地黄、麦冬。亦此意也。
雄按∶二方加减,古法最详。
华岫云曰∶在内之温邪欲发,在外之新邪又加,葱豉汤最为快捷方式,表分可以整肃。
邹润安曰∶栀子与葱白,一系泄热,一系通阳。泄热者纵,通阳者横。纵则能通上下之道,此所以宜于汗吐下后,
表邪已解之时。横则能达外内之情,此所以宜于病初起,卒难识别之际。而豆豉擅开发上焦郁抑,宣导阴浊逗留,故在
先在后,咸借以奏功也。
雄按∶叶氏春温篇,于新邪引动伏邪,亦主是方。盖此汤为温热初病开手必用之剂,鞠通不察,舍近而图远,遂为
喻氏臆说所惑,以桂枝汤为初感之治,仍不能跳出伤寒圈子矣。意欲绍述仲圣乎。则祖上之门楣,不可夸为自己之阀阅
也。拘守其迹,岂是心传。尤氏云∶桂枝汤为伤寒表病而里和者设。设温病伏寒变热,少阴之精已被劫夺,虽有新旧合
邪,不可更用辛温助热而绝其本也。吴氏殆未之闻耶?
清心凉膈散(一名桔梗汤)
即凉膈散去硝、黄,加桔梗。余氏又加生石膏,为治疫疹初起之良剂。
苇茎汤
苇茎(二斤) 薏苡仁 瓜瓣(各半斤) 桃仁(五十枚)
水一斗,先煮苇茎得五升,去滓;纳诸药,煮取二升,服一升,再服。
雄按∶邹氏续疏云∶苇茎形如肺管,甘凉清肺,且有节之物,生于水中,能不为津液阂隔者,于津液之阂隔而生患
害者,尤能使之通行。薏苡色白味淡,气凉性降,秉秋生之全体,养肺气以整肃,凡湿热之邪客于肺者,非此不为功也。
瓜瓣即冬瓜子,冬瓜子根据于瓤内,瓤易溃烂,子不能 ,则其能于腐败之中,自全生气,即善于气血凝败之中,全入生
气,故善治腹内结聚诸痈,而涤脓血浊痰也。桃仁入血分而通气,合而成剂,不仅为肺痈之妙药,竟可廖肺痹之危 。
泻白散
桑白皮 地骨皮(各一两) 甘草(五钱)
为粗末。每服一二钱,入粳米百粒水煎。
徐洄溪曰∶此方能治肺中之饮。
雄按∶此泻去肺热而保定肺气之方也。若肺不伤于热而伤于风寒者,诚有如鞠通所谓必将邪气恋定,而渐成劳怯矣。
故用药必先议病也。
葶苈大枣泻肺汤
葶苈(熬,令黄色,捣丸,如鸡子大) 大枣(十二枚)
水三升,煮枣,取二升,去枣;内葶苈煮取一升,顿服。
雄按∶《外台》用葶苈、杏仁各一升,大枣六十枚,合杵如膏,加蜜作丸桐子大。桑白皮汤下六七十丸,以大便通利
为度。《本事方》无杏仁,有陈皮、桔梗,枣肉丸梧子大。每服五七丸,饮下,名枣膏丸。元戎于本方加麻黄、五味子,
汪按∶此二味并用,似嫌夹杂。并治痰实饮闭而为喘胀者。余治虚弱人,患实痰哮喘者。用葶苈炒黄,煎汤去渣,以汤
煮大枣食之。亦变峻剂为缓剂之一法也。
竹叶石膏汤
竹叶(二握) 生石膏(一斤) 半夏(半斤,洗) 人参(三两) 甘草(二两,炙) 麦门冬(一斤) 粳米
(半斤)
雄按∶陈修园曰∶《伤寒论》用人参者有数方。皆因汗、吐、下之后,亡其津液,故取甘凉以救其阴也。
水一斗,先煮六味,取六升,去滓;内粳米,煮米熟汤成,去米,温服一升,日三。《集验》此方加生姜,治呕最良。
雄按∶余用此方,治暑疟极妙。
徐洄溪曰∶此治伤寒解后,虚赢少气之善后方也。盖大病之后,必有留热,治宜清养。后人俱概用峻补以留其邪,
则元气不能骤复,愈补愈虚矣。
雄按∶此理惟喻氏知之,叶氏精之。
清燥救肺汤
经霜桑叶(三钱,去筋) 杏仁(七分,去皮尖,炒黄) 麦门冬(一钱二分) 生石膏(二钱五分) 人参(七
分) 阿胶(八分) 胡麻仁(一钱) 枇杷叶(去毛筋,一片) 甘草(一钱)
水一碗,煎六分,食远服。痰多,加贝母、栝蒌;血枯,加生地;热甚,加犀角、羚羊角,或加牛黄。
柯韵伯曰∶古方用香燥之品以治气郁,不获奏效者,以火就燥也。惟缪仲淳知之,故用甘凉滋润之品,以清金保肺
立法。喻氏宗其旨,集诸润剂而制此汤,用意深矣。汪按∶此治秋燥证之神方,胜于东垣清燥汤多矣。
妙香丸(一名大圣丸)
巴豆(三百十五粒,去皮心膜,炒熟研如面) 牛黄(研) 腻粉(研) 龙脑(研) 麝香(研,各三两) 辰
砂(飞,九两) 金箔(九十片,研)研匀,炼黄蜡六两,入白蜜三分,同炼令匀为丸。每两作三十丸,白汤下二丸,
日二。《宣明》有水银、硼砂。
此丸治惊痫百病,亦治伤寒潮热积热,结胸发黄,狂走躁热,大小便不通。徐氏云∶三分一丸,难于下咽,宜作一
分一丸,每服三丸为妥。
六一散(一名天水散)
