治悬饮,咳唾引胁下痛。又治支饮,咳烦胸中痛,至百日一岁,其脉弦者。
芫花(微炒) 甘遂 大戟(炒)
上等分为末。水一盏半,枣十个,煎至八分,去枣调药,壮人一钱,羸人半钱,平旦温
服;不下者,次日更加半钱。下后糜粥自养;若已下,不可与之。
治溢饮,身体疼重,汗不出,拘急痛。
麻黄(去节汤,七钱半) 桂心 甘草(炙,各二钱半) 石膏(鸡子大) 杏仁(四十个,炒,去皮尖)
上为锉散。每服四大钱,水一盏半,姜五片,枣二枚,煎七分,去滓,空腹服,温覆。
一服汗者,勿再服;复服,汗出多,亡阳虚逆,恶风烦躁,不得眠也。
治溢饮、支饮,倚息不得卧,及喘满者。
麻黄(去节汤) 芍药 细辛 桂心 干姜(炮) 甘草(炙,各三钱三字) 五味子(二钱) 半
夏(汤洗七次,三钱)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,
空腹服。渴者,去半夏,加栝蒌根三钱三字;微利,去麻黄,加芫花一鸡子大,炒入;噎者
,去麻黄,加附子一枚,炮;小便不利者,去麻黄,加茯苓半两;喘者,去麻黄,加杏仁三
钱三字;咳而上气,肺胀,其脉浮,心下有水气者,胸中痛引缺盆,加石膏二钱半研。
治膈间支饮。其人喘满,心下痞坚,面色黧黑,其脉沉紧,得之数十日,医吐下之不愈。
汉防己(三两) 桂心(二两) 人参(四两) 石膏(六两)
上四味为锉散。每服四大钱,水一盏半,煮七分,去滓,温服。虚者即愈,实者三日复发。
再服不愈,宜去石膏,加茯苓四两、芒硝一两半,微利则愈。
治疗悬饮(水饮停聚于胁下),表现为咳嗽吐痰时牵引胁下疼痛。又治疗支饮(水饮支撑胸膈),表现为咳嗽、心烦、胸中疼痛,病程长达百日到一年,脉象弦的。
芫花(微炒) 甘遂 大戟(炒)
以上三味药等分研为细末。用水一盏半,大枣十个,煎煮至八分,去掉大枣,用药汁调服药粉,体质强壮的人服一钱,体弱的人服半钱,清晨空腹温服;如果未通便,第二天增加半钱。泻下之后用稀粥调养身体;如果已经泻下,则不可再服用此方。
治疗溢饮(水饮溢于四肢肌肤),表现为身体疼痛沉重,无汗,肢体拘挛急痛。
麻黄(去节,汤洗,七钱半) 桂心 甘草(炙,各二钱半) 石膏(如鸡蛋大小) 杏仁(四十个,炒,去皮尖)
以上药物切碎成散剂。每次服用四大钱,用水一盏半,生姜五片,大枣二枚,煎煮至七分,去渣,空腹温服,服药后覆盖衣被以助发汗。
如果服一次就出汗了,不要再服;如果再次服用,导致出汗过多,会出现亡阳虚逆、怕风、烦躁、无法入睡的症状。
治疗溢饮、支饮,表现为呼吸急促不能平卧,以及气喘胸闷者。
麻黄(去节,汤洗) 芍药 细辛 桂心 干姜(炮) 甘草(炙,各三钱三字) 五味子(二钱) 半夏(汤洗七次,三钱)
以上药物切碎成散剂。每次服用四大钱,用水一盏半,煎煮至七分,去渣,空腹温服。
口渴的,去掉半夏,加栝蒌根三钱三字;轻微腹泻的,去掉麻黄,加芫花一鸡子大,炒过后加入;咽喉阻塞感的,去掉麻黄,加附子一枚,炮制过;小便不利的,去掉麻黄,加茯苓半两;气喘的,去掉麻黄,加杏仁三钱三字;咳嗽气逆,肺胀,脉浮,胃脘部有水气停留的,胸痛牵引缺盆穴的,加石膏二钱半研碎。
治疗膈间支饮。患者气喘胸闷,胃脘部痞塞坚硬,面色黑,脉象沉紧,患病几十天,医生用吐法、下法治疗但未愈。
汉防己(三两) 桂心(二两) 人参(四两) 石膏(六两)
以上四味药切碎成散剂。每次服用四大钱,用水一盏半,煎煮至七分,去渣,温服。体质虚弱的就会痊愈,体质实邪盛的三天后会复发。
再次服用若不愈,应当去掉石膏,加茯苓四两、芒硝一两半,轻微腹泻即可痊愈。
Treats Xuan Yin (Hydrops with fluid accumulation in the hypochondrium), characterized by pain in the hypochondrium radiating during coughing and expectoration. Also treats Zhi Yin (Hydrops with fluid obstructing the chest and diaphragm), characterized by cough, restlessness, chest pain, persisting for one hundred days to a year, with a wiry pulse (Xian Mai).
Yuan Hua (Genkwa Flos, slightly stir-fried) Gansui (Radix Kansui) Daji (Radix Euphorbiae Humifusae, stir-fried)
Grind the above three herbs into fine powder in equal proportions. Use one and a half bowls of water and ten Jujubes (Fructus Ziziphi Jujubae), decoct until reduced to eight-tenths. Remove the Jujubes and use the decoction to mix with the medicine powder. For robust individuals, take one Qian; for frail individuals, take half a Qian. Take warm on an empty stomach at dawn. If there is no bowel movement, increase the dose by half a Qian the next day. After purgation, nourish the body with millet porridge. Do not administer if purgation has already occurred.
Treats Yi Yin (Hydrops with fluid overflowing to the limbs and skin), characterized by heavy body pain, absence of sweating, and stiff, painful spasms.
Mahuang (Ephedrae Herba, nodes removed, washed with boiling water, 7.5 Qian) Guixin (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2.5 Qian) Shigao (Gypsum Fibrosum, size of a chicken egg) Xingren (Armeniacae Semen Amarum, 40 seeds, stir-fried, peel and apricot kernels removed)
Grind the above herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water, five slices of Ginger (Zingiberis Rhizoma), and two Jujubes (Fructus Ziziphi Jujubae). Decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach. Cover with blankets to induce sweating.
If sweating occurs after one dose, do not take another. Re-administration may cause excessive sweating, leading to collapse of Yang (Wang Yang), deficiency and reversal, aversion to wind, irritability, and insomnia.
Treats Yi Yin (Hydrops with fluid overflowing to the limbs and skin) and Zhi Yin (Hydrops with fluid obstructing the chest and diaphragm), characterized by orthopnea (inability to lie flat due to breathing difficulty) and wheezing with chest fullness.
Mahuang (Ephedrae Herba, nodes removed, washed with boiling water) Shaoyao (Paeoniae Radix) Xixin (Asari Radix et Rhizoma) Guixin (Cinnamomi Ramulus) Ganjiang (Zingiberis Rhizoma, processed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 Qian 3 Zhu) Wuweizi (Schisandrae Fructus, 2 Qian) Banxia (Pinelliae Rhizoma, washed seven times with boiling water, 3 Qian)
Grind the above herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water. Decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach.
For thirst, remove Banxia (Pinelliae Rhizoma) and add Gualougen (Trichosanthis Radix, 3 Qian 3 Zhu). For mild diarrhea, remove Mahuang (Ephedrae Herba) and add Yuan Hua (Genkwa Flos, size of a chicken egg, stir-fried). For a sensation of obstruction in the throat, remove Mahuang (Ephedrae Herba) and add Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed). For difficult urination, remove Mahuang (Ephedrae Herba) and add Fuling (Poria, half Liang). For wheezing, remove Mahuang (Ephedrae Herba) and add Xingren (Armeniacae Semen Amarum, 3 Qian 3 Zhu). For cough with rebellious Qi, lung distension, floating pulse, and fluid retention in the epigastrium causing chest pain radiating to the Clavicular Fossa (Qie Ren), add Shigao (Gypsum Fibrosum, 2.5 Qian, ground).
Treats Zhi Yin (Hydrops with fluid obstructing the inter-diaphragmatic region). The patient suffers from wheezing and chest fullness, epigastric stiffness and hardness, dark complexion, and a deep, tight pulse. The condition has persisted for dozens of days and was not cured by previous emetic or purgative treatments by physicians.
Fangji (Stephaniae Tetrandrae Radix, 3 Liang) Guixin (Cinnamomi Ramulus, 2 Liang) Renshen (Ginseng Radix, 4 Liang) Shigao (Gypsum Fibrosum, 6 Liang)
Grind the above four herbs into a coarse powder. Each dose consists of four Da Qian. Use one and a half bowls of water. Decoct until reduced to seven-tenths, remove the dregs, and take warm. Those with deficiency will be cured; those with excess pathogenic factors may relapse after three days.
If repeated administration fails to cure, remove Shigao (Gypsum Fibrosum) and add Fuling (Poria, 4 Liang) and Mangxiao (Natrii Sulfas, 1.5 Liang). Mild purgation indicates recovery.