泻三焦六经诸火。
凉膈硝黄栀子翘。黄芩甘草薄荷饶。再加竹叶调蜂蜜。(叶生竹上。故治上焦。)膈上如
焚一服消。(连翘一钱五分。大黄酒浸芒硝甘草各一钱。栀子黄芩薄荷各五分。水一杯半。
加竹叶七片。主蜜一匙。煎五分服。)
汪 庵曰。连翘薄荷竹叶。以升散于上。栀芩硝黄。以荡涤于下。使上升下行。而膈自
清矣。加甘草生蜜者。病在膈。甘以缓之也。张洁古减硝黄加桔梗。使诸药缓缓而下。留连
膈上。颇妙。
治产后心腹绞痛欲死。或血迷心窍。不省人事。或胞衣不下。○并治心痛血滞作痛。
失笑(散)。蒲黄及五灵。(蒲黄五灵脂等分。生研。每服三钱。酒煎服。名失笑散。)
晕
平痛止积无停。山楂二两便糖入。独圣功同更守经。(山楂二两。水煎。用童便砂糖调服。
名独圣散。)
吴于宣曰。五灵脂甘温走肝。生用则生血。蒲黄辛平入肝。生用则破血。佐酒煎以行其
力。庶可直抉厥阴之滞。而有推陈致新之功甘不伤脾。辛能散瘀。则瘀痛恶寒发热昏晕胸膈
满闷等症悉除。直可一笑置之矣。至于独圣散独用山楂一味。不惟消食健脾。功能破瘀止儿
枕痛。更益以砂糖之甘。温中而兼逐恶。童便之咸。入胞而不凉下。相得而相须。功力甚伟。
滑者。润泽之谓也。从大便降之。视泄剂较轻些。
清除三焦及六经各处的火热邪气。
凉膈散由硝石、大黄、栀子、连翘组成,还加入黄芩、甘草和较多的薄荷。再加竹叶并调入蜂蜜。(竹叶生于竹枝之上,所以能治疗上焦的病症。)胸膈以上如火烧般燥热,服用一次即可消除。(方中连翘用一钱五分,大黄酒浸制,芒硝、甘草各一钱,栀子、黄芩、薄荷各五分,用水一杯半,加入竹叶七片,主蜜一匙,煎煮至剩余五分药液后服用。)
汪庵说:连翘、薄荷、竹叶,用来升发疏散上部的邪气;栀子、黄芩、硝石、大黄,用来荡涤下部的积滞。使气机上升下行,胸膈自然清利。加入甘草和生蜂蜜,是因为病位在膈,甘味药物可以缓急止痛。张洁古减去硝石和大黄,加入桔梗,使诸药缓缓下行,停留于膈上部,非常巧妙。
治疗产后心腹剧烈绞痛令人欲死,或者血瘀迷蔽心窍,不省人事,或者胎盘(胞衣)不下。○同时治疗心痛因血瘀阻滞引起的疼痛。
失笑散由蒲黄和五灵脂组成。(蒲黄和五灵脂等分,生研成粉,每次服用三钱,用酒煎服,名为失笑散。)
头晕平息,疼痛停止,积聚消散而不停留。再加入二两山楂和童便、砂糖。(二两山楂,水煎,用童子尿和砂糖调服,名为独圣散。)
吴于宣说:五灵脂味甘性温,走肝经,生用则能生血;蒲黄味辛性平,入肝经,生用则能破血。佐以酒煎以增强药力运行,才可以直透厥阴经的瘀滞,而有推陈出新的功效。甘味不伤脾,辛味能散瘀,那么瘀血疼痛、恶寒发热、昏晕、胸膈满闷等症状全部消除,简直可以一笑置之罢了。至于独圣散单独使用山楂一味药,不仅消食健脾,还能破除瘀血,治疗产后儿枕痛。再加上砂糖的甘味,温中兼能驱逐恶露;童子尿的咸味,入胞宫而不致寒凉。两者相辅相成,功力非常伟大。
滑,是指润泽的意思。通过大便排出,比泻下的药剂性质较轻一些。
Clears the fire pathogens from the Sanjiao (Triple Burner) and all six meridians.
Liangge Tang (Cool the Diaphragm Decoction) contains Rhubarb (Rhei Radix et Rhizoma), Mirabilite (Natrii Sulfas), Gardenia Fruit (Gardeniae Fructus), and Forsythia Fruit (Forsythiae Fructus). It also includes Scutellaria Root (Scutellariae Radix), Licorice Root (Glycyrrhizae Radix et Rhizoma), and a generous amount of Mint (Menthae Haplocalycis Herba). Add Bamboo Leaves (Bambusae Folium) and adjust with Honey (Mel). (Since bamboo leaves grow on the branches, they treat disorders of the Upper Jiao.) The burning sensation in the diaphragm is relieved after one dose. (Prescription: Forsythia 1.5 qian, Rhubarb marinated in wine, Mirabilite, and Licorice each 1 qian, Gardenia and Scutellaria each 0.5 qian, Mint 0.5 qian. Boil in 1.5 cups of water, add 7 bamboo leaves and 1 spoonful of honey, decoct until 0.5 cup remains, then take.)
Wang An stated: Forsythia, Mint, and Bamboo Leaves ascend and disperse upwards; Gardenia, Scutellaria, Mirabilite, and Rhubarb purge downwards. This causes the Qi to move up and down, clearing the diaphragm naturally. Adding Licorice and raw Honey addresses the location of the disease in the diaphragm, using the sweet flavor to relieve urgency. Zhang Jiegu reduced the dosage of Mirabilite and Rhubarb and added Balloon Flower Root (Platycodonis Radix) to make the herbs descend slowly, lingering in the upper diaphragm, which is quite ingenious.
Treats severe cramping pain in the heart and abdomen after childbirth that feels like death, or blood stasis clouding the mind causing unconsciousness, or retention of the placenta. ○ Also treats heart pain caused by blood stasis.
Shixiao San (Laughing Away Pain Powder) consists of Typha Pollen (Typhidis Pollen) and Trogopterus Dung (Trogopterori Faeces). (Equal parts of Typha Pollen and Trogopterus Dung, raw and ground into powder, take 3 qian per dose, decoct with wine, named Shixiao San.)
Dizziness subsides, pain stops, and accumulations dissipate without lingering. Add two liang of Hawthorn Fruit (Crataegi Fructus), along with infant urine and brown sugar. (Two liang of Hawthorn Fruit, decocted in water, taken with infant urine and brown sugar, named Dusheng San.)
Wu Yuxuan said: Trogopterus Dung is sweet and warm, entering the Liver channel; when used raw, it generates blood. Typha Pollen is acrid and neutral, entering the Liver channel; when used raw, it breaks blood. Using wine as an adjuvant enhances its power, allowing it to directly penetrate the stagnation of the Jueyin channel, achieving the effect of eliminating the old and generating the new. Sweetness does not harm the Spleen, and acridity disperses stasis. Thus, symptoms such as painful stasis, aversion to cold, fever, dizziness, chest fullness, and oppression are completely eliminated, allowing one to simply smile at them. As for Dusheng San, using only Hawthorn Fruit not only aids digestion and strengthens the Spleen but also breaks stasis and treats postpartum "child pillow" pain. Added with the sweetness of brown sugar, it warms the middle and expels lochia; the saltiness of infant urine enters the uterus without being cooling. They complement each other excellently, possessing great efficacy.
"Hua" (Slippery/Smooth) refers to moistening. It is expelled through the large intestine and is milder than purgative formulas.