胃受燥热,津液干枯,渴饮杀谷,玉石清胃汤主之。
玉石清胃汤(自制)
玉竹(三钱) 石膏(四钱) 花粉(二钱) 石斛(三钱) 生地(五钱)
人参(一钱) 麦冬(二钱) 蛤粉(四钱) 山药(三钱) 茯苓(二钱) 甘蔗汁(半杯冲服)
此方清胃,以玉竹、石膏、蔗汁,救津液而解渴饮。以蔗汁之甘寒,代知母之苦寒。以人参、麦冬、山药、茯苓,
顾脾胃之正气。以石斛花粉、生地、蛤粉,助石、玉、蔗汁收全功。生地顾肾,地、冬同用,金水相生。蛤粉所以
化燥痰。用玉竹、麦冬、石斛、茯苓、蛤粉,与肺受燥热清金保肺汤同。用人参、山药、生地、料豆,与脾受燥热
泽下汤同。清胃之法,尽美尽善矣。祖怡注。
小肠受燥热,水谷之精不能灌输,溲溺涩痛,滋阴润燥汤主之。
滋阴润燥汤(自制)
天冬(一钱五分) 麦冬(一钱五分) 丹参(二钱) 元参(一钱五分) 阿胶(一钱五分蛤粉炒)
丹皮(一钱五分) 牛膝(一钱五分) 泽泻(一钱五分) 生地(五钱) 琥珀(一钱) 灯芯(三尺)
小肠以火腑受燥气,劫阴耗血,焚如之祸甚急。二冬、胶、地,虽非小肠正药,而救阴补血,其力甚伟。以琥
珀、丹参、元参、丹皮、灯芯、泽泻、牛膝,通溲溺,泻相火,导之使从膀胱大肠而下出,小肠之燥火解(小肠
火方,亦用二冬、琥珀、丹参、生地、丹皮、灯芯,可以互参),而本腑安矣。祖怡注。
胃受到燥热侵袭,津液干枯,出现口渴多饮、消谷善饥的症状,主治方剂为玉石清胃汤。
玉石清胃汤(自制方)
玉竹(三钱) 石膏(四钱) 天花粉(二钱) 石斛(三钱) 生地黄(五钱)
人参(一钱) 麦冬(二钱) 蛤粉(四钱) 山药(三钱) 茯苓(二钱) 甘蔗汁(半杯冲服)
此方旨在清泻胃火,利用玉竹、石膏、甘蔗汁来滋养津液并解除口渴多饮之症。以甘蔗汁的甘寒之性,替代知母的苦寒之性。用人参、麦冬、山药、茯苓来顾护脾胃的正气。用石斛、天花粉、生地黄、蛤粉,辅助石膏、玉竹、甘蔗汁发挥全面疗效。生地黄顾护肾脏,生地黄与麦冬同用,体现金水相生的原理。蛤粉用于化解燥痰。使用玉竹、麦冬、石斛、茯苓、蛤粉,与肺受燥热时的“清金保肺汤”用药思路相同。使用人参、山药、生地黄、料豆,与脾受燥热时的“泽下汤”用药思路相同。清泻胃火的治法,可谓尽善尽美。祖怡注。
小肠受到燥热侵袭,水谷的精微物质不能正常输布,导致小便涩滞疼痛,主治方剂为滋阴润燥汤。
滋阴润燥汤(自制方)
天冬(一钱五分) 麦冬(一钱五分) 丹参(二钱) 玄参(一钱五分) 阿胶(一钱五分,蛤粉炒制)
牡丹皮(一钱五分) 牛膝(一钱五分) 泽泻(一钱五分) 生地黄(五钱) 琥珀(一钱) 灯芯草(三尺)
小肠作为火腑,受到燥气侵袭,劫夺阴液、耗损血液,其危害如同焚烧般急迫。天冬、麦冬、阿胶、生地黄,虽然并非直接针对小肠的主药,但在救阴补血方面,效力非常显著。利用琥珀、丹参、玄参、牡丹皮、灯芯草、泽泻、牛膝,通利小便,泻除相火,引导邪气从膀胱和大肠排出,从而解除小肠的燥火(小肠火证的方剂,也使用天冬、麦冬、琥珀、丹参、生地黄、牡丹皮、灯芯草,可以互相参考),这样本腑就能安宁了。祖怡注。
Stomach is affected by dryness-heat, leading to the depletion of body fluids (Jin-Ye), excessive thirst, and rapid digestion of food. The primary formula for treatment is Yushi Qingwei Tang (Jade Stone Stomach-Clearing Decoction).
