防风(四两) 藿香(七钱) 山栀(炒黑一两) 石膏(五钱) 甘草(二两) 微炒
为末甜酒调服。
按∶上方主治脾胃伏火,口燥唇干,口疮口臭,烦渴易饥,热在肌肉者。
凡舌见黄色而浮胖娇嫩者,脾胃两经精气虚也,益黄散主之。
陈皮(一两) 青皮(五钱) 诃子(五钱泡去皮) 丁香(二钱) 白术(二两) 甘
草(炙五钱)
按∶上方主治脾胃虚寒,寒水反来侮土,而呕吐不食。或肚腹作痛,或大便不实,手足逆冷等症。炒磨
为末,每服四钱,水煎服。
凡舌见黄色而干燥,属胃腑阴亏火旺者,左归饮去茯苓加花粉、归、地主之。
熟地(八钱) 枸杞(六钱) 山药(四钱) 萸肉(四钱) 甘草(二
钱) 当归(三钱) 生地(三钱) 花粉(一钱火不甚者去之)
按∶上方主治肾水干枯,虚火上蒸,脾胃阴土受亏,以致饮食不进,大便燥结,甚至三阳癃闭,将成
噎隔,及早服此,无不愈也。伤寒舌黑唇焦,大渴引饮,此必服发散寒凉、攻伐之药过多也。原方加归、芍救
之,燥症更妙。
凡舌见黄色而干燥,属脾脏血虚,火盛者归脾汤去木香,加白芍、丹皮、山栀主之。
枣仁(一钱炒研) 茯神(一钱去木) 远志(一钱去心) 归身
(一钱) 人参(一钱半) 炙 (三钱无参倍之) 白术(二
钱半米泔净蒸) 尤圆(七枚去壳) 甘草(一钱炙) 白芍(二钱) 丹皮(钱半) 山栀(钱半炒黑)
煨姜(一钱) 大枣(三枚)
按∶上方主治思虑伤心脾,郁怒伤肝,以致三经血少而燥。渐至心口有块如拳,或左肋下有块如手掌,
或右肋下有块如镰刀,且时作痛,及健忘怔忡、惊悸不寐等症。内经所谓“二阳之病发心脾”。在男子则隐曲
不利,在女子则月事不来,其传为风消,其传为息贲者不治,正此症也。
凡舌见黄色而滑润,属胃气虚弱者,七味白术散加半夏主之。
防风(四两) 藿香(七钱) 山栀(炒黑一两) 石膏(五钱) 甘草(二两) 微炒
研为细末,用甜酒调服。
按语:上方主治脾胃伏火(潜伏于脾胃之火),口燥唇干,口疮口臭,烦渴易饥,热在肌肉者。
凡舌见黄色而浮胖娇嫩者,是脾胃两经精气虚也,宜用益黄散主之。
陈皮(一两) 青皮(五钱) 诃子(五钱泡去皮) 丁香(二钱) 白术(二两) 甘
草(炙五钱)
按语:上方主治脾胃虚寒,寒水反来侮土(肾水反克脾土),而呕吐不食。或肚腹作痛,或大便不实,手足逆冷等症。炒磨
为末,每服四钱,水煎服。
凡舌见黄色而干燥,属胃腑阴亏火旺者,宜用左归饮去茯苓加花粉、归、地主之。
熟地(八钱) 枸杞(六钱) 山药(四钱) 萸肉(四钱) 甘草(二
钱) 当归(三钱) 生地(三钱) 花粉(一钱火不甚者去之)
按语:上方主治肾水干枯,虚火上蒸,脾胃阴土受亏,以致饮食不进,大便燥结,甚至三阳癃闭(小便不通),将成
噎隔(吞咽困难),及早服此,无不愈也。伤寒舌黑唇焦,大渴引饮,此必服发散寒凉、攻伐之药过多也。原方加归、芍救
之,燥症更妙。
凡舌见黄色而干燥,属脾脏血虚,火盛者,宜用归脾汤去木香,加白芍、丹皮、山栀主之。
枣仁(一钱炒研) 茯神(一钱去木) 远志(一钱去心) 归身
(一钱) 人参(一钱半) 炙 (三钱无参倍之) 白术(二
钱半米泔净蒸) 尤圆(七枚去壳) 甘草(一钱炙) 白芍(二钱) 丹皮(钱半) 山栀(钱半炒黑)
煨姜(一钱) 大枣(三枚)
按语:上方主治思虑伤心脾,郁怒伤肝,以致三经血少而燥。渐至心口有块如拳,或左肋下有块如手掌,
或右肋下有块如镰刀,且时作痛,及健忘怔忡、惊悸不寐等症。内经所谓“二阳之病发心脾”。在男子则隐曲
不利,在女子则月事不来,其传为风消,其传为息贲者不治,正此症也。
凡舌见黄色而滑润,属胃气虚弱者,宜用七味白术散加半夏主之。
Fangfeng (Saposhnikoviae Radix, four liang), Huoxiang (Agastaches Herba, seven qian), Shanzhi (Gardeniae Fructus, stir-fried until blackened, one liang), Shigao (Gypsum Fibrosum, five qian), Gancao (Licorice Root, two liang), slightly stir-fried.
