论曰胃气实则生热,热则土气内燥,津液不通,咽膈烦满,故渴而引饮,内经谓脾气热,
则胃干而渴,盖藏真濡于脾,脾合为胃行其津液者也,脾既受热,津液不濡于胃。胃干则
不止也。
治胃干渴不止,饮水。枸杞根汤方
枸杞根 栝蒌根 麦门冬(去心生) 黄连(去须各一两半) 土瓜根(干者) 知母 车
前
子(去土各一两)
上七味,锉如麻豆,每服五钱匕,水一盏半,入生地黄半分切,同煎至八分,去滓温服,
日三。
治胃热渴。猪肚丸方
猪肚(一枚净洗去脂膜滓秽) 黄连(去须五两) 栝蒌根(四两) 茯神(去木) 麦
门冬(
去心焙各二两) 知母(锉三两) 白粱米(净洗五两)
上七味,先捣罗下六味为末,内猪肚中,线缝口,安甑中蒸,盖甑无令泄气,候极烂,
乘热细切肚并药,木臼内捣匀,可丸即丸。若硬即入炼蜜同捣。丸梧桐子大,每服三十丸,
煎粟米饮下,不拘时候。日再服,渐加至四十丸。
治脾胃有热,烦渴不止。黄连羊乳丸方
黄连(去须别捣四两) 生栝蒌根(去皮半斤研生布绞汁) 生地黄(半斤净洗研生布
绞汁)
上四味,取地黄栝蒌汁羊乳和黄连末,丸如绿豆大,每服三十丸,煎小麦汤下。
治胃热干渴。甘草汤方
甘草(炙锉) 栝蒌根(各二两) 麦门冬(去心焙二分) 半夏(汤洗去滑七遍曝干
麸炒二两
上四味,粗捣筛,先以水二盏,淘小麦半合,煎至一盏半,去麦下药末五钱匕,大枣二
枚劈破,生地黄半钱,生姜一枣大拍破,再煎至八分,去滓温服。日再。
治胃中干渴。栝蒌根汤方
栝蒌根(三两) 知母(焙二两) 甘草(炙锉) 人参(各一两)
上四味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓下白蜜少许搅匀,不拘时候服,
日可数服。
治胃渴引饮,泄热茯神汤方
茯神(去木二两) 栝蒌根 麦门冬(去心焙各五两) 知母(锉) 葳蕤(各四两)
上五味,粗捣筛,先以水三盏,淘小麦一匙,淡竹叶五十片洗切,同煮至一盏半。去滓
下药末四钱匕,枣二枚劈破。生地黄半分,同煎至一盏,去滓温服。日三。
治胃干渴。黄 汤方
黄 (去苗锉) 茯神(去木) 栝蒌根 甘草(炙) 麦门冬(去心焙各一两半) 生
干地黄
上六味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。日三。
论述说:胃气充实则产生热邪,热邪导致土气(脾胃之气)在内干燥,津液运行不通畅,咽喉和胸膈感到烦闷胀满,因此口渴而想要饮水。《内经》中说脾气有热,则胃中干燥而口渴,这是因为脾脏的真阴濡养着脾,脾与胃相表里,为胃传输津液。脾既受到热邪侵袭,津液就不能濡润胃腑。胃中干燥,口渴就不会停止。
治疗胃中干燥、口渴不止,喝水也缓解不了的方剂:枸杞根汤方
药材:枸杞根、栝蒌根、麦门冬(去除心)、黄连(去除须,各一两半)、土瓜根(干燥者)、知母、车前子(去泥土,各一两)。
以上七味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,加入切碎的鲜地黄半分,一同煎煮至八分满,滤去药渣,温服,每日三次。
治疗胃热口渴的方剂:猪肚丸方
药材:猪肚(一枚,洗净去除脂膜和杂质)、黄连(去须五两)、栝蒌根(四两)、茯神(去木质部)、麦门冬(去心焙干,各二两)、知母(切碎三两)、白粱米(洗净五两)。
以上七味药,先将除猪肚外的六味药捣碎过筛成粉末,放入猪肚中,用线缝合口,置于蒸笼中蒸制,盖好蒸笼不要漏气,等到极其烂熟时,趁热将猪肚和药物一起细细切碎,在木臼中捣匀,能做成丸子就做成丸子。如果太硬就加入炼蜜一同捣匀。制成梧桐子大小的丸药,每次服用三十丸,用粟米饮送下,不限时间。每日服用两次,逐渐增加至四十丸。
治疗脾胃有热,烦渴不止的方剂:黄连羊乳丸方
药材:黄连(去须另捣四两)、生栝蒌根(去皮半斤,研碎后用生布绞取汁液)、生地黄(半斤,洗净研碎后用生布绞取汁液)。
以上四味药,取地黄和栝蒌根的汁液,混合黄连粉末,制成绿豆大小的丸药,每次服用三十丸,用小麦汤送下。
治疗胃热干渴的方剂:甘草汤方
药材:甘草(炙烤后切碎)、栝蒌根(各二两)、麦门冬(去心焙干二分)、半夏(用水洗去滑腻七遍,晒干后麸炒二两)。
以上四味药,粗捣过筛,先以水二盏,淘洗小麦半合,煎煮至一盏半,去掉小麦,加入药末五钱匕,劈破的大枣二枚,鲜地黄半钱,拍破的一小块生姜,再煎煮至八分满,滤去药渣温服。每日两次。
治疗胃中干渴的方剂:栝蒌根汤方
药材:栝蒌根(三两)、知母(焙干二两)、甘草(炙烤后切碎)、人参(各一两)。
