(附论)
夫久病消渴之人。营卫不足。筋骨羸劣。肌肤瘦瘁。故病虽瘥而气血未复。乃为虚乏。
又
法
方
黄 丸(出圣惠方)治大渴后。上焦烦热不退。下元虚乏。羸瘦无力。小便
白浊。饭食渐少
黄 (锉) 肉苁蓉(酒浸一宿刮去粗皮炙令干) 鹿茸(去毛涂酥炙微黄各一两) 人
参
(去芦
戟
桂
锉)
地
分烧为
粉)
地黄生姜煎(出圣济总录)治消渴后四肢羸弱。气虚乏。
生姜汁(一升) 生地黄汁(五升) 蜜(一升绵滤过) 生麦门冬汁(三升) 牛胫
骨内髓
(一升)
两) 五味
子(微炒)
两除前药
五味子外
竹
根(锉三两
再煎五六
不拘时
苁蓉丸(出圣惠方)治消渴后。气乏体羸。腿胫细瘦。
肉苁蓉(酒浸切焙) 黄 (锉) 牛膝(去苗酒浸切焙) 车前子 萆 白茯苓(去
黑皮)
地
刺用)
人
地黄
(炒
填骨煎(出千金方)治消渴后虚乏。
白茯苓(去黑皮) 菟丝子(酒浸焙别捣) 山茱萸 当归(切焙各二两半) 肉苁蓉
(三两
酒浸
心)
麦门
子
(炮
取汁。
以银石器慢火煎减半。然后纳药。并下白蜜十两。牛髓五两。再煎令如糜。丸如鸡子黄大。
米
肉苁蓉散(出圣惠方)治大渴后。下元虚乏。日渐羸瘦。四肢无力。不思饮
食。
肉苁蓉(酒浸一宿刮去绉皮炙令干) 麦门冬(去心) 白石英(细研) 黄 (锉) 牡
蛎
(锉烧
苗) 附
子(炮裂
地骨
皮(各
入药五
钟乳丸(出圣济总录)治消渴后虚乏。
炼钟乳粉 续断 熟干地黄(焙) 石苇(去毛) 山茱萸 蛇床子 甘草(锉炙) 牛
膝(酒浸
(去心一两三分)
三分) 上为细末。炼蜜丸如梧
茯神煮散(出千金方)治消渴虚热。四肢羸乏。渴热不止。补虚。
茯神 葳蕤(各四两) 生石斛 黄连 栝蒌根 丹参(各五两) 甘草(炙) 五味
子知母
取出焙干秤四
磁石散(出圣惠方)治大渴后虚乏羸瘦。小便白浊。口舌干燥。不思饮食。
磁石(二两半捣碎水淘去赤汁) 熟干地黄(二两) 麦门冬(一两去心) 桑螵蛸(三
分微
炒)
分) 甘
草(一
脂膜。
以水二大盏。煎至一盏。去滓入药五钱。生姜半分。再煎去滓。空心温服。晚食前再服。
石斛散(出千金方)治大渴后虚乏。脚弱小便数。
石斛(去根锉) 肉苁蓉(酒浸刮去绉皮炙干各一两) 麦门冬(二两去心焙) 白蒺
藜(半
两微
两)
续断(一
鹿茸丸(出圣惠方)治大渴后虚乏。小便滑数。腿胫无力。日渐羸瘦。
鹿茸(去毛涂酥炙令干) 肉苁蓉(酒浸一宿刮去绉皮炙干) 桑螵蛸(微炒各三两) 附
子
(炮
锉)
菟丝
每服三
白术散(出危氏方)治胃虚发渴。
白术(一两) 人参 白茯苓 上为末。每服七钱。水一盏半。煎至七分服。久渴之后。
多有
铅丹散(一名黄连散)治消渴羸瘦。小便不禁。
牛膝丸(出十便良方)治消渴不止。下元虚损。肾经枯竭。\x
牛膝(酒浸切焙五两) 生地黄汁(五两) 上牛膝为末。入地黄汁。夜浸昼复浸。汁
尽为
度。
(附论)
凡是长期患有消渴病的人,营气和卫气不足,筋骨瘦弱无力,肌肤消瘦憔悴。所以虽然疾病暂时痊愈,但气血尚未恢复,因而出现虚乏的症状。
又列出以下方剂:
黄丸(出自《圣惠方》),治疗大渴之后,上焦烦热不退,下元虚乏,身体瘦弱无力,小便白浊,饭食逐渐减少。
药材:黄(锉碎)、肉苁蓉(酒浸泡一夜,刮去粗皮,炙烤至干)、鹿茸(去毛,涂酥油炙烤至微黄,各一两)、人参(去芦头)、戟桂(锉碎)、地(分烧为粉)。
地黄生姜煎(出自《圣济总录》),治疗消渴后四肢瘦弱无力,气虚疲乏。