Grind into fine powder and take with sweet wine.
Note: The above prescription mainly treats latent fire in the Spleen and Stomach (latent fire in the spleen and stomach), dryness of the mouth and lips, oral ulcers and bad breath, irritability, thirst, and easy hunger, with heat located in the muscle layer.
Whenever the tongue presents a yellow color that is floating, swollen, delicate, and tender, it indicates deficiency of essence and qi in both the Spleen and Stomach meridians; Yihuang San (Benefit Yellow Powder) should be used as the primary treatment.
Chenpi (Citri Reticulatae Pericarpium, one liang), Qingpi (Citri Reticulatae Pericarpium Viride, five qian), Hezi (Terminalia Chebulae Fructus, soaked and skin removed, five qian), Dingxiang (Caryophylli Flos, two qian), Baizhu (Atractylodis Macrocephalae Rhizoma, two liang), Gancao (Licorice Root, honey-fried, five qian).
Note: The above prescription mainly treats deficiency-cold of the Spleen and Stomach, where cold water counteracts and insults Earth (kidney water overacting on spleen earth), resulting in vomiting and inability to eat. It also treats abdominal pain, loose stools, cold limbs, and other symptoms. Stir-fry and grind into powder; take four qian each time, decocted in water.
Whenever the tongue presents a yellow color that is dry, it belongs to yin deficiency and hyperactive fire in the Stomach organ; Zuogui Yin (Left Restoring Decoction) without Fuling (Poria) plus Huafen (Trichosanthis Radix), Danggui (Angelicae Sinensis Radix), and Dizu (Rehmanniae Radix Praeparata) should be used as the primary treatment.
Shudi (Rehmanniae Radix Praeparata, eight qian), Gouqi (Lycii Fructus, six qian), Shanyao (Dioscoreae Rhizoma, four qian), Yurou (Corni Fructus, four qian), Gancao (Licorice Root, two qian), Danggui (Angelicae Sinensis Radix, three qian), Shengdi (Rehmanniae Radix, three qian), Huafen (Trichosanthis Radix, one qian; remove if fire is not severe).
Note: The above prescription mainly treats dried-up kidney water, steaming upward deficient fire, and deficiency of the yin-earth of the Spleen and Stomach, leading to loss of appetite, dry constipation, and even san-yang longbi (obstruction of urination involving the three yang meridians), approaching the stage of yige (dysphagia/chest obstruction); taking this early ensures recovery. In typhoid fever, a black tongue with scorched lips and intense thirst craving drink indicates excessive use of diaphoretic, cooling, or purgative medicines. Adding Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix Alba) to the original formula saves the condition; it is even more effective for dryness syndromes.
Whenever the tongue presents a yellow color that is dry, it belongs to blood deficiency and excess fire in the Spleen organ; Guipi Tang (Restore the Spleen Decoction) without Muxiang (Aucklandiae Radix), plus Baishao (Paeoniae Radix Alba), Danpi (Moutan Cortex), and Shanzhi (Gardeniae Fructus) should be used as the primary treatment.
Zaoren (Ziziphi Spinosae Semen, stir-fried and crushed, one qian), Fushen (Poria with Hostwood, one qian, wood removed), Yuanzhi (Polygalae Radix, one qian, heart removed), Guishen (Angelicae Sinensis Radix, one qian), Renshen (Ginseng Radix et Rhizoma, one and a half qian), Zhi [Gancao] (Licorice Root, honey-fried, three qian; double if no Renshen), Baizhu (Atractylodis Macrocephalae Rhizoma, two and a half qian, steamed clean with rice wash water), Youyuan [Wuyueyuan] (Os Draconis, seven pieces, shell removed), Gancao (Licorice Root, honey-fried, one qian), Baishao (Paeoniae Radix Alba, two qian), Danpi (Moutan Cortex, one and a half qian), Shanzhi (Gardeniae Fructus, stir-fried until blackened, one and a half qian), Weijiang (Zingiberis Rhizoma Recens, roasted, one qian), Dazao (Jujubae Fructus, three pieces).
Note: The above prescription mainly treats worry injuring the Heart and Spleen, and depression/anger injuring the Liver, leading to blood deficiency and dryness in these three meridians. Gradually, a mass like a fist may form at the epigastrium, or a mass like a palm under the left hypochondrium, or a sickle-shaped mass under the right hypochondrium, accompanied by intermittent pain, forgetfulness, palpitations, fright, insomnia, and other symptoms. As stated in the Neijing: "Diseases of the Two Yang originate from the Heart and Spleen." In men, this manifests as difficulty in sexual function; in women, amenorrhea. If it transmits to become fengxiao (wind emaciation) or xiben (breathful accumulation), it is incurable; this precisely describes such a syndrome.
Whenever the tongue presents a yellow color that is slippery and moist, it belongs to deficiency of Stomach qi; Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) plus Banxia (Pinelliae Rhizoma) should be used as the primary treatment.