(附论)
夫热病口干者。由热毒在于脾胃故也。口为脾之外候。其脏若有积热。则津液枯少。故
令口干也。
方
芦根散(出圣惠方)治热病。口干烦热。宜服。
芦根(二两) 地骨皮 茅根(锉) 葛根(锉) 黄芩 川升麻(各一两) 甘草(三
分炙赤
锉) 麦门冬(一两半去心焙) 上为粗散。每服四钱。水一中盏。入竹茹一分。煎至六分。
去滓。不计时候。温服。
犀角散(出圣惠方)治热病。毒瓦斯在心脾。口干烦闷。宜服。
犀角屑 栝蒌根 川升麻 寒水石 葛根 胡黄连 生干地黄(各一两) 麦门冬(二
两
去心焙) 甘草(半两炙微赤锉) 上为细散。每服一钱。以新汲水调下。不计时候。温服。
黄芩丸(出圣惠方)治热病。心脾壅热不退。口干烦渴。时发躁闷。宜服。
黄芩 栀子仁 铁粉(细研) 栝蒌根 马牙硝(研) 寒水石(各一两) 上为末。
入研了
药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温浆水下三十丸。
栝蒌丸(出圣惠方)治热病。心脾积热。致口干烦渴。宜服。
栝蒌根 黄连(去须) 茯神(各一两) 地骨皮 铁粉 黄芩(各三分) 桑根白皮
(锉)
犀角屑 人参(去芦头) 麦门冬(一两半去心焙) 甘草(半两炙微赤锉) 上为末。炼
蜜和捣
三二百杵。丸如梧桐子大。每服不计时候。小麦汤温下三十丸。
生地黄煎(出圣惠方)治热病。心胸烦热。口干皮肉黄。宜服。
生地黄汁 生栝蒌根汁 生麦门冬汁(各五合) 蜜(二合) 酥(一两) 生藕汁(三
合)
上一处相合。于锅中熬令稍稠。每服不计时候。抄服半匙。
治热病。余热未退。口干烦渴。宜服。(出圣惠方)
知母 石膏(各一两半) 甘草(三分炙微赤锉) 上为粗散。每服五钱。以水一盏。
入糯
米五十粒。煎至五分。去滓。不计时候。温服。
治热病毒瓦斯未解。烦躁壮热。口干闷乱。宜服。(出圣惠方)
葱白(五茎拍破) 豉(二合) 甘草(半两炙微赤锉) 上以水一大盏半。煎至一盏。
去滓。
入生地黄汁。生牛蒡汁。各二合。不计时候。分为三服。
主发热口干。小便涩。(出本草)
以甘蔗去皮尽。令吃之咽汁。若口痛。捣取汁服之。
又方
用葳蕤五两。煮汁饮之。
(附论)
凡是热病导致口干的症状,是因为热毒蕴结在脾胃的缘故。口是脾的外在表现。如果脏腑内有积热,就会导致津液枯少,从而引起口干。
方剂
芦根散(出自《圣惠方》),治疗热病引起的口干、心烦发热,适宜服用。
药材:芦根(二两)、地骨皮、茅根(切碎)、葛根(切碎)、黄芩、川升麻(各一两)、甘草(三分,炙至赤色并切碎)、麦门冬(一两半,去心后焙干)。以上药物制成粗散。每次服用四钱,加水一中盏,放入竹茹一分,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
犀角散(出自《圣惠方》),治疗热病,毒瓦斯蕴结在心脾,导致口干、心烦闷乱,适宜服用。
药材:犀角屑、栝蒌根、川升麻、寒水石、葛根、胡黄连、生干地黄(各一两)、麦门冬(二两,去心后焙干)、甘草(半两,炙至微赤并切碎)。以上药物制成细散。每次服用一钱,用新汲取的冷水调服。不分时候,温服。
黄芩丸(出自《圣惠方》),治疗热病,心脾壅滞之热不退,导致口干、心烦口渴,时常发作躁动闷乱,适宜服用。
药材:黄芩、栀子仁、铁粉(细细研磨)、栝蒌根、马牙硝(研磨)、寒水石(各一两)。以上药物制成粉末,将已研磨的药物混合均匀,用炼蜜调和并捣击三二百下,制成如梧桐子大小的丸药。每次服用不限时候,用温浆水送服三十丸。
栝蒌丸(出自《圣惠方》),治疗热病,心脾积热,导致口干、心烦口渴,适宜服用。
药材:栝蒌根、黄连(去须)、茯神(各一两)、地骨皮、铁粉、黄芩(各三分)、桑根白皮(切碎)、犀角屑、人参(去芦头)、麦门冬(一两半,去心后焙干)、甘草(半两,炙至微赤并切碎)。以上药物制成粉末,用炼蜜调和并捣击三二百下,制成如梧桐子大小的丸药。每次服用不限时候,用小麦汤温服三十丸。
生地黄煎(出自《圣惠方》),治疗热病,心胸烦热,口干且皮肤肌肉发黄,适宜服用。
药材:生地黄汁、生栝蒌根汁、生麦门冬汁(各五合)、蜜(二合)、酥(一两)、生藕汁(三合)。以上药物放在一起,在锅中熬制直到稍微变稠。每次服用不限时候,舀取半匙服用。
治疗热病,余热未退,口干、心烦口渴,适宜服用。(出自《圣惠方》)
药材:知母、石膏(各一两半)、甘草(三分,炙至微赤并切碎)。以上药物制成粗散。每次服用五钱,加水一盏,放入糯米五十粒,煎煮至剩余五分药液,滤去药渣。不分时候,温服。
治疗热病毒瓦斯未解,烦躁、壮热,口干、闷乱,适宜服用。(出自《圣惠方》)