腻白 滑石(六两,水飞) 甘草(一两,炙)为细末。每服三钱,温水或新汲水调下,日三。暑湿内侵,风寒外
袭者,豆豉五十粒,葱白五寸,水一盏煮汁调下即解。甚者,三服必愈。催生下乳,温水擂胡麻浆调下,并可下死胎,
解斑蟊毒。加辰砂少许,名益元散;加黄丹少许,名红玉散;加青黛少许,名碧玉散;加薄荷叶末少许,名鸡苏散。
李濒湖曰∶热散则三焦宁,而表里和;湿去则阑门通,而阴阳利。完素以之治七十余证,赞为凡间仙药,不可缺之。
雄按∶小溲清长者,勿服。
大顺散
甘草(三十斤,锉寸长) 干姜 杏仁(去皮尖) 肉桂(去粗皮,各四斤)先将甘草同白砂炒及八分黄熟,王晋
三曰∶白砂即河砂。或云是白砂糖,非。次入干姜同炒,令姜裂;次入杏仁,又同炒候不作声为度,筛去砂后,入肉桂
一处捣为散。每服二钱,水煎温服。如烦躁,井华水调下,不拘时,沸汤调亦可。
王安道曰∶此方,甘草最多,干姜、杏仁肉桂次之。除肉桂外,三物皆炒者,原其初意,本为冒暑伏热,引饮过多。
脾胃受湿,呕吐水谷不分,脏腑不调所立。盖温中药也,内有杏仁,不过取其能下气耳。若以之治静而得之之证,吾恐
不能解,而反增内烦也。世俗不明,类曰夏月阴气在内,此等方为必用之药。吁!误矣。夫阴气,非寒气也。盖夏月阳
气发散于外,而阴气则在内耳!岂可视阴气为寒气,而用温热之药乎?阴果为寒,何以夏则饮水耶?汪按∶若夏月必宜
温药。则冬月必宜凉药乎。且大热烦躁。而更以姜桂之燥热助之。不得已而用井华水。欲使相济。不知井华水之力不能
制也。尤为进退无据矣。
徐洄溪曰∶此治暑月内伤饮冷证,非治暑也。又甘草多于诸药八倍亦非法。此等病百不得一,偶用之耳!而制药四
十二斤,又止服二钱,其意何居?其方本不足取,而世之庸医竟以此治燥火之暑病,杀人无算,可胜悼哉!
紫雪丹
黄金(一百两,徐云∶以飞金一万页代之尤妙。) 寒水石 磁石 石膏 滑石(各三斤)
以上并捣碎,用水一斛,煮至四斗,去滓,入下药∶
羚羊角屑 犀角屑 青木香 沉香(各五斤) 丁香(一两,
徐云∶宜用二两。) 元参 升麻(各一斤) 甘草(八两,炙)
以上入前药汁中,再煮取一斗五升,去滓,入下药∶
朴硝(十斤) 硝石(四斤,徐云∶二硝太多宜用十分之一。)
二味入前药汁中,微火上煎,柳木篦搅不住,候有七升,投在木盆中半日,欲凝,入下药∶
朱砂(三两) 麝香 当门子(一两二钱五分)
二味入前药中,搅调令匀,瓷器收藏,药成霜雪而色紫,新汲水调下。
雄按∶《鸡峰》方无磁石、滑石、硝石,其二角只用各十两,丁、沉、木香各五两,升麻六两,朴硝二斤,麝香却用
三两,余六味同。又薛公望云∶方中黄金不用亦可。汪按∶宜用飞金箔不可去。
徐洄溪曰∶邪火毒火,穿经入脏,无药可治。此能消解,其效如神。
禹余粮丸(即针砂丸,又名蛇含石丸)
蛇含石(即蛇黄大者,三两,以新铁铫盛入炭火中烧,石与铫子一般红,用钳取蛇黄倾入醋中,候冷,研极细末,
听用) 禹余粮(三两) 真针砂(五两,以水淘净,炒干,入余粮一处用米醋二升,就铫内煮,醋干为度,后用铫并
药入炭火中烧红钳出,倾药净砖上,候冷研细)以三物为主,其次量人虚实入下项药∶
羌活 川芎 木香 茯苓 牛膝 桂心 白豆蔻 大茴 蓬术 附子 干姜 青皮 三棱 白蒺藜 当归(酒浸一
宿,各五钱)
为末,入前药拌匀,以汤浸蒸饼,捩去水,和药;再杵,为丸,梧子大。食前温酒、白汤任下三十丸至五十丸。最
忌盐,一毫不可入口,否则发疾愈甚。但试服药,即于小便内旋去,不动脏腑,而能去病,日三服。兼以温和调补气血
药助之,真神方也。
雄按∶此乃治水肿寒积之方,今人辄用以治胀。然胀有寒热二证,设热胀误服,贻害非轻。丹溪云∶温热之药太多,
宜有加减,不可徒执其方。魏玉横云∶阴虚内热,而为 胀,误服燥热石药,必死。
徐洄溪曰∶此方兼治有形之积块。
牡蛎泽泻散
牡蛎 泽泻 蜀漆(洗去腥) 栝蒌根 葶苈子 商陆根(熬) 海藻(洗去咸,各等分)异捣,下筛为散,更入
臼中杵之。白饮和服方寸匕。小便利,止后服。
雄按∶古云∶商陆水煎,能杀人。
华岫云曰∶叶氏虽善用古方,然但取其法而并不胶柱,观其加减之妙,如复脉、建中、泻心等类可知。至用牡蛎泽
泻散,只取此二味。故案中有但书用某方而不开明药味者,决非尽用原方,必有加减之处,观者以意会之可也。
雄按∶
此论通极,诸方皆当作如是观。
