夫暴渴者。由心热也。心主于便汗。便汗出多。则肾中虚躁。故令浊也。凡夏月渴而汗
出多。则小便少。冬月不汗。故小便多。此皆是平人之候。名曰暴渴也。
治暴渴。烦热不退。少得睡眠。麦门冬散方。
麦门冬(一两去心) 白茅根(二两锉) 栝蒌根(一两) 黄芩(三分) 甘草(半
两炙微赤
锉) 芦根(一两半锉) 人参(二分去芦头) 地骨皮(一两) 石膏(二两)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。小麦半合。淡竹叶二七片。
煎至五分。去滓。每于食后温服。
治暴渴饮水多。或干呕。芦根散方。
芦根(一两半锉) 人参(半两去芦头) 百合(三分) 麦门冬(一两去心) 桑根
白皮(三
分锉)
(三分炙微
赤
锉)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。淡竹叶二七片。煎至六分。
去滓。不计时候温服。
治暴渴。心神烦闷。体热食少。栝蒌根散方。
栝蒌根(一两) 芦根(一两锉) 麦门冬(一两去心) 知母(一两) 人参(一两
去芦头)
地骨皮(一两) 黄芩(一两) 甘草(一两炙微赤锉)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。小麦半合。竹叶二十片。煎
至五分。去滓。不计时候温服。
治暴渴。心神烦闷。口舌干焦。柴胡散方。
柴胡(二两去苗) 乌梅肉(二两微炒) 甘草(一两炙微赤锉) 麦门冬(一两半去
心)
上件药。捣筛为散。每服四钱。以水一中盏。煎至七分。去滓。不计时候温服。
又方。
乌梅肉(七枚微炒) 生姜(一分捶碎) 白砂糖(三分)
上件药。以水二大盏。煎至一盏一(二)分。去滓。分温二服。食后服之。
又方。
枇杷叶(一两拭去毛炙微黄) 芦根(二两锉) 甘草(三分炙微赤捣) 黄连(一两
去须)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。
治暴渴。除烦热。酥蜜煎方。
酥(五合) 白蜜(五两) 川芒硝(二两)
上件药。于银器中。以慢火熬成膏。收瓷器中。不计时候。服半匙咽津。
治胸膈气壅滞。暴渴不止。赤茯苓散方。
赤茯苓(一两) 诃黎勒皮(三分) 龙脑(一钱细研) 人参(三分去芦头)
上件药。捣细罗为散。入龙脑。研令匀。不计时候。以粥饮调下一钱。
又方。
上取萝卜二枚大者。捣烂取汁。入蜜二合。生姜半两。取汁。酥一两。调令匀。渴即旋
少饮之。
暴渴这种病证,是由于心经有热所致。心主管汗液的排泄,如果汗出过多,就会导致肾中阴液亏虚而生燥,从而引起口渴。凡是夏季天气炎热时,人容易口渴且出汗多,因此小便量少;冬季不出汗,所以小便量多。这些都是正常人的生理现象,称为暴渴。
治疗暴渴,伴有烦热不退、睡眠减少的症状,使用麦门冬散方。
药材:麦门冬(一两,去心)、白茅根(二两,切碎)、栝蒌根(一两)、黄芩(三分)、甘草(半两,炙至微红并切碎)、芦根(一两半,切碎)、人参(二分,去芦头)、地骨皮(一两)、石膏(二两)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用五钱,加水一大盏,放入生姜半分、小麦半合、淡竹叶十四片,煎煮至剩余五分药液,滤去药渣。每次在饭后温服。
治疗暴渴饮水过多,或伴有干呕的症状,使用芦根散方。
药材:芦根(一两半,切碎)、人参(半两,去芦头)、百合(三分)、麦门冬(一两,去心)、桑根白皮(三分,切碎)、[原文此处缺字,据方义推测可能为知母或其他清热药,但依原文提取](三分,炙至微红并切碎)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用四钱,加水一中盏,放入生姜半分、淡竹叶十四片,煎煮至剩余六分药液,滤去药渣。不限时候,温服。
治疗暴渴,伴有心神烦闷、身体发热、食欲减退的症状,使用栝蒌根散方。
药材:栝蒌根(一两)、芦根(一两,切碎)、麦门冬(一两,去心)、知母(一两)、人参(一两,去芦头)、地骨皮(一两)、黄芩(一两)、甘草(一两,炙至微红并切碎)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用五钱,加水一大盏,放入生姜半分、小麦半合、竹叶二十片,煎煮至剩余五分药液,滤去药渣。不限时候,温服。
治疗暴渴,伴有心神烦闷、口舌干燥焦枯的症状,使用柴胡散方。
药材:柴胡(二两,去苗)、乌梅肉(二两,微炒)、甘草(一两,炙至微红并切碎)、麦门冬(一两半,去心)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用四钱,加水一中盏,煎煮至剩余七分药液,滤去药渣。不限时候,温服。
又一方。
药材:乌梅肉(七枚,微炒)、生姜(一分,捶碎)、白砂糖(三分)。
制法与用法:将上述药物加水两大盏,煎煮至一盏二分药液,滤去药渣。分两次温服,饭后服用。
又一方。
药材:枇杷叶(一两,拭去毛后炙至微黄)、芦根(二两,切碎)、甘草(三分,炙至微红并捣碎)、黄连(一两,去须)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用四钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。每次在饭后温服。
治疗暴渴,去除烦热,使用酥蜜煎方。
药材:酥(五合)、白蜜(五两)、川芒硝(二两)。
制法与用法:将上述药物放入银器中,用慢火熬制成膏状,存入瓷器中。不限时候,含服半匙,配合咽津服用。
治疗胸膈气机壅滞,暴渴不止,使用赤茯苓散方。
药材:赤茯苓(一两)、诃黎勒皮(三分)、龙脑(一钱,细研)、人参(三分,去芦头)。
制法与用法:将上述药物捣碎过细罗制成散剂,加入龙脑,研磨均匀。不限时候,用米粥汤调服一钱。
Bao Ke (Sudden Thirst) is caused by Heat in the Heart. The Heart governs the excretion of sweat. Excessive sweating leads to deficiency and dryness in the Kidney, resulting in thirst. In summer, when people are thirsty and sweat excessively, urine output decreases; in winter, without sweating, urine output increases. These are physiological states in healthy individuals, termed Bao Ke (Sudden Thirst).
