夫热病毒瓦斯未除。表里不解。热在膀胱。则流于小腹。热盛则脾胃干。津液少。故小便
不通也。
治热病。热毒瓦斯壅。心腹胀满。小便不通。宜服滑石散方。
滑石(二两) 甜葶苈(一合隔纸炒令紫色) 汉防己(一两) 木通(半两锉) 猪
苓(一两
去黑皮) 甘草(半两炙微赤锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病。小便不通。或淋沥疼痛。宜服木通散方。
木通(一两锉) 枳实(半两麸炒微黄色) 琥珀(一两) 赤芍药(半两) 茅根(半
两锉)
甘草(半两炙微赤锉)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病。小便不通。小肠中疼痛。宜服当归散方。
当归(三分锉微炒) 子芩(半两) 葵子(半两) 车前子(半两) 榆白皮(半两
锉)
上件药。捣细罗为散。每服。用暖生地黄汁一小盏。调下二钱。不计时候。服。
治热病。小便不通。心神烦躁。小腹满闷。宜服赤茯苓散方。
赤茯苓(一两) 赤芍药(一两) 葵子(一两) 蘧麦(一两) 木通(一两锉) 川
芒硝(一
两)
上件药。捣粗罗为散。每服四钱。以水一中盏。入葱白二茎。煎至六分。去滓。不计时
候。温服。
治热病。小便不通。宜服石苇散方。
石苇(一两去毛) 木通(半两锉) 蘧麦(一两) 甘草(半两炙微赤锉) 葵子(三
合) 子
芩(半两)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病。小便赤涩不通。宜服冬葵子散方。
冬葵子(二两) 滑石(二两) 赤茯苓(一两) 木通(一两锉) 茅根(一两锉) 石
苇(一
两去毛) 子芩(一两) 川朴硝(一两)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病。小便不通。淋沥如血方。
大麻根(二两) 乱发灰(二钱)
上件药。先将麻根以水一大盏。煎至六分。去滓。下乱发灰。调令匀。顿服。
又方。
生干地黄(三分) 蒲黄(半两) 郁金(半两)
上件药。捣细罗为散。每服。浓煎葵根汤。调下二钱。不计时候。温服。
又方。
滑石(一两) 石燕(一两)
上件药。捣细罗为散。研令细。每服。不计时候。葱白汤调下一钱。
热病的毒邪热气未能清除,表证和里证均未解除。热邪蕴结在膀胱,就会流注于小腹。热势炽盛会导致脾胃干燥,津液亏少,因此出现小便不通的症状。
治疗热病,因热毒壅滞导致心腹胀满、小便不通的,适宜服用滑石散方。
药物组成:滑石(二两)、甜葶苈(一合,隔纸炒至紫色)、汉防己(一两)、木通(半两,锉碎)、猪苓(一两,去掉黑皮)、甘草(半两,炙至微红后锉碎)。
制法与用法:将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣。不限时间,温服。
治疗热病,小便不通,或伴有淋沥不尽、疼痛症状的,适宜服用木通散方。
药物组成:木通(一两,锉碎)、枳实(半两,麸炒至微黄色)、琥珀(一两)、赤芍药(半两)、茅根(半两,锉碎)、甘草(半两,炙至微红后锉碎)。
制法与用法:将上述药物捣碎并过筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣。不限时间,温服。
治疗热病,小便不通,小肠部位疼痛的,适宜服用当归散方。
药物组成:当归(三分,锉碎后微炒)、子芩(半两)、葵子(半两)、车前子(半两)、榆白皮(半两,锉碎)。
制法与用法:将上述药物捣碎并过细筛制成散剂。每次服用时,用暖热的生地黄汁一小盏,调服二钱散剂。不限时间,服用。
治疗热病,小便不通,伴有心神烦躁、小腹满闷的,适宜服用赤茯苓散方。
药物组成:赤茯苓(一两)、赤芍药(一两)、葵子(一两)、蘧麦(一两)、木通(一两,锉碎)、川芒硝(一两)。
制法与用法:将上述药物捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,加入葱白两根,煎煮至六分,滤去药渣。不限时间,温服。
治疗热病,小便不通的,适宜服用石苇散方。
药物组成:石苇(一两,去毛)、木通(半两,锉碎)、蘧麦(一两)、甘草(半两,炙至微红后锉碎)、葵子(三合)、子芩(半两)。
制法与用法:将上述药物捣碎并过筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣。不限时间,温服。
治疗热病,小便赤涩不通的,适宜服用冬葵子散方。
药物组成:冬葵子(二两)、滑石(二两)、赤茯苓(一两)、木通(一两,锉碎)、茅根(一两,锉碎)、石苇(一两,去毛)、子芩(一两)、川朴硝(一两)。
制法与用法:将上述药物捣碎并过筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣。不限时间,温服。
治疗热病,小便不通,尿色如血的方剂。
药物组成:大麻根(二两)、乱发灰(二钱)。
制法与用法:先将大麻根用水一大盏,煎煮至六分,滤去药渣,加入乱发灰,搅拌均匀,一次性服下。
又一方。
药物组成:生干地黄(三分)、蒲黄(半两)、郁金(半两)。
制法与用法:将上述药物捣碎并过细筛制成散剂。每次服用时,用浓煎的葵根汤调服二钱散剂。不限时间,温服。
又一方。
药物组成:滑石(一两)、石燕(一两)。
制法与用法:将上述药物捣碎并过细筛制成散剂,研磨细腻。每次服用时,不限时间,用葱白汤调服一钱。
The pathogenic heat and toxic qi of febrile disease have not been eliminated. Both the exterior and interior patterns remain unresolved. Heat accumulates in the Bladder (Bladder organ), flowing into the lower abdomen. Excessive heat dries the Spleen and Stomach, leading to a deficiency of body fluids; thus, dysuria (difficult or painful urination) occurs.
