形瘦脉大,胸中多气者死,泻而加汗者死,身热不为汗衰、不为泄减者死,嗽而上喘下
泄者死,股肉脱甚者死,一边不得眠者多死,五旬以下阳痿者多死。痨疾久而嗽血、咽疼无
声,此为自下传上,若不嗽不疼,久而溺浊脱精,此为自上传下,皆死证也。
脉候详下《续论篇》。
地黄蒸丸
生地汁(六升) 天冬汁(三升) 生姜汁 白蜜 鹿髓黄牛酥 红枣肉(取膏,各三合) 枳壳 川
芎(各一分) 醇酒(半斤) 茯苓(一分半) 金钗石斛 炙黄 炙甘草(各一两)
上六味共为末,先将前三汁,与酒并煎减半,入蜜髓酥膏,同熬如稠糖,再下六味末,重
汤不住手搅匀,丸梧桐子大,空心酒送三十丸,日三服。
天王补心丹(方见《时方》)
治心痨,心血不足、神志不宁、健忘怔忡、大便不利、口舌生疮等症。
朱雀汤(《圣济》)
治心痨脉极。
雄雀(十枚,用肉) 人参 红枣肉 赤茯苓 紫石英小麦(各三钱) 赤小豆(三十枚) 炙甘草(一
钱) 丹参 远志 紫菀(各二钱五分)
水煎服。
柏叶沐头丸(《圣济》)
治脉极虚寒,鬓发堕落。
生柏叶(一两) 附子 猪骨(各五钱)
上二味共为末,入猪骨为丸,入沐汤洗头,令发不落。
伤中汤 李士材 主思虑伤脾,腹痛食不化。
白术 当归 茯苓 陈皮 甘草 芍药 香附 菖蒲 生姜(各等分) 红枣(二枚)
水煎服。
形体消瘦而脉象洪大,胸中气逆壅盛者,主死;腹泻而又见汗出者,主死;身体发热不因出汗而减退、不因泄泻而减轻者,主死;咳嗽且上气喘促、下利泄泻者,主死;大腿肌肉严重消脱者,主死;一侧肢体无法安卧睡眠者,多主死;五十岁以下出现阳痿者,多主死。
痨病日久,出现咳嗽咯血、咽喉疼痛且声音嘶哑失音的,这是病邪自下焦传至上焦;若不咳嗽不疼痛,日久出现小便浑浊、精气滑脱的,这是病邪自上传至下焦,这两种情况都属于死证。
脉象的详细论述请参见《续论篇》。
地黄蒸丸
配方:生地黄汁(六升)、天门冬汁(三升)、生姜汁、白蜂蜜、鹿脊髓、黄牛酥、红枣肉(制成膏状,以上各取三合)、枳壳、川芎(各一分)、优质酒(半斤)、茯苓(一分半)、金钗石斛、炙黄芪、炙甘草(各一两)。
制法与服法:将上述六味药材(指后六味固体药)共研为细末。先将前三味汁液(生地汁、天冬汁、生姜汁)与酒一起煎煮,减半后,加入蜂蜜、脊髓、牛酥和枣膏,共同熬炼至像稠糖一样浓稠,再放入那六味药末,隔水加热并不停地搅拌使其均匀,制成梧桐子大小的药丸。空腹时用酒送服三十丸,每日服用三次。
天王补心丹(方剂详见《时方》)
主治心劳,心血不足、神志不宁、健忘、心悸怔忡、大便不通、口舌生疮等症状。
朱雀汤(出自《圣济总录》)
主治心劳导致脉象极度异常。
配方:雄雀(十只,取肉)、人参、红枣肉、赤茯苓、紫石英、小麦(各三钱)、赤小豆(三十粒)、炙甘草(一钱)、丹参、远志、紫菀(各二钱五分)。
用法:水煎后服用。
柏叶沐头丸(出自《圣济总录》)
主治脉象极度虚弱寒冷,鬓角头发脱落。
配方:生柏叶(一两)、附子、猪骨(各五钱)。
制法与用法:将这两味药共研为细末,用猪骨粉作为粘合剂制成丸药。在洗头的水中加入此丸药清洗头部,使头发不再脱落。
伤中汤 李士材 创制
主治思虑过度损伤脾胃,腹痛且食物不消化。
配方:白术、当归、茯苓、陈皮、甘草、芍药、香附、石菖蒲、生姜(各等分)、红枣(两枚)。
用法:水煎后服用。
Emaciation with a large pulse and excessive Qi in the chest indicates death; diarrhea accompanied by sweating indicates death; body heat that does not subside after sweating nor decrease after purgation indicates death; coughing with upper asthma and lower diarrhea indicates death; severe emaciation of the thigh muscles indicates death; inability to sleep on one side suggests a high mortality rate; impotence in individuals under fifty years of age suggests a high mortality rate.
