〔口糜龈烂出血提纲〕 心兼肺胃火频生,热盛伤津病象呈,龈烂口糜仍出血,酿成此证总非轻。
甘露饮
二地二冬味并嘉,枳甘石斛合枇杷,滋阴降火功偏大,仙露名方世共夸。
〔食亦提纲〕 大肠邪热入阳明,饭纵多餐瘦态呈,胃火或将移胆腑,统名食亦辨宜清。
甘露饮(方见前)
〔三消提纲〕 上热伤津口渴饶,腹常饥饿属中焦,再兼饮少溲多病,此证分明是下消。
八味丸
(证附) 燥热曾伤肝肺经,肾脾二脏湿寒停,治宜泽地兼丹药,附子山萸并桂苓。
六味地黄加味汤
(证附) 山萸山药共丹皮,泽泻茯苓肉桂施,再用地黄兼五味,下寒上热病全医。
五苓证
(方见伤寒) 渴思饮水觉心烦,小便不通是病源。散用五苓原有效,温经去湿妙难言。
猪苓证
(方见伤寒) 上渴下淋湿在中,更兼木郁燥生风,猪苓汤用原能治,去热除邪水道通。
桂附苓乌汤
(证附) 桂附龙乌泽泻良,茯苓牡蛎合干姜,水寒土湿全能治,小便频消用此方。
理中丸汤
(证附 方见霍乱) 胃无津液责归脾,水道不调肺病时,惟有理中丸可用,加蒌倍术作汤宜。
〔虚劳提纲〕 气血精神被损伤,四肢无力日颓唐,虚劳成病何由治,补助中宫是妙方。
小建中证
(方见伤寒) 里急腹疼悸衄生,四肢酸痛梦遗精,咽干口燥兼烦热,汤用建中效乃呈。
黄 建中汤
(证附) 桂姜枣芍并饴糖,甘草黄 辅佐良,里急更兼诸不足,身虚服此得安康。
桂枝龙骨牡蛎证
(方见伤寒) 腹中弦急不能安,目眩阴头更觉寒,亡血失精清谷下,虚芤迟脉要参观。
桂枝龙骨牡蛎证
(方见伤寒) 脉形芤动紧微呈,女子梦交男失精,病属虚劳何法治,安神补气患能平。
八味肾气证
(方见香港脚) 虚劳腰痛力难支,少腹旋惊拘急时,小便不通当速治,丸须八味用偏宜。
【口糜、牙龈溃烂出血的提纲】心火与肺胃之火频繁产生,热邪亢盛损伤津液,病症表现明显,牙龈溃烂、口腔糜烂且伴有出血,酿成这种证候总归不是轻症。
甘露饮
生地黄、熟地黄、天冬、麦冬味道都良好,枳壳、甘草、石斛配合枇杷叶,滋阴降火的功效特别大,“仙露”这个名方世人共同夸赞。
【食亦的提纲】大肠的邪热传入阳明经,即使饭量多餐次多却身体消瘦,胃火可能转移至胆腑,统称为“食亦”,辨证时应当清热。
甘露饮(方剂见前文)
【三消的提纲】上焦热盛损伤津液导致口渴严重,腹部经常饥饿属于中焦病变,再加上饮水少、小便多的症状,此证分明是下消。
八味丸
(证候附注)燥热曾经损伤肝肺二经,肾脾两脏有湿寒停滞,治疗宜用泽泻、地黄兼用丹药,包括附子、山茱萸和桂枝、茯苓。
六味地黄加味汤
(证候附注)山茱萸、山药共配丹皮,泽泻、茯苓加上肉桂施用,再用地黄兼配五味子,下寒上热的病证全都能治愈。
五苓散证
(方剂见《伤寒论》)口渴想喝水但感到心烦,小便不通畅是病源。使用五苓散原方有效,温通经络、去除湿邪的妙处难以言表。
猪苓汤证
(方剂见《伤寒论》)上部口渴下部淋沥湿气在中焦,更兼肝木郁结燥热生风,使用猪苓汤原本就能治疗,去除热邪除却病邪使水道通畅。
桂附苓乌汤
(证候附注)桂枝、附子、龙骨、乌梅、泽泻药效良好,茯苓、牡蛎合干姜,水寒土湿全能治疗,小便频数消渴用此方。
理中丸/汤
(证候附注 方剂见霍乱篇)胃中无津液责任归于脾脏,水道不调是肺脏病变的时候,只有理中丸可以使用,加入瓜蒌、加倍白术做成汤剂适宜。
【虚劳的提纲】气血精神受到损伤,四肢无力日渐颓废,虚劳形成疾病如何治疗,补助中宫(脾胃)是妙方。
小建中汤证
(方剂见《伤寒论》)腹部拘急疼痛、心悸、衄血发生,四肢酸痛、梦遗滑精,咽干口燥兼有烦热,服用建中汤疗效才显现。
黄芪建中汤
(证候附注)桂枝、生姜、大枣、芍药并饴糖,甘草、黄芪辅助佐使效果好,腹部拘急更兼诸般不足,身体虚弱服用此方能得安康。
桂枝龙骨牡蛎汤证
(方剂见《伤寒论》)腹中弦急不能安宁,目眩阴头更加觉冷,亡血失精、完谷不化下利,脉象虚芤迟需要参详观察。
桂枝龙骨牡蛎汤证
(方剂见《伤寒论》)脉象呈现芤、动、紧、微的特征,女子梦交男子失精,病属虚劳如何治疗,安神补气病患能平复。
八味肾气丸证
(方剂见脚气篇)虚劳腰痛力量难以支撑,少腹旋转惊悸拘急之时,小便不通应当迅速治疗,丸剂必须用八味丸比较适宜。
