方二十六首,并五不治证
凡水肿有五不治∶
一面肿苍黑,是肝败不治;二掌肿无纹理,是心败不治;三腹肿无纹理,是肺败不治;
四阴肿不起,是肾败不治;五脐满肿反者,是脾败不治。
主虚满,通身肿,利三焦,通水道方。
猪苓(去皮) 茯苓 葶苈(熬) 人参 五味子 防风 泽泻 野狼毒 玄参 干姜 白
术
合) 苁
蓉(二分半)
上一十九味,捣筛为散。酒服方寸匕,日三夜一,老小服一钱匕,日三,以小便利为度
治百病诸荒邪狂走,气痞冷病,历年黄黑,大腹水肿,小儿丁奚,疟疾经年,霍乱中恶,
蜚尸及暴疾,皆悉主之方。
芫青 巴豆(去心皮,熬) 斑蝥(各三十枚,去翅足,熬) 天雄(炮,去皮) 干
姜(各
半两) 乌头(炮,去皮) 细辛 蜀椒(汗,去目、闭口者) 附子(炮去皮) 踯躅 黄
芩
上一十二味,细切,以绢袋中盛酒一斗,渍十日,去滓,服半合,日三,以知为度,暴
滓作散。酒服半钱匕,日三,强人一钱。伤寒、中温、湿冷、头痛、拘急、寒热、疟发、头
风,皆须服一钱匕,浓覆取汗,初服当吐清汁三四升许。又主心疝,妇人无子。服之烦闷不
堪者,饮冷水一升即解。
【方剂第二十六首,连同五种不可治愈的证候】
凡是水肿病有五种属于无法治愈的情况:
第一,面部浮肿且颜色青黑,这是肝脏功能败坏,无法治愈;
第二,手掌浮肿且没有皮肤纹理,这是心脏功能败坏,无法治愈;
第三,腹部浮肿且没有皮肤纹理,这是肺脏功能败坏,无法治愈;
第四,阴部(生殖器部位)浮肿且按压后凹陷不起,这是肾脏功能败坏,无法治愈;
第五,肚脐周围胀满肿胀且向外反突,这是脾脏功能败坏,无法治愈。
【猪苓散】
主治虚性腹胀,全身浮肿,通利三焦(人体上中下三部的气化通道),疏通水道。
药物组成:猪苓(去除外皮)、茯苓、葶苈子(炒制)、人参、五味子、防风、泽泻、野狼毒、玄参、干姜、白术、肉苁蓉(各二分半)。
以上十九味药,捣碎并过筛制成散剂。用酒送服一方寸匕的药量,白天三次,夜间一次;老人和儿童服用一钱匕的药量,每天三次,以小便通畅为停药标准。
【蒲黄酒】
主治各种疾病引起的怪异邪气、狂躁奔走,气机痞塞寒冷之病,常年黄黑晦暗之色,大腹水肿,小儿疳积消瘦如丁奚状,经年不愈的疟疾,霍乱及中恶邪之气,飞尸鬼注及突发急症,皆能主治。
药物组成:芫青、巴豆(去除心皮,炒制)、斑蝥(各三十枚,去除翅膀和足,炒制)、天雄(炮制,去皮)、干姜(各半两)、乌头(炮制,去皮)、细辛、蜀椒(出汗处理,去除目珠及闭口者)、附子(炮制去皮)、踯躅花、黄芩。
以上十二味药,切碎,装入绢袋中,浸泡在一斗酒里,十天之后,去掉药渣,每次服用半合,每天三次,以见效为度。若药渣剩余,可制成散剂,用酒送服半钱匕,每天三次,体质强壮者服用一钱匕。对于伤寒、中温病、湿冷病、头痛、肢体拘急、寒热往来、疟疾发作、头风病,都需要服用一钱匕,覆盖厚被取汗,初次服用时应当吐出清稀汁液三四升左右。此外还主治心疝,以及妇人不孕。如果服药后感到烦闷难以忍受,饮用一升冷水即可缓解。
【蒲黄散】
主治全身浮肿,此因风虚水气所致,也主治突发性的浮肿。
药物组成:蒲黄、小豆、大豆(各一升)。
以上三味药,用一斗酒,煮取三升药液,分三次服用。
[Formula Twenty-Six, Along with Five Incurable Syndromes]
There are five types of edema that are incurable:
First, if the face is swollen and appears cyanotic-black, it indicates liver failure and is incurable;
Second, if the palms are swollen without visible skin texture, it indicates heart failure and is incurable;
Third, if the abdomen is swollen without visible skin texture, it indicates lung failure and is incurable;
Fourth, if the yin region (genitals) is swollen and pitting does not rebound upon pressure, it indicates kidney failure and is incurable;
Fifth, if the area around the umbilicus is distended, swollen, and protruding outward, it indicates spleen failure and is incurable.
