大黄(蒸)十分 黄芩二两 杏仁一升 桃仁一升 干地黄十两 干漆一两 虻虫一升,
水蛭
上十二味,末之,炼蜜和丸,如小豆大,酒饮服五丸,日三服。
《金匮》血痹虚劳脉证九条,首条是汗出而风吹之,血凝于肤而为痹,然痹未至于干血,
后
五劳
饮食
于肺
房劳
喘息
者,
痹血
本文
之血
者几
清
性
功,
舒润
虫二十枚(去足) 桃仁二十粒 大黄三两
上三味末之,炼蜜和为丸,每以一丸,酒一升,煮一丸,取八合,频服之。新血下如豚
肝。
《金匮》云∶产妇腹痛,内有干血着脐下,用三味为方。盖因瘀积未久,荣卫经络血亦
未必固
劳之用
当归一钱 乳香一钱(去油) 没药一钱(去油) 虻虫十四个 人参二钱 大黄四钱 水
蛭十
上为细末,炼蜜为丸,桐子大,都作一服,可百丸,五更用百劳水下,取恶物为度,服
白粥
百劳丸,许州陈大夫流传,出自仲景方。治一切痨瘵积滞,未经药坏证者。细绎是方,
无非
用百
良治
蛇含石(本草名蛇黄,大者三两,以新铁铫盛,入炭火中,烧蛇黄与铫子一般红,用钳
取蛇
如
蒲黄
子
同二
以上三物为主,其次量人虚实,入下项药。(喻嘉言曰∶治水多取转,推此方三物,既
非大
羌活 川芎 京三棱(炮) 蓬莪术 白豆蔻 白蒺藜 陈皮 青皮 木香 大茴香
(炒)
牛
上为末,入前药拌匀,以汤浸神曲,捩去水,为糊和药,再杵极匀。丸如桐子大,食
前温酒
于小便
禹余粮丸用三物治肝脾胃之药为主者,以水病莫不本之于三脏也;蛇黄得蛇性之走窜灵
异,
之气
青皮
三
占
使
之
[Da Huang Zhe Chong Wan (Rhubarb and Beetle Pill)]
Da Huang (Rhizoma et Radix Rhei, steamed) 10 fen, Huang Qin (Caulis Scutellariae, two liang), Xing Ren (Semen Armeniacae Amarum, one sheng), Tao Ren (Semen Persicae, one sheng), Gan Di Huang (Radix Rehmanniae Preparata, ten liang), Gan Qi (Resina Taxodi, one liang), Meng Chong (Asio, one sheng), Shui Zhi (Hirudo, one sheng), Si Cao (Silkworm, one sheng), Zhe Chong (Eupolyphaga Steleophaga, half sheng), Gan Qi (Resina Taxodi, one liang).
The above twelve ingredients are ground into fine powder, mixed with refined honey to form pills the size of small beans. Take five pills at a time, washed down with wine, three times daily.
In *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), there are nine pulse and symptom patterns regarding Blood Bi (Blood Stasis Obstruction) and Xu Lao (Deficiency Consumption). The first pattern states: sweating followed by wind exposure causes blood to coagulate in the skin, forming Bi syndrome; however, this Bi has not yet progressed to Dry Blood (Chronic Blood Stasis).
Subsequent texts mention Wu Lao (Five Strains: prolonged vision damages blood, prolonged lying damages qi, prolonged sitting damages flesh, prolonged standing damages bones, prolonged walking damages tendons), Qi Shang (Seven Injuries: overeating damages spleen, anger damages liver, heavy lifting dampness damages kidney, cold food damages lung, sorrow damages heart, wind/cold/damp damages form), dietary irregularities damaging Spleen/Stomach, and sexual excess damaging Kidney, leading to symptoms such as panting. These belong to Blood Stasis obstruction.
The blood disorders discussed in this text involve patients with severe conditions, mostly characterized by internal accumulation of Dry Blood.
Ingredients such as Da Huang and Zhe Chong possess the functions of breaking blood stasis, driving out clots, moistening dryness, and relaxing sinews.
[Da Huang Zhe Chong Wan (Variation)]
Zhe Chong (Eupolyphaga Steleophaga, twenty pieces, feet removed), Tao Ren (Semen Persicae, twenty grains), Da Huang (Rhizoma et Radix Rhei, three liang).