以上四味药,粗捣过筛,每次服用三钱匕,加水一盏,煎煮至七分,滤去药渣,加入少许白蜜搅匀,不限时间服用,每日可多次服用。
治疗胃渴引饮,泄热的方剂:茯神汤方
药材:茯神(去木质部二两)、栝蒌根、麦门冬(去心焙干,各五两)、知母(切碎)、葳蕤(各四两)。
以上五味药,粗捣过筛,先以水三盏,淘洗一匙小麦,洗净切好的淡竹叶五十片,一同煮至一盏半。滤去药渣,加入药末四钱匕,劈破的大枣二枚,鲜地黄半分,一同煎煮至一盏,滤去药渣温服。每日三次。
治疗胃干渴的方剂:黄耆汤方(注:原文“黄 汤”缺字,据上下文及常用方推测为黄芪或黄芩,此处依字形补全为黄耆/黄芪,若严格按原文缺失处理则为“黄[缺]汤”,但为了通顺通常补全,鉴于古籍整理惯例,此处暂按黄耆处理,若需严格忠实于残缺文本,可译为“黄[缺]汤”。考虑到“黄耆”常与麦冬、甘草配伍治渴,且字形相近,此处译为黄耆汤)
药材:黄耆(去苗切碎)、茯神(去木质部)、栝蒌根、甘草(炙烤)、麦门冬(去心焙干,各一两半)、生干地黄。
以上六味药,粗捣过筛,每次服用三钱匕,加水一盏,煎煮至七分,滤去药渣温服。每日三次。
It is said that when the Stomach Qi is full, heat is generated. Heat causes the Earth Qi (Spleen and Stomach Qi) to become dry internally, and the flow of Body Fluids (Jin Ye) becomes obstructed. This leads to irritability and fullness in the throat and diaphragm, resulting in thirst and a desire to drink. The *Nei Jing* states: "When the Spleen Qi has heat, the Stomach becomes dry and there is thirst." This is because the True Yin of the Zang organs moistens the Spleen, and the Spleen, harmonizing with the Stomach, transports its fluids. Once the Spleen is affected by heat, the fluids cannot moisten the Stomach. When the Stomach becomes dry, the thirst will not cease.
**Recipe for Treating Dry Stomach and Unremitting Thirst, Even After Drinking Water: Gouqi Gen Tang (Cinnamon Root Decoction)**
Ingredients: Gouqi Gen (Radix Lycii), Gualugen (Radix Trichosanthis), Maidong (Radix Ophiopogonis, heart removed), Huanglian (Rhizoma Coptidis, fibrous roots removed, each 1.5 liang), Tugua Gen (Radix Citrulli Lanati, dried), Zhimu (Rhizoma Anemarrhenae), Cheqianzi (Fructus Plantaginis, dirt removed, each 1 liang).
The above seven herbs are chopped like hemp seeds. For each dose, take 5 qianbi (approx. 15-20g depending on era/measurement), add 1.5 zhan (approx. 300ml) of water, plus 0.5 fen of freshly cut Shengdihuang (Radix Rehmanniae), and decoct together until 0.8 zhan remains. Strain and take warm. Three times daily.
