1.厥阴之为病,消渴,气上冲心,心中疼热,饥而不欲食,食即吐蛔,下之利不止。
2.寸口脉浮而迟,浮即为虚,迟即为劳,虚则卫气不足,劳则荣气竭。
趺阳脉浮而数,浮即为气,数即消谷而大坚,
(一作紧)气盛则溲数,溲数即坚,坚数相搏,即为消渴。
3.男子消渴,小便反多,以饮一斗,小便一斗,肾气丸主之。(方见妇人杂病中。)
4.脉浮,小便不利,微热消渴者,宜利小便、发汗,五苓散主之。
5.渴欲饮水,水入则吐者,名曰水逆,五苓散主之。(方见上。)
6.渴欲饮水不止者,文蛤散主之。
文蛤散方
文蛤(五两)
上一味,杵为散,以沸汤五合,和服方寸匕。
7.淋之为病,小便如粟状,小腹弦急,痛引脐中。
8.趺阳脉数,胃中有热,即消谷引食,大便必坚,小便即数。
9.淋家不可发汗,发汗则必便血。
10.小便不利者,有水气,其人苦渴,栝蒌瞿麦丸主之。
栝蒌瞿麦丸方
栝蒌根(二两) 茯苓 薯蓣(各三两) 附子(一枚,炮) 瞿麦(一两)
上五味,末之,炼蜜丸梧子大,饮服三丸,日三服。不知,增至七八丸。以小便利,腹中温为知。
11.小便不利,蒲灰散主之、滑石白鱼散、茯苓戎盐汤并主之。
蒲灰散方
蒲灰(七分) 滑石(三分)
上二味,杵为散,饮服半寸匕,日三服。
滑石白鱼散方
滑石(二分) 乱发(二分,烧) 白鱼(二分)
上三味,杵为散,饮服半钱匕,日三服。
茯苓戎盐汤方
茯苓(半斤) 白术(二两) 戎盐(弹丸大一枚)
上三味,先将茯苓、白术煎成,入戎盐再煎,分温三服。
12.渴欲饮水,口干舌燥者,白虎加人参汤主
之。(方见中 篇中。)
13.脉浮发热,渴欲饮水,小便不利者,猪苓汤主之。
猪苓汤方
猪苓(去皮) 茯苓 阿胶 滑石 泽泻(各一两)
上五味,以水四升,先煮四味,取二升,去滓,纳胶烊消,温服七合,日三服。
1. The manifestations of Jueyin disease include excessive thirst, Qi rushing upward to the heart, pain and heat sensation in the heart region, hunger without desire to eat, vomiting of roundworms upon eating, and unceasing diarrhea if purgatives are misused.
2. The Cun Kou (inch position) pulse is floating and slow; floating indicates deficiency, and slow indicates exhaustion. Deficiency leads to insufficiency of Wei Qi (Defensive Qi), and exhaustion leads to depletion of Ying Qi (Nutritive Qi).
The Fu Yang (foot position) pulse is floating and rapid; floating indicates excess Qi, and rapid indicates efficient digestion with hard stools.
(Alternatively read as "tight") Excess Qi causes frequent urination; frequent urination leads to harder stools. The interaction between hard stools and frequent urination constitutes Xiao Ke (Wasting-Thirst).
3. In men suffering from Xiao Ke (Wasting-Thirst), urine output is abnormally increased: for every one dou of water drunk, one dou of urine is excreted. Shen Qi Wan (Kidney Qi Pill) is indicated. (Formula see in Women's Miscellaneous Diseases chapter.)
4. When the pulse is floating, there is difficulty in urination, slight fever, and excessive thirst. It is appropriate to promote urination and induce sweating. Wu Ling San (Five-Ingredient Powder with Poria) is indicated.
5. When there is a desire to drink water but vomiting occurs immediately after ingestion, it is named Shui Ni (Water Reversal). Wu Ling San (Five-Ingredient Powder with Poria) is indicated. (Formula see above.)
6. When there is a desire to drink water and thirst persists incessantly, Wen Ge San (Clam Shell Powder) is indicated.
Formula of Wen Ge San (Clam Shell Powder)
Wen Ge (Clam Shell) (five liang)
Take the single ingredient, pound into powder, mix with five he of boiling water, and take one fang cun bi (square-inch measure) per dose.
7. The manifestation of Lin disease (Strangury) includes urine passing like millet grains, urgency and tension in the lower abdomen, and pain radiating to the umbilicus.
8. A rapid pulse at the Fu Yang position indicates heat in the Stomach, leading to efficient digestion and easy hunger, hard stools, and frequent urination.
9. Patients with Lin disease (Strangury) must not undergo sweating therapy; if sweating is induced, hematuria will inevitably occur.
10. For difficulty in urination accompanied by fluid retention and severe thirst, Gua Lou Qu Mai Wan (Trichosanthes Root and Dianthus Pill) is indicated.
Formula of Gua Lou Qu Mai Wan (Trichosanthes Root and Dianthus Pill)
Gua Lou Gen (Root of Trichosanthes Kirilowii) (two liang), Fu Ling (Poria), Shu Yu (Dioscorea Opposita) (each three liang), Fu Zi (Prepared Root of Aconitum Carmerochianum) (one piece, processed), Qu Mai (Herb of Dianthus Superbus) (one liang).
Pound the five ingredients into powder, refine honey to make pills the size of wutong seeds. Take three pills with warm water, three times daily. If ineffective, increase to seven or eight pills. Recovery is indicated by free urination and warmth in the abdomen.
11. For difficulty in urination, Pu Hui San (Cattail Pollen Powder) is indicated; Hua Shi Bai Yu San (Talcum, White Fish, and Blood Powder) and Fu Ling Rong Yan Tang (Poria, Atractylodes, and Rock Salt Decoction) are also indicated.
Formula of Pu Hui San (Cattail Pollen Powder)
Pu Hui (Cattail Pollen) (seven parts), Hua Shi (Talcum) (three parts).
Pound the two ingredients into powder, take half cun bi with water, three times daily.
Formula of Hua Shi Bai Yu San (Talcum, White Fish, and Blood Powder)
Hua Shi (Talcum) (two parts), Luan Fa (Burnt Human Hair) (two parts, burnt), Bai Yu (White Fish/Leuciscus argentatus) (two parts).
Pound the three ingredients into powder, take half qian bi with water, three times daily.
Formula of Fu Ling Rong Yan Tang (Poria, Atractylodes, and Rock Salt Decoction)
Fu Ling (Poria) (half jin), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (two liang), Rong Yan (Rock Salt) (one pill-sized piece).
First decoct Fu Ling and Bai Zhu, then add Rong Yan and decoct again. Divide into three doses and take warm.
12. For thirst with desire to drink water accompanied by dry mouth and tongue, Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) is indicated. (Formula see in Middle Chapter.)
13. For floating pulse, fever, desire to drink water, and difficulty in urination, Zhu Ling Tang (Polyporus Decoction) is indicated.
Formula of Zhu Ling Tang (Polyporus Decoction)
Zhu Ling (Polyporus, peeled), Fu Ling (Poria), E Jiao (Donkey-hide Gel), Hua Shi (Talcum), Ze Xie (Rhizoma Alismatis) (each one liang).
Take four sheng of water, first decoct the four solid ingredients to obtain two sheng, remove dregs, dissolve E Jiao (Donkey-hide Gel) in the liquid, take seven he warm, three times daily.