治房劳内伤寒邪中阴面青腹痛六脉沉微无头疼无大热者宜用若阳厥并
阳症似阴误服必致夭人慎之慎之
人参(去芦二钱半) 白术(土炒二钱) 甘草(炙一钱) 干姜(锉二钱) 附子(生二钱)
倍甘
草去参术名四逆汤加川乌鹿茸(各一钱半)名三建汤若在疑似只以炙法并热盐熨甚稳上用水
一钟半姜五片煎七分(温服)
亦头疼发热胸满呕吐俗呼夹食伤寒两寸脉弦紧右关脉洪大或沉濡者是此当
分治不可混一盖饮者水也伤无形之气食者物也伤有形之血
治大饮冷水伤脾过饮酒而伤气
生姜 猪苓 泽泻 白术 白茯苓 半夏 枳实(各一钱) 甘草(三分)
上用水一钟半煎七分温服取小汗此治伤饮之轻者若重而水蓄积为胀满者本方去甘草加大
戟(
长流水煮三次去皮晒干七分) 芫花(醋浸炒干) 甘遂(面包煨面去心各八分) 黑牵牛(研末
二钱) 槟榔(一钱)
上用水二钟煎一钟空心服利水尽即愈
治过食寒冷硬物及生瓜果致伤太阴厥阴或呕吐痞闷肠 或腹痛恶食此
治(伤之轻者)
陈皮(一钱) 白术(一钱五分) 半夏(一钱二分) 干姜(八分炒) 神曲(炒一钱) 三棱
(醋
炒) 莪术(醋炒) 白茯苓(去皮) 山楂(去核) 枳实(炒各一钱) 砂仁(七分炒) 麦芽(炒
八分)
上用姜三片煎热服不拘时
治疗因房事过度导致体内感受寒邪,症状表现为面色青、腹痛,六脉沉微细弱,无头痛、无高热者,适宜使用此方。若是阳厥证并伴有阳证似阴的表现,误服此方必然致人死亡,务必谨慎,千万小心。
人参(去芦头二钱半)、白术(土炒二钱)、甘草(炙一钱)、干姜(锉碎二钱)、附子(生用二钱)。
加倍甘草,去掉人参和白术,名为四逆汤;加入川乌、鹿茸(各一钱半),名为三建汤。如果在病情疑似难辨时,只采用艾灸疗法并用热盐熨烫,非常稳妥。以上药物用水一钟半,生姜五片,煎至七分,温服。
也有出现头痛、发热、胸满、呕吐的症状,俗称夹食伤寒。两手寸脉弦紧,右关脉洪大或沉濡,属于此类病症,应当分别治疗,不可混淆。因为饮酒是损伤无形之气,饮食不节是损伤有形之血。
治疗大量饮用冷水损伤脾胃,以及过量饮酒损伤气机。
生姜、猪苓、泽泻、白术、白茯苓、半夏、枳实(各一钱)、甘草(三分)。
以上药物用水一钟半,煎至七分,温服以取轻微汗出。这是治疗伤饮较轻的方法。如果病情严重,水液蓄积导致腹胀满,本方去掉甘草,加大戟(用长流水煮三次,去皮晒干,七分)、芫花(醋浸后炒干)、甘遂(面粉包裹煨熟,去心,各八分)、黑牵牛(研末,二钱)、槟榔(一钱)。
以上药物用水两钟,煎至一钟,空腹服用,利尽水邪即痊愈。
治疗过食寒冷坚硬食物及生冷瓜果,导致太阴、厥阴经受伤,出现呕吐、痞闷、肠鸣或腹痛、厌恶进食等症状。这是治疗(伤食较轻者)的方法。
陈皮(一钱)、白术(一钱五分)、半夏(一钱二分)、干姜(八分,炒)、神曲(炒一钱)、三棱(醋炒)、莪术(醋炒)、白茯苓(去皮)、山楂(去核)、枳实(炒,各一钱)、砂仁(七分,炒)、麦芽(炒八分)。
以上药物用生姜三片,煎热服用,不拘泥于固定时间。
To treat cold pathogenic factors invading the interior due to sexual exhaustion, manifesting as a bluish complexion, abdominal pain, deep and faint pulse in all six positions, without headache or high fever, this formula is appropriate. If it is Yang Jue (Cold Extremities due to Yang Deficiency) accompanied by Yang syndrome mimicking Yin syndrome, misusing this will inevitably lead to death; exercise extreme caution.