For treating Bao Ke (Sudden Thirst) accompanied by persistent irritability and heat, and insufficient sleep, use Maidong San (Ophiopogon Powder).
Herbs: Maidong (Ophiopogonis Radix, 1 liang, heart removed), Baomao Gen (Imperatae Rhizoma, 2 liang, sliced), Gualou Gen (Trichosanthis Radix, 1 liang), Huangqin (Scutellariae Radix, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced), Lugeng (Phragmitis Rhizoma, 1.5 liang, sliced), Renshen (Ginseng Radix, 2 fen, rhizome removed), Digupi (Lycii Cortex, 1 liang), Shigao (Gypsum Fibrosum, 2 liang).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose, with one large cup of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), 0.5 he of Xiaomai (Tritici Fructus), and 14 leaves of Danzhuye (Lophatheri Herba). Decoct until 0.5 cup remains, strain, and take warm after meals.
For treating Bao Ke (Sudden Thirst) with excessive drinking or dry retching, use Lugeng San (Phragmitis Powder).
Herbs: Lugeng (Phragmitis Rhizoma, 1.5 liang, sliced), Renshen (Ginseng Radix, 0.5 liang, rhizome removed), Baihe (Lilii Bulbus, 3 fen), Maidong (Ophiopogonis Radix, 1 liang, heart removed), Sangbaipipi (Mori Cortex, 3 fen, sliced), [Text missing character here] (3 fen, honey-fried until slightly red and sliced).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 4 qian per dose, with one medium cup of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) and 14 leaves of Danzhuye (Lophatheri Herba). Decoct until 0.6 cup remains, strain, and take warm at any time.
For treating Bao Ke (Sudden Thirst) accompanied by mental restlessness, body heat, and poor appetite, use Gualougen San (Trichosanthis Root Powder).
Herbs: Gualougen (Trichosanthis Radix, 1 liang), Lugeng (Phragmitis Rhizoma, 1 liang, sliced), Maidong (Ophiopogonis Radix, 1 liang, heart removed), Zhimu (Anemarrhenae Rhizoma, 1 liang), Renshen (Ginseng Radix, 1 liang, rhizome removed), Digupi (Lycii Cortex, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose, with one large cup of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), 0.5 he of Xiaomai (Tritici Fructus), and 20 leaves of Zhuye (Bambusae Folium). Decoct until 0.5 cup remains, strain, and take warm at any time.
For treating Bao Ke (Sudden Thirst) accompanied by mental restlessness and dry, scorched mouth and tongue, use Chaihu San (Bupleuri Powder).
Herbs: Chaihu (Bupleuri Radix, 2 liang, radix removed), Wumei Rou (Mume Fructus pulp, 2 liang, lightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced), Maidong (Ophiopogonis Radix, 1.5 liang, heart removed).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 4 qian per dose, with one medium cup of water. Decoct until 0.7 cup remains, strain, and take warm at any time.
Another prescription.
Herbs: Wumei Rou (Mume Fructus pulp, 7 pieces, lightly stir-fried), Shengjiang (Zingiberis Rhizoma Recens, 1 fen, crushed), Baishatang (Saccharum Sinarum album, 3 fen).
Preparation and Administration: Add two large cups of water to the above herbs. Decoct until 1.2 cups remain, strain, and divide into two warm doses. Take after meals.
Another prescription.
Herbs: Pipaye (Folium Eriobotryae, 1 liang, hairs wiped off, fried until slightly yellow), Lugeng (Phragmitis Rhizoma, 2 liang, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and pounded), Huanglian (Coptidis Rhizoma, 1 liang, fibers removed).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 4 qian per dose, with one medium cup of water. Decoct until 0.6 cup remains, strain, and take warm after meals.
To treat Bao Ke (Sudden Thirst) and remove irritability and heat, use Sumi Jian (Butter and Honey Decoction).
Herbs: Su (Butyrum, 5 he), Baimi (Mel, 5 liang), Chuanniaoxiao (Natrii Sulfas, 2 liang).
Preparation and Administration: Place the above herbs in a silver vessel and slowly simmer into an ointment. Store in a porcelain container. Take half a spoonful at any time, swallowing with saliva.
For treating Qi stagnation in the chest and diaphragm with incessant Bao Ke (Sudden Thirst), use Chifuling San (Polyporus Ruber Powder).
Herbs: Chifuling (Polyporus, 1 liang), Helilepi (Pericarpium Chebulae, 3 fen), Longnao (Borneolum Syntheticum, 1 qian, finely ground), Renshen (Ginseng Radix, 3 fen, rhizome removed).
Preparation and Administration: Pound and sieve the above herbs through a fine mesh into a powder, add Longnao (Borneolum Syntheticum), and grind evenly. Take 1 qian mixed with rice broth at any time.
Another prescription.
Take two large radishes, pound them into a paste and extract the juice. Add 2 he of Mel (Honey), juice from 0.5 liang of Shengjiang (Zingiberis Rhizoma Recens), and 1 liang of Su (Butyrum). Mix well. Drink small amounts frequently when thirsty.