治中风,腰脚疼痛弱者方(胡洽名大风引汤。)
独活 茯苓 人参(各三两) 防风 当归 甘草 干姜 石斛(各二两胡洽作黄 ) 附
子(一枚) 大豆(二升)
上十味 咀,以水九升酒三升,煮取三升,分四服,服别相去如人行十里久(胡洽云∶
名小风引汤。删繁方无石斛,以疗肉极寒、肌肉变、舌萎,名曰恶风腰痛脚弱。)
风湿相搏,骨节烦疼,四肢拘急不可屈伸,近之则痛,自汗出而短气,小便不利,
恶风不欲去衣,或头面手足时时浮肿方。
附子(二枚) 桂心(四两) 白术(三两) 甘草(二两)
上四味 咀,以水六升,煮取三升,分三服,微汗愈。大汗烦者,一服五合。体肿者
加防己四两。悸气,小便不利加茯苓三两,既有附子,今加生姜三两。
治脚弱风毒实及岭南瘴气面肿,乍寒乍热似疟状,脚肿气上心闷,咳嗽瘫缓顽痹方∶
麻仁 升麻 麻黄 射干 菖蒲 芒硝 甘草 大黄(各半两) 豉(三合)
上九味 咀,以水六升,煮取二升半纳芒硝,又煎三沸,分三服。微利一二行解毒热
,有肿滓敷之,凡觉气满辄服一剂佳。
治风虚劳损挟毒,脚弱痛痹或不随,下焦虚冷,胸中微有客热,心虚惊悸不得眠,食
少失气味,日夜数过心烦迫不得卧,小便不利,又时复下。湘东王至江州,王在岭南病悉如
此极困笃,余作此汤令服,即得力。病似此者,服无不瘥,随宜增损之方。
黄 甘草 芍药 麦冬 人参 肉苁蓉 干地黄 赤石脂 茯神 地骨白皮 当归
远志 磁石 枳实 防风 龙骨(各一两) 桂心 川芎(各二两) 生姜(四两) 五味
子(三
合) 大枣(三十枚) 白羊肾(一具) 半夏(一升)
上二十三味 咀,以水二斗煮羊肾,取汁一斗二升纳诸药,煮取四升,分五服。不利
下者除龙骨赤石脂,小便涩以赤茯苓代茯神加白术三两,多热加黄芩一两,遗溺加桑螵蛸二
十枚(胡洽方无黄 、肉苁蓉、赤石脂、地骨皮、磁石、枳实、防风、龙骨、半夏,有黄芩
为十五味。)
治疗中风,导致腰部和脚部疼痛、软弱无力的方剂(胡洽称为大风引汤)。
独活、茯苓、人参(各三两)、防风、当归、甘草、干姜、石斛(各二两,胡洽版本作黄芩)、附子(一枚)、大豆(二升)。
以上十味药,切碎,用水九升、酒三升,煎煮至剩余三升,分四次服用,每次服药间隔时间相当于人行走十里路所需的时间(胡洽说:名为小风引汤。删繁方中无石斛,用于治疗肌肉极度寒冷、肌肉萎缩、舌体萎软,名为恶风腰痛脚弱证)。
风湿邪气相互搏结,骨节剧烈疼痛,四肢拘挛紧急不能屈伸,触碰则疼痛加剧,自汗出且气短,小便不利,怕风不想脱衣,或者头面手足时常浮肿的方剂。
附子(二枚)、桂心(四两)、白术(三两)、甘草(二两)。
以上四味药,切碎,用水六升,煎煮至剩余三升,分三次服用,微微出汗即愈。若大汗后出现烦躁者,每次服用五合。身体浮肿者加防己四两。心悸气逆、小便不利者加茯苓三两,既然已有附子,现在再加生姜三两。
治疗脚弱、风毒实证以及岭南瘴气引起的面部浮肿,忽冷忽热像疟疾症状,脚肿气上冲心胸闷,咳嗽、瘫痪迟缓、顽固性痹证的方剂:
麻仁、升麻、麻黄、射干、菖蒲、芒硝、甘草、大黄(各半两)、豆豉(三合)。
以上九味药,切碎,用水六升,煎煮至剩余二升半时纳入芒硝,再煎煮三沸,分三次服用。轻微腹泻一两次以解毒清热,若有肿胀可用药渣外敷,凡是感觉气满就服用一剂较好。
治疗风虚劳损夹杂毒邪,脚弱痛痹或肢体不能随意运动,下焦虚冷,胸中微有客热,心虚惊悸无法入睡,食欲减退味觉丧失,日夜多次心烦紧迫无法躺卧,小便不利,又时常腹泻。湘东王到江州时,他在岭南患病完全如此,极其困顿危重,我制作此汤让他服用,立刻见效。病情类似此症的,服用无不痊愈,可根据情况增减调整的方剂。
黄芪、甘草、芍药、麦冬、人参、肉苁蓉、干地黄、赤石脂、茯神、地骨白皮、当归、远志、磁石、枳实、防风、龙骨(各一两)、桂心、川芎(各二两)、生姜(四两)、五味子(三合)、大枣(三十枚)、白羊肾(一副)、半夏(一升)。
以上二十三味药,切碎,用水二斗煮白羊肾,取汁液一斗二升加入其他药物,煎煮至剩余四升,分五次服用。若大便不通畅则去除龙骨和赤石脂,小便涩滞用赤茯苓代替茯神并加白术三两,热多者加黄芩一两,遗尿者加桑螵蛸二十枚(胡洽方无黄芪、肉苁蓉、赤石脂、地骨皮、磁石、枳实、防风、龙骨、半夏,有黄芩,共十五味)。
Formula for treating Wind-Stroke causing pain and weakness in the waist and legs (named Da Feng Yin Tang by Hu Qia).