For febrile disease where heat-toxin stagnation causes abdominal distension and fullness with dysuria, the Huashi San (Talcum Powder) is indicated.
Ingredients: Hua Shi (Talcum, 2 liang), Tian Ting Li (Descurainiae Semen, 1 he, stir-fried over paper until purple), Han Fang Ji (Stephaniae Tetrandrae Radix, 1 liang), Mu Tong (Akebiae Caulis, 0.5 liang, sliced), Zhu Ling (Polyporus, 1 liang, black skin removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Strain the dregs. Drink warm at any time.
For febrile disease presenting with dysuria, or dribbling pain, the Mutong San (Akebia Caulis Powder) is indicated.
Ingredients: Mu Tong (Akebiae Caulis, 1 liang, sliced), Zhi Shi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow), Hu Po (Amber, 1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang), Mao Gen (Imperatae Rhizoma, 0.5 liang, sliced), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: Crush the above ingredients and sieve them finely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Strain the dregs. Drink warm at any time.
For febrile disease presenting with dysuria and pain in the Small Intestine, the Danggui San (Angelica Sinensis Powder) is indicated.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 3 fen, sliced and lightly stir-fried), Zi Qin (Scutellariae Radix, 0.5 liang), Kui Zi (Abutili Semen, 0.5 liang), Che Qian Zi (Plantaginis Semen, 0.5 liang), Yu Bai Pi (Ulmus Alba Cortex, 0.5 liang, sliced).
Preparation and Administration: Crush the above ingredients and sieve them finely to make a powder. For each dose, mix 2 qian of powder with a small zhong zhan of warm fresh juice of Di Huang (Rehmanniae Radix). Take at any time.
For febrile disease presenting with dysuria, mental restlessness, and lower abdominal fullness, the Chi Fu Ling San (Red Polyporus Powder) is indicated.
Ingredients: Chi Fu Ling (Polyporus with Red Skin, 1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 1 liang), Kui Zi (Abutili Semen, 1 liang), Ju Mai (Fagopyri Dibotryis Fructus, 1 liang), Mu Tong (Akebiae Caulis, 1 liang, sliced), Chuan Mang Xiao (Natrii Sulfas, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water and two stalks of Cong Bai (Allii Fistulosi Bulbus), decoct until reduced to 6 fen. Strain the dregs. Drink warm at any time.
For febrile disease presenting with dysuria, the Shi Wei San (Pyriopteridis Folium Powder) is indicated.
Ingredients: Shi Wei (Pyriopteridis Folium, 1 liang, hairs removed), Mu Tong (Akebiae Caulis, 0.5 liang, sliced), Ju Mai (Fagopyri Dibotryis Fructus, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced), Kui Zi (Abutili Semen, 3 he), Zi Qin (Scutellariae Radix, 0.5 liang).
Preparation and Administration: Crush the above ingredients and sieve them finely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Strain the dregs. Drink warm at any time.
For febrile disease presenting with dark, scanty, and obstructed urination, the Dong Kui Zi San (Abutili Semen Powder) is indicated.
Ingredients: Dong Kui Zi (Abutili Semen, 2 liang), Hua Shi (Talcum, 2 liang), Chi Fu Ling (Polyporus with Red Skin, 1 liang), Mu Tong (Akebiae Caulis, 1 liang, sliced), Mao Gen (Imperatae Rhizoma, 1 liang, sliced), Shi Wei (Pyriopteridis Folium, 1 liang, hairs removed), Zi Qin (Scutellariae Radix, 1 liang), Chuan Pu Xiao (Natrii Sulfas, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them finely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Strain the dregs. Drink warm at any time.
Formula for febrile disease with dysuria and hematuria (urine resembling blood):
Ingredients: Da Ma Gen (Cannabis Sativa Root, 2 liang), Luan Fa Hui (Ash of Human Hair, 2 qian).
Preparation and Administration: First, decoct Da Ma Gen in 1 da zhan of water until reduced to 6 fen. Strain the dregs. Add Luan Fa Hui, mix evenly, and take in one dose.
Another formula:
Ingredients: Sheng Gan Di Huang (Dried Rehmanniae Radix, 3 fen), Pu Huang (Typhae Pollen, 0.5 liang), Yu Jin (Curcumae Radix, 0.5 liang).
Preparation and Administration: Crush the above ingredients and sieve them finely to make a powder. For each dose, mix 2 qian of powder with thick decoction of Kui Gen (Abutili Radix). Drink warm at any time.
Another formula:
Ingredients: Hua Shi (Talcum, 1 liang), Shi Yan (Lepidolite, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them finely. For each dose, mix 1 qian with decoction of Cong Bai (Allii Fistulosi Bulbus). Take at any time.