治脾肾虚寒，滑脱之甚，或泻痢不能止，或气血下陷。二阴血脱不禁者，无出此方
人参（一两） 干姜（炒黄） 制附子（二钱） 甘草（炙一二钱） 乌梅（五分或一
钱。酌其病之
饭顷，取起烘
（丹溪） 治疝气疼痛。
吴茱 枳壳 栀子 棠球子（即山楂之小者。俱炒用。） 荔枝核 等分为末，空心
长流水
而破症
（丹溪
始于湿
栀子，
虚而发
实黑栀
束之寒
治阴虚于下，格阳于上，则真阳失守，血随而溢，以致大吐大衄，六脉细脱，手足
危在顷刻。而失血不能止者，速宜用此，使孤阳有归，则血自安也。如治格阳喉痹上
以此汤冷服。
熟地（一二两） 牛膝（二钱） 甘草（炙一钱） 泽泻（钱半） 肉桂（一二钱） 制
附子（一二钱
速速多加人参
（济生） 治四种 疝。（茎囊睾丸肿硬，不痛不痒，为 疝，亦有引脐腹绞痛者。四
种，肠 卵 水 气 也，皆寒湿为病。）
橘核 川楝子 海藻 海带 昆布 桃仁（二两） 延胡索 浓朴 枳实 木通 桂心
木香
盐汤或酒下。
橘核木香，能入厥阴气分而行气。桃仁延胡，能入厥阴血分而活血。川楝木通，能导小
肠膀
并
同为散肿消坚之剂也。（朱丹溪曰∶ 疝不痛，非痛断房事与浓味不可。若苍术神曲山楂白
芷川芎枳实半夏皆要药，又宜随时月寒热加减。有热加栀子，坚硬加朴硝，秋冬加吴茱萸。）
【背景信息】
书名：成方切用 作者：吴仪洛 朝代：清 章节：四维散 / ... / 橘核丸（共4节） 类别：方剂
【待处理原文】
治疗脾肾阳虚寒盛，滑脱失禁严重的病症，或者泻痢无法停止，或者气血下陷。对于前后二阴出血脱失且无法控制的，没有比此方更好的了。
人参（一两） 干姜（炒至黄色） 制附子（二钱） 甘草（炙烤一二钱） 乌梅（五分或一钱，根据病情斟酌）。将上述药物捣碎过筛为细末，每次服用三钱，用白开水调服，饭前服用。
（朱丹溪）治疗疝气疼痛。
吴茱萸 枳壳 栀子 棠球子（即较小的山楂，均炒制使用） 荔枝核。等分为末，空腹时，用长流水（流动的水）送服。
（朱丹溪）此方始于湿气致病。栀子用于清热，若属虚证则发作，实证则用黑栀子以收敛束寒。
治疗下部阴虚，上部格拒阳气，导致真阳失守，血液随气上溢，以致出现大吐血、大鼻衄，六脉细微欲绝，手足厥冷，生命危在旦夕。对于失血无法停止的情况，应迅速使用此方，使孤阳有所归依，则血液自然安宁。如果是治疗格阳导致的喉痹（咽喉肿痛闭塞），以此汤剂冷服。
熟地黄（一二两） 牛膝（二钱） 甘草（炙烤一钱） 泽泻（钱半） 肉桂（一二钱） 制附子（一二钱）。速速多加用人参。
（济生堂方）治疗四种疝气。（阴茎囊及睾丸肿胀坚硬，不痛不痒，称为疝，也有牵引脐腹绞痛的。四种疝指肠疝、卵疝、水疝、气疝，都是由寒湿引起的疾病。）
橘核 川楝子 海藻 海带 昆布 桃仁（二两） 延胡索 浓朴 枳实 木通 桂心 木香。用盐汤或酒送服。
橘核和木香，能进入厥阴经的气分而行气。桃仁和延胡索，能进入厥阴经的血分而活血。川楝子和木通，能引导小肠膀胱之邪下行。共同成为消散肿结、消除坚积的药剂。（朱丹溪说：疝气如果不痛，除了断绝房事和忌食肥甘厚味外，没有其他办法。苍术、神曲、山楂、白芷、川芎、枳实、半夏都是要药，又适宜根据季节气候的寒热进行加减。有热象加栀子，坚硬者加朴硝，秋冬季节加吴茱萸。）
[Background Information]
Book: Chengfang Qieyong (Essential Use of Prescribed Formulas)
Author: Wu Yiluo
Dynasty: Qing
Chapter: Siwei San / ... / Juhe Wan (Total 4 sections)
Category: Formula
[Original Text Processing]
Treating deficiency-cold of the Spleen and Kidney with severe sliding and uncontrolled discharge, or dysentery and diarrhea that cannot be stopped, or sinking of Qi and Blood. For cases where bleeding from the two yin openings (anterior and posterior orifices) is unremitting, there is no formula better than this one.
