秘元煎 治遗精带浊等病。此方专主心脾。
远志(八分,炒) 山药(二钱,炒) 芡实(二钱,炒) 枣仁(炒,捣碎,二钱) 白术(炒) 茯苓
(各钱半) 炙甘草(一钱) 人参(一、二钱) 五味(十四粒,畏酸者去之) 金樱子(去核,二钱)
水二钟,煎七分,食远服。此治久遗无火,不痛而滑者,乃可用之。如尚有火觉热者,
加苦参一、二钱;如气大虚者,加黄 一、二、三钱。
固阴煎 治阴虚滑泄,带浊淋遗,及经水因虚不固等证。此方专主肝肾。
人参(随宜) 熟地(三、五钱) 山药(炒,二钱) 山茱萸(一钱半) 远志(七分,炒) 炙甘草(一
、二钱) 五味(十四粒) 菟丝子(炒香,二、三钱)
水二钟,煎七分,食远温服。如虚滑遗甚者,加金樱子肉二、三钱,或醋炒文蛤一钱,
或乌梅二个;如阴虚微热而经血不固者,加川续断二钱;如下焦阳气不足,而兼腹痛溏泄者
,加补骨脂、吴茱萸之类,随宜用之;如肝肾血虚,小腹痛而血不归经者,加当归二、三钱
。如脾虚多湿,或兼呕恶者,加白术一、二钱;如气陷不固者,加炒升麻一钱;如兼心虚不
眠,或多汗者,加枣仁二钱,炒用。
菟丝煎 治心脾气弱,凡遇思虑劳倦即苦遗精者,宜此主之。
人参(二、三钱) 山药(炒,二钱) 当归(钱半) 菟丝子(制炒,四、五钱) 枣仁(炒) 茯苓(各钱
半) 炙甘草(一钱或五分) 远志(制,四分) 鹿角霜(为末,每服加入四、五匙)
上用水一钟半,煎成,加鹿角霜末调服,食前。或加白术一、二钱。
惜红煎 治妇人经血不固,崩漏不止,及肠风下血等证。
白术 山药 炙甘草 地榆 续断(炒) 芍药(炒) 北五味(十四粒) 荆芥穗(炒) 乌梅(二枚)
水一钟半,煎七分,食远服。如火盛者,加黄连、黄芩;如脾虚兼寒,脾泄者,加破故纸、人参。
苓术菟丝丸 治脾肾虚损,不能收摄,以致梦遗精滑困倦等证。
白茯苓 白术(米泔洗,炒) 莲肉(去心,各四两) 五味(二两,酒蒸) 山药(炒,二两)
杜仲(酒炒,三两) 炙甘草(五钱) 菟丝子(用好水淘净,入陈酒浸一日,文火煮极烂,捣为饼,焙干为末,十两)
上用山药末以陈酒煮糊为丸,桐子大。空心滚白汤或酒下百余丸。如气虚神倦,不能收
摄者,加人参三、四两尤妙。
固真丸 治梦遗精滑。
菟丝子(一斤,淘洗净,用好酒浸三日,煮极熟,捣膏,晒干。或用净白布包蒸亦佳) 牡
蛎( ,四两) 金樱子(去子,蒸熟,四两) 茯苓(酒拌蒸晒,四两)
上蜜丸,空心好酒送下三钱,或盐汤亦可。
粘米固肠糕 治脾胃虚寒,或因食滞气滞,腹痛泄泻久不止者,多服自效。
用白糯米滚汤淘洗,炒香熟为粉,每粉一两,加干姜末炒熟者二分半,白糖二钱,拌匀
,于饥时用滚水调服一、二两。如有微滞者,加陈皮炒末二分,或砂仁末一分俱妙。一法用
陈老米粉亦妙。此与古方固类四十九泄泻经验方大同小异,并补阵养元粉略同。
玉关丸 治肠风血脱,崩漏带浊不固,诸药难效者,宜用此丸兼煎药治之。及泻痢滑泄
不能止者,亦宜用此。
白面(炒熟,四两) 枯矾(二两) 文蛤(醋炒黑,二两) 北五味(一两,炒) 诃子(二两,半生半炒)
上为末,用熟汤和丸,梧子大。以温补脾肾等药随证加减煎汤送下,或人参汤亦可。如
血热妄行者,以凉药送下。
巩堤丸 治膀胱不藏,水泉不止,命门火衰,小水不禁等证。
熟地(二两) 菟丝子(酒煮,二两) 白术(炒,二两) 北五味 益智仁(酒炒) 故纸(酒炒)
附子(制) 茯苓 家韭子(炒,各一两)
上为末,山药糊丸,如桐子大。每服百余丸,空心滚汤,或温酒下。如兼气虚,必加人参一、二两更妙。
敦阜糕 治久泻久痢,肠滑不固妙方,及妇人带浊最佳。
白面(炒黄,二两) 冬白术(炒黄,一两) 破故纸(炒,五钱)
上共为末。临服时加白糖,随宜用清滚汤,食前调服如糕法。如胃寒者,每一两加干姜
炒末五分或一钱;如气有不顺,或痛,或呕,每末一两,加丁香一钱;如滑泄不禁者,每两
加栗壳末炒黄一钱。若以作丸,则宜三味等分用,即名敦阜丸。
秘元煎:治疗遗精、带下及浊证等疾病。此方专门针对心脾两脏。
远志(八分,炒制) 山药(二钱,炒制) 芡实(二钱,炒制) 酸枣仁(炒制后捣碎,二钱) 白术(炒制) 茯苓(各一钱半) 炙甘草(一钱) 人参(一至二钱) 五味子(十四粒,若患者畏酸则去除) 金樱子(去核,二钱)
