紫菀散中知贝母,参梗茯苓阿胶许,甘草五味生姜煎,善治虚咳成肺痿。(见七卷)
人参平肺(散)桑皮君,知草地骨五味群,青陈半茯门冬芩,姜煎为丸要捣匀。
桑白皮一钱,知母七分,甘草、地骨皮、陈皮各五分,五味三十粒,茯苓、青皮、人参、天门冬各四分,
如热加黄芩四分,紫苏、半夏各五分,姜煎温服。或为末,姜汁糊丸,弹子大,食后噙化。治心火克肺,传为
肺痿,咳嗽喘呕,痰涎壅盛,胸膈痞满,咽嗌不利。如午后热、声飒,加杏仁、桔梗,有脓血将变痈,加紫菀。
神效栝蒌用一个,当归甘草五钱锉,乳没一钱酒水煎,乳胁肠痈功莫过。(见七卷)
大射干汤赤茯苓,赤芍白术及栀升,水煎入蜜地黄汁,胃痈甲错自然清。(见七卷)
大黄汤偏治肠痈,硝牡栝蒌桃仁同,虚去硝黄加酱薏,立止寒热与消脓(败酱薏苡仁)。(见七卷)
五痔散用猪鳖甲,蛇蜕 皮蜂房挟,每服二钱少入麝,不拘内外并冷热。
猪左悬蹄甲、鳖甲、 皮、露蜂房各五钱,蛇蜕一条,俱炒焦为末,每二钱入麝少许,井水调服。治五痔
不拘内外冷热,如牡痔倍鳖甲,牝痔倍 皮,肠痔倍猪甲,血痔倍蛇蜕,脉痔倍蜂房。
大防风汤熟地黄,白术参芎 附羌,牛膝杜仲归甘芍,痢后鹤膝空心尝。
熟地、白术、防风、当归、白芍、杜仲、黄 各四分,附子、川芎各三分,牛膝、羌活、甘草、人参各二
分。一方无羌活有茯苓,姜枣煎服。去风顺气,活血壮筋,治足三阴经亏损,外邪乘虚,患鹤膝风,或时骨节
肿痛,或肿而不痛,不问已溃未溃,用三五剂后,当用调补之药,或痢后脚痛缓弱,不能行履,名曰痢风。
或两膝肿痛,脚胫枯腊,亦名鹤膝风。
紫菀散由知母、贝母、人参、桔梗、茯苓、阿胶和甘草组成,加入五味子和生姜煎煮,善于治疗因虚劳咳嗽而形成的肺痿病。(见于第七卷)
人参平肺散以桑白皮为君药,配伍知母、甘草、地骨皮、五味子,再加入青皮、陈皮、半夏、茯苓、天门冬和黄芩,用生姜煎煮后制成丸剂,制作时需捣匀。具体用量为:桑白皮一钱,知母七分,甘草、地骨皮、陈皮各五分,五味子三十粒,茯苓、青皮、人参、天门冬各四分。如果热象明显,加黄芩四分;若有紫苏、半夏各五分,用生姜煎煮后温服。或者将药物研成粉末,用姜汁调糊做成如弹子大小的丸剂,饭后含化服用。此方主治心火克制肺金,传变为肺痿,出现咳嗽、气喘、呕吐,痰涎壅盛,胸膈痞闷胀满,咽喉不利等症状。如果出现午后发热、声音嘶哑,加杏仁、桔梗;如果痰中带脓血,即将转变为肺痈,加紫菀。
神效栝蒌汤只用一个栝蒌,配合当归、甘草五钱切碎,加入乳香、没药各一钱,用水和酒煎煮,治疗乳房、胁肋部及肠痈的功效无与伦比。(见于第七卷)
大射干汤含有赤茯苓、赤芍、白术以及栀子、升麻,水煎后加入蜂蜜和地黄汁,治疗胃痈引起的肌肤甲错(皮肤粗糙如鳞甲),自然能清热消退。(见于第七卷)
大黄汤主要治疗肠痈,与大黄、芒硝、牡蛎、栝蒌、桃仁同用。如果是虚证,去掉芒硝和大黄,加入败酱草和薏苡仁,可以立即停止寒热症状并消除脓液。(见第七卷)
五痔散使用猪悬蹄甲、鳖甲,配合蛇蜕皮和露蜂房,每次服用二钱,加入少许麝香,不拘泥于痔疮的内发外发或冷证热证。具体配方为:猪左悬蹄甲、鳖甲、蛇蜕皮、露蜂房各五钱,蛇蜕一条,全部炒焦后研成粉末,每次取二钱加入少许麝香,用井水调服。治疗各种痔疮,不分内外冷热。如果是牡痔,加倍使用鳖甲;牝痔加倍使用蛇蜕皮;肠痔加倍使用猪悬蹄甲;血痔加倍使用蛇蜕;脉痔加倍使用露蜂房。
大防风汤含有熟地黄、白术、人参、川芎、附子、羌活,以及牛膝、杜仲、当归、甘草、白芍,痢疾后出现鹤膝风时空心服用。具体用量为:熟地黄、白术、防风、当归、白芍、杜仲各四分,附子、川芎各三分,牛膝、羌活、甘草、人参各二分。另一版本没有羌活而有茯苓,用生姜、大枣煎服。此方具有祛风、顺气、活血、壮筋的作用,治疗足三阴经亏损,外邪乘虚而入导致的鹤膝风,或者时而骨节肿痛,或者肿而不痛,无论是否溃破,服用三五剂后,应当改用调补的药物。或者是痢疾后脚部疼痛、迟缓软弱,不能行走,称为痢风。或者是两膝肿痛,小腿肌肉枯瘦如腊,也称为鹤膝风。
The Ziwang San (Aster Decoction) contains Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix), Fuling (Poria), Ejiao (Colla Corii Asini), and Gancao (Glycyrrhizae Radix et Rhizoma), decocted with Wuweizi (Schisandrae Fructus) and Shengjiang (Zingiberis Rhizoma Recens). It is effective in treating fei wei (lung atrophy/withering) resulting from deficiency cough. (See Volume 7)
Renshen Pingfei San (Ginseng Lung-Pacifying Powder) uses Sangbaipi (Mori Cortex) as the sovereign herb, combined with Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Digupi (Lycii Cortex), Wuweizi (Schisandrae Fructus), Qingpi (Aurantii Fructus Immaturus), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Tianmendong (Asparagi Radix), and Huangqin (Scutellariae Radix). It is decocted with Shengjiang (Zingiberis Rhizoma Recens) and formed into pills, requiring thorough pounding during preparation. Specific dosages are: Sangbaipi 1 qian, Zhimu 0.7 qian, Gancao, Digupi, and Chenpi each 0.5 qian, Wuweizi 30 grains, Fuling, Qingpi, Renshen, and Tianmendong each 0.4 qian. If heat signs are prominent, add Huangqin 0.4 qian; if Ziisu (Perillae Folium) and Banxia are used, each 0.5 qian, decoct with Shengjiang and take warm. Alternatively, grind into powder, mix with Jiangzhi (Zingiberis汁) to form paste pills the size of a bullet, and dissolve slowly in the mouth after meals. This formula treats xin huo ke fei (heart fire suppressing lung metal), which transmits to become fei wei (lung atrophy/withering), presenting with cough, asthma, vomiting, copious phlegm-saliva, chest and diaphragm fullness and stuffiness, and difficulty in the throat. If there is afternoon fever or hoarseness, add Xingren (Armeniacae Semen Amarum) and Jiegeng (Platycodonis Radix); if pus and blood appear in sputum indicating impending fei yong (lung abscess), add Ziwan (Asterae Radix).
