川乌(一两) 白附子(二两) 南星(三两) 半夏(七两)
上四生物作一家,碾极细,绢袋盛,置瓷盆,泉水摆出粉,粉尽俟澄,则换水漂,相天寒热,露晒三五七日,
阴干,糯米煮稀糊,丸如绿豆大,每服二十丸,姜汤下,兼风薄荷酒,尤佳。
风盛则痰壅、痰壅则气升,或寒或热,发为呕吐泄泻口眼 斜,手足瘫痪,小儿惊风。故用半夏、南星之辛,
以散寒 湿,川乌、白附之热,以温经逐风。浸而暴之,杀其毒也。喻嘉言曰∶此治风痰之上药,然热痰迷窍者
非宜。青州范公亭,井泉清冽,浣物迥洁白,拟以名方,盖美之也。
诗曰∶青州丸子,川乌白附,半夏南星,四合生做。
橘皮(一两) 青皮(三钱) 丁香(二钱) 诃黎勒 甘草(五钱)
小儿面黄睛黄,食不化,及滑肠颐滞,主此方。
胃主受纳,脾主消磨,今能纳而不能化,责脾虚。滑肠者,肠滑而飧泄也。颐滞者,颐颌之下多涎滞也。面
黄睛黄,皆土弱不能摄水之象。火能生土,故用丁香;甘能补土,故用甘草;涩能止滑,故用诃子;及青橘二皮,
取渠快膈平肝,能抑其所不胜尔。
诗曰∶益黄青陈橘,丁香诃黎勒,小儿脾气亏,甘草同调燮。
上症还须理中等方,此散恐不合式,学人审诸。
人参 白术 茯苓 甘草 橘皮 半夏 黄 羌活 独活 防风 柴胡 黄连 白芍 泽泻
风热不制之证,当从凉散。服之反体重节痛,口干无味,二便失常,饮食不化,洒淅恶寒。此盖脾胃虚衰,
不能
鼓荡阳气,荣渥水木。致湿淫于内,体重节痛,饱闷不嗜食,而食亦无味。甚则阴胜湿愈盛,故洒淅恶寒,大便
泻下。久湿乃生热,故口苦舌干,小便秘结。是方异攻散,中虚湿淫之主药也,羌、防、柴、独除湿痛而升清,
半夏、连、泽 湿热而降浊,更有黄 之助阳,芍药之理阴,则散中有补,发中带收,脾胃互益矣。如中病,除
连、泽、羌、独活,加砂仁、当归为妙。
诗曰∶升阳益胃只参 ,术草柴苓夏橘皮,白芍黄连防有碍,独羌活泽用何为。
Chuanwu (Radix Aconiti Lateralis Preparata, 1 liang), Baifuzi (Rhizoma Typhonii, 2 liang), Nanting (Rhizoma Arisaematis, 3 liang), Banxia (Rhizoma Pinelliae, 7 liang).
The above four herbs are used in their raw state, ground together into an extremely fine powder, placed in a silk bag, and set in a porcelain basin. Rinse with spring water to extract the starch. Once the powder is fully extracted, allow it to settle, then change the water and rinse again. Depending on the seasonal temperature, expose to the air for three to seven days, then dry in the shade. Use a thin paste made from boiled glutinous rice as a binder to form pills the size of mung beans. Take twenty pills per dose, washed down with ginger decoction; if wind pathogen is present, mint wine is especially effective.
Excessive wind leads to phlegm obstruction; phlegm obstruction leads to qi rebellion. Whether due to cold or heat, this may manifest as vomiting, diarrhea, deviation of the mouth and eyes, paralysis of the limbs, and pediatric convulsions. Therefore, the pungent nature of Banxia and Nanting is used to disperse cold-dampness; the hot nature of Chuanwu and Baifuzi is used to warm the meridians and expel wind. The processes of soaking and sun-drying serve to reduce their toxicity. Yu Jiayan stated: "This is a superior remedy for treating wind-phlegm, but it is not suitable for patients with heat-phlegm clouding the orifices." The well water at Fan Gong Ting in Qingzhou is clear and crisp, washing objects exceptionally white; the formula is named after this place out of admiration.