In consumptive disease (Lao Ji), if it persists for a long time leading to coughing with hemoptysis, throat pain, and loss of voice, this is transmission from below to above; if there is no cough or pain, but over time turbid urine and essence depletion occur, this is transmission from above to below. Both are fatal conditions.
For detailed pulse diagnosis, please refer to the "Continued Discussion Chapter".
Di Huang Zheng Wan (Rehmannia Steamed Pill)
Ingredients: Sheng Di Huang Zhi (Fresh Juice of Rehmanniae Radix, 6 sheng), Tian Dong Zhi (Fresh Juice of Asparagi Radix, 3 sheng), Sheng Jiang Zhi (Fresh Juice of Zingiberis Rhizoma Recens), Bai Mi (White Honey), Lu Sui (Deer Marrow), Huang Niu Su (Oleum Bovis), Hong Zao Rou Gao (Paste of Jujubae Fructus, each 3 he); Zhi Ke (Aurantii Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 1 fen); Chun Jiu (Mature Wine, 0.5 jin); Fu Ling (Poria, 1.5 fen); Jin Cha Shi Hu (Dendrobii Officinalis Caulis), Zhi Huang Qi (Prepared Astragali Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, each 1 liang).
Preparation and Administration: Grind the latter six solid ingredients into powder. First, boil the first three juices (Sheng Di Huang Zhi, Tian Dong Zhi, Sheng Jiang Zhi) with wine until reduced by half. Add Bai Mi, Lu Sui, Huang Niu Su, and Hong Zao Rou Gao, and continue boiling until thick like syrup. Then add the six powdered ingredients. Heat over water while stirring constantly until uniform. Form pills the size of Sophora seeds. Take 30 pills with wine on an empty stomach, three times daily.
Tian Wang Bu Xin Dan (Heavenly Emperor Heart-Nourishing Pill) (See Formula in "Shi Fang")
Indications: Heart Lao (Heart Consumptive Disease), insufficient Heart Blood, restless spirit, forgetfulness, palpitations, constipation, mouth and tongue ulcers.
Zhu Que Tang (Vermilion Bird Decoction) (From "Sheng Ji Zong Lu")
Indications: Heart Lao with extremely abnormal pulse.
Ingredients: Xiong Que Rou (Meat of Male Sparrow, 10 pieces), Ren Shen (Ginseng Radix), Hong Zao Rou (Jujubae Fructus Paste), Chi Fu Ling (Red Poria), Zi Shi Ying (Fluoritum), Xiao Mai (Tritici Levis Fructus), each 3 qian; Chi Xiao Dou (Adzuki Bean, 30 grains); Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian); Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Yuan Zhi (Polygalae Radix), Zi Wan (Asteris Radix), each 2.5 qian.
Administration: Decoct in water and take orally.
Bai Ye Mu Tou Wan (Cupressus Leaf Head-Washing Pill) (From "Sheng Ji Zong Lu")
Indications: Extremely deficient and cold pulse, falling hair at the temples.
Ingredients: Sheng Bai Ye (Cupressi Cacumen, 1 liang); Fu Zi (Aconiti Lateralis Radix Praeparata), Zhu Gu (Porcinis Os, each 5 qian).
Preparation and Administration: Grind the two ingredients into powder. Use Zhu Gu powder as a binder to form pills. Add to bath water for head washing to prevent hair loss.
Shang Zhong Tang (Middle-Injury Decoction) Created by Li Shicai
Indications: Spleen injury due to excessive thinking, abdominal pain, and indigestion.
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shao Yao (Paeoniae Radix), Xiang Fu (Cyperi Rhizoma), Chang Pu (Acori Tatarinowii Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), each equal parts; Hong Zao (Jujubae Fructus, 2 pieces).
Administration: Decoct in water and take orally.