加水两钟,煎至七分,在饭后服用。这是治疗长期遗精且无火热之象,不疼痛而表现为滑脱不禁的病症,方可使用。如果仍有火热感并觉得发热,加苦参一至二钱;如果气虚严重,加黄芪一至三钱。
固阴煎:治疗阴虚导致的滑泄、带下浊物、淋证及遗尿,以及因虚弱导致月经不固等证候。此方专门针对肝肾两脏。
人参(用量视情况而定) 熟地黄(三至五钱) 山药(炒制,二钱) 山茱萸(一钱半) 远志(七分,炒制) 炙甘草(一至二钱) 五味子(十四粒) 菟丝子(炒香,二至三钱)
加水两钟,煎至七分,饭后温服。如果虚损滑脱遗精严重,加金樱子肉二至三钱,或醋炒文蛤一钱,或乌梅两个;如果阴虚伴有轻微发热且经血不固,加川续断二钱;如果下焦阳气不足,兼有腹痛和溏泄,加补骨脂、吴茱萸之类,酌情使用;如果肝肾血虚,小腹痛且血液不归经,加当归二至三钱。如果脾虚湿气重,或兼有呕吐恶心,加白术一至二钱;如果气陷不固,加炒升麻一钱;如果兼有心虚失眠或多汗,加炒酸枣仁二钱。
菟丝煎:治疗心脾气弱,凡是遇到思虑劳倦就痛苦于遗精的患者,适宜用此方主治。
人参(二至三钱) 山药(炒制,二钱) 当归(一钱半) 菟丝子(炮制炒制,四至五钱) 酸枣仁(炒制) 茯苓(各一钱半) 炙甘草(一钱或五分) 远志(炮制,四分) 鹿角霜(研为末,每次服用时加入四至五匙)
以上药材用水一钟半,煎煮成汤,加入鹿角霜末调匀服用,饭前服用。也可以加白术一至二钱。
惜红煎:治疗妇人经血不固、崩漏不止,以及肠风下血等证候。
白术 山药 炙甘草 地榆 续断(炒制) 芍药(炒制) 北五味子(十四粒) 荆芥穗(炒制) 乌梅(两个)
加水一钟半,煎至七分,饭后服用。如果火盛,加黄连、黄芩;如果脾虚兼寒,脾泄者,加破故纸(补骨脂)、人参。
苓术菟丝丸:治疗脾肾虚损,不能收摄,以致梦遗、精滑、困倦等证候。
白茯苓 白术(米泔水洗净,炒制) 莲肉(去心,各四两) 五味子(二两,酒蒸) 山药(炒制,二两) 杜仲(酒炒制,三两) 炙甘草(五钱) 菟丝子(用好水淘净,入陈酒浸泡一天,用小火煮至极烂,捣成饼状,焙干研为末,十两)
以上用山药末以陈酒煮糊作为丸剂,如梧桐子大小。空腹时用滚开的白开水或酒送服百余丸。如果气虚神疲,不能收摄,加人参三至四两尤为妙效。
固真丸:治疗梦遗、精滑。
菟丝子(一斤,淘洗干净,用好酒浸泡三天,煮至极熟,捣成膏状,晒干。或用干净白布包裹蒸制也很好) 牡蛎(煅,四两) 金樱子(去籽,蒸熟,四两) 茯苓(酒拌蒸晒,四两)
以上制成蜜丸,空腹时用好酒送服三钱,或用盐汤送服也可以。
粘米固肠糕:治疗脾胃虚寒,或因食滞气滞导致腹痛泄泻久治不愈者,多服自见疗效。
用白糯米用滚汤淘洗,炒香熟后研为粉,每粉一两,加干姜末(炒熟)二分半,白糖二钱,拌匀,在饥饿时用滚水调服一至二两。如果有轻微积滞,加陈皮炒末二分,或砂仁末一分都很好。另一种方法是用陈年老米粉也很好。这与古方固类四十九泄泻经验方大同小异,并与补阵养元粉大致相同。
玉关丸:治疗肠风血脱、崩漏带浊不固,诸药难见效者,适宜用此丸配合煎药治疗。以及泻痢滑泄不能止住者,也适宜用此方。
白面(炒熟,四两) 枯矾(二两) 文蛤(醋炒黑,二两) 北五味子(一两,炒制) 诃子(二两,一半生用一半炒制)
以上研为末,用熟汤和丸,如梧桐子大小。以温补脾肾等药物随证加减煎汤送下,或用参汤送服也可以。如果血热妄行,以凉药送下。
巩堤丸:治疗膀胱不藏,水泉不止(小便失禁),命门火衰,小水不禁等证候。
熟地黄(二两) 菟丝子(酒煮,二两) 白术(炒制,二两) 北五味子 益智仁(酒炒制) 故纸(即补骨脂,酒炒制) 附子(炮制) 茯苓 家韭子(炒制,各一两)
以上研为末,用山药糊制作丸剂,如梧桐子大小。每次服用百余丸,空腹时用滚开水或温酒送服。如果兼有气虚,必加人参一至二两更妙。
敦阜糕:治疗久泻久痢,肠滑不固的妙方,以及妇人带下浊物最佳。
白面(炒黄,二两) 冬白术(炒黄,一两) 破故纸(即补骨脂,炒制,五钱)
以上共同研为末。临服用时加白糖,酌情用清滚开水,饭前调服如吃糕的方法。如果胃寒,每一两加干姜炒末五分或一钱;如果气机不顺,或痛,或呕,每末一两,加丁香一钱;如果滑泄不禁,每两加栗壳末(炒黄)一钱。如果做成丸剂,则宜三味等分使用,即名为敦阜丸。
