治新旧冷积泻痢等证。
木香 肉豆蔻 丁香(两半) 干姜(炮) 百草霜(一两) 杏仁(一百四十粒。去
皮尖)
黄蜡六两溶
取蜡四两同化成汁,就铫
此手足阳明药也。肉蔻逐冷消食,下气和中;丁香暖胃助阳。宣壅除癖;木香升降诸气
和脾舒肝;杏仁降气散寒,润燥消积;炮姜能逐痼冷而散痞通关;巴豆善破沉寒而夺门宣滞
,寒积深痼,非此莫攻;百草霜和中温散,亦能消积治痢,为佐也(《医贯》曰∶此方神妙
不可言,虽有巴豆,不令人泻,其积自然消化。李时珍曰∶一妇年六十余,溏泻五载,犯生
冷油腻肉食即作痛,服升涩药,泻反甚,脉沉而滑,此乃脾胃久伤,积冷凝滞,法当以热下
之
治寒疝疼痛(阴气积于内,复为寒邪所袭,荣卫不调则成疝病。囊冷结硬如石,或引睾
丸
病实
阴菌
不月
而名
川楝子(四钱) 木香(三钱) 茴香(二钱) 吴茱萸(一钱。汤泡。)长流水煎。
此足厥阴、少阴药也。川楝苦寒,能入肝舒筋,使无挛急之苦,又能导小肠膀胱之热,
从
暖
便下利
治小肠疝气牵引脐腹疼(痛厥阴肝脉络于阴器,上入少腹,疝病乃肝邪也,肝主筋,故
牵引疼痛;小肠经络并于厥阴,寒邪客于小肠,少腹痛引睾丸,上而不下,痛入脐腹,甚则
上冲心
乌药 木香 茴香(盐炒) 良姜(炒) 青皮(五钱) 槟榔(二个) 川楝子(十
个) 巴豆
下一钱。
此足厥阴、手太阳药也。乌药散膀胱冷气,能消肿止痛;川楝导小肠邪热,因小便下行
;木
夺门
治疗新发或久患的冷积引起的泄泻、痢疾等证候。
木香、肉豆蔻、丁香(各一两半)、干姜(炮制)、百草霜(一两)、杏仁(一百四十粒,去皮尖)。
用黄蜡六两熔化,取四两蜡液与上述药物同化成汁,在药锅中煎煮。
这是手足阳明经的药物。肉豆蔻能驱散寒冷、消除食积,降气调和脾胃;丁香温暖胃腑、助益阳气,宣通壅滞、消除癖块;木香调节诸气升降,和脾舒肝;杏仁降气散寒,润燥消积;炮姜能驱逐顽固寒气、消散痞块、通关利窍;巴豆善于破除深层沉寒、开通闭塞、宣通滞气,对于深重顽固的寒积,非此药不能攻逐;百草霜调和脾胃、温散寒邪,也能消积治痢,作为佐使药。(《医贯》说:此方神妙不可言说,虽然含有巴豆,却不让人腹泻,体内的积滞自然消化。李时珍说:有一位六十多岁的妇女,溏泄腹泻五年,一吃生冷油腻肉食就疼痛,服用升提收敛的药物,腹泻反而加重,脉象沉而滑,这是脾胃长久受伤,积冷凝滞,治法应当用热性药攻下)
治疗寒疝疼痛(阴气积聚于体内,又受寒邪侵袭,营卫不调则形成疝病。阴囊冰冷结硬如石头,或者牵引睾丸疼痛,病情属实证。阴部赘生物,月经闭止,因此命名为……)。
川楝子(四钱)、木香(三钱)、茴香(二钱)、吴茱萸(一钱,用水浸泡)。用长流水煎服。
这是足厥阴、足少阴经的药物。川楝子味苦性寒,能入肝经舒缓筋脉,避免拘挛急迫的痛苦,又能引导小肠、膀胱的热邪,从……排出,温暖……,大便下利。
治疗小肠疝气牵引脐腹疼痛(足厥阴肝经脉络连接阴器,向上进入少腹,疝病就是肝邪所致,肝主筋,所以牵引疼痛;小肠经络并入厥阴经,寒邪客居在小肠,少腹疼痛牵引睾丸,向上而不向下,疼痛深入脐腹,严重时甚至上冲心……)。
乌药、木香、茴香(盐炒)、良姜(炒)、青皮(五钱)、槟榔(两个)、川楝子(十个)、巴豆(去壳取仁,下一钱)。
这是足厥阴、手太阳经的药物。乌药能驱散膀胱冷气,能够消肿止痛;川楝子引导小肠邪热,随着小便下行;木香……开通闭塞。
Treats syndromes such as diarrhea and dysentery caused by new or old cold accumulation.
