黄柏(乳润) 苍术(米泔浸七日,等分)
共为末,每用酒调下三钱。
湿热作痛,不拘上下,此方用之每良。
苍术妙于燥湿,黄柏妙于去热,二物皆有雄壮之性,亦简易之方也。
乳香 没药 地龙(酒炒) 香附(童便浸) 桃仁 红花 甘草节 牛膝(酒浸) 当
归羌活 五灵脂(酒淘去土)
瘀血湿痰畜于肢节之间而作痛者,此方主之。
肢节之间,筋骨之会,空窍之所也,故邪易居之。是方也,桃仁、红花、牛膝、当归,
养血而活血也。乳香、没药、五灵脂,散结而定痛也。羌活所以驱风,香附所以理郁。乃地
龙者,湿土所化之物,同类相从,故能达湿邪结滞之区。甘草节者,取其性平,能和营卫而
缓急痛之势也。或问湿痰瘀血,何以辨之?余曰∶肢节沉重者是湿痰,晚间病重者是瘀血。
唐·江陵节度使成讷进 丸方云∶臣有弟 ,年三十一,中风就枕五年,百医不瘥。
有道人钟缄者,因睹此患,曰∶可饵 丸必愈。其药多生沃壤,高三尺许,节叶相对,五
月间收洗去土,摘其叶及枝头,九蒸九曝,不必太燥,但取蒸为度,杵为末,炼蜜丸梧子大。
空心温酒、米饮下二三十丸。所患忽加,不得忧虑,至四千丸,必复如故;五千丸,当复丁
壮。臣根据法修合与 服,果如其言。钟缄又言∶此药与《本草》所述功效相异,盖出处盛在
江东,彼土民呼猪为 ,呼臭为 ,必缘此药如臭 气,故以为名。久经蒸曝, 气自泯,
每当服多,须吃饭三五匙压之。奉宣付医院详录。
又知益州张咏进 丸表云∶臣因在龙兴观,掘得一碑,内说修养气术并药二件。根据方
差人访问采觅,其草颇有异,金棱银线,素根紫 ,对节而生,蜀号火 ,茎叶颇类苍耳。
谁知至贱之中,乃有殊常之效。臣自吃至百服,眼目轻明;即至千服,须发俱黑,筋胃较健,
效验多端。臣本州有都押衙罗守一,曾中风随马,失音不语,臣与十服,其病立痊。又和尚
智严,年七十,忽患偏风,口眼 斜,时时吐涎,臣与十服,亦便得瘥。今合一百剂,差职
员史元奏进。义考见中风门。
黄柏(质地滋润) 苍术(用米泔水浸泡七天,两药等量)
共同研磨成粉末,每次服用时,用酒调服三钱。
湿热引起的疼痛,无论部位在上还是在下,此方使用往往效果良好。
苍术擅长燥湿,黄柏擅长清热,这两味药都具有雄壮的性质,也是一个简便易行的方子。
乳香 没药 地龙(用酒炒制) 香附(用童子尿浸泡) 桃仁 红花 甘草节 牛膝(用酒浸泡) 当归 羌活 五灵脂(用酒淘洗去除泥土)
瘀血和湿痰停滞在肢体关节之间而导致疼痛的,此方主治。
肢体关节之间,是筋骨交汇之处,也是空窍所在的地方,所以邪气容易停留于此。这个方子中,桃仁、红花、牛膝、当归,是用来养血并活血的。乳香、没药、五灵脂,是用来散结并定痛的。羌活用来驱风,香附用来理气解郁。至于地龙,它是湿土所化生的生物,同类相从,所以能够通达湿邪结滞的区域。甘草节,是取其性质平和,能够调和营卫并缓解急迫疼痛的趋势。有人问:湿痰和瘀血,如何辨别?我说:肢体沉重的是湿痰,傍晚时分病情加重的是瘀血。
唐代江陵节度使成讷进献的延寿丸方说:臣有个弟弟,名叫延寿,三十一岁,患中风卧床五年,众多医生治疗都没有痊愈。有位叫钟缄的道人,看到这种病患,说:可以服用延寿丸,必定痊愈。这药多生长在肥沃的土地上,高三尺左右,节和叶相对生长,五月间采收清洗去土,摘下叶子和枝头部分,经过九次蒸煮九次暴晒,不必太干,只要取蒸透的程度即可,捣碎成粉末,用炼蜜制成梧桐子大小的丸剂。空腹时用温酒或米汤送服二三十丸。患病期间如果突然加重,不要忧虑,吃到四千丸,必定恢复如常;吃到五千丸,应当恢复青壮年时的状态。臣按照方法配制给延寿服用,果然像他说的那样。钟缄又说:这药与《本草》所述功效不同,大概是因为产地盛产于江东,当地百姓称猪为“豨”,称臭为“莶”,必定因为这药有类似臭猪的气味,所以以此命名。经过长时间蒸煮暴晒,臭味自然消失,每次服药较多时,需要吃三五匙饭来压制它。奉旨交付医院详细记录。
又知益州张咏进献延寿丸表文说:臣因为在龙兴观,挖掘出一块石碑,里面记载了修养气术以及药物两件事。根据方子派遣人员访问采觅,这种草颇有奇异之处,金棱银线,白色的根紫色的茎,对节而生,蜀地称为火“莶”,茎叶颇像苍耳。谁想到如此低贱的东西,竟然有非凡的功效。臣自己服用到一百次,眼睛明亮;直到服用一千次,胡须头发都变黑,筋骨肠胃更加健壮,疗效多方面。臣本州有都押衙罗守一,曾经患中风随马跌倒,失音不能说话,臣给他十服,他的病立刻痊愈。又有和尚智严,七十岁,忽然患偏风,口眼歪斜,时时吐涎沫,臣给他十服,也便得以痊愈。现在合制一百剂,派遣职员史元进献。义考见中风门。
Huangbai (Phellodendri Cortex, moist texture) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water for seven days, equal parts)
Grind together into powder. For each use, take three qian mixed with wine.
