疳疾伤脾因作泻，先清后补为妙诀，初宜清热和中汤，久泻参苓白术捷。
[注]
疳泻之证多缘积热伤脾，以致水榖不分，频频作泻，
法当清热渗湿，以清热和中汤主之，
若泻久不愈，当渐为调理，参苓白术散主之。
(清热和中汤) 白术土炒 陈皮 厚朴姜炒 赤苓 黄连 神麴炒
谷芽炒 史君子 生甘草 泽泻 引用灯心水煎服。
(方歌)
疳久泄泻名疳泻，清热和中功甚捷，白术陈厚赤苓连，柛榖史君草泽泻。
(参苓白术散) 方见脾疳。
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疳证门
疳疾肿胀面浮光，传化失宜脾肺伤，气逆喘欬胸膈满，御苑匀气服最良。
[注]
疳病肿胀之证，多因传化失宜，以致肺脾两伤，
现证气逆喘欬，胸膈痞闷，肚腹肿胀，面色浮光，
宜用御苑匀气散治之，其肿胀自消矣。
(御苑匀气散) 桑皮蜜炒 桔梗 赤苓 甘草生 藿香 陈皮 木通 引用姜皮灯心水煎服。
(方歌)
疳久脾虚肿胀生，御苑匀气有奇功，桑皮桔梗赤苓草，藿香陈皮合木通。
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疳证门
疳疾日久频下痢，多缘肠胃热凝滞，或赤或白腹窘急，香连导滞为妙剂。
[注]
疳痢之由，皆因热结肠胃所致，
故痢时或赤或白，腹中窘痛，
急用香连导滞汤治之，其痢自愈。
(香连导滞汤) 青皮炒 陈皮 厚朴姜炒 川黄连姜炒 生甘草 山查 神麴炒
木香煨 槟榔 大黄 引用灯心水煎服。
(方歌)
疳久下痢名疳痢，香连导滞功最良，青陈厚朴川连草，查麴木香槟大黄。
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疳证门
疳疾损伤脾胃导致腹泻，治疗原则是先清热后补益，这是精妙的诀窍。初期适宜使用清热和中汤，久泻则用参苓白术散见效快。
[注]
疳泻这一证候，多因积热损伤脾胃，致使水谷不能分别清浊，频繁发生腹泻。
治疗方法应当清热渗湿，以清热和中汤为主方。
如果腹泻日久不愈，应当逐渐进行调理，以参苓白术散为主方。
（清热和中汤）组成：土炒白术、陈皮、姜炒厚朴、赤茯苓、黄连、炒神曲、炒谷芽、使君子、生甘草、泽泻。煎服法：引用灯心草水煎服。
（方歌）
疳疾久延泄泻称为疳泻，清热和中功效非常快捷，
白术陈皮厚朴赤茯苓黄连，神曲谷芽使君子甘草泽泻。
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疳证门
疳疾引起肿胀且面部浮肿光亮，传化功能失常导致脾肺受损，气逆咳嗽胸膈胀满，服用御苑匀气散最为良效。
[注]
疳病出现肿胀的证候，多因传化功能失调，导致肺脾两脏受伤。
现症见气逆咳嗽，胸膈痞闷，肚腹肿胀，面色浮光。
适宜使用御苑匀气散治疗它，其肿胀自然消除。
（御苑匀气散）组成：蜜炒桑白皮、桔梗、赤茯苓、生甘草、藿香、陈皮、木通。煎服法：引用姜皮、灯心草水煎服。
（方歌）
疳疾日久脾虚产生肿胀，御苑匀气具有奇妙功效，
桑白皮桔梗赤茯苓甘草，藿香陈皮合木通。
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疳证门
疳疾日久频繁下痢，多因肠胃热邪凝结阻滞，大便或红或白腹部窘迫急痛，香连导滞汤是妙剂。
[注]
疳痢的原因，都是由于热结在肠胃所致。
所以痢疾发作时大便或红或白，腹部拘急疼痛。
紧急使用香连导滞汤治疗它，痢疾自然痊愈。
（香连导滞汤）组成：炒青皮、陈皮、姜炒厚朴、姜炒川黄连、生甘草、山楂、炒神曲、煨木香、槟榔、大黄。煎服法：引用灯心草水煎服。
（方歌）
疳疾久延下痢称为疳痢，香连导滞功效最为良好，
青皮陈皮厚朴川黄连甘草，山楂神曲木香槟榔大黄。
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疳证门
Gan disease damaging the Spleen and Stomach causes diarrhea; clearing heat first and tonifying later is the exquisite principle. Initially, Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction) is suitable, while Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) acts swiftly for chronic diarrhea.
[Note]
The syndrome of Gan diarrhea often arises from accumulated heat damaging the Spleen, resulting in the failure to separate clear from turbid fluids and grains, leading to frequent diarrhea.