Bi Yuan Jian (Secret Origin Decoction): Treats diseases such as spermatorrhea, leukorrhea, and turbid discharge. This formula specifically targets the Heart and Spleen.
Polygalae Radix (Yuanzhi) (8 fen, stir-fried), Dioscoreae Rhizoma (Shanyao) (2 qian, stir-fried), Euryales Semen (Qianshi) (2 qian, stir-fried), Ziziphi Spinosae Semen (Zaoren) (stir-fried and crushed, 2 qian), Atractylodis Macrocephalae Rhizoma (Baizhu) (stir-fried), Poria (Fuling) (each 1.5 qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) (1 qian), Ginseng Radix (Renshen) (1-2 qian), Schisandrae Fructus (Wuweizi) (14 grains, remove if patient dislikes sour taste), Rhois Trilobae Fructus (Jinyingzi) (pitted, 2 qian).
Add two zhong of water, decoct until seven-tenths remain, take after meals. This is used for long-term spermatorrhea without fire heat, presenting with slipping and incontinence but no pain. If there is still a sensation of heat or fever, add Sophorae Flavescentis Radix (Kushen) 1-2 qian; if Qi deficiency is severe, add Astragali Radix (Huangqi) 1-3 qian.
Gu Yin Jian (Solidify Yin Decoction): Treats symptoms caused by Yin deficiency leading to slippery discharge, leukorrhea, turbid urine, enuresis, and menstrual irregularities due to weakness. This formula specifically targets the Liver and Kidney.
Ginseng Radix (Renshen) (dosage as appropriate), Rehmanniae Radix Praeparata (Shudi) (3-5 qian), Dioscoreae Rhizoma (Shanyao) (stir-fried, 2 qian), Corni Fructus (Shanzhuyu) (1.5 qian), Polygalae Radix (Yuanzhi) (7 fen, stir-fried), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) (1-2 qian), Schisandrae Fructus (Wuweizi) (14 grains), Cuscutae Semen (Tusizi) (stir-fried until fragrant, 2-3 qian).