[Outline of Mouth Ulcers, Gingival Ulceration and Bleeding] Heart fire combined with frequent generation of Lung and Stomach fire; excessive heat damages body fluids, presenting obvious pathological signs. Gingival ulceration, mouth ulcers, and bleeding occur together; the formation of this syndrome is generally not mild.
Ganlu Yin (Sweet Dew Decoction)
Shengdi Huang (Rehmanniae Radix Preparata), Shudi Huang (Rehmanniae Radix Preparata), Tiantong (Asparagi Rhizoma), and Maidong (Ophiopogonis Radix) have good flavors; Zhike (Aurantii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shihu (Dendrobii Caulis), and Pipa Ye (Loquat Leaf) are combined. Its efficacy in nourishing yin and descending fire is particularly great; this famous prescription named "Xianlu" (Immortal Dew) is praised by the world.
[Outline of Shi Yi (Excessive Eating without Weight Gain)] Pathogenic heat from the Large Intestine enters the Yangming channel; despite frequent meals, emaciation presents. Stomach fire may transfer to the Gallbladder organ. Collectively termed "Shi Yi," differentiation should prioritize clearing heat.
Ganlu Yin (Prescription see above)
[Outline of San Xiao (Three Wasting-Thirst Syndromes)] Upper jiao heat damages body fluids causing severe thirst; frequent abdominal hunger belongs to the Middle jiao. Combined with scanty drinking and profuse urination, this syndrome is clearly Lower Xiao.
Bawei Wan (Eight-Ingredient Pill)
(Syndrome Annotation) Dry-heat previously damaged the Liver and Lung meridians; damp-cold stagnates in the Kidney and Spleen organs. Treatment should utilize Zexie (Alismatis Rhizoma) and Dihuang (Rehmanniae Radix) along with Dan Yao (Pill Medicine), including Fuzi (Aconiti Lateralis Radix Preparata), Shanzhuyu (Corni Fructus), Guizhi (Cinnamomi Ramulus), and Fuling (Poria).