药材:生姜汁(一升)、生地黄汁(五升)、蜜(一升,用绵布过滤过)、生麦门冬汁(三升)、牛胫骨内髓(一升)。
苁蓉丸(出自《圣惠方》),治疗消渴后,气乏体瘦,腿胫细瘦。
药材:肉苁蓉(酒浸切焙)、黄(锉碎)、牛膝(去苗,酒浸切焙)、车前子、萆薢、白茯苓(去黑皮)、地黄。
填骨煎(出自《千金方》),治疗消渴后虚乏。
药材:白茯苓(去黑皮)、菟丝子(酒浸焙后另捣)、山茱萸、当归(切焙,各二两半)、肉苁蓉(三两,酒浸)、麦门冬、五味子(炮裂取汁)。以银石器慢火煎减半,然后加入药物,并下白蜜十两、牛髓五两,再煎至如粥状,制成如鸡子黄大小的丸药。米饮送服。
肉苁蓉散(出自《圣惠方》),治疗大渴之后,下元虚乏,日渐瘦弱,四肢无力,不思饮食。
药材:肉苁蓉(酒浸一夜,刮去皱皮,炙烤至干)、麦门冬(去心)、白石英(细研)、黄(锉碎)、牡蛎(锉烧)、附子(炮裂)、地骨皮(各等分)。入药五钟。
钟乳丸(出自《圣济总录》),治疗消渴后虚乏。
药材:炼钟乳粉、续断、熟干地黄(焙)、石苇(去毛)、山茱萸、蛇床子、甘草(锉炙)、牛膝(酒浸)、五味子(去心一两三分)、知母(三分)。上药为细末,炼蜜丸如梧桐子大。
茯神煮散(出自《千金方》),治疗消渴虚热,四肢羸乏,渴热不止,补虚。
药材:茯神、葳蕤(各四两)、生石斛、黄连、栝蒌根、丹参(各五两)、甘草(炙)、五味子、知母。取出焙干秤四两。
磁石散(出自《圣惠方》),治疗大渴后虚乏羸瘦,小便白浊,口舌干燥,不思饮食。
药材:磁石(二两半,捣碎水淘去赤汁)、熟干地黄(二两)、麦门冬(一两,去心)、桑螵蛸(三分,微炒)、甘草(一两)。脂膜。以水二大盏,煎至一盏,去滓入药五钱,生姜半分,再煎去滓,空心温服,晚食前再服。
石斛散(出自《千金方》),治疗大渴后虚乏,脚弱小便数。
药材:石斛(去根锉)、肉苁蓉(酒浸刮去皱皮炙干各一两)、麦门冬(二两,去心焙)、白蒺藜(半两,微炒)、续断(一两)。
鹿茸丸(出自《圣惠方》),治疗大渴后虚乏,小便滑数,腿胫无力,日渐瘦弱。
药材:鹿茸(去毛涂酥炙令干)、肉苁蓉(酒浸一夜刮去皱皮炙干)、桑螵蛸(微炒各三两)、附子(炮裂)、菟丝子(锉)。每服三钱。
白术散(出自《危氏方》),治疗胃虚发渴。
药材:白术(一两)、人参、白茯苓。上为末。每服七钱,水一盏半,煎至七分服。久渴之后,多有……
牛膝丸(出自《十便良方》),治疗消渴不止,下元虚损,肾经枯竭。
药材:牛膝(酒浸切焙五两)、生地黄汁(五两)。上牛膝为末,入地黄汁,夜浸昼复浸,汁尽为度。
(Attached Discussion)
For individuals suffering from Xiao Ke (Wasting and Thirsting Syndrome) for a prolonged period, Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) are insufficient. The sinews and bones become emaciated and weak, and the skin and muscles become thin and withered. Therefore, although the disease may temporarily remit, the Qi and Blood have not yet recovered, resulting in deficiency and fatigue.