Add two zhong of water, decoct until seven-tenths remain, take warm after meals. If deficiency and slippery spermatorrhea are severe, add flesh of Rhois Trilobae Fructus (Jinyingzi) 2-3 qian, or Vinegar-processed Arca Shell (Wenge) 1 qian, or two Mume Fructus (Wumei); if Yin deficiency with slight heat and unstable menstruation, add Dipsaci Radix (Chuanxuduan) 2 qian; if lower Jiao Yang Qi is insufficient with abdominal pain and loose stools, add Psoraleae Fructus (Buguzhi) and Evodiae Fructus (Wuzhuyu) as appropriate; if Liver-Kidney Blood deficiency with lower abdominal pain and blood not returning to its vessels, add Angelicae Sinensis Radix (Danggui) 2-3 qian. If Spleen deficiency with dampness or accompanied by nausea/vomiting, add Atractylodis Macrocephalae Rhizoma (Baizhu) 1-2 qian; if Qi sinking and instability, add stir-fried Cimicifugae Rhizoma (Shengma) 1 qian; if accompanied by Heart deficiency insomnia or excessive sweating, add stir-fried Ziziphi Spinosae Semen (Zaoren) 2 qian.
Tu Si Jian (Dodder Seed Decoction): Treats weak Heart and Spleen Qi, where patients suffer from spermatorrhea upon mental exertion or fatigue. This formula is suitable for such cases.
Ginseng Radix (Renshen) (2-3 qian), Dioscoreae Rhizoma (Shanyao) (stir-fried, 2 qian), Angelicae Sinensis Radix (Danggui) (1.5 qian), Cuscutae Semen (Tusizi) (processed and stir-fried, 4-5 qian), Ziziphi Spinosae Semen (Zaoren) (stir-fried), Poria (Fuling) (each 1.5 qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) (1 qian or 5 fen), Polygalae Radix (Yuanzhi) (processed, 4 fen), Cervi Cornu Degelatinatum Pulvis (Lujiaoshuang) (powder, add 4-5 spoons per dose).
Take one and a half zhong of water, decoct, add Cervi Cornu Degelatinatum Pulvis (Lujiaoshuang) powder and mix well, take before meals. Alternatively, add Atractylodis Macrocephalae Rhizoma (Baizhu) 1-2 qian.
Xi Hong Jian (Cherish Red Decoction): Treats women with unstable menstruation, metrorrhagia and metrostaxis (bing lou), and intestinal wind bleeding.
Atractylodis Macrocephalae Rhizoma (Baizhu), Dioscoreae Rhizoma (Shanyao), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao), Sanguisorbae Radix (Diyu), Dipsaci Radix (Xuduan) (stir-fried), Paeoniae Radix Alba (Shaoyao) (stir-fried), Northern Schisandrae Fructus (Bei Wuwei) (14 grains), Schizonepetae Spica (Jingjie Sui) (stir-fried), Mume Fructus (Wumei) (two).
Add one and a half zhong of water, decoct until seven-tenths remain, take after meals. If Fire is excessive, add Coptidis Rhizoma (Huanglian) and Scutellariae Radix (Huangqin); if Spleen deficiency with cold and Spleen diarrhea, add Psoraleae Fructus (Poguozhi/Buguzhi) and Ginseng Radix (Renshen).
Ling Zhu Tu Si Wan (Poria, Atractylodes, and Dodder Seed Pill): Treats Spleen and Kidney deficiency unable to consolidate, leading to nocturnal emission, seminal emission, and fatigue.
White Poria (Bai Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu) (washed with rice water, stir-fried), Lotus Seed Plumule (Lianrou) (heart removed, each 4 liang), Schisandrae Fructus (Wuweizi) (2 liang, steamed with wine), Dioscoreae Rhizoma (Shanyao) (stir-fried, 2 liang), Eucommiae Cortex (Duzhong) (wine-stir-fried, 3 liang), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) (5 qian), Cuscutae Semen (Tusizi) (cleaned with good water, soaked in aged wine for one day, boiled on low heat until very soft, mashed into cakes, dried and powdered, 10 liang).
Use Dioscoreae Rhizoma (Shanyao) powder mixed with aged wine paste to form pills, size of paulownia seeds. Take over 100 pills on an empty stomach with boiling white water or wine. If Qi deficiency and spiritual fatigue prevent consolidation, adding Ginseng Radix (Renshen) 3-4 liang is especially effective.