Liujun Dihuang Jiawei Tang (Six-Ingredient Rehmannia Decoction with Added Ingredients)
(Syndrome Annotation) Shanzhuyu (Corni Fructus) and Shanyao (Dioscoreae Rhizoma) are shared with Danpi (Moutan Cortex); Zexie (Alismatis Rhizoma) and Fuling (Poria) are applied with Rougui (Cinnamomi Cortex). Further utilizing Dihuang (Rehmanniae Radix) combined with Wuweizi (Schisandrae Fructus), diseases characterized by lower cold and upper heat can be fully cured.
Wuling San Syndrome
(Prescription see Shanghan Lun) Thirst prompting desire to drink accompanied by mental restlessness; incomplete urination is the source of disease. Using the original Wuling San formula is effective; the subtlety of warming channels and removing dampness is hard to describe.
Zhuling Tang Syndrome
(Prescription see Shanghan Lun) Upper thirst, lower strangury, with dampness in the middle; further complicated by Liver wood stagnation generating dryness and wind. Utilizing Zhuling Tang originally can treat it, removing heat and eliminating pathogens to unblock water passages.
Guifu Lingwu Tang (Cinnamon, Aconite, Poria, and Black Tortoise Decoction)
(Syndrome Annotation) Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Preparata), Longgu (Fossilia Ossis Mastodi), Wumei (Mume Fructus), and Zexie (Alismatis Rhizoma) are beneficial; Fuling (Poria), Muli (Concha Ostreae), and Ganjiang (Zingiberis Rhizoma) are combined. Water-cold and Earth-dampness are all treated; for frequent urination and wasting-thirst, this prescription is used.
Lizhong Wan/Tang (Regulate the Middle Pill/Decoction)
(Syndrome Annotation Prescription see Huoluan Chapter) Lack of stomach fluids is attributed to the Spleen; dysregulation of water passages occurs when the Lung is diseased. Only Lizhong Wan can be used; adding Gualou (Trichosanthis Fructus) and doubling Baizhu (Atractylodis Macrocephalae Rhizoma) to make a decoction is suitable.
[Outline of Xu Lao (Deficiency Consumption)] Qi, blood, spirit, and essence are damaged; limbs lack strength and deteriorate daily. How to treat deficiency consumption? Tonifying the Central Palace (Spleen and Stomach) is the excellent method.
Xiao Jianzhong Tang Syndrome
(Prescription see Shanghan Lun) Internal urgency and abdominal pain, palpitations, and epistaxis occur; limb soreness, nocturnal emission, and spermatorrhea happen. Dry throat, parched mouth, and accompanying irritability and heat appear; taking Jianzhong Tang yields efficacy.
Huangqi Jianzhong Tang (Astragalus Regulate the Middle Decoction)
(Syndrome Annotation) Guizhi (Cinnamomi Ramulus), Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus), Shaoyao (Paeoniae Radix Alba), and Yitang (Meli Saccharum) are combined; Gancao (Glycyrrhizae Radix et Rhizoma) and Huangqi (Astragali Radix) assist effectively. Internal urgency combined with various deficiencies; the weak body takes this to attain health.
Guizhi Longgu Muli Tang Syndrome
(Prescription see Shanghan Lun) Abdominal tension and urgency preventing peace; dizziness and cold sensation at the penis head. Blood loss, spermatorrhea, and undigested stool diarrhea occur; xu-kou-chi pulse patterns must be observed.
Guizhi Longgu Muli Tang Syndrome
(Prescription see Shanghan Lun) Pulse forms present as kou, dong, jin, and wei characteristics; women experience dream intercourse, men suffer spermatorrhea. The disease belongs to deficiency consumption; how to treat it? Calming the spirit and tonifying qi allows the patient to recover.
Bawei Shenqi Wan Syndrome
(Prescription see Jiaoxi Chapter) Deficiency consumption causes lower back pain with inability to support strength; spasms, fright, and cramping occur in the lower abdomen during times of urgency. Incomplete urination requires rapid treatment; the pill must be Bawei Wan for optimal suitability.