又痰成而塞咽喉者,为顽痰也。方用∶
贝母(三钱) 半夏(三钱) 茯苓(三钱) 白术(三钱) 神曲(三钱) 紫菀(二
钱) 桔梗(三钱) 白矾(一钱) 甘草(一钱) 水煎服
此方妙在半夏、贝母同用,一燥一湿,使痰无处逃避。又有白矾消块,〔桔〕梗、〔紫〕
菀去邪,甘草调中,有不奏功者乎?
栀子(三钱) 白芍(五钱) 丹皮(三钱) 元参(二钱) 甘草(一钱) 水煎服
心火加黄连一钱,胃火加石膏三钱,肾火加黄柏、知母各一钱,肺火加黄芩一钱,大肠
火加
治火何独治肝经也?盖肝属木,木易生火。肝火散而诸经之火俱散,但散火必须加下泄
之药
如人病初起之时,用药原易奏功。无如〔世〕人看不清〔症〕,用药错乱,往往变症蜂
起。苟看病真,用药当,又何有变症耶?如伤风之症,必然头痛身疼,咳嗽痰多,鼻流清水,
切
防风(一钱) 柴胡(一钱) 黄芩(一钱) 半夏(一钱) 荆芥(一钱) 甘草(一
钱) 水煎服
一剂即止,不必再剂也。
伤寒初起,鼻塞目痛,项强头痛,切其脉必浮紧,此伤寒也。方用∶
桂枝(一钱) 甘草(一钱) 陈皮(一钱) 干葛(一钱) 水煎服一剂而愈。
如伤食〔必〕心中饱闷,见食则恶,食之转痛也。方用∶
白术(一钱) 茯苓(一钱) 枳壳(一钱) 山楂(二十粒) 谷芽(二钱) 麦
芽(
二剂愈。
另外,痰形成后堵塞咽喉的,称为顽痰。方剂用:
贝母(三钱) 半夏(三钱) 茯苓(三钱) 白术(三钱) 神曲(三钱) 紫菀(二钱) 桔梗(三钱) 白矾(一钱) 甘草(一钱) 水煎服。
这个方子的妙处在于半夏和贝母同用,一个燥湿,一个润湿,使痰无处可逃。又有白矾消除痰块,桔梗、紫菀祛除邪气,甘草调和脾胃,难道还有不奏效的吗?
栀子(三钱) 白芍(五钱) 丹皮(三钱) 元参(二钱) 甘草(一钱) 水煎服。
心火旺加黄连一钱,胃火旺加石膏三钱,肾火旺加黄柏、知母各一钱,肺火旺加黄芩一钱,大肠火旺加……(原文此处缺失药物名,仅保留“加”字后的语境,但根据指令不增添内容,故译为“大肠火旺加”或结合上下文理解为列举未尽,此处依原文直译)……治火为何唯独治疗肝经呢?因为肝属木,木容易生火。肝火消散了,各条经络的火也就都消散了,但是散火必须加入向下泄火的药物。
比如人病初起的时候,用药原本容易见效。无奈世人看不清症状,用药错乱,往往导致变症蜂拥而起。如果看病准确,用药得当,又怎么会有变症呢?比如伤风的症状,必然头痛身疼,咳嗽痰多,鼻流清水,切脉……(原文此处有缺漏,依原文直译)……防风(一钱) 柴胡(一钱) 黄芩(一钱) 半夏(一钱) 荆芥(一钱) 甘草(一钱) 水煎服。
服用一剂即可停止,不必再服第二剂。
伤寒初起,鼻塞目痛,项强头痛,切其脉必浮紧,这是伤寒。方剂用:
桂枝(一钱) 甘草(一钱) 陈皮(一钱) 干葛(一钱) 水煎服,一剂而愈。
如果是伤食,必然心中饱闷,见食物就厌恶,吃了之后更加疼痛。方剂用:
白术(一钱) 茯苓(一钱) 枳壳(一钱) 山楂(二十粒) 谷芽(二钱) 麦芽(……(原文此处截断,依原文直译)……两剂痊愈。
Furthermore, when phlegm forms and obstructs the throat, it is called stubborn phlegm (Wan Tan). The prescription is as follows:
Fritillariae Bulbus (Beimu, 贝母) (3 qian), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (3 qian), Poria (Fuling, 茯苓) (3 qian), Atractodis Rhizoma (Baizhu, 白术) (3 qian), Medicated Leaven (Shenqu, 神曲) (3 qian), Asteris Radix et Rhizoma (Ziwan, 紫菀) (2 qian), Platycodonis Radix (Jiegeng, 桔梗) (3 qian), Alumen (Bai fan, 白矾) (1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian). Decoct in water and take orally.