Gu Zhen Wan (Solidify True Pill): Treats nocturnal emission and seminal emission.
Cuscutae Semen (Tusizi) (1 jin, cleaned, soaked in good wine for three days, boiled until very cooked, mashed into paste, sun-dried. Or steamed in clean white cloth is also good), Ostreae Concha (Muli) (calcined, 4 liang), Rhois Trilobae Fructus (Jinyingzi) (seeds removed, steamed until cooked, 4 liang), Poria (Fuling) (mixed with wine, steamed and sun-dried, 4 liang).
Form honey pills, take 3 qian on an empty stomach with good wine, or salt water is also acceptable.
Nian Mi Gu Chang Gao (Glutinous Rice Intestine-Solidifying Cake): Treats Spleen-Stomach deficiency-cold, or abdominal pain and chronic diarrhea due to food stagnation and Qi stagnation. Frequent use yields good results.
Wash white glutinous rice with boiling water, stir-fry until fragrant and cooked, grind into powder. For every 1 liang of powder, add 2.5 fen of stir-fried dried ginger powder (Ganjiang Mo), and 2 qian of white sugar, mix well. Take 1-2 liang mixed with boiling water when hungry. If there is slight stagnation, add 2 fen of stir-fried tangerine peel powder (Chenpi Mo) or 1 fen of amomum fruit powder (Sharen Mo). Another method using aged rice flour is also excellent. This is similar to the ancient prescription "Gu Lei Forty-Nine Diarrhea Experience Formula" and slightly different from "Bu Zhen Yang Yuan Fen".
Yu Guan Wan (Jade Gate Pill): Treats intestinal wind blood loss, unstable metrorrhagia and leukorrhea where other medicines fail, suitable for this pill combined with decoctions. Also suitable for dysentery and slippery diarrhea that cannot be stopped.
Wheat Flour (Baimian) (stir-fried until cooked, 4 liang), Alum (Kufan) (2 liang), Arca Shell (Wenge) (vinegar-stir-fried until black, 2 liang), Northern Schisandrae Fructus (Bei Wuwei) (1 liang, stir-fried), Chebulae Fructus (Hezi) (2 liang, half raw half stir-fried).
Grind into powder, mix with cooked water to form pills, size of paulownia seeds. Send down with decoctions of warming and tonifying Spleen-Kidney herbs adjusted according to syndrome, or Ginseng Decoction is also acceptable. If blood heat causes reckless movement, send down with cooling medicines.
Gong Di Wan (Consolidate Diaphragm Pill): Treats Bladder inability to store, continuous urination (shui quan bu zhi), decline of Mingmen Fire, and uncontrollable urination.
Rehmanniae Radix Praeparata (Shudi) (2 liang), Cuscutae Semen (Tusizi) (boiled in wine, 2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu) (stir-fried, 2 liang), Northern Schisandrae Fructus (Bei Wuwei), Alpiniae Oxyphyllae Fructus (Yizhiren) (wine-stir-fried), Psoraleae Fructus (Guzhi) (wine-stir-fried), Aconiti Lateralis Radix Praeparata (Fuzi) (processed), Poria (Fuling), Allii Tuberosi Semen (Jiuzi) (stir-fried, each 1 liang).
Grind into powder, use Dioscoreae Rhizoma (Shanyao) paste to form pills, size of paulownia seeds. Take over 100 pills on an empty stomach with boiling water or warm wine. If accompanied by Qi deficiency, adding Ginseng Radix (Renshen) 1-2 liang is especially effective.
Dun Fu Gao (Mount Dunfu Cake): An excellent formula for chronic diarrhea and dysentery with slippery intestines and instability, and best for women's leukorrhea.
Wheat Flour (Baimian) (stir-fried yellow, 2 liang), Winter Atractylodis Rhizoma (Dong Baizhu) (stir-fried yellow, 1 liang), Psoraleae Fructus (Poguozhi) (stir-fried, 5 qian).
Grind together into powder. Before taking, add white sugar, mix with clear boiling water as appropriate, take before meals like eating cake. If Stomach cold, add 5 fen or 1 qian of stir-fried dried ginger powder (Ganjiang Mo) per liang; if Qi is unsmooth, painful, or vomiting, add 1 qian of Clove Dingxiang per liang of powder; if slippery diarrhea is uncontrollable, add 1 qian of stir-fried chestnut shell powder (Liqiao Mo) per liang. If made into pills, use equal parts of the three ingredients, named Dun Fu Wan.