上消者,肺病也。肺气焦满,水源已竭,咽燥烦渴引饮不休,肺火炽盛阴液消亡,当于大队清润
中,佐以渗湿化痰之品。盖火盛则痰燥,其消烁之力,皆痰为之助虐也,逢原饮主之。
逢原饮(自制)
天冬(一钱五分) 麦冬(一钱五分) 南沙参(四钱) 北沙参(三钱) 胡黄连(五
分) 石斛(三钱) 玉竹(三钱) 蛤粉(四钱) 贝母(二钱) 茯苓(三钱)
广皮(一钱) 半夏(一钱五分) 梨汁(半杯冲服)
中消者,胃病也。胃为谷海,又属燥土,痰入胃中,与火相乘,为力更猛,食入即腐,易于消
烁,经所谓除中,言常虚而不能满也。宜清阳明之热,润燥化痰,祛烦养胃汤主之。
祛烦养胃汤(自制)
鲜石斛(五钱) 石膏(四钱) 天花粉(三钱) 南沙参(四钱) 麦冬(二钱)
玉竹(四钱) 山药(三钱) 茯苓(三钱) 广皮(一钱) 半夏(一钱五分) 甘蔗(
三两煎汤代水)
下消者,肾病也。坎之为象,一阳居于二阴之中。肾阴久亏,孤阳无根据,不安其宅,于是饮一溲
一,或饮一溲二,夹有浊淋,腿股枯瘦,而病益深矣。急宜培养真阴,少参以清利,乌龙汤主之。
乌龙汤(自制)
元武版(八钱) 生地(六钱) 天冬(二钱) 南沙参(四钱) 蛤粉(四钱)
女贞(二钱) 料豆(三钱) 山药(三钱) 茯苓(二钱) 泽泻(一钱五分盐水炒)
车前(二钱) 藕(三两煎汤代水)
上消,是肺部的病变。肺气焦枯胀满,水源已经枯竭,咽喉干燥,心烦口渴,饮水不止。由于肺火炽盛,阴液消亡,应当在大队清润的药物中,辅以渗湿化痰的药物。因为火势旺盛则痰液燥结,其消耗津液的力量,都是痰在助长祸害,用逢原饮主治。
逢原饮(自制方)
天冬(一钱五分) 麦冬(一钱五分) 南沙参(四钱) 北沙参(三钱) 胡黄连(五分) 石斛(三钱) 玉竹(三钱) 蛤粉(四钱) 贝母(二钱) 茯苓(三钱)
广皮(一钱) 半夏(一钱五分) 梨汁(半杯冲服)
中消,是胃部的病变。胃是容纳五谷的海,又属于燥土,痰进入胃中,与火热相互搏结,力量更加猛烈,食物吃下去立即被腐熟消化,容易消耗殆尽,经文中所说的“除中”,是指经常虚弱而不能饱食。应当清泻阳明经的热邪,滋润燥热、化解痰浊,用祛烦养胃汤主治。
祛烦养胃汤(自制方)
鲜石斛(五钱) 石膏(四钱) 天花粉(三钱) 南沙参(四钱) 麦冬(二钱)
玉竹(四钱) 山药(三钱) 茯苓(三钱) 广皮(一钱) 半夏(一钱五分) 甘蔗(三两煎汤代替水)
下消,是肾脏的病变。“坎”卦的形象,是一阳爻居于两个阴爻之中。肾阴长期亏损,孤阳没有依托,不能安居于宅舍,于是喝多少尿就排多少,或者喝一份尿排两份,夹杂有浑浊的小便淋沥,大腿和小腿枯瘦,病情因此更加深重。急切应当培养真阴,少量配合清利湿热的方法,用乌龙汤主治。
乌龙汤(自制方)
元武版(八钱) 生地(六钱) 天冬(二钱) 南沙参(四钱) 蛤粉(四钱)
女贞(二钱) 料豆(三钱) 山药(三钱) 茯苓(二钱) 泽泻(一钱五分盐水炒)
车前(二钱) 藕(三两煎汤代替水)
Shangxiao (Upper Xiao) is a disease of the Lung. The Lung Qi becomes scorched and distended, the source of fluids is exhausted, leading to dry throat, irritability, excessive thirst with unceasing drinking. Due to blazing Lung fire and consumption of Yin fluids, one should add damp-draining and phlegm-resolving herbs to a large dose of clearing and moistening agents. This is because excessive fire leads to dry phlegm, which assists in the destructive process of consuming fluids; Fengyuan Yin (Original Source Decoction) is the primary formula.
