胃火炽盛,烦渴引饮,牙龈腐烂,或牙宣出血,面赤发热,玉液煎主之。
玉液煎(自制)
石膏(五钱) 生地(五钱) 石斛(三钱) 麦冬(二钱) 玉竹(四钱)
葛根(二钱) 桔梗(一钱) 薄荷(一钱) 白茅根(八钱) 甘蔗汁(半杯冲服)
此方与胃燥玉石清胃汤,同样用石膏、玉竹、生地、麦冬、石斛、蔗汁,而去人参、山药、茯苓者,火之烈更甚
于燥也。花粉、蛤粉,未尝不能清化热痰,去之而加葛根、桔梗、薄荷、茅根者,胃火已及血分,宜升阳散火,
兼清血分也。以此方与玉石清胃汤比,彼为清润,此为清散。观于玉、石二味之互为重轻,亦可识其用
意之所在矣。祖怡注。
心经之火,移于小肠,溲溺淋浊,或涩或痛,琥珀导赤汤主之。
琥珀导赤汤(自制)
琥珀(一钱) 天冬(一钱五分) 丹皮(二钱) 生地(五钱) 麦冬(一钱五分)
木通(一钱) 赤芍(一钱) 丹参(二钱) 甘草梢(五分) 淡竹叶(十张) 灯芯(三尺)
此方用导赤散之生地、木通、草梢、竹叶全部,而加琥珀、天冬、麦冬、丹参、丹皮、赤芍、灯芯,兼清心小肠之
火,而照顾金水,使火气去而津液长。以琥珀为主者,不但能清心小肠之火与湿热,而并善解毒,为淋
浊症圣药也。祖怡注。
胃火炽盛,表现为烦渴且大量饮水,牙龈腐烂,或出现牙宣出血,面色红赤、身体发热,以玉液煎为主治方剂。
玉液煎(自制方)
石膏(五钱) 生地(五钱) 石斛(三钱) 麦冬(二钱) 玉竹(四钱)
葛根(二钱) 桔梗(一钱) 薄荷(一钱) 白茅根(八钱) 甘蔗汁(半杯冲服)
此方与胃燥玉石清胃汤相比,同样使用了石膏、玉竹、生地、麦冬、石斛、蔗汁,但去掉了人参、山药、茯苓,这是因为火势的猛烈程度超过了单纯的胃燥。天花粉、蛤粉并非不能清除化解热痰,去掉它们而加入葛根、桔梗、薄荷、白茅根的原因在于:胃火已经波及血分,适宜采用升阳散火的方法,兼清血分之热。将此方与玉石清胃汤比较,后者侧重于清润,前者侧重于清散。观察玉竹和石膏这两味药在方中权重的变化,也可以理解其用意所在。祖怡注。
心经之火,移热于小肠,导致小便淋沥浑浊,或排尿涩痛,以琥珀导赤汤为主治方剂。
琥珀导赤汤(自制方)
琥珀(一钱) 天冬(一钱五分) 丹皮(二钱) 生地(五钱) 麦冬(一钱五分)
木通(一钱) 赤芍(一钱) 丹参(二钱) 甘草梢(五分) 淡竹叶(十张) 灯芯(三尺)
此方完整保留了导赤散中的生地、木通、甘草梢、竹叶,并加入了琥珀、天冬、麦冬、丹参、丹皮、赤芍、灯芯,旨在同时清除心与小肠的火邪,并兼顾肺金与肾水,使火气去除而津液生长。以琥珀作为主药,不仅因为它能清除心与小肠的火邪与湿热,更因为它善于解毒,是治疗淋浊症的要药。祖怡注。
When Stomach Fire (Stomach Heat) is blazing, manifesting as irritability, thirst with excessive drinking, rotting of the gums, or bleeding from receding gums (Ya Xuan), along with a red face and fever, Yuye Decoction (Jade Fluid Decoction) is the primary formula.
Yuye Decoction (Self-made Formula)
Shigao (Gypsum Fibrosum, 5 qian)
Shengdi (Rehmanniae Radix Praeparata, 5 qian)
Shihu (Dendrobii Caulis, 3 qian)
Maidong (Ophiopogonis Radix, 2 qian)
Yuzhu (Polygonati Odorati Rhizoma, 4 qian)
Gegen (Puerariae Lobatae Radix, 2 qian)
Jiegeng (Platycodonis Radix, 1 qian)
Bohe (Menthae Haplocalycis Herba, 1 qian)
Baimaogen (Imperatae Rhizoma, 8 qian)
Zhugan Zhi (Sugarcane Juice, half cup, taken by mixing in)
Compared to Weizao Yushi Qingwei Tang (Stomach Dryness Jade-Stone Clearing Stomach Decoction), this formula also utilizes Shigao, Yuzhu, Shengdi, Maidong, Shihu, and Zhugan Zhi, but excludes Renshen (Ginseng Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), and Fuling (Poria). This is because the intensity of the Fire exceeds that of simple dryness. Huafen (Trichosanthis Radix) and Gafen (Concha Meretricis et Cyclinae) are not incapable of clearing and transforming Phlegm-Heat; however, they are removed and replaced with Gegen, Jiegeng, Bohe, and Baimaogen because the Stomach Fire has penetrated into the Blood level (Xue Fen). Therefore, it is appropriate to raise Yang and scatter Fire, while simultaneously clearing the Blood level. Comparing this formula with Yushi Qingwei Tang, the latter focuses on clearing and moistening, whereas this one focuses on clearing and dispersing. Observing the shifting emphasis between Yuzhu and Shigao reveals the therapeutic intent. Annotated by Zuyi.
Fire from the Heart Channel (Heart Jing) transferring to the Small Intestine results in dysuria with turbid urine, or painful and difficult urination. Hupo Daochi Tang (Amber Guiding Red Decoction) is the primary formula.
Hupo Daochi Tang (Self-made Formula)
Hupo (Electrum, 1 qian)
Tiandong (Asparagi Radix, 1.5 qian)
Danpi (Moutan Cortex, 2 qian)
Shengdi (Rehmanniae Radix Praeparata, 5 qian)
Maidong (Ophiopogonis Radix, 1.5 qian)
Mutong (Akebiae Caulis, 1 qian)
Chishao (Paeoniae Radix Rubra, 1 qian)
Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian)
Gancao Shao (Glycyrrhizae Radix et Rhizoma, tip portion, 0.5 qian)
Dan Zhuye (Lophatheri Herba, 10 leaves)
Dengxin (Sparganii Rhizoma, 3 chi)
This formula retains all components of Daochi San (Guiding Red Powder)—Shengdi, Mutong, Gancao Shao, and Dan Zhuye—and adds Hupo, Tiandong, Maidong, Danshen, Danpi, Chishao, and Dengxin. It aims to clear Fire from both the Heart and Small Intestine while attending to Lung Metal and Kidney Water, ensuring that as Fire dissipates, Body Fluids (Jin Ye) increase. Hupo is used as the chief herb not only because it clears Fire and Damp-Heat from the Heart and Small Intestine, but also because it excels at resolving toxicity, making it a supreme remedy for dysuria and turbid urine. Annotated by Zuyi.