【调胃承气汤】治胃中实热而不满。
甘草(半两) 芒硝(九钱) 大黄(二两)
内经云。热淫于内。治以咸寒。佐以苦甘、芒硝咸寒以除热。大黄苦寒以荡实。甘草甘平。助二
物推陈而致新。
上锉如麻豆大。水一大盏。煎二味。取七分。去渣。下硝。更上火二三沸。顿服之。无时。
【泻脾散】治脾热目黄。口不能吮乳。
藿香 山栀(各七钱) 石膏(半两) 甘草(三两)
防风(四两。去芦)
上五味。用蜜同炒香为末。每服二钱至三钱。水一盏。煎至七分。温服清汁。无时。
【贯众散】解一切诸热毒。或中食毒、酒毒、药毒。并皆治之。
黄连(三钱) 贯众(三钱) 甘草(三钱) 骆驼蓬(三钱)
上四味为末。每服三钱。冷水调下。食前。
【大承气汤】治痞满燥实。地道不通。
大黄(四两。酒洗) 浓朴(半斤。姜制) 芒硝(三合) 枳实(五枚。去穣)
内经云。燥淫所胜。以苦下之。大黄枳实之苦以除燥热。又曰。燥淫于内。治以苦温。浓朴之
苦以下结满。又曰。热淫所胜。治以咸寒。芒硝之咸以攻蕴热。上四味。用水五升。先煮二味至三
升。去渣。纳大黄。煮取二升。去渣。入芒硝。更上火。微煮一二沸。分温再服。得下。余勿服。
【三才封髓丹】降心火。益肾水。滋阴养血。润补下燥。
天门冬(去心) 熟地黄 人参(各半两) 黄柏(三两)
砂仁(一两半) 甘草(炙。七钱半)
上六味为末,面糊丸如桐子大。每服五十丸。苁蓉半两切作片子。酒一盏。浸一宿。次日煎三
四沸。去渣。空心食前送下。
【滋肾丸】治下焦阴虚。脚膝软而无力。阴汗阴痿。足热不能履地。不渴而小便闭。
肉桂(二钱) 知母(二两。酒洗。焙干) 黄柏(二两。酒洗焙)
内经曰。热者寒之。又云。肾恶燥。急食辛以润之。黄柏之苦辛寒。泻热补水润燥为君。知母
苦寒。以泻肾火为佐。肉柱辛热。寒因热用也。
上为末。熟水丸如鸡头实大。每服一百丸加至二百丸。百沸汤送下。空心服之。
【调胃承气汤】治疗胃中实热但腹部没有胀满感的病证。
甘草(半两) 芒硝(九钱) 大黄(二两)
《黄帝内经》说:热气盛行于体内,用咸寒性质的药物来治疗,辅以苦味和甘味的药物。芒硝性味咸寒,用来清除热邪;大黄性味苦寒,用来荡涤实邪;甘草性味甘平,帮助这两味药推陈出新。
将上述药材锉碎如麻豆大小。用水一大盏,先煎煮芒硝和大黄两味药,取七分药液,滤去药渣,加入芒硝,再次上火煮沸二三滚,一次性服用,不限时间。
【泻脾散】治疗脾热引起的眼睛发黄、口部无法吮吸乳汁的症状。
藿香 山栀(各七钱) 石膏(半两) 甘草(三两)
防风(四两,去除芦头)
将以上五味药,用蜂蜜同炒至香气溢出,研为细末。每次服用二钱至三钱,用水一盏,煎至七分,温服澄清的药汁,不限时间。
【贯众散】解除各种热毒。无论是食物中毒、酒毒还是药物中毒,都能治疗。
黄连(三钱) 贯众(三钱) 甘草(三钱) 骆驼蓬(三钱)
将以上四味药研为细末。每次服用三钱,用冷水调服,饭前服用。
【大承气汤】治疗痞塞、胀满、干燥、实结的病证,以及大便不通。
大黄(四两,用酒清洗) 浓朴(半斤,姜制) 芒硝(三合) 枳实(五枚,去除瓤)
《黄帝内经》说:燥气盛行,用苦味药物攻下。大黄和枳实的苦味可以消除燥热。又说:燥气盛行于体内,用苦温药物治理,浓朴的苦味可以攻下结聚的胀满。又说:热气盛行,用咸寒药物治理,芒硝的咸味可以攻逐蕴积的热邪。以上四味药,用水五升,先煎煮大黄和枳实两味药至三升,滤去药渣,加入大黄,煎取二升,滤去药渣,加入芒硝,再次上火微煮一二滚,分两次温服。如果大便通畅,剩下的药不要服用。
【三才封髓丹】降心火,益肾水,滋阴养血,润补下焦燥热。
天门冬(去除心) 熟地黄 人参(各半两) 黄柏(三两)
砂仁(一两半) 甘草(炙,七钱半)
将以上六味药研为细末,用面糊制作成梧桐子大小的丸药。每次服用五十丸,用肉苁蓉半两切成片,用酒一盏浸泡一夜,第二天煎煮三四滚,滤去药渣,空腹饭前送服。
【滋肾丸】治疗下焦阴虚,脚膝软弱无力,阴汗,阳痿,足底发热不能踩地,口不渴但小便闭塞。
肉桂(二钱) 知母(二两,酒洗,焙干) 黄柏(二两,酒洗焙干)
《黄帝内经》说:热证用寒凉药物治疗。又说:肾脏厌恶燥气,急需食用辛味药物来滋润它。黄柏性味苦辛寒,作为君药,泻热补水润燥;知母性味苦寒,作为佐药,泻肾火;肉桂性味辛热,这是利用热药来配合寒药使用(反佐)。
将以上药物研为细末,用熟水制作成鸡头实大小的丸药。每次服用一百丸,加至二百丸,用百沸开水送服,空腹服用。
[**Tiaowei Chengqi Tang** (Stomach-Regulating Major Order the Qi Decoction)] Treats excess heat in the stomach without abdominal fullness.
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 0.5 liang) Mangxiao (Natrii Sulfas, 0.9 qian) Dahuang (Rhubarb Root and Rhizome, *Rhei Radix et Rhizoma*, 2 liang)
The *Neijing* (Yellow Emperor's Inner Canon) states: "When heat dominates internally, treat with salty-cold substances; assist with bitter and sweet." Mangxiao is salty and cold to eliminate heat; Dahuang is bitter and cold to purge excess accumulation; Gancao is sweet and neutral, assisting these two herbs to push out the old and generate the new.
Crush the herbs to the size of hemp seeds. Use one large cup of water, decoct Mangxiao and Dahuang until three-tenths remain. Strain the dregs, add Mangxiao, boil for two or three more boils, and take at once. Time is not restricted.
[**Xiepi San** (Splea-Purging Powder)] Treats spleen heat causing yellowing of the eyes and inability to suckle milk.
Huoxiang (Patchouli Herb, *Agastaches Herba*) Zhizi (Gardenia Fruit, *Gardeniae Fructus*, each 0.7 qian) Shigao (Gypsum Fibrosum, 0.5 liang) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 3 liang)
Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*, 4 liang, remove rhizome)
Take the above five herbs, stir-fry them together with honey until fragrant, and grind into powder. Take 2 to 3 qian per dose. Add one cup of water, decoct until three-tenths remain, and take the clear liquid warm. Time is not restricted.
[**Guanzhong San** (Cyrtomium Powder)] Resolves all kinds of heat toxins. It treats food poisoning, alcohol toxicity, and drug toxicity alike.
Huanglian (Coptis Rhizome, *Coptidis Rhizoma*, 0.3 qian) Guanzhong (Cyrtomium Rhizome, *Cyrtomii Rhizoma*, 0.3 qian) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 0.3 qian) Tuoluopeng (Pelletieria Root Bark, *Pelletierae Cortex*, 0.3 qian)
Grind the above four herbs into powder. Take 3 qian per dose, mixed with cold water. Take before meals.
[**Da Chengqi Tang** (Major Order the Qi Decoction)] Treats epigastric痞 (stagnation), fullness, dryness, and excess accumulation, along with constipation (obstruction of the bowel).
Dahuang (Rhubarb Root and Rhizome, *Rhei Radix et Rhizoma*, 4 liang, washed with wine) Nongpo (Magnolia Bark, *Magnoliae Officinalis Cortex*, 0.5 jin, processed with ginger) Mangxiao (Natrii Sulfas, 3 he) Zhishi (Immature Bitter Orange, *Aurantii Fructus Immaturus*, 5 pieces, remove pulp)
The *Neijing* states: "When dryness dominates, purge with bitter substances." The bitterness of Dahuang and Zhishi eliminates dryness-heat. It also says: "When dryness dominates internally, treat with bitter-warm substances." The bitterness of Nongpo purges knotting and fullness. Furthermore: "When heat dominates, treat with salty-cold substances." The salinity of Mangxiao attacks accumulated heat.
Take the above four herbs, use five sheng of water, first decoct Dahuang and Zhishi until three sheng remain. Strain the dregs, add Dahuang, decoct until two sheng remain. Strain the dregs again, add Mangxiao, boil briefly for one or two boils. Divide into two warm doses. If stool passes, do not take the remainder.
[**Sancai Fengsui Dan** (Three Talents Sealing the Marrow Pill)] Descends heart fire, benefits kidney water, nourishes yin and blood, and moistens lower-jiao dryness.
Tianmendong (Asparagus Tuber, *Asparagi Radix*, de-heart) Shudihuang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*) Renshen (Ginseng Root, *Panacis Ginseng Radix*, each 0.5 liang) Huangbai (Phellodendron Bark, *Phellodendri Cortex*, 3 liang)
Sharen (Amomum Fruit, *Amomi Fructus*, 1.5 liang) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted, 0.75 qian)
Grind the above six herbs into powder, make pills using wheat paste, sized like paulownia seeds. Take 50 pills per dose. Slice 0.5 liang of Congrong (Cistanche Stem, *Cistanches Caulis*), soak in one cup of wine overnight. On the next day, decoct for three or four boils, strain the dregs, and take on an empty stomach before meals.
[**Zishen Wan** (Kidney-Nourishing Pill)] Treats yin deficiency of the lower jiao, characterized by weakness and lack of strength in the feet and knees, sweating in the genital area, impotence, heat in the soles of the feet preventing walking, absence of thirst but with urinary retention.
Rougui (Cinnamon Bark, *Cinnamomi Cortex*, 0.2 qian) Zhimu (Anemarrhenae Rhizome, *Anemarrhenae Rhizoma*, 2 liang, washed with wine, dried) Huangbai (Phellodendron Bark, *Phellodendri Cortex*, 2 liang, washed with wine and dried)
The *Neijing* states: "Heat is treated with cold." It also says: "The Kidney dislikes dryness; quickly eat pungent substances to moisten it." Huangbai is bitter, pungent, and cold; as the sovereign herb, it clears heat, supplements water, and moistens dryness. Zhimu is bitter and cold; as the assistant herb, it clears kidney fire. Rougui is pungent and hot; this is the application of heat due to heat (counter-agent therapy).
Grind the above herbs into powder, make pills using cooked water, sized like corn seeds. Take 100 pills initially, increasing to 200 pills. Take with boiling water on an empty stomach.