治腹满如石,或阴囊肿大,先用甘草嚼,后用此。
大戟 芜花 甘遂 海藻各等分为细末,用酽醋调面,和药摊于绵纸上,覆
贴肿处,仍以软绵裹住。
去一切水湿痰饮如神。
甘遂 芫花 大戟(各一两,俱醋炒) 大黄(二两) 黑牵牛(头末,四两) 青皮 陈
皮木香 槟榔(各五钱) 轻粉(一钱) 为细末,水丸,椒目大,空心服五丸,日三服。
痞闷者,多服反烦满,宜初服五丸,每服加五丸,快利为度。戴人每令病者先服百余
粒,继以浚川等药投之,五更当下,种种病出,轻者一二度,重者五六度,方愈。药虽
峻急,为效极神。弱者当根据河间渐次进,实者根据戴治之。
大黄(煨) 牵牛(取头末) 郁李仁(各一两) 木香(二钱) 芒硝(三钱) 甘遂(五分)
诸湿为土,火热能生湿土,故夏热则湿,秋凉则燥,尝考戴人治法,假令肝木乘
脾土,土不胜木,求救于子,已土能生庚金,味辛者为金,大加生姜使伐肝木然不开
脾土无由行也。先以舟车丸通其闭塞之路,泻其所不胜,后以姜汁调浚川散大下之,是
泻其所胜也。戴人每言导水丸,必用禹功散继之,丹车丸,必以浚川散继之。
治寒湿水疝,阴囊肿胀,大小便不利,囊如水晶,阴汗不绝,谓之水疝。盖得之醉
后而使内湿热乘肾虚而流入也。大小便不通,湿郁为热而胀秘也。
黑牵牛(四两) 茴香(一两,炒) 为末,每一钱,姜汁调下。或加木香一两。此
足少阴、太阳药也。牵牛辛烈能达右肾命门,走精隧行水泄湿,兼通大肠风秘气秘,
茴香辛热温散,能暖丹田,祛小肠冷气,同入下焦以泄阴邪也。
治疗腹部胀满坚硬如石头,或者阴囊肿大,先用甘草咀嚼含服,然后再用此方。
大戟、芜花、甘遂、海藻各等分研为细末,用浓醋调和面粉,将药物摊在绵纸上,敷贴在肿胀处,仍然用软绵包裹住。
甘遂、芫花、大戟(各一两,均用醋炒制)、大黄(二两)、黑牵牛(取头末,四两)、青皮、陈皮、木香、槟榔(各五钱)、轻粉(一钱),研为细末,用水泛丸,大小如花椒粒,空腹服用五丸,每日三次。痞闷不适的患者,多服反而会导致烦闷胀满,适宜初次服用五丸,每次增加五丸,以大便通畅泻下为度。戴人(张从正)通常让病人先服用百余粒,接着投用浚川散等药物,五更时分应当排便,各种病邪排出,轻症一至二次,重症五至六次,病才痊愈。药性虽然峻猛急切,但疗效极其神奇。体质虚弱者应当按照河间(刘完素)的方法逐渐递增剂量,体质壮实者按照戴人的方法治疗。
大黄(煨制)、牵牛(取头末)、郁李仁(各一两)、木香(二钱)、芒硝(三钱)、甘遂(五分)。
各种湿气源于土,火热能生湿土,所以夏天炎热则湿气重,秋天凉爽则干燥。曾经考察戴人的治法,假设肝木克制脾土,脾土不胜肝木,向子脏求救,己土(脾)能生庚金(肺),味辛的属于金,大量使用生姜来克制肝木,然而如果不打开脾土的通道,湿气也无法运行。先用舟车丸疏通闭塞的道路,泻除其所不胜(肝木),后用姜汁调服浚川散大力攻下,这是泻除其所胜(脾土之湿)。戴人常说,导水丸之后,必须用禹功散接续;丹溪丸(注:原文“丹车丸”疑为笔误或特定方名,此处依原文翻译,通常指代逐水方剂)之后,必须用浚川散接续。
治疗寒湿引起的水疝,阴囊肿胀,大小便不利,阴囊像水晶一样透明,阴汗不止,称为水疝。这大概是因为醉酒后行房事,湿热乘肾虚流入所致。大小便不通,湿气郁结化为热而导致胀满秘结。
黑牵牛(四两)、茴香(一两,炒制),研为细末,每次一钱,用姜汁调服。或者加入木香一两。这是足少阴肾经、足太阳膀胱经的药物。牵牛辛烈,能到达右肾命门,走精隧行水泄湿,兼通大肠的风秘和气秘;茴香辛热温散,能温暖丹田,祛除小肠冷气,共同进入下焦以排泄阴邪。
Treat abdominal fullness hard as stone, or scrotal swelling. First, chew licorice root (Gancao), then apply this prescription.
