治胃经湿热, 齿龈肿痛, 或牵引头脑, 或面发热.
升麻 甘草 生地黄 川黄连 牡丹皮 当归 水煎服.
【集注】罗谦甫曰: 阳明胃多气多血, 又两阳合明为热盛, 是以邪入
而为病常实. 若大渴, 舌胎, 烦躁, 此伤气分, 热聚胃腑, 燥其津液
,白虎汤主之. 若醇饮肥厚炙?? 过用, 以致湿热壅于胃腑, 逆于经
络,而为是病, 此伤血分, 治宜清胃. 方中以生地益阴凉血为君, 佐
之以丹皮, 去蒸而疏其滞. 以黄连清热燥湿为臣, 佐之以当归, 入血
而循其经. 仍用升麻之辛凉, 为本经捷使引诸药直达血所, 则咽喉不
清, 齿龈肿痛等证, 廓然俱清矣.
治心热, 口糜舌疮, 小便黄赤, 茎中作痛, 热淋不利.
生地 木通 甘草梢, 右三味, 水煎服.
【注】赤色属心. 导赤者, 导心经之热从小肠而出, 以心与小肠为表
里也. 然所见口糜舌疮, 小便黄赤, 茎中作痛, 热淋不利等证, 皆心
热移于小肠之证. 故不用黄连直泻其心. 而用生地滋肾凉心. 木通通
利小肠. 佐以甘草梢, 取易泻最下之热, 茎中之痛可除, 心经之热可
导也. 此则水虚火不实者宜之, 以利水而不伤阴, 泻火而不伐胃也.
若心经实热, 须加黄连, 竹叶, 甚者更加大黄, 亦釜底抽薪之法也.
治疗胃经湿热证,表现为齿龈肿痛,或疼痛牵引至头脑,或面部发热。
方药组成:升麻、甘草、生地黄、川黄连、牡丹皮、当归。用水煎煮后服用。
【集注】罗谦甫说:阳明胃经是多气多血的经络,又因两阳合明(指阳明为两阳相合之经)导致热势亢盛,所以邪气侵入后形成的病证常表现为实证。如果患者出现大渴、舌苔厚腻、烦躁不安,这是热邪损伤了气分,热邪聚集在胃腑,燥灼津液,应使用白虎汤主治。如果是由于过度饮用烈酒、食用肥甘厚味及炙烤食物,导致湿热壅滞于胃腑,逆乱于经络,从而引发上述病症,这是热邪损伤了血分,治疗应当清泻胃热。本方中以生地黄益阴凉血作为君药,佐以牡丹皮,去除虚热并疏通郁滞;以黄连清热燥湿作为臣药,佐以当归,入血分并引导药力循行于经脉;仍用升麻的辛凉之性,作为本经的向导,引领诸药直达血分所在之处,那么咽喉不清利、齿龈肿痛等症状,就能彻底清除干净。
治疗心经有热,表现为口腔糜烂、舌部生疮,小便黄赤,尿道刺痛,热淋且排尿不畅。
方药组成:生地黄、木通、甘草梢。以上三味药,用水煎煮后服用。
【注】红色归属于心。所谓“导赤”,即引导心经的热邪从小肠排出,因为心与小肠互为表里。然而,所见的口腔糜烂、舌部生疮、小便黄赤、尿道刺痛、热淋不利等症状,都是心热移注于小肠的表现。因此,不使用黄连直接泻心火,而是使用生地黄滋肾水而凉心火,木通通利小肠,佐以甘草梢,取其能泻除最下部热邪的特性,使尿道疼痛得以消除,心经热邪得以疏导。此方适用于肾水不足而心火不旺的情况,因为它利水而不伤阴液,泻火而不损伤胃气。如果是心经实热证,必须加入黄连、竹叶,严重者再加用大黄,这也是釜底抽薪的治疗方法。
Treats damp-heat in the Stomach Meridian (Stomach Channel), presenting with swelling and pain of the gums, or pain radiating to the head, or heat sensation on the face.
Ingredients: Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae), Shengdihuang (Radix Rehmanniae Preparata), Chuanhuanglian (Rhizoma Coptidis), Mudanpi (Cortex Moutan), Danggui (Radix Angelicae Sinensis). Decoct in water and take orally.
[Collected Annotations] Luo Qianfu stated: The Yangming Stomach is a meridian abundant in both Qi and Blood. Furthermore, as Yangming represents the convergence of two Yang meridians, it is prone to excessive heat. Therefore, when pathogenic factors invade, the resulting diseases often manifest as excess syndromes. If there is severe thirst, coated tongue, and irritability, this indicates injury to the Qi level, with heat accumulating in the Stomach Fu organ and drying up body fluids; Baihu Tang (White Tiger Decoction) should be used. If excessive consumption of strong alcohol, rich fatty foods, and roasted/grilled items leads to damp-heat stagnation in the Stomach Fu organ, reversing into the collaterals and causing these ailments, this indicates injury to the Blood level. The treatment should focus on clearing the Stomach heat. In this formula, Shengdihuang (Prepared Rehmannia Root) serves as the Sovereign herb to nourish Yin and cool the Blood. It is assisted by Mudanpi (Moutan Bark) to dissipate steaming bone disorder heat and resolve stagnation. Chuanhuanglian (Coptis Rhizome) acts as the Minister herb to clear heat and dry dampness, assisted by Danggui (Angelica Sinensis Root) to enter the Blood level and guide the medicinal action along the meridians. Shengma (Cimicifuga Rhizome) is still employed for its acrid and cool nature, acting as a guiding agent for this meridian to lead all herbs directly to the site of the Blood. Consequently, symptoms such as throat discomfort, gum swelling, and pain will be thoroughly cleared.
Treats Heart Heat, presenting with oral ulcers (aphthous stomatitis), lingual sores, yellow and red urine, painful urination (dysuria), and difficult, hot strangury (heat-lin).
Ingredients: Shengdihuang (Radix Rehmanniae Preparata), Mutong (Caulis Akebiae), Gancaoshao (Radix Glycyrrhizae with tip). The above three ingredients are decocted in water and taken orally.
[Annotation] The color red corresponds to the Heart. "Daochi" (Guiding Redness) refers to guiding the heat from the Heart Meridian out through the Small Intestine, because the Heart and Small Intestine are exterior-interiorly related. However, the observed symptoms of oral ulcers, lingual sores, yellow-red urine, painful urination, and difficult hot strangury are all manifestations of Heart heat transferring to the Small Intestine. Therefore, Huanglian (Coptis Rhizome) is not used to directly drain Heart fire. Instead, Shengdihuang (Prepared Rehmannia Root) is used to nourish Kidney Water and cool Heart Fire, Mutong (Akebia Caulis) promotes urination and unblocks the Small Intestine, and Gancaoshao (Glycyrrhiza Tip) is added as an assistant, taking advantage of its ability to drain heat from the lowest part of the body, thereby relieving urethral pain and guiding away Heart Meridian heat. This formula is suitable for cases where Kidney Water is deficient and Heart Fire is not excessive, as it promotes diuresis without damaging Yin fluids, and drains fire without impairing Stomach Qi. If there is excess heat in the Heart Meridian, Huanglian (Coptis Rhizome) and Zhuye (Leaf of Bambusa) must be added; in severe cases, Dahuang (Rhubarb Radix) may also be added. This is also known as the method of "removing firewood from under the cauldron" (addressing the root cause).