药材:葱白(五茎,拍破)、豉(二合)、甘草(半两,炙至微赤并切碎)。以上药物用水一大盏半,煎煮至一盏,滤去药渣。加入生地黄汁、生牛蒡汁,各二合。不分时候,分为三次服用。
主治发热、口干、小便涩痛。(出自《本草》)
将甘蔗去皮吃尽,让其咽下汁液。如果口痛,捣取汁液服用。
又一方
使用葳蕤五两,煮汁饮用。
(Attached Discussion)
Regarding dry mouth caused by heat disease: This condition arises because heat-toxin resides in the Spleen and Stomach. The mouth is the external manifestation of the Spleen. If there is accumulated heat within the Zang organs, body fluids (Jin-Ye) will become deficient and withered, thus causing dry mouth.
Formulas
Lugen San (Reed Rhizome Powder) [From *Shenghui Fang*]
Indications: Heat disease presenting with dry mouth, vexation, and fever.
Ingredients: Lugen (Radix Imperatae), Digupi (Cortex Lycii), Maogen (Rhizoma Cynodi Dorsis), Gegen (Radix Puerariae), Huangqin (Radix Scutellariae), Chuan Shengma (Rhizoma Cimicifugae) (each 1 liang), Gancao (Radix Glycyrrhizae, 3 fen, roasted until reddish and crushed), Maimendong (Radix Ophiopogonis, 1.5 liang, heart removed and roasted).
Preparation: Grind into a coarse powder.
Dosage: Take 4 qian per dose. Add 1 zhong of water and 1 fen of Zhuru (Caulis Bambusae in Taenia). Decoct until 6 fen remains. Strain. Take warm at any time.
Xijiao San (Rhinoceros Horn Powder) [From *Shenghui Fang*]
Indications: Heat disease where toxic qi accumulates in the Heart and Spleen, presenting with dry mouth and vexation/stuffiness.
Ingredients: Xijiaoxie (Cornu Rhinocerotis), Gualougen (Radix Trichosanthis), Chuan Shengma (Rhizoma Cimicifugae), Hanshuishi (Halloysitum Rubrum), Gegen (Radix Puerariae), Huhuanglian (Rhizoma Coptidis), Shenggan Dihuang (Radix Rehmanniae Preparata) (each 1 liang), Maimendong (Radix Ophiopogonis, 2 liang, heart removed and roasted), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly reddish and crushed).
Preparation: Grind into a fine powder.
Dosage: Take 1 qian per dose. Mix with fresh drawn cold water. Take warm at any time.
