(数是四首)
千金翼疗水气肿鼓胀,小便不利,山琏治韦司业得差,司业侄云表所送云数用神验。莨
菪丸方。
莨菪子(一升) 羚羊肺(一具青羊亦佳汤微炼即薄切之曝干捣作末)
上二味,以三年大酢,渍莨菪一伏时出之,熬令变色,熟捣如泥,和肺末蜜和捣作丸,
食后一食久,服如梧子大四丸,麦门冬饮服之喉中干口粘妄语为候,数日小便大利即瘥。
麦门冬饮法。
麦门冬(二十五枚去心) 米(二十五粒)
上二味,以三合半水煮之,米大熟,去滓以下丸。每服常作。(千金同出第二十卷中)
救急疗水气腹鼓胀硬,频试要效方。
葶苈子(七两熬) 茯苓(三两) 吴茱萸(二两) 椒目(三两沉水者) 甘遂(五
两)
上五味捣筛,蜜和为丸如梧子大,以饮服五丸,日三服,不知稍加丸,以利为度。禁食
如药法,并酢物。(出第九卷中)
古今录验疗大水肿腹如鼓,坚如石方。(出胡洽)
葶苈(一升熬) 椒目(一升) 芒硝(六两) 水银(十二两)
上四味,以水煮炼水银三日三夜,数益水,要当令黄白以合,捣药六万杵,自令相和如
梧子,先食服一丸,日三,日增一丸至十丸,不知,更从一丸始,病当从小便利,当饮好牛
羊肉
银一
中
(以上共四首方剂)
《千金翼方》治疗水气病导致的水肿和鼓胀,伴有小便不通畅。山琏治愈了韦司业(官职名)的病,韦司业的侄子云表赠送此方,说多次使用非常神效。莨菪丸方。
莨菪子(一升) 羚羊肺(一副,用青羊的肺也很好,用水稍微煮炼后薄切,晒干捣成粉末)
以上两味药,用陈醋浸泡莨菪子一个白天(伏时),取出后炒至变色,熟捣如泥状,与肺末混合,加蜂蜜调和捣制成丸药。饭后较长时间服用,每次服四丸,大小如梧桐子,用麦门冬饮送服。以喉咙干燥、口粘、胡言乱语为药效反应指标,几天后小便大量通畅,疾病即可痊愈。
麦门冬饮制作方法。
麦门冬(二十五枚,去心) 米(二十五粒)
以上两味药,用三合半水煮,直到米完全煮熟,滤去渣滓,用来送下丸药。每次服用通常按此法制作。(出自《千金要方》第二十卷中)
葶苈子(七两,炒制) 茯苓(三两) 吴茱萸(二两) 椒目(三两,以沉入水中的为佳) 甘遂(五两)
以上五味药捣碎过筛,用蜂蜜调和制成如梧桐子大小的丸药。用饮水送服五丸,每日三次,若无效则逐渐增加丸数,以大便通利为度。禁忌食物遵循一般服药法则,并禁止食用酸味食物。(出自第九卷中)
《古今录验》治疗严重水肿,腹部像鼓一样,坚硬如石方的方剂。(出自《胡洽方》)
葶苈(一升,炒制) 椒目(一升) 芒硝(六两) 水银(十二两)
以上四味药,用水煮炼水银三天三夜,不断加水,务必使水银呈现黄白色融合状态,将药物捣六万次,使其自然混合均匀做成如梧桐子大小的丸药。饭前服用一丸,每日三次,每天增加一丸,直至十丸。若无效,再从一丸开始重新递增。病情应当从小便通畅开始好转,应当饮用优质的牛肉或羊肉汤。
(Above are four prescriptions in total)
*Qianjin Yi Fang* treats edema and abdominal distension caused by water qi, accompanied by difficulty in urination. Shan Lian cured the illness of Wei Siye (an official title), and Wei's nephew Yunbiao presented this prescription, stating that it has proven highly effective upon multiple uses. **Langdang Wan** (Datura Pill) Prescription.
**Langdangzi** (Daturae Fructus, 1 sheng) **Lingyang Fei** (Antelope Lung, one piece; blue sheep lung is also excellent). The lung should be slightly boiled, thinly sliced, sun-dried, and pounded into powder.
Take the above two ingredients. Soak **Langdangzi** in three-year-old strong vinegar for a full day (fu shi), then remove and stir-fry until the color changes. Pound thoroughly until it becomes a paste. Mix with the lung powder, combine with honey, and pound to form pills. Take four pills, sized like sophora seeds, about an hour after meals, washed down with **Mendong Yin** (Ophiopogon Drink). The therapeutic effect is indicated by dryness in the throat, sticky mouth, and delirium. After a few days, when urination becomes abundant and smooth, the disease will be cured.
Method for preparing Mendong Yin.
**Mendong** (Ophiopogonis Radix, 25 pieces, heart removed) Rice (25 grains).
Boil the above two ingredients in 3.5 he of water until the rice is fully cooked. Strain out the dregs and use the liquid to take the pills. This preparation is used for each dose. (Also found in Volume 20 of *Qianjin Yao Fang*)
Emergency prescription for treating abdominal distension and hardness due to water qi, which has proven effective in repeated trials.
**Tinglizi** (Descurainiae Semen seu Lepidii Semen, 7 liang, roasted) **Fuling** (Poria, 3 liang) **Wuzhuyu** (Evodiae Fructus, 2 liang) **Jiaomu** (Zanthoxyli Semen, 3 liang; choose those that sink in water) **Gansui** (Kansui Radix, 5 liang).
Pound and sieve the above five ingredients. Combine with honey to form pills sized like sophora seeds. Take five pills with water, three times a day. If ineffective, gradually increase the number of pills. Stop when bowel movement becomes loose. Adhere to general dietary restrictions for medication, and avoid sour foods. (From Volume 9)
*Gujin Luyan* prescription for severe edema where the abdomen is drum-like and hard as stone. (From *Hu Qia Fang*)
**Tingli** (Descurainiae Semen seu Lepidii Semen, 1 sheng, roasted) **Jiaomu** (Zanthoxyli Semen, 1 sheng) **Mangxiao** (Natrii Sulfas, 6 liang) **Shuiyin** (Hydrargyrum, 12 liang).
Boil and refine the **Shuiyin** in water for three days and nights, adding water frequently, until the mercury turns yellowish-white and fuses. Pound the medicines sixty thousand times until they naturally mix uniformly into pills sized like sophora seeds. Take one pill before meals, three times a day. Increase by one pill daily up to ten pills. If ineffective, restart from one pill. The condition should improve through increased urination. Consume high-quality beef or mutton broth.