(金匮) 治诸黄,令病从小便出。
猪膏(半斤) 乱发(如鸡子大三枚) 二味和煎,发消药成,分再服。
徐忠可曰∶此为黄胆之谷气实者设也。肾为胃关,胃家谷气实,则气闭而肾燥。故以猪
膏润
注
又
腹大如鼓,百药不效。用猪膏四两,发灰四两,一剂而愈。仲景岂欺我哉。
治虚烦燥渴。
以上二方俱见卷八下泻火门
喻嘉言曰∶按此二方,治火热伤其肺胃,清热救渴之良剂也。故消渴病之在上焦者,必
取用
而
饮
津
门
亦不传下消矣。三消皆可用,予实不敢信其然也。乃至三因之石子荠 汤,洁古之清凉饮子。
俱从此方增入他药,引入他脏。全失急救肺胃之意,此后贤之所以为后贤耶。
(金匮) 治妇人脏燥悲伤欲哭,象如神灵所作,数欠伸,亦补脾气。(妇人血室
受积而郁久为热,则脏为之燥。灵枢曰∶一阴主关,关至阖折,则肝气绝而喜悲,则知
乘肝,为悲伤欲哭,象如神灵所作。病从血来,故见阴象也。灵枢曰∶胃病善伸数欠颜
则知燥气侵胃,为欠伸。但使肝气津润,君火不亢,则脏阴不燥,何致乘肝侵胃。今令悲
伤欠伸,其肝阴之热可知,心肺之热亦可知,故以甘麦大枣汤主之。)
甘草(三钱) 小麦(一升) 大枣(十枚) 以水六升。煮取三升。分温三服。
小麦能和肝阴之客热,而养心液,且有消烦利溲止汗之功,故以之为君。甘草泻心火而
和胃
主,
(出自《金匮要略》)治疗各种黄疸,使病邪从小便排出。
猪膏(半斤) 乱发(如鸡蛋大三枚) 这两味药一起煎煮,直到头发溶解、药液制成,分两次服用。
徐忠可说:这是为胆疸中谷气实盛的患者设立的。肾是胃的关口,如果胃中谷气实盛,就会导致气机闭塞而肾燥。所以用猪膏来滋润……(原文此处有缺漏或排版错误,“润”字后接“注”,语意不全,依文意译为滋润)。
又有腹部胀大如鼓,百药无效的情况。使用猪膏四两,发灰四两,一剂药就痊愈了。仲景难道会欺骗我吗?
治疗虚烦、躁渴。
以上两个方剂均见于卷八下“泻火门”。
喻嘉言说:按这两个方子来看,是治疗火热损伤肺胃,清热救津止渴的良好方剂。所以上消型消渴病,必然取用此方……(原文此处有缺漏,“必取用”后接“而饮津门”,语意不通,依文意推测为通过饮用生津之品来治疗)。这样就不会传变为下消了。三消证都可以使用,我实在不敢相信是这样。至于三因子的石子荠汤,洁古先生的清凉饮子,都是从这个方子增加其他药物,引入其他脏腑而来。完全失去了急救肺胃的本意,这就是后世贤者之所以成为后世贤者的原因吧。
(出自《金匮要略》)治疗妇人脏躁,悲伤想哭,症状像被神灵附体一样,频繁打哈欠和伸懒腰,也能补益脾气。(妇人血室受积滞影响,郁久化热,则五脏为之干燥。《灵枢》说:一阴主关,关至阖折,则肝气绝而喜悲,由此可知肝气乘犯脾胃,导致悲伤欲哭,症状像被神灵附体。病从血分而来,所以见到阴象。《灵枢》说:胃病善伸数欠,由此可知燥气侵犯胃,导致打哈欠和伸懒腰。只要使肝气津液滋润,君火不亢盛,那么脏阴就不干燥,怎么会乘犯肝、侵犯胃呢?现在出现悲伤、打哈欠、伸懒腰的症状,其肝阴的热象可以知晓,心肺的热象也可以知晓,所以用甘麦大枣汤来主治。)
甘草(三钱) 小麦(一升) 大枣(十枚) 用水六升,煮取三升,分三次温服。
小麦能调和肝阴中的客热,并滋养心液,且有消除烦闷、通利小便、止汗的功效,所以作为君药。甘草清泻心火并调和胃……(原文此处截断,“和胃”后无下文,依文意补全为调和胃气)。
(From *Jin Gui Yao Lue*) Treats various types of jaundice, allowing the pathogenic factors to exit via urination.