Yushi Qingwei Tang (Self-made Formula)
Polygonati Odorati Rhizoma (Yuzhu, 3 qian)
Gypsum Fibrosum (Shigao, 4 qian)
Trichosanthis Radix (Huafen, 2 qian)
Dendrobii Caulis (Shihu, 3 qian)
Rehmanniae Radix Preparata (Shengdi, 5 qian)
Ginseng Radix et Rhizoma (Renshen, 1 qian)
Ophiopogonis Radix (Maidong, 2 qian)
Concha Meretricis et Cyclinae (Gafen, 4 qian)
Dioscoreae Rhizoma (Shanyao, 3 qian)
Poria (Fuling, 2 qan)
Saccharum Officinarum Juice (Ganzhe Zhi, half cup, taken with decoction)
This formula clears the stomach heat. It uses Yuzhu, Shigao, and Ganzhe Zhi to replenish body fluids and relieve thirst. The sweet and cold nature of Ganzhe Zhi replaces the bitter and cold nature of Zhimu. Renshen, Maidong, Shanyao, and Fuling are used to protect the righteous qi of the spleen and stomach. Shihu, Huafen, Shengdi, and Gafen assist Shigao, Yuzhu, and Ganzhe Zhi in achieving comprehensive efficacy. Shengdi protects the kidney; the combination of Shengdi and Maidong embodies the principle of Metal generating Water (Jin Shui Xiang Sheng). Gafen is used to resolve dry phlegm. The use of Yuzhu, Maidong, Shihu, Fuling, and Gafen follows the same logic as the Qingjin Baofei Tang (Clear Metal and Protect Lung Decoction) used when the lungs are affected by dryness-heat. The use of Renshen, Shanyao, Shengdi, and Liaodou follows the same logic as the Zexia Tang (Moistening Lower Jiao Decoction) used when the spleen is affected by dryness-heat. The method of clearing stomach heat is perfect and complete. Note by Zuyi.
The small intestine is affected by dryness-heat, preventing the proper distribution of essence from water and grain, resulting in painful and difficult urination. The primary formula for treatment is Ziyin Runzao Tang (Nourishing Yin and Moistening Dryness Decoction).
Ziyin Runzao Tang (Self-made Formula)
Asparagi Radix (Tian Dong, 1.5 qian)
Ophiopogonis Radix (Maidong, 1.5 qian)
Salviae Miltiorrhizae Radix et Rhizoma (Danshen, 2 qian)
Scrophulariae Radix (Yuanshen, 1.5 qian)
Corium Corii Asini (Ejiao, 1.5 qian, stir-fried with Concha Meretricis et Cyclinae powder)
Moutan Cortex (Danpi, 1.5 qian)
Achyranthis Bidentatae Radix (Niuxi, 1.5 qian)
Alismatis Rhizoma (Zexie, 1.5 qian)
Rehmanniae Radix Preparata (Shengdi, 5 qian)
Electrum (Hupo, 1 qian)
Cyperus Spadix (Dengxin, 3 chi)
The small intestine, as a fire organ, is invaded by dryness, depleting yin and consuming blood; the harm is urgent, like burning. Tian Dong, Maidong, Ejiao, and Shengdi, although not specific herbs for the small intestine, have significant power in nourishing yin and tonifying blood. Hupo, Danshen, Yuanshen, Danpi, Dengxin, Zexie, and Niuxi are used to promote urination, drain ministerial fire, and guide the pathogenic factors out through the bladder and large intestine, thereby resolving the dryness-fire of the small intestine (Formulas for small intestine fire also use Tian Dong, Maidong, Hupo, Danshen, Shengdi, Danpi, and Dengxin, which can be cross-referenced), thus calming the affected organ. Note by Zuyi.