一味大黄散
鹿茸酒
二方见上“三字经”注。
加味左归饮 治肾虚头痛如神,并治眩晕目痛。
熟地(七八钱) 山茱萸 怀山药 茯苓 枸杞(各三钱) 细辛 炙草(各一钱) 川芎(二钱) 肉
苁蓉(酒洗,切片三四钱)
水三杯,煎八分,温服。
正元丹(《秘旨》) 治命门火衰,不能生土,吐利厥冷。有时阴火上冲,则头面赤热,
眩晕恶心。浊气逆满,则胸胁刺痛,脐肚胀急。
人参(三两,用附子一两煮汁收入,去附子) 黄 (一两五钱,用川芎一两酒煮汁收入,去
川芎) 山药(一两,用干姜二钱煮汁收入,去干姜) 白术(三两,用陈皮五钱煮汁收入,去陈皮
)茯苓(二两,用肉桂六钱酒煮汁收入,晒干勿见火,去桂) 甘草(一两五钱,用乌药一两煮汁
收入,去乌药)
上六味,除茯苓,文武火缓缓焙干,勿炒伤药性,杵为散。每三钱,水一盏,姜三片,
红枣一枚,同煎数沸,入盐一捻,和滓调服。服后,饮热酒一杯,以助药力。
二陈汤
半夏(二钱) 陈皮(一钱) 茯苓(三钱) 炙草(八分)
加生姜三片,水二杯,煎八分服。加减法详“三字经“注。
小柴胡汤
方见《伤寒》。
吴茱萸汤
方见《隔食反胃》。
大黄甘草汤(《金匮》) 治食已即吐。
大黄(五钱) 甘草(一钱五分)
水二杯,煎八分服。
干姜黄连黄芩人参汤(仲景) 凡呕家夹热,不利于香砂橘半者,服此如神。
干姜 黄芩 黄连 人参(各一钱五分)
水一杯半,煎七分服。
进退黄连汤
黄连(姜汁炒) 干姜(炮) 人参(人乳拌蒸,一钱五分) 桂枝(一钱) 半夏(姜制,一钱五分) 大枣(二枚)
进法∶用本方七味俱不制,水三茶杯,煎一杯温服。退法∶不宜用桂枝,黄连减半,或
加肉桂五分。如上逐味制熟,煎服法同。但空腹服崔氏八味丸三钱,半饥服煎剂耳。
一味大黄散、鹿茸酒:这两个方剂的内容见上文《医学三字经》的注释。
加味左归饮:治疗肾虚引起的头痛效果神奇,同时也用于治疗眩晕和眼痛。
处方组成:熟地黄(七八钱)、山茱萸、怀山药、茯苓、枸杞子(各三钱)、细辛、炙甘草(各一钱)、川芎(二钱)、肉苁蓉(用酒清洗,切片,用量三四钱)。
煎服法:加水三杯,煎煮至剩余八分药液,温服。
正元丹(出自《秘旨》):治疗命门火衰(肾阳不足),不能温煦脾土,导致呕吐腹泻、四肢厥冷。有时阴火上冲,则出现头面部发红发热、眩晕恶心。若浊气上逆充满胸腹,则出现胸胁部刺痛、肚脐及腹部胀满急迫。
处方组成:人参(三两,用附子一两煮成的汁液浸泡收存,然后去掉附子)、黄芪(一两五钱,用川芎一两酒煮成的汁液浸泡收存,然后去掉川芎)、山药(一两,用干姜二钱煮成的汁液浸泡收存,然后去掉干姜)、白术(三两,用陈皮五钱煮成的汁液浸泡收存,然后去掉陈皮)、茯苓(二两,用肉桂六钱酒煮成的汁液浸泡收存,晒干时不要接触火源,然后去掉肉桂)、甘草(一两五钱,用乌药一两煮成的汁液浸泡收存,然后去掉乌药)。
制作与服用方法:以上六味药,除了茯苓以外,用文武火慢慢焙干,注意不要炒伤药性,然后捣碎成散剂。每次取三钱,加水一盏,生姜三片,红枣一枚,一起煎煮数沸,加入一小撮盐,连同药渣调和服用。服药后,喝一杯热酒,以助长药力。
二陈汤:
处方组成:半夏(二钱)、陈皮(一钱)、茯苓(三钱)、炙甘草(八分)。
煎服法:加生姜三片,水二杯,煎煮至剩余八分药液服用。加减用法详见《医学三字经》注释。
小柴胡汤:
方剂内容见《伤寒论》。
大黄甘草汤(出自《金匮要略》):治疗吃完东西就呕吐的症状。
处方组成:大黄(五钱)、甘草(一钱五分)。
煎服法:加水二杯,煎煮至剩余八分药液服用。
干姜黄连黄芩人参汤(张仲景方):凡是呕吐患者兼有热象,不适合使用香燥砂仁、橘皮、半夏等药物的,服用此方效果如神。
处方组成:干姜、黄芩、黄连、人参(各一钱五分)。
煎服法:加水一杯半,煎煮至剩余七分药液服用。
进退黄连汤:
处方组成:黄连(用姜汁炒)、干姜(炮制)、人参(用人乳拌蒸,一钱五分)、桂枝(一钱)、半夏(姜制,一钱五分)、大枣(两枚)。
进法(常规用法):使用本方七味药均不经过特殊炮制,加水三茶杯,煎煮至一杯,温服。
退法(调整用法):不宜使用桂枝,黄连用量减半,或者加入肉桂五分。如果像上面那样逐味炮制成熟药,煎服方法相同。但需空腹服用崔氏八味丸三钱,在半饥半饱时服用煎剂。
Yiwei Dahuang San (Single-Ingredient Rhubarb Powder) and Lurong Jiu (Deer Antler Wine): The contents of these two formulas are found in the notes above "San Zi Jing" (Three Character Classic).