Zhu Gao (Pig Fat) (half jin), Luan Fa (Tangled Hair) (three pieces the size of a chicken egg). These two ingredients are decocted together until the hair dissolves and the medicine is ready. Divide into two doses for administration.
Xu Zhongke stated: This formula is designed for cases of Dan Dan (Gallbladder Jaundice) where there is excess Gu Qi (Grain Qi/Nutritive Energy) in the Stomach. The Kidney serves as the gate for the Stomach; when Gu Qi in the Stomach is excessive, it leads to Qi obstruction and dryness of the Kidney. Therefore, Zhu Gao is used to moisten... [Note: Original text contains gaps/errors here].
There is also a case of abdominal distension resembling a drum, unresponsive to hundreds of medicines. Using four liang of Zhu Gao and four liang of Fa Hui (Ash of Hair), one dose resulted in a cure. Could Zhang Zhongjing deceive me?
The original indication was Tai Yang Zhong Shu (Heatstroke affecting the Tai Yang channel), presenting with sweating, aversion to cold, fever, and thirst.
Treats deficiency-related vexation and irritability with thirst.
Both of the above formulas are found in Volume VIII, Lower Section, under the "Draining Fire" category.
Yu Jiayan stated: According to these two formulas, they are excellent prescriptions for treating heat-fire damaging the Lung and Stomach, clearing heat and rescuing fluids to stop thirst. Therefore, for Xiao Ke (Wasting-Thirst) located in the Upper Jiao, this formula must be utilized... [Note: Original text contains gaps/errors here]. In this way, it will not transmit to Xia Xiao (Lower Wasting-Thirst). It can be used for all three types of Xiao Ke, but I truly dare not believe this to be the case. As for the Shi Zi Qi Tang by San Yin Zi, and the Qing Liang Yin Zi by Jiegu, both were derived from this formula by adding other herbs to target other Zang-Fu organs. They completely lost the original intent of urgently rescuing the Lung and Stomach. This is why later scholars are merely "later scholars."
(From *Jin Gui Yao Lue*) Treats Zang Zao (Visceral Agitation) in women, characterized by sorrowful weeping, symptoms resembling possession by spirits, frequent yawning, and stretching. It also tonifies Spleen Qi. ([Explanation]: When the Blood Chamber accumulates stagnation and generates heat over time, the viscera become dry. *Ling Shu* states: "Yi Yin governs the gate; when the gate closes and breaks, Liver Qi perishes and sadness arises." From this, we know that Liver Qi invading causes sorrowful weeping and spirit-like symptoms. Since the disease originates from the Blood level, Yin manifestations appear. *Ling Shu* also states: "Stomach disease manifests as frequent stretching and yawning." From this, we know that Dryness Qi invading the Stomach causes yawning and stretching. If Liver Qi and fluids are moistened, and Ministerial Fire does not hyperactive, then Visceral Yin will not be dry, and thus will not invade the Liver or Stomach. Now, since sorrow, yawning, and stretching occur, the heat in Liver Yin and the heat in the Heart and Lung can be inferred. Therefore, Gan Mai Da Zao Tang is used as the principal treatment.)
Gan Cao (Licorice Root) (3 qian), Xiao Mai (Wheat) (1 sheng), Da Zao (Jujube) (10 pieces). Use 6 sheng of water, decoct to obtain 3 sheng. Divide into three warm doses.
Xiao Mai harmonizes the exogenous heat in Liver Yin, nourishes Heart fluids, and has the effects of relieving vexation, promoting diuresis, and stopping sweating; therefore, it serves as the Jun (Emperor) herb. Gan Cao clears Heart Fire and harmonizes the Stomach... [Text ends abruptly].