邹润安曰∶牡蛎泽泻散证水蓄于下,上焦之气,不能为之化。故《类萃》商陆、葶苈以从上下降,泽泻、海藻以启
水中清气上行,栝蒌、牡蛎则一以上济其清,一以下召其浊,而使之化耳。
又曰∶牡蛎泽泻散,治腰以下水气不行,必先使商陆、葶苈从肺及肾,开其来源之壅。而后牡蛎、海藻之软坚,蜀
漆、泽泻之开泄,方能得力。用栝蒌根者,恐行水之气过驶,有伤上焦之阴。仍使之从脾吸阴,还归于上,与常山之蛇,
击其首则尾应,击其尾则首应者不殊也。
越脾汤
麻黄(六两) 石膏(八两) 生姜(三两) 甘草(二两) 大枣(十二枚)
水六升,煮麻黄去沫;内诸药,煮取三升,分三服。恶风,加附子一枚。
喻嘉言曰∶越脾汤者,示微发表于不发之方也。大率取其通调营卫。麻黄、石膏二物,一甘热,一甘寒,合而用之,
脾偏于阴,则和以甘热。胃偏于阳,则和以甘寒。乃至风热之阳,水寒之阴,凡不和于中土者,悉得用之。何者?中土
不和,则水谷不化其精悍之气,以实营卫,营卫虚则或寒、或热之气,皆得壅塞其隧道,而不通于表里。所以在表之风
水用之,而在里之水兼渴而小便自利者咸必用之,无非欲其不害中土耳。不害中土,自足消患于方萌矣。
甘遂半夏汤
甘遂(大者三枚) 半夏(十二枚) 芍药(五枚) 甘草(如指大一枚,一本无甘草)
汪按∶王氏虽为之释究当从一本去甘草为是。
水二升,煮取半升,去滓;以蜜半升,和药汁煎取八分,顿服之。
王晋三曰∶甘遂反甘草,反者此欲下而彼欲上也,乃以芍药约之,白蜜润之,则虽反而甘遂仍得下渗。《灵枢》有言,
约方如约囊。甘遂、半夏逐留饮弥漫于肠胃之间,虽利而续坚满,苟非以甘草、白蜜与甘遂大相反者,激而行之,焉能
去其留着之根?相反为方,全赖芍药之酸可胜甘,约以监反,庶不溷乱中焦而为害。然学识未优者,不可轻试于人也。
控涎丹(一名妙应丸)
甘遂(去心) 大戟(去皮) 白芥子(各等分)
为末,蒸饼糊丸。每服五七丸至十丸,临卧姜汤服。
雄按∶余治虚人饮证,每以六君子汤去甘草,送服,甚妥。达可谓之子龙丸。云∶治流注窜毒甚效。
王晋三曰∶控,引也。涎读作羡,湎涎也。水流貌。引三焦之水,湎涎流出于水道也。芥子色白,入肺而达上焦。
甘遂色黄,入脾而行中焦。大戟色黑,入肾而走下焦。故白芥子走皮里膜外之水饮。甘遂决经隧之水饮,大戟逐脏腑之
水饮。三者引经各异,湎涎于水道则同,故复之为方,而名控涎也。汪按∶涎即次之俗字,亦作漩,本指口唾,引伸为
痰涎。王说未当。
又控涎丹 治诸痫。
生川乌 半夏(洗) 僵蚕(炒,各半两,生姜汁浸一宿) 铁粉(三钱,研) 全蝎 甘遂(面裹煨,各二钱半)
为细末,生姜自然汁为丸,如绿豆大,朱砂为衣。每服十五丸,生姜汤下。二方俱忌食甘草。
五子五皮汤
即五皮饮(五加皮、地骨皮、茯苓皮、大腹皮生姜皮一方五加易陈皮。一方五加易桑白皮)加杏仁、苏子、葶苈子、
白芥子、莱菔子。一方无杏仁、芥子。有香附、车前子。
桂苓丸
桂(一两) 茯苓(二两)
为末,蜜丸。沸汤下二钱。作汤名桂苓饮。
禹功丸(即禹功散)
黑牵牛头(入磨一次,不复再磨,四两) 大茴香(炒,一两)
为细末。以生姜自然汁调服一二钱。或加木香一两。
防己茯苓汤
Di Huang (Rehmanniae Radix) and Mai Dong (Ophiopogonis Radix). This also embodies this principle.
Wang Shihiong's note: The methods for modifying these two formulas are most detailed in ancient texts.
Hua Xiuyun said: When the warm pathogen inside wants to erupt, and the new pathogen outside is added, Cong Chi Tang (Scallion and Fermented Soybean Decoction) is the most rapid and effective method, capable of restoring order to the exterior level (Biao Fen).