Jiawei Zuogui Yin (Modified Left Restoring Decoction): Treats headache due to Kidney deficiency with miraculous effect, and also treats vertigo and eye pain.
Ingredients: Shudi (Prepared Rehmannia Root, 7-8 qian), Shanzhuyu (Cornus Fruit), Huaishanyao (Chinese Yam from Huai River region), Fuling (Poria), Gouqi (Goji Berry) (each 3 qian), Xixin (Asarum), Zhigancao (Honey-fried Licorice Root) (each 1 qian), Chuanxiong (Szechwan Lovage Rhizome, 2 qian), Roubingrong (Cistanche Stem, washed with wine, sliced, 3-4 qian).
Decoction method: Add three cups of water, decoct until one-eighth remains, take warm.
Zhengyuan Dan (Upraising Origin Pill) (from *Mizhi*): Treats Mingmen Fire Decline (deficiency of Kidney Yang) failing to warm Spleen Earth, resulting in vomiting, diarrhea, and cold limbs. Sometimes Yin Fire rushes upward, causing redness and heat in the head and face, vertigo, and nausea. If turbid Qi rebels and fills the chest and abdomen, it causes stabbing pain in the chest and hypochondrium, and distension and urgency around the umbilicus and abdomen.
Ingredients: Ren Shen (Ginseng Root, 3 liang, soaked in juice boiled from 1 liang of Fuzi [Aconite Root], then remove Fuzi); Huangqi (Astragalus Root, 1.5 liang, soaked in juice boiled in wine with 1 liang of Chuanxiong, then remove Chuanxiong); Shanyao (Chinese Yam, 1 liang, soaked in juice boiled with 2 qian of Ganjiang [Dried Ginger], then remove Ganjiang); Baizhu (Atractylodes Macrocephala Rhizome, 3 liang, soaked in juice boiled with 5 qian of Chenpi [Tangerine Peel], then remove Chenpi); Fuling (Poria, 2 liang, soaked in juice boiled in wine with 6 qian of Rougui [Cinnamon Bark], dried without exposure to fire, then remove Rougui); Gancao (Licorice Root, 1.5 liang, soaked in juice boiled with 1 liang of Wuyao [Lindera Root], then remove Wuyao).
Preparation and administration: For the above six herbs, except for Fuling, slowly dry them over mild and strong heat, avoiding frying that damages medicinal properties, then pound into a powder. Take 3 qian per dose, add one cup of water, three slices of fresh ginger, and one red date, decoct until boiling several times, add a pinch of salt, and take mixed with the dregs. After taking, drink one cup of hot wine to assist the medicinal power.
Erchen Tang (Two-Aged Decoction):
Ingredients: Banxia (Pinellia Tuber, 2 qian), Chenpi (Tangerine Peel, 1 qian), Fuling (Poria, 3 qian), Zhigancao (Honey-fried Licorice Root, 8 fen).
Decoction method: Add three slices of fresh ginger, two cups of water, decoct until one-eighth remains, and take. For modifications, see the notes in "San Zi Jing".
Xiao Chaihu Tang (Minor Bupleurum Decoction):
See formula in *Shanghan Lun* (Treatise on Cold Damage).
Wuzhuyu Tang (Evodia Decoction):
See formula in the chapter on "Food Obstruction and Regurgitation".
Dahuang Gancao Tang (Rhubarb and Licorice Decoction) (from *Jingui Yaolue*): Treats vomiting immediately after eating.
Ingredients: Dahuang (Rhubarb Root, 5 qian), Gancao (Licorice Root, 1.5 qian).
Decoction method: Add two cups of water, decoct until one-eighth remains, and take.
Ganjiang Huanglian Huangqin Renshen Tang (Dried Ginger, Coptis, Scutellaria, and Ginseng Decoction) (by Zhang Zhongjing): For patients who vomit and have accompanying heat, where aromatic, acrid, and drying herbs like Sharen (Amomum Fruit), Ju Pi (Tangerine Peel), and Banxia (Pinellia) are unsuitable, this formula works miraculously.
Ingredients: Ganjiang (Dried Ginger), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Renshen (Ginseng Root) (each 1.5 qian).
Decoction method: Add one and a half cups of water, decoct until seven-tenths remain, and take.
Jintui Huanglian Tang (Advancing and Retreating Coptis Decoction):
Ingredients: Huanglian (Coptis Rhizome, stir-fried with ginger juice), Ganjiang (Dried Ginger, processed), Renshen (Ginseng Root, steamed with human milk, 1.5 qian), Guizhi (Cinnamon Twig, 1 qian), Banxia (Pinellia Tuber, prepared with ginger, 1.5 qian), Dazao (Jujube, 2 pieces).
Advancing Method (Standard Use): Use all seven ingredients of this formula without special processing, add three tea-cups of water, decoct until one cup remains, and take warm.
Retreating Method (Adjusted Use): Do not use Guizhi; halve the amount of Huanglian, or add 0.5 qian of Rougui (Cinnamon Bark). If processed as described above, the decoction and administration method is the same. However, take 3 qian of Cui Shi Bawei Wan (Cui's Eight-Ingredient Pill) on an empty stomach, and take the decoction when half-hungry.