The treatment method should be to clear heat and leach out dampness, primarily using Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction).
If the diarrhea persists for a long time without healing, gradual regulation is required, primarily using Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder).
(Clear Heat and Harmonize the Middle Decoction [Qingre Hezhong Tang]) Ingredients: Atractylodis Macrocephalae Rhizoma stir-fried with soil (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex stir-fried with ginger juice (Houpo), Poria (Chiling), Coptidis Rhizoma (Huanglian), Crataegi Fructus stir-fried (Shenqu), Oryzae Fructus Germinatus stir-fried (Guyaya), Quisqualis Fructus (Shijunzi), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Alismatis Rhizoma (Zexie). Preparation: Decoct with Junci Arillus (Dengxincao) water as a guide.
(Prescription Song)
Chronic diarrhea due to Gan is named Gan diarrhea,
Clearing heat and harmonizing the middle has very swift efficacy.
Atractylodis Macrocephalae Rhizoma, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Poria, Coptidis Rhizoma,
Crataegi Fructus, Oryzae Fructus Germinatus, Quisqualis Fructus, Glycyrrhizae Radix et Rhizoma, Alismatis Rhizoma.
(Ginseng, Poria, and Atractylodes Macrocephala Powder [Shenling Baizhu San]) See the chapter on "Spleen Gan."
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Gan Syndrome Section
Gan disease causing swelling with a puffy and lustrous face results from impaired transmission and transformation, injuring both the Lung and Spleen. Qi rebellion, wheezing, cough, and chest fullness occur; taking Yuanyuan Yunqi San (Imperial Garden Regulating Qi Powder) is most beneficial.
[Note]
The syndrome of swelling in Gan disease is mostly due to impaired transmission and transformation, causing injury to both the Lung and Spleen.
Current symptoms include Qi rebellion, wheezing, cough, chest oppression, abdominal distension and swelling, and a puffy, lustrous complexion.
It is appropriate to treat it with Yuanyuan Yunqi San (Imperial Garden Regulating Qi Powder), after which the swelling will naturally subside.
(Imperial Garden Regulating Qi Powder [Yuanyuan Yunqi San]) Ingredients: Mori Cortex stir-fried with honey (Sangpiao), Platycodonis Radix (Jiegeng), Poria (Chiling), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Pogostemonis Herba (Huoxiang), Citri Reticulatae Pericarpium (Chenpi), Akebiae Caulis (Mutong). Preparation: Decoct with Zingiberis Pericarpium (Jiangpi) and Juncii Arillus (Dengxincao) water as guides.
(Prescription Song)
Chronic Gan leads to Spleen deficiency and generates swelling,
Imperial Garden Regulating Qi Powder possesses miraculous efficacy.
Mori Cortex, Platycodonis Radix, Poria, Glycyrrhizae Radix et Rhizoma,
Pogostemonis Herba, Citri Reticulatae Pericarpium, combined with Akebiae Caulis.
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Gan Syndrome Section
Chronic Gan disease frequently presents with dysentery, mostly caused by heat stagnation in the Intestines and Stomach. The stool may be red or white, accompanied by abdominal urgency and pain; Xianglian Daozhi Tang (Costus and Coptis Guiding Out Stagnation Decoction) is an excellent prescription.
[Note]
The cause of Gan dysentery lies entirely in heat accumulation in the Intestines and Stomach.
Therefore, during dysentery, the stool may be red or white, accompanied by abdominal cramping and pain.
Urgently treat it with Xianglian Daozhi Tang (Costus and Coptis Guiding Out Stagnation Decoction), and the dysentery will heal itself.
(Costus and Coptis Guiding Out Stagnation Decoction [Xianglian Daozhi Tang]) Ingredients: Aurantii Fructus Immaturus stir-fried (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex stir-fried with ginger juice (Houpo), Coptidis Rhizoma stir-fried with ginger juice (Chuanlianhuan), Glycyrrhizae Radix et Rhizoma raw (Shenggancao), Crataegi Fructus (Shanzha), Crataegi Fructus stir-fried (Shenqu), Costi Radix baked (Muxiang), Arecae Semen (Binglang), Rheum Palmatum Rhizoma et Radix (Dahuang). Preparation: Decoct with Junci Arillus (Dengxincao) water as a guide.
(Prescription Song)
Chronic Gan presenting with dysentery is named Gan dysentery,
Costus and Coptis Guiding Out Stagnation Decoction has the best efficacy.
Aurantii Fructus Immaturus, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Coptidis Rhizoma, Glycyrrhizae Radix et Rhizoma,
Crataegi Fructus, Crataegi Fructus stir-fried, Costi Radix, Arecae Semen, Rheum Palmatum Rhizoma et Radix.
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Gan Syndrome Section