Euphorbiae Pekinensis Radix (Daji), Genkwa Flos (Wuhua), Kansui Radix (Gansui), and Sargassum (Haizao) in equal parts are ground into fine powder. Mix with thick vinegar and flour paste, spread the medicine on cotton paper, apply to the swollen area, and wrap with soft cotton.
(This formula) is miraculous in removing all water-dampness and phlegm-fluid retention.
Kansui Radix (Gansui), Genkwa Flos (Yuanhua), Euphorbiae Pekinensis Radix (Daji) [each 1 liang, stir-fried with vinegar], Rheum Palmatum Rhizome (Dahuang) [2 liang], Black Pholiota Seed (Qian Niu) [head end powder, 4 liang], Qingpi (Aurantii Fructus Immaturus), Chenpi (Aurantii Fructus Pericarpium), Aucklandiae Radix (Muxiang), Areca Seed (Binglang) [each 5 qian], Calomelas (Qingfen) [1 qian]. Grind into fine powder, make pills with water, size of Sichuan pepper seeds. Take 5 pills on an empty stomach, three times a day. For patients with chest stuffiness, taking too much may cause irritability and fullness; it is advisable to start with 5 pills initially, increasing by 5 pills per dose until loose stools occur. Dai Ren (Zhang Congzheng) usually instructed patients to first take over a hundred grains, followed by administering Xunchuan San (Junning Decoction) and other medicines. Bowel movements should occur at wu geng (3-5 AM), expelling various pathogens. Mild cases resolve after one or two evacuations, severe cases after five or six. Although the medication is harsh and urgent, its efficacy is extremely miraculous. For weak constitutions, follow Hejian's method of gradual dosage increase; for strong constitutions, follow Dai Ren's method.
Rheum Palmatum Rhizome (Dahuang) [roasted], Pholiota Seed (Qianniu) [head end powder], Prunus Armeniaca Seed (Yuliren) [each 1 liang], Aucklandiae Radix (Muxiang) [2 qian], Mirabilite (Mangxiao) [3 qian], Kansui Radix (Gansui) [5 fen].
Various dampnesses originate from Earth; fire and heat can generate damp Earth. Thus, summer heat brings dampness, while autumn coolness brings dryness. Examining Dai Ren's treatment methods: assuming Liver Wood overacts on Spleen Earth, and Spleen Earth cannot withstand Liver Wood, it seeks relief from its son organ. Ji Earth (Spleen) generates Geng Metal (Lung). Pungent flavors belong to Metal. Using large amounts of Ginger (Shengjiang) to suppress Liver Wood, yet without opening the Spleen Earth's pathway, dampness cannot circulate. First use Zhouche Wan (Boat Cart Pill) to unblock the obstructed pathways, purging what it does not overcome (Liver Wood); then use ginger juice to mix and administer Xunchuan San (Junning Decoction) for vigorous purging, which purges what it overcomes (Spleen Earth dampness). Dai Ren often stated that after Daoshui Wan (Water Guiding Pill), Yugong San must follow; after Danche Wan, Xunchuan San must follow.
Treat cold-dampness Shui Han (Water Hernia), characterized by scrotal swelling, difficulty in urination and defecation, scrotum transparent like crystal, and continuous sweating from the genitals, known as Shui Han (Water Hernia). This likely results from sexual intercourse after drunkenness, where damp-heat enters due to Kidney deficiency. Obstruction of urination and defecation causes dampness to stagnate, transform into heat, and lead to distension and constipation.
Black Pholiota Seed (Qian Niu) [4 liang], Fennel Fruit (Huixiang) [1 liang, stir-fried]. Grind into powder. Take 1 qian each time, mixed with ginger juice. Alternatively, add 1 liang of Aucklandiae Radix (Muxiang). This targets the Foot Shaoyin Kidney Meridian and Foot Taiyang Bladder Meridian. Qian Niu is pungent and acrid, reaching the Right Kidney Mingmen Gate, traversing the spermatic channel to move water, drain dampness, and simultaneously relieve wind-type and qi-type constipation in the Large Intestine. Huixiang is pungent and hot, warming and dispersing, capable of warming the Dantian and dispelling cold qi in the Small Intestine. Together they enter the Lower Jiao to expel Yin pathogens.