(主四肢。出《素问·阴阳别论》)
四肢肿,四肢热盛则肿。四肢者,谓诸阳之本,阳结者,故不行于阴脉阳脉,不行,
故留结也。
犀角汤 主之∶治结阳,四肢肿满,热菀不散,或毒攻注,大便闷涩。
犀角(屑) 玄参 连翘 柴胡(去苗。各半两) 升麻 木通(各三钱) 沉香(锉)
射干(去毛) 甘草(炙。各一分) 芒硝 麦门冬(去心。各一两)
上为末,每服三钱,水一大盏,同煎至八分,食前,去滓,温服。
(主腹痛。出《素问·五脏生成论》)
脉至大虚,积气腹中,隐而难见,阴沉,使脾弱,寒于肢膜,气厥逆也。
加减吴茱萸汤 主之∶治厥疝,腹中冷痛,积气上逆,致阴冷于肢膜。
吴茱萸(二两,汤洗,炒) 川乌头(去皮,炮) 细辛(去苗。各三两) 良姜 当归
干姜(炮) 官桂(各一两)
上为末,每服二钱,水一盏,同煎至七分,去滓,温服,日进三服。
(主便血。出《素问·阴阳别论》)
结阴便血一升,再结二升,三结三升。以阴气内结,故不得通行,气血无宗,
渗入肠下,致使渐多。
地榆汤 主之∶治结阴,下血不止,渐渐极多,腹痛不已。
地榆(四两) 甘草(三两,半炙半生) 缩砂仁(七枚,每服可加为妙)
上为末,每服五钱,水三盏,缩砂仁同煎至一半,去滓,温服。
(Primarily treats disorders of the four limbs. Originates from *Suwen: Yin-Yang Bie Lun* [Treatise on Differentiating Yin and Yang in the Yellow Emperor's Inner Classic].)
Swelling of the four limbs is caused by excessive heat in the four limbs. The four limbs are considered the root of all Yang meridians; when Yang Qi (vital energy associated with warmth and activity) becomes knotted or stagnant, it cannot circulate freely through the Yin and Yang meridians. Due to this obstruction, it remains and accumulates within the body.
Xijiao Tang (Rhinoceros Horn Decoction) is indicated for Jieyang Syndrome (Yang Qi stagnation), characterized by swelling and fullness of the four limbs, persistent accumulation of heat, or toxic pathogens attacking and penetrating, leading to constipation and difficult defecation.
Rhinoceros Horn (shavings) Xuan Shen (Scrophulariae Radix) Lian Qiao (Forsythiae Fructus) Chai Hu (Bupleuri Radix, stems removed. Each 0.5 liang) Sheng Ma (Cimicifugae Rhizoma) Mu Tong (Akebiae Caulis. Each 3 qian) Chen Xiang (Aquilariae Lignum Resinatum, sliced)
She Gan (Belamcandae Rhizoma, hairs removed) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried. Each 1 fen) Mang Xiao (Natrii Sulfas) Mai Men Dong (Ophiopogonis Radix, hearts removed. Each 1 liang)
Grind the above ingredients into a fine powder. Take 3 qian per dose, add one large cup of water, and decoct together until only 8/10 remains. Strain the dregs and take warm before meals.
(Primarily treats abdominal pain. Originates from *Suwen: Wu Zang Sheng Cheng Lun* [Treatise on the Generation of the Five Viscera in the Yellow Emperor's Inner Classic].)
The pulse is large yet deficient, indicating accumulated Qi in the abdomen that is hidden and difficult to detect. Yin Qi is stagnant, causing Spleen deficiency and coldness in the limbs and genitals; this is a manifestation of Qi reversal (Jue).
Jiajian Wuzhuyu Tang (Modified Evodia Decoction) is indicated for Jueshan Syndrome (Cold-type Hernia), characterized by cold pain in the abdomen, upward reversal of accumulated Qi, and resulting coldness in the limbs and genital region.
Wu Zhu Yu (Evodiae Fructus, 2 liang, washed with hot water and stir-fried) Chuan Wu Tou (Aconiti Radix, skin removed and processed) Xi Xin (Asari Radix et Rhizoma, stems removed. Each 3 liang) Liang Jiang (Alpiniae Officinarum Rhizoma) Dang Gui (Angelicae Sinensis Radix)
Gan Jiang (Zingiberis Rhizoma, processed) Guan Gui (Cinnamomi Cortex. Each 1 liang)
Grind the above ingredients into a fine powder. Take 2 qian per dose, add one cup of water, and decoct together until only 7/10 remains. Strain the dregs and take warm. Administer three times daily.
(Primarily treats hematochezia/bloody stool. Originates from *Suwen: Yin-Yang Bie Lun* [Treatise on Differentiating Yin and Yang in the Yellow Emperor's Inner Classic].)
In Jieyin Syndrome (Yin Qi stagnation), the first episode of bleeding results in the loss of one sheng of blood, the second episode two sheng, and the third episode three sheng. Because Yin Qi is internally knotted, Qi and Blood cannot circulate smoothly. Without proper control by the vital substances, blood seeps into the lower intestines, causing the volume of bleeding to gradually increase.
Diyu Tang (Sanguisorbae Radix Decoction) is indicated for Jieyin Syndrome, characterized by continuous lower bleeding that gradually becomes severe, accompanied by unceasing abdominal pain.
Di Yu (Sanguisorbae Radix, 4 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang, half honey-fried, half raw) Suo Sha Ren (Amomi Fructus Rotundus, 7 capsules; dosage may be increased per dose for better effect)
Grind the above ingredients into a fine powder. Take 5 qian per dose, add three cups of water and Suo Sha Ren, and decoct together until only half remains. Strain the dregs and take warm.