Fengyuan Yin (Self-made Formula)
Asparagi Radix (Tian Dong, 1.5 qian)
Ophiopogonis Radix (Mai Dong, 1.5 qian)
Glehniae Radix (Nanshashen, 4 qian)
Adenophorae Radix (Beishashen, 3 qian)
Coptidis Rhizoma var. chinense (Huhuanglian, 0.5 qian)
Dendrobii Caulis (Shihu, 3 qian)
Polygonati Odorati Rhizoma (Yuzhu, 3 qian)
Concha Meretricis et Cydoniae (Ge Fen, 4 qian)
Fritillariae Bulbus (Beimu, 2 qian)
Poria (Fuling, 3 qian)
Citri Reticulatae Pericarpium (Guangpi, 1 qian)
Pinelliae Rhizoma Preparatum (Banxia, 1.5 qian)
Pyrus Sinkiangensis Juice (Lizhi, half cup, taken by dissolving)
Zhongxiao (Middle Xiao) is a disease of the Stomach. The Stomach is the sea of grains and belongs to Dry Earth. When Phlegm enters the Stomach, it combines with Fire, making its force more fierce. Food ingested is immediately rotted and digested, easily consumed. As stated in the Classics regarding "Chuzhong" (Elimination of Central Qi), it refers to constant deficiency without ability to feel full. One should clear Heat from the Yangming channel, moisten dryness, resolve phlegm, and nourish the Stomach using Qufan Yangwei Tang (Irritation-Removing and Stomach-Nourishing Decoction).
Qufan Yangwei Tang (Self-made Formula)
Fresh Dendrobii Caulis (Xianshihu, 5 qian)
Gypsum Fibrosum (Shigao, 4 qian)
Trichosanthis Radix (Tianhuafen, 3 qian)
Glehniae Radix (Nanshashen, 4 qian)
Ophiopogonis Radix (Maidong, 2 qian)
Polygonati Odorati Rhizoma (Yuzhu, 4 qian)
Dioscoreae Rhizoma (Shanyao, 3 qian)
Poria (Fuling, 3 qian)
Citri Reticulatae Pericarpium (Guangpi, 1 qian)
Pinelliae Rhizoma Preparatum (Banxia, 1.5 qian)
Saccharum Officinarum Juice (Ganzhe, 3 liang, decocted as water substitute)
Xiaxiao (Lower Xiao) is a disease of the Kidney. The image of Kan (Water trigram) is one Yang line residing between two Yin lines. Long-term deficiency of Kidney Yin leaves isolated Yang without foundation, unable to reside peacefully in its house. Consequently, whatever is drunk is urinated out directly, or even double the amount, accompanied by turbid dysuria, emaciation of the thighs and legs, and deepening of the disease. Urgent cultivation of True Yin is required, supplemented slightly by clearing and draining methods; Wulong Tang (Black Dragon Decoction) is the primary formula.
Wulong Tang (Self-made Formula)
Testudinis Carapax et Plastrum Praeparatum (Yuanwu Ban, 8 qian)
Rehmanniae Radix Preparata (Shengdi, 6 qian)
Asparagi Radix (Tiandong, 2 qian)
Glehniae Radix (Nanshashen, 4 qian)
Concha Meretricis et Cydoniae (Ge Fen, 4 qian)
Ligustri Lucidi Fructus (Nvzhen, 2 qian)
Phaseoli Somen (Liaodou, 3 qian)
Dioscoreae Rhizoma (Shanyao, 3 qian)
Poria (Fuling, 2 qian)
Alismatis Rhizoma (Zexie, 1.5 qian, stir-fried with salt water)
Plantaginis Seed (Cheqian, 2 qian)
Nelumbinis Rhizomatis Nodus (Ou, 3 liang, decocted as water substitute)