赤石脂(一斤一半全用一半筛末味甘温) 干姜(一两味辛热) 粳米(一升味甘平)
上三味。以水七升。煮米令熟。去滓。温服七合。内赤石脂末方寸匕。日三服。若
一服愈。余勿服。
涩可去脱。赤石脂之涩。以固肠胃。辛以散之。干姜之辛。以散里寒。粳米之甘。以
补正气。
少阴病。二三日至四五日。腹满。小便不利。下利不止。便脓血者。桃花汤主之。
二三日以至四五日。寒邪入里深也。腹痛者。里寒也。小便不利者。水谷不别也。
下利不止。便脓血者。肠胃虚弱。下焦不固也。与桃花汤。固肠止利也。
吴氏云。凡下血。便脓血。有阴阳冷热之不同。古人云。见血无寒。又言血得热而
行。此大概之言也。
略曰。阳证内热。则溢出鲜血。阴证内寒。则下紫黑如豚肝也。
少阴病。下利便脓血者可刺。
下焦血气留聚。腐化则为脓血。刺之以利下焦。宣通血气。
少阴病。吐利。手足厥冷。烦躁欲死者。吴茱萸汤主之。
吐利手足厥冷。则阴寒气甚。烦躁欲死者。阳气内争。与吴茱萸汤。助阳散寒。
少阴病。下利。咽痛。胸满心烦者。猪肤汤主之。
少阴之脉。从肾上贯肝膈。入肺中。循喉咙。其支别者。从肺出络心。注胸中。邪
自阳经传于少阴。阴虚。客热下利。咽痛胸满心烦也。与猪肤汤。调阴散热。
赤石脂(一斤,其中一半整块使用,一半研成细末,味甘、性温) 干姜(一两,味辛、性热) 粳米(一升,味甘、性平)
以上三味药。用水七升。煮米至熟烂。滤去药渣。温服七合。服用时加入赤石脂细末一方寸匕。每日服用三次。如果一次服药后病愈,剩下的药就不要服用了。
“涩”法可以治疗滑脱不禁之证。赤石脂的涩味,用来固摄肠胃。辛味可以发散邪气,干姜的辛味,用来发散体内的寒邪。粳米的甘味,用来补益正气。
少阴病。发病两三天到四五天。出现腹部胀满。小便不通畅。腹泻不止。大便带有脓血的患者。用桃花汤主治。
从两三天到四五天。说明寒邪已经深入体内。腹痛。是里有寒邪的表现。小便不通畅。是因为水谷不能分别清浊。
腹泻不止。大便带有脓血。是因为肠胃虚弱。下焦固摄无力。给予桃花汤。目的是固护肠道、止住腹泻。
吴氏说。凡是便血。或大便带脓血。有阴证、阳证、冷证、热证的不同。古人说。见血就没有寒证。又说血液遇热则运行加速。这只是一般性的说法。
大致来说。阳证伴有内热。则会溢出鲜红色的血;阴证伴有内寒。则会排出紫黑色如猪肝样的血。
少阴病。腹泻并伴有脓血的患者。可以针刺治疗。
下焦气血停滞积聚。腐败化生为脓血。通过针刺来疏通下焦。宣通气血。
少阴病。呕吐腹泻。手足冰冷。烦躁得快要死去的人。用吴茱萸汤主治。
呕吐腹泻且手足冰冷。说明阴寒之气很盛。烦躁欲死。说明阳气在体内与阴寒抗争。给予吴茱萸汤。目的是助阳散寒。
少阴病。腹泻。咽喉疼痛。胸部胀满。心烦意乱的患者。用猪肤汤主治。
少阴经脉。从肾脏向上穿过肝脏和膈肌。进入肺中。沿着喉咙。其分支从肺出来联络心脏。注入胸中。邪气从阳经传入少阴。导致阴虚。客热引起腹泻。咽喉疼痛、胸部胀满、心烦等症状。给予猪肤汤。目的是调和阴液、疏散热邪。
Red Stone Lip (Lithargyri Redum, one jin; half used whole, half sifted into powder; sweet in taste, warm in nature) Dried Ginger (Zingiberis Rhizoma, one liang; acrid in taste, hot in nature) Rice (Oryzae Fructus, one sheng; sweet in taste, neutral in nature)
The above three ingredients. Boil with seven sheng of water. Cook the rice until soft. Remove the dregs. Take seven he as a warm dose. Add one fangcunbi of Red Stone Lip powder to the decoction. Take three times a day. If cured after one dose, do not take the remainder.
"Astringency" can treat prolapse and incontinence. The astringent property of Red Stone Lip is used to consolidate the intestines and stomach. Acridity disperses pathogens; the acrid property of Dried Ginger is used to disperse interior cold. Sweetness tonifies healthy qi; the sweet property of Rice is used to tonify healthy qi.
Shaoyin disease. From two or three days to four or five days after onset. Abdominal fullness. Dysuria. Persistent diarrhea. Stool containing pus and blood. Taohua Tang (Peach Blossom Decoction) is the primary treatment.
From two or three days to four or five days indicates that cold pathogen has penetrated deeply into the interior. Abdominal pain indicates interior cold. Dysuria indicates failure to separate fluids and food residues.
Persistent diarrhea with pus and blood in stool indicates weakness of the intestines and stomach and insecurity of the lower jiao. Administer Taohua Tang (Peach Blossom Decoction) to consolidate the intestines and stop diarrhea.
Mr. Wu stated. Regarding hematochezia or purulent bloody stools, there are differences between yin/yang and cold/heat patterns. Ancients said, "Bleeding implies no cold." Also, "Blood flows when heated." These are general statements.
Generally speaking. In yang patterns with internal heat, bright red blood overflows. In yin patterns with internal cold, dark purple blood resembling pig liver is discharged.
In Shaoyin disease with diarrhea and purulent bloody stools, acupuncture may be applied.
Stagnation of blood and qi in the lower jiao leads to putrefaction and formation of pus and blood. Acupuncture is used to benefit the lower jiao and promote the circulation of blood and qi.
In Shaoyin disease with vomiting, diarrhea, cold limbs, and severe restlessness bordering on death, Wuzhuyu Tang (Evodia Fruit Decoction) is the primary treatment.
Vomiting, diarrhea, and cold limbs indicate excessive yin-cold. Severe restlessness indicates internal struggle of healthy qi against pathogenic factors. Administer Wuzhuyu Tang (Evodia Fruit Decoction) to assist yang and dispel cold.
In Shaoyin disease with diarrhea, sore throat, chest fullness, and irritability, Zhufu Tang (Pig Skin Decoction) is the primary treatment.
The Shaoyin meridian ascends from the kidney, passes through the liver and diaphragm, enters the lung, and follows the throat. Its branch emerges from the lung, connects with the heart, and pours into the chest. Pathogens transmitted from yang meridians to Shaoyin cause yin deficiency. Exogenous heat causes diarrhea, sore throat, chest fullness, and irritability. Administer Zhufu Tang (Pig Skin Decoction) to harmonize yin and dissipate heat.