Huangqin Wan (Scutellaria Pill) [From *Shenghui Fang*]
Indications: Heat disease where heat stagnates in the Heart and Spleen without subsiding, presenting with dry mouth, vexation, thirst, and occasional restlessness/stuffiness.
Ingredients: Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gardeniae), Tiefen (Lamina Ferri), Gualougen (Radix Trichosanthis), Mayaxiao (Natrii Sulfas), Hanshuishi (Halloysitum Rubrum) (each 1 liang).
Preparation: Grind all ingredients into powder. Mix thoroughly. Combine with refined honey, pound 200-300 times. Form pills the size of Wutong seeds.
Dosage: Take 30 pills per dose with warm Jiangshui (fermented rice liquid) at any time.
Gualou Wan (Trichosanthes Pill) [From *Shenghui Fang*]
Indications: Heat disease where accumulated heat in the Heart and Spleen causes dry mouth and vexation/thirst.
Ingredients: Gualougen (Radix Trichosanthis), Huanglian (Rhizoma Coptidis,须 removed), Fushen (Poria cum Radix Pinelli) (each 1 liang), Digupi (Cortex Lycii), Tiefen (Lamina Ferri), Huangqin (Radix Scutellariae) (each 3 fen), Sangbaipipi (Cortex Mori Radicis, crushed), Xijiaoxie (Cornu Rhinocerotis), Renshen (Radix Ginseng, rhizome removed), Maimendong (Radix Ophiopogonis, 1.5 liang, heart removed and roasted), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly reddish and crushed).
Preparation: Grind into powder. Combine with refined honey, pound 200-300 times. Form pills the size of Wutong seeds.
Dosage: Take 30 pills per dose with warm Xiaomai Tang (Wheat Decoction) at any time.
Shengdihuang Jian (Fresh Rehmannia Decoction/Syrup) [From *Shenghui Fang*]
Indications: Heat disease presenting with vexation/heat in the chest and heart, dry mouth, and yellowing of skin and flesh.
Ingredients: Shengdihuangzhi (Jus Radicis Rehmanniae Recens), Sheng Gualougenzhi (Jus Radicis Trichosanthis Recens), Sheng Maimendongzhi (Jus Radicis Ophiopogonis Recens) (each 5 he), Mi (Mel, 2 he), Su (Butyrum, 1 liang), Sheng Ou zhi (Jus Rhizomatis Nelumbinis Recens, 3 he).
Preparation: Combine all juices and ingredients in a pot. Simmer until slightly thickened.
Dosage: Take half a spoonful per dose at any time.
[Formula for] Residual heat not yet cleared after heat disease, presenting with dry mouth and vexation/thirst. [From *Shenghui Fang*]
Ingredients: Zhimu (Rhizoma Anemarrhenae), Shigao (Gypsum Fibrosum) (each 1.5 liang), Gancao (Radix Glycyrrhizae, 3 fen, roasted until slightly reddish and crushed).
Preparation: Grind into a coarse powder.
Dosage: Take 5 qian per dose. Add 1 zhan of water and 50 grains of Nuomi (Glutinous Rice). Decoct until 5 fen remains. Strain. Take warm at any time.
[Formula for] Heat-toxin and toxic qi not yet resolved, presenting with restlessness, high fever, dry mouth, and mental confusion. [From *Shenghui Fang*]
Ingredients: Congbai (Bulbus Allii Cepae, 5 stalks, smashed), Chi (Folium Sojae Praeparatum, 2 he), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly reddish and crushed).
Preparation: Decoct in 1.5 zhan of water until 1 zhan remains. Strain. Add Shengdihuangzhi (Jus Radicis Rehmanniae Recens) and Sheng Niubangzhi (Jus Radicis Arctii Recens), each 2 he.
Dosage: Divide into three doses. Take at any time.
[Remedy for] Fever, dry mouth, and dysuria. [From *Bencao*]
Peel off the sugarcane completely and chew it to swallow the juice. If there is mouth pain, crush and take the juice.
Another Formula
Use Weirue (Herba Polygonati Odorati) 5 liang. Boil in water and drink the decoction.