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Gan Jiang (Dried Ginger, stir-fried until yellow), Zhi Fu Zi (Prepared Aconite Lateralis Radix, 2 qian), Zhi Gan Cao (Honey-fried Licorice Root, 1-2 qian), Wu Mei (Mume Fruit, 5 fen or 1 qian, adjusted according to the condition). Pound the herbs into a coarse powder, sift it finely. Take 3 qian each time, mix with warm water, and take before meals.
(Zhu Danxi) Treating hernia pain.
Wu Zhu Yu (Evodiae Fructus), Zhi Ke (Aurantii Fructus Immaturus), Zhi Zi (Gardeniae Fructus), Tang Qiu Zi (Crataegi Fructus, specifically smaller hawthorns, all stir-fried), Li Zhi He (Litchi Seed). Divide equally into powder. Take on an empty stomach, washed down with flowing water.
(Zhu Danxi) This approach originates from dampness causing disease. Zhi Zi is used for clearing heat; if it is a deficiency pattern, it manifests; for excess patterns, blackened Zhi Zi is used to bind cold.
Treating Yin deficiency in the lower jiao with Yang repelling in the upper jiao, leading to the loss of control over True Yang, with blood following upwards and overflowing, resulting in massive hematemesis (vomiting blood) and epistaxis (nosebleed), fine and faint pulse at all six positions, cold extremities, with life hanging by a thread. For cases where hemorrhage cannot be stopped, use this formula immediately to provide a return for the lone Yang, so that the blood will naturally settle. If treating throat bi (sore throat with obstruction) caused by Yang repelling, take this decoction cold.
Shu Di Huang (Prepared Rehmanniae Radix, 1-2 liang), Niu Xi (Achyranthis Bidentatae Radix, 2 qian), Zhi Gan Cao (Honey-fried Licorice Root, 1 qian), Ze Xie (Alismatis Rhizoma, 1.5 qian), Rou Gui (Cinnamon Bark, 1-2 qian), Zhi Fu Zi (Prepared Aconite Lateralis Radix, 1-2 qian). Rapidly add extra Ren Shen (Ginseng Radix et Rhizoma).
(Jisheng Tang Formula) Treating four types of hernia. (Swelling and hardness of the scrotum and testicles, without pain or itching, is called hernia; some also have twisting pain radiating to the umbilicus and abdomen. The four types are Chang Hernia [Intestinal], Luan Hernia [Testicular], Shui Hernia [Hydrocele], and Qi Hernia [Gas], all caused by cold-dampness.)
Ju He (Tangerine Seed), Chuan Lian Zi (Toosendan Fructus), Hai Zao (Sargassum Herba), Hai Dai (Kelp), Kun Bu (Eckloniae Thallus), Tao Ren (Persicae Semen, 2 liang), Yan Hu Suo (Corydalis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Zhi Shi (Aurantii Fructus Immaturus), Mu Tong (Akebiae Caulis), Gui Xin (Cinnamomi Ramulus), Mu Xiang (Aucklandiae Radix). Take with salt water or wine.
Ju He and Mu Xiang can enter the Qi aspect of the Jueyin channel to move Qi. Tao Ren and Yan Hu Suo can enter the Blood aspect of the Jueyin channel to invigorate Blood. Chuan Lian Zi and Mu Tong can guide pathogens from the Small Intestine and Bladder downwards. Together, they form a formula for reducing swelling and eliminating hardness. (Zhu Danxi said: For hernias without pain, abstinence from sexual intercourse and avoiding rich, greasy foods are indispensable. Cang Zhu, Shen Qu, Shan Zha, Bai Zhi, Chuan Xiong, Zhi Shi, and Ban Xia are essential herbs, and adjustments should be made according to seasonal cold and heat. Add Zhi Zi for heat, add Po Xiao for hardness, and add Wu Zhu Yu in autumn and winter.)