上为末,滴水为丸。加白术二两,名大安丸。
藿香正气散 治外感风寒,内停饮食,头痛寒热,或感湿暑,霍乱泄泻,脚转筋,
或作疟疾。常服除山岚瘴气。
桔梗 大腹皮 紫苏叶 茯苓 浓朴(制,各一钱) 甘草(炙,五分) 藿香(一钱五分)
白芷 白术 陈皮(去白) 半夏(各一钱半)
上姜、枣水煎热服。加香薷、扁豆、黄连,名藿香汤。
枳实理中丸 治寒实结胸。
茯苓 人参 白术 干姜 甘草(各一两) 枳实(十六片)
上为细末,炼蜜丸如鸡子黄大。每服一丸,热汤化下。连进二、三服。
迟脉主脏,阳气伏潜。有力为痛,无力虚寒。
迟为阴脉。五脏为阴,故主脏。《难经》九难曰∶迟者藏也。又曰∶迟则为寒。
《伤寒论》亦曰∶迟为在脏。以阳气伏潜,不能健行,故至数迟耳。迟而有力,有壅
实不通利之意,痛可想见。(宜温而行,和剂苏合香丸、四七汤之类。)迟云阳伏,而又无力焉,虚
寒必矣。(宜温而补,四君子汤姜桂附子之类。)
和剂苏合香丸 疗传尸,骨蒸, ,肺痿,疰忤鬼气,卒心痛,霍乱吐利,时气,
鬼魅瘴疟,赤白暴痢,瘀血月闭, 癖,疔肿,惊痫,鬼忤中人,小儿吐乳,大
人狐狸等病。又治中风卒仆,九窍闭塞,并百邪暴乘,腹痛下利,开关避邪之药也。
白术(炒) 青木香 乌犀角(屑) 香附子(炒、去毛) 朱砂(研水飞) 诃黎勒(煨、
取皮) 白檀香 安息香(另末,无灰酒一升熬膏) 沉香 麝香(研) 丁香 荜茇(各二两)
龙脑(研) 薰陆香(另研) 苏合香油(入安息香膏内各一两)
上为细末,入研药匀,用安息香膏,并炼白蜜和剂。每服旋丸如梧子大。早朝
取井华水,温冷任意,化服四丸。老人、小儿化服一丸。温酒化服亦得,并空心
服之。用蜡纸裹一丸,如弹子大,绯绢袋当心带之,一切邪神不敢近。今则俱用蜡壳,可久藏备用。
四七汤(见第十七)
四君子汤(见第十六)
将药物研成细末,滴入清水制成丸剂。若加入白术二两,则称为大安丸。
藿香正气散:治疗外感风寒、内停饮食导致的头痛、寒热往来;或因感受湿邪暑气引起的霍乱泄泻、腿部转筋(小腿肌肉痉挛);或发作疟疾。经常服用可消除山岚瘴气。
药材组成:桔梗、大腹皮、紫苏叶、茯苓、浓朴(炮制,各一钱)、甘草(蜜炙,五分)、藿香(一钱五分)、白芷、白术、陈皮(去白)、半夏(各一钱半)。
煎服法:以上药物加生姜、大枣,用水煎煮,趁热服用。若加入香薷、扁豆、黄连,则称为藿香汤。
枳实理中丸:治疗寒实结胸证。
药材组成:茯苓、人参、白术、干姜、甘草(各一两)、枳实(十六片)。
制作与服用方法:将药物研成细末,用炼过的蜂蜜制成如鸡蛋黄大小的丸剂。每次服用一丸,用热水化开送服。连续服用二至三丸。
迟脉主要反映脏病,是因为阳气潜藏伏匿。脉象有力主痛证,无力主虚寒证。
迟脉属于阴脉。五脏属阴,所以迟脉主脏病。《难经》第九难说:“迟脉对应脏病。”又说:“迟脉代表寒证。”《伤寒论》也说:“迟脉表示病在脏。”这是因为阳气潜藏伏匿,不能正常健运通行,所以脉搏跳动次数缓慢。迟脉而有力,提示有壅滞实证导致不通利,疼痛症状可以想见。(适宜采用温通行气的方法,如和剂局方的苏合香丸、四七汤之类。)迟脉且阳气伏匿,同时脉象无力,必然是虚寒证。(适宜采用温补的方法,如四君子汤加干姜、肉桂、附子之类。)
和剂苏合香丸:治疗传尸劳(肺结核等慢性消耗性疾病)、骨蒸潮热、肺痿、疰忤鬼气(指具有传染性的怪病或精神异常)、突然心痛、霍乱吐泻、时行疫病、鬼魅瘴疟、赤白暴痢(急性痢疾)、瘀血导致的月经闭止、癖积(腹内结块)、疔肿、惊痫、鬼忤中人(突发性精神错乱或急症)、小儿吐乳、大人狐狸病(指狐惑病等疑难杂症)等病症。又治疗中风突然昏倒、九窍闭塞,以及百邪暴袭引起的腹痛下利,是开关通窍、避除邪气的药物。
药材组成:白术(炒)、青木香、乌犀角(锉屑)、香附子(炒、去毛)、朱砂(研磨、水飞法提纯)、诃黎勒(煨、取皮)、白檀香、安息香(另研为末,用无灰酒一升熬成膏)、沉香、麝香(研磨)、丁香、荜茇(各二两)、龙脑(研磨)、薰陆香(另研)、苏合香油(加入安息香膏内,各一两)。
制作与服用方法:将上述药物研成细末,加入研磨好的药物混合均匀,用安息香膏和炼过的白蜜调和。每次现搓成梧桐子大小的丸剂。早晨取井华水(清晨第一次打的井水),温度冷热随意,化开服用四丸。老人、儿童化开服用一丸。用温酒化开服用也可以,均需空腹服用。用蜡纸包裹一丸,大小如弹子,装在红绢袋中挂在胸口,一切邪神不敢靠近。现在都用蜡壳封装,可以长期保存备用。
The herbs are ground into a fine powder, and water is added to form pills. If *Bai Zhu* (Atractylodis Rhizoma) two liang is added, it is named Da An Wan (Great Peace Pill).
Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi): It treats headache and alternating chills and fever caused by external contraction of wind-cold and internal retention of food; or cholera-like vomiting and diarrhea, calf cramps, or malaria induced by dampness and summerheat. Regular consumption can eliminate mountain miasma.
Ingredients: Jie Geng (Platycodonis Radix), Da Fu Pi (Arecae Pericarpium), Zi Su Ye (Perillae Folium), Fu Ling (Poria), Hou Po (Magnoliae Officinalis Cortex) (processed, each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 5 fen), Huo Xiang (Agastaches Herba) (1.5 qian), Bai Zhi (Angelicae Dahuricae Radix), Bai Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) (white part removed), Ban Xia (Pinelliae Tuber) (each 1.5 qian).
Preparation and Administration: The above herbs are decocted with fresh ginger and jujube in water and taken hot. If Xiang Ru (Elsholtziae Herba), Bian Dou (Phaseoli Semen), and Huang Lian (Coptidis Rhizoma) are added, it is named Huoxiang Tang (Agastache Decoction).
Zhishi Lizhong Wan (Immature Bitter Orange Pill for Regulating the Middle): It treats cold-solid chest binding syndrome.
Ingredients: Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 liang), Zhi Shi (Aurantii Fructus Immaturus) (16 slices).
Preparation and Administration: The herbs are ground into a fine powder and mixed with refined honey to form pills as large as chicken egg yolks. Take one pill per dose, dissolved in hot water. Administer continuously for two or three doses.
Chi Mai (Slow Pulse) primarily indicates zang organ diseases, due to the latent hiding of yang qi. A forceful slow pulse indicates pain, while a weak slow pulse indicates deficiency-cold.
Chi Mai is a yin pulse. Since the five zang organs belong to yin, Chi Mai governs zang diseases. The *Nan Jing* (Classic of Difficult Issues), Difficulty 9, states: "Slow [pulse] corresponds to the zang." It also states: "Slow indicates cold." The *Shang Han Lun* (Treatise on Cold Damage) also says: "Slow indicates disease in the zang." This is because yang qi is latent and cannot move vigorously, resulting in a slower pulse rate. A slow pulse that is forceful suggests stagnation and excess leading to obstruction, so pain can be inferred. (Warm and moving methods are suitable, such as Heji Ju Fang's Suhexiang Wan or Siqi Tang.) Slow pulse indicating latent yang, combined with weakness, inevitably indicates deficiency-cold. (Warm and tonifying methods are suitable, such as Sijunzi Tang with Gan Jiang, Rou Gui, and Fu Zi.)
Heji Suhexiang Wan (Prescribed Bureau's Liquid Amber Pill): It treats transmissive tuberculosis (chuan shi), bone-steaming tidal fever, lung atrophy, zhuxu ghost qi (contagious strange diseases or mental abnormalities), sudden heart pain, cholera vomiting and diarrhea, seasonal epidemics, ghost-miasma malaria, acute bloody and white dysentery, amenorrhea due to blood stasis, pi accumulation (abdominal masses), ding carbuncles, fright epilepsy, sudden onset of ghost-strike symptoms, infant regurgitation, and adult fox-hu disorders (referring to complex疑难 diseases like huo hu disease). It also treats sudden collapse from wind-stroke, blockage of the nine orifices, and abdominal pain with diarrhea caused by sudden attack of myriad evils. It is a medicine that opens orifices and repels evil pathogens.
Ingredients: Bai Zhu (Atractylodis Rhizoma) (stir-fried), Qing Mu Xiang (Vladimiriae Radix), Wu Xi Jiao (Rhinocerotis Cornu) (crushed), Xiang Fu Zi (Cyperī Rhizoma) (stir-fried, hairs removed), Zhu Sha (Cinnabar) (ground, purified by water flotation), He Li Le (Terminalia Chebulae Fructus) (roasted, peel used), Bai Tan Xiang (Santalum Album Lignum), An Xi Xiang (Styrax Resina) (ground separately, boiled into paste with one sheng of pure wine), Chen Xiang (Aquilariae Lignum Resinatum), She Xiang (Moschi Fermentum) (ground), Ding Xiang (Eugeniae Flos), Bi Bo (Long Pepper Fruit) (each 2 liang), Long Nao (Borneolum Syntheticum) (ground), Xun Lu Xiang (Olibanum), Su He Xiang You (Liquidambaris Resina Oleum) (added to An Xi Xiang paste, each 1 liang).
Preparation and Administration: Grind all ingredients into a fine powder, mix evenly with the ground herbs. Use An Xi Xiang paste and refined white honey to blend. Form pills the size of sophora seeds freshly for each use. In the morning, take well-water (first drawn water), temperature arbitrary, dissolve four pills and ingest. Elderly and children dissolve and ingest one pill. Taking with warm wine is also acceptable; all should be taken on an empty stomach. Wrap one pill in wax paper, size like a bullet, carry it in a crimson silk bag over the heart; all evil spirits dare not approach. Currently, they are sealed in wax shells for long-term storage and backup.
Siqi Tang (See Section 17)
Sijunzi Tang (See Section 16)