即理中汤(见真方歌括太阴篇。)加附子炮二钱。
陈修园曰。理中汤。以参草补阴。姜术补阳。和平之药。以中焦为主。上交于阳。下交
于阴。为吐泻等症而立法。原无加附子之法。若加附子。则偏重下焦。不可名为理中矣。然
脾肾俱寒。吐后而大泻不止。须用附子回其真阳。而门户始固。必重加此一味而后效。但既
加附子。而仍名理中。命名不切。此所以为时方也。又有再加肉桂。名桂附理中汤。则立方
不能无弊矣。盖以吐泻阴阳两脱。若用肉桂。宣太阳之腑气。动少阴之脏气。恐致大汗。为
亡阳之坏症也。
治香港脚第一品药。不问男女皆可服。如感风湿流注。脚痛不可忍。筋脉浮肿者。并宜服
之。其效如神。
鸡鸣散是绝奇方。苏叶茱萸桔梗姜。瓜橘槟榔煎冷服。浮肿香港脚效彰彰。(槟榔七枚。
橘红木瓜各一两。吴茱萸苏叶各三钱。桔梗生姜各半两。水二大碗。漫火煎至一碗半。取渣。
再
服药至天明。当下黑粪水。即是肾家所感寒湿之毒瓦斯也。至早饭时。必痛住肿消。只宜迟吃
饭。使药为作效。此方并无所忌。)
陈修园曰。寒湿之气。着于下焦而不去。故用生姜吴茱萸以驱寒。橘红槟榔以除湿。然
驱寒除湿之药颇多。而数品皆以气胜。加以紫苏为血中之气药。辛香扑鼻。更助其气。气盛
则行速。取着者行之之义也。又佐以木瓜之酸桔梗之苦经云。酸苦涌泄为阴。俾寒湿之气。
得大气之药。从微汗而解之。解之而不能尽者。更从大便以泄之。战则必胜之意也。其服于
鸡鸣时奈何。一取其空腹。则药力专行。一取其阳盛。则阳药得气也。其必冷服奈何。以湿
为阴邪。冷汁亦为阴属。以阴从阴。混为一家。先诱之而后攻之也。
陈修园说:理中汤,用人参、甘草来补阴,用干姜、白术来补阳,是平和的药物,以中焦为主,上能交于阳,下能交于阴,是为呕吐、腹泻等症状而设立的法则。原本没有加入附子的方法。如果加入附子,就会偏重于下焦,就不能再称为理中汤了。然而,如果脾肾都寒冷,呕吐后大泻不止,必须使用附子来挽回真阳,门户才能稳固,一定要重加这一味药才有效。但是既然加了附子,却仍然叫理中汤,命名就不确切了,这就是它被称为时方的原因。又有再加肉桂的,名叫桂附理中汤,那么立方的原则就不能没有弊端了。因为呕吐和腹泻导致阴阳两脱,如果使用肉桂,会宣通太阳腑气,触动少阴脏气,恐怕会导致大汗淋漓,成为亡阳的坏证。
这是治疗香港脚(足部肿痛)的第一品药,不问男女都可以服用。如果是感受风湿流注,脚痛难以忍受,筋脉浮肿的,都适宜服用。它的效果神奇。
鸡鸣散是极其奇妙的方子,苏叶、吴茱萸、桔梗、生姜,瓜蒌皮、橘红、槟榔煎煮后冷服。对于浮肿和香港脚,效果显著。(槟榔七枚,橘红、木瓜各一两,吴茱萸、苏叶各三钱,桔梗、生姜各半两,水两大碗,慢火煎至一碗半,去渣。在鸡鸣时分服药,直到天明,会排出黑粪水,这就是肾脏所感的寒湿毒气。到了早饭时候,疼痛必定停止,肿胀消退。只宜推迟吃饭,让药物发挥作用。此方并无禁忌。)
陈修园说:寒湿之气,附着在下焦而不散去,所以用生姜、吴茱萸来驱寒,橘红、槟榔来除湿。然而驱寒除湿的药物很多,而这些药物都以气胜,加上紫苏作为血中之气药,辛香扑鼻,更助其气。气盛则运行迅速,取“着者行之”(使凝滞的气血运行起来)的意思。又佐以木瓜的酸味、桔梗的苦味,《内经》说:酸苦涌泄为阴,使得寒湿之气,得到大气的药物,从微汗中解散。解散而不能尽除的,再从大便排泄出去,这是战则必胜的意思。为什么要在鸡鸣时服用?一是取其空腹,药力专一运行;二是取其阳气旺盛,阳药得以借气而行。为什么要冷服?因为湿是阴邪,冷汁也属于阴,以阴从阴,混为一体,先引诱它然后攻击它。
This is Lizhong Decoction (see Zhenfang Geku, Taiyin Chapter) with Erqian of Pao Fuzi (Prepared Aconite Root).