Ren Shen (Ginseng Radix et Rhizoma, de-gorged, 2.5 qian), Bai Zhu (Atractylodis Rhizoma, soil-fried, 2 qian), Gan Cao (Licorice Root, honey-fried, 1 qian), Gan Jiang (Zingiberis Rhizoma, chopped, 2 qian), Fu Zi (Aconiti Lateralis Radix Preparata, raw, 2 qian).
Double the amount of Gan Cao and remove Ren Shen and Bai Zhu; this is named Si Ni Tang (Four Reversal Decoction). Add Chuan Wu (Aconiti Carmerhanensis Radix) and Lu Rong (Cervi Cornu Pantotrichum, each 1.5 qian); this is named San Jian Tang (Three Establishments Decoction). In cases of diagnostic uncertainty, only moxibustion combined with hot salt compresses should be used, which is very safe. Take the above herbs with one and a half zhong of water and five slices of Sheng Jiang (Fresh Ginger), decoct to seven-tenths, and take warm.
There are also cases presenting with headache, fever, chest fullness, and vomiting, commonly referred to as "Jia Shi Shang Han" (Cold Damage with Food Stagnation). The pulses at both Cun (Inch) positions are wiry and tight, while the Right Guan (Bar) position is surging or deep and soft; these belong to this category and should be treated separately, not confused. Drinking alcohol damages formless Qi, whereas food injury damages formed Blood.
To treat excessive consumption of cold water damaging the Spleen and Stomach, or excessive alcohol consumption damaging Qi.
Sheng Jiang (Fresh Ginger), Zhu Ling (Polyporus), Ze Xie (Alisma Rhizome), Bai Zhu (Atractylodis Rhizoma), Bai Fu Ling (Poria with Wood), Ban Xia (Pinelliae Tuber), Zhi Shi (Aurantii Fructus Immaturus, each 1 qian), Gan Cao (Licorice Root, 0.3 qian).
Take the above herbs with one and a half zhong of water, decoct to seven-tenths, take warm to induce slight sweating. This treats mild cases of fluid retention injury. If the condition is severe, with water accumulation causing distension and fullness, remove Gan Cao from the base formula and add Da Ji (Euphorbiae Pekinensis Radix, boiled three times in flowing water, skin removed, dried, 0.7 qian), Yuan Hua (Genkwa Flos, vinegar-soaked and fried dry), Gan Sui (Kansui Radix, flour-wrapped and roasted, core removed, each 0.8 qian), Hei Qian Niu (Pharbitidis Semen, powdered, 2 qian), Bing Lang (Arecae Semen, 1 qian).
Take the above herbs with two zhong of water, decoct to one zhong, take on an empty stomach. Recovery occurs when the accumulated water is purged.
To treat injury to the Taiyin and Jueyin meridians caused by overeating cold, hard foods, or raw fruits and vegetables, manifesting as vomiting, epigastric fullness, borborygmus, abdominal pain, and anorexia. This treats mild cases of food stagnation.
Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Bai Zhu (Atractylodis Rhizoma, 1.5 qian), Ban Xia (Pinelliae Tuber, 1.2 qian), Gan Jiang (Zingiberis Rhizoma, fried, 0.8 qian), Shen Qu (Massa Medicata Fermentata, fried, 1 qian), San Leng (Sparganii Rhizoma, vinegar-fried), E Zhu (Curcumae Rhizoma, vinegar-fried), Bai Fu Ling (Poria with Wood, skin removed), Shan Zha (Crataegi Fructus, pitted), Zhi Shi (Aurantii Fructus Immaturus, fried, each 1 qian), Sha Ren (Amomi Fructus, fried, 0.7 qian), Mai Ya (Hordei Fructus Germinatus, fried, 0.8 qian).
Take the above herbs with three slices of Sheng Jiang (Fresh Ginger), decoct until hot, and take at any time.