治脾肾虚寒,或肠鸣泄泻,腹胁虚胀,或胸膈不快,饮食不化。
破故纸(四两,炒)
上为细末,灯心煮枣肉为丸,如梧桐子大,每服七十丸,用姜盐汤送下,空心食前。
治肠胃虚寒,滑泄不禁。
禹余粮石( ) 赤石脂( ) 龙骨 荜茇 诃子(面
(面裹煨) 附子(炮)
上等分为细末,醋糊为丸,如梧桐子大,每服七十丸,米饮送下,食前。
治大肠虚寒,滑泄不止。
钟乳粉(一两) 肉豆蔻(半两,面裹煨香,去面不用)
上为细末,煮枣肉,杵和为丸,如梧桐子大,每服七十丸,空心食前,用米饮送下。
固肠丸 治大肠久冷,滑泄不禁。
附子(一只,炮,去皮脐) 肉豆蔻(一两,面裹煨香,去面不用)
上为细末,醋糊为丸,如梧桐子大,每服七十丸,食前,用陈米饮送下。
今之所谓痢疾者,即古方所谓滞下是也。盖尝推原其故矣。胃者,脾之腑也,为水谷之
海,
役过
热则
饮服
病,往往
所由致,倘不先以巴豆等剂,以推其积滞,逐其邪秽,鲜有不致精神危困,久而羸弱者,余
尝鉴焉。
者,则清
分利之。又如冷热交并者,则温凉以调之,伤损而成久毒痢者,则化毒以保卫
无不应,而疾无不愈者矣。虽然又当观脉之虚实何如耳,如下痢脉微小者生,脉
肠频下脓血者,诊脉宜滑大也,若弦急者必死。又身寒则生,身热则死。苟
此验治,万不失一矣。
治疗脾肾阳虚寒盛,或伴有肠鸣泄泻、腹部胁肋部虚性胀满,或胸膈部不适、饮食难以消化。
破故纸(四两,炒制)
将上述药材研成细末,用灯心草煮枣肉作为粘合剂制成丸药,大小如梧桐子,每次服用七十丸,用姜盐汤送服,空腹且在进食前服用。
治疗肠胃虚寒,滑脱不禁(大便失禁)。
禹余粮石( ) 赤石脂( ) 龙骨 荜茇 诃子(面粉包裹煨制) 附子(炮制)
将上述药材等分研成细末,用醋糊作为粘合剂制成丸药,大小如梧桐子,每次服用七十丸,用米汤送服,进食前服用。
治疗大肠虚寒,滑泄不止。
钟乳粉(一两) 肉豆蔻(半两,面粉包裹煨至香,去掉面粉不用)
将上述药材研成细末,煮枣肉,捣碎混合制成丸药,大小如梧桐子,每次服用七十丸,空腹且在进食前服用,用米汤送服。
固肠丸:治疗大肠久冷,滑脱不禁。
附子(一枚,炮制,去皮和脐) 肉豆蔻(一两,面粉包裹煨至香,去掉面粉不用)
将上述药材研成细末,用醋糊作为粘合剂制成丸药,大小如梧桐子,每次服用七十丸,进食前服用,用陈年米汤送服。
如今所说的痢疾,就是古方中所说的“滞下”。我曾经推究其病因。胃是脾的腑,是水谷汇聚的海,若劳役过度或饮食不节导致脾胃受损,往往由此引起。如果不先用巴豆等药剂来推荡积滞,驱逐邪秽,很少有不导致精神危困,日久身体消瘦虚弱的,我曾以此为鉴。如果是湿热之邪,则用清利之法分消它。如果是冷热交杂的情况,则用温凉并用的方法调和它;如果是因损伤而形成的久毒痢,则用解毒的方法来保卫正气,没有不应验的,疾病没有不能痊愈的。虽然如此,还应当观察脉象的虚实情况。如下痢时脉象微小者预后良好,脉象滑大者适宜诊断(注:此处原文逻辑似有缺漏或排版错误,通常滑大为实热,微小为虚,结合下文“弦急者必死”,此处意指通过脉象判断吉凶),如果脉象弦急则必然死亡。另外,身体寒冷者预后良好,身体发热者预后不良。如果根据这些验证来治疗,万无一失。
Treats Spleen and Kidney Yang deficiency with cold, or intestinal borborygmus and diarrhea, empty distension of the abdomen and hypochondrium, discomfort in the chest and diaphragm, and indigestion.
Pojiazi (Semen Cistanches, 4 liang, stir-fried)
Grind the above into a fine powder. Use Jiaxin (Herba Dictamni Radicis et Cortex, specifically the root stalk here often referred to as Dengxincao in context of pill base, but literally "lamp heart") boiled jujube flesh as a binder to make pills, size similar to Sophora seeds. Take 70 pills per dose, administered with ginger-salt decoction, on an empty stomach before meals.
Treats Intestine and Stomach deficiency-cold with uncontrolled slipping diarrhea (incontinence).
Yuyuliangshi (Hematitum, ) Chishizhi (Halloysitum Rubrum, ) Longgu (Os Draconis, ) Bibo (Fructus Piperis Longi, ) Hezi (Fructus Chebulae, wrapped in flour and roasted) Fuzi (Radix Aconiti Lateralis Preparata, processed)
Equal parts of the above are ground into a fine powder. Use vinegar paste as a binder to make pills, size similar to Sophora seeds. Take 70 pills per dose, administered with rice drink, before meals.
Treats Large Intestine deficiency-cold with continuous uncontrolled diarrhea.
Zhongrufen (Stalactitum, 1 liang) Roudoukou (Semen Myristicae, 0.5 liang, wrapped in flour, roasted until fragrant, discard the flour)
Grind the above into a fine powder. Boil jujube flesh, pound and mix to form pills, size similar to Sophora seeds. Take 70 pills per dose, on an empty stomach before meals, administered with rice drink.
Guchang Wan (Intestine-Firming Pill): Treats chronic cold of the Large Intestine with uncontrolled slipping diarrhea.
Fuzi (Radix Aconiti Lateralis Preparata, 1 piece, processed, peel and umbilicus removed) Roudoukou (Semen Myristicae, 1 liang, wrapped in flour, roasted until fragrant, discard the flour)
Grind the above into a fine powder. Use vinegar paste as a binder to make pills, size similar to Sophora seeds. Take 70 pills per dose, before meals, administered with aged rice drink.
The dysentery known today is what ancient formulas called "Zhi Xia" (stagnant downward flow). I have once traced its causes. The Stomach is the Fu organ of the Spleen and serves as the sea of water and grain. If labor is excessive or diet is irregular, damaging the Spleen and Stomach, it often leads to this condition. If one does not first use agents such as Badou (Fructus Crotonis Tiglii) to push out stagnation and expel pathogenic filth, few will avoid becoming mentally exhausted and physically emaciated over time; I have taken this as a warning. For damp-heat pathogens, employ clearing and draining methods to separate and eliminate them. For cases where cold and heat intermingle, use warming and cooling methods to harmonize them. For chronic toxic dysentery resulting from injury, use detoxification methods to protect the healthy Qi. There is no case that does not respond, and no disease that does not heal. Nevertheless, one must observe the deficiency or excess of the pulse. For instance, if the pulse is minute and small during dysentery, there is hope for survival; if the pulse is slippery and large, it indicates [excess/heat requiring differentiation]; if the pulse is wiry and rapid, death is certain. Furthermore, if the body is cold, there is hope for survival; if the body is hot, death is likely. If treatment is guided by these verifications, it will be infallible.