白头翁(二两) 黄连 黄柏 秦皮(各三两)
上四味。以水七升。煮取二升。去滓。温服一升。不愈。再服一升。
按此方寒以胜热。苦以坚阴。用治热利下重欲饮水者。盖下重则热邪奔迫。欲饮水则津
液为热所伤矣。或通或涩。皆所不宜。但清其热而利自止。
竹叶(二把) 石膏(一斤) 半夏(半升洗) 人参(三两) 麦冬(一升去心) 甘草(二两
炙) 粳米(半升)
上七味。以水一斗。煮取六升。去滓。纳粳米。煮米熟汤成。去米。温服一升。日三服
。
伤寒解后。虚羸少气。气逆欲吐者。竹叶石膏汤主之。按此系肺胃之津液。因病热而
受伤。故
主此方。滋养肺胃。以复阴气而清余热。石膏竹叶之辛凉。得人参麦冬甘草粳米以相辅。便
为益胃生津之品。因气逆欲吐。微加半夏。以平逆气。此愈得调理之法。其灵警有如此者。
牡蛎(熬) 泽泻 蜀漆(洗尽腥) 栝蒌根 葶苈子(熬) 海藻(洗去盐) 商陆根(熬)
以上各等分
上七味。异捣下筛为散。更入臼中杵之。白饮和方寸匕。小便处。止后服。
大病瘥后。从腰以下有水气者。牡蛎泽泻散主之。按大病瘥后。津液已伤。而从腰以下
有水
气。是水蓄于阴分也。水蓄阴分。非咸不降。故以牡蛎泽泻海藻咸寒之性。入阴软坚。而加
蜀漆以通经隧。葶苈商陆以逐水邪。复以栝蒌根。于润下导滞之中。回护津液。为散服者。
亦以病后当从缓治也。
白头翁(二两) 黄连 黄柏 秦皮(各三两)
以上四味药。用水七升。煎煮至剩余二升。滤去药渣。温服一升。若未痊愈。再服用一升。
按:此方以寒性药物克制热邪,苦味药物坚固阴液。用于治疗热利下重且伴有口渴想喝水的症状。因为下重说明热邪急迫下行,想喝水说明津液已被热邪损伤。此时或通利或固涩都不适宜。只需清除热邪,痢疾自然停止。
竹叶(二把) 石膏(一斤) 半夏(半升,洗净) 人参(三两) 麦冬(一升,去心) 甘草(二两,炙烤) 粳米(半升)
以上七味药。用水一斗。煎煮至剩余六升。滤去药渣。加入粳米。继续煎煮至米粒熟透、汤药熬成。滤去米粒。温服一升。每日服用三次。
伤寒病愈后。身体虚弱消瘦、气短不足、气机上逆想要呕吐的。用竹叶石膏汤主治。按:此证属于肺胃的津液。因病中发热而受到损伤。所以以此方为主。滋养肺胃。以恢复阴气并清除余热。石膏和竹叶的辛凉之性。配合人参、麦冬、甘草、粳米来相互辅助。便成为益胃生津的药物。因为气机上逆想要呕吐。稍微加入半夏。以平降逆气。这是病愈后调理的方法。其灵验敏锐竟达到如此程度。
牡蛎(煅烧) 泽泻 蜀漆(洗净腥味) 栝蒌根 葶苈子(煅烧) 海藻(洗净盐分) 商陆根(煅烧)
以上各等量
以上七味药。分别捣碎过筛为散剂。再放入臼中杵捣均匀。用白饮(米汤)调和,每次取一方寸匕的量。从小便处排出药效。症状停止后停止服药。
大病初愈后。腰部以下有水气停留的。用牡蛎泽泻散主治。按:大病初愈后。津液已经受损。但腰部以下仍有水气。这是水湿蓄积在阴分。水湿蓄积在阴分。非咸味不能下降。所以用牡蛎、泽泻、海藻咸寒的性质。入阴分软化坚结。并加入蜀漆以疏通经络隧道。葶苈子和商陆以驱逐水邪。再加上栝蒌根。在润下导滞的过程中。保护津液。制成散剂服用。也是因为大病之后应当从缓治疗。
Baitouweng (Radix Pulsatillae, two liang) Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri), Qinpi (Cortex Fraxini) (each three liang).
The above four ingredients. Use seven sheng of water. Boil to obtain two sheng. Remove the dregs. Take one sheng warm. If not cured, take another one sheng.
Note: This formula uses cold properties to overcome heat and bitter properties to consolidate yin fluids. It is used to treat dysentery with a sensation of heaviness in the lower abdomen and thirst. The heaviness indicates that pathogenic heat is rushing downward; thirst indicates that body fluids have been damaged by heat. Neither purgatives nor astringents are suitable at this time. One should only clear the heat, and the dysentery will stop naturally.
Zhuye (Leaves of Bambusa, two handfuls) Shigao (Gypsum Fibrosum, one jin) Banxia (Rhizoma Pinelliae, half sheng, washed) Renshen (Radix Ginseng, three liang) Maidong (Radix Ophiopogonis, one sheng, heart removed) Gancao (Radix Glycyrrhizae, two liang, honey-fried) Jingsmi (Semen Oryzae Sativae, half sheng).
The above seven ingredients. Use one dou of water. Boil to obtain six sheng. Remove the dregs. Add Jingsmi. Cook until the rice is ripe and the decoction is ready. Remove the rice. Take one sheng warm. Three times daily.
After the resolution of Shanghan (Cold Damage Syndrome), if there is emaciation due to deficiency, shortness of breath, and rebellious qi causing a desire to vomit, Zhuyegashitang (Bamboo Leaf and Gypsum Decoction) is the primary treatment. Note: This condition involves the fluids of the Lung and Stomach, which have been damaged by pathological heat during the illness. Therefore, this formula is used to nourish the Lung and Stomach, restore yin fluids, and clear residual heat. The acrid-cool nature of Shigao and Zhuye, assisted by Renshen, Maidong, Gancao, and Jingsmi, becomes a preparation that benefits the stomach and generates fluids. Because of the rebellious qi and desire to vomit, a small amount of Banxia is added to calm the rebellious qi. This is a method of regulation after recovery. Its efficacy and precision are as remarkable as this.
Muli (Concha Ostreae, calcined) Zexie (Rhizoma Alismatis) Shuqi (Herba Dictamni, washed to remove fishy odor) Gualougen (Radix Trichosanthis) Tinglizi (Semen Lepidii et Descurainiae, calcined) Haizao (Thallus Laminariae seu Eckloniae, washed to remove salt) Shanglugen (Radix Phytolaccae, calcined).
The above ingredients in equal proportions.
The above seven ingredients. Crush each separately and sieve into powder. Then pound them together in a mortar. Mix with Baiyin (rice water) and take one fangcunbi per dose. The effect is expelled through urination. Stop taking the medicine when symptoms cease.
After the recovery from a major disease, if there is fluid accumulation below the waist, Muli Zexie San (Oyster Shell and Alisma Powder) is the primary treatment. Note: After recovery from a major disease, body fluids are already damaged. However, fluid accumulation exists below the waist, indicating that water-dampness is stored in the yin divisions. Water stored in the yin divisions cannot descend unless salty substances are used. Therefore, the salty-cold properties of Muli, Zexie, and Haizao are used to enter the yin divisions and soften hardness. Shuqi is added to unblock the meridians and collaterals. Tinglizi and Shanglu are used to expel water pathogens. Gualougen is added to protect body fluids while moistening the intestines and guiding stagnation downward. The use of powder form is also because post-illness conditions should be treated gradually.