Du Huo (Notopterygii Radix), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma) [each 3 liang], Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Licorice Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Shi Hu (Dendrobii Caulis) [each 2 liang, Hu Qia's version uses Huang Qin (Scutellariae Radix)], Fu Zi (Aconiti Lateralis Radix Praeparata) [1 piece], Da Dou (Sojae Semen) [2 sheng].
The above ten ingredients are cut into small pieces, decocted with 9 sheng of water and 3 sheng of wine until 3 sheng remains. Divide into four doses. The interval between each dose should be equivalent to the time it takes a person to walk ten li (Hu Qia states: named Xiao Feng Yin Tang. The Shu Fan Fang omits Shi Hu, used to treat extreme cold in muscles, muscle atrophy, and tongue flaccidity, named E Feng Yao Tong Jiao Ruo syndrome).
Formula for Wind-Dampness Bi syndrome where Wind and Dampness contend, causing severe joint pain, stiffness and spasm of the four limbs making flexion and extension impossible, aggravation upon touch, spontaneous sweating, shortness of breath, difficulty in urination, aversion to wind with reluctance to remove clothing, or intermittent edema of the head, face, hands, and feet.
Fu Zi (Aconiti Lateralis Radix Praeparata) [2 pieces], Gui Xin (Cinnamomi Ramulus), Bai Zhu (Atractylodis Macrocephalae Rhizoma) [3 liang], Gan Cao (Licorice Radix et Rhizoma) [2 liang].
The above four ingredients are cut into small pieces, decocted with 6 sheng of water until 3 sheng remains. Divide into three doses. Recovery occurs with slight sweating. If restlessness occurs after profuse sweating, administer 5 he per dose. For body edema, add Fang Ji (Stephaniae Tetrandrae Radix) 4 liang. For palpitations and qi rebellion with difficulty in urination, add Fu Ling (Poria) 3 liang; since Fu Zi is already included, add Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang now.
Formula for treating weak legs due to solid Wind-Toxin and miasma in Lingnan causing facial edema, alternating chills and fever resembling malaria, leg swelling with qi rushing to the chest causing oppression, cough, paralysis, slowness, and stubborn Bi syndrome.