The above three ingredients are ground into fine powder, mixed with refined honey to form pills. Take one pill at a time, boil it in one sheng of wine until reduced to eight he, and take frequently. After taking the medicine, fresh blood is discharged resembling pig liver.
*Jin Gui Yao Lue* records: For postpartum abdominal pain caused by Dry Blood adhering below the umbilicus, use these three ingredients to form a prescription. This is because the blood stasis has not accumulated for long, and the blood in Ying and Wei meridians may not be firmly consolidated, thus this method can be used to treat Deficiency Consumption due to stasis.
[Bai Lao Wan (Hundred Fatigue Pill)]
Dang Gui (Radix Angelicae Sinensis), one qian; Ru Xiang (Olibanum, one qian, oil removed); Mo Yao (Myrrha, one qian, oil removed); Meng Chong (Asio, fourteen pieces); Ren Shen (Radix Ginseng, two qian); Da Huang (Rhizoma et Radix Rhei, four qian); Shui Zhi (Hirudo, ten pieces, processed).
Grind the above medicines into fine powder, mix with refined honey to form pills the size of paulownia seeds. Prepare enough for one dose, approximately one hundred pills. At the third watch of the night (Wu Geng), take with Bai Lao Water, stopping when foul matter is expelled. Follow with white porridge for nourishment.
Bai Lao Wan was transmitted by Physician Chen from Xuzhou, originating from Zhang Zhongjing's prescriptions. It treats all types of consumption with stagnation, provided the condition has not been worsened by improper medication. Careful analysis of this formula reveals it utilizes the purging power of Da Huang, Meng Chong, and Shui Zhi, combined with tonifying agents like Ren Shen and Dang Gui, achieving both evacuation and supplementation.
[Yu Yu Liang Wan (Halloysitum Pill)]
She Han Shi (also known as She Huang in Materia Medica, large pieces weighing three liang, placed in a new iron pot, heated in charcoal fire until red hot like the pot, removed with tongs, and powdered), Yu Yu Liang (Halloysitum, calcined), Chi Shi Zhi (Halloysitum Rubrum, calcined).
These three ingredients serve as the main components. Secondly, based on the patient's deficiency or excess, add the following herbs: (Yu Jiayan stated: Treating water diseases often involves the concept of rotation; deducing from these three main ingredients, neither induces heavy sweating nor severe purging, but treats disease by regulating organ qi mechanisms.)
Qiang Huo (Radix Notopterygii), Chuan Xiong (Rhizoma Chuanxiong), Jing San Leng (Rhizoma Sparganii, processed), Peng E Zhu (Rhizoma Curcumae, processed), Bai Dou Kou (Fructus Cardamomi Rotundus), Bai Ji Li (Fructus Tribuli), Chen Pi (Pericarpium Citri Reticulatae), Qing Pi (Pericarpium Citri Reticulatae Viride), Mu Xiang (Radix Aucklandiae), Da Hui Xiang (Fructus Foeniculi, stir-fried), Niu Xi (Radix Achyranthis Bidentatae), Du Zhong (Cortex Eucommiae), Xu Duan (Radix Datiscae), Fu Ling (Sclerotium Poriae), Ze Xie (Rhizoma Alismatis), Che Qian Zi (Semen Plantaginis), Fang Ji (Radix Stephaniae Tetrandrae), Gui Zhi (Ramulus Cinnamomi), Fu Zi (Radix Aconiti Lateralis Preparata), Gan Jiang (Rhizoma Zingiberis), Gan Cao (Radix Glycyrrhizae).
Grind the above medicines into powder, mix evenly with the previous ingredients. Soak Shen Qu (Massa Medicata Fermentata) in water, wring out excess moisture, make a paste to bind the powder, and pound thoroughly. Form into pills the size of paulownia seeds. Take before meals with warm wine.
Yu Yu Liang Wan primarily uses herbs treating Liver, Spleen, and Stomach, as water diseases invariably originate from these three organs; She Han Shi inherits the penetrating nature of snakes, capable of unblocking collaterals and dissipating nodules; Yu Yu Liang and Chi Shi Zhi have astringent properties. Qing Pi soothes Liver and breaks Qi, while San Leng and E Zhu break blood and move Qi. This formula aims to transform dampness through regulating the Qi of Liver, Spleen, and Stomach.