(主水病。出《素问·气厥论》)
肺移寒于肾,名曰涌水,其证如溢囊里裹浆,或遍身肿满,按腹不坚,疾行则濯濯有
声,或咳喘不定。
葶苈丸 主之∶治涌水,腹满不坚,溢如囊裹浆,疾行则濯濯有声。
葶苈(纸炒) 泽泻 椒目 桑白皮(锉) 杏仁(去皮,麸炒) 木猪苓(去黑皮。各半两)
上为细末,炼蜜和丸,如桐子大,每服二十丸,葱白汤下,不计时候,以利为度。
(主肺。出《素问·气厥论》)
心移热于肺,名曰膈消,二者心膈有热,久则引饮,为消渴耳。
麦门冬饮子 主之∶治膈消,胸满烦心,津液燥少,短气,久为消渴。
麦门冬(二两,去心) 栝蒌实 知母 甘草(炙) 五味子 生地黄 人参 葛根
茯神(各一两)
上为末,每服五钱,水二盏,竹叶数片,同煎至一盏,去滓,温服,食后。
(主口。出《素问·气厥论》)
膀胱移热于小肠,膈肠不便,上为口糜,心肺壅热,水谷不化,转下小肠。
柴胡地骨皮汤 主之∶治口糜生疮损烂,小肠有热,胀满不便,宜服之。
柴胡(去苗) 地骨皮(各等分)
上为末,每服三钱,水一大盏,煎至八分,去滓,食后。如有病患大段实者,加大黄、
朴硝,可泻热甚。
(主女病。出《素问·气厥论》)
小肠移热于大肠,名 瘕,津液耗散,不能滑利,菀结而大肠 涩。
槟榔丸 主之∶治大肠有移热,津液壅滞,腹痛 涩,名曰 瘕证。
槟榔 大黄(锉,炒) 枳壳(麸炒,去穣。各二两) 木香桃仁(去皮尖,炒)
大麻仁(另研。各一两)
上为末,炼蜜和丸,如桐子大,每服十丸至十五丸,温酒下,不计时候。汤亦得。
(Indicated for disorders of water metabolism. Originating from *Suwen: Qi Jue Lun* [Treatise on the Transfer of Qi in the Yellow Emperor's Inner Canon])
When Lung Qi transfers cold to the Kidney, it is named Yongshui (Water Gushing Disease). Its manifestations include fluid accumulation within the abdomen resembling a sac filled with serum, or generalized edema and distension where palpation of the abdomen reveals softness rather than hardness. Rapid walking may produce a gurgling sound in the abdomen, accompanied by irregular coughing and wheezing.
**Tingli Wan** (Descurainia Seed Pill) is indicated: It treats Yongshui characterized by abdominal fullness that is not hard upon pressure, a sensation akin to a sac containing serum, and gurgling sounds upon brisk movement.
Ingredients: Tingli (*Descurainiae Semen seu Fructus*, stir-fried on paper), Zexie (*Alismatis Rhizoma*), Jiaomu (*Zanthoxyli Fructus*), Sangbaipi (*Mori Cortex*), Xingren (*Armeniacae Semen Amarum*, peeled and stir-fried with bran), Muzhuling (*Polyporus cum Pinodia*, black skin removed). Each of the above five herbs is used in the amount of half liang.
Grind the above herbs into a fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take twenty pills per dose, administered with decoction of scallion white (*Congbai*). There are no restrictions on timing; discontinue when bowel movements become unobstructed.
(Indicated for Lung-related disorders. Originating from *Suwen: Qi Jue Lun*)
When Heart Heat transfers to the Lung, it is named Ge Xiao (Diaphragmatic Wasting-Thirst). This indicates heat in the Heart and diaphragm; if prolonged, it leads to excessive drinking, evolving into Xiaoke (Wasting-Thirst Syndrome).
**Maimendong Yinzi** (Ophiopogon Decoction) is indicated: It treats Ge Xiao characterized by chest fullness, vexation, dryness and scarcity of body fluids, shortness of breath, which may persistently develop into Xiaoke.
Ingredients: Maimendong (*Ophiopogonis Radix*, two liang, heart removed), Gualou Shi (*Trichosanthis Fructus*), Zhimu (*Anemarrhenae Rhizoma*), Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-fried), Wuweizi (*Schisandrae Fructus*), Shengdihuang (*Rehmanniae Radix*, raw), Renshen (*Ginseng Radix*), Gegen (*Puerariae Lobatae Radix*), Fushen (*Poria cum Pinodia*). Each of the above nine herbs is used in the amount of one liang.
Grind the above herbs into powder. Take five qian per dose. Add two zhan of water and several leaves of Zhuye (*Bambusae Folium*). Simmer together until one zhan remains. Strain the dregs and take warm after meals.
(Indicated for oral disorders. Originating from *Suwen: Qi Jue Lun*)
When Bladder Heat transfers to the Small Intestine, it causes obstruction in the intestines. The heat steams upward causing Koumi (oral mucosal erosion). With heat stagnation in the Heart and Lungs, food and drink fail to digest and transmit downward to the Small Intestine.
**Chaihu Digupi Tang** (Bupleurum and Bark of Ground Pine Root Decoction) is indicated: It treats oral erosion with ulceration and damage, heat in the Small Intestine, abdominal distension, and difficulty in defecation.
Ingredients: Chaihu (*Bupleuri Radix*, stems removed), Digupi (*Lycii Cortex*). Use equal parts of each.
Grind the above herbs into powder. Take three qian per dose. Add one large zhan of water. Simmer until eight-tenths remain. Strain the dregs and take after meals. If the patient presents with severe excess syndrome, add Dahuang (*Rhei Radix et Rhizoma*) and Puxiao (*Natrii Sulfas*) to strongly purge heat.
(Indicated for female disorders. Originating from *Suwen: Qi Jue Lun*)
When Small Intestine Heat transfers to the Large Intestine, it is named Jia (Masses/Clumps). Body fluids are consumed and dispersed, losing their lubricating function. Stagnation and knotting occur, leading to sluggishness in the Large Intestine.
**Binglang Wan** (Areca Seed Pill) is indicated: It treats heat transferred to the Large Intestine, stagnation of body fluids, abdominal pain with sluggish defecation, known as Jia Zheng (Syndrome of Masses).
Ingredients: Binglang (*Arecae Semen*), Dahuang (*Rhei Radix et Rhizoma*, cut and stir-fried), Zhike (*Aurantii Fructus*, stir-fried with bran, pith removed). These three herbs are each two liang. Muxiang (*Aucklandiae Radix*), Taoren (*Persicae Semen*, peel and tips removed, stir-fried), Damaren (*Cannabis Fructus*, ground separately). These three herbs are each one liang.
Grind the above herbs into powder. Mix with refined honey to form pills the size of tung tree seeds. Take ten to fifteen pills per dose, administered with warm wine. There are no restrictions on timing. Administration with water decoction is also acceptable.