Zou Run'an said: Zhi Zi (Gardeniae Fructus) and Cong Bai (Allii Fistulosi Bulbus), one drains heat, the other unblocks Yang. Draining heat acts vertically; unblocking Yang acts horizontally. Vertical action can open the pathways between upper and lower, which is why it is suitable after sweating, vomiting, or purging, when exterior pathogens have been resolved. Horizontal action can reach the interior and exterior conditions, which is why it is suitable at the beginning of the disease when recognition is sudden and difficult. Dou Chi (Fermented Soybean) excels at opening depression in the Upper Jiao and guiding the stagnation of Yin turbidity, so whether before or after the onset, it is relied upon to achieve efficacy.
Wang Shihiong's note: Ye Tianshi, in his chapter on Spring Warmth, also advocates this formula for cases where a new pathogen triggers a latent pathogen. This decoction is an essential initial treatment for early-stage warm diseases. Ju Tong (Wu Jutong) failed to perceive this, abandoning the near for the distant, and was thus confused by Yu Shi's (Yu Chang's) speculative theories, treating Gui Zhi Tang (Cinnamon Twig Decoction) as the cure for initial contraction, still unable to step out of the Shang Han (Cold Damage) circle. If intending to inherit Zhong Jing (Zhang Zhongjing), one should not boast about ancestral achievements as one's own merits. Clinging to traces—is this true mental transmission? You Shi (You Yinheng) said: Gui Zhi Tang is established for Shang Han with exterior pathology but harmonious interior. Assuming warm disease latent cold transforms into heat, and the essence of Shao Yin has already been robbed, even if there is a combination of new and old pathogens, one must not use acrid-warm herbs to assist heat and sever the root. Did Wu Shi (Wu Jutong) perhaps not hear of this?
Qing Xin Liang Ge San (Clear Heart and Cool Diaphragm Powder) (also known as Jie Geng Tang)
This is Liang Ge San (Cool Diaphragm Powder) without Xiao Ming Piao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma), plus Jie Geng (Platycodonis Radix). Yu Shi further added Sheng Shi Gao (Gypsum Fibrosum), making it an excellent agent for treating the initial stage of epidemic rashes.
Wei Jing Tang (Reed Shoot Decoction)
Wei Jing (Arundinis Caulis) (2 jin), Yi Yi Ren (Coicis Semen), Gua Ban (Benincasae Semen, i.e., Winter Melon Seed) (each 0.5 jin), Tao Ren (Persicae Semen) (50 seeds).
Use 1 dou of water, first boil Wei Jing until 5 sheng remains, remove dregs; add other herbs, boil to obtain 2 sheng, take 1 sheng, then take again.
Wang Shihiong's note: Zou Shi's Continuation of Shu states: Wei Jing resembles lung tubes, is sweet and cool, clears the lungs, and being jointed and growing in water, it promotes circulation where fluids are blocked. It is especially effective in resolving harm caused by fluid obstruction. Yi Yi Ren is white and bland, cool in qi and descending in nature, embodying the full characteristics of autumn growth, nourishing Lung Qi to restore order. For damp-heat pathogens lodging in the lungs, this herb is indispensable. Gua Ban is Dong Gua Zi (Winter Melon Seed); since the seed attaches to the pulp which rots easily while the seed does not, it preserves vital energy amidst decay, thus effectively preserving vital energy amidst coagulated blood and deteriorated qi. Hence, it treats various abdominal abscesses and purges pus, blood, and turbid phlegm. Tao Ren enters the blood level to move Qi. Combined, this formula is not only a miracle drug for Lung Abscess but can also treat critical cases of Lung Bi (Lung Obstruction).
Xie Bai San (Drain White Powder)
Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex) (each 1 liang), Gan Cao (Licorice Root) (5 qian).
Make into coarse powder. Take 1–2 qian per dose, add 100 grains of Jing Mi (Oryza Sativa), and decoct with water.
Xu Huixi said: This formula treats fluid retention in the lungs.
Wang Shihiong's note: This is a formula that drains Lung Heat while securing Lung Qi. If the Lung is injured by Wind-Cold rather than Heat, as Ju Tong stated, it will surely lead to lingering pathogens gradually forming Lao Qie (consumptive cough). Therefore, medication must be prescribed based on the disease pattern first.
Ting Li Da Zao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs)
Ting Li Zi (Descurainiae Semen) (stir-fried until yellow, pounded into pills the size of a chicken egg), Da Zao (Jujubae Fructus) (12 pieces).
Use 3 sheng of water, boil Da Zao to obtain 2 sheng, remove dates; add Ting Li Zi, boil to obtain 1 sheng, take all at once.
Wang Shihiong's note: "Waitai" uses Ting Li Zi and Xing Ren (Praruni Semen) each 1 sheng, and 60 Da Zao, pounded into paste, mixed with honey into pills the size of tung tree seeds. Take 60–70 pills with Sang Bai Pi Decoction, stopping when bowels move freely. "Baoshi Fang" omits Xing Ren, adds Chen Pi (Citri Reticulatae Pericarpium) and Jie Geng, made into pills the size of tung tree seeds with date flesh. Take 5–7 pills with water, named Zao Gao Wan (Date Paste Pill). Yuan Rong added Ma Huang (Ephedrae Herba) and Wu Wei Zi (Schisandrae Fructus) to this formula. Wang's note: Using these two together seems cluttered. It treats wheezing and distension due to phlegm-fluid obstruction. I treat weak patients with excess-phlegm asthma by stir-frying Ting Li Zi until yellow, decocting, removing dregs, and boiling Da Zao in the decoction to eat. This is a method of transforming a harsh formula into a mild one.
Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction)
Zhu Ye (Bambusae Folium) (2 handfuls), Sheng Shi Gao (Gypsum Fibrosum) (1 jin), Ban Xia (Pinelliae Rhizoma) (0.5 jin, washed), Ren Shen (Ginseng Radix) (3 liang), Gan Cao (Licorice Root) (2 liang, honey-fried), Mai Men Dong (Ophiopogonis Radix) (1 jin), Jing Mi (Oryza Sativa) (0.5 jin).
Wang Shihiong's note: Chen Xiuyuan said: In "Shang Han Lun," several formulas use Ren Shen. This is because after sweating, vomiting, or purging, body fluids are lost, so sweet-cool herbs are taken to rescue Yin.
Use 1 dou of water, first decoct the first six ingredients to obtain 6 sheng, remove dregs; add Jing Mi, cook until rice is done and soup is ready, remove rice, take 1 sheng warm, three times a day. "Ji Yan" adds Sheng Jiang (Zingiberis Rhizoma) to this formula, which is best for treating vomiting.
Wang Shihiong's note: I use this formula to treat Summerheat Malaria with excellent results.
Xu Huixi said: This is a follow-up treatment for deficiency and emaciation with shortness of breath after the resolution of Shang Han. After a major illness, residual heat must remain; treatment should clear and nourish. Later generations generally used harsh tonics to retain pathogens, so Yuan Qi cannot recover suddenly; the more they tonify, the weaker they become.
Wang Shihiong's note: Only Yu Shi understood this principle; Ye Shi mastered it.
Qing Zao Jiu Fei Tang (Clear Dryness and Rescue the Lungs Decoction)
Jing Shuang Sang Ye (Mulberry Leaf Frosted by Autumn) (3 qian, remove veins), Xing Ren (Apricot Seed) (7 fen, remove skin and tips, stir-fry until yellow), Mai Men Dong (Ophiopogonis Radix) (1.2 qian), Sheng Shi Gao (Gypsum Fibrosum) (2.5 qian), Ren Shen (Ginseng Radix) (7 fen), E Jiao (Donkey-hide Gelatin) (8 fen), Hu Ma Ren (Sesami Semen) (1 qian), Pi Pa Ye (Loquat Leaf) (remove hairs and veins, 1 piece), Gan Cao (Licorice Root) (1 qian).
Use 1 bowl of water, decoct to 0.6 bowl, take far from meals. For excessive phlegm, add Bei Mu (Fritillariae Bulbus) and Gua Lou (Trichosanthis Radix); for blood dryness, add Sheng Di (Rehmanniae Radix Preparata); for severe heat, add Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Capricornis Cornu), or Niu Huang (Bovis Calculus).
Ke Yunbo said: Ancient formulas used aromatic-dry herbs to treat Qi stagnation without effect because fire follows dryness. Only Miao Zhongchun understood this, thus using sweet-cool and moistening herbs to clear Metal and protect the Lungs. Yu Shi followed this principle, gathering various moistening agents to create this decoction, with profound intent. Wang's note: This is a divine formula for Autumn Dryness syndrome, far superior to Dong Yuan's Qing Zao Tang.
Miao Xiang Wan (Wonderful Fragrance Pill) (also known as Da Sheng Wan)
Ba Dou (Crotonis Fructus) (315 grains, remove skin, heart, and membrane, stir-fry until cooked and grind like flour), Niu Huang (Bovis Calculus) (ground), Ni Fen (Calomelas) (ground), Long Nao (Borneolum Syntheticum) (ground), She Xiang (Moschi Feratum) (ground, each 3 liang), Chen Sha (Cinnabaris) (flying, 9 liang), Jin Bo (Gold Foil) (90 sheets, ground). Grind uniformly, refine 6 liang of Huang La (Beeswax), add 3 fen of Bai Mi (Honey), refine together until uniform, make into pills. Each liang makes 30 pills, take 2 pills with white water, twice daily. "Xuan Ming" contains Shui Yin (Mercurius) and Peng Sha (Borax).
This pill treats various convulsions and epilepsy, also treats tidal fever and accumulated heat from Shang Han, chest binding with jaundice, manic running and restlessness, and blockage of stool and urine. Xu Shi said: One pill divided into three parts is hard to swallow; better to divide into one part per pill, taking 3 pills per dose is appropriate.
Liu Yi San (Six-to-One Powder) (also known as Tian Shui San)
Ni Bai (referring to fine white滑石), Hua Shi (Turmalini Silicatis Gemma) (6 liang, water-flown), Gan Cao (Licorice Root) (1 liang, honey-fried). Make into fine powder. Take 3 qian per dose, mix with warm water or fresh well water, three times daily. For internal invasion of Summerheat-Dampness and external attack of Wind-Cold, take 50 Dou Chi (Fermented Soybean) and 5 cun of Cong Bai (Allii Fistulosi Bulbus), decoct in 1 sheng of water to make juice, mix and take; relief follows. Severe cases resolve in three doses. To induce labor and promote lactation, mix with Sesame paste in warm water; it can also expel dead fetus and resolve Blister Beetle toxicity. Add a little Chen Sha (Cinnabaris), named Yi Yuan San; add a little Huang Dan (Minii Oxidum Rubrum), named Hong Yu San; add a little Qing Dai (Indici Folium), named Bi Yu San; add a little Bo He Ye (Menthae Haplocalycis Folium) powder, named Ji Su San.
