治阴虚有火,令人盗汗者。
当归 生地 熟地 黄 黄芩 黄连 黄柏
水煎服。
季楚重曰∶汗本心之液,其出入关乎肝、肺。营分开合,肝司之;卫分开合,肺司之。
顾营
外,
不生
六黄
之动
也;
阴虚
用芩
(《金匮》)
治心下有痰饮,胸胁支满,目眩。又曰∶短气有微饮,当从小便去之,苓桂术甘汤主之,
肾
茯苓(四两) 桂枝(三两) 白术(三两) 甘草(三两)
上四味,以水六升,煮取三升,分温三服,小便则利。
赵以德曰∶《灵枢》谓心胞络之脉动,则病胸胁支满者,谓痰饮积于心胞,其病则必若
是。
以为
除胀
益土
夫
用
肾气通则关门自利矣。(呼吸二义,发明极精。)
呕家本渴,渴为欲解,今反不渴,心下有支饮故也。
半夏(一升) 生姜(半斤)
以水七升,煮取一升半,分温再服。
治卒呕吐,心下痞闷,间有水眩悸者。
半夏(一升) 生姜(半斤) 茯苓(三两)
煎服如前。
治心胸中有痰饮宿水,自吐出水,复心胸间虚气满不能食,消痰气,令能食。
茯苓 人参 白术(各三两) 枳实(二两) 橘皮(二两半) 生姜(四两)
上六味,水六升,煮取一升八合,分三服,如人行八九里,再进之。
赵以德曰∶呕为痰饮动中,涌而出之。呕尽本当渴,渴则可征支饮之全去。今反不渴,
是其
半
伐肾邪安心神也。后方加人参、枳实、橘皮,此由上、中二焦气弱,水饮入胃,脾不能输归
于肺,肺不能通调水道,以致停积为痰,为宿水,吐之则下气因
当补益中气,以人参、白术为君;茯苓逐宿水,枳实调诸气为
凝滞,则陈皮、生姜为使也。凡积饮既去,而虚气塞满其中,
治疗阴虚火旺,导致夜间盗汗的病症。
当归、生地黄、熟地黄、黄芩、黄连、黄柏。
用水煎煮后服用。
季楚重说:汗液本是心之津液,其排泄与固摄关乎肝和肺。营气的开合由肝所主;卫气的开合由肺所主。
(此处原文有残缺或排版错乱,意指营卫失调导致汗出异常,阴虚火旺扰动营卫。)
(《金匮要略》)
治疗心下有痰饮停留,胸胁部支撑胀满,头晕目眩。又说:短气伴有轻微水饮,应当通过小便排出,用苓桂术甘汤主治。
茯苓(四两)、桂枝(三两)、白术(三两)、甘草(三两)。
以上四味药,用水六升,煮取三升,分三次温服,服药后小便通利。
赵以德说:《灵枢》记载手厥阴心包络之脉动,则出现胸胁支满的病证,这是指痰饮积聚在心包,其病症必然如此。
(此处原文有残缺,意指痰饮阻滞气机。)
呕吐的人本来应该口渴,口渴说明病欲解,现在反而不渴,是因为心下有支饮的缘故。
半夏(一升)、生姜(半斤)。
用水七升,煮取一升半,分两次温服。
治疗突然呕吐,心下痞闷,间歇性有水饮导致的眩晕、心悸者。
半夏(一升)、生姜(半斤)、茯苓(三两)。
煎服方法同上。
治疗心胸中有痰饮宿水,自行吐出清水后,心胸间仍有虚气胀满不能进食,此方能消除痰气,使能进食。
茯苓、人参、白术(各三两)、枳实(二两)、橘皮(二两半)、生姜(四两)。
以上六味药,用水六升,煮取一升八合,分三次服用。如人行走八九里的时间,再进服一次。
赵以德说:呕吐是因为痰饮扰动中焦,涌吐而出。呕吐尽后本当口渴,口渴则可以验证支饮已完全去除。现在反而不渴,
(此处原文有残缺,意指饮邪未去或脾虚不运。)
是伐除肾邪、安心神的作用。后方加入人参、枳实、橘皮,这是因为上、中二焦气弱,水饮进入胃中,脾不能输布归于肺,肺不能通调水道,以致停积为痰,成为宿水。吐之后下气因凝滞,所以陈皮、生姜作为使药引导气机。凡是积饮既去,而虚气塞满其中,
(此处原文有残缺,意指当补益中气。)
应当补益中气,以人参、白术为君药;茯苓驱逐宿水,枳实调理诸气,陈皮、生姜为使药。
Treats Yin deficiency with fire, causing night sweats.
Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex).
Decoct in water and take orally.
Ji Chuzhong stated: Sweat is originally the fluid of the Heart; its excretion and retention concern the Liver and the Lung. The opening and closing of Ying (Nutritive) Qi are governed by the Liver; the opening and closing of Wei (Defensive) Qi are governed by the Lung.
(The original text here contains fragments or formatting errors, making a complete coherent translation difficult. Based on context, it infers involvement of Ying-Wei theory and the regulation of Yin deficiency and fire movement by herbs in Liu Huang Tang, as well as using Huangqin etc. to clear heat from Yin deficiency fire.)
(In *Jingui Yaolue*)
Treats phlegm-fluid retention under the heart, presenting with distending fullness in the chest and hypochondrium, and vertigo/dizziness. It also states: Shortness of breath with slight fluid retention should be eliminated via urination, treated primarily with Ling Gui Zhu Gan Tang.
Fuling (Poria, 4 liang), Guizhi (Cinnamomi Ramulus, 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang).
Take the above four ingredients, add six sheng of water, decoct to obtain three sheng, divide into three warm doses. Urination will become unobstructed after administration.
Zhao Yi-de stated: The *Lingshu* says that if the pulse of the Pericardium Meridian moves abnormally, disease such as distending fullness in the chest and hypochondrium occurs. This refers to phlegm-fluid accumulating in the Pericardium, where the pathology must manifest thus.
(The original text here is fragmented. It is inferred to mean eliminating distension, tonifying Spleen Earth, allowing Kidney Qi to flow freely so the "gate" opens naturally, and praising the profound elucidation of the two meanings of respiration.)
Those who frequently vomit should normally feel thirsty; thirst indicates the disease is resolving. Now, they do not feel thirsty, because there is Zhi Yin (branching fluid/phlegm-fluid) under the heart.
Banxia (Pinelliae Rhizoma, 1 sheng), Shengjiang (Zingiberis Rhizoma Recens, 0.5 jin).
Add seven sheng of water, decoct to obtain one and a half sheng, divide into two warm doses.
Treats sudden vomiting, epigastric stuffiness/obstruction, and intermittent vertigo and palpitations caused by fluid retention.
Banxia (Pinelliae Rhizoma, 1 sheng), Shengjiang (Zingiberis Rhizoma Recens, 0.5 jin), Fuling (Poria, 3 liang).
Decoct and administer as described above.
Treats phlegm-fluid and old water retained in the chest and heart region. After spontaneous vomiting of clear fluid, if there remains a sensation of empty Qi fullness in the chest and heart preventing eating, this formula eliminates phlegm-Qi, enabling the patient to eat.
Fuling (Poria), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 3 liang), Zhishi (Aurantii Fructus Immaturus, 2 liang), Jupi (Citri Reticulatae Pericarpium, 2.5 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang).
Take the above six ingredients, add six sheng of water, decoct to obtain one and eight-tenths sheng. Divide into three doses. If a person walks for the distance covered in eight or nine li, administer another dose.
Zhao Yi-de stated: Vomiting occurs because phlegm-fluid disturbs the Middle Jiao, surging upward and being expelled. After vomiting ceases, thirst should naturally follow; if thirsty, it can be confirmed that the Zhi Yin has been completely removed. Now, however, there is no thirst,
(The original text here is fragmented. It is inferred to mean damaging Kidney pathogens and calming the Spirit. The subsequent addition of Renshen, Zhishi, and Jupi is because Qi in the Upper and Middle Jiao is weak. Fluid enters the Stomach, but the Spleen cannot transport it to the Lung, and the Lung cannot regulate water passages, leading to accumulation as phlegm and old water. After vomiting, descending Qi becomes stagnant, so it is necessary to tonify Middle Qi, using Renshen and Baizhu as Sovereign herbs; Fuling drives out old water, Zhishi regulates various Qis as Minister herbs, Chenpi and Shengjiang as Envoy herbs. Once accumulated fluids are gone, but empty Qi fills the interior,)