The brilliance of this formula lies in the simultaneous use of Pinelliae Rhizoma Preparatum (Banxia, 半夏) and Fritillariae Bulbus (Beimu, 贝母); one dries dampness while the other moistens, leaving no place for phlegm to hide. Additionally, Alumen (Bai fan, 白矾) dissolves phlegm nodules, Platycodonis Radix (Jiegeng, 桔梗) and Asteris Radix et Rhizoma (Ziwan, 紫菀) expel pathogenic factors, and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) harmonizes the middle jiao. Is there any case where efficacy is not achieved?
Gardeniae Fructus (Zhizi, 栀子) (3 qian), Paeoniae Radix Alba (Baishao, 白芍) (5 qian), Moutan Cortex (Danpi, 丹皮) (3 qian), Scrophulariae Radix (Yuanshen, 元参) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian). Decoct in water and take orally.
For excessive Heart Fire (Xin Huo), add Coptidis Rhizoma (Huanglian, 黄连) 1 qian; for excessive Stomach Fire (Wei Huo), add Gypsum Fibrosum (Shigao, 石膏) 3 qian; for excessive Kidney Fire (Shen Huo), add Phellodendri Cortex (Huangbai, 黄柏) and Anemarrhenae Rhizoma (Zhimu, 知母) each 1 qian; for excessive Lung Fire (Fei Huo), add Scutellariae Radix (Huangqin, 黄芩) 1 qian; for excessive Large Intestine Fire (Dachang Huo), add... [Text incomplete]. Why does treating fire focus solely on the Liver Meridian? Because the Liver belongs to Wood, and Wood easily generates Fire. When Liver Fire (Gan Huo, 肝火) dissipates, the fire in all meridians dissipates. However, to dissipate fire, one must add herbs that drain fire downward.
For example, when a disease is in its initial stage, medication is originally easy to achieve efficacy. Unfortunately, people of the world fail to clearly identify symptoms, leading to chaotic medication, often resulting in a swarm of altered symptoms. If the diagnosis is accurate and the medication appropriate, how could there be altered symptoms? For instance, the symptoms of Wind-Cold invasion (Shang Feng, 伤风) necessarily include headache and body ache, cough with profuse sputum, and clear nasal discharge, pulse taking... [Text incomplete]... Saposhnikoviae Radix (Fangfeng, 防风) (1 qian), Bupleuri Radix (Chaihu, 柴胡) (1 qian), Scutellariae Radix (Huangqin, 黄芩) (1 qian), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (1 qian), Schizonepetae Spica (Jingjie, 荆芥) (1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian). Decoct in water and take orally.
One dose is sufficient to stop the condition; a second dose is unnecessary.
In the initial stage of Cold Damage (Shang Han, 伤寒), there are nasal congestion, eye pain, stiffness of the neck, and headache. Pulse taking reveals a floating and tight pulse (Mai Fu Jin, 脉浮紧). This is Cold Damage (Shang Han, 伤寒). The prescription is as follows:
Cinnamon Twig (Guizhi, 桂枝) (1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 qian), Tangerine Peel (Chenpi, 陈皮) (1 qian), Kudzu Root (Gange, 干葛) (1 qian). Decoct in water and take orally; cured in one dose.
If it is Food Retention (Shang Shi, 伤食), there is necessarily fullness and oppression in the heart/chest, aversion to seeing food, and increased pain after eating. The prescription is as follows:
Atractodis Rhizoma (Baizhu, 白术) (1 qian), Poria (Fuling, 茯苓) (1 qian), Aurantii Fructus Immaturus (Zhiqiao, 枳壳) (1 qian), Crataegi Fructus (Shanzha, 山楂) (20 seeds), Setariae Germ (Guya, 谷芽) (2 qian), Hordeum Germ (Maya, 麦芽)... [Text incomplete]. Two doses lead to recovery.