Li Binhu said: When heat disperses, the Three Jiao calms, and interior and exterior harmonize; when dampness leaves, the Lan Gate opens, and Yin and Yang flow smoothly. Wan Su used it to treat over seventy syndromes, praising it as an immortal medicine among mortals, indispensable.
Wang Shihiong's note: Do not take if urination is clear and long.
Da Shun San (Great Harmony Powder)
Gan Cao (Licorice Root) (30 jin, cut into inch-long pieces), Gan Jiang (Zingiberis Rhizoma), Xing Ren (Apricot Seed) (remove skin and tips), Rou Gui (Cinnamomi Cortex) (remove rough bark, each 4 jin). First stir-fry Gan Cao with Bai Sha (White Sand) until eight parts yellow and cooked. Wang Jinshan said: Bai Sha is river sand. Some say it is white sugar, which is incorrect. Then add Gan Jiang and stir-fry until ginger cracks; then add Xing Ren and stir-fry until no sound is heard, sieve off sand, then add Rou Gui and pound into powder. Take 2 qian per dose, decoct in water and take warm. If irritable, mix with Jing Hua Shui (Well Water drawn at dawn), time不限, boiling water is also acceptable.
Wang Andao said: In this formula, Gan Cao is most abundant, followed by Gan Jiang, Xing Ren, and Rou Gui. Except for Rou Gui, the other three are stir-fried because the original intention was for people exposed to summer heat with latent heat, drinking excessively. Spleen and Stomach affected by dampness, vomiting undigested food and water, disharmony of Zang-Fu. It is essentially a warming herb formula; Xing Ren is included merely for its ability to direct Qi downward. If used to treat syndromes acquired from stillness (cooling down), I fear it will not resolve the condition but increase internal irritability. The ignorant classify it as essential for summer because "Yin Qi is inside." Alas! Error. Yin Qi is not Cold Qi. In summer, Yang Qi disperses outward, while Yin Qi stays inside! How can Yin Qi be viewed as Cold Qi and treated with warm-hot herbs? If Yin were truly Cold, why drink water in summer? Wang's note: If summer requires warm herbs, must winter require cool herbs? Moreover, with great heat and irritability, adding the drying heat of Ginger and Cinnamon is problematic. Resorting to Jing Hua Shui to balance them shows insufficient power to control the heat, leaving one without footing.
Xu Huixi said: This treats internal injury from cold drinks in summer, not Summerheat itself. Also, having Gan Cao eight times more than other herbs is not standard practice. Such cases are rare; occasional use is fine. But preparing 42 jin of medicine to take only 2 qian—what is the purpose? This formula is not worth adopting, yet mediocre doctors use it to treat dry-fire Summerheat diseases, killing countless people, how mournful!
Zi Xue Dan (Purple Snow Pellet)
Huang Jin (Aurum) (100 liang, Xu says: replacing with 10,000 sheets of flying gold is even better), Han Shui Shi (Halloysitum), Ci Shi (Magnetitum), Shi Gao (Gypsum Fibrosum), Hua Shi (Turmalini Silicatis Gemma) (each 3 jin).
Crush all above, use 1 hu of water, boil to 4 dou, remove dregs, add next drugs:
Ling Yang Jiao (Capricornis Cornu), Xi Jiao (Rhinocerotis Cornu), Qing Mu Xiang (Aquilariae Lignum Resinatum), Chen Xiang (Aquilariae Lignum) (each 5 jin), Ding Xiang (Caryophylli Flos) (1 liang, Xu says: 2 liang is better), Yuan Shen (Scrophulariae Radix), Sheng Ma (Cimicifugae Rhizoma) (each 1 jin), Gan Cao (Licorice Root) (8 liang, honey-fried).
Add to previous decoction, boil to obtain 1.5 dou, remove dregs, add next drugs:
Pu Xiao (Natrii Sulfas), Xiao Shi (Natrii Nitras) (4 jin, Xu says: two salts are too much, use one-tenth).
Add these two to previous decoction, simmer on low fire, stir constantly with willow wood spatula, when reduced to 7 sheng, pour into wooden basin, let stand for half a day until congealing, add next drugs:
Zhu Sha (Cinnabaris) (3 liang), She Xiang (Moschi Feratum), Dang Men Zi (Moschi Feratum) (1.25 liang).
Mix these two into previous medicine, stir evenly, store in porcelain vessel. Medicine becomes frosty snow-like and purple color, mix with fresh well water and take.
Wang Shihiong's note: "Ji Feng" formula lacks Ci Shi, Hua Shi, Xiao Shi; uses only 10 liang each of the two horns, 5 liang each of Ding, Chen, Mu Xiang, 6 liang Sheng Ma, 2 jin Pu Xiao, but 3 liang She Xiang, remaining six ingredients same. Xue Gongwang says: Gold in the formula is optional. Wang's note: Flying gold foil should be used and not removed.
Xu Huixi said: Evil fire and toxic fire penetrating meridians and entering viscera have no cure. This can dissolve them, with miraculous efficacy.