For pain caused by damp-heat, regardless of whether it is upper or lower body, this formula is often effective.
Cangzhu excels at drying dampness, Huangbai excels at clearing heat. Both herbs possess a vigorous nature; this is also a simple and easy-to-use formula.
Ruxiang (Boswelliae Resina) Moyao (Commiphorae Resina) Dilong (Pheretima, stir-fried with wine) Xiangfu (Cyperi Rhizoma, soaked in urine of a young boy) Taoren (Persicae Semen) Honghua (Carthami Flos) Gancao Jie (Glycyrrhizae Radix et Rhizoma, the joint part) Niuxi (Achyranthis Bidentatae Radix, soaked in wine) Danggui (Angelicae Sinensis Radix) Qianghuo (Notopterygii Rhizoma et Radix) Wulingzhi (Trogopterori Faeces, washed with wine to remove soil)
This formula governs pain caused by stagnant blood and damp-phlegm accumulating between the limbs and joints.
The area between limbs and joints is where sinews and bones meet, and where hollow passages exist; thus, pathogenic factors easily reside there. In this formula, Taoren, Honghua, Niuxi, and Danggui nourish blood and invigorate blood circulation. Ruxiang, Moyao, and Wulingzhi dissipate nodules and alleviate pain. Qianghuo dispels wind, and Xiangfu regulates qi and resolves stagnation. As for Dilong, it is an organism transformed from damp earth; following its own kind, it can reach areas where damp pathogens are knotted and stagnant. Gancao Jie is used for its neutral nature, which harmonizes Ying and Wei (nutritive and defensive qi) and alleviates the trend of acute pain. One might ask: How to distinguish damp-phlegm from stagnant blood? I say: Heaviness in the limbs indicates damp-phlegm; worsening of symptoms in the evening indicates stagnant blood.
Chen Na, Military Commissioner of Jiangling during the Tang Dynasty, submitted the Yanshou Wan prescription: "My younger brother, Yanshou, aged thirty-one, has suffered from stroke and been bedridden for five years, without cure despite numerous physicians. A Daoist priest named Zhong Jian, seeing this affliction, said: 'You can take Yanshou Wan, and he will surely recover.' This herb mostly grows in fertile soil, about three chi high, with nodes and leaves growing opposite each other. It is harvested in May, washed clean of soil, and only the leaves and branch tips are picked. It undergoes nine steaming and nine sun-drying processes. It need not be too dry; only until thoroughly steamed is it taken. It is pounded into powder, refined honey is added to form pills the size of a large mustard seed. Taken on an empty stomach with warm wine or rice drink, twenty to thirty pills per dose. If the illness suddenly worsens, do not worry. After taking four thousand pills, he will surely return to normal; after five thousand pills, he will regain the vigor of a young man." I followed the method to prepare and administer it to Yanshou, and indeed it was as he said. Zhong Jian further stated: "This herb's efficacy differs from that described in Bencao, likely because it thrives in Jiangdong, where locals call pigs 'xi' and stink 'xian'. Presumably, because this herb smells like a stinking pig, it is named thus. After long steaming and drying, the odor disappears. When taking a large dose, one must eat three or five spoonfuls of rice to suppress it." Ordered to be forwarded to the Imperial Medical Bureau for detailed recording.
Furthermore, Zhang Yong, Prefect of Yizhou, submitted a memorial for Yanshou Wan: "While at Longxing Temple, I excavated a stele inscribed with methods for cultivating Qi and two medicinal items. Following the prescription, I sent personnel to inquire and gather them. The herb is quite unusual, with golden edges and silver veins, white roots and purple stems, growing in opposite nodes. In Shu, it is called Huoxian. Its stems and leaves resemble those of Xuan Can Er (Arctii Fructus). Who would have thought that such a humble substance possesses extraordinary effects? I myself took it up to one hundred doses, and my eyesight became clear; upon reaching a thousand doses, my beard and hair turned black, and my sinews, bones, stomach, and intestines became stronger, with multiple verified effects. Luo Shouyi, a Chief Marshal in my prefecture, once suffered from stroke after falling from a horse, losing his voice and unable to speak. I gave him ten doses, and his illness was instantly cured. Monk Zhiyan, aged seventy, suddenly suffered from hemiplegia, with mouth and eyes deviated, constantly spitting saliva. I gave him ten doses, and he also recovered. Now, I have prepared one hundred batches and dispatched official Shi Yuan to present them." Reference examination can be found under the Stroke section.