; in the human body, water and fire stand in opposition. If Kidney water is exhausted while Heart fire is hyperactive, death ensues. Treatment should involve clearing and dispersing pathogenic factors from the skin and hair, draining the hyperactivity of Sovereign Fire, and replenishing the exhaustion of Kidney water. Ziyu Dan (Purple Jade Pill) is the primary formula.
Ziyu Dan: Treats Shaoyin conditions characterized by oral dryness, dry tongue, fever, and thirst.
Floating Duckweed (Sanqian / 3 qian), Shengdi (Siyuan / 4 qian), Zhimu (Erqian / 2 qian, washed with wine), Yuan Shen (Sanqian / 3 qian), Zhi Cao (Zhi Gancao / 1 qian), Tiandong (Erqian / 2 qian, heart removed), Shengjiang (Sanqian / 3 qian).
Decoct with flowing water until half a cup remains, take hot, and cover with clothing to induce sweating. Another prescription adds Danpi and Huafen, removes Zhimu and Gancao, named Fuping Tiandong Tang (Floating Duckweed and Asparagus Decoction). It treats the same conditions.