Shenxiao Gualou Tang (Miraculous Effective Trichosanthes Decoction) uses one Gualou (Trichosanthis Fructus), combined with Danggui (Angelicae Sinensis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) 5 qian chopped, plus Rushen (Olibanum) and Moyao (Myrrha) 1 qian, decocted with water and wine. Its efficacy in treating ru yong (breast abscess), xie yong (flank abscess), and chang yong (intestinal abscess) is unsurpassed. (See Volume 7)
Da Shegan Tang (Great Belamcanda Decoction) contains Chi Fuling (Poria with Red Hosta Root), Chi Shao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhizi (Gardeniae Fructus), and Shengma (Cimicifugae Rhizoma). After decocting with water, add honey and Dihuangzhi (Rehmanniae Juice). It naturally clears wei yong (stomach abscess) accompanied by jia cuo (skin roughness resembling fish scales). (See Volume 7)
Dahuang Tang (Rhubarb Decoction) is primarily indicated for chang yong (intestinal abscess), used together with Dahuang (Rhei Radix et Rhizoma), Xiaoshi (Natrii Sulfas), Muli (Concha Ostreae), Gualou (Trichosanthis Fructus), and Taoren (Persicae Semen). For deficiency patterns, remove Xiaoshi and Dahuang, and add Baijiangcao (Patriniae Herba) and Yiyiren (Coicis Semen), which can immediately stop chills and fever and resolve pus. (See Volume 7)
Wuzhi San (Five Hemorrhoids Powder) uses Zhu Xuanti Jia (Sus scrofa domesticus Unguis and Carpus) and Biejia (Trionycis Carapax), combined with Shetui (Bungarus multicinctus Skin) and Fengfang (Vespa Nidus). Each dose is 2 qian with a small amount of Shexiang (Moschus), applicable regardless of whether the hemorrhoids are internal or external, cold or hot. The specific prescription is: Zhu Xuanti Jia, Biejia, Shetui, and Fengfang each 5 qian, one strip of Shetui, all stir-fried until charred and ground into powder. Take 2 qian per dose with a little Shexiang, mixed well water. It treats five types of hemorrhoids regardless of internal/external location or cold/hot nature. For Mu zhi (bullous hemorrhoids), double the Biejia; for Pin zhi (female hemorrhoids), double the Shetui; for Chang zhi (intestinal hemorrhoids), double the Zhu Xuanti Jia; for Xue zhi (bleeding hemorrhoids), double the Shetui; for Mai zhi (vascular hemorrhoids), double the Fengfang.
Da Fangfeng Tang (Great Saposhnikovia Decoction) contains Shudihuang (Rehmanniae Radix Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Qianghuo (Notopterygii Rhizoma et Radix), Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Baishao (Paeoniae Radix Alba). It is taken on an empty stomach for He xi feng (crane knee wind/rheumatoid arthritis with knee swelling) following dysentery. Specific dosages are: Shudihuang, Baizhu, Fangfeng (Saposhnikoviae Radix), Danggui, Baishao, and Duzhong each 0.4 qian; Fuzi and Chuanxiong each 0.3 qian; Niuxi, Qianghuo, Gancao, and Renshen each 0.2 qian. Another version excludes Qianghuo but includes Fuling, decocted with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). This formula dispels wind, regulates qi, invigorates blood, and strengthens sinews. It treats he xi feng caused by deficiency of the three yin meridians of the foot, allowing external pathogens to invade due to weakness, presenting with intermittent joint swelling and pain, or swelling without pain, whether ulcerated or not. After taking three to five doses, tonic medications should be used. It also treats leg pain, sluggishness, and inability to walk following dysentery, known as Li feng (dysentery wind). Or when both knees swell and pain, and the calves waste away like cured meat, it is also called he xi feng.