[Zhu Ling San (Polyporus Powder)]
Indications: Deficiency-type abdominal fullness, generalized edema, unblocking the San Jiao (Triple Burner), and promoting water passages.
Ingredients: Zhu Ling (Polypori Sclerotium, peeled), Fu Ling (Poria, peeled), Ting Li Zi (Descurainiae Semen seu Lepidii Semen, stir-fried), Ren Shen (Ginseng Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Fang Feng (Saposhnikoviae Radix), Ze Xie (Alismatis Rhizoma), Ye Lang Du (Stellerae Radix), Xuan Shen (Scrophulariae Radix), Gan Jiang (Zingiberis Rhizoma Recens), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cong Rong (Cynomorii Herba) (each 2.5 fen).
Process the above nineteen medicinal materials by pounding and sieving to make a powder. Administer one fang cun bi (a measure approx. 2-3 grams) with wine, three times during the day and once at night. For the elderly and children, administer one qian bi (approx. 1 gram), three times daily. Discontinue when urination becomes smooth.
[Pu Huang Jiu (Polygoni Catnatum Wine)]
Indications: Various diseases caused by strange pathogens, manic wandering, qi stagnation with cold sensations, chronic yellowish-black complexion, massive abdominal edema, pediatric ding xi syndrome (severe malnutrition/emaciation), perennial malaria, cholera, sudden evil invasion, fei shi (flying corpse disease), and acute emergencies. All are primarily treated by this formula.
Ingredients: Yuan Qing (Mylabris), Ba Dou (Crotonis Fructus, remove heart and peel, stir-fried), Ban Mao (Mylabris, 30 each, remove wings and feet, stir-fried), Tian Xiong (Aconiti Lateralis Radix Praeparata, processed, peeled), Gan Jiang (Zingiberis Rhizoma Recens, half liang each), Wu Tou (Aconiti Radix, processed, peeled), Xi Xin (Asari Radix et Rhizoma), Shu Jiao (Zanthoxyli Pericarpium, sweat-treated, remove seeds and closed-mouth ones), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peeled), Zhi Zhu (Rhododendri Mollis Flos), Huang Qin (Scutellariae Radix).
Process the above twelve medicinal materials by finely chopping them. Place them in a silk bag and soak in one dou (approx. 10 liters) of wine for ten days. Remove the dregs. Administer half he (approx. 10-20 ml), three times daily, until efficacy is observed. If dregs remain, process them into a powder. Administer half qian bi with wine, three times daily; strong individuals may take one qian bi. For Shang Han (Cold Damage), warm pathogens, damp-cold, headache, muscle spasms, alternating chills and fever, malaria onset, and head wind, administer one qian bi. Cover thickly to induce sweating. Upon initial administration, expect vomiting of clear fluid, approximately three to four sheng (approx. 600-800 ml). It also treats xin shan (heart hernia) and female infertility. If severe restlessness occurs after ingestion, drink one sheng (approx. 200 ml) of cold water to resolve it.
[Pu Huang San (Polygoni Catnatum Powder)]
Indications: Generalized edema due to wind-deficiency and water qi; also treats sudden edema.
Ingredients: Pu Huang (Typhae Pollen), Xiao Dou (Phaseoli Vulgaris Semen), Da Dou (Sojae Semen Album) (one sheng each).
Process the above three medicinal materials by boiling in one dou of wine until reduced to three sheng. Divide into three doses.