Muxiang (Aucklandiae Radix), Roudoukou (Myristicae Semen), Dingxiang (Caryophylli Flos) (each 1.5 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, prepared dried ginger), Baicaoshuang (Farris Fuligo, soot from burning straw), Xingren (Armeniacae Semen Amarum, 140 grains, skin and tip removed).
Melt six liang of Huangla (Beeswax), take four liang of the melted wax to co-melt with the above ingredients into a liquid, and decoct in a pot.
This is a formula for the Hand-Yangming and Foot-Yangming meridians. Roudoukou dispels cold and resolves food stagnation, directs Qi downward and harmonizes the middle jiao; Dingxiang warms the stomach and assists Yang, unblocks congestion and eliminates masses; Muxiang regulates the ascending and descending of various Qi, harmonizes the Spleen and soothes the Liver; Xingren directs Qi downward, dispels cold, moistens dryness and resolves accumulation; Paojiang (prepared ginger) can drive out entrenched cold, dissipate痞 (glomus/mass), and open orifices; Badu (Crotonis Fructus, Croton seed) is good at breaking deep-seated cold and opening the gate to relieve stagnation; for deep and entrenched cold accumulation, no other herb can attack it like this; Baicaoshuang harmonizes the middle jiao, disperses cold warmly, and can also resolve accumulation and treat dysentery, serving as an assistant herb. (Yi Guan states: This prescription is miraculous and beyond words; although it contains Badu, it does not cause diarrhea, and the accumulation naturally digests. Li Shizhen stated: A woman over sixty years old suffered from loose stools for five years; pain occurred whenever she consumed raw, cold, greasy foods or meat. After taking herbs that ascend and astringe, her diarrhea worsened. Her pulse was deep and slippery. This was due to long-term injury of the Spleen and Stomach, with cold accumulation and stagnation. The treatment method should be to purge using hot-natured herbs.)
Treats cold hernia pain (Yin Qi accumulates internally, and is attacked by cold pathogenic factors; when Ying and Wei are disharmonious, hernia disease forms. The scrotum is cold, hard, and stone-like, or it draws the testicles [into pain], indicating an excess syndrome. [Text fragment regarding] Yin protuberance, amenorrhea, hence named...).
Chuanlianzi (Toosendan Fructus, 4 qian), Muxiang (Aucklandiae Radix, 3 qian), Huixiang (Foeniculi Fructus, Aniseed, 2 qian), Wuzhuyu (Evodiae Fructus, 1 qian, soaked in water). Decoct with long-flowing water.
This is a formula for the Foot-Jueyin and Foot-Shaoyin meridians. Chuanlianzi is bitter and cold, enters the Liver meridian to relax sinews, preventing cramping and urgency; it also guides heat from the Small Intestine and Bladder... [text cuts off] warm... loose stools from the anus.
Treats small intestine hernia drawing pain to the umbilicus and abdomen (The Foot-Jueyin Liver meridian connects to the genital organs and enters the lower abdomen; hernia disease is caused by Liver pathogenic factors. The Liver governs sinews, hence the drawing pain; the Small Intestine meridian merges with the Jueyin. Cold pathogenic factors lodge in the Small Intestine, causing lower abdominal pain that draws to the testicles, moving upward but not downward, pain entering the umbilical region, and in severe cases, rushing up to the heart...).
Wuyao (Linderae Radix), Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus, stir-fried with salt), Liangjiang (Alpiniae Officinarum Rhizoma, stir-fried), Qingpi (Citri Reticulatae Pericarpium Viride, 5 qian), Binglang (Arecae Semen, 2 pieces), Chuanlianzi (Toosendan Fructus, 10 pieces), Badu (Crotonis Fructus, [extracted kernel] 1 qian).
This is a formula for the Foot-Jueyin and Hand-Taiyang meridians. Wuyao disperses cold Qi in the Bladder, reducing swelling and relieving pain; Chuanlianzi guides evil heat from the Small Intestine to exit via urination; Muxiang... opens the gate [to relieve stagnation].