治七情郁结,霍乱吐泻。
半夏(汤洗) 浓朴 白芍 茯苓(各二钱) 桂心 紫苏 橘红 人参(各一钱) 姜
枣水煎服。
附子(大者,一枚生用) 干姜(一两) 甘草(炙,二两) 冷汗面赤者,格阳于上
也。加葱九茎以通阳。
喻嘉言曰∶阳虚之人,虽有表症,其汗仍出,其手足必厥。才用表药,立至亡阳。不用
表药,外邪不散,故用前汤加葱为治。如腹痛者,真阴不足也,加芍药二两以敛阴;咽痛阴气上
结也,加结梗一两以利咽;利止脉不出,加人参二两以助阳补气血;呕吐加生姜二两以散逆气。以
上皆通脉四逆汤加减法也。
补胃健脾,和中进食。
白术十斤,取于潜出者,先煮粥汤待冷浸一宿,刮去皮,净,切片,用山黄土蒸之,晒干,
再以米粉蒸之,晒干。止用水百碗,桑柴火煎至三十碗,加白蜜二斤,熬成膏,每服一酒杯,淡姜汤点服。
太阴主生化之元,其性喜燥,其味喜甘,其气喜温,白术备此三者,故为中宫要药。配以白
蜜和其燥也,且甘味重则归脾速,陶氏颂云∶百邪外御,六腑内充,味重金
浆,芳逾玉液,岂无故而得此隆誉哉!
即五苓散平胃散合。
苍术(制,一钱五分) 浓朴(制) 陈皮 白术(炒) 泽泻 猪苓(各一钱)
茯苓(一钱二分) 甘草(五分) 肉桂(四分) 姜枣水煎服。
治疗七情郁结导致的霍乱吐泻。
半夏(经热水清洗)二钱,厚朴二钱,白芍二钱,茯苓二钱,桂心一钱,紫苏一钱,橘红一钱,人参一钱,生姜、大枣适量,加水煎煮后服用。
附子(大者一枚,生用)一两,干姜一两,炙甘草二两。若出现冷汗、面色红润的症状,这是阳气格拒于上部的表现。加入九根葱白以通阳。
喻嘉言说:阳虚体质的人,即使有表证,汗液仍然外泄,手足必然厥冷。此时若使用发汗解表的药物,会立即导致亡阳危候;若不使用解表药,外邪又无法散去,因此采用前述汤剂加入葱白进行治疗。如果伴有腹痛,是真阴不足的表现,加入二两白芍以收敛阴气;若咽痛,是阴气上结所致,加入一两桔梗以利咽喉;若吐泻停止但脉搏摸不到,加入二两人参以助阳并补益气血;若呕吐剧烈,加入二两生姜以散降逆气。以上这些都是通脉四逆汤的加减用法。
具有补益脾胃、调和中焦、促进进食的功效。
白术十斤,选取产于于潜地区的,先煮成粥汤,待冷却后浸泡一整夜,刮去外皮,洗净,切片,用山黄土蒸制,晒干,再用米粉蒸制,晒干。仅用水一百碗,以桑柴火煎煮至三十碗,加入白蜜二斤,熬制成膏状。每次服用一个酒杯的量,用淡姜汤送服。
太阴脾土主管生化之源,其本性喜燥,其口味喜甘,其气机喜温,白术具备这三种特性,因此是调理中宫(脾胃)的重要药物。配合白蜜以缓和其燥性,且甘味重则归脾迅速,陶华在《伤寒六书》中称赞道:“抵御外邪百端,充实内部六腑,味道厚重如金浆,芳香超过玉液,难道没有原因而获得如此崇高的赞誉吗!”
此方即五苓散与平胃散的合方。
苍术(炮制过)一钱五分,厚朴(炮制过),陈皮,白术(炒制),泽泻,猪苓(各一钱),茯苓一钱二分,甘草五分,肉桂四分,生姜、大枣适量,加水煎煮后服用。
Treats Huoluan (cholera-like syndrome with vomiting and diarrhea) caused by emotional stagnation.
Banxia (Pinelliae Rhizoma, washed with hot water) 2 qian, Houpo (Magnoliae Officinalis Cortex) 2 qian, Shaoyao (Paeoniae Radix Alba) 2 qian, Fuling (Poria) 2 qian, Guixin (Cinnamomi Ramulus/Cortex) 1 qian, Zisu (Perillae Folium) 1 qian, Juhong (Citri Reticulatae Pericarpium Rubrum) 1 qian, Renshen (Ginseng Radix et Rhizoma) 1 qian, Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus) as needed; decoct in water and take orally.
Fuzi (Aconiti Lateralis Radix Praeparata, one large piece, used raw) 1 liang, Ganjiang (Zingiberis Rhizoma) 1 liang, Zhigancao (Glycyrrhizae Radix et Rhizoma Preparatum) 2 liang. In cases of cold sweat and flushed face, this indicates Yang Qi being repelled to the upper body. Add nine stalks of Congbai (Allii Tuberosi Bulbus) to unblock Yang.
Yu Jiayan stated: In individuals with Yang deficiency, even if there are exterior symptoms, sweating persists, and the hands and feet must be cold. If exterior-releasing herbs are used immediately, it will lead to collapse of Yang; if not used, the external pathogen cannot be dispersed. Therefore, treat with the aforementioned decoction plus Congbai. If abdominal pain is present, it indicates insufficiency of True Yin; add 2 liang of Shaoyao to astringe Yin. If there is a sore throat, it is due to Yin Qi knotting upward; add 1 liang of Jiegeng (Platycodonis Radix) to benefit the throat. If vomiting and diarrhea cease but the pulse does not emerge, add 2 liang of Renshen to assist Yang and tonify Qi and Blood. If vomiting occurs, add 2 liang of Shengjiang to disperse rebellious Qi. All the above are modifications of Tongmai Sini Tang (Pulse-Reviving Four Reversals Decoction).
Tonifies the Stomach and strengthens the Spleen, harmonizes the Middle Jiao, and promotes appetite.
Baizhu (Atractylodis Macrocephalae Rhizoma) 10 jin, specifically those from Yuqian. First, boil into porridge soup, let cool, soak overnight, scrape off the skin, clean, slice, steam with mountain yellow earth, dry in the sun, then steam with rice flour, and dry in the sun again. Use only 100 bowls of water, boil over mulberry wood fire until reduced to 30 bowls. Add 2 jin of Baimit (White Honey), simmer into an extract/paste. Take one wine glass per dose, administered with light ginger soup.
The Taiyin Spleen governs the origin of transformation and production. Its nature prefers dryness, its taste preference is sweet, and its Qi favors warmth. Baizhu possesses these three qualities, making it a crucial herb for regulating the Central Palace (Spleen/Stomach). Paired with Baimit to moderate its dryness, and since heavy sweet flavor directs quickly to the Spleen, Tao Hua praised it saying: "It defends against hundred evils externally and fills the six Fu organs internally; its taste is heavy like golden nectar, its fragrance surpasses jade liquid. How could it receive such high praise without reason!"
This formula is a combination of Wuling San (Five-Ling Powder) and Pingwei San (Stomach-Pacifying Powder).
Cangzhu (Atractylodis Rhizoma, processed) 1.5 qian, Houpo (Magnoliae Officinalis Cortex, processed), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Zexie (Alismatis Rhizoma), Zhuling (Polyporus) each 1 qian, Fuling (Poria) 1.2 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Rougui (Cinnamomi Cortex) 0.4 qian, Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus) as needed; decoct in water and take orally.