Chen Xiuyuan stated: Lizhong Decoction uses Renshen (Ginseng Root) and Caozhong (Licorice Root) to tonify Yin, and Shengjiang (Fresh Ginger Rhizome) and Baizhu (Atractylodes Macrocephala Rhizome) to tonify Yang. It is a harmonious medicine focusing on the Middle Jiao (Middle Burner), connecting upwards to Yang and downwards to Yin. It was established for symptoms such as vomiting and diarrhea. Originally, there was no method to add Fuzi (Aconite Lateralis Radix Praeparata). If Fuzi were added, it would bias towards the Lower Jiao (Lower Burner), and could no longer be named Lizhong. However, if both Spleen and Kidney are cold, and after vomiting, severe diarrhea persists without stopping, one must use Fuzi to restore the True Yang, so that the "gate" may become secure. Only by heavily adding this single herb will efficacy be achieved. But since Fuzi is added, yet it is still named Lizhong, the naming is not precise; this is why it is called a "Shifang" (Contemporary Formula). There is also a variation adding Rougui (Cinnamon Bark), named Guifu Lizhong Tang (Cinnamon Twig and Aconite Lizhong Decoction); however, the formulation principle cannot be without flaws. Because vomiting and diarrhea lead to the collapse of both Yin and Yang, if Rougui is used, it promotes the Fu-organ Qi of the Taiyang (Greater Yang) channel and stirs the Zang-organ Qi of the Shaoyin (Lesser Yin) channel, which might cause profuse sweating, leading to the adverse condition of Yang Collapse (Wang Yang).
This is the premier remedy for Hongjiaojiao (Hong Kong Foot / Gouty Arthritis), suitable for both men and women. If suffering from Wind-Dampness flowing and accumulating, causing unbearable foot pain and swelling of tendons and vessels, this formula is also appropriate. Its efficacy is miraculous.
Jiming San (Rooster-Crow Decoction) is an extraordinarily wonderful formula. It contains Su Ye (Perilla Leaf), Zhuyu (Evodia Fruit), Jiegeng (Platycodon Root), and Sheng Jiang (Fresh Ginger Rhizome). Gua Lou Pi (Trichosanthes Peel), Ju Hong (Tangerine Red Peel), and Binglang (Areca Seed) are decocted and taken cold. For edema and Hongjiaojiao, the effect is manifest. (Binglang 7 pieces, Ju Hong and Mugua (Chaenomeles Fruit) each 1 liang, Wuzhuyu (Evodia Fruit) and Zisu Ye (Perilla Leaf) each 3 qian, Jiegeng (Platycodon Root) and Sheng Jiang (Fresh Ginger Rhizome) each half liang. With 2 large bowls of water, simmer slowly until reduced to 1.5 bowls. Remove dregs. Take the medicine at Jiming time (1–3 AM), until dawn. Black fecal water will be discharged, which is the toxic vapor of Cold-Dampness felt by the Kidneys. By breakfast time, pain must cease and swelling subside. One should delay eating to allow the medicine to take effect. This formula has no dietary restrictions.)
Chen Xiuyuan stated: The pathogenic factors of Cold-Dampness adhere to the Lower Jiao and do not disperse. Therefore, Sheng Jiang (Fresh Ginger Rhizome) and Wuzhuyu (Evodia Fruit) are used to expel Cold, while Ju Hong (Tangerine Red Peel) and Binglang (Areca Seed) are used to remove Dampness. Although there are many herbs that expel Cold and remove Dampness, these specific ones excel in their Qi-moving properties. Adding Zisu Ye (Perilla Leaf), which is a Qi-moving herb within Blood, with its pungent and fragrant aroma, further assists the Qi. When Qi is abundant, movement is rapid, fulfilling the meaning of "moving what is stagnant." Furthermore, Mugua (Chaenomeles Fruit) provides Sourness and Jiegeng (Platycodon Root) provides Bitterness. The Classic states: "Sour and Bitter induce vomiting and purging, belonging to Yin." Thus, the Cold-Dampness pathogen is resolved through slight sweating by these potent Qi-moving herbs. What remains unresolved is then drained via the Large Intestine (bowels), embodying the principle that "he who fights shall surely win." Why take it at Jiming time? First, because the stomach is empty, allowing the medicinal power to act specifically; second, because Yang Qi is flourishing, allowing Yang-moving herbs to gain momentum. Why take it cold? Because Dampness is a Yin pathogen, and cold liquid also belongs to Yin. Using Yin to follow Yin, blending into one family, serves to lure the pathogen first before attacking it.