桔梗三分 贝母三分 巴豆一分(去皮心,熬黑,研如脂)
上三味,为末〔法〕,纳巴豆,更于臼中杵之〔法〕,以白饮和服〔法〕。强人半钱匕,
羸
一杯〔法〕。身热皮粟不解,欲引衣自覆者,若以水 之洗之,益令热劫不得出。当汗而不
汗则烦,假令汗出已,腹中痛,与芍药三两,如上法。
白散,结胸者亦可服。其义仍在, 水灌水,外寒实表,热却于内,故用桔梗、贝母开
提
破
本
麻子仁二升 杏仁一斤(去皮尖) 白芍八两 大黄一斤(去皮) 浓朴一尺(炙去皮)
枳
实八
上六味,为末,炼蜜为丸梧子大〔法〕,饮服十丸〔法〕,日二服〔法〕。渐加,以利为
度
下法不曰承气,而曰麻仁者,明指脾约为脾土过燥,胃液日亡,故以麻、杏润脾燥,白
芍安
遂脾
水蛭三十个(熬) 虻虫三十个(熬,去翅足) 桃仁三十个(去皮尖) 大黄三两(去
皮,
酒浸)
上四味,为末〔法〕,以水五升,煮取三升,去滓〔法〕,温服一升〔法〕。不下,再服
〔
抵当者,至当也。蓄血者,死阴之属,真气营运而不入者也,故草木不能独治其邪,务
必以
之血
水蛭二十个 虻虫二十个(去翅足,熬) 桃仁二十五个 大黄三两(去皮)
上四味,杵,分为四丸。以水一升煮一丸〔法〕,取七合服之〔法〕。 时当下血,若不
下
血蓄少腹中者,亦必以水蛭虻虫攻之,乃为至当,总非桃仁承气等足以动其血,故仲景
云∶
Jiegeng (Platycodonis Radix) 3 fen, Beimu (Fritillariae Bulbus) 3 fen, Badou (Crotonis Fructus) 1 fen (remove skin and heart, roast until black, grind into a paste).
The above three ingredients are ground into powder [method], mixed with the Badou, and pounded again in a mortar [method]. Take with white rice water [administration]. For strong individuals, half a qianbi dose; for weak individuals, one cup [method] (Note: Textual anomaly detected, literal translation provided). If body heat and cutaneous pruritus (skin resembling gooseflesh) persist without relief, and there is a desire to pull clothes to cover oneself, washing with water will only cause the heat to be trapped and unable to exit. When sweating should occur but does not, irritability ensues. If sweating has already occurred but abdominal pain persists, administer Shaoyao (Paeoniae Radix Alba) 3 liang, following the aforementioned method.
Baisan can also be taken for Jiechest (Chest Binding Syndrome). The principle remains that when water accumulates and exterior cold solidifies the surface, heat retreats inward; therefore, Jiegeng and Beimu are used to lift and open the lung qi, breaking up accumulation.
Maziren (Cannabis Fructus) 2 sheng, Xingren (Armeniacae Semen Amarum) 1 jin (remove skin and tips), Baishao (Paeoniae Radix Alba) 8 liang, Dahuang (Rhei Radix et Rhizoma) 1 jin (remove skin), Houpo (Magnoliae Officinalis Cortex) 1 chi (roast and remove skin), Zhishi (Aurantii Fructus Immaturus) 8 liang (text missing unit, inferred).
The above six ingredients are ground into powder, refined honey is used to make pills the size of wutong seeds [method]. Take 10 pills with water [administration], twice daily [frequency]. Gradually increase the dosage until bowel movement is achieved as the limit.
The purgative method is not named Chengqi but Mahuren, clearly pointing to Pi Yue (Spleen Constraint), where spleen earth is excessively dry and stomach fluids are daily depleted. Thus, Maziren and Xingren moisten spleen dryness, Baishao soothes the spleen, guiding fluids downward.
Shuizhi (Hirudo) 30 pieces (roasted), Mengchong (Ophiorrhiza? No, *Buchanania* or *Tabanus* larva - WHO term: Tabani Larva/Mengchong) 30 pieces (roasted, remove wings and feet), Taoren (Persicae Semen) 30 pieces (remove skin and tips), Dahuang (Rhei Radix et Rhizoma) 3 liang (remove skin, soak in wine).
The above four ingredients are ground into powder [method]. Boil in 5 sheng of water to obtain 3 sheng, strain off dregs [decoction method]. Take warm, 1 sheng [administration]. If no effect, take another dose.
Didang means "most appropriate." Xueyu (Blood Stasis) belongs to the category of dead yin, where true qi circulates within and does not enter the exterior. Therefore, herbal plants cannot alone treat this pathogen; it is necessary to use insect drugs to attack the blood stasis.
Shuizhi (Hirudo) 20 pieces, Mengchong (Tabani Larva) 20 pieces (remove wings and feet, roast), Taoren (Persicae Semen) 25 pieces, Dahuang (Rhei Radix et Rhizoma) 3 liang (remove skin).
The above four ingredients are pounded and divided into four pills. Boil one pill in 1 sheng of water [decoction method], take 7 he [administration]. At this time, blood should be discharged. If blood is not discharged,
When blood stasis accumulates in the lower abdomen, it must be attacked by Shuizhi and Mengchong to be most appropriate. Generally, formulas like Tao Ren Cheng Qi Tang are insufficient to move such blood, hence Zhongjing said: