论曰内经谓长夏善病洞泄寒中。洞泄谓食已即泄。乃飧泄之甚者。此因春伤于风。邪气
留连,至夏发为飧泄。至长夏发为洞泄。盖当春之时,阳气在表。为风邪所中。入客于经。
未至腑脏。风者、阳气也。东方木也。木能胜土。脾胃受之。仲夏则阳盛之时。以阳邪之气
。逢阳盛之时。重阳必阴。病在脾胃。故为飧泄。阴生于午。至未而盛。是为长夏之时。脾
土当王。脾为阴中之至阴。则阴气盛。阴盛生内寒。故令人府藏内洞而泄。是为洞泄寒中之
病。
治洞泄寒中。注下水谷。或痢赤白。食久即出,食物不消。附子丸方
附子(炮裂去皮脐) 乌梅肉(炒干各一两) 干姜(炮一两半) 黄连(去须炒二两
上四味。捣罗为末。炼蜜和丸。如梧桐子大。每服十五丸。空心米饮下。日晚再服。
治洞泄冷痢。熟艾汤方
熟艾(炒) 附子(炮裂去皮脐) 甘草(炙锉) 干姜(炮) 赤石脂(各半两) 黄
连(去须一两) 阿胶(炙
上七味。锉如麻豆,每服五钱匕。水一盏半。煎至八分。去滓空心食前温服。
治洞泄、不拘冷热注下不止。如神散方
附子(炮裂去皮脐) 白术(椎碎用浆水煮半日焙干各一两) 干姜(炮) 甘草(炙
锉各半两)
上四味。捣罗为散,每服一钱匕。空心温米饮调下。如热泻新水调下。
治寒中洞泄不止。及年高久泻,健脾汤方
乌头(炮裂去皮脐三分) 浓朴(去粗皮姜汁炙) 甘草(炙锉) 干姜(炮各一分)
上四味。锉如麻豆,每服三钱匕。水一盏。生姜三片。煎至七分,去滓连并热服。
治大肠积冷。洞泄不止。天仙子丸方
天仙子 干姜(炮) 陈橘皮(汤浸去白焙) 诃黎勒皮(各一两)
上四味。先为粗末。用醋拌匀浸一宿。炒令黄色。再为细末。醋煮面糊和丸。如梧桐子
大。每服二十丸。食前米饮下。
治洞泄不止。兼治霍乱。附子汤方
附子(一枚重七钱者炮裂去皮脐)
上一味细锉。分二服。每服以水一盏。盐半钱匕。煎至六分,去滓温服。
治洞泄寒中。注下不禁。不思饮食。红豆散方
红豆(拣) 附子(大者炮裂去皮脐) 干姜(炮) 硫黄(细研各一两)
上四味。捣研为散。和匀。每服一钱匕。空心温粥饮调下。再服当愈。
治洞泄不止。豆蔻汤方
肉豆蔻(七枚去壳) 乌头 白术(各一两)
上三味。用油四两 先煎后二味。候白术黄色。乌头外裂里黄。取出乌头,去皮脐。入
肉豆蔻。三味锉如麻豆。每服三钱匕,水一盏。煎至七分,去滓空心食前稍热服。
治脾胃虚寒。洞泄不止。四肢逆冷。心腹 痛。温中丸方
肉豆蔻仁 硫黄(研) 干姜(生用) 附子(炮裂去皮脐) 龙骨(各二两)
上五味为细末。用面糊和丸。如梧桐子大。每服三十丸。食前艾汤下。
治脾胃虚寒。洞泄注下。腹胀肠鸣。肉豆蔻丸方
肉豆蔻(五枚去壳) 木香(一分) 蝎梢(炒一钱) 陈橘皮(去白焙) 附子(炮
裂去皮脐) 干姜(炮)
上七味。捣罗为末。面粥和丸。如豌豆大。每服十五丸。食前米饮下。
治脾胃虚冷,洞泄不止。浓朴干姜丸方
浓朴(去粗皮生姜汁炙三两) 干姜(炮二两) 附子(炮裂去皮脐) 白术(各一两)
诃黎勒(皮三分
上五味为细末。醋煮面糊。丸如梧桐子大。每服二十丸。至三十丸。空心食前熟米饮下、
日三。
治脾胃久寒。大肠虚滑洞泄,豆蔻附子散方
肉豆蔻仁(面裹炮熟) 附子(去皮脐锉盐炒) 缩砂(去皮各半两) 木香(半分)
上四味捣罗为细散。每服一钱匕食前米饮调下。
治脾冷洞泄。丁香散方
丁香(二钱) 浓朴(去粗皮生姜汁炙半两) 肉豆蔻(去壳二枚面裹炮熟) 槟榔(一
枚炮锉)
上四味为细散,每服二钱匕。热粥饮调下。
治脾胃气寒。大肠虚滑。日夜不止。火轮散方
附子(炮裂去皮脐一枚) 肉豆蔻(去壳半两面裹炮熟) 干姜(炮一分)
上三味为细散。每服二钱匕。陈粟米饮调下。
治脾胃虚寒。洞泄不止。橘皮散方
陈橘皮(去白焙) 白术(炒各二两) 诃黎勒(皮炮) 干姜(炮) 枳壳(去瓤麸
炒) 桂(去粗皮) 木香(炮) 人参 甘草(炙锉各一两) 草豆蔻(煨去皮五枚) 槟
榔(炮锉七枚) 半夏(汤洗七遍生姜汁制三
上一十三味。为细散。每服二钱匕。煎生姜枣汤调下。
治脾寒洞泄。黄连饮方
黄连(去须炒) 诃黎勒(煨去核) 地榆 芍药(炒各一两) 木香 当归(切焙各
三分) 甘草(炙二
上七味。细锉。每服五钱匕。水一盏半。煎至八分,去滓温服、日三。
治洞泄寒中,二黄丸方
黄连(去须炒) 黄柏(去粗皮炙锉) 附子(炮裂去皮脐) 乌梅(肉炒) 干姜(炮
各半两) 甘草(炙锉
上六味。捣罗为末。炼蜜和丸。如梧桐子大。每服十五丸。至二十丸。空心米饮下。
治脏腑冷极。或久冷伤惫。洞泄下痢。谷米不化。饮食无味。肌肉瘦瘁。心多嗔恚。及
妇人产后虚冷下痢。一切水泻冷痢。木香散方
木香 补骨脂(各一两) 高良姜 缩砂仁 浓朴(去粗皮生姜汁炙各三分) 陈橘皮
(去白焙) 桂(去粗皮 白术(各半两) 胡椒 吴茱萸(汤洗三五遍各一分) 赤芍药
(半两) 肉豆蔻(四枚去壳)
上一十三味。捣罗为散。每服三钱匕。用不经水猪肝四两。去筋膜。批为薄片。重重渗
药。置一鼎中,入浆水一碗,醋半合,盖复煮肝熟,入盐一钱,葱白三茎细切,生姜弹子许
拍破,同意水欲尽,空心为一服,冷食之,初服微泻不妨,此是逐下冷气,少时自止,渴即
饮粥汤。
治洞泄大肠切痛,肠鸣食不化,木香诃黎勒丸方
木香(半生半炒共一两) 诃黎勒(煨去核三分) 白术(一两) 桂(去粗皮) 芜
荑(炒各一两半) 附子(炮裂去皮脐) 浓朴(去粗皮生姜汁炙焦各二两) 高良姜(炒)
肉豆(锉去壳各一两) 甘草(炙锉半
上一十一味,捣罗为末,用陈曲末,煮糊为丸,如梧桐子大,每服三十丸,煨生姜盐汤
下。
治因伤水饮后,变成暴泄,白芷黄连汤方
白芷(一两半) 黄连(去须一两) 地榆(一两半) 当归(锉焙一两) 附子(炮
裂去皮脐一两半) 木香(一两) 赤石脂(一两半) 黄芩(去黑心半两) 芎 (一两
半) 诃黎勒(皮煨一两) 肉豆蔻(一枚煨去
上一十三味。锉如麻豆。每服五钱匕。水一盏半,入生姜五片,煎至八分。去滓空心温
服,日三。
治大肠洞泄,水谷入即注下,乌梅丸方
乌梅肉(炒四两) 附子(炮裂去皮脐一两) 干姜(炮二两) 黄连(去须炒五两)
肉豆蔻(去壳五
上五味。捣罗为末。炼蜜和丸。如梧桐子大。每服三十丸。米饮下。
治洞泄水谷注下。黄连阿胶汤方
黄连(去须) 阿胶(炙燥) 乌梅肉(炒各二两) 山栀子仁(三十枚) 黄 (去
粗皮锉一两)
上五味。粗捣筛。每服五钱匕。水一盏半。煎至八分。去滓温服。空心食前、日二。
治五脏泄痢。诃黎勒丸方
诃黎勒(半生半煨并去核) 肉豆蔻(去壳) 木香(各三分) 干姜(炮) 甘草(炙
锉各半两)
上五味。捣罗为末。煮醋糊和丸。如梧桐子大。每服二十丸至三十丸。米饮下。
治洞泄寒中。水谷不化。黄连当归汤方
黄连(去须) 当归(切焙) 甘草(炙锉各二两) 酸石榴皮(锉炒四两)
上四味。粗捣筛,每服五钱匕。水一盏半,煎至八分,去滓温服。空心食前。
论述说:《内经》提到长夏季节容易患洞泄和寒中病。所谓“洞泄”,是指吃完东西马上就腹泻。这是“飧泄”(完谷不化的腹泻)中较为严重的类型。这是因为春天受了风邪,邪气滞留体内,到了夏天发作成为飧泄;到了长夏(夏季最后十八天或夏秋之交)发作则成为洞泄。大概在春季的时候,阳气浮越在体表,被风邪所伤。风邪侵入经络,尚未到达脏腑。风属于阳气,对应东方和五行中的木。木能克土,所以脾胃受到侵害。仲夏是阳气旺盛的时节,以阳邪之气逢阳气极盛之时,物极必反转为阴。病位在脾胃,所以表现为飧泄。阴气生于夏至(午时),到小暑(未时)达到旺盛,这就是长夏时节。此时脾土当令,脾为“阴中之至阴”,所以阴气旺盛。阴气过盛会内生寒气,因此导致脏腑内部寒冷而泄泻不止,这就形成了洞泄寒中的病症。
治疗洞泄寒中,大便如水注下夹杂未消化食物,或者痢疾赤白相间,食物停留很久才排出且不能消化,用附子丸方:
附子(炮制裂开,去皮及脐)一两,乌梅肉(炒干)一两,干姜(炮制)一两半,黄连(去须,炒)二两。
以上四味药,捣碎过筛成粉末,用炼蜜调和做成梧桐子大小的丸药。每次服用十五丸,空腹时用米汤送服,晚上再服一次。
治疗洞泄冷痢,用熟艾汤方:
熟艾(炒),附子(炮制裂开,去皮及脐),甘草(炙后锉碎),干姜(炮制),赤石脂(各半两),黄连(去须一两),阿胶(炙燥)。
以上七味药,锉碎如麻豆大小,每次取五钱匕,加水一盏半,煎煮至八分,去渣,空腹、饭前温服。
治疗洞泄,不论冷热,水泻不止,用如神散方:
附子(炮制裂开,去皮及脐),白术(捣碎,用浆水煮半天后焙干),干姜(炮制),甘草(炙后锉碎,各半两)。
以上四味药,捣碎过筛成散剂,每次取一钱匕,空腹用温米汤调服。如果是热性腹泻,用新汲凉水调服。
治疗寒中引起的洞泄不止,以及年老体弱长期腹泻,用健脾汤方:
乌头(炮制裂开,去皮及脐三分),浓朴(去掉粗皮,用姜汁炙),甘草(炙后锉碎),干姜(炮制,各一分)。
以上四味药,锉碎如麻豆大小,每次取三钱匕,加水一盏,生姜三片,煎煮至七分,去渣,趁热连药渣一起服用。
治疗大肠积冷,洞泄不止,用天仙子丸方:
天仙子,干姜(炮制),陈橘皮(热水浸泡去掉白色内瓤后焙干),诃黎勒皮(各一两)。
以上四味药,先制成粗末,用醋拌匀浸泡一夜,炒至黄色,再研成细末,用醋煮面糊调和做成梧桐子大小的丸药。每次服用二十丸,饭前用米汤送服。
治疗洞泄不止,兼治霍乱,用附子汤方:
附子(一枚,重七钱的,炮制裂开,去皮及脐)。
以上一味药,细锉,分两次服用。每次用水一盏,盐半钱匕,煎煮至六分,去渣温服。
治疗洞泄寒中,大便失禁般的水泻,不想吃东西,用红豆散方:
红豆(挑选好的),附子(大的,炮制裂开,去皮及脐),干姜(炮制),硫黄(细研,各一两)。
以上四味药,捣碎研磨成散剂,混合均匀。每次取一钱匕,空腹用温粥饮调服。再服一次应当痊愈。
治疗洞泄不止,用豆蔻汤方:
肉豆蔻(七个,去壳),乌头,白术(各一两)。
以上三味药,用油四两,先煎后两味药(指乌头和白术),等到白术变黄,乌头外裂内黄时,取出乌头,去皮及脐,加入肉豆蔻。将三味药锉碎如麻豆大小,每次取三钱匕,加水一盏,煎煮至七分,去渣,空腹、饭前稍热时服用。
治疗脾胃虚寒,洞泄不止,四肢逆冷,心腹疼痛,用温中丸方:
肉豆蔻仁,硫黄(研),干姜(生用),附子(炮制裂开,去皮及脐),龙骨(各二两)。
以上五味药,研成细末,用面糊调和做成梧桐子大小的丸药。每次服用三十丸,饭前用艾叶汤送服。
治疗脾胃虚寒,洞泄注下,腹胀肠鸣,用肉豆蔻丸方:
肉豆蔻(五个,去壳),木香(一分),蝎梢(炒一钱),陈橘皮(去掉白色内瓤焙干),附子(炮制裂开,去皮及脐),干姜(炮制)。
以上七味药,捣碎过筛成粉末,用面粥调和做成豌豆大小的丸药。每次服用十五丸,饭前用米汤送服。
治疗脾胃虚冷,洞泄不止,用浓朴干姜丸方:
浓朴(去掉粗皮,用生姜汁炙三两),干姜(炮制二两),附子(炮制裂开,去皮及脐),白术(各一两),诃黎勒(皮三分)。
以上五味药,研成细末,用醋煮面糊,做成梧桐子大小的丸药。每次服用二十至三十丸,空腹、饭前用熟米汤送服,每日三次。
治疗脾胃久寒,大肠虚滑导致的洞泄,用豆蔻附子散方:
肉豆蔻仁(用面粉包裹炮熟),附子(去皮脐,锉碎后用盐水炒),缩砂(去皮,各半两),木香(半分)。
以上四味药,捣碎过筛成细散。每次取一钱匕,饭前用米汤调服。
治疗脾冷引起的洞泄,用丁香散方:
丁香(二钱),浓朴(去掉粗皮,用生姜汁炙半两),肉豆蔻(去壳两个,用面粉包裹炮熟),槟榔(一个,炮制后锉碎)。
以上四味药,研成细散,每次取二钱匕,用热粥饮调服。
治疗脾胃气寒,大肠虚滑,日夜腹泻不止,用火轮散方:
附子(炮制裂开,去皮及脐一枚),肉豆蔻(去壳半个,用面粉包裹炮熟),干姜(炮制一分)。
以上三味药,研成细散,每次取二钱匕,用陈粟米汤调服。
治疗脾胃虚寒,洞泄不止,用橘皮散方:
陈橘皮(去掉白色内瓤焙干),白术(炒,各二两),诃黎勒(皮炮制),干姜(炮制),枳壳(去掉瓤,麸炒),桂(去掉粗皮),木香(炮制),人参,甘草(炙后锉碎,各一两),草豆蔻(煨后去皮五枚),槟榔(炮制锉碎七枚),半夏(热水洗七遍,用生姜汁制)。
以上十三味药,研成细散,每次取二钱匕,煎生姜枣汤调服。
治疗脾寒引起的洞泄,用黄连饮方:
黄连(去须炒),诃黎勒(煨去核),地榆,芍药(炒,各一两),木香,当归(切后焙干,各三分),甘草(炙二两)。
以上七味药,细锉,每次取五钱匕,加水一盏半,煎煮至八分,去渣温服,每日三次。
治疗洞泄寒中,用二黄丸方:
黄连(去须炒),黄柏(去掉粗皮,炙后锉碎),附子(炮制裂开,去皮及脐),乌梅(肉炒),干姜(炮制,各半两),甘草(炙后锉碎)。
以上六味药,捣碎过筛成粉末,用炼蜜调和做成梧桐子大小的丸药。每次服用十五至二十丸,空腹用米汤送服。
治疗脏腑极冷,或久冷损伤疲惫,洞泄下痢,谷物不化,饮食无味,肌肉消瘦憔悴,心中多愤怒怨恨,以及妇人产后虚冷下痢,一切水泻冷痢,用木香散方:
木香,补骨脂(各一两),高良姜,缩砂仁,浓朴(去掉粗皮,用生姜汁炙,各三分),陈橘皮(去掉白色内瓤焙干),桂(去掉粗皮),白术(各半两),胡椒,吴茱萸(热水洗三五遍,各一分),赤芍药(半两),肉豆蔻(四个,去壳)。
以上十三味药,捣碎过筛成散剂。每次取三钱匕,用未经女子经水的猪肝四两,去掉筋膜,切成薄片,层层撒上药物,放入鼎中,加入一碗浆水和半合醋,盖好煮熟猪肝,加入一钱盐,三根细切的葱白,一块拍破的生姜大小的生姜,一同煮至水分将尽,空腹作为一次服用量,冷食之。初次服用轻微腹泻不要紧,这是驱逐冷气,一会儿自然会停止,口渴就喝粥汤。
治疗洞泄大肠剧烈疼痛,肠鸣,食物不消化,用木香诃黎勒丸方:
木香(一半生用一半炒,共一两),诃黎勒(煨去核三分),白术(一两),桂(去掉粗皮),芜荑(炒,各一两半),附子(炮制裂开,去皮及脐),浓朴(去掉粗皮,用生姜汁炙焦,各二两),高良姜(炒),肉豆蔻(锉去壳,各一两),甘草(炙后锉碎,半两)。
以上十一味药,捣碎过筛成粉末,用陈曲末,煮糊做成梧桐子大小的丸药。每次服用三十丸,用煨生姜盐汤送服。
治疗因饮水过量后,变成暴发性腹泻,用白芷黄连汤方:
白芷(一两半),黄连(去须一两),地榆(一两半),当归(锉碎焙干一两),附子(炮制裂开,去皮及脐一两半),木香(一两),赤石脂(一两半),黄芩(去掉黑心半两),川芎(一两半),诃黎勒(皮煨,一两),肉豆蔻(一个,煨去壳)。
以上十三味药,锉碎如麻豆大小,每次取五钱匕,加水一盏半,放入生姜五片,煎煮至八分,去渣,空腹温服,每日三次。
治疗大肠洞泄,水谷进入即注下,用乌梅丸方:
乌梅肉(炒四两),附子(炮制裂开,去皮及脐一两),干姜(炮制二两),黄连(去须炒五两),肉豆蔻(去壳五个)。
以上五味药,捣碎过筛成粉末,用炼蜜调和做成梧桐子大小的丸药。每次服用三十丸,用米汤送服。
治疗洞泄水谷注下,用黄连阿胶汤方:
黄连(去须),阿胶(炙燥),乌梅肉(炒,各二两),山栀子仁(三十枚),黄芩(去掉粗皮锉碎一两)。
以上五味药,粗捣筛选,每次取五钱匕,加水一盏半,煎煮至八分,去渣温服,空腹、饭前服用,每日两次。
治疗五脏泄痢,用诃黎勒丸方:
诃黎勒(一半生用一半煨,并去核),肉豆蔻(去壳),木香(各三分),干姜(炮制),甘草(炙后锉碎,各半两)。
以上五味药,捣碎过筛成粉末,煮醋糊调和做成梧桐子大小的丸药。每次服用二十至三十丸,用米汤送服。
治疗洞泄寒中,水谷不化,用黄连当归汤方:
黄连(去须),当归(切后焙干),甘草(炙后锉碎,各二两),酸石榴皮(锉碎炒,四两)。
以上四味药,粗捣筛选,每次取五钱匕,加水一盏半,煎煮至八分,去渣温服,空腹、饭前服用。
Commentary states: The *Neijing* (Inner Canon) mentions that during the late summer season, one is prone to "Dongxie" (cavity diarrhea) and "Hanzhong" (cold center). "Dongxie" refers to defecation immediately after eating. It is a severe form of "Sunxie" (diarrhea with undigested food). This condition arises because wind pathogen was injured in spring; the pathogen lingers, manifesting as Sunxie in summer, and as Dongxie in late summer. Generally, in spring, Yang Qi floats on the exterior. Being struck by wind pathogen, it enters the meridians but has not yet reached the Zang-Fu organs. Wind belongs to Yang Qi and corresponds to the East and Wood in the Five Elements. Wood overcomes Earth, thus affecting the Spleen and Stomach. Mid-summer is when Yang Qi is abundant. With Yang pathogenic Qi encountering peak Yang abundance, extreme Yang transforms into Yin. The disease location is in the Spleen and Stomach, hence presenting as Sunxie. Yin Qi generates at the Summer Solstice (Wu hour) and becomes prosperous at Minor Heat (Wei hour), which constitutes the late summer period. At this time, Spleen Earth governs. The Spleen is the "extreme Yin within Yin," so Yin Qi becomes prosperous. Excess Yin generates internal cold, causing the internal organs to become cold and lead to uncontrolled diarrhea. This forms the pathology of Dongxie Hanzhong.
Treatment for Dongxie Hanzhong, where stool flows like water mixed with undigested food, or dysentery with red and white discharge, and food remains for a long time before being expelled without digestion, use Fuzi Wan Formula:
Fuzi (Paezi Radix Preparata, processed until cracked, peel and umbilicus removed) 1 liang, Wumei (Fructus Mume, flesh stir-fried dry) 1 liang, Ganjiang (Rhizoma Zingiberis Preparatus, processed) 1.5 liang, Huanglian (Rhizoma Coptidis, remove stamens, stir-fry) 2 liang.
The above four ingredients are crushed, sieved into powder, and blended with refined honey to make pills the size of Sophora seeds. Take 15 pills per dose, administered with rice decoction on an empty stomach, and repeat in the evening.
Treatment for Dongxie cold dysentery, use Shuai Ai Tang Formula:
Shuai Ai (Herba Artemisiae Argyi Preparata, stir-fried), Fuzi (processed until cracked, peel and umbilicus removed), Gancao (Radix Glycyrrhizae, honey-fried and chopped), Ganjiang (processed), Chishizhi (Lapis Kaolinitis, each half liang), Huanglian (remove stamens, 1 liang), Ejiao (Colla Corii Asini, dried by frying).
The above seven ingredients are chopped like hemp seeds. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm before meals on an empty stomach.
Treatment for Dongxie, regardless of heat or cold, with unceasing watery diarrhea, use Rushen San Formula:
Fuzi (processed until cracked, peel and umbilicus removed), Baizhu (Rhizoma Atractylodis Macrocephalae, crushed, boiled in grain water for half a day then dried), Ganjiang (processed), Gancao (honey-fried and chopped, each half liang).
The above four ingredients are crushed and sieved into powder. Take 1 qianbi per dose, mix with warm rice decoction on an empty stomach. For hot diarrhea, mix with fresh cool water.
Treatment for Han Zhong causing unceasing Dongxie, and chronic diarrhea in the elderly, use Jianpi Tang Formula:
Wutou (Radix Aconiti Lateralis Preparata, processed until cracked, peel and umbilicus removed, 3 fen), Houpo (Cortex Magnoliae Officinalis, remove coarse bark, fry with ginger juice), Gancao (honey-fried and chopped), Ganjiang (processed, each 1 fen).
The above four ingredients are chopped like hemp seeds. Take 3 qianbi per dose, add 1 sheng of water and 3 slices of fresh ginger, decoct until 0.7 sheng remains, strain, and take hot including dregs.
Treatment for Cold accumulation in Large Intestine causing unceasing Dongxie, use Tianxianzi Wan Formula:
Tianxianzi (Semen Hyoscyami), Ganjiang (processed), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, remove white pith, dried), Helilepi (Pericarpium Chebulae, each 1 liang).
The above four ingredients are first made into coarse powder, mixed evenly with vinegar, soaked overnight, stir-fried until yellow, then ground into fine powder. Blend with vinegar-cooked flour paste to make pills the size of Sophora seeds. Take 20 pills per dose, with rice decoction before meals.
Treatment for unceasing Dongxie, also treating Huoluan (cholera-like syndrome), use Fuzi Tang Formula:
Fuzi (one piece weighing 7 qian, processed until cracked, peel and umbilicus removed).
The above single ingredient is finely chopped, divided into two doses. For each dose, use 1 sheng of water and half a qianbi of salt, decoct until 0.6 sheng remains, strain, and take warm.
Treatment for Dongxie Hanzhong, uncontrollable watery diarrhea, loss of appetite, use Hongdou San Formula:
Hongdou (selected), Fuzi (large pieces, processed until cracked, peel and umbilicus removed), Ganjiang (processed), Liuhuang (Sulfur, finely ground, each 1 liang).
The above four ingredients are crushed and ground into powder, mixed evenly. Take 1 qianbi per dose, mix with warm porridge drink on an empty stomach. After another dose, it should heal.
Treatment for unceasing Dongxie, use Doukou Tang Formula:
Roudoukou (Fructus Myristicae, seven pieces, remove shell), Wutou, Baizhu (each 1 liang).
The above three ingredients use 4 liang of oil. Decoct the latter two ingredients first. When Baizhu turns yellow and Wutou cracks externally and turns yellow internally, remove Wutou, peel and remove umbilicus, add Roudoukou. Chop all three ingredients like hemp seeds. Take 3 qianbi per dose, add 1 sheng of water, decoct until 0.7 sheng remains, strain, and take slightly hot before meals on an empty stomach.
Treatment for Spleen and Stomach deficiency-cold, unceasing Dongxie, cold limbs, heart and abdominal pain, use Wenzhong Wan Formula:
Roudoukouren (seed kernel of Fructus Myristicae), Liuhuang (ground), Ganjiang (raw), Fuzi (processed until cracked, peel and umbilicus removed), Longgu (Os Draconis et Mastodi, each 2 liang).
The above five ingredients are ground into fine powder. Blend with flour paste to make pills the size of Sophora seeds. Take 30 pills per dose, with mugwort decoction before meals.
Treatment for Spleen and Stomach deficiency-cold, Dongxie with watery discharge, abdominal distension and borborygmus, use Roudoukou Wan Formula:
Roudoukou (five pieces, remove shell), Muxiang (Radix Aucklandiae, 1 fen), Xieshao (Cauda Scorpionis, stir-fried, 1 qian), Chenjupi (remove white pith, dried), Fuzi (processed until cracked, peel and umbilicus removed), Ganjiang (processed).
The above seven ingredients are crushed and sieved into powder. Blend with flour gruel to make pills the size of pea seeds. Take 15 pills per dose, with rice decoction before meals.
Treatment for Spleen and Stomach deficiency-cold, unceasing Dongxie, use Houpo Ganjiang Wan Formula:
Houpo (remove coarse bark, fry with ginger juice, 3 liang), Ganjiang (processed, 2 liang), Fuzi (processed until cracked, peel and umbilicus removed), Baizhu (each 1 liang), Helile (pericarp, 3 fen).
The above five ingredients are ground into fine powder. Use vinegar-cooked flour paste to make pills the size of Sophora seeds. Take 20 to 30 pills per dose, with cooked rice decoction before meals on an empty stomach, three times daily.
Treatment for long-standing Spleen and Stomach cold, deficiency-slippage of Large Intestine causing Dongxie, use Doukou Fuzi San Formula:
Roudoukouren (wrapped in flour and roasted), Fuzi (peel and umbilicus removed, chopped, fried with salt), Suosha (Fructus Amomi Rotundus, peeled, each half liang), Muxiang (half fen).
The above four ingredients are crushed and sieved into fine powder. Take 1 qianbi per dose, mix with rice decoction before meals.
Treatment for Spleen cold causing Dongxie, use Dingxiang San Formula:
Dingxiang (Flos Caryophylli, 2 qian), Houpo (remove coarse bark, fry with ginger juice, half liang), Roudoukou (two pieces, remove shell, wrapped in flour and roasted), Binglang (Semen Arecae, one piece, processed and chopped).
The above four ingredients are ground into fine powder. Take 2 qianbi per dose, mix with hot porridge drink.
Treatment for Spleen and Stomach Qi-cold, deficiency-slippage of Large Intestine, unceasing day and night, use Huolun San Formula:
Fuzi (processed until cracked, peel and umbilicus removed, one piece), Roudoukou (remove shell, half piece, wrapped in flour and roasted), Ganjiang (processed, 1 fen).
The above three ingredients are ground into fine powder. Take 2 qianbi per dose, mix with aged millet decoction.
Treatment for Spleen and Stomach deficiency-cold, unceasing Dongxie, use Jupi San Formula:
Chenjupi (remove white pith, dried), Baizhu (stir-fried, each 2 liang), Helile (pericarp, processed), Ganjiang (processed), Zhike (Fructus Aurantii, remove pulp, bran-fried), Gui (Cortex Cinnamomi, remove coarse bark), Muxiang (processed), Renshen (Radix Ginseng), Gancao (honey-fried and chopped, each 1 liang), Caodoukou (Fructus Cardamomi, baked, peel removed, five pieces), Binglang (processed and chopped, seven pieces), Banxia (Rhizoma Pinelliae, washed seven times in water, prepared with ginger juice).
The above thirteen ingredients are ground into fine powder. Take 2 qianbi per dose, mix with decoction of fresh ginger and jujube.
Treatment for Spleen cold causing Dongxie, use Huanglian Yin Formula:
Huanglian (remove stamens, stir-fry), Helile (baked, remove core), Diyü (Radix Sanguisorbae), Shaoyao (Radix Paeoniae Alba, stir-fried, each 1 liang), Muxiang, Danggui (Radix Angelicae Sinensis, cut and dried, each 3 fen), Gancao (honey-fried, 2 liang).
The above seven ingredients are finely chopped. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm, three times daily.
Treatment for Dongxie Hanzhong, use Erhuang Wan Formula:
Huanglian (remove stamens, stir-fry), Huangbai (Cortex Phellodendri, remove coarse bark, honey-fried and chopped), Fuzi (processed until cracked, peel and umbilicus removed), Wumei (flesh, stir-fried), Ganjiang (processed, each half liang), Gancao (honey-fried and chopped).
The above six ingredients are crushed and sieved into powder. Blend with refined honey to make pills the size of Sophora seeds. Take 15 to 20 pills per dose, with rice decoction on an empty stomach.
Treatment for extreme cold in Zang-Fu organs, or exhaustion from long-term cold, Dongxie with dysentery, undigested grains, tasteless diet, emaciation, irritability, and postpartum deficiency-cold dysentery in women, all watery diarrhea and cold dysentery, use Muxiang San Formula:
Muxiang, Buguzhi (Fructus Psoraleae, each 1 liang), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Suosharen (Fructus Amomi Rotundus), Houpo (remove coarse bark, fry with ginger juice, each 3 fen), Chenjupi (remove white pith, dried), Gui (remove coarse bark), Baizhu (each half liang), Hujiao (Piperis Nigris Fructus), Wuzhuyu (Fructus Evodiae, washed three to five times in hot water, each 1 fen), Chishaoyao (Radix Paeoniae Rubra, half liang), Roudoukou (four pieces, remove shell).
The above thirteen ingredients are crushed and sieved into powder. Take 3 qianbi per dose. Use 4 liang of pig liver from a sow that has not menstruated, remove fascia, slice thinly, layer with the medicine, place in a vessel, add one bowl of sour grain water and half he of vinegar, cover and cook the liver until done. Add one qian of salt, three finely chopped scallion whites, and one piece of ginger the size of a walnut, smashed. Cook together until liquid is nearly exhausted. Take as one dose on an empty stomach, eat cold. Mild diarrhea upon initial intake is acceptable; this expels cold qi and will stop shortly. Drink porridge soup if thirsty.
Treatment for Dongxie with severe Large Intestine pain, borborygmus, and indigestion, use Muxiang Helile Wan Formula:
Muxiang (half raw, half stir-fried, total 1 liang), Helile (baked, remove core, 3 fen), Baizhu (1 liang), Gui (remove coarse bark), Wuyi (Semen Tamarindi Indici, stir-fried, each 1.5 liang), Fuzi (processed until cracked, peel and umbilicus removed), Houpo (remove coarse bark, fry with ginger juice until scorched, each 2 liang), Gaoliangjiang (stir-fried), Roudoukou (chopped, remove shell, each 1 liang), Gancao (honey-fried and chopped, half liang).
The above eleven ingredients are crushed and sieved into powder. Use old yeast powder, boil paste to make pills the size of Sophora seeds. Take 30 pills per dose, with decoction of baked fresh ginger and salt.
Treatment for sudden diarrhea caused by excessive water intake, use Baizhi Huanglian Tang Formula:
Baizhi (Radix Angelicae Dahuricae, 1.5 liang), Huanglian (remove stamens, 1 liang), Diyü (1.5 liang), Danggui (chopped and dried, 1 liang), Fuzi (processed until cracked, peel and umbilicus removed, 1.5 liang), Muxiang (1 liang), Chishizhi (1.5 liang), Huangqin (Radix Scutellariae, remove black heart, half liang), Xiong (Radix Ligustici Chuanxiong, 1.5 liang), Helile (pericarp, baked, 1 liang), Roudoukou (one piece, baked, remove shell).
The above thirteen ingredients are chopped like hemp seeds. Take 5 qianbi per dose, add 1.5 sheng of water and five slices of fresh ginger, decoct until 0.8 sheng remains, strain, and take warm on an empty stomach, three times daily.
Treatment for Large Intestine Dongxie, where water and food are immediately discharged, use Wumei Wan Formula:
Wumeirou (flesh, stir-fried, 4 liang), Fuzi (processed until cracked, peel and umbilicus removed, 1 liang), Ganjiang (processed, 2 liang), Huanglian (remove stamens, stir-fried, 5 liang), Roudoukou (remove shell, five pieces).
The above five ingredients are crushed and sieved into powder. Blend with refined honey to make pills the size of Sophora seeds. Take 30 pills per dose, with rice decoction.
Treatment for Dongxie with watery and food discharge, use Huanglian Ejiao Tang Formula:
Huanglian (remove stamens), Ejiao (dried by frying), Wumeirou (flesh, stir-fried, each 2 liang), Shanzhizi Ren (Semen Gardeniae, thirty pieces), Huangqin (remove coarse bark, chopped, 1 liang).
The above five ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm on an empty stomach before meals, twice daily.
Treatment for Five Viscera diarrhea and dysentery, use Helile Wan Formula:
Helile (half raw, half baked, remove core), Roudoukou (remove shell), Muxiang (each 3 fen), Ganjiang (processed), Gancao (honey-fried and chopped, each half liang).
The above five ingredients are crushed and sieved into powder. Blend with vinegar-cooked paste to make pills the size of Sophora seeds. Take 20 to 30 pills per dose, with rice decoction.
Treatment for Dongxie Hanzhong, undigested water and food, use Huanglian Danggui Tang Formula:
Huanglian (remove stamens), Danggui (cut and dried), Gancao (honey-fried and chopped, each 2 liang), Suan Shiliupi (Pericarpium Granati, chopped and stir-fried, 4 liang).
The above four ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm on an empty stomach before meals.