治饮食偶伤,或吐或泻,胸膈痞闷,或胁肋疼痛,或过用克伐等药,致伤脏气,而
无力,气怯神倦者,速宜用此。不得因其虚满虚痞,而畏用白术,此中虚实之机,贵乎
也。若痛胀觉甚者,即以此煎送神香散最妙。若用治寒湿泻,呕吐证,尤为圣药。
白术(用冬术味甘者炒五六七八钱。或一两。) 干姜(炒) 赤肉桂(一二钱) 陈
皮(酌用或
寒,则麻黄
(暑本夏月之热病,左传荫 人于樾下,其名久矣,在仲景谓之中 。凡盛暑烈日之时,
或
为
可
以致寒邪袭于肌表,而病发热恶寒,头痛无汗,身形拘急,肢体酸疼等证,惟宜温散为主,
当以伤寒法治之。又有不慎口腹,过食生冷,以致寒凉伤脏,而为呕吐泻痢腹痛等证,治宜
温中为主。苟其不分表里,不察阴阳,则杀人惨于刀刃矣。)
(海藏) 治伏暑烦渴,发热头痛,脾胃不利。
半夏(一斤醋五斤煮干) 茯苓 甘草(半斤生用) 姜汁糊丸,勿见生水,热汤下。
有痰,生
长夏炎蒸,湿土司令,故暑必兼湿。证见便秘烦渴,或吐或利者,以湿胜不得施化也。
此方
能开
湿,
者多
本方一两,黄连二钱,名黄连消暑丸。治伏暑烦渴,而多热痰。
【圣术煎】治疗因饮食偶尔受伤,或者出现呕吐或腹泻,胸膈部痞塞闷胀,或者胁肋部疼痛,或者因为过度使用攻伐类药物,导致损伤了脏腑之气,从而出现无力、气怯神倦的症状时,应当迅速使用此方。不能因为其表现为虚性胀满、虚性痞塞,就畏惧使用白术,这里的虚实关键机理,贵在明辨。如果疼痛和胀感感觉特别严重的,立即用此煎剂送服神香散最为巧妙。如果用此方治疗寒湿引起的腹泻、呕吐证候,尤为神圣的药物。
白术(选用冬季采挖的白术,味甘者,炒制五六钱至七八钱,或者一两。) 干姜(炒) 赤肉桂(一二钱) 陈皮(酌情使用,或者……若遇寒邪,则加麻黄……)
【小半夏茯苓汤】暑病本是夏季月份的热病,早在《左传》中记载“人在树荫下”,其名称由来已久,在张仲景的著作中称为中暍(中暑)。凡是盛暑烈日之时,或者……以致寒邪侵袭肌表,而出现发热恶寒、头痛无汗、身体拘急不舒、肢体酸痛等症状,适宜以温散为主,应当按照治疗伤寒的方法来治疗。又有因为不慎饮食,过食生冷食物,以致寒凉损伤脏腑,而出现呕吐、腹泻、痢疾、腹痛等症状,治疗适宜以温中为主。如果不分辨表里,不察辨阴阳,那么杀人比刀刃还要惨烈。(海藏注:治疗伏暑引起的烦渴、发热头痛、脾胃功能不利。)
半夏(一斤,用五斤醋煮至干) 茯苓 甘草(半斤,生用) 用姜汁制成糊丸,注意不要见到生水,用热汤送服。如果有痰,加入……
长夏时节炎热蒸腾,湿土当令,所以暑邪必定兼夹湿气。症状表现为便秘烦渴,或者呕吐或者腹泻的,是因为湿气胜而不得气化。此方能开……湿,……者多……本方一两,黄连二钱,名为黄连消暑丸。治疗伏暑烦渴,且伴有较多热痰。
[Shengshu Decoction] Treats cases where food injury occurs occasionally, manifesting as vomiting or diarrhea, chest and diaphragm stuffiness and oppression, or hypochondriac pain. It is also indicated for cases where excessive use of purgative or attacking medicines has damaged the Qi of the Zang-Fu organs, resulting in weakness, timidity of Qi, and mental fatigue. In such instances, this formula should be used promptly. One must not fear using Atractylodis Macrocephalae Rhizoma (Baizhu) merely because the presentation involves deficiency-type fullness or deficiency-type stuffiness; the key to distinguishing between excess and deficiency here lies in accurate differentiation. If pain and distension are particularly severe, administering Shenxiang San with this decoction is optimal. This formula is especially efficacious for treating diarrhea and vomiting caused by cold-dampness.
Atractylodis Macrocephalae Rhizoma (Baizhu): Use winter-harvested Baizhu with a sweet taste, stir-fried for 5-7 qian or up to 1 liang. Dried Ginger (Ganjiang): Stir-fried. Red Cinnamon Twig (Chirougui): 1-2 qian. Tangerine Peel (Chenpi): Use according to circumstances, or... if there is cold pathogen, add Ephedrae Herba (Mahuang)...
[Xiaobanxia Fuling Tang] Summerheat disease is essentially a heat disease of the summer months. Its name has existed since ancient times, as recorded in the *Zuo Zhuan* ("people seeking shade under trees"). Zhang Zhongjing referred to it as "Zhong Yue" (Summerheat stroke). During periods of intense summer heat and scorching sun, or when... leading to Cold pathogen invading the muscle layer, symptoms such as fever and aversion to cold, headache, absence of sweating, bodily stiffness and tension, and limb soreness may occur. These should primarily be treated with warming and dispersing methods, following the treatment principles for Cold Damage (Shanghan). Additionally, if improper diet involving excessive consumption of raw and cold foods leads to Cold damaging the Zang-Fu organs, resulting in vomiting, diarrhea, dysentery, and abdominal pain, treatment should prioritize warming the Middle Jiao. Failure to distinguish between exterior and interior, or to observe Yin and Yang, can result in death more cruelly than by a blade. (Haizang's Note: Treats latent summerheat causing irritability and thirst, fever and headache, and dysfunction of the Spleen and Stomach.)
Pinelliae Rhizoma Preparatum (Banxia): 1 jin, boiled dry with 5 jin of Vinegar. Poria (Fuling). Licorice Root (Gancao): 0.5 jin, used raw. Make pills using Ginger Juice paste; avoid contact with raw water; administer with hot water. If there is Phlegm, add...
In the late summer period, heat steams and evaporates, and Damp Earth rules, so Summerheat inevitably combines with Dampness. Presentations include constipation, irritability, and thirst, or vomiting and diarrhea, due to Dampness prevailing and failing to transform. This formula can open... Dampness... For those with many [symptoms], combine 1 liang of this formula with 2 qian of Coptidis Rhizoma (Huanglian), named Huanglian Xiaoshu Wan. It treats latent summerheat causing irritability and thirst, accompanied by abundant Heat-Phlegm.
(Note from *Jin Gui Yao Lue*): Treats sudden vomiting, epigastric stuffiness, fluid retention between the diaphragm, vertigo, and palpitations.
See Formula in Volume VII, Lower Section, Drying-Dampness Category.