Poem: Qingzhou Pills, composed of Chuanwu, Baifuzi, Banxia, and Nanting, prepared together from raw materials.
Jupi (Pericarpium Citri Reticulatae, 1 liang), Qingpi (Pericarpium Citri Reticulatae Viride, 3 qian), Dingxiang (Flos Caryophylli, 2 qian), Helile (Fructus Terminaliae Chebulae), Gancao (Radix Glycyrrhizae Uralensis, 5 qian).
Indicated for pediatric cases presenting with yellow complexion, yellow sclera, indigestion, intestinal slippage with diarrhea, and stagnation of saliva below the jaw.
The Stomach governs reception, while the Spleen governs digestion and transformation. The current condition of receiving but failing to transform indicates Spleen deficiency. "Intestinal slippage" refers to diarrhea with undigested food due to lax intestines. "Yi zhi" (jaw stagnation) refers to the accumulation of saliva below the mandible. Yellow complexion and yellow sclera are signs of weak Earth failing to control Water. Fire generates Earth, hence Dingxiang is used; Sweet flavor tonifies Earth, hence Gancao is used; Astringent flavor stops slippage, hence Helile is used; along with Qingpi and Chenpi (aged tangerine peel), chosen for their ability to promote chest qi, calm Liver, and suppress the element that overacts upon Earth (Wood).
Poem: Yihuang San consists of Qingpi, Chenpi, and Jupi, combined with Dingxiang and Helile; for pediatric Spleen Qi deficiency, Gancao is added to harmonize and regulate.
For the aforementioned symptoms, formulas regulating the Middle Jiao (such as Lizhong Tang) should also be considered; this powder may not be entirely appropriate. Practitioners should exercise careful judgment.
Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae Uralensis), Jupi (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae), Huangqi (Radix Astragali Membranacei), Qianghuo (Rhizoma et Radix Notopterygii), Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae), Chaihu (Radix Bupleuri), Huanglian (Rhizoma Coptidis), Baishao (Radix Paeoniae Rubra), Zexie (Rhizoma Alismatis).
For conditions where Wind-Heat is uncontrolled, cooling dispersal methods should be employed. If administration results instead in heavy body sensation, joint pain, dry mouth, loss of taste, abnormal urination and defecation, and indigestion, accompanied by aversion to cold with shivering, this indicates Spleen-Stomach deficiency and decline. The organs fail to stir Yang Qi to nourish Water and Wood. This leads to internal dampness flooding, causing heaviness, joint pain, fullness, poor appetite, and lack of taste. In severe cases, Yin dominance exacerbates dampness, leading to shivering aversion to cold and loose stools. Prolonged dampness generates Heat, resulting in bitter taste, dry tongue, and scanty, constipated urine. This formula is a variation of Yigong San, the primary prescription for Middle Jiao deficiency with dampness flooding. Qianghuo, Fangfeng, Chaihu, and Duhuo dispel dampness, relieve pain, and ascend Clear Qi; Banxia, Huanglian, and Zexie clear damp-heat and descend Turbid Yin; Huangqi assists Yang Qi, and Baishao regulates Yin. Thus, dispersal contains tonification, and sweating includes retention, mutually benefiting the Spleen and Stomach. If the disease responds, remove Huanglian, Zexie, Qianghuo, and Duhuo, and add Renchen (Amomi Fructus Rotundus) and Danggui (Radix Angelicae Sinensis) for optimal effect.
Poem: Shengyang Yiwang Tang uses only Renshen, Huangqi, Baizhu, Gancao, Chaihu, Fuling, Banxia, and Jupi; if Baishao, Huanglian, and Fangfeng cause hindrance, what is the purpose of Duhuo, Qianghuo, and Zexie?