**Recipe for Treating Stomach Heat and Thirst: Zhudu Wan (Pig Stomach Pill)**
Ingredients: Zhu Du (One pig stomach, cleaned thoroughly removing fat membrane and impurities), Huanglian (fibrous roots removed, 5 liang), Gualugen (4 liang), Fushen (Poria with Hostwood, woody core removed), Maidong (heart removed, baked, each 2 liang), Zhimu (chopped, 3 liang), Bailiang Mi (White high-quality rice, washed clean, 5 liang).
The above seven ingredients: First, pound and sieve the six herbs (excluding the pig stomach) into powder. Place the powder inside the pig stomach, sew the opening with thread, and place it in a steamer. Cover tightly to prevent steam leakage. Steam until extremely soft. While hot, finely chop the stomach and herbs together, then pound evenly in a wooden mortar. Form into pills if possible. If too hard, add refined honey and pound together. Make pills the size of tung tree seeds. Take 30 pills per dose, swallowed with millet beverage, at any time. Twice daily, gradually increasing to 40 pills.
**Recipe for Treating Heat in Spleen and Stomach with Unremitting Irritable Thirst: Huanglian Yangru Wan (Coptis and Sheep Milk Pill)**
Ingredients: Huanglian (fibrous roots removed, pounded separately, 4 liang), Sheng Gualugen (skin removed, half jin, pounded and juice extracted through raw cloth), Sheng Dihuang (half jin, washed clean, pounded and juice extracted through raw cloth).
The above four ingredients: Take the juices from Dihuang and Gualugen, mix with the Huanglian powder, and form pills the size of mung beans. Take 30 pills per dose, swallowed with wheat soup.
**Recipe for Treating Stomach Heat and Dry Thirst: Gancao Tang (Licorice Decoction)**
Ingredients: Gancao (roasted and chopped), Gualugen (each 2 liang), Maidong (heart removed, baked, 2 fen), Banxia (washed in water to remove slipperiness seven times, sun-dried, stir-fried with bran, 2 liang).
The above four ingredients: Coarsely crush and sieve. First, take 2 zhan of water, rinse 0.5 he of wheat, and decoct until 1.5 zhan remains. Remove the wheat, add 5 qianbi of the herb powder, two split Da Zao (Jujube fruits), 0.5 qian of fresh Dihuang, and one date-sized piece of Pao Po (smashed) Sheng Jiang (Fresh Ginger). Decoct again until 0.8 zhan remains. Strain and take warm. Twice daily.
**Recipe for Treating Dry Thirst in the Stomach: Gualugen Tang (Trichosanthes Root Decoction)**
Ingredients: Gualugen (3 liang), Zhimu (baked, 2 liang), Gancao (roasted and chopped), Renshen (each 1 liang).
The above four ingredients: Coarsely crush and sieve. For each dose, take 3 qianbi, add 1 zhan of water, and decoct until 0.7 zhan remains. Strain, add a small amount of Bai Mi (white honey), stir well, and take at any time. Can be taken multiple times daily.
**Recipe for Treating Stomach Thirst with Desire to Drink, Clearing Heat: Fushen Tang (Poria Decoction)**
Ingredients: Fushen (woody core removed, 2 liang), Gualugen, Maidong (heart removed, baked, each 5 liang), Zhimu (chopped), Weirui (Radix Polygonati Odorati, each 4 liang).
The above five ingredients: Coarsely crush and sieve. First, take 3 zhan of water, rinse one spoonful of wheat, add 50 washed and chopped leaves of Dan Zhu Ye (Lophatherum Herb), and boil together until 1.5 zhan remains. Strain, add 4 qianbi of herb powder, two split Da Zao, and 0.5 fen of fresh Dihuang. Decoct together until 1 zhan remains. Strain and take warm. Three times daily.
**Recipe for Treating Dry Stomach Thirst: Huangqi Tang (Astragalus Decoction)**
*(Note: Original text has a missing character after 'Huang', likely Huangqi based on context and common pairings)*
Ingredients: Huangqi (radicle removed, chopped), Fushen (woody core removed), Gualugen, Gancao (roasted), Maidong (heart removed, baked, each 1.5 liang), Sheng Gan Dihuang (Dried Fresh Rehmannia Root).
The above six ingredients: Coarsely crush and sieve. For each dose, take 3 qianbi, add 1 zhan of water, and decoct until 0.7 zhan remains. Strain and take warm. Three times daily.