〔秘结提纲〕 寻常大便矢如羊,湿在胃中燥在肠,阴气满胸非火旺,法宜滋润是良方。
阿胶麻仁汤
(证附) 当归生地共麻仁,白蜜阿胶配合匀,大便因虚成结燥,缓攻良法妙如神。
肉苁蓉汤
(证附) 病属阳衰土湿时,粪如羊矢用何医,茯苓甘草麻仁入,半夏苁蓉合桂枝。
麻仁证
(方见伤寒) 大便坚时燥结成,病因脾约辨分明,法宜丸用麻仁治,缓下能将秽气清。
〔淋癃提纲〕 三焦入络太阳宫,虚或淋漓实闭癃,病在膀胱宜善治,阴阳两化始成功。
五淋汤
(证附) 五淋初起用何医,归芍山栀要并施,甘草赤苓宜共入,原书加减更须知。
滋肾丸
(证附) 病逢阴不化阳时,癃闭沉 何药医,肉桂更兼知柏入,温凉并用效神奇。
白通汤
(方见伤寒) 阳气旋惊不化阴,病成癃闭势难禁,白通汤用原能治,达郁温
中妙义深。
济生肾气丸
丹苓膝地合车前,泽药山萸桂附全,癃闭阴阳俱不化,妙方服后病能痊。
补中益气汤
(证附) 利水未痊病不堪,法宜归术合陈甘,参 更与升柴入,服后还须用手探。
桂枝苓泽汤
(证附) 胶化阴兮桂化阳,二苓泽泻入膀胱,五淋癃闭全能治,古法遵行效异常。
【秘结提纲】
普通的大便干结,形状像羊粪蛋一样,这是因为湿气停留在胃中,而大肠干燥所致。胸中阴气壅满并非因为火气旺盛,治疗法则应当以滋润为主,这才是良方。
阿胶麻仁汤
(证候附注)
当归、生地黄与火麻仁同用,白蜜与阿胶配合均匀,大便因虚损而成结燥,采用缓攻的方法是妙法,效果神效。
肉苁蓉汤
(证候附注)
疾病属于阳气衰微、脾土湿盛之时,粪便像羊粪蛋,该用什么医生来治?茯苓、甘草、火麻仁加入,半夏、肉苁蓉合桂枝一起使用。
麻仁证
(方剂见《伤寒论》)
大便坚硬时,燥热结成,病因是脾约(脾的转输功能受限),辨别清楚,治疗法则适宜用丸药服用麻子仁丸来治疗,能缓和地通便,将秽浊之气清除。
〔淋癃提纲〕
三焦经络进入太阳经,病情有虚证表现为淋漓不尽,实证表现为闭塞不通,病位在膀胱,应当妥善治疗,只有阴阳两气都能化生,才能取得成功。
五淋汤
(证候附注)
五种淋证初起时用什么医生来治?当归、白芍、山栀要同时施用,甘草、赤茯苓适宜共同加入,原书中的加减用法更需要知晓。
滋肾丸
(证候附注)
疾病遇到阴气不能化生阳气时,癃闭症状严重,该用什么药医治?肉桂更兼知母、黄柏加入,温凉并用,效果神奇。
白通汤
(方剂见《伤寒论》)
阳气旋转却惊扰而不能化阴,疾病形成癃闭,势头难以禁止,白通汤原本就能治疗,通达郁滞、温中散寒的奥义深远。
济生肾气丸
丹皮、茯苓、牛膝、地黄合车前子,泽泻、山药、山茱萸、桂枝、附子齐全,癃闭病症阴阳都不能化生,服用这个妙方后疾病能痊愈。
补中益气汤
(证候附注)
利水治疗后未痊愈,病情不堪忍受,治疗法则适宜用当归、白术合陈皮、甘草,人参更与升麻、柴胡加入,服用后还需要用手探按腹部。
桂枝苓泽汤
(证候附注)
胶类药化阴,桂枝化阳,二苓(茯苓、猪苓)、泽泻进入膀胱,五种淋证和癃闭全能治疗,遵循古法施行,效果异常显著。
[Outline of Constipation]
Ordinary constipation presents with dry stools resembling sheep dung; this is caused by dampness remaining in the Stomach and dryness in the Intestines. Fullness of Yin Qi in the chest is not due to excessive Fire, so the treatment principle should be moistening, which is the good prescription.