Ma Ren (Semen Cannabis), Sheng Ma (Bupleuri Radix), Ma Huang (Ephedrae Herba), She Gan (Belamcandae Rhizoma), Chang Pu (Acori Tatarinowii Rhizoma), Mang Xiao (Natrii Sulfas), Gan Cao (Licorice Radix et Rhizoma), Da Huang (Rhei Radix et Rhizoma) [each half liang], Chi Shao (not explicitly listed but implied in context? No, only listed items): Chi Shao is not listed. Items listed: Ma Ren, Sheng Ma, Ma Huang, She Gan, Chang Pu, Mang Xiao, Gan Cao, Da Huang [each half liang], Chi Shao is NOT in list. Wait, text says "Ma Ren... Da Huang (each half liang) Chi Shao (3 he)". Correction: Chi Shao (Semen Sojae Preparatum / Fermented Soybean) [3 he].
The above nine ingredients are cut into small pieces, decocted with 6 sheng of water until 2.5 sheng remains. Add Mang Xiao (Natrii Sulfas), boil for three more turns. Divide into three doses. Mild diarrhea one or two times helps detoxify and clear heat. Apply swollen residue externally. It is beneficial to take one dose whenever feeling fullness of qi.
Formula for treating deficiency-Wind and consumptive damage complicated by toxin, causing weak legs, painful Bi or immobility, coldness in the Lower Jiao, slight lingering heat in the chest, heart deficiency with palpitations and insomnia, poor appetite and loss of taste, frequent mental distress and inability to lie down day and night, difficulty in urination, and occasional diarrhea. When Prince Xiangdong arrived at Jiangzhou, he suffered from illness in Lingnan exactly as described, extremely critical. I prepared this decoction for him to take, and he gained strength immediately. For conditions similar to this, taking this formula ensures recovery. This is a formula for adjustment based on circumstances.
Huang Qi (Astragali Radix), Gan Cao (Licorice Radix et Rhizoma), Shao Yao (Paeoniae Radix), Mai Dong (Ophiopogonis Radix), Ren Shen (Ginseng Radix et Rhizoma), Rou Cong Rong (Cistanches Herba), Gan Di Huang (Rehmanniae Radix Preparata), Chi Shi Zhi (Kaolinite), Fu Shen (Poria cum Pinodi), Di Gu Bai Pi (Lycii Cortex), Dang Gui (Angelicae Sinensis Radix), Yuan Zhi (Polygalae Radix), Ci Shi (Magnetitum), Zhi Shi (Aurantii Fructus Immaturus), Fang Feng (Saposhnikoviae Radix), Long Gu (Fossilia Ossis Mastodi et Scapulae) [each 1 liang], Gui Xin (Cinnamomi Ramulus), Chuan Xiong (Ligustici Chuanxiong Rhizoma) [each 2 liang], Sheng Jiang (Zingiberis Rhizoma Recens) [4 liang], Wu Wei Zi (Schisandrae Chinensis Fructus) [3 he], Da Zao (Jujubae Fructus) [30 pieces], Bai Yang Shen (Caprinus Ren) [1 pair], Ban Xia (Pinelliae Rhizoma) [1 sheng].
The above twenty-three ingredients are cut into small pieces. Decoct the Bai Yang Shen (Caprinus Ren) in 2 dou of water, obtain 1.2 sheng of juice, add all other herbs, and decoct until 4 sheng remains. Divide into five doses. If there is no bowel movement, remove Long Gu (Fossilia Ossis Mastodi et Scapulae) and Chi Shi Zhi (Kaolinite). If urination is astringent, replace Fu Shen (Poria cum Pinodi) with Chi Fu Ling (Poria) and add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 liang. If heat is excessive, add Huang Qin (Scutellariae Radix) 1 liang. For enuresis, add Sang Piao Xiao (Mantidis Oötheca) 20 pieces (Hu Qia's formula lacks Huang Qi (Astragali Radix), Rou Cong Rong (Cistanches Herba), Chi Shi Zhi (Kaolinite), Di Gu Pi (Lycii Cortex), Ci Shi (Magnetitum), Zhi Shi (Aurantii Fructus Immaturus), Fang Feng (Saposhnikoviae Radix), Long Gu (Fossilia Ossis Mastodi et Scapulae), Ban Xia (Pinelliae Rhizoma); it contains Huang Qin (Scutellariae Radix), totaling fifteen ingredients).