一方止渴饮 治妊妇霍乱吐泻,心烦,闷乱作渴。
上用糯米一合,泡令净,细研,以水一大盏,研滤取汁,入蜜一合,生姜汁半合相和,
渴即顿服,立止。缩脾饮亦妙。
《局方》五苓散、诃子散、理中丸、《局方》胡椒汤、香薷散。(夏月预宜合此,以防
霍乱。若有是证,以此药疗之,其效神速,但要极冷服。一方有黄连,无扁豆。)以上五方
,并见第七卷第二论。
解伏热,除烦渴,消暑毒,止吐痢。霍乱之后,服热药太多致烦躁者,宜沉
令水冷,顿服。
草果仁(四两) 乌梅肉(三两) 甘草(二两半)
上 咀,每服半两。水一碗,生姜十片,煎至八分,浸以热水,温冷任意。
论曰∶凡妊娠泄泻,冷热不同。水泻青白或黄白,或水谷不化,腹痛肠鸣,其脉弱而紧
,此内伤冷也,谓之洞泄寒中。若泄注如水,深黄色及有完谷,小便赤,腹胁胀满,烦躁喜
饮,时时呕逆;或下利清水,或小便不利,得热则极,脉虚大而数。由乘虚热入于胃,凑渗
下焦,津液不分,并于大肠,谓之协热痢。先以五苓散利小便,次以黄连阿胶丸或三黄熟艾
汤。凡泄泻色黄而有沫,肠鸣腹胀满、微痛,其脉沉紧而小数,谓之冷热不调,宜戊己丸和
之。凡暴下或青或白,水谷或化或不化,腹胁或胀或不胀,或痛或不痛,但 生熟气,全不
思食,其脉内虚外实,右关脉沉紧者,谓之飧泄,先去沉积,宜感应丸,后调和之。
凡治泄,先须理中焦,如理中汤、丸是也。次即分利水谷,如五苓散是也。治中不效
,然后断下,即用禹余粮、赤石脂是也。(亦可就第八卷第八论选方通用)
一方止渴饮,治疗孕妇霍乱引起的呕吐腹泻,心中烦闷、躁扰不安且极度口渴。
取糯米一合,浸泡洗净后细细研磨,加入一大盏水,研磨过滤取汁液,再加入蜂蜜一合、生姜汁半合混合均匀,
感到口渴时一次性服下,症状立刻停止。缩脾饮的效果也很好。
《太平惠民和剂局方》中的五苓散、诃子散、理中丸、《太平惠民和剂局方》胡椒汤、香薷散。(夏季提前准备好这些药,以预防霍乱。如果出现上述症状,用这些药物治疗,效果神速,但必须极冷服用。其中一方含有黄连,不含扁豆。)以上五个方剂,均见于第七卷第二论。
(此方)解除潜伏的热邪,消除烦渴,清除暑毒,停止呕吐和痢疾。霍乱之后,因服用过多热性药物导致烦躁的,宜将药液沉入冷水中使其变冷,一次性服下。
草果仁(四两) 乌梅肉(三两) 甘草(二两半)
切碎,每次服用半两。用水一碗,生姜十片,煎煮至八分满,置于热水中保温,温服或冷服均可。
论述说:凡是妊娠期间的泄泻,有寒证和热证的不同。如果是水样便,颜色青白或黄白,或者食物不消化,腹痛肠鸣,脉象弱而紧,这是内伤于寒冷所致,称为洞泄寒中。如果泄泻如水注,颜色深黄且有未消化的食物,小便赤红,腹部和胁肋胀满,烦躁喜欢饮水,时时呕吐;或者下利清水,或者小便不通畅,遇热则病情加重,脉象虚大且数。这是由于乘虚而入的热邪侵入胃中,渗入下焦,导致津液不能分别清浊,并流入大肠,称为协热痢。先用五苓散通利小便,再用黄连阿胶丸或三黄熟艾汤。凡是泄泻颜色黄且有泡沫,肠鸣腹胀满、轻微疼痛,脉象沉紧且稍快,称为冷热不调,适宜用戊己丸调和它。凡是突然腹泻,大便颜色或青或白,食物有的消化有的不消化,腹部和胁肋有的胀满有的不胀满,有的疼痛有的不疼痛,只是闻到生熟食物的气味就恶心,完全不想吃东西,脉象内部虚弱外部实盛,右关脉沉紧的,称为飧泄,先去除积滞,适宜用感应丸,之后再调和身体。
凡是治疗泄泻,必须先调理中焦,如理中汤、理中丸就是这类药物。接着就要分清利水谷,如五苓散就是这类药物。如果调理中焦无效,然后才止泻,就用禹余粮、赤石脂这类药物。(也可以参考第八卷第八论选择通用方剂)
One prescription, Zhike Yin (Thirst-Quenching Drink), treats pregnant women suffering from cholera-like vomiting and diarrhea, with mental restlessness, agitation, and intense thirst.
Take one he of glutinous rice, soak until clean, grind finely, add one large cup of water, grind and filter to obtain the juice, add one he of honey and half a he of fresh ginger juice, mix well.
When thirsty, take it all at once; the symptoms will stop immediately. Suopi Yin (Splee-Constricting Drink) is also excellent.
Wuling San (Five-Ingredient Powder with Poria), Hezi San (Chebula Powder), Lizhong Wan (Regulate the Middle Pill), Hu Jiao Tang (Pepper Decoction) from *Ju Fang* (*Tai Ping Hui Min He Ji Ju Fang*), and Xiangru San (Elsholtzia Powder). (Prepare these in advance during summer to prevent cholera-like diseases. If such symptoms occur, treat them with these medicines for rapid effect, but they must be taken extremely cold. One variation includes Huanglian (Coptidis Rhizoma) and excludes Bian Dou (Dolichos Lablab Seed).) The above five prescriptions are all found in Volume 7, Treatise 2.
(These formulas) resolve latent heat, relieve irritability and thirst, clear summerheat toxicity, and stop vomiting and dysentery. After cholera-like disease, if excessive intake of hot-natured medicines causes irritability, it is advisable to chill the decoction by immersing it in cold water and take it all at once.
Caoguo Ren (Tsaoko Fructus Seed, 4 liang) Wumei Rou (Mume Fructus Flesh, 3 liang) Gancao (Licorice Root, 2.5 liang)
Cut into small pieces. Take 0.5 liang per dose. Add one bowl of water and ten slices of fresh ginger, decoct until reduced to 80%, then keep warm in hot water or cool as desired.
It is stated: In general, diarrhea during pregnancy varies between cold and heat patterns. If the stool is watery, greenish-white or yellowish-white, or contains undigested food, accompanied by abdominal pain and borborygmus, with a weak and tight pulse, this is internal injury due to cold, termed Dongxie Handian (Profuse Diarrhea due to Cold in the Middle). If the diarrhea flows like water, is deep yellow with undigested food, urine is red, abdomen and hypochondrium are distended, there is irritability and a preference for drinking, and frequent vomiting; or if there is purging of clear water, or difficulty in urination, worsening with heat, with a deficient, large, and rapid pulse, this is caused by heat entering the stomach through deficiency, seeping into the lower jiao, failing to separate fluids, and flowing into the large intestine, termed Xieli (Accompanying Heat Dysentery). First use Wuling San (Five-Ingredient Powder with Poria) to promote urination, then use Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill) or Sanhuang Shuai Ai Tang (Three-Yellow and Cooked Mugwort Decoction). If the diarrhea is yellow with froth, accompanied by borborygmus, abdominal distension, and mild pain, with a deep, tight, and slightly rapid pulse, it is termed Lengre Budiao (Cold-Heat Disharmony), suitable for treatment with Wuji Wan (Wuji Pill). If there is sudden diarrhea, stool color either green or white, food digested or not, abdomen/hypochondrium distended or not, painful or not, but nausea upon smelling raw or cooked food, complete loss of appetite, with an internally deficient and externally excess pulse, and a deep, tight right Guan pulse, it is termed Sunxie (Undigested Food Diarrhea). First remove stagnation using Yinggan Wan (Miraculous Response Pill), then harmonize the body.
In treating diarrhea, one must first regulate the middle jiao, such as Lizhong Tang (Regulate the Middle Decoction) or Lizhong Wan (Regulate the Middle Pill). Next, separate fluids and grains, such as Wuling San (Five-Ingredient Powder with Poria). If regulating the middle is ineffective, then stop the diarrhea using Yuyuliang (Hematitum) and Chishizhi (Halloysitum Rubrum). (Alternatively, select general prescriptions from Volume 8, Treatise 8.)