Ejiao Mahuang Decoction (Note: Text says Ejiao Mahong Tang, likely referring to a variation or specific formulation context, but literally Ejiao Hemp Seed Decoction)
(Attached Syndrome Description)
Danggui (Angelicae Sinensis Radix), Shengdi Huang (Rehmanniae Radix), and Huomaren (Cannabis Fructus) are used together; Baimit (White Honey) and Ejiao (Colla Corii Asini) are mixed evenly. When constipation results from deficiency leading to dryness, gentle purgation is an excellent method with miraculous efficacy.
Roucongrong Tang (Cistanche Decoction)
(Attached Syndrome Description)
When the disease belongs to Yang decline and Spleen Earth dampness, and feces resemble sheep dung, what physician/treatment applies? Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), and Huomaren (Cannabis Fructus) are added; Banxia (Pinelliae Rhizoma), Roucongrong (Cistanches Herba), and Guizhi (Cinnamomi Ramulus) are combined.
Mahong Syndrome (Formula seen in Shanghan Lun)
When stools are hard and dry due to heat accumulation, the cause is identified as Pi Yue (Spleen Constraint). The treatment principle suits using pills made with Mahuang/Huomaren (Hemp Seed) to gently purge and clear turbid qi.
[Outline of Strangury and Dysuria]
The San Jiao (Triple Burner) collaterals enter the Taiyang Palace. Deficiency syndromes present as dribbling, while excess syndromes present as complete obstruction. The disease location is in the Bladder, requiring proper treatment; only when both Yin and Yang can transform successfully will there be achievement.
Wulin Tang (Five Stranguries Decoction)
(Attached Syndrome Description)
For the initial onset of the Five Stranguries, what treatment applies? Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), and Shanzhi (Gardeniae Fructus) must be applied together; Gancao (Glycyrrhizae Radix et Rhizoma) and Chiling (Polyporus/Poria variant, often implies Chifuling here) should be included together. One must also know the modifications from the original text.
Zishen Wan (Kidney Nourishing Pill)
(Attached Syndrome Description)
When the disease encounters a state where Yin cannot transform into Yang, causing severe dysuria/obstruction, what medicine applies? Rougui (Cinnamomi Cortex) is added along with Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex); combining warming and cooling agents yields magical effects.
Baitong Tang (White Connecting Decoction)
(Formula seen in Shanghan Lun)
Yang Qi rotates but is disturbed and fails to transform into Yin; the disease becomes strangury/obstruction, a situation difficult to control. Baitong Tang can originally treat this; its profound meaning lies in unblocking stagnation and warming the interior.
Jisheng Shenqi Wan (Shenqi Pill for Helping Life)
Danpi (Moutan Cortex), Fuling (Poria), Niuxi (Achyranthis Bidentatae Radix), and Dihuang (Rehmanniae Radix Preparata) combined with Cheqianzi (Plantaginis Semen); Zexie (Alismatis Rhizoma), Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Guizhi (Cinnamomi Ramulus), and Fuzi (Aconiti Lateralis Radix Preparata) are all present. When strangury/obstruction occurs because neither Yin nor Yang can transform, taking this wonderful formula leads to recovery.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
(Attached Syndrome Description)
If diuresis has not cured the disease and the condition is unbearable, the treatment principle suits combining Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Gancao (Glycyrrhizae Radix et Rhizoma). Renshen (Ginseng Radix) is further added with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix); after ingestion, one must still use the hand to palpate/explore the abdomen.
Guizhi Lingze Tang (Cinnamon Twig, Poria, and Alisma Decoction)
(Attached Syndrome Description)
Glue-like substances transform Yin, while Guizhi (Cinnamomi Ramulus) transforms Yang; Er Ling (Fuling and Zhuling) and Zexie (Alismatis Rhizoma) enter the Bladder. This treats all five types of strangury and dysuria; following ancient methods yields extraordinary efficacy.
[Outline of Jaundice]
Jaundice is divided into cold and heat, involving Yin and Yang. It may result from excessive alcohol and sexual activity, or be complicated by dietary injury. Dampness and stasis reside in the middle jiao and manifest externally, causing the entire body and face to turn yellow.