Yu Yu Liang Wan (Yu Yu Liang Pill) (also known as Zhen Sha Wan, or She Han Shi Wan)
She Han Shi (Snake-containing Stone, i.e., large Snake Yellow) (3 liang, place in new iron pot, burn in charcoal fire until stone and pot are equally red, take out with tongs, pour Snake Yellow into vinegar, wait until cool, grind to extremely fine powder, set aside), Yu Yu Liang (Haematitum) (3 liang), Zhen Zhen Sha (Real Needle Sand) (5 liang, wash clean with water, stir-fry dry, put with Yu Yu Liang, use 2 sheng Rice Vinegar, boil in pot until vinegar dries, then put pot and medicine back in charcoal fire until red, take out with tongs, pour medicine onto clean brick, wait until cool, grind fine). Use these three as main ingredients, then add following herbs according to patient's deficiency or excess:
Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix), Fu Ling (Poria), Niu Xi (Achyranthis Bidentatae Radix), Gui Xin (Cinnamomi Ramulus), Bai Dou Kou (Amomi Fructus Rotundus), Da Hui (Foeniculi Fructus), Peng Zhu (Curcumae Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata), Gan Jiang (Zingiberis Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), San Leng (Sparganii Rhizoma), Bai Ji Li (Tribuli Fructus), Dang Gui (Angelicae Sinensis Radix) (soaked in wine overnight, each 5 qian).
Make into powder, mix with previous medicine, soak steamed cake in water, squeeze out water, mix with medicine; pound again, make into pills the size of tung tree seeds. Take 30–50 pills before meals with warm wine or white water. Strictly avoid salt; do not let any enter the mouth, otherwise disease worsens. Upon taking medicine, it passes quickly through urine, does not disturb Zang-Fu, but removes disease, take three times daily. Assist with mild Qi and Blood tonifying herbs; truly a divine formula.
Wang Shihiong's note: This is a formula for edema and cold accumulation; nowadays people use it for distension. However, distension has cold and heat patterns; if heat distension is mistakenly treated, harm is significant. Danxi said: Too many warm-hot herbs, modifications are needed, do not rigidly stick to the formula. Wei Yuheng said: Yin deficiency with internal heat causing distension, mistakenly taking drying-hot stone medicines will cause death.
Xu Huixi said: This formula also treats tangible accumulations.
Mu Li Ze Xie San (Oyster and Alisma Powder)
Mu Li (Ostreae Concha), Ze Xie (Alismatis Rhizoma), Shu Qi (Patriniae Herba) (wash to remove fishy smell), Gua Lou Gen (Trichosanthis Radix), Ting Li Zi (Descurainiae Semen), Shang Lu Gen (Phytolaccae Radix) (stir-fried), Hai Zao (Sargassum) (wash to remove saltiness, equal parts). Pound separately, sift into powder, then pound in mortar again. Mix with white drink (rice water) and take one cubic inch spoon. Stop subsequent doses when urination becomes smooth.
Wang Shihiong's note: Ancients said: Shang Lu decocted in water can kill.
Hua Xiuyun said: Ye Shi skillfully used ancient formulas but only took their principles without sticking rigidly; observe his subtle modifications, such as in Fu Mai, Jian Zhong, Xie Xin, etc. Regarding the use of Mu Li Ze Xie San, he only took these two ingredients. Thus, in cases where only the formula name is written without listing ingredients, it definitely does not mean using the original formula entirely; there must be modifications. Readers should understand this by implication.
Wang Shihiong's note:
This discussion is extremely thorough; all formulas should be viewed similarly.
Zou Run'an said: In Mu Li Ze Xie San syndrome, water accumulates below, and Upper Jiao Qi cannot transform it. Thus, "Lei Cui" uses Shang Lu and Ting Li to descend from above, Ze Xie and Hai Zao to raise clear Qi from water, Gua Lou and Mu Li one to aid clarity above, one to summon turbidity below, thereby facilitating transformation.
He also said: Mu Li Ze Xie San treats water Qi failing to move below the waist. First, Shang Lu and Ting Li must open the source blockage from Lung and Kidney. Then, the softening hardness of Mu Li and Hai Zai, and the opening and draining of Shu Qi and Ze Xie can take effect. Gua Lou Gen is used fearing that the Qi moving water might be too rapid, injuring Upper Jiao Yin. It causes Yin to be absorbed from Spleen and returned upward, similar to the snake of Chang Shan, striking the head makes the tail respond, striking the tail makes the head respond.
Yue Pi Tang (Disperse Spleen Decoction)
Ma Huang (Ephedrae Herba) (6 liang), Shi Gao (Gypsum Fibrosum) (8 liang), Sheng Jiang (Zingiberis Rhizoma Recens) (3 liang), Gan Cao (Licorice Root) (2 liang), Da Zao (Jujubae Fructus) (12 pieces).
Use 6 sheng of water, boil Ma Huang to remove foam; add other herbs, boil to obtain 3 sheng, divide into three doses. For aversion to wind, add 1 Fu Zi (Aconiti Lateralis Radix Preparata).
Yu Jiayan said: Yue Pi Tang indicates a formula for slight release without actual sweating. Generally, it aims to regulate Ying and Wei. Ma Huang and Shi Gao, one sweet-warm, one sweet-cool, combined together: if Spleen leans toward Yin, harmonize with sweet-warm; if Stomach leans toward Yang, harmonize with sweet-cool. Even Wind-Heat Yang and Water-Cold Yin, anything disharmonious in Middle Earth can use this. Why? If Middle Earth is disharmonious, grain and water do not transform their refined Qi to fill Ying and Wei. If Ying and Wei are deficient, Cold or Heat Qi can block tunnels, failing to connect interior and exterior. Therefore, it is used for exterior Wind-Water, and for interior Water with thirst and free urination, all aiming to not harm Middle Earth. Not harming Middle Earth naturally eliminates trouble at its萌芽 (sprouting).
Gan Suan Ban Xia Tang (Kansui and Pinellia Decoction)
Gan Suan (Kansui Radix) (3 large pieces), Ban Xia (Pinelliae Rhizoma) (12 pieces), Shao Yao (Paeoniae Radix Alba) (5 pieces), Gan Cao (Licorice Root) (1 piece finger-sized, some versions omit Gan Cao).
Wang's note: Although Wang Shi explained it, one should follow the version omitting Gan Cao.
Use 2 sheng of water, boil to obtain 0.5 sheng, remove dregs; mix with 0.5 sheng of Honey, decoct medicine juice to 0.8 sheng, take all at once.
Wang Jinshan said: Gan Suan opposes Gan Cao. Opposing means this one wants to descend while that one wants to ascend. Thus, Shao Yao constrains it, and Honey moistens it, so although opposing, Gan Suan still penetrates downward. "Ling Shu" says: Restricting a formula is like restricting a bag. Gan Suan and Ban Xia chase lingering fluid overflowing in intestines and stomach; even if purged, hardness and fullness continue. Unless stimulated by Gan Cao and Honey which greatly oppose Gan Suan, how can the rooted lingering cause be removed? Formulas using opposition rely entirely on Shao Yao's sourness overcoming sweetness, constraining to supervise opposition, lest chaos in Middle Jiao cause harm. However, those with inferior learning should not lightly test this on others.
Kong Xian Dan (Control Phlegm Pellet) (also known as Miao Ying Wan)
Gan Suan (Kansui Radix) (remove heart), Da Ji (Euphorbiae Pekinensis Radix) (remove skin), Bai Jie Zi (Sinapis Semen) (equal parts).
Make into powder, make pills with steamed cake paste. Take 5–7 to 10 pills per dose, take with Ginger Water before sleep.
Wang Shihiong's note: I treat fluid retention in weak persons, often sending it with Liu Jun Zi Tang (Six Gentlemen Decoction) minus Gan Cao, which is very appropriate. Da could call it Zi Long Wan. It says: Very effective for flowing abscesses and wandering toxins.
Wang Jinshan said: Kong means guide. Xian is read as Xian, meaning flowing saliva/water appearance. Guiding Water of Three Jiao, flowing saliva out through water passages. Jie Zi is white, enters Lung and reaches Upper Jiao. Gan Suan is yellow, enters Spleen and moves Middle Jiao. Da Ji is black, enters Kidney and goes to Lower Jiao. Thus, Bai Jie Zi moves water-fluid in skin and membranes; Gan Suan breaks water-fluid in meridians; Da Ji chases water-fluid in Zang-Fu. The three guide meridians differently, but flow saliva through water passages is the same, hence combining them as a formula named Kong Xian. Wang's note: Xian is a vulgar character for Ci, also written as Xuan, originally referring to mouth saliva, extended to phlegm-saliva. Wang's explanation is inappropriate.
Another Kong Xian Dan treats various epilepsies.
Sheng Chuan Wu (Aconiti Kusnezoffii Radix), Ban Xia (Pinelliae Rhizoma) (washed), Jiang Can (Bombyx Batryticatus) (stir-fried, each 0.5 liang, soaked overnight in Ginger Juice), Tie Fen (Ferrum Oxydatum Rubrum) (3 qian, ground), Quan Xie (Scorpio), Gan Suan (Kansui Radix) (wrapped in dough and baked, each 2.5 qian).
Make into fine powder, make pills with natural Ginger Juice, size of mung beans, coat with Zhu Sha (Cinnabaris). Take 15 pills per dose with Ginger Water. Both formulas forbid eating Gan Cao.
Wu Zi Wu Pi Tang (Five Seeds and Five Peels Decoction)
That is Wu Pi Yin (Five Peels Decoction) (Wu Jia Pi (Acanthopanacis Cortex), Di Gu Pi (Lycii Cortex), Fu Ling (Poria), Da Fu Pi (Arecae Pericarpium), Sheng Jiang Pi (Zingiberis Pericarpium); one version replaces Wu Jia with Chen Pi; another replaces Wu Jia with Sang Bai Pi (Mori Cortex)) plus Xing Ren (Apricot Seed), Su Zi (Perillae Fructus), Ting Li Zi (Descurainiae Semen), Bai Jie Zi (Sinapis Semen), Lai Fu Zi (Radish Seed). One version lacks Xing Ren and Jie Zi, has Xiang Fu (Cyperi Rhizoma) and Che Qian Zi (Plantaginis Semen).
Gui Ling Wan (Cinnamon and Poria Pill)
Gui (Cinnamomi Ramulus) (1 liang), Fu Ling (Poria) (2 liang).
Make into powder, honey pills. Take 2 qian with boiling water. Made into decoction, named Gui Ling Yin.
Yu Gong Wan (Yu Gong Pill) (also known as Yu Gong San)
Hei Qian Niu Tou (Black Morning Glory Seed Head) (ground once, not re-ground, 4 liang), Da Hui (Foeniculi Fructus) (stir-fried, 1 liang).
Make into fine powder. Mix with natural Ginger Juice and take 1–2 qian. Or add 1 liang Mu Xiang (Aucklandiae Radix).
Fang Ji Fu Ling Tang (Stephania and Poria Decoction)