The following prescriptions are listed:
Huang Wan (Cistanche Pill) (from *Sheng Hui Fang*): Treats excessive thirst followed by persistent irritability and heat in the Upper Jiao (Upper Burner), deficiency of the Lower Yuan (Lower Origin), emaciation, weakness, turbid white urine, and gradual loss of appetite.
Ingredients: Huang [likely Cistanche or Astragalus, text unclear] (cut into pieces), Roushou Rong (Cistanche Herba) (soaked in wine overnight, scraped to remove coarse skin, roasted until dry), Lurong (Deer Antler without Horn) (dehair, coated with butter, roasted until slightly yellow, 1 liang each), Renshen (Ginseng Radix et Rhizoma) (remove rhizome), Ji Gui [likely Rou Gui/Cinnamon Bark or similar] (cut into pieces), Di [text fragment], Fen Shao Wei Fen (calcined to powder).
Dihuang Shengjiang Jian (Rehmannia and Fresh Ginger Decoction) (from *Sheng Ji Zong Lu*): Treats emaciation and weakness of the four limbs after Xiao Ke, Qi deficiency and fatigue.
Ingredients: Sheng Jiang Zhi (Fresh Ginger Juice) (1 sheng), Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) (5 sheng), Mi (Honey) (1 sheng, filtered through silk gauze), Sheng Maimendong Zhi (Fresh Ophiopogonis Radix Juice) (3 sheng), Niu Jing Gu Nei Sui (Bovine Tibia Marrow) (1 sheng).
Congrong Wan (Cistanche Pill) (from *Sheng Hui Fang*): Treats Qi deficiency and body emaciation after Xiao Ke, with thin and slender calves.
Ingredients: Roushou Rong (Cistanche Herba) (soaked in wine, sliced, roasted), Huang [text unclear] (cut into pieces), Niuxi (Achyranthis Bidentatae Radix) (remove sprouts, soak in wine, slice, roast), Cheqianzi (Plantaginis Semen), Bibai (Dioscoreae Hypoglaucae Rhizoma), Baifuling (Poria) (remove black skin), Dihuang [text unclear].
Tian Gu Jian (Bone-Filling Decoction) (from *Qian Jin Fang*): Treats deficiency and fatigue after Xiao Ke.
Ingredients: Baifuling (Poria) (remove black skin), Tusizi (Cuscutae Semen) (soaked in wine, roasted, separately pounded), Shanzhuyu (Corni Fructus), Danggui (Angelicae Sinensis Radix) (slice, roast, 2.5 liang each), Roushou Rong (Cistanche Herba) (3 liang, soaked in wine), Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus) (roasted to extract juice). Simmer slowly in a silver or earthenware vessel until reduced by half, then add the herbs, along with 10 liang of Bai Mi (White Honey) and 5 liang of Niu Sui (Bovine Marrow). Re-simmer until porridge-like consistency. Form pills the size of chicken egg yolks. Take with Rice Water.
Roushou Rong San (Cistanche Powder) (from *Sheng Hui Fang*): Treats excessive thirst followed by deficiency of the Lower Yuan, progressive emaciation, weakness of the four limbs, and lack of desire for food.
Ingredients: Roushou Rong (Cistanche Herba) (soaked in wine overnight, scraped to remove wrinkled skin, roasted until dry), Maimendong (Ophiopogonis Radix) (remove heart), Baishiying (Quartz) (finely ground), Huang [text unclear] (cut into pieces), Muli (Ostreae Concha) (cut and calcined), Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by roasting), Digupi (Lycii Cortex) (equal parts). Add five zhong of medicine.
Zhongru Wan (Stalactite Pill) (from *Sheng Ji Zong Lu*): Treats deficiency and fatigue after Xiao Ke.
Ingredients: Lian Zhongru Fen (Refined Stalactite Powder), Xuduan (Dipsaci Radix), Shu Dihuang (Prepared Rehmanniae Radix) (roasted), Shiwei (Pyri Folium) (remove hairs), Shanzhuyu (Corni Fructus), Shechuangzi (Cnidii Fructus), Gancao (Licorice Radix et Rhizoma) (cut, roasted), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine), Wuweizi (Schisandrae Fructus) (remove heart, 1 liang 3 qian), Zhimu (Anemarrhenae Rhizoma) (3 qian). Grind all ingredients into fine powder. Mix with refined honey to form pills the size of Chinese quince seeds.
Fushen Zhu San (Poria Spirit Boiled Dispersion) (from *Qian Jin Fang*): Treats deficiency-heat from Xiao Ke, emaciation and fatigue of the four limbs, unceasing thirst and heat, tonifying deficiency.
Ingredients: Fushen (Poria with Hostwood), Weirui (Polygonati Odorati Rhizoma) (4 liang each), Sheng Shihu (Dendrobii Caulis), Huanglian (Coptidis Rhizoma), Gualougen (Trichosanthis Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (5 liang each), Gancao (Licorice Radix et Rhizoma) (roasted), Wuweizi (Schisandrae Fructus), Zhimu (Anemarrhenae Rhizoma). Take out, roast dry, weigh 4 liang.
Cishi San (Magnetite Powder) (from *Sheng Hui Fang*): Treats deficiency, fatigue, emaciation, turbid white urine, dry mouth and tongue, and lack of appetite after excessive thirst.
Ingredients: Cishi (Magnetitum) (2.5 liang, crushed, washed with water to remove red juice), Shu Dihuang (Prepared Rehmanniae Radix) (2 liang), Maimendong (Ophiopogonis Radix) (1 liang, remove heart), Sangpiaoxiao (Mantis Oötheca) (3 fen, lightly roasted), Gancao (Licorice Radix et Rhizoma) (1 liang). [Text fragment: fat membrane]. Use two large bowls of water, decoct to one bowl, remove dregs, add 5 qian of medicine, 0.5 fen of fresh ginger. Re-decoct, remove dregs. Take warm on an empty stomach, and again before evening meal.
Shihu San (Dendrobium Powder) (from *Qian Jin Fang*): Treats deficiency and fatigue after excessive thirst, weak legs, and frequent urination.
Ingredients: Shihu (Dendrobii Caulis) (remove roots, cut), Roushou Rong (Cistanche Herba) (soaked in wine, scraped to remove wrinkled skin, roasted until dry, 1 liang each), Maimendong (Ophiopogonis Radix) (2 liang, remove heart, roast), Bajieli (Tribuli Fructus) (0.5 liang, lightly roasted), Xuduan (Dipsaci Radix) (1 liang).
Lurong Wan (Deer Antler Pill) (from *Sheng Hui Fang*): Treats deficiency and fatigue after excessive thirst, slippery and frequent urination, weakness of the calves, and progressive emaciation.
Ingredients: Lurong (Deer Antler without Horn) (dehair, coat with butter, roast until dry), Roushou Rong (Cistanche Herba) (soak in wine overnight, scrape off wrinkled skin, roast until dry), Sangpiaoxiao (Mantis Oötheca) (lightly roasted, 3 liang each), Fuzi (Aconiti Lateralis Radix Praeparata) (roasted until cracked), Tusizi (Cuscutae Semen) (cut). Take 3 qian per dose.
Baizhu San (Atractylodes Macrocephala Powder) (from *Wei Shi Fang*): Treats thirst caused by Stomach deficiency.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria). Grind into powder. Take 7 qian per dose with 1.5 bowls of water, decoct to 0.7 bowl. After prolonged thirst...
Qiandan San (Lead Tetroxide Powder) (also known as Huanglian San/Coptis Powder): Treats wasting and thirst with emaciation and involuntary urination.
Niuxi Wan (Achyranthes Pill) (from *Shi Bian Liang Fang*): Treats unceasing wasting and thirst, deficiency damage of the Lower Yuan, and exhaustion of the Kidney Meridian.
Ingredients: Niuxi (Achyranthis Bidentatae Radix) (soaked in wine, sliced, roasted, 5 liang), Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) (5 liang). Grind Niuxi into powder, mix with Dihuang juice. Soak at night and repeatedly during the day until the juice is exhausted.