栝蒌散
治盛壮之时,不自谨惜,恣情纵欲。年长肾气虚弱,惟不能房,多服丹石,真气既
石气孤立,唇口干焦,精液自泄,小便赤黄,大便干实,小便昼夜百十行。须当除热补
白茯苓(去皮) 天花粉 宣连 白扁豆 人参(去芦) 石膏 甘草节 寒水石 白
术(去芦)
上为末。每服二钱,热汤调服。立效。
石膏荠 汤
治强中。多因耽嗜色欲,及快意饮食,或服丹石,真气既脱,药气阴发,致烦
饮食倍常,阴气常兴,不交精出,故中焦虚热,注于下焦。三消之中,最为难治。
荠 石膏(各三两) 人参(去芦) 茯神(去木) 栝蒌根 磁石( 碎) 知母
(去毛) 干葛
上锉散。每服用水三盏,腰子一个去脂膜,黑豆一合,煮至一盏半,去腰子、黑豆,入
药四
黄连猪肚丸
治强中,消渴。服栝蒌散、荠 汤后,便可服此。亦能补养。
猪肚(一枚,治如食法) 黄连(去须) 小麦(炒。各五两) 天花粉 茯神(去木。
各四两)
上五味为末,内猪肚中缝塞,安甑中蒸之极烂,木臼小杵,可丸如梧桐子大。每服七十
丸,
罂粟汤
治肾渴,解五石毒。
罂粟子
上煮稀粥,入蜜饮之。
加减三黄丸
治丹石毒及热渴。以意测度,须大实者方用。
春 黄芩(四两) 大黄(三两) 黄连(四两)
夏 黄芩(六两) 大黄(一两) 黄连(七两)
秋 黄芩(六两) 大黄(二两) 黄连(三两)
冬 黄芩(三两) 大黄(四两) 黄连(二两)
上为末,炼蜜丸,梧桐子大。每服十丸,服一月病愈。
栝蒌散
治疗在身体强壮之时,不自我谨慎爱惜,放纵情欲。年长后肾气虚弱,只能避免房事,但多服用丹石类药物,导致真气耗散而药气孤立,出现嘴唇和口腔干燥焦枯,精液自行滑泄,小便颜色赤黄,大便干结坚硬,昼夜排尿多达一百多次。应当清除内热并补益正气。
白茯苓(去除外皮)、天花粉、宣连、白扁豆、人参(去除芦头)、石膏、甘草节、寒水石、白术(去除芦头)。
以上药物研为细末。每次服用二钱,用热开水调服。立即见效。
石膏荠汤
治疗强中病(阴茎异常勃起且伴有消渴症状)。多因沉迷色欲,以及饮食过于肥甘厚味,或者服用丹石类药物,导致真气脱失,药气阴发,引起烦渴,饮食量加倍增加,阳气常处于兴奋状态,不发生性交却有精液流出,因此中焦产生虚热,流注于下焦。在三消病症之中,属于最为难治的类型。
荠(此处疑为“荠”或特定草药名,原文作“荠”,结合上下文及常见方剂,可能指代某种清热利湿之品,保留原名)、石膏(各三两)、人参(去除芦头)、茯神(去除木质部)、栝蒌根、磁石(捣碎)、知母(去除毛)、干葛。
以上药物切碎成散剂。每次服用时用水三盏,加入一个去除了脂膜的猪腰子、一合黑豆,煮至剩余一盏半水量,去掉猪腰子和黑豆,加入药末四钱(原文缺单位,依惯例补全或理解为适量,此处按原文“入药四”推测为四钱或四分,结合前文“每服二钱”,此处可能为四钱,但原文仅写“四”,暂译为“加入药物”),煎煮后服用。
黄连猪肚丸
治疗强中病、消渴症。服用完栝蒌散、石膏荠汤之后,接着可以服用此药。也能起到补养作用。
猪肚(一枚,按照食用方法清洗处理)、黄连(去除须)、小麦(炒制,各五两)、天花粉、茯神(去除木质部,各四两)。
以上五味药研为细末,放入猪肚中缝合塞紧,安置在蒸笼中蒸至极烂,再用木臼和小杵捣碎,制成如梧桐子大小的丸药。每次服用七十丸。
罂粟汤
治疗肾渴,解除五种石药的毒性。
罂粟子
以上药物煮成稀粥,加入蜂蜜饮用。
加减三黄丸
治疗丹石毒引起的热渴。根据病情推测,必须是实证患者才可使用。
春季:黄芩(四两)、大黄(三两)、黄连(四两)
夏季:黄芩(六两)、大黄(一两)、黄连(七两)
秋季:黄芩(六两)、大黄(二两)、黄连(三两)
冬季:黄芩(三两)、大黄(四两)、黄连(二两)
以上药物研为细末,用炼蜜制作丸药,大小如梧桐子。每次服用十丸,服药一个月病愈。
Gualou San (Trichosanthes Powder)
Treats the condition where, during one's prime, one fails to be prudent and cherishes their health, indulging in lust. As one ages, Kidney Qi becomes deficient; although sexual intercourse is avoided, excessive consumption of Dan Shi (cinnabar and sulfur pills) causes True Qi to dissipate while the qi of the drugs stands alone. Symptoms include dry and scorched lips and mouth, spontaneous emission of essence, dark yellow urine, dry and hard stools, and urination occurring more than a hundred times day and night. It is necessary to clear heat and tonify Qi.
Bai Fu Ling (Poria with Removed Skin), Tian Hua Fen (Trichosanthes Root), Xuan Lian (Scutellaria Baicalensis), Bai Bian Dou (White Hyacinth Bean), Ren Shen (Ginseng with Removed Radicle), Shi Gao (Gypsum Fibrosum), Gan Cao Jie (Licorice Knots), Han Shui Shi (Natrii Sulfas), Bai Zhu (Atractylodes Macrocephala with Removed Radicle).
Grind the above ingredients into powder. Take 2 qian per dose, mixed with hot water. Effect is immediate.
Shigao Ji Tang (Gypsum and Shepherd's Purse Decoction)
Treats Qiang Zhong (Priapism associated with Xiao Ke). This often results from indulgence in sexual desire, consumption of rich and flavorful foods, or taking Dan Shi pills. True Qi is depleted, and drug qi manifests yin-pathology, causing thirst and polydipsia, food intake doubling, constant erection without coitus but with seminal emission. Thus, deficiency-heat arises in the Middle Jiao and flows down to the Lower Jiao. Among the three Xiao disorders, this is the most difficult to treat.
Ji (Shepherd's Purse - *Note: Text implies a specific herb named 'Ji', possibly referring to Qing Dai or similar, kept as original*), Shi Gao (Gypsum Fibrosum, each 3 liang), Ren Shen (Ginseng with Removed Radicle), Fu Shen (Poria with Removed Wood), Gua Lou Gen (Trichosanthes Root), Ci Shi (Magnetitum, crushed), Zhi Mu (Anemarrhenae Rhizoma with removed hairs), Gan Ge (Puerariae Radix).
Cut the ingredients into pieces for decoction. For each dose, use 3 sheng of water, add one pig kidney with fat membrane removed, and 1 he of black beans. Boil until 1.5 sheng remains. Remove the kidney and beans, add the herbal powder (text says "add medicine four", likely implying 4 qian or fen based on context), and decoct further.
Huanglian Zhudu Wan (Coptis Pig Stomach Pill)
Treats Qiang Zhong and Xiao Ke. After taking Gualou San and Shigao Ji Tang, this pill can be taken subsequently. It also provides nourishment.
Zhu Du (Pig Stomach, one piece, cleaned according to culinary methods), Huang Lian (Coptidis Rhizoma with removed roots), Xiao Mai (Tritici Fructus, stir-fried, each 5 liang), Tian Hua Fen (Trichosanthes Root), Fu Shen (Poria with Removed Wood, each 4 liang).
Grind the five ingredients into powder, place inside the pig stomach, sew it shut, and steam in a steamer until extremely soft. Pound in a wooden mortar with a small pestle, form into pills the size of Sophora seeds. Take 70 pills per dose.
Yangsusu Tang (Poppy Seed Decoction)
Treats Shen Ke (Kidney Thirst) and resolves the toxicity of the Five Minerals.
Yang Su Zi (Papaveris Semen)
Boil the poppy seeds into a thin porridge, mix with honey, and drink.
Jiajian Sanhuang Wan (Modified Three Yellows Pill)
Treats heat-thirst caused by Dan Shi toxicity. Based on clinical judgment, it should only be used for patients with excess syndromes.
Spring: Huang Qin (Scutellariae Radix, 4 liang), Da Huang (Rhei Radix et Rhizoma, 3 liang), Huang Lian (Coptidis Rhizoma, 4 liang)
Summer: Huang Qin (6 liang), Da Huang (1 liang), Huang Lian (7 liang)
Autumn: Huang Qin (6 liang), Da Huang (2 liang), Huang Lian (3 liang)
Winter: Huang Qin (3 liang), Da Huang (4 liang), Huang Lian (2 liang)
Grind the above into powder, bind with refined honey to make pills the size of Sophora seeds. Take 10